Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous Inspection

  • 1.1 - Has the Last inspection been reviewed?

  • 1.2 - Are required corrective actions initiated?

2.0 - PPE

  • 2.1 - Are hazard assessment done on the facility based on the accident data and process nature?

  • 2.2 - Employees who are required to use PPE were given training on the need of using appropriate PPE?

  • 2.3 - Usage of appropriate protective clothing?

  • 2.4 - Usage of appropriate eye and face protection equipments?

  • 2.5 - Usage of appropriate head protection equipment?

  • 2.6 - Usage of appropriate safety shoe?

3.0 - Machine Safety

  • 3.1 - Starting and stopping devices within easy reach of operator?

  • 3.2 - Guards in good condition?

  • 3.3 - Adequate workplace?

  • 3.4 - Noise level within limit?

  • 3.5 - Operators trained/inducted into the operation of the machine?

4.0 - Electrical safety

  • 4.1 - No broken plugs, sockets or switches?

  • 4.2 - No power leads across walkway?

  • 4.3 - No frayed or damaged leads?

5.0 - Fire prevention

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

  • 5.2 - Fire extinguishers are in place, clearly marked for type of fire?

  • 5.3 - Extinguishers are valid and regularly inspected?

  • 5.4 - Fire alarm system functioning correctly?

  • 5.5 - Exit ways clear of obstruction?

  • 5.6 - Exit doors properly marked and easily opened from inside?

  • 5.7 - Fire extinguishers clear of obstruction and easily accessible?

  • 5.8 - emergency exit lighting operable?

6.0 - Building safety

  • 6.1 - Floor surface even and uncluttered?

  • 6.2 - Entry and walkway kept clear?

  • 6.3 - Walkways, product storage area marked properly?

  • 6.4 - Are liquid spills removed quickly?

  • 6.5 - Furniture in sound condition?

  • 6.6 - Adequate lighting provided in the facility?

  • 6.7 - Light fittings clean and in good condition?

7.0 - House keeping

  • 7.1 - Work environment (floors, machine, furniture and other utilities) is clean and tidy?

  • 7.2 - Area organized properly?

  • 7.3 - Are machines kept clean?

  • 7.4 - Are the floors around the machines kept clean?

8.0 - Waste Removal

  • 8.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Oily rags kept in covered metal containers?

  • 6.4 - Hazardous materials are disposed only to properly marked container?

Sign off

  • On site representative (name & signature)

  • 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.