Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Housekeeping

  • Posters Displayed

  • Work area clean, sanitary and orderly

  • Work surfaces kept dry or appropriate means taken to ensure surface is slip resistant

  • All aisle ways clear of slip and trip hazards

  • Areas around equipment clean & free of materials that could cause trips or falls

  • Trash removed on a regular basis

Electrical

  • Electrical power cords in good condition free of splices or taps

  • Electrical power cords properly grounded

  • Extension cords have a grounding conductor

Hands and Power Tools

  • Tools and equipment (both company & employee owned) in good condition

  • Grinders, saws and similar equipment have appropriate safety guards

  • Rotating or moving parts of equipment guarded to prevent physical contact

  • Pneumatic and hydraulic hoses free of deterioration and damage

  • Effective guards over belts, pulleys, chains, sprockets on equipment such as concrete mixers and air compressors

Personal Protective Equipment

  • Protective glasses or face shield worn in areas where there is a risk of eye injuries

  • Hard hats and safety vests provided and worn at all times

  • Hearing protection provided and worn when sound levels exceed those of standard

First Aid Supplies

  • Adequate first aid supplies stocked

  • Location of supplies clearly labeled and clear of objects which would prohibit access

Hazardous Materials Labeling and Handling

  • All flammable liquids identified and their use strictly controlled

  • All containers clearly labeled with product identity and a hazard warning

  • Material Safety Data Sheet available for each substance used

Ladders

  • Free from deterioration or damage

Elevated Surfaces

  • Working/walking surfaces elevated more than 6' above a lower level provided with fall protection

  • Surfaces (beneath which people could be exposed to falling objects) provided with standard 4 inch toe boards

  • Material on elevated surface piled or stacked in manner to prevent tipping or falling

  • All floor and well openings properly guarded

Exits

  • All exits and routes to all exits clearly marked

  • All exit doors clear of obstruction and functioning properly

  • All exits adequately illuminated and all exit signs lighted

Scaffolding

  • Scaffold Properly Tagged

  • Tied to Structure Where Required

  • Safe Access Provided

  • Work Platform Complete

  • Base Plates Installed

  • Top Guardrails Installed

  • Midrail in Place

  • Toeboard Installed

  • Screened Where Required

  • Components Pinned Where Required

  • Inspected for Damage

  • Inspect for Cracks

  • Workers Below Protected

  • Are Components Compatible

  • Please list any additional areas you feel need to be addressed:

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.