Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Site set up.

  • 1.1 Adequate welfare facilities?

  • 1.2 - Any outstanding actions

2.0 - Fire Prevention

  • 2.1 - Evacuation plan displayed and understood by all employees?

  • 2.3 - Extinguishers in place, clearly marked for type of fire?

  • 2.4 - Extinguishers serviced and in date

  • 2.5 - Extinguishers clear of obstructions?

  • 2.8 - Adequate direction notices for fire exits and muster point?

  • 2.9 - Exit doors easily opened from inside?

  • 2.10 - Exits clear of obstructions?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.3 - Light fittings clean and in good condition? Is temporary lighting in use and correct for the tasks being undertaken?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.5 - Stair and risers kept clear?

  • 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  • 4.11 - Loading area clean and tidy?

5.0 - Tool and equipment use.

  • 5.2 - Tools not in use kept in a safe place?

  • 5.3 - Hand tools in good condition and fit for purpose.

  • 5.4 - No damaged power tools in use?

  • 5.5 - Work height correct for the type of work and the employee?

6.0 - Rubbish

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

7.0 - Storage Design and Use

  • 7.1 - Materials stored safe and correct.

  • 7.2 - Storage designed to minimise lifting problems?

9.0 - Electrical Equipment Safety

  • 9.3 - Extension leads correctly used?

  • 9.4 - Portable equipment tested and tagged?

  • 9.5 - No broken plugs, sockets or switches?

  • 9.6 - No power leads across walkways?

  • 9.7 - No frayed or damaged leads?

  • 9.10 - Where required are emergency shut-down procedures in place?

10.0 - Chemical Safety

  • 10.1 - Hazardous Substance Register complete and available?

  • 10.2 - Material Safety Data Sheets available for all chemicals?

  • 10.3 - Risk assessments completed for hazardous substances?

  • 10.4 - All containers labelled correctly?

  • 10.5 - Unused substances disposed of?

  • 10.6 - Do special storage conditions apply?

  • 10.7 - If applicable are special storage conditions followed?

  • 10.8 - Workers trained in the use of hazardous substances?

  • 10.9 - If required is PPE available?

  • 10.10 - Is adequate ventilation provided?

  • 10.11 - Are eye washes and showers easily accessed?

11.0 Ladders

  • 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 11.2 - Are ladders in good condition?

  • 11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  • 11.4 - Used according to instructions?

  • 11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

12.0 - First Aid Facilities

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.3 - No contents past their expiry date?

  • 12.4 - Cabinets clearly labelled?

  • 12.5 - Is there easy access to cabinets?

  • 12.6 - Employees aware of location of first aid cabinet?

  • 12.7 - Are first aid officers accessible?

  • 12.8 - Are emergency numbers displayed?

Sign Off

  • On site representative

  • Auditor's signature

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.