Information

  • Site conducted

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • 1 - Are furniture pieces (desks chairs, tables plants, and lamps) clean and organized? (Yes, they are clean and organized = 30 pts., It needs improvement in one or more areas (organization, cleanliness) = 15 pts., No, it fails in all areas (organization and cleanliness) = 1pt.

  • 2 - Are visual aids for appropriate safety concerns documented visually? Ex. fire extinguishers have arrow label, emergency assembly meeting points are listed for each department, emergency exit signs are illuminated, emergency contact info is posted. Yes, they are documented, organized, and up-to-date = 30 pts., It needs improvement in one or more areas (documented, organized, up-to-date) = 60 pts., It needs improvement in one or more areas (documented, organized, up-to-date) = 30 pts., No, it fails in all areas (document, organized, and up-to-date) = 1 pt.

  • 3 - Are files, equipment, materials, supplies, books, and binders ON CABINETS AND SHELVES organized, clean, and labeled? Yes, they are organized, clean, and labeled = 30 pts, It needs improvement in one or more areas (organized, clean, labeled) = 15 pts., No, it fails in all areas (organized, clean, labeled) = 1pt.

  • 4 - Are files on work surface, IN DRAWERS organized and neat? Yes, they are organized and neat = 30 pts., It needs improvement in one or more areas (organization, neatness) = 15 pts., No, it fails in all areas (organization, neatness) = 1pt.

  • 5 - Are SHARED office supplies and materials in their designated location and procedures are in place to: maintain system and instructions on what to do if there is an abnormal condition EX. kanban cards, fill levels, or posted instructions. Yes, office supplies are in their designated location and procedures are in place to: maintain system and instructions on what to do if there is an abnormal condition = 30 pts., It needs improvement in one or more areas (location, procedures) = 15 pts., No, it fails in all areas (location, procedures) = 1pt.

  • 6 - Are In / out boxes, mail bins and other bins organized, clean, and labeled? Yes, they are organized, clean, and labeled = 30 pts., It needs improvement in one or more areas (organized, clean, and labeled) = 15 pts., No, it fails in all areas (organized, clean, and labeled) = 1pt.

  • 7 - Are equipment operating instructions, clean-up instructions and required communications documented, organized, and up-to-date? Yes, they are documented, organized, and up-to-date = 60 pts., No, it fails in all areas (documented, organized, and up-to-date) = 1pt.

  • 8 - Are bulletin boards, posters, pictures, signs and other posting up to date and organized? Ex. SQSP board has safety cross, 5S scores, score plot, and kaizen newsletter / phone lists are up-to-date, etc. Yes, they are documented, organized, and up-to-date = 30 pts., It needs improvement in one or more areas (documented, organized, and up-to-date) = 15pts, No, it fails in all areas (documented, organized, and up-to-date) = 1pt.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.