Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Postings

  • Safety policy posted and current

  • Form 82, WSIB POSTER

  • Current copy of OHS Act.

  • Safety procedures developed, reviewed and posted

  • Workplace Violence assessments conducted

Jhsc

  • Training

  • Workplace inspection reports posted and current

  • Last meeting minutes posted

  • Member names posted

Confined space

  • Assessment completed

  • Signs posted

  • Procedure developed

Electrical Hazards (Enter location and picture ref for each deficiency)

  • Missing covers

  • Storage in electrical rooms

  • Missing / incomplete directory

  • ESA inspections and logs

  • Comments Electrical safety

Elevator

  • Current license posted

  • Fire fighter elevator recall test done

  • Machine guarding in elevator room complete

  • Load beam identified

  • Oil loss log maintained for hydraulic elevator.

  • Maintenance logs current and posted

  • Comments Elevator safety

Escalator

  • Current license posted

  • Daily start up logs maintained

  • Maintenance logs current and posted

  • Comments Escalator safety

Equipment inspections

  • Boiler and pressure vessel inspection current

  • Lifting equipment inspection current

  • Lifting equipment pre-start inspection document

  • Play ground equipment inspection documents

Fall hazards

  • Roof anchor last inspection date

  • Roof anchor drawing posted

  • Trip and fall hazards clearly identified

  • Guarding and railings installed and maintained

  • Access ladders provided

  • Safety cages installed

  • Comments Fall hazards

Fire Safety (Please enter date as required)

  • Annual sprinkler inspection

  • Annual fire panel,inspection

  • Annual fire life safety inspections

  • Weekly fire pump test

  • Monthly generator tests

  • Monthly fire equipments tests

  • Last fire drill

  • Fire plan last review:

  • Fire extinguishers maintained

  • Emergency lights (battery pack) maintained

  • Spare sprinkler cabinet and wrench available

  • Covers on Siamese connections

  • Exit lights illuminated

  • Access to exits maintained

  • Fire suppression system issues

  • Diesel tank fuel purification certificate current

  • Comments Fire Safety

First Aid

  • First aid kits maintained

  • Eyewash stations maintained

  • Comments First Aid

Training

  • WHMIS

  • Confined space

  • Lockout

  • Fall arrest

  • First aid

  • Others

  • Comments

MSDS

  • MSDS binder updated, posted and current

  • MSDS posted as required

  • Janitorial chemicals MSDS posted and current

  • Chemical containers properly labeled

  • Propane storage

  • Comments

Machine guarding

  • Proper guards installed on machines,tools, pumps ..etc.

  • Warning signs in place

  • Comments Machine guarding

PPE

  • Maintained

  • Warning signs posted

  • Comments

Reissued deficiencies

  • List total number of reissued deficiencies

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.