Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

General Comments

  • Safety & housekeeping audit summary:

  • On a score of 1-10 (1- significantnimprovement needed, 10 - excellent performance), rate the overall safety & health performance:

General Safety & Housekeeping

General Housekeeping

  • Are offices and cubicle desk tops relatively clean and orderly?

  • Are all floors, aisles, and adjacent hallways unobstructed?

  • Are floors dry and free from slip or trip hazards?

  • Are bench tops and fume hoods reasonably well organized and clean?

  • Is machine guarding (rigid belt guard, housing, etc.) in place to protect employees from hazards caused by any moving machinery, belts, etc.?

  • Are employees wearing all required personal protective equipment for their lab work (lab coats, no open-toe footwear, gloves, safety glasses with side shields, goggles, and/or face shields?

Elevated Work

  • Have all ladders received documented inspections each month?

  • Are employees who are on elevated work platforms >4' protected from fall hazards?

Chemical Hygiene Plan

Chemical Storage

  • Are all food and drink products stored and consumed away from toxic and infectious materials?

  • Are all refrigerators and freezers properly labeled either "Food and Drink Only" or "No Food and Drink"?

  • Are incompatible materials properly segregated (acids/bases, flammables/oxidizers, etc.)?

  • Are chemical containers in good condition and kept closed (except when they are in use)?

  • Are flammable liquids (including flammable wastes) stored in flammable liquid storage cabinets? (NOTE: Up to 10 gallons per control area - NOT individual lab - may be stored outside of the cabinets)

  • Are refrigerated flammables placed in explosion proof or flammable refrigerators only?

  • Are all hazardous materials kept away from sinks or drains unless secondary containment is provided?

  • Has storage of hazardous chemicals in the fume hood been minimized?

  • Are fume hoods providing good negative pressure, and are their annual inspections current?

Hygiene Plan

  • Are Safety Data Sheet (SDS) documents available for all lab chemicals, a chemical inventory list available, and do employees know where to find them?

  • Are all hazardous materials and oil pumps stored in secondary containment and free of spilled materials or residue?

  • Do all lab practices minimize the potential for volatilization (eg. traps used, open container procedures minimized, etc.)?

Chemical Waste

  • Is the "Chemical Waste Compliance" poster clearly displayed in labs where hazardous waste is accumulated?

  • Have weekly waste storage areas received documented inspections?

  • Are all hazardous wastes collected in compatible containers with completed waste tags?

  • Are hazardous wastes kept for no longer than 9 months from the accumulation date on the waste tag?

  • Are waste containers in good condition and kept closed (except when they are in use), with no open funnels?

  • Are biohazard wastes placed in red bags with proper signage?

  • Are red biohazard bags stored in hard-sided closed secondary containment (which has biohazard symbols on all four sides and the top)?

  • Are "sharps" materials being handled and disposed of properly?

Compressed Gas Cylinders

  • Are compressed gas cylinders protected from external heat sources or physical damage and stored in well ventilated and dry locations?

  • Are gas cylinders secured to a rigid structural component of the building with chains, straps, or equivalent materials?

  • Are protective caps in place on all cylinders which are not currently in use or connected for use?

  • Are gas detectors present if flammable gasses could build up without detection by normal human senses?

Electrical Safety

  • Are all extension cords and power strips being used properly (no "daisy chaining", temporary cords being used in a permanent way, or overloaded circuits)?

  • Are all cords in good working order (no exposed wires, cut insulation, or missing ground prongs)?

  • Have all high voltage (>600 volt) pieces of equipment been labeled, grounded, and insulated properly?

  • Has equipment been properly de-energized prior to maintainence or repair activities?

Fire Safety

  • Are appropriate fire extinguishers mounted within 75' of all work areas?

  • Have all fire extinguishers received documented monthly inspections from facility personnel and annual inspections from a qualified 3rd party inspector?

  • Are the areas around fire extinguishers and pull alarms clearly visible and free from obstructions?

  • Do all sprinkler heads have at least 18" of vertical clearance?

Emergency Action Plan

Earthquake Safety

  • Do all shelves have lips or seismic restraints?

  • Are all free-standing cabinets, furniture, or equipment (greater than 4' tall) braced or anchored against unintended movement?

  • Are any cabinets or bookshelves secured to the walls?

  • Has overhead storage been minimized and restrained from falling?

Emergency Action Plan

  • Are postings marked, "In Case of Emergency" or "Emergency Procedures" in place and current?

  • Are emergency contacts, chemical storage maps, and chemical inventory lists stored in a secure location (eg. server drive) and kept current?

  • Are hazardous material spill clean-up kits available and well stocked?

  • Have employees received documented spill clean-up procedure training?

  • Are disaster and fire prevention plans available to all employees?

  • Are first aid materials kept in adequate supply and made readily available?

  • Are emergency exit pathways clearly marked and free from obstructions?

  • Has at least one employee been trained in first aid - or are emergency medical services less than four minutes away?

Auditor Signature

  • Auditor's name & Signature

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