Slips, Trips and Falls Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Floors

• Are floors free of water, ice, oil or other fluids?

  Yes

  No

  N/A

• Are floor surfaces even (e.g. No loose tiles or carpet that is torn or has ridges or holes)?

  Yes

  No

  N/A

• Are ramps designed to prevent slips, trips and falls?

  Yes

  No

  N/A

Housekeeping

• Are walkways and doorways clear of boxes, extension cords and litter?

  Yes

  No

  N/A

• Are spills cleaned up immediately?

  Yes

  No

  N/A

• Are the responsibilities for cleaning floors, work areas and walkways clearly specified?

  Yes

  No

  N/A

Stairs

• Are stairs kept clear of boxes, extension cords and litter?

  Yes

  No

  N/A

• Is the tread on stairs adequate to minimize slipping?

  Yes

  No

  N/A

• Are hand rails adequate?

  Yes

  No

  N/A

Lighting

• Are work areas, walkways and stairs well lit?

  Yes

  No

  N/A

• Does lighting allow workers to move between indoor and outdoor tasks safely?

  Yes

  No

  N/A

Footwear

• Is the footwear worn by employees suitable for the workplace?

  Yes

  No

  N/A

Hazards Identified (Planning for Improvement)

• Hazard 1

• Corrective Actions

• Corrective Actions Completed

  Sign

• Hazard 2

• Corrective Actions

• Corrective Actions Completed

  Sign

• Hazard 3

• Corrective Actions

• Corrective Actions Completed

  Sign

• Hazard 4

• Corrective Actions

• Corrective Actions Completed

  Sign

• Hazard 5

• Corrective Actions

• Corrective Actions Completed

  Sign

Signature

• Strategic Safety and Training Consultant

  Sign