Audit

Nature of work

Enter work process or flow

Process

Work Process

Category of hazard identified

other category

List hazards identified

Severity

Sev.PNG

Number of persons who may be exposed to or have contact with the hazard

Number of times persons may be exposed to or have contact with the hazard

Number of times persons may be exposed to or have contact with the hazard

Number of times persons may be exposed to or have contact with the hazard

freq.PNG

Probability

prob.PNG

Significance

Is training required?

Are the controls in place adequate?

Recommendations

Write recommendations for safety planning and purposes

Completion
Full Name and Signature of Inspector
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.