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 there no outstanding actions?

2.0 - Fire Prevention

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

  • 2.2 - Evacuation procedures discussed annually?

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

  • 2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - Extinguishers inspected monthly and tag initialed?

  • 2.7 - Combustible material at least 2 feet from heat sources?

  • 2.8 - Adequate direction notices for fire exits?

  • 2.9 - Exit doors easily opened from inside?

  • 2.10 - Exits clear of obstructions?

  • 2.11 - Fire alarm and sprinkler head systems checked by contractor once a quarter? Documentation of these checks are being maintained by Facilities?

  • 2.12 - Fire Drills conducted every 6 months? Last drill on ___________________________.

  • 2.13 - Do employees know where they must assemble in case of fire?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  • 3.3 - Light fittings clean and in good condition?

  • 3.4 - Backup lights in place and operable?

  • 3.5 - Emergency exit lights in place and operable?

4.0 - Building & Office Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.4 - Intersections kept clear of boxes etc?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are liquid spills removed quickly?

  • 4.7 - Are railings in good condition?

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

  • 4.9 - Conditions of chairs? Are they of the five star based?

  • 4.10 - Observe electrical cords not draped around hooks or sharp objects?

  • 4.11 - Observe electrical power cords are not frayed or broken, plugs inspected and have three prongs?

  • 4.12 - No surge protectors were observed linked togeather?

  • 4.13 - No permanent extension cords observed through walls, doors, ceiling, windows or under mats or rugs?

  • 4.14 - Panel boxes have 3 foot clearance in all directions?

  • 4.15 - Breakers are marked??

  • 4.16 - Signs were observed on every floor warning not to use Elevator in event of fire?

  • 4.17 - Desks in good condition with no damage?

  • 4.18 - No floor surface chipped?

  • 4.19 - Carpeting does not show holes or tears or other tripping hazard?

  • 4.20 - Are aisles sufficiently wide to provide easy side to side movement for two persons?

  • 4.21 - Employees were not observed standing on chairs, desk, or other improvised ladder?

  • 4.22 - Screen based equipment positioned to reduce glare from windows, lights, etc.?

  • 4.23 - No more than one file drawer open at one time was observed?

  • 4.24 - Doors to enclosed stairwells were observed to be closed?

  • 4.25 - Good ergonomic body mechanics are being used as observed?

  • 4.26 - Photocopiers positioned to avoid fumes?

  • 4.27 - Tasks designed to prevent Ergonomic injuries? Breaks are included?

  • 4.28 - Has workplace violence assessment been done?

  • 4.29 - Have employees been informed of and/or trained on the items identified in the workplace violence assessment?

  • 4.30 - HVAC systems regularly maintained? Maintenance records are kept in the building for employees to verify this maintenance?

5.0 - Work Benches. - For Public Works departments only

  • 5.1 - Clear of rubbish?

  • 5.2 - Tools not in use kept in place?

  • 5.3 - No damaged hand tools in use?

  • 5.4 - No damaged power tools in use?

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

  • 5.6 - No sharp edges?

6.0 - Rubbish Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Oily rags and combustible refuse in covered metal containers?

7.0 - Storage Design and Use

  • 7.1 - Materials stored in racks and bins wherever possible?

  • 7.2 - Storage designed to minimize lifting problems?

  • 7.3 - Floors around racking clear of rubbish?

  • 7.4 - General condition of racks and pallets?

8.0 - Machines - For Public Works departments

  • 8.1 - Are they kept clean?

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

  • 8.3 - Guards in good condition?

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

  • 8.5 - Waste/off cuts removed and stored safely?

  • 9.3 - Electrical outlets are properly wired and grounded when tested with outlet tester?

  • 8.6 - Drip pans on floor to prevent spillage?

  • 8.7 - Adequate work space?

  • 8.8 - Is lighting adequate?

  • 8.9 - Noise levels controlled?

  • 8.10 - No bending or stooping required?

  • 8.11 - Duck-boards in good repair?

  • 8.12 - Operators trained on the safe operation of the machines?

  • 8.13 - Is the training recorded?

  • 8.14 - Do operators comply with the training?

  • 8.15 - Are lockout procedures implemented and followed?

  • 8.16 - Are gas bottles secured?

9.0 - Other Electrical Safety

  • 9.1 - LOTO audits are being done by Public Works employees?

  • 9.2 - LOTO procedures are done for complicated systems by Public Works departments?

  • 9.4 - Appliances such as refrigerators and microwaves properly wired and grounded?

10.0 - Chemical Safety

  • 10.1 - Are all containers labeled properly?

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

  • 10.3 - Supplies on hand to control and clean up small chemical spills?

  • 10.4 - Least toxic chemicals are being used?

  • 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?

13.0 - Outside of Building

  • 13.1 - Drain covers and grates are in good condition?

  • 13.2 - Outside areas are kept clear and/or shoveled?

  • 13.3 - Sidewalks and parking lot has no holes or other tripping hazards?

14,0 - Training & Medical Records (To be done only during Jan audit)

  • RTK training for. 2012<br> <br>Eligible #. Trained #

  • 14.1 - Employees know how to obtain MSDS?

  • 14.2 - Employees know about their NY State rights?

  • 14.3 - Employees know about exposure record tests and medical records and know how to obtain copies of them?

  • 14.4 - Employees know about annual chemical exposure records and who to contact for a copy?

  • 14.5 - All at risk employees have met HEP B vaccination or signed declination form?

  • 14.6 - All required employees have had TB screening? Records maintained at department for 3 years?

  • 14.7 - All required employees were trained on BBP for 2012?

  • 14.8 - All required employees were trained on TB for 2012?

  • 14.9 - All required employees were trained on CRR/FIRST AID for 2012?

  • 14.10 - All required employees were trained on LOTO ?

  • 14.11 - All required employees were trained on Electrical safety to include Arc Flash?

  • 14.12 - All required employees were trained on Ground Fault Protection?

  • 14.13 - All required employees were trained on Hearing Protection for 2012?

  • 14.14 - All required employees were trained on PPE for 2012?

  • 14.15 - All required employees were trained on Asbestos Awareness for 2012?

  • 14.16 - Annual Training done in 2012 for workplace violence?

  • 14.17 - RTK Annual training records are easily located at the department and are being kept for the duration of an employee employment with the county?

  • 14.18 - All other training records are being kept for last three training sessions?

15.0 - Other Violations

  • 15.1

  • 15.2

  • 15.3

  • 15.4

  • 15.5

  • 15.6

  • 15.7

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