• Document No.

  • Audit Title

  • Division/Department

  • Conducted on

  • Prepared by

  • Location


  • Select date and time inspection took place.


  • Are aisle ways and exits clear and unobstructed?

  • Are offices and storage areas clean, orderly, and free of debris and slipping/tripping hazards?

  • Are cabinet tops clean and not used as storage?

  • Are mops and brooms stored in a well ventilated area with heads up off the floor?

  • Are janitors closets clean and not used for storage?

  • Are food appliances and eating areas kept clean?

  • Are floors adequately swept, mopped, vacuumed and free of slipping/tripping/fall hazards?

  • Are fluorescent light tubes properly disposed of?

  • Are filing cabinet drawers evenly loaded to prevent tipping over?


  • Select date and time inspection took place.


  • Is the use of extension cords eliminated when possible?

  • Are only UL-approved extension cords and/or power strips used?

  • Are electric cords in good repair (not spliced or taped, ground prong intact, plug secure on cord)?

  • Are electric cords arranged so they do not present tripping or other hazard?

  • Are electric cords kept out of doorways and aisles?

  • Are breaker boxes and junction boxes securely covered?

  • Are heat-producing appliances plugged directly into hard-wired outlets, not extension cords?

  • Do portable heat-producing appliances have tip over safety feature?

  • Are electrical outlets not overloaded?

  • Is emergency lighting operational?

  • Do electrical panel boxes lock and close properly?

Sign Posting/Labeling

  • Select date and time inspection took place.

Sign Posting/Labeling

  • Is a written Emergency/Evacuation Plan posted and up to date?

  • Are Bomb Threat procedures posted near doors and phones?

  • Are Industrial Hygiene Surveys available and up to date?

  • Is the Commanding Officer's Safety Policy Statement posted and up to date?

  • Are applicable Safety and Occupational Heath (SOH) and Fire Deficiency Notices posted and up to date?

  • Are routine (monthly/quarterly) supervisor workplace safety inspections being conducted and recorded?

  • Are Unsafe/Unhealthful report forms readily available to employees?

  • Is the DOD Safety & Occupational Health Protection Program poster (DD2272) posted on the official bulletin board?

  • When required, are floor loading signs posted? (I.e., mezzanine areas)


  • Select date and time inspection took place.


  • Are office furnishings and chairs in good repair?

  • Do rolling chairs have 5 casters?

  • Are step stools and ladders sturdy and fitted with rubber caps to control movement while in use?

  • Are paper cutters equipped with safety latches, finger guards, and stored with the blade locked?

  • Are fans equipped with adequate blade guards?

  • Are all employees briefed on the office emergency evacuation plan and re-assembly?

  • Is ergonomic hazard mitigation being used?

  • Are area JHAs up to date, and are they available for worker review?

Fire Protection

  • Select date and time inspection took place.

Fire protection

  • Are emergency egress lanes clear and unobstructed?

  • Are personnel EXIT signs posted and clearly visible?

  • Are fire exits kept free of obstructions?

  • Are the directions to exits, when not immediately apparent, marked clearly with visible signs?

  • Are emergency egress EXIT signs illuminated and in working order?

  • Are fire suppression sprinkler heads kept clean?

  • Are sprinkler heads protected by metal guards when exposed to physical damage?

  • Is proper clearance maintained below sprinkler heads (18 inches)?

  • Are appropriate fire extinguishers mounted, located, and identified so they are readily accessible to employees?

  • Are all fire extinguishers inspected monthly and recharged regularly and noted on the inspection tag?

Hazardous Material/Training

  • Select date and time inspection took place.

Hazardous Material

  • If secondary containers are used, are they properly labeled?

  • Are MSDS logs current and readily available?


  • Are all personnel assigned appropriate (Core) duty/task(s)?

  • Are all personnel assigned correct job specific duty/task(s) that correctly identify their training requirements?

  • Are all personnel current with required training and medical surveillance?


  • Signature of inspector. (Sign when all sections have been completed.)

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.