Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Fire

  • Notices and signs are visible and legible?<br> <br> <br> <br> <br>

  • Fire Doors are clearly marked and kept clear and closed?<br> <br> <br> <br> <br>

  • Extinguishers serviced annually, visible and accessible?<br> <br> <br> <br> <br>

  • Access and egress is clear of obstruction and are accessible?<br> <br> <br> <br> <br>

  • Any other comments?

First Aid

  • First Aiders are identifiable?<br> <br> <br> <br> <br>

  • Number of First Aiders is sufficient for the workplace?<br> <br> <br> <br> <br>

  • First Aid boxes are stocked and easily accessible?<br> <br> <br> <br> <br>

  • Any other comments?

Lighting

  • Lights are in working order?<br> <br> <br> <br> <br>

  • Lighting is both suitable and sufficient for the area?<br> <br> <br> <br> <br>

  • Any other comments?

Cleanliness

  • Workplace clean and orderly?<br> <br> <br> <br> <br>

  • Is waste material cleared to prevent an accumulation?

  • Any other comment?

Electricity

  • Is electrical equipment chosen suitable for its working environment?<br> <br> <br> <br> <br>

  • Is electrical equipment safe and then maintained in<br>a safe condition?<br> <br> <br> <br> <br>

  • Any other comment?

P.P.E

  • Bag search gloves being worn and in good condition?<br> <br> <br> <br> <br>

  • Ant other comment?

Floor and traffic routes

  • All spillages dealt with promptly?<br> <br> <br> <br> <br>

  • Is the area free from holes, broken ground and uneven surfaces?<br> <br> <br> <br> <br> <br>

  • Is the area free from slippery surfaces?<br> <br> <br> <br> <br>

  • Is the area free from obstructions on designated routes?<br> <br> <br> <br> <br>

  • Anti-fatigue mats are in good condition?<br> <br> <br> <br> <br>

  • Any other comments?

Work equipment

  • Notice of Radiation Protection Supervisor (RPS)<br> <br> <br> <br> <br>

  • Lead curtains and Perspex tunnel in place?<br> <br> <br> <br> <br>

  • Emergency stop button in accessible position if required?<br> <br> <br> <br> <br>

  • Equipment being used by a competent person?<br> <br> <br> <br> <br>

  • Any other comments?

Drinking water

  • Fresh and clean water is available?<br> <br> <br> <br> <br>

  • Water dispenser is in a clean state?<br> <br> <br> <br> <br>

  • Any other comment?

Facilities for eating/resting

  • Area is in a clean and orderly condition?<br> <br> <br> <br> <br>

  • Microwave is in a clean condition?<br> <br> <br> <br> <br>

  • Fridge is clean and in an orderly condition?<br> <br> <br> <br> <br>

  • Area is ventilated effectively?<br> <br> <br> <br> <br>

  • Hot and cold water are available?<br> <br> <br> <br> <br>

  • Soap is available?<br> <br> <br> <br> <br>

  • Towels or hand driers are available?<br> <br> <br> <br> <br>

  • Any other comments?

Documentation

  • Certificate of employers’ liability insurance is current & displayed?

  • Risk assessments: Copy is signed, has been reviewed at least annually or after accident/ incident.

  • Safe system of work: Has the system been raised following a RA & is the system being followed?

  • Safety data sheet is available and easily accessible and latest issue?

  • Equipment test certificate and maintenance records are current and valid?

  • Machinery test certificate and maintenance records are current and correct?

  • Any other comment?

Any other issues or observations

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.