Information

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Have all outstanding actions been addressed?

2.0 - Fire Prevention

  • 2.1 - Evacuation plan displayed and understood by all associates?

  • 2.2 - Evacuation procedures discussed regularly?

  • 2.3 - Extinguishers in place, clearly marked for type of fire?

  • 2.4 - Extinguishers recently serviced? (Check monthly sign-off mark on inspection card.)

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - Extinguisher mounted with handle between 3-1/2 to 5 ft from floor?

  • 2.7 - Indicator signs at a height to allow visibility from all points of view?

  • 2.8 - Adequate direction notices for fire exits?

  • 2.9 - Exit doors easily opened from inside?

  • 2.10 - Exits clear of obstructions?

  • 2.11 - Fire alarm system functioning correctly?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - No glare from light reflected on walls & ceilings?

  • 3.3 - Light fittings clean and in good condition?

  • 3.4 - Emergency exit lighting operable?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.4 - Intersections kept clear of boxes etc?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are liquid spills removed quickly?

  • 4.7 - Are railings in good condition?

  • 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  • 4.9 - Are sidewalks in good condition?

  • 4.10 - Furniture in sound condition?

  • 4.11 - Loading area clean and tidy?

5.0 - Work Benches

  • 5.1 - Clear of rubbish?

  • 5.2 - Tools not in use kept in place?

  • 5.3 - Damaged hand tools taken out of service?

  • 5.4 - Damaged power tools taken out service?

  • 5.5 - Work height correct for the type of work and the employee?

  • 5.6 -Are work areas free from sharp edges?

6.0 - Rubbish Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Oily rags and combustible refuse in covered metal containers?

7.0 - Storage Design and Use

  • 7.1 - Materials stored in racks and bins wherever possible?

  • 7.2 - Storage designed to minimize lifting problems?

  • 7.3 - Floors around racking clear of rubbish?

  • 7.4 Are racks and pallets in good condition?

8.0 - Machines

  • 8.1 - Are they kept clean?

  • 8.2 - Are the floors around the machines kept clean?

  • 8.3 - Guards in good condition?

  • 8.4 - Starting and stopping devices within easy reach of operator?

  • 8.5 - Waste/off cuts removed and stored safely?

  • 8.6 - Drip pans on floor to prevent spillage?

  • 8.7 - Adequate work space?

  • 8.8 - Is lighting adequate?

  • 8.9 - Noise levels controlled?

  • 8.10 - Work area organized to minimize bending?

  • 8.12 - Operators trained/inducted into the operation of the machines?

  • 8.13 - Is the training recorded?

  • 8.14 - Do operators comply with the training?

  • 8.15 - Are lockout procedures implemented and followed?

  • 8.16 - Are gas cylinders secured?

9.0 - Electrical Safety

  • 9.1 - Machine Safety interlocks & switches installed?

  • 9.2 - Machine Safety Interlocks & switches tested periodically and tests recorded?

  • 9.4 - Portable equipment tested and tagged?

  • 9.5 - Are plugs, sockets or switches in good condition? (No broken parts or knockouts)

  • 9.6 - Are electrical cords installed properly, with no power leads across walkways?

  • 9.7 - Are electrical cords in good condition with no frayed or damaged leads?

  • 9.8 - Do leads that require strain relief have appropriate strain relief devices?

  • 9.9 - Portable power tools in good condition?

  • 9.10 - Where required are emergency shut-down procedures in place?

  • 9.11 - Are all electrical panels unobstructed and surrounding 3ft. space kept clear?

10.0 - Chemical Safety

  • 10.1 - Hazardous Substance Register complete and available?

  • 10.2 - Safety Data Sheets available for all chemicals?

  • 10.3 - Risk assessments completed for hazardous substances?

  • 10.4 - All containers labelled correctly?

  • 10.5 - Unused substances disposed of?

  • 10.7 - If applicable, are special storage conditions followed?

  • 10.8 - Workers trained in the use of hazardous substances?

  • 10.9 - If required is PPE available?

  • 10.10 - Is adequate ventilation provided?

  • 10.11 - Are eye washes and showers easily accessed?

11.0 Ladders

  • 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 11.2 - Are ladders in good condition?

  • 11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  • 11.4 - Are ladders used according to instructions?

  • 11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

12.0 - First Aid Facilities

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.4 - Cabinets clearly labelled?

  • 12.5 - Is there easy access to cabinets?

  • 12.6 - Employees aware of location of first aid cabinet?

  • 12.7 - Is the First Responder list posted?

  • 12.8 - Are emergency numbers displayed?

  • 12.9 - Is the Bloodborne Pathogen exposure control kit provided for First Responders?

  • 12.3 - Are contents within expiration date?

  • 12.10 - Are AED Units checked (visually) ?

  • 12.11 - Is AED cabinet and first responder kit intact?

13.0 - Office Hazards

  • 13.1 - Filing cabinets in good condition?

  • 13.2 - Chairs in good condition? (Five star bases.)

  • 13.3 - Desks in good condition? (No damage.)

  • 13.4 - Screen Based Equipment positioned to reduce glare from windows etc?

  • 13.5 - Photocopiers positioned to avoid fumes?

  • 13.7 - Air conditioning systems regularly maintained?

  • 13.8 - Stable non-slip floor coverings in good condition?

14.0 - Vehicle Condition

  • 14.1 - Schedule maintenance performed?

  • 14.2 - Condition of tires?

  • 14.3 - Brake performance?

  • 14.4 - Lights? (Check operation of brake, indicator and reversing lights)

  • 14.7 - First aid kit supplied and adequate?

15.0 - Emergency Supplies

  • 15.1 - Are weather radios and tested?

  • 15.2 - Are emergency flashlights available and tested?

  • 15.3 - Are two-way radios available, charged and tested?

  • 15.4 - Are emergency kits available and stocked?

Sign Off

  • Auditor's signature

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.