Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Is paperwork stored safely, doesn't create a trip hazard?<br>If occupant has any requests, please add these in notes.

  • Is flooring safe and even?

  • Is lighting adequate for the tasks carried out?

  • Is occupant aware of lone working systems?

Safety

  • Is the occupant aware of nearest emergency evacuation route?

  • Does the occupant know who their local fire warden is and what their role is?

  • Does the occupant know the emergency numbers in case of an incident?

  • Does the occupant know the emergency evacuation procedure?

  • Does the occupant know who their local first aiders are?

  • Is the occupant aware of the location of the nearest first aid equipment?

  • Is the occupant aware of the location of the nearest fire equipment?

Electrical Safety

  • Is PAT up to date?

  • Is electrical equipment in a good state of repair?

  • Are multi plugs in use?

  • Type/usage

  • What electrical equipment is in use?

  • Type

  • Do occupants know who to contact re faults or adjustments to equipment?<br>e.g. How to get longer lead on heaters to avoid use of extension leads.

  • Is occupants aware of risks associated with multiplugs?

Additional information

  • List all electrical equipment

  • List all fire equipment

  • Phone connections

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.