Information

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Personnel

Previous Safety Inspection

  • Was the previous inspection closed out?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

Battery Room

Battery Room

  • Do electrical items have current tags?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are power sockets, plugs and switches in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is appropriate safety signage displayed?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are all lights working?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are there adequate rubbish bins?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is the floor clear of trip hazards?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is appropriate PPE available?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are warning signs and decals clearly visible?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are danger / out of service tags available and used where necessary?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Do battery chargers have RCD's fitted?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

Maintenance

Maintenance

  • Are power sockets, plugs and switches in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is appropriate safety signage displayed?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are all lights working?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are there adequate rubbish bins?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is the floor clear of trip hazards?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are SDS (MSDS) available and current?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are DG's stored correctly?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are screens available for welding and grinding?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is appropriate PPE available?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are warning signs and decals clearly visible?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are work benches free of rubbish and uncluttered?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Do electrical items have current tags?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are Danger / Out of Service tags available and used where necessary?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are goods stored on shelves safely?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is the racking damaged or unstable?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

Plant and Control Rooms

Plant and Control Rooms

  • Is there a log book available and being used?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is appropriate safety signage displayed?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is the floor clean and clear of debris with no trip hazards?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are emergency numbers displayed?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Do electrical items have current tags?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are all lights working?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are power sockets, plugs and switches in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is appropriate PPE available?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

Yard

Yard

  • Is the road surface in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are kerbs and gutters in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are walkways kept clear and in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is all signage clear and relevant?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are drains clear and empty?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are gardens being maintained in such a way as to reduce hazards?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are all the fences and gates in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is the wind sock in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are the rubbish bins stored in their correct location?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is the site clean of rubbish?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is there a 5 meter exclusion zone around the warehouse building of flammable equipment e.g. Pallets?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are pallets being stored safely?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are truck wheel stops available for use at each dock door?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is the site clear of equipment graveyards?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

Warehouse

Warehouse

  • Are the dock load levelers working correctly and in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Do dock roller doors open easily?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Do zip doors safety release work?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are aisles clear and unobstructed?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is the floor clear of trip hazards?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is there a spill kit available for immediate use?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are there adequate rubbish bins?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is rubbish being put in the correct bin?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are Danger / Out of Service tags available and used where necessary?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are all lights working?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are pallets and goods stored correctly?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are goods 3 bay and up, wrapped?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are staff wearing correct PPE?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is there damage to bollards or railing?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is there damage to walls or ceilings?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is there damaged or unstable racking?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are suppliers, visitors or contractors wearing correct PPE?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

Offices

Offices

  • Is the floor clean, even and in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are there adequate rubbish bins?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are notice boards current?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are emergency numbers displayed?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are goods stored on shelves safely?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are all lights working?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are power sockets, plugs and switches in good condition?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Do electrical items have current tags?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

Emergency Response

Emergency Response

  • Are the emergency exits unobstructed?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are spill kits available on all trucks?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Are appropriate fire extinguishers available for use across the site and on trucks?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Have the fire reels been serviced as per there schedules?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Have the fire extinguisher's been serviced as per there schedules?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Have the first aid kits been serviced as per their schedules?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

Forklifts

Forklifts and other Mobile Lifting Equipment

  • check a minimum of 5 machines

  • Are forklift pre starts being completed daily before use?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • select 5 operators and check with HR that their licence details are recorded and current

  • Do all operators hold a current WA High Risk licence for the machine they are operating?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • Is manual handling lifting equipment being operated as per SOP's?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • check a minimum of 3 machines records

  • Are maintenance records complete?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

Trucks

Trucks

  • check a minimum of 5 trucks

  • Are truck pre starts being completed daily before use?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • select 5 drivers and check with HR that their licence details are recorded and current

  • At a minimum do all drivers hold a current WA MR licence?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • check a minimum of 3 truck records

  • Are maintenance records complete?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

  • check a minimum of 5 trucks

  • Do steps, grab bars and grip tape comply with Sealanes safe entry and exit from trucks procedure?

  • Corrective Actions
  • corrective action to take

  • Responsible Person

  • Target Date

  • Closed out Date

  • Findings

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.