Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there no outstanding actions?
2.0 - Fire Hazards
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2.1 - Evacuation plan displayed and understood by all employees?
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2.2- Extinguishers in place, clearly marked for type of fire?
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2.3- Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
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2.4- Extinguishers clear of obstructions?
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2.5 - Extinguisher location signposted
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2.6 - Adequate direction notices for fire exits?
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2.7 - Exit doors easily opened from inside?
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2.8 - Exits clear of obstructions?
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2.9 - Fire hose reels in place and ready to use
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Fire hose reels clear of obstructions
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Flammable material & products ( paints & thinners, oils, greases) not stored near burners
3.0 - General Lighting
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3.1 - All lights operational
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3.2 - Light levels adequate
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3.3 - Light fittings clean and in good condition?
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3.4 - Emergency torches / lighting available
4.0 - Building Safety
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4.1 - Floor surfaces free of trip hazards
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately and clearly marked?
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4.4 - Intersections kept clear of obstructions etc?
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4.5 - Stair and risers kept clear?
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4.6 - Walkways free of water, oil, grease or other slip hazards
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4.7 - Are doorways clear and doors operational
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4.8 - Catwalks clear of tools, brooms & rocks
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4.9 - Are footpaths in good condition?
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4.10 - Furniture in sound condition?
5.0 - Work Benches
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5.1 - Clear of rubbish?
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5.2 - Tools not in use kept in place?
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5.3 - No damaged hand tools in use?
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5.4 - No damaged power tools in use?
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5.5 - Work height correct for the type of work and the employee?
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5.6 - No sharp edges?
6.0 - Rubbish Removal
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6.1 - Bins located at suitable points around site?
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6.2 - Bins emptied regularly?
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6.3 - Cotton waste & dust removal (sweeping &blowdown) adequate
7.0 Working Environment
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7.1 - Noise control devices operational
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7.2 - Dust control measures effective
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7.3 - Air conditioning systems working & regularly maintained?
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7.4 Confined spaces sign posted
8.0 - Guarding and emergency switches
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8.1 - Are guards in place
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8.2 - Are guards properly secured
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8.3 - Guards in good condition?
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8.4 - Are E-Stops easily located and labelled
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8.15 - Are lockout procedures implemented and followed?
9.0 - Electrical Safety
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9.1 - Safety switches installed?
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9.2 - Safety switches tested every 6 months and tests recorded?
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9.3 - No double adapters in use?
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9.4 - Portable equipment tested and tagged?
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9.5 - No broken plugs, sockets or switches?
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9.6 - No power leads across walkways?
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9.7 - No frayed or damaged leads?
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9.8 - No strained leads?
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9.9 - Portable power tools in good condition?
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9.10 - Switchboard cabinets locked
10.0 - Amenity Facilities
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10.1 - Waste bins emptied
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10.2 - Soap and hand towel available in toilets
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10.3 - Facilities clean & hygienic
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10.4 - Hand hygiene signs posted in toilets
11.0 Personal Protective Equipment
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11.1 - Ear plug & ear muffs supply adequate & easily available
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11.2 - Dust masks available
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11.3 - Safety glasses available
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11.4 - reflective vests available
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11.5 - PPE use adequately signposted
12.0 - First Aid Facilities
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12.1 - Are cabinets and contents clean and orderly?
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12.2 - Are contents regularly checked?
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12.3 - No contents past their expiry date?
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12.4 - Cabinets clearly labelled?
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12.5 - Is there easy access to cabinets?
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12.8 - Are emergency numbers displayed?
13.0 - Compressed Fluids
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13.1 - Compressed air hoses correctly stored
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13.2 - Compressed air hose fittings in good condition
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13.3 - Compressed air lines signage adequate
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13.4 - Press pumps free of oil leaks
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13.5 - Oil line clamps secure & in good condition
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13.6 - Oil lines signage adequate
14.0 - Machinery Condition - forklifts, buggies, loaders
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14.1 - Schedule maintenance performed?
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14.2 - Condition of tyres?
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14.3 - Brake performance?
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14.4 - Lights? (Check operation of brake, indicator and reversing lights)
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14.5 - Condition of drivers seat?
Sign Off
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On site representative
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Auditor's signature
Action Plan
Action Register
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List Impairment
Impairment
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Describe impairment
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Select Priority Level
- High
- Medium
- Low
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Who is responsible
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Control measure required
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Date for control measures to be implemted