Slips and trips checklist

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

1. Walkways and work areas (internal)

• 1a) Is the flooring level and free from trip hazards?

  Yes

  No

  N/A

  F/I

• Add media

  Media

• 1b) Are the floors and walkways clear of obstructions

  Yes

  No

  N/A

  F/I

• Add media

  Media

• 1c) Are holes in the floor surface repaired or otherwise made safe through the use of barriers or safety signs?

  Yes

  No

  N/A

  F/I

• Add media

  Media

• 1d) Are there any spillages and is there a system in place to ensure that all spill ages are reported and cleared up immediately?

  Yes

  No

  N/A

  F/I

• Add media

  Media

• 1e) Are the floors cleaned thoroughly on a regular basis?

  Yes

  No

  N/A

  F/I

• Add media

  Media

• 1f) Are changes of direction or elevation readily identifiable?

  Yes

  No

  N/A

  F/I

• Add media

  Media

2. External areas

• 2a) Are external walkways and traffic routes free from holes, obstructions, tripping and slipping hazards?

  Yes

  No

  N/A

  F/I

• Add media

  Media

• 2b) Are the edges of steps clearly visible (highlighted with white or yellow paint where necessary)?

  Yes

  No

  N/A

  F/I

• Add media

  Media

• 2c) Are arrangements in place for clearing ice and snow on the company premises?

  Yes

  No

  N/A

  F/I

• Add media

  Media

• 2d) Are there arrangements for clearing accumulation of leaves?

  Yes

  No

  N/A

  F/I

• Add media

  Media

Summary

• Visits per year

  Select 1 2 3 4 12 NFA

  • 1
  • 2
  • 3
  • 4
  • 12
  • NFA

• Action code

  Green

  Amber

  Red

• Manager/supervisor concerns

• Additional Pictures

  Media

• Revision date:

• Select date

  Date

• Linda Kerry

  Sign

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