• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Housekeeping / 6 S

  • Work and storage areas are clean and tidy.

  • Work stations are well organized and no trip hazards are present.

  • Circulation paths are kept clear of any item.

  • Emergency equipment (eyewash, fire extinguishers) is constantly accessible.

  • Emergency routes and emergency doors are kept clear of any item and fully accessible. Emergency doors are not locked.

  • Equipments and tools (hoses, fittings, cones, etc.) are appropriately stored

Safety signage

  • Signs indicating required Personal Protective Equipments are in place.

  • Signs indicating eyewash/safety shower, emergency exits, fire extinguishers, etc. are in place.

Personal Protective Equipment (PPE)

  • Required PPE is donned and kept in good condition.


  • Sample buckets and drums are properly labeled

Warnings , signs and barricades

  • Hose transfers, toting, drumming, and maintenance activities are properly identified and protected.


  • Equipments (lighting fixtures, machine guarding, barriers, etc.) are maintained in good working condition and in place.

Respiratory protection

  • Respiratory protection is used as required.


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Accomplishments : select one or two items for which the employees or the site should be recommended :

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Items at risk

PRELIMINARY ACTION PLAN discussed during the inspection

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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.