• Document No.

  • Audit Title

  • Site

  • Conducted on

  • Prepared by

  • Location
  • Safety Associate

  • Second Auditor/ If Applicable

  • Primary/Department Contact

Personal Protective Equipment

  • Are the employee(s) wearing the minimum required PPE ? (e.g safety glasses, hearing protection)<br><br>

  • Do the employee(s) wear the respirator correctly? (e.g., tight‐fitting respirators' head straps correctly positioned, PAPR faceshield kept closed, etc.)<br>

  • Is all PPE available within the area or zone, ie. Hearing protection, respirators?

  • Are employees wearing harnesses and lanyards for task requiring fall protection?

  • Are contractors wearing the appropriate PPE when required?

Equipment Safety

  • Where applicable Is the equipment/room properly locked out and tagged out? <br><br><br>

  • Are all electrical cords in good condition? Do all electrical cord plugs in the room have their grounding prongs intact?<br>

  • Operating equipment/tools have all machine guards in place.

  • Are plug locks being used when necessary?

  • Are all LOTO tags filled out correctly? (e.g information legible, no tape, contains name, date and reason for LOTO)

  • Has all equipment been properly grounded or bonded?

  • Are all required warning tags on equipment accounted for, visible, and identifiable?


  • Are the following basic lifting techniques being followed? Back straight, knees bent, load close to body, lifts with legs, does not twist at the waist.<br>

Housekeeping & Walking/Working Surfaces

  • Are materials that are staged/stored stable, neat and orderly?

  • Are ladders in good working order, no noticeable damage?

  • Are all egress and exit areas clear of obstruction? <br>

  • Area all walking surfaces, platforms free of clutter and debris?

  • Are pallets stored appropriately in the area or zone?

  • n Construction or Maintenance areas, is the work area clean and orderly.

  • Are wet floor areas appropriately marked?

Emergency Equipment & Evacuation

  • Are emergency equipment and exits in the area free from obstructions and available for use?<br>

  • Do the employee(s) know their evacuation routes and evacuation assembly areas? <br><br>

  • Are Emergency supplies and Maps in-date or need updated?

  • Does emergency equipment (e.g eyewash, fire extinguisher) have inspection tag in place?

Flammable/Combustible Material Handling

  • Flammable/combustible liquids are being stored in proper containers and in designated storage areas?<br>

  • Are chemicals stored in their appropriate location? (e.g flammable cabinets)

  • Are appropriate labels for flammable and combustible liquids present?

Environmental Compliance

  • Are appropriate GHS labels present?

  • Waste drums are closed, grounded (flammable only), properly labeled and in good condition/clean?

  • Storm water drains are clean and clear of sediment or debris?

  • Metal stored outside is covered?

  • Containment dike drain valves are locked in a closed position?

  • Are spill kits appropriately stocked?


  • Are Hot Work permits being utilized, and filled out correctly?

  • Are Red Tag Permits being utilized and filled out correctly?


  • Photos

  • Corrective Action Plan


  • Safety Rep Signature

  • Second Auditor Signature


  • Forward to

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.