Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PREVIOUS INSPECTION

  • HAS THE LAST INSPECTION BEEN REVIEWED

  • ANY OUTSTANDING ACTIONS FROM PREVIOUS AUDIT

SHOP AREA -GENERAL

  • WORKPLACE CLEAN AND ORDERLY

  • EXITS CLEARED OF OBSTRUCTIONS AND ARE ACCESSIBLE

  • STAIRS AND RISERS KEPT CLEAR AND HAS NO SLIP TREAD

  • RAILINGS ARE IN GOOD CONDITION

  • BULLETIN BOARDS ARE NEAT, ATTRACTIVE, AND UP TO DATE

  • GOOD LIGHTING IN WORK AREAS

  • LOADING AND DOCK AREA CLEAN AND TIDY

  • ARE THERE ANY AIR HOSES OR EXTENSION CORDS NOT IN USE ACROSS WALKWAYS

WORK BENCHES

  • CLEAR OF RUBBISH

  • TOOLS NOT IN USE PUT UP

EMERGENCY

  • EMERGENCY EXIT SIGNS IDENTIFIABLE AND READILY VISIBLE

  • EMERGENCY EXIT LIGHTING OPERABLE

  • FIRE ALARM PULL STATIONS AND PORTABLE FIRE EXTINGUISHERS VISIBLE AND UNOBSTRUCTED

  • STAIRWAY DOORS ARE NOT KEPT OPEN (UNLESS EQUIPPED WITH A SELF-CLOSING DEVICE)

  • 18" VERTICAL CLEARANCE MAINTAINED FROM ALL SPRINKLER HEADS

  • STAND PIPES, HOSES, AND VALVES ARE INSPECTED

FIRST AID FACILITIES

  • ARE CABINETS AND CONTENTS CLEAN AND ORDERLY

  • NO CONTENTS PAST THEIR EXPIRY DATE

  • CABINETS CLEARLY LABELED

  • IS THERE EASY ACCESS TO CABINETS

  • ARE EMERGENCY NUMBERS DISPLAYED

  • ARE EYE WASH STATIONS EASILY ACCESSIBLE

  • ARE EYE WASH SOLUTIONS UP TO DATE AND NOT EXPIRED

RUBBISH REMOVAL

  • BINS LOCATED AT SUITABLE POINTS AROUND SITE

  • BINS EMPTIED REGULARLY

  • OILY RAGS AND COMBUSTIBLE REFUSE IN COVERED METAL CONTAINERS

STORAGE DESIGN AND USE

  • MATERIALS STORED IN RACKS AND BINS WHEREVER POSSIBLE

  • STORAGE DESIGN TO MINIMIZE LIFTING PROBLEMS

  • FLOORS AROUND RACKS CLEAR OF RUBBISH

  • GENERAL CONDITION OF RACKS AND PALLETS GOOD

  • STORED MATERIALS SECURED AND LIMITED IN HEIGHT TO PREVENT COLLAPSE

WASH BAY

  • IS WASH BAY CLEAN AND CLEAR OF RUBBISH

  • IS DRAIN CLEAR AND FLOWING PROPERLY

  • ARE HOSES AND CONNECTIONS IN GOOD WORKING CONDITION

AUDITOR COMMENTS

  • AUDITOR COMMENTS

AUDITOR SIGNATURE

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FACILITY SIGNATURE

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