Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Electrical Safety

  • Are there any damaged outlets, plugs, cords, or electrical tools in use?

  • Are there any frayed, split, or exposed cords in use?

  • Are portable and handheld power tools in good condition and properly stored?

  • Are all lines and powered equipment grounded and deenergized if necessary?

  • Are emergency stoppages or e-stops properly used on electrical equipment?

  • Other Observations?

Fire Control

  • Are fire extinguishers in their proper place?

  • Are fire extinguishers inspected monthly?

  • Are fire extinguishers inspected by their manufacturer annually?

  • Are proper exit routes visible in case of fire exposure?

  • Are exits and routes clear of obstructions?

  • Other Observations?

General Housekeeping

  • Are working surfaces and walkways clear of debris, clutter, or any type of obstruction?

  • Are aisles and walkways clear and wide enough for regular clearance?

  • Are stairs in good condition and structural integrity?

  • Are handrails, midrails, and toeboards where they're to be required?

  • Are tools, machinery, and equipment properly stored as free of hazards when not in use?

  • Are portable ladders in good condition and of structural integrity?

  • Other Observations?

First Aid

  • Are first-aid stations within reach of employees who need to use them?

  • Are first-aid stations readily available for employees to use when necessary?

  • Are first-aid stations regularly inspected to ensure supplies are in-stock?

  • Are employees trained on reporting first-aid incidents to their supervisors for proper documentation?

  • Are first aid records kept?

  • Other Observations?

Machinery & Tools

  • Are tools in good condition?

  • Are correct tools used for task?

  • Is all plant and equipment adequately guarded?

  • Is plant and equipment adequately maintained?

  • Are the start & emergency stops within easy reach of operators?

  • Is ther provision for storage & waste?

  • Is there adequate work space around machinery?

  • Is access to machinery controlled?

  • Are noise levels at an acceptable level?

  • Are operators appropriately trained?

  • Do operators hold relevant certificates/licenses? (where relevant)

  • Are records maintained of operators certificates/licenses? (includes drivers licence)

  • Other Observations?

Storage

  • Are materials stored so that good manual handling practices can be applied, therefore safe retrieval?

  • Are storage racks/cupboards in sound conditions, not overloaded?

  • Are straws free from projection, sharp egges?

  • Are incompatible hazard substances segregated?

  • Other Observations?

Struck-By

  • Is there any machinery or equipment with potential to strike or come in contact with workers?

  • Are employees trained on the hazards associated with this machinery and equipment, and the risk of being struck by them?

  • Are there preventative measures in place to combat struck by hazards?

Caught In/Between

  • Is there machinery or equipment that, when in use, could catch or pin an employee between two things?

  • Are employees trained on the hazards and risks associated with being caught in/between?

  • Are there preventative measures taken to prevent caught in/between hazards?

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.