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