Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

1.0 - General

  • 1.1 - Building is adequate for purpose, clean and tidy?

  • 1.2 - Bins located and clearly identifiable at suitable points around site?

  • 1.3 - Bins emptied regularly?

  • 1.4 - Recycling waste options in place?

  • 1.5 - Site security is effective e.g. perimeter fencing, barricading, locks?

  • 1.6 - Buildings are adequately ventilated incl. cooling and/or air con and heating systems?

  • 1.7 - Furniture, appliances and other large items in sound condition?

2.0 - Emergency Procedures

  • 2.1 - Fire extinguishers located, mounted, clear of obstructions and sign posted?

  • 2.2 - Extinguishers serviced every 6 months?

  • 2.3 - Fire blankets located, mounted, identified in accessible area? (kitchen)

  • 2.4 - Evacuation warden and/or contact details available in event of emergency?

  • 2.5 - Evacuation plan & OHS signage displayed and easy to understand?

  • 2.6 - Exit doors easily opened from inside?

  • 2.7 - Exits clear of obstructions?

  • 2.8 - Exits have disabled access?

  • 2.9 - "No smoking" signs displayed at entrance of building?

  • 2.10 - Emergency exit lighting operable?

3.0 - First Aid Facilities

  • 3.1 - First aid facilities available, clearly identifiable and adequate?

  • 3.2 - Are cabinets and contents clean and orderly?

  • 3.3 - Defibrillator available, clearly identifiable and adequate?

4.0 - Amenities

  • 4.1 - Are change rooms / public toilets clean and clear of rubbish?

  • 4.2 - No damaged equipment or furniture?

  • 4.3 - Are toilets in working order?

  • 4.4 - Is hand dryer working and/or are there hand towels available?

  • 4.5 - Are showers in working order?

  • 4.6 - Are wash basins in working order?

5.0 - Sporting fields, courts and other areas

  • 5.1 - Sport surfaces fit for purpose and compliant with sporting body requirements?

  • 5.2 - Entrance and exit to sporting areas clearly identifiable & unobstructed access to required amenities

  • 5.3 - No damaged/hazardous benches, fences, doors or sport-specific equipment (i.e. goalposts)

  • 5.4 - Grass and other surfaces reasonably maintained

6.0 - Floors and passageways

  • 6.1 - Floor surfaces free from tripping hazards?

  • 6.2 - Floors are slip resistant / no spills are apparent

  • 6.3 - Passageways clear from obstruction

  • 6.4 - Access ways at least 1m wide

  • 6.5 - Stairways and passageways clean

  • 6.6 - No damage on floor surfaces (e.g. no broken floorboards)

  • 6.7 - Handrails provided and in good condition

7.0 - Lighting

  • 7.1 - Good natural lighting?

  • 7.2 - Where necessary, adequate lighting available?

  • 7.3 - Light fittings and switches clean and in good condition?

8.0 - Electrical

  • 8.1 - Adequate power points available / no excessive use of extension leads

  • 8.2 - Power points, plugs and switches in good working order

  • 8.3 - Only power boards used (no double adaptors)

  • 8.4 - Electrical equipment, power boards, power leads have been tested and tagged and are up to date

  • 8.5 - Power boards and power leads are mounted clear of the floor

  • 8.6 - Where power boards and power leads are used only 1 per power point

  • 8.7 - Electrical power leads kept away from wet areas

9.0 - Storage Design and Use

  • 9.1 - Materials stored at appropriate height, neatly in bins/shelves wherever possible?

  • 9.2 - Storage designed to minimise lifting problems?

  • 9.3 - Floors around racking clear of rubbish?

  • 9.4 - Storage area(s) lockable and kept locked at time of inspection?

  • 9.5 - Gas bottles and other hazardous items stored in suitable locations? (including adequate ventilation)

  • 9.6 - Any empty cylinders are separated and clearly identifiable from full ones

  • 9.7 - Cylinders stored minimum of 3m away from any ignition source

Sign Off

  • Auditor #1 - Name

  • Auditor #1 - Signature

  • Auditor #2 - Name

  • Auditor #2 - Signature

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.