Title Page

  • Area Inspected

  • Date and Time of Inspection

  • Auditor

  • Location
  • Start Inspection with 100% Score


  • Are floors free of standing water, oil, or other slip, trip or fall hazards?

  • Are safety eyewashes readily accessible? Clean?

  • Tools, equipment, and materials properly stored when not in use?

  • Material stored in tiers or stacks, so stored that the material is secure and can not fall?

  • Waste materials stored in appropriate containers and disposed of safely?

  • Are stairs clear of debris?

  • Are workstations clean, orderly and in good repair? No slip, trip, fall hazards?

Exit Routes

  • Are exit doors and routes unblocked, accessible, and unobstructed?

Fire Protection

  • Are fire extinguishers hung and unblocked (36")?

  • Flammable material stored in Flammable storage cabinet?

Do Employees know?

  • Where the nearest fire extinguisher is?

  • What is a fire alarm pull station?

  • Where the nearest exit is?

  • What color is the lockout lock?

  • Do employees know where evacuation rally point and severe weather shelter is located?

  • Does the employee know where the nearest safety stop is located?

  • Do employees know how and when to report an injury?

  • Does the employee know how to get a copy of the current SDS?

Machine Guarding/Lockout Tagout

  • Are light curtain inspections completed?

  • Are the guards secured in place, during operation?

  • Are LOTO/alternate procedures posted and clearly visible?

  • If guards are missing, is machine properly locked out to prevent unintentional startup?

Personal Protective Equipment

  • Are employees wearing required PPE properly:

  • Safety glasses proper for job worn?

  • Hearing protection is worn correctly?

  • Respirators worn correctly?

  • Goggles or face shields used appropriately?

  • Protective clothing in good repair?

  • Are safety toe shoes in good condition and are laced properly?

Material Handling Equipment

  • Are cables, chains, slings and below-the-hook lifting devices in good condition and tagged?

  • Are hoist/crane inspections completed?

  • Is forklift daily inspection completed?

  • Are forklift operators wearing seatbelts?


  • Are hand tools in good repair?

  • Are power cords on tools in good condition?

  • Bench Grinder - is the grinding wheel work rest within 1/8 inch and tongue guard within 1/4 inch of wheel?


  • Are extension cords being used for temporary use only? And are ground plugs present?

  • Are electrical devices properly enclosed to prevent shock from incidental contact?

  • Are electrical panels clear of storage (36")


  • Are tanks/containers properly labeled?

  • Are acids, caustics, and chemicals stored correctly?


  • Are employees use proper utility knife

  • Are compressed air nozzles restrcited to < 30 psi?


  • Overall Comments

  • Inspected by: (Name and 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.