VFI Service

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Security

• 1.1 - Employees wearing name badge visible?

  Yes

  No

  N/A

• 1.2 - No unauthorized persons?

  Yes

  No

  N/A

• 1.3 - All exterior doors closed?

  Yes

  No

  N/A

2.0 - Fire Prevention

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

  Yes

  No

  N/A

• 2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)

  Yes

  No

  N/A

• 2.3 - Extinguishers clear of obstructions?

  Yes

  No

  N/A

• 2.4 - Adequate direction notices for fire exits?

  Yes

  No

  N/A

• 2.5 - Exit doors easily opened from inside?

  Yes

  No

  N/A

• 2.6 - Exits clear of obstructions?

  Yes

  No

  N/A

3.0 - General Lighting

• 3.1 - Adequate lighting?

  Yes

  No

  N/A

• 3.2 - No glare on computer screens?

  Yes

  No

  N/A

4.0 - Rubbish Removal

• 4.1 - Bins located at suitable points around site?

  Yes

  No

  N/A

• 4.2 - Bins emptied regularly?

  Yes

  No

  N/A

5.0 - Work Benches

• 5.1 - Clear of rubbish?

  Yes

  No

  N/A

• 5.2 - Tools not in use kept in place?

  Yes

  No

  N/A

• 5.3 - No damaged hand tools in use?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 5.5 - No sharp edges?

  Yes

  No

  N/A

6.0 - Building Safety

• 6.1 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 6.2 - Walkways adequately and clearly marked?

  Yes

  No

  N/A

• 6.3 - Intersections kept clear of boxes etc?

  Yes

  No

  N/A

• 6.4 - Are footpaths in good condition?

  Yes

  No

  N/A

7.0 - Electrical Safety

• 7.1 - Safety switches installed?

  Yes

  No

  N/A

• 7.2 - No double adapters in use?

  Yes

  No

  N/A

• 7.3 - No broken plugs, sockets or switches?

  Yes

  No

  N/A

• 7.4 - No power leads across walkways?

  Yes

  No

  N/A

• 7.5 - No frayed or damaged leads?

  Yes

  No

  N/A

8.0 - First Aid Box

• 8.1 - Is there easy access to cabinets?

  Yes

  No

  N/A

• 8.2 - Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• 8.3 - Are first aid officers accessible?

  Yes

  No

  N/A

• 8.4 - Are emergency numbers displayed?

  Yes

  No

  N/A

9.0 - Work stations

• 9.1 - Desks in good condition and free of clutter?

  Yes

  No

  N/A

• 9.2 - Work station at appropriate height for employee and work?

  Yes

  No

  N/A

• 9.3 - Photocopiers positioned to avoid fumes and trip hazards?

  Yes

  No

  N/A

• 9.4 - Stable non-slip floor coverings in good condition?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign