• Audt type

  • Location

  • Select date

  • Prepared by

Building tour

  • Are overhead sprinklers and detectors clear of obstructions?<br>(If installed )<br>

  • Is there a height indicator on the main doors for robbery information?

  • Are fire-fighting equipment checked regularly (check expiry<br>dates on tags on extinguishers and hose reels)?

  • Is appropriate extinguisher signages in place and legible?

  • Are evacuation plans displayed on evacuation routes?

  • Are emergency telephone numbers clearly visible?

  • Smoke/fire doors: not locked/obstructed. Doors with self-closures not propped open – except for maintenance, repair or cleaning and where fully attended. All doors must open 90º (i.e. no storage behind doors).

  • Exits signage: identified, properly illuminated & directional arrows correct.

  • Egress corridors: Clear and unobstructed

  • Emergency Items: No obstructed Fire Doors, Fire Extinguishers, or Fire panels-exclusion zone of 1 meter observed.

  • Alcohol Based hand rubs: Properly installed.

  • Stairwells: Free of obstructions & handrails properly installed; if applicable

  • Walking surface: Free of trip/slip hazards

  • Emergency eyewash and shower equipment: Where required, must be present, and have clear & unobstructed path. Signage required.

  • PPE: Team members observed wearing proper PPE, where required.<br>

  • Sinks: (cleaning products only permitted under sinks). <br>

  • Floor: No un-necessary items stored on floors. <br>

  • Medical and Non-medical equipment: Checked and approved.

  • Are Staff wearing the appropriate uniform?

  • Badge worn: ALL badges must be visible & worn. <br>

  • Are Staff wearing nonslip shoes?

Furniture, Fittings & Shelves

  • Is there adequate space to move around common areas?

  • Is there sufficient individual storage space for the patients?

  • Is there adequate seating for patients.?

Hallways, Exits & Doors

  • Are hallways and doorways free of obstructions??

  • Do doors open freely and easily?

  • Do Fire Exits display correct notices and signages?

  • Are exit signs in place and illuminated?

  • Do designated emergency exit doors open outwards?

Hazard and Risk Management

  • Do Staff know how to report a Hazard event?

  • Spill Kits: Where kits required, staff knowledgeable on where located, how to use, and obtain replacement.

  • Staff knowledge of their duties during a Fire / evacuation event.

  • Do Staff know how and where to access the My OSH platform?

  • Emergency Plans/Codes: Staff knowledge of emergency phone # for their facility. Location & how to access emergency operation plans/folder. Knowledge of response to designated code of choice.

  • SDS: Staff knowledge of how to locate the SDS folder.

  • Does the clinic have any overdue or outstanding work orders in place?

  • Do Staff know how to report a injury, near miss, property damage event.

  • Has the clinic undertaken a fire evacuation drill within the last 12 months.

  • Have Staff undertaken fire training within the last 12 months? ?

  • Have Staff undertaken Fire Warden training?

  • Do staff know who is the Chief and Deputy Fire Warden at their facility at any given time?

  • Are staff aware of the location of the Fire Panel?

  • Can staff explain and identify the main risks within the Clinic.

Windows, Ventilation & Noise

  • Are windows in good condition (open easily with no broken or<br>cracked glass or damaged screens)?

  • Is the temperature appropriate for the work area?

  • Is there evidence that air conditioners serviced regularly<br>(check maintenance records)?

  • Were there any perceived unacceptable noise levels occurring<br>during the audit?

Internal Lighting

  • Are the lights working (if damaged or not working), are they<br>repaired immediately?

  • Is the level of light adequate in all areas?

  • Are light fittings and light switches in good working and<br>visual order and checked regularly?

  • Has the emergency lighting system been tested (if installed) ?

Electrical Equipment & Supply

  • Has electrical equipment been inspected and tested at<br>specified intervals (check tags/records)?

  • Are electrical outlets and switches in good condition?

  • Are there sufficient power outlets?

  • Are extension leads/power boards used as designed (no<br>double adaptors, or piggyback plugs)?

Hazardous Chemicals

  • Spill Kits: Present where required.

  • Is the current (within 5 years) safety data sheet kept with<br>stored chemicals?

  • Are all chemical containers labeled correctly?

  • Are unused dispensed chemicals disposed of regularly in an<br>appropriate manner?

  • Are all hazardous chemicals in a secure & locked chemical<br>cabinet?

First Aid Provision

  • Were first aid supplies identified as missing/used?

  • Are first aid supplies checked regularly (check expiry dates, if<br>replenished)?

  • Is there a defibrillator within the facility, has it been checked<br>monthly?

  • If the facility has a defibrillator is the battery in date?

  • Are the locations of first aid supplies clearly marked with a<br>white cross on green background?

  • Do staff know the location of the first aid kits and are easily<br>accessible?


  • Are the toilets clean and well-ventilated?

  • Is the non-slip bathroom floor surfaces in good condition?

  • Is hot and cold water available?

  • Is soap (or soap dispensers) provided?

  • Are hand drying facilities available? Electric /or Towel


  • Is adequate external lighting installed for night time?

  • Are gardens well-maintained with branches and excess foliage<br>removed?

  • Are the ground free of sharp objects?

  • Are pathways around the facilities clear of trip hazards or<br>overgrown foliage?

  • Does the Clinic have dedicated smoking areas?

  • Are the smoking areas correctly utilised?

Manual Handling

  • Is equipment stored at the required heights

  • Is equipment stored above shoulder height 5kgs or less

  • Have Staff undergone manual handling training?

  • Do staff know what correct manual handling techniques are?<br>Could they demonstrate these to the auditor upon request?


  • Are all doors which are required to be secured -locked when<br>unoccupied


  • Are medications secured within an approved, secured area?

  • For scheduled drugs, do only approved personnel have access.

Miscelaneous observations

  • Were there any further WHS factors identified during the audit

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.