Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Audit conducted by:
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Select date
Main west entrance
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Entrance: clean and clear of obstructions, and exit signs posted?
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Wall display
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Employee notice board and required postings: all information up to date and required posters hung?
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IIPP/hazcom location
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Required cal/OSHA and fed postings
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If the above is not checked, immediately fix outage or report to supervisor
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Evacuation maps in place?
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Fire extinguisher: monthly inspection performed/ charged/ zip tie attached/ looks to be in general good working order?
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Sales counter and File cabinets: drawers closed and cabinet secured?
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Men's bathroom: clean, soap, toilet paper and paper towels stocked?
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General workspace in main office: neat and orderly/ electrical ok/ no trio hazards etc.?
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Cabinets: neat and orderly/ doors closed?
Office (behind counter)
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Work stations: desk areas organized, electrical safe, no trip hazards?
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File cabinets: drawers closed and cabinet secured?
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Office equipment: good condition/ clean
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Exit: access way clean and clear of obstructions
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Coffee machine/microwave/counter: clean and in good working condition?
Downstairs office
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IT Phone/computer wiring: no exposed, loose wires?
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Access way free and clear?
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Area absent of potential electrical hazards?
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Items stored in room are neat and orderly?
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First aid kit
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Work stations: desk areas organized, electrical safe, no trip hazards?
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File cabinets: drawers closed and cabinet secured?
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Fire extinguisher# 1 monthly inspection performed/ charged/ zip tie attached/ looks to be in general good working order?
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Office equipment: good condition/ clean
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Office: neat and orderly, no trip hazards present?
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Exit to yard
Upstairs office area
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Stairs: handrail intact/ steps clean free of any obstructions?
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Low overhead signage
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IT Phone/computer wiring: no exposed, loose wires?
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Access way free and clear?
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Area absent of potential electrical hazards?
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Items stored in room are neat and orderly?
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Office: neat and orderly, no trip hazards present?
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Door to storage: closed, opens and closes smoothly?
Maint. Area?
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Fire extinguisher# 1 monthly inspection performed/ charged/ zip tie attached/ looks to be in general good working order?
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Electrical power panel: signs posted/ switches marked/ 36 inch of clearance?
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Signs in place and legible?
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Rolling door: opens and closes smoothly/ wheels in good condition?
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Carts: wheels in good condition, brakes working, no hazards?
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Small grinder: guards in place
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Steel rack
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Flammable cabinet: in good condtion, items inside are labeled and stored neatly, no leaking containers?
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Cabinets?
1st storage area
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Storage rack
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Tool rack
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Power panel
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Signs posted, switches marked
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Shelves
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Power panel
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Signs posted, switches marked
Second storage area
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Rack
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Roll up door
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Door
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Office
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Power panel
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Signs posted, switches marked
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Fire extinguisher
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Aisles
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Racks
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Floor storage
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Lg door
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Electrical power panel: signs posted/ switches marked/ 36 inch of clearance?
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Racks
Yard
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Fire extinguisher
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Parking area
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South gate
Tank farm
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All grates in place/ clean and clear
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Tank farm signed and marked?
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Containment: no cracks, empty, no spills,etc.?
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Switches?
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Fertilizer pumps?
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Fire extinguisher #4?
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Connection
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Emergency eyewash/shower?
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Secondary containment
Pesticide storage containers
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Locked
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Signage
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Aisles
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Racks
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Fire extinguisher
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Floor storage
Fuel storage
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Fire extinguisher
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Signage
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Racks
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CO2 storage
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Tanks separated
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Secured
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Floor storage
Storage 3
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Floor storage
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Parts rack
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Misc storage
Storage 4
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Floor storage
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Parts rack
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Misc storage
Storage 5
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Floor storage
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Parts rack
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Misc storage
Final summary
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Equipment damage if any
Type of equipment
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Any additional comments?
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Facility representative:
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Regulatory Compliance &Safety officer:
