• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous Assessment

  • Has the previous assessment been reviewed in preparation for this assessment?

  • Are there any outstanding corrective actions to be taken?

2.0 - General Work Place

  • Are walkway working surfaces even, uncluttered and free from slip & trip hazards?

  • Are all loading docks free of recognized hazards?

  • Are workplace load/unload procedures being observed?

  • Are trailer wheels secured with chocks or dock locks?

  • Are spill kits readily available for clearing spills?

  • Are work stations organized that allows user to operate safely?

  • Bins located at suitable points around site?

  • Are bins overflowing to the extent that slip risks are present?

  • Bins emptied regularly?

3.0 - Fire & Emergency Provisions

  • Evacuation plan displayed and understood by all employees?

  • Evacuation procedures discussed regularly? (3 to 4 times a year)

  • Are fire exits clear of obstructions?

  • Adequate direction notices for fire exits?

  • Are combustible materials properly stored?

  • Are fire extinguishers kept clear of obstruction, in their correct storage location, undamaged, filled and inspections up to date?

  • Are emergency spill kits present and suitably stocked for hazardous material clean up?

  • Are fire alarm activation points easily identifiable and free from obstructions?

4.0 - PPE

  • Are high visibility vests worn by employees when required?

  • Is proper footwear being worn and in good condition?

  • Are safety gloves being worn and in good condition, I.e. fingers not cut off?

  • Are their mandatory hearing protection areas, if yes is hearing protection being worn?

5.0 - Manual & Mechanical Handling

  • Are good manual handling techniques being observed?

  • Are manual handling aids being used in a safe manner?

  • Are wheels free from debris and free moving?

  • Is there any lifting above shoulder height being observed?

6.0 - Equipment & Machinery

  • Have all pre-start checks been completed?

  • Is all equipment maintained and in good working condition?

  • Is the area around machinery, clean, clear and in good order?

  • Are all fixed guards secured with only approved means, such as, nuts & bolts, Allen nuts - there should be no screws?

  • Are all interlocks system functioning and not tampered with as per manufactured specifications?

  • Are all electrical sockets in good order?

  • Cables or equipment power connections in good condition?

  • Are there any unprotected sharp edges on equipment?

  • All emergency stop buttons are working properly, in safe working order and clearly identifiable?

  • Isolation switches are identified and in proper working order?

  • Compressed air levels set for its intended use?

  • Are there any ladders/step ladders inspected before use and ladder tags legible?

  • All machinery isolated & locked out prior to performing any maintenance?

7.0 - Hazardous substances

  • Are substances stored per manufacturer requirements?

  • Are large quantity containers contents transferred to portable secondary containers displaying the same label as original container?

8.0 - Facilities

  • All housekeeping standards being maintained?

  • Is there good general illumination?

9.0 - Industrial Truck Operations

  • Are daily shift checks performed before and after each work shift?

  • Is damaged or defective equipment removed from service and properly labeled out of service?

  • Is charging station area clean and well organized?

  • Eye wash station within 25 feet of charging area?

  • Are eye protection, gloves and aprons provided in charging areas

  • Are all operators trained and certified to operate equipment?

  • Are all operaters using proper restraining devices?

10.0 - Designated Pathways

  • Are designated pathways free of obstructions/debris?

  • Are pedestrians observed walking in to designated industrial truck pathways?

  • Are employees observed working in designated industrial truck pathways?

11.0 - Warehouse Storage Racks

  • Warehouse rack weight capacity rating easily identifiable?

  • Racking system anchored securely to floor?

  • Racking system support legging free of recognized damage?

  • Loading signs in place and being observed?

  • Pallets stable and secure?

  • Empty pallets stacked securely and stable?

  • Damaged racking identified and removed from service?<br>

12.0 - Additional Hazards or Concerns

  • Hazard or Concern

  • Hazard or Concern<br>

  • Hazard or Concern<br>

  • Add 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.