Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

I. GENERAL HOUSE KEEPING

  • A. Floors, walls, windows, clean and in good repair.

  • B. Break rooms cleaned/ disinfected daily.

  • C. Aisles and hallways clearly marked and kept clear of obstacles. (Emergency exits)

  • D. Proper signs posted at entrances, doorways, storage areas, maximum floor loading, etc..

  • E. Lighting in good repair and sufficient. Bulbs replaced as needed. Light bulbs and tubes shielded as required to prevent shattering.

  • F. Smoking prohibited within building and smoking area designated.

  • G. Secondary containment/spill control pallets utilized to control releases of bulk chemicals.

  • H. Doors and locks functional and in good repair.<br>Fencing & gates working.

II. EXTERNAL

  • A. Footpaths in good conditon

  • B. Pedestrian access clear and un obstructed

  • C. Trash containers sufficient to prevent overflow and emptied and cleaned periodically.

  • D. Outside area around building(s) clean and neat.<br>Landscaping maintained. Building in good repair.

  • E. Equipment wash water properly disposed. No mixing of industrial process water and rainwater.

  • F. Cargo areas cleaned and disinfected as needed; spills cleaned immediately. Truck cabs clean and orderly.

  • G. Floor drains are clean and free of debris. Floor grates/screens netting in place.

  • H. Cesspits clear of debris and covers in place

  • I. Car park surface free of pot holes and other trip hazards

III. EMERGENCY RESPONSE/FIRE CONTROL & PREVENTION

  • A. Fire extinguishers - Inspect all extinguishers and initial tags monthly. Check all units are properly hung, clean, and accessible. Place "out of service" tags on units needing repair.

  • B. Review Emergency Contacts List and update as needed. Insure that modified list is provided to appropriate agencies. Provide emergency numbers by each phone.

  • C. Check sprinkler system valves and sprinkler heads/pipes for damage. Inspected annually? 12" clearance for heads.

  • D. Check all exits/non-exits for proper signage and access.

  • E. Shop spill kit available and stocked with proper equipment.

  • F. Emergency Evacuation Plan posted at required locations throughout facility.

  • G. Fire hose connections not obstructed.

  • H. All flammables stored in approved containers and cabinets. MSDSs available electronically and in binder.

  • I .Compressed gas cylinders stored and secured. <br>Oxygen/acetylene separated by 20ft or solid wall.

  • J .Sprinkler and alarm system inspected annually.<br>12" clearance for sprinklers.

IV. ELECTRICAL SAFETY

  • A. Permanent wiring, boxes, switches, outlets, and lights secure, properly mounted, and free of defects. No exposed wiring

  • B. Wiring for extension cords, portable lighting, power tools free of kinks, cuts, other damage.

  • C. Extension cords not utilized for permanently mounted equipment.

  • D. Breaker and fuse boxes clean, accessible, and all breaker identified.

  • Complete assessment. Save in IAuditor. Open PDF report to find completed score. Come back to completed inspection and record on document

  • Signature of person completing inspection

  • Signature of GM

  • Date inspection report signed off

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.