Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Instructions

  • Progress through the following sections, answering each question. When an item is non-compliant, be sure to add notes and photos as evidence.

Housekeeping

  • Work and storage areas are clean and tidy?

  • Work stations are well organized and no trip hazards are present?

  • Walk paths are kept clear of any items?

  • Emergency equipment (eyewash, fire extinguishers) are accessible.

  • Emergency routes and emergency doors are kept clear of any item and fully accessible. Emergency doors are not locked.

Safety Signage

  • Signs indicating required Personal Protective Equipments are in place.

  • Signs indicating eyewash/safety shower, emergency exits, fire extinguishers, etc. are in place?

  • Pits, overhead work, maintenance activities are properly identified and protected.

Personal Protective Equipment (PPE)

  • PPE are appropriately stored when not in use and kept in good condition?

  • Safety glasses or face shield are used as required?

  • Ear protections is used in identified high noise areas?

  • Steel-toed safety shoes are used as required?

  • Gloves are used as required?

  • Respiratory protection is used as required, particularly in high fume and high dust areas?

Toxic/ Hazardous substances

  • Are Chemicals Identified and labeled

  • Liquid chemicals stored Properly with the correct containment

  • Flammable chemicals are stored in flammable cabinets (or in a dedicated storage room in case of high volume) when not in use?

  • Waste area is safely maintained?

  • Is the proper PPE being used when handling Chemicals?

Electrical

  • GFCI Protection: used

  • Extension Cords: Condition, Protected, Inspected

  • Electrical wiring and cabling in good condition?

Ergonomics

  • Workers avoid encounter repetitive awkward positioning, excessive or overhead reaching, or continuous bending and twisting?<br>

Forklifts

  • Daily inspections, equipment identified

  • Using safety Devices: Seat belts, lights, alarm

  • Operators: Certified, authorized, licensed

  • Forklift operated correctly

Mobile Elevated work platforms

  • Has a work at heights permit been filled out.

  • Equipment : Inspections.

  • Team members are tied off at manufactured tie off points.

  • Work platforms are free of debris.

Tools, Equipment and Machines

  • Tools, equipment and machines are operating properly?

  • Tools, equipment and machines are inspected regularly?

  • Equipments and tools (chains, textile slings, electrical hand tools, etc.) are appropriately stored?

  • Equipments (lighting fixtures, machine guarding, barriers, etc.) are maintained in good working condition and in place.

  • Appropriate safety guards are in place?<br>.

Overall Notes

  • What is the overall condition of the workplace?

  • Enter any general findings or comments

  • Are any safety concerns present that require immediate attention?

  • Ensure all safety issues are noted in the audit above, with associated corrective actions created

Accomplishments

  • Log below any examples of excellent work practices that were noted on this safety walk.

  • Good Work Practice
  • Team Member Name

  • Good work practice:

Sign Off

  • I declare that the audit above was conducted and completed accurately.

  • Full name and signature of auditor

  • Full name and signature of leadership.

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.