Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Type of Inspection

Field edges, parking areas, and driveways

  • Are walkways clear of debris, tools, and other tripping hazards?

  • Are trellis end assemblies free of wire ends or other poking, scratching, or cutting hazards?

  • Are walking spaces reasonably even and free of holes?

Shop Safety

  • Floor surfaces even and uncluttered?

  • Entry and walkways kept clear?

  • Benches, tables, and shelves in good condition and free of debris?

  • Tools not in use kept in place?

  • Hand tools free of damage?

  • Power tools free of damage?

  • Work areas free of sharp edges?

  • Materials and tools stored on hooks, racks, or shelves whenever possible?

  • Floors around storage areas clear of debris?

  • Work areas free of excessive rubbish?

  • Are gas bottles secured?

Electrical Safety

  • Plugs, sockets and switches in good condition?

  • Walkways free of power cords?

  • Power cords not frayed and in good condition?

Fire Safety

  • Extinguishers in place?

  • Extinguishers serviced in the past 12 months? (Check punch mark on tabs.)

  • Extinguishers clear of obstructions?

  • Exits clear of obstructions?

Pesticide Storage

  • All containers labelled correctly?

  • Empty containers clean and properly stored?

  • Spill kit present and complete?

  • Are decontamination facilities available?

First Aid Facilities

  • Are cabinets and contents clean and orderly?

  • Are contents regularly checked?

  • Cabinets clearly labelled?

  • Is there easy access to cabinets?

Hazard Description I

  • Text

Hazard Description II

  • Text

Hazard Description III

  • Text

Sign Off

  • Inspector'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.