Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Emergency Response and Fire Protection

  • Are fire extinguishes mounted, unobstructed and clearly signposted?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are fire hose reels in interlock position, unobstructed and clearly signposted?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are fire exit doors clearly signed?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are emergency exits clear of obstructions?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are fire doors and hardware in working condition i.e. automatically closing correctly into door frame?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Do all fire extinguishes, fire hose reels and fire hydrants have a service date within the last six months stamped on the yellow inspection tag?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Has an evacuation drill been conducted within the last 12 months?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are emergency evacuation plans displayed throughout the property?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are emergency contact numbers displayed on site?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

First Aid

  • Are first aid provisions available on site i.e. first aid kit, emergency eye wash? (If no, tick N/A and skip section)

  • first aid kit
  • Is the first aid kit visible and clearly marked?

  • Is the kit adequately stocked, contents unopened and within use by date?

  • Are eye wash stations adequately stocked and bottles in date?

Colliers Office Area

  • Is office area housekeeping well maintained e.g. walkway clear, documentation and equipment suitably sorted?

  • Are surfaces even and free of defects?

  • Is the workstation setup appropriate?

Chemical Storage

  • Are chemicals clearly labeled and suitably stored in secure, designated areas?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Is the site Dangerous Goods and Hazardous Substances Register available and current?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Have Dangerous Goods and Hazardous Substances risk assessments been completed and available on site?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are current (within 5 years from date of issue) MSDS provided within close proximity to all chemicals on site?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Is adequate spill containment provided in chemical storage areas?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

Electrical Safety

  • Are leads, plugs, sockets, switches and electrical equipment in good repair?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are walkways clear of leads and training cables?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are electrical equipment leads tested and tagged within date?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Is a lockout/tagout procedure in place and being used effectively?<br>

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are electrical risers, distribution boards and cabinets secure and free of stored items?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

Plant Rooms/Restricted Access Areas

  • Is identification signage displayed on all Plant Rooms e.g. Boiler Room, Lift Motor Room, Chiller Room etc?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Is access to Plant Rooms secure and restricted?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Have Plant Risk Assessments been conducted throughout the property?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are PPE/hazard warning signs displayed where required e.g. hearing protection, radiation zones, fragile roof, fall hazard etc?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Has a noise assessment been conducted in areas with noise levels that may potentially exceed acceptable limits?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Is EWIS telephone operational within plant room area?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Is hearing protection e.g. disposable ear plugs or ear muffs provided in areas assessed as exceeding acceptable limits?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are current registration certificates displayed adjacent relevant plant on site e.g. lifts, chillers, cooling towers, boilers, pressure vessels etc.

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are plant rooms free of stored items?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Is lighting operational in plants rooms?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Is outside air available locally?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Is access to roof areas secure and restricted?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are anchor points and/or other height safety systems within annual certification date?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

  • Are Confined Spaces labeled, secured and access restricted?

  • Corrective Action Required (provide brief description and complete Corrective Action Report)

  • person
  • By Who?

  • Date Completed

Common Areas

  • Are external surfaces in good repair and clear of slip, trip or fall hazards?

  • Are drains free of obstructions, blockages and debris?

  • Is fixed inclement weather matting installed at property entrances and in good condition?

  • Are entrances, exits and walkways clear of obstructions and slip, trip or fall hazards?

  • Are stairwells free of obstructions, in good condition and with secure balustrades installed?

  • Are colour contrasting non-slip treads installed on stairwells and in good condition?

  • Are toilet areas clean, tidy and in good condition?

  • Are lighting levels adequate and all light fixtures operating?

  • Are lifts operating efficiently and levelling before opening?

  • Is lift car telephone working

  • Does air quality appear to be adequately throughout the property?

  • Is wet floor signage available and used in inclement weather conditions?

Car Park

  • Is the car park clear of rubbish and stored items?

  • Are line markings and directional arrows clear?

  • Is lighting adequate and all fixtures operational?

  • Is speed limit signage clearly displayed?

  • Are chains, barriers and bollards clearly visible and free from damage?

  • Are waste manager areas tidy, hygienic and clear of excess rubbish?

  • Is ventilation adequate?

  • Is maximum height clearance signs displayed at the car park entrance/s?

  • Are floor surfaces in a good condition and free of defects e.g. potholes?

  • Is access to the Loading Dock area clear of rubbish or other stored items?

  • Where a car park driveway crosses a footpath, is there suitable signage and warnings in places?

Site 'Lock Box'

  • Is the box clearly labeled, locked and in good condition?

  • Does it contain the Contractor Sign-in Manual?

  • Does it contain the Contractor Safety Induction Manual?

  • Does it contain current copies of all relevant site registers e.g. Asbestos/Hazardous Materials, Confined Spaces, Dangerous Goods/Hazardous Substances?

  • Does it contain Permit to Work templates for high risk activities e.g. hot works, confined spaces, work at heights, fire isolation etc?

  • Does it contain a copy of the site Emergency Procedures and Evacuation Plan?

  • Does it contain a list of the site emergency contacts e.g. emergency services, and key Colliers REM personnel?

  • Is a current copy of the Property Hazard Awareness Chart displayed above or adjacent to the lock box?

  • Does it contain copies of the Hazard Report Form? (Colliers to confirm whether this will be contained in Lock Box)

  • Does it contain copies of the Incident Report Form? (Colliers to confirm whether this will be contained in Lock Box)

  • Does it contain a copy of the site Lockout/Tagout Register? (Colliers to confirm whether this will be contained in Lock Box)

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.