Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Start of inspection

  • Laboratory Inspection

  • Laboratory inspection

Laboratory room inspection

  • Laboratory room number and title

  • Laboratory routine inspection

  • Laboratory occupants present during the inspection

  • Laboratory occupants are wearing the correct PPE (or if they are absent the correct PPE is available)

  • A current health and safety handbook is readily available to the laboratory occupants (either in the laboratory or nearby)

  • First aid equipment is readily available to the laboratory occupants. (This includes a stocked first aid kit and eye wash equipment)

  • Operational Instruction Forms (Orange Forms) are displayed for experimental work. A sample of forms checked are completed correctly.

  • Vessels containing chemicals are correctly and clearly labelled.

  • Gas cylinders in the laboratory are in good order. This includes all cylinders secured upright and all regulators within retirement date.

  • Area oxygen depletion and/or carbon monoxide alarms working.

  • Laboratory non-routine inspection

  • Non-Routine inspection item

  • Non-routine item
  • Satisfactory finding during non-routine inspection

  • Laboratory overdue remedial actions for attention

  • Overdue remedial action for attention

  • Overdue remedial action
  • Overdue remedial action in hand.

End of inspection

  • Inspector(s) sign off

  • Inspector sign off
  • Inspector sign off

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.