Title Page

  • Site conducted
  • Conducted on

  • Audit by

SIPP & PTW

  • Is SIPP available?

  • Is PTW available?

  • Are control measure listed in SIPP / MRA complied?

Housekeeping

  • Inspection area tidy, clean and well organised?

  • Access ways obstructed?

  • Tripping hazards (including floor finishes)?

  • All electrical cleaning equipment tested?

  • All equipment stored under correct conditions?

  • Rubbish disposal area clean and clear?

  • Sharps removal procedure in place?

Electrical

  • Is there any electrical equipment/appliance usage?

  • Is all portable equipment tested and labeled?

  • Leads undamaged?

  • Trailing leads?

  • Sockets overloaded?

Chemical Exposure

  • Is there any chemical usage?

  • Exposure adequately controlled?

  • Data sheet information available?

  • Spillage procedure in place?

  • Correctly stored?

  • Correctly disposed of?

  • Disposal of hazardous waste in place?

  • Flammable liquids correctly stored/signed?

Machinery

  • Is there any machinery usage?

  • All guards in place?

  • Kept clean of rubbish?

  • Emergency stop buttons fitted?

  • Safety warning notices in place?

  • PMA / PMT in place? Yes

PPE (personal protective equipment)

  • Correct type for hazard identified?

  • Good condition?

  • Correctly stored?

Hazard

  • Is there any hazard identified during inspection?

  • Details of hazard identified.

Declaration

  • Recommendation

  • Details of recommendations.

  • Upload picture of contractor working on site

  • Auditor name and 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.