Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.1 Date of last Workplace inspection

  • 1.2 - Are there no outstanding actions?

  • 1.3 - Have all outstanding actions been transferred to this Workplace Inspection with comments made?

2.0 - Fire Prevention

  • 2.1 - Extinguishers in place, clearly marked for type of fire?

  • 2.2 - Extinguisher no more than 1200 mm max height & base not lower that 100 mm?

  • 2.3 - Correct extinguisher wall sign for the type of extinguisher

  • 2.4 - Hose reels identified with a sign and located with 30 meters of a signed exit?

  • 2.5 - Extinguishers and hose reels recently serviced? (Check 6 monthly punch mark on tabs)

  • 2.5 Note date off last punch - use the 1st and month and year

  • 2.6 - Extinguishers and hose reels clear of obstructions?

  • 2.7 - New staff informed of location of extinguishers? (Ask 2 staff)

  • 2.7 1st staff member

  • 2.7 2nd staff member

  • 2.8 - Fire alarm system functioning correctly?

  • 2.8 Date last tested

  • 2.9 - Smoke detectors fitted and working?

  • 2.10 - Add general information here

3.0 - Emergency Exits and Procedures

  • 3.1 - Evacuation plan displayed and showing evacuation routes?

  • 3.2 - Staff are aware of Emergency Procedures (Ask 2 staff)

  • 3.2 1st staff member

  • 3.2 2nd staff member

  • 3.3 - Emergency evacuation exercise undertaken annually and records kept?

  • 3.3 Date of last exercise

  • 3.4 - Signs clearly identify fire wardens by name and phone number?

  • 3.4 Fire warden training is with the last 2 years?

  • 3.5 - Exit doors easily opened from inside?

  • 3.6 - Exits clear of obstructions?

  • 3.7 - Emergency exit lighting operable?

  • 3.8 - Emergency lighting in place if after hours operations?

  • 3.9 - Emergency lighting and emergency exit signs tested 6 monthly and records kept?

  • 3.9 Date last tested

  • 3.10 - Add general information here

4.0 - Building Safety and Grounds

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - The workplace is free of tripping hazards?

  • 4.4 - Walkways adequately and clearly marked?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are railings in good condition?

  • 4.7 - Are outside walkways free from uneven surfaces, potholes, etc?

  • 4.8 - Signs displayed in appropriate locations, identifying issues and hazards

  • 4.9 - Perimeter fencing in good order?

  • 4.10 - Drainage / drains clear of obstructions?

  • 4.11 - Grounds are clean and in good presentable order?

  • 4.12 - Security gates and locks in good working order?

  • 4.13 - Is the workplace free of distracting or disruptive noises?

  • 4.14 - Does the workplace at different areas have a dB below 80? Use the dB app to note the level.

  • 4.14 Location 1

  • 4.14 Location 2

  • 4.14 Location 3

  • 4.15 - Add general information here

5.0 - Work Benches

  • 5.1 - Clear of rubbish?

  • 5.2 - Tools not in use kept in place?

  • 5.3 - No damaged hand tools in use?

  • 5.4 - No damaged power tools in use?

  • 5.5 - Work height correct for the type of work and the employee?

  • 5.6 - No sharp edges?

  • 5.7 - Add general information here

13.0 - Office Hazards

  • 6.1 - Filing cabinets are in good condition?

  • 6.2 - Chairs are in good condition?

  • 6.3 - Desks in good condition? (No damage.)

  • 6.4 - Workstations are well designed, safe and fit for purpose?

  • 6.5 - Adequate space per person exists?

  • 6.6 - Areas are clean, tidy and free from hazards?

  • 6.7 - Photocopiers positioned at least 1800 cm from workstations and well ventilated?

  • 6.8 - Office machines are in good operational order?

  • 6.9 - Office machine (such as guillotines and shredders) have guards fitted?

  • 6.10 - Stored items are accessible with no overreaching?

  • 6.11 - Monitors and other electrical equipment is free from combustible materials?

  • 6.12 - Air conditioning systems regularly maintained?

  • 6.13 - The temperature is maintained at a comfortable level at approximately 21-24 with regular circulation?

  • 6.14 - Add general information here

7.0 - Storage Design and Use

  • 7.1 - Materials stored in racks and bins wherever possible?

  • 7.2 - Storage designed to minimise lifting problems?

  • 7.3 - Floors around racking clear of rubbish?

  • 7.4 - Are racks and pallets in good condition?

  • 7.5 - Is a step ladder or stable step provided to reach items stored on high shelves?

  • 7.6 - Are storage shelves loaded in a way that heavy items are not stored above shoulder height?

  • 7.7 - Adequate storage exists?

  • 7.8 - Add general information here

8.0 - Machines and Equipment

  • 8.1 - Are they kept clean?

  • 8.2 - Are the floors around the machines and equipment kept clean?

  • 8.3 - Guards in good condition?

  • 8.4 - Starting and stopping devices within easy reach of operator?

  • 8.5 - Waste/off cuts removed and stored safely?

  • 8.6 - If PPE is required is it being worn?

  • 8.7 - If PPE is required, is it appropriately signed?

  • 8.8 - Adequate work space around machines and equipment?

  • 8.9 - Noise levels controlled?

  • 8.10 - No bending or stooping required?

  • 8.11 - Add general information here

9.0 - Electrical Safety

  • 9.1 - Leads are not creating tripping hazards?

  • 9.2 - No double adapters in use?

  • 9.3 - Is there sufficient power outlets for the appliances used?

  • 9.4 - Equipment tested and tagged? (view several items across the workplace)

  • 9.4 Note date last tested

  • 9.4 Note date last tested if more than one date

  • 9.5 - No broken plugs, sockets or switches?

  • 9.6 - No power leads across walkways?

  • 9.7 - No frayed or damaged leads?

  • 9.8 - Add general information here

10.0 - Chemical Safety

  • 10.1 - Hazardous Substance Register available? (Ask 2 staff members where to locate)

  • 10.1 1st staff member

  • 10.1 2nd staff member

  • 10.2 - Material Safety Data Sheets available for chemicals? Check 5

  • 10.2 1st - take photo

  • 10.2 2nd - take photo

  • 10.2 3rd - take photo

  • 10.2 4th -take photo

  • 10.2 5th - take photo

  • 10.3 - Risk assessments completed for hazardous substances?

  • 10.4 - All containers labelled correctly?

  • 10.5 - No chemicals are decanted into food or drink containers. (answer should be yes, no means that they have been)

  • 10.6 - Unused substances disposed of correctly?

  • 10.7 - Chemical store areas appropriately signed?

  • 10.8 - Is a spill kit available and maintained?

  • 10.9 - If required is PPE available?

  • 10.10 - Is adequate ventilation provided?

  • 10.11 - Are eye washes and showers easily accessed?

  • 10.12 - Asbestos register up to date and available?

  • 10.13 - Add general information here

11.0 - Housekeeping and Amenities

  • 11.1 - Cleaning schedule in place and effective?

  • 11.2 - No Smoking signs displayed at or near entrance?

  • 11.3 - Temperature and ventilation can be adjusted?

  • 11.4 - Staff eating and resting areas are in a clean and safe condition?

  • 11.5 - Refrigerators and cooking appliances are clean?

  • 11.6 - No power points are mounted clear and wet areas?

  • 11.7 - Are all appliances such as microwave ovens stored at a safe height and easily accessible?

  • 11.8 - Are microwave ovens in a good condition?

  • 11.9 - Are cutlery, cups and plates clean and stored in a hygienic manner?

  • 11.10 - Are kitchen cleaning materials stored in a safe and hygienic manner?

  • 11.11 - Are dish cloths and tea towels available for use and clean?

  • 11.12 - Are toilets and areas surrounding regularly cleaned?

  • 11.13 - Are floors around toilets and change areas clear of water?

  • 11.14 - Are shower areas clean and clear of soap on floors?

  • 11.15 - Are rubbish bins and sanitary bins provided and serviced?

  • 11.16 - Add general information here

12.0 - First Aid Facilities

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.3 - No contents past their expiry date?

  • 12.4 - Cabinets clearly labelled?

  • 12.5 - Is there easy access to cabinets?

  • 12.6 - Employees aware of location of first aid cabinet? (Ask 2 staff members)

  • 12.6 1st staff member

  • 12.6 2nd staff member

  • 12.7 - Are first aid officers accessible?

  • 12.8 - Are emergency numbers displayed?

  • 12.9 - Add general information here

13.0 - Security

  • 13.1 - Security system operating correctly (locks, proximity cards, cameras, alarms, etc)?

  • 13.2 - Security lighting in good operating order?

  • 13.3 - Staff are aware of security procedures and location of them?

  • 13.3 1st staff member

  • 13.3 2nd staff member

  • 13.4 - Security alarms are regularly tested and records kept?

  • 13.4 Note the date of last test

  • 13.5 - Duress alarms (where fitted) are tested and records kept?

  • 13.5 Note the date of last test

  • 13.6 - In the patient / health areas is the drugs stored safety and locked?

  • 13.7 - In the patient / health areas is a operational patient call alarm fitted in waiting areas?

  • 13.8 - Add general information here

14.0 - General Lighting

  • 14.1 - Good natural lighting?

  • 14.2 - Reflected light from walls & ceilings not causing glare to employees?

  • 14.3 - Light fittings clean and in good condition?

  • 14.4 - Adequate external lighting?

  • 14.5 - Add general information here

15.0 Ladders

  • 15.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 15.2 - Are ladders in good condition?

  • 15.3 - Add general information here

16.0 - Rubbish Removal

  • 16.1 - Bins located at suitable points around site?

  • 16.2 - Bins emptied regularly?

  • 16.3 - Oily rags and combustible refuse in covered metal containers?

  • 16.4 - Add general information here

17.0 - SQR

  • 17.1 - Is the current Quality Statement displayed in reception?

  • 17.2 - Is the current ISO 9001 certification displayed in reception?

  • 17.3 - Are staff aware of the SQR page on the RFDS Intranet?

  • 17.3 1st staff member

  • 17.3 2nd staff member

  • 17.4 - Are all current Safety Alerts displayed in operational areas and viewable?

  • 17.5 - Add general information here

Sign Off

  • On site representative

  • Auditor's 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.