Title Page

  • Safety and quality walk - please enter where you are auditing as this then appears as the title in the summary of sites we have audited

  • Conducted on

  • Location

  • Auditor

  • Sign your name

Floor 13

  • Is there a floor 13?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 12

  • Is there a floor 12?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 11

  • Is there a floor 11?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 10

  • Is there a floor 10?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 9

  • Is there a floor 9?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 8

  • Is there a floor 8?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 7

  • Is there a floor 7?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 6

  • Is there a floor 6?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 5

  • Is there a floor 5?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 4

  • Is there a floor 4?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 3

  • Is there a floor 3?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 2

  • Is there a floor 2?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Floor 1

  • Is there a floor 1?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Ground floor

  • Is there a ground floor?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Basement

  • Is there a basement?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Warehouse

  • Is there a warehouse?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Loading Bay

  • Is there a loading bay?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Is there a loading bay?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Intake

  • Is there an intake area?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity? 10 = Maximum of 10 cobwebs. No or little sign of moth. No rodent or bird activity 20 = More than 10 cobwebs or any sign at all of moth, rodent or bird activity

  • Add media

  • What is the level of dust? 0 = zero dust 10 = some dust <10% 20 = too much dust >20%

  • Take photos if needed to emphasise your point

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Technical store

  • Is there a technical store

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many manual handling issues do you see?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Outside area

  • Is there an outside area?

  • Is there any evidence of pest activity? 0 = No cobwebs, no sign of moths, no sign of bird or rodent activity 10 = Maximum of 1 cobweb. No sign of moth, rodent or bird activity 20 = More than 1 cobweb or any sign at all of moth, rodent or bird activity

  • Add media

  • 5S - how many items are not present in their place or should not be there

  • Take photos to show your point

  • How many trip/ slip and fall hazards are present?

  • Take photos to show your point

  • How many opportunities are there to bang your head?

  • Take photos to show your point

Miscellaneous

  • Points that need to be mentioned outside of the other categories

  • Add media

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.