Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

2.0 - Fire Hazards

  • 2.1 - Evacuation plan displayed and understood by all employees?

  • 2.2- Extinguishers in place, clearly marked for type of fire?

  • 2.3- Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  • 2.4- Extinguishers clear of obstructions?

  • 2.5 - Extinguisher location signposted

  • 2.6 - Adequate direction notices for fire exits?

  • 2.7 - Exit doors easily opened from inside?

  • 2.8 - Exits clear of obstructions?

  • 2.9 - Fire hose reels in place and ready to use

  • Fire hose reels clear of obstructions

  • Flammable material & products ( paints & thinners, oils, greases) not stored near burners

3.0 - General Lighting

  • 3.1 - All lights operational

  • 3.2 - Light levels adequate

  • 3.3 - Light fittings clean and in good condition?

  • 3.4 - Emergency torches / lighting available

4.0 - Building Safety

  • 4.1 - Floor surfaces free of trip hazards

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.4 - Intersections kept clear of obstructions etc?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Walkways free of water, oil, grease or other slip hazards

  • 4.7 - Are doorways clear and doors operational

  • 4.8 - Catwalks clear of tools, brooms & rocks

  • 4.9 - Are footpaths in good condition?

  • 4.10 - Furniture in sound condition?

5.0 - Work Benches

  • 5.1 - Clear of rubbish?

  • 5.2 - Tools not in use kept in place?

  • 5.3 - No damaged hand tools in use?

  • 5.4 - No damaged power tools in use?

  • 5.5 - Work height correct for the type of work and the employee?

  • 5.6 - No sharp edges?

6.0 - Rubbish Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Cotton waste & dust removal (sweeping &blowdown) adequate

7.0 Working Environment

  • 7.1 - Noise control devices operational

  • 7.2 - Dust control measures effective

  • 7.3 - Air conditioning systems working & regularly maintained?

  • 7.4 Confined spaces sign posted

8.0 - Guarding and emergency switches

  • 8.1 - Are guards in place

  • 8.2 - Are guards properly secured

  • 8.3 - Guards in good condition?

  • 8.4 - Are E-Stops easily located and labelled

  • 8.15 - Are lockout procedures implemented and followed?

9.0 - Electrical Safety

  • 9.1 - Safety switches installed?

  • 9.2 - Safety switches tested every 6 months and tests recorded?

  • 9.3 - No double adapters in use?

  • 9.4 - Portable equipment tested and tagged?

  • 9.5 - No broken plugs, sockets or switches?

  • 9.6 - No power leads across walkways?

  • 9.7 - No frayed or damaged leads?

  • 9.8 - No strained leads?

  • 9.9 - Portable power tools in good condition?

  • 9.10 - Switchboard cabinets locked

10.0 - Amenity Facilities

  • 10.1 - Waste bins emptied

  • 10.2 - Soap and hand towel available in toilets

  • 10.3 - Facilities clean & hygienic

  • 10.4 - Hand hygiene signs posted in toilets

11.0 Personal Protective Equipment

  • 11.1 - Ear plug & ear muffs supply adequate & easily available

  • 11.2 - Dust masks available

  • 11.3 - Safety glasses available

  • 11.4 - reflective vests available

  • 11.5 - PPE use adequately signposted

12.0 - First Aid Facilities

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.3 - No contents past their expiry date?

  • 12.4 - Cabinets clearly labelled?

  • 12.5 - Is there easy access to cabinets?

  • 12.8 - Are emergency numbers displayed?

13.0 - Compressed Fluids

  • 13.1 - Compressed air hoses correctly stored

  • 13.2 - Compressed air hose fittings in good condition

  • 13.3 - Compressed air lines signage adequate

  • 13.4 - Press pumps free of oil leaks

  • 13.5 - Oil line clamps secure & in good condition

  • 13.6 - Oil lines signage adequate

14.0 - Machinery Condition - forklifts, buggies, loaders

  • 14.1 - Schedule maintenance performed?

  • 14.2 - Condition of tyres?

  • 14.3 - Brake performance?

  • 14.4 - Lights? (Check operation of brake, indicator and reversing lights)

  • 14.5 - Condition of drivers seat?

Sign Off

  • On site representative

  • Auditor's signature

Action Plan

Action Register

  • List Impairment

  • Impairment
  • Describe impairment

  • Select Priority Level

  • Who is responsible

  • Control measure required

  • Date for control measures to be implemted

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.