• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Number of employees working on site

  • Males

  • Females

  • Total

Location and nature of the workplace

  • Is the workplace near appropriate facilities?

  • Is the means of access safe?

  • Do all employees have access to the facilities?

Drinking water

  • Are the drinking water outlets accessible to indoor employees?<br>(Note: 1 drinking point per 40 employees)

  • Are drinking water outlets separate from toilet and washing facilities?

  • Is the water hygienically provided - no shared cups or glasses?

  • Is the water clean, cool and palatable?


  • If the workplace has 10 or fewer employees (and 2 or fewer of one gender), has a least 1 unisex toilet been provided?

  • If the workplace has more than 10 employees, is there at least 1 male toilet for every 20 men and 1 female toilet for every 15 women?

  • Are there adequate toilet facilities for employees with special needs?

  • Are toilets connected to sewer or an appropriate alternative?

  • Are toilets clearly marked and do they have lockable doors, adequate lighting and ventilation?

  • Are the employee toilets separate from toilets for visitors, clients and the public?

  • Is there adequate toilet paper, hand washing facilities and soap, rubbish bins and sanitary disposal?

Hand washing

  • Are there enough hand washing basins for men and women?

  • Does the nature of the work require additional hand washing facilities?<br>(Note: take into account exposure to dirty conditions, infectious agents, contaminants and health regulations)

  • Are the hand washing facilities separate from work-related troughs or sinks, protected from the weather and access alb from work areas, dining facilities and toilets?

  • Is there at least 1 square metre of clear space per water outlet?

  • Is the hot and cold water, soap or another cleaning product provided?

  • Is hygienic hand drying provided that does not involve employees sharing towels?

Dining facilities

  • Does the nature of the work cause a risk to the health and safety of the employees from preparing food or eating in the workplace?

  • Is a dining room or area required

  • Is there adequate protection from the elements, the work area, contaminants and hazards?

  • For workplaces needing a dining room, is there 1 square metre of clear floor space for each person likely to be eating at one time?

  • Is the means of access to a shared dining facility safe?

  • Is the facility equipped with a sink and draining board, hot and cold water, washing utensils and detergent, microwave oven, vermin and dust proof storage, refrigerator, rubbish bins, boiling water and clean drinking water?

  • Do the tables allow a minimum of 600mm width by 300mm depth of space per person?

  • Are there seats with back support for all employees likely to be eating at one time?

Responding to emergencies

  • Is there a written emergency management plan with simple, clear and flexible procedures?

  • Is the plan accessible to all employees and others?

  • Are all employees instructed and trained in the procedures?

  • Are there appropriate emergency response features and equipment, including clearly marked exit routes and doors?

First aid

  • Are first aid resources provided?<br>(Note: first aid kits, first aid room, AEDs, first aid officers)

  • Are first aid kits fully stocked?

Personal storage

  • Is there accessible, secure storage at the workplace for employees' personal property?

Change rooms

  • Are change rooms provided for employees who are required to change in and out of clothing or apparel?

  • Are there arrangements in place for the privacy of male and female employees?

  • Do change rooms allow a clear space of at least 0.5 square metres for each employee?

  • Is the change room temperature comfortable for changing clothing?

  • Is there enough seating, accessible mirrors and an adequate number of hooks for the number of employees changing at one time?

  • Are there well-ventilated, accessible and secure lockers for each employee?

  • Are lockers at least 300mm wide, 450mm deep and 1800mm high, with hooks and a coat hanger rail?

  • Is there clear space of at least 1800mm between rows of lockers facing each other and at least 900mm between lockers and a seat or a wall?


  • Are showers provided for employees whose work requires strenuous effort of leaves them dirty or smelly?

  • Is there 1 shower cubicle for every 10 employees who may need to shower?

  • Is there a slip resistant floor area of not less than 1.8 square metres, that is capable of being sanitised?

  • Are partitions between each shower at least 1650mm high and no more than 300mm above the floor?

  • Is there an adjacent dressing area for each shower, containing a seat and hooks, with a curtain or lockable door enclosing the shower and dressing cubicle.?

  • Is there clean hot and cold water and soap or other cleaning products?


  • Is there safe access and egress from the workstation?

  • Is there at least 800mm of clear space between plant, equipment, structures and materials for employees to move and work?


  • Is the temperature between 20 and 26 degrees Celsius (or less if the work is physically active)?

  • Are heating and cooling facilities serviced regularly and maintained in a safe condition?

  • Is appropriate protective clothing provided for employees who work in very cold conditions?

Ventilation, air quality and air conditioning

  • Are rates of air movement in enclosed workplaces between 0.1m and 0.2m per second?

  • Are appropriate ventilation and air conditioning systems provided in compliance with the Health (Legionella) Regulations 2001 requirements?


  • Does the lighting allow employees to move about and carry out their work effectively and safely?

  • Is the work environment free from glare, contrast, reflection, flicker or stroboscopic effect?


  • Does the seating provide suitable body support and is it appropriate to the task?

  • Is there additional seating for employees who work standing and need to sit from time to time?


  • Is adequate floor protection provided for employees who need to stand still for long periods of time?

Outdoor work

  • Are there appropriate procedures to ensure outdoor employees have access to clean drinking water, toilets, dining facilities, hygienic storage of food and water and emergency / first aid assistance?

  • Is there access to shelter for eating meals and taking breaks and for protection when weather conditions become unsafe?


  • Has there been employee consultation on any decisions about the adequacy of the facilities?

Maintaining amenities and facilities

  • Are consumables such as soap, paper towel and toilet paper replaced regularly?

  • Is broken or damaged infrastructure repaired promptly?

  • Are items such as furniture fridges, lockers and seating maintained and in good repair?

  • Are workplace amenities cleaned regularly (daily)?

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.