Information

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Have all actionable items been rectified?

2.0 - Fire Prevention

  • 2.1 - Evacuation plan displayed

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

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

  • 2.4 - Extinguishers clear of obstructions?

  • 2.5 - Extinguisher no more than 1200 mm max height & base not lower that 100 mm and Indicator signs 2.1m above floor level?

  • 2.6 - Adequate direction notices for fire exits and exits clear of obstructions?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Light fittings clean and in good condition?

  • 3.3 - Emergency exit lighting operable?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry, Intersections and walkways kept clear?

  • 4.3 - Stair and risers kept clear and railings in good condition?

  • 4.4 - Furniture in sound condition?

5.0 - Work Stations

  • 5.1 - Clear of Obstructions and no Sharp Edges?

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

6.0 - Rubbish Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

7.0 - Storage Design and Use

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

  • 7.2 - Storage designed to minimise lifting problems?

8.0 - Kitchen/Amenities Areas

  • 8.1 - Clean, tidy/hygienic and lighting adequate?

  • 8.3 - Electrical equipment "tagged" with correct date

9.0 - Electrical Safety

  • 9.1 - No broken plugs, sockets or switches or double adapters in use?

  • 9.2 - No frayed, strained or damaged leads?

10.0 - First Aid Facilities

  • 10.1 - Are cabinets and contents clean and orderly and clearly labelled?

  • 10.2 - No contents past their expiry date?

  • 10.3 - Employees aware of location of first aid cabinet and are they easy accessable?

  • 10.4 - Are first aid officers accessible and Emergency Numbers Displayed

11.0 - Office Hazards

  • 11.1 - Condition of chairs? (Five star bases.)

  • 11.2 - Desks in good condition? (No damage.)

  • 11.3 - Screen Based Equipment positioned to reduce glare from windows etc?

  • 11.4 - Photocopiers positioned to avoid fumes?

  • 11.5 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)

Sign Off

  • On site HSR

  • 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.