Information

  • AUDIT TITLE

  • OFFICE LOCATION WHERE AUDIT IS CONDUCTED

  • AUDIT CONDUCTED ON

  • AUDIT TEAM MEMBERS

  • NAME OF OFFICE OCCUPANTS OR MANAGEMENT MET DURING THE AUDIT

Housekeeping

  • Are all exit doors free of debris?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is floor area free of trip hazards?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is there excess clutter in/around/under desks?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is there excess clutter in corridors?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is there excess clutter on window sills?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are the bins regularly emptied?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are sufficient bins provided?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are any objects stored at height?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is there contaminated PPE in offices?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are chairs adjustable(seat, arm rests, back rest), swivel type, in good condition and stable?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are any areas poorly lit?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are the floors dry-not slippery?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are entrance mats available and used in wet weather?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

SECTION SUMMARY

  • Remarks:

  • Add media

Electricity

  • Are electrical cables/sockets etc. free from defects i.e. cracked sockets?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are electrical cables prevented from presenting a tripping hazard?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are all the portable electrical equipment PAT tested??

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Electrical outlets not overloaded?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Equipment properly grounded (3 pronged plugs)

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

SECTION SUMMARY

  • Remarks:

  • Add media

Storage

  • Do filing cabinets remain stable when opening drawer(s)?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Can all shelves be reached easily by relevant staff?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are shelving units adequately secured to walls or have adequate floor support?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are there filing cabinets/desks (drawers/doors) open causing obstruction/hazard?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are chemical products properly used, stored and labeled?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

SECTION SUMMARY

  • Remarks

  • Add media

Fire Safety

  • Are fire doors kept shut?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Do the fire doors open and are there any obstructions in front of them?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are fire emergency instructions displayed in a clearly visible way?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are emergency exits clearly marked?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are all the fire extinguisher equipment inspected and signed off?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

SECTION SUMMARY

  • Remarks

  • Add media

Canteen/Break area

  • Has a food hygiene audit been undertaken recently?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Is Roadbridge notice board updated regularly?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are there liquid spills on the floor that may cause slips/trips/falls?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

SECTION SUMMARY

  • Remarks:

  • Add media

Toilets/Changing Rooms

  • Are toilets/urinals cleaned regularly?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are floors, walls, sinks, doors, lockers clean?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are consumables available: soap, towels, toilet paper?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are bins emptied regularly?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

  • Are up to date records of cleaning posted?

  • Action Required to correct issue:

  • Action by Whom:

  • Date for action to be completed by:

SECTION SUMMARY

  • Remarks:

  • Add media

Sign Off

  • Remarks

  • SUPPLEMENTARY PHOTOS

  • Site Manager

  • Inspection Auditor 1

  • Inspection Auditor 2

  • Time/Date

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.