Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Document No.

I. GENERAL HOUSE KEEPING?

  • A.) Floors, walls, windows, clean and in good repair.

  • B.) Break rooms cleaned/ disinfected daily.

  • C.) Trash containers sufficient to prevent overflow and emptied and cleaned periodically.

  • D.) All required posters and company policies in place with completed & current information.

  • E.) Aisles and hallways clearly marked and kept clear of obstacles. (1910.22)

  • F.) Cleaning supplies readily available. MSDS and CIL file electronically and in binder.

  • G.) a) Equipment properly stored and designated areas.<br> b) Unused & broken equipment properly stored and tagged "out of service" as appropriate.

  • H.) Products / supplies stored in designated areas. <br>Inventory performed and maintained.

  • I.) Outside area around building(s) clean and neat.<br>Landscaping maintained. Building in good repair.

  • J.) Proper signs posted at entrances, doorways, storage areas, maximum floor loading, etc..

  • K.) Lighting in good repair and sufficient. Bulbs replaced as needed. Light bulbs and tubes shielded as required to prevent shattering.

  • L.) Doors and locks functional and in good repair.<br>

  • N.) Smoking prohibited within building and smoking area designated.

  • O.) Work areas properly and sufficiently ventilated.

  • R.) Operational and customer records purged/shredded such that only 3 years records are retained. Review records retention policy as needed.

  • Bathrooms clean and stocked.

II. EMERGENCY RESPONSE/FIRE CONTROL & PREVENTION

  • A.) Fire extinguishers - Inspect all extinguishers and initial tags monthly. Check all units are properly hung, clean, and accessible. Place "out of service" tags on units needing repair.

  • B.) Review Emergency Contacts List and update as needed. Insure that modified list is provided to appropriate agencies. Provide emergency numbers by each phone.

  • C.) Check sprinkler system valves and sprinkler heads/pipes for damage. Inspected annually? 12" clearance for heads.

  • D.) Check all exits/non-exits for proper signage and access.

  • F.) Emergency Evacuation Plan current and available.

  • G.) Emergency evacuation maps posted.

  • H.) Trained First-Aid/CPR employee on duty if shift if required.

  • I.) Fire hose connections not obstructed.

III. BASIC HEALTH & SAFETY

  • D.) Employee work places clean and orderly.

  • E.) Hand sinks available, accessible, maintained and used.

  • F.) First Aid Kit available, stocked, no outdated items in cabinet.

IV. ELECTRICAL SAFETY

  • A.) Permanent wiring, boxes, switches, outlets, and lights secure, properly mounted, and free of defects. No exposed wiring

  • B.) Wiring for extension cords, portable lighting, power tools free of kinks, cuts, other damage.

  • D.) Breaker and fuse boxes clean, accessible, and all breakers identified.

Complete audit

  • Add any photos that would be beneficial to this audit.

  • Please add any information that is prudent to this audit.

  • Safety manager signature

  • Manager/supervisor 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.