Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General.

  • Floors are clear and free of hazards?

  • Work area is reasonably quite and free of distractions?

  • Phone lines and electrical cords are secured under a desk on the along wall, and away from heat source?

  • Temperature, ventilation, and lightning are adequate?

  • First aid supplies are readily available?

Fire safety.

  • Walkways, aisles, and doorways are unobstructed?

  • Working smoke detector covering the designated work space?

  • Charged, accessible fire extinguishers in area?

  • More than one exit from work area?

  • Work space is keeps free of trash, clutter, and flammable liquids?

  • Are all radiators and portable heaters located away from flammable items?

Electrical safety.

  • Computer equipment is connected to a surge protector?

  • Electrical system is adequate for office equipment?

  • All electrical plugs, cords, outlets, and panels in good condition? No expose damaged wiring?

  • Extention cords and power strips not daisy chained and no permanent extension cord in use?

  • Electrical cords run in non-traffic areas. Do not run under rugs and are not nailed or stapled in place?

  • Equipment turned off when not in use?

  • Electrical outlets are grounded with 3-pronged plugs?

Work station ergonomics.

  • Office furniture and equipment ergonomically correct?

  • Chair is sturdy adjustable with back rest and caster appropriate for floor surface?

  • Does the operator know how to properly adjust the chair?

  • Does your business chair have 5 support legs and casters?

  • Is your back adequate,g supported by a backrest?

  • Do you have adequate lighting at the workstation?

Other.

  • Files and data are secure?

  • Materials and equipment are in a secure place that can be protected from damage or misuse?

  • Is there an exit that allows prompt exiting in the event of an emergency?

  • Do you have an inventory if all equipment in the office including serial numbers when possible?

  • In comm room, were measures in place to prevent a network outage?

  • In comm room, were cables managed/equipment installed and racked properly to arrival to ensure no possible network outage?

  • Please rank the crews attitude towards safety (1-10)

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.