Information

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

LOCATION

Inspected By:

OVERALL

  • Is the work area congested?

  • Select from range

  • Housekeeping condition. Poor, satisfactory or excellent.

  • Note any recent injuries, accidents or near misses.

WALKWAYS, FLOORS, PAVEMENT SURFACES

  • Trip Hazards present?

  • Facility lighting adequate / in good condition / working properly?

  • Warning signs present? In good condition?

  • Forklift traffic hazards. Consider route of travel, backing up, use, speed.

  • Spill Clean-up

ELECTRICAL

  • Electrical Cord Condition - Both Power & Extension

  • Are cords protected from rollover/run over?

  • Switchgear and Control Panels 3' clearance?

HAZARDOUS MATERIALS / SUBSTANCES

  • Oil / Fuel tanks - storage adequate, visual inspection for leaks, protected?

  • Are containers properly labeled?

  • SDS available? New chemicals added to SDS List?

  • Acetylene & Oxygen properly stored and secure?

  • Spill kits adequately stocked and placed?

EMERGENCY RESPONSE

  • Emergency Action Plan posted and up to date?

  • Eye wash stations clean and well supplied? Easy access and not blocked?

  • First Aid Kit(s) accessible and well stocked?

  • Fire Extinguishers inspected and in good working order, signed off Monthly?

  • Access clear?

  • Correct extinguisher for exposures nearby?

HOT WORK

  • Welding Areas Identified?

  • Protective shields in use?

  • Proper PPE in use?

  • Welding & Cutting equipment in good condition?

  • Combustibles Out of Area?

  • Adequate ventilation?

GENERAL

  • PPE is in use as per Company Policy?

  • Visitors following protocols?

  • Fall Protection. Any areas noted in Shop? Guard rails adequate / legal?

  • Lockout / Tagout in use?

  • Power Equipment properly guarded?

  • Ladders in proper use? Condition?

  • Seatbelt use on forklift(s)?

WRAP-UP

  • Do you notice any hazards that could cause injury or accident? Please explain.

  • Any training deficiencies noted?

  • Cell phones in use that create a hazard?

  • Lifting devices used properly? Include rigging.

COMMENTS

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.