Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. FIRE

  • 1.1 FIRE extinguisher: In place / Correct / Valid

  • 1.2 FIRE Blanket available-kitchen

  • 1.3 FIRE Spinkles/PA System / Fire Alarm : Available / Working

  • 1.4 Fire instruction displayed clearly.

  • 1.5 Adequate direction for exit .

  • 1.6 Fire exit signage : In place / working / visible.

  • 1.7 Fire door easily open from inside.

  • 1.8 Exit doors & route : Free form instruction .

  • 1.9 Exit route : Adequate lighting.

  • 1.10 Action Required

2. ELECTRICAL

  • 2.1 No broken plugs,sockets or switches.

  • 2.2 No fray or damage power supply,cables or wires.

  • 2.3 Portables power tools in good conditions.

  • 2.4 Emergency shutdown procedure in place.

  • 2.5 Protective device : ELCB installed.

  • 2.6 Warning of cautions signage : In place / Visible / Available .

  • 2.7 Action Required

3. GENERAL LIGHTING

  • 3.1 Adequately luminated.

  • 3.2 Good natural Light Available .

  • 3.3 No direct or reflect glare.

  • 3.4 Light fittings: Clean / Working.

  • 3.5 Emergency battery back up lighting: In place / working.

  • 3.6 Action Required

4. WALKWAYS

  • 4.1 Flooring : Free of oil / Grease / Slippery.

  • 4.2 Free of obstruction

  • 4.3 Adequately marked & visible for Safety passage.

  • 4.4 Unobstructed vision at intersections.

  • 4.5 Unobstructed : Stairs / Risers

  • 4.6 Action Required

5. MACHINERIES & EQUIPMENT

  • 5.1 Maintained Well / Clean / Dry

  • 5.2 Adequately guarded from moving parts.

  • 5.3 Emergency shutdown facilities available within reach?

  • 5.4 Safety devices: in place / Working condition?.

  • 5.5 Adequate work space around the equipment?.

  • 5.6 Noise level: Acceptable?

  • 5.7 Warning / Caution Signage: In place / Visible / Available .

  • 5.8 Personal Protective Equipment : Available? Used?

  • 5.9 Emergency shutdown procedure in place?

  • 5.10 Action Required

6. RUBBISH

  • 6.1 Bin: Strategically located/Available / Adequate .

  • 6.2 Bins emptied regularly ?

  • 6.3 Bins for Combustible items covered in metal container?

  • 6.4 Bins are properly covered?

  • 6.5 Rubbish disposed properly?

  • 6.6 Recycle Bins: Available / Used ?

  • 6.7 Action Required

7. WORK TOP & BENCHES

  • 7.1 Clear of Rubbish ?

  • 7.2 Tools & Utensils not use kept in place?

  • 7.3 Correct Working height( elbow level)?

  • 7.4 No sharps edges or corners?

  • 7.5 Warning / Caution Signage : in place / Visible / Available .<br>

  • 7.6 Personal Protective Equipment : Available / Used?<br>

  • 7.7 Workplace adequatedly: Luminated / Ventilated?<br>

  • 7.8 Action Required

8. STORAGE AREA

  • 8.1 Must be stored in racks,container or bins.

  • 8.2 Storage racks easily & Safety accessible?

  • 8.3 General storage system to minimize lighting problem?

  • 8.4 Warning / Coution Signage: In place / Visible / Available .

  • 8.5 Floors & Walkways: Clear of rubbish & obstructions?

  • 8.6 Suitable trolleys & lifting equipment Available?

  • 8.7 General storage racks,pallets etc Good condition ?

  • 8.8 Personal Protective Equipment : Available / Used?

  • 8.9 Workplace adequatedly : Luminated / Ventilated ?

  • 8.10 Action Required

9. CHEMICAL USAGE ON SITE

  • 9.1 Material Safety Data Sheets? For All chemicals: Available ?

  • 9.2 Storage container clearly labelled?

  • 9.3 Any special storage required?

  • 9.4 Personal Protective Equipment: Available / Used ?

  • 9.5 Workplace adequatedly: Luminated / Ventilated ?

  • 9.6 Are users trained: Safe handling & during Emergency?

  • 9.7 Action Required

10. FIRST AIDS

  • 10.1 Is the First Aid Box: Available / Visible / Acessible?

  • 10.2 In the First Aid Box: Well stocked?

  • 10.3 Are the contents expired?

  • 10.4 Are the Employees aware of it's loction?

  • 10.5 Are the Employees trained in "First Aid"?

  • 10.6 Is the Emergency content information displayed ?

  • 10.7 Action Required

11. OFFICE HAZARDS

  • 11.1 Furniture & fixtures: In place properly ?

  • 11.2 Tables & Chairs : Are of Correct Working height ?

  • 11.3 Workplace adequatedly : Luminated / Ventilated ?

  • 11.4 Disposal Bins for photocopier's chemicals: Available ?

  • 11.5 Flooring: Free of oil / Grease / Slippery?

  • 11.6 Air condition system : Good Condition ?

  • 11.7 Action Required

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.