Title Page

  • Audit Title

  • Conducted on

  • Prepared by

  • Contact Person

General Safety

  • Are computers logged appropriately?

  • Is the building in good repair and free from damage?

  • Is cleanliness and general housekeeping adequate?

  • Is confidential information stored properly?

  • Are machine guards in place?

  • Is lighting appropriate for the type of work being done in the area?

  • Are paper cutters, etc. stored properly?

  • Is equipment in good repair?

Security

  • Are all employees and patients properly identified?

  • Are access controls uncircumvented and working properly?

Hazardous Materials/Waste

  • Where needed, are eyewash stations available and operational?

  • Are all containers properly labeled?

  • Is appropriate PPE available?

Fire/Life Safety

  • Are fire extinguishers free from obstruction?

  • Have fire extinguishers been checked at least monthly?

  • Are fire and smoke doors free from obstruction?

  • Are all exit signs illuminated?

  • Are corridors and stairwells unobstructed?

  • Are compressed gas cylinders stored properly?

  • Is there adequate clearance to sprinklers/ceilings?

  • Are electrical panels visible and unobstructed?

  • Are multi-outlet strip used properly?

Utility Systems

  • Are all electrical receptacles and switches in good repair?

  • Is electrical equipment in proper working condition?

Employee Knowledge

  • Explain the immediate response to a fire. (RACE)

  • Demonstrate where to find SDS's. (online,MSDS online)

Other Safety Concerns

  • Add media

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.