Workplace Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Building & Yard

• Are gutters clean, sound and not leaking?

  Yes

  No

  N/A

• Is the roof free from evidence of leaks?

  Yes

  No

  N/A

• Is the building free from evidence of external damage?

  Yes

  No

  N/A

• Are muster points clearly identified?

  Yes

  No

  N/A

• Sufficient external lighting for security/safety?

  Yes

  No

  N/A

• Is perimeter fencing is secure and undamaged?

  Yes

  No

  N/A

• Are sidewalks and walking paths clear of debris, ice or snow?

  Yes

  No

  N/A

• Other Observations?

• Other Observations?

  Media

Pest Control

• Is rodent activity controlled?

  Yes

  No

  N/A

• Is bird activity controlled?

  Yes

  No

  N/A

• Other Observations?

Electrical Safety

• Is the facility free from evidence of broken plugs or outlets?

  Yes

  No

  N/A

• Free from evidence of frayed or damaged leads?

  Yes

  No

  N/A

• Are portable power tools in good condition?

  Yes

  No

  N/A

• Free from evidence of multiple double adaptors or power bars in a series?

  Yes

  No

  N/A

• Free from signs of overloading of power boards, power points?

  Yes

  No

  N/A

• Is there at least 1 meter of clearance around electrical panels in accordance with Fire Codes.

  Yes

  No

  N/A

• Other Observations?

Fire Control

• Are fire extinguishers in place & signed?

  Yes

  No

  N/A

• Are fire extinguishers within service dates?

  Yes

  No

  N/A

• Are exit signs in place?

  Yes

  No

  N/A

• Are exits clear of obstructions?

  Yes

  No

  N/A

• Does fire equipment appear to be in good condition?

  Yes

  No

  N/A

• Other Observations?

Walkways, Stairs and Ladders

• Are floor areas clean, dry and free from slip/trip hazards?

  Yes

  No

  N/A

• Are walkways kept clear?

  Yes

  No

  N/A

• Are stairs in good condition?

  Yes

  No

  N/A

• Are handrails in place, where required?

  Yes

  No

  N/A

• Are portable ladders in good condition?

  Yes

  No

  N/A

• Other Observations?

Lighting

• Is lighting adequate for work tasks?

  Yes

  No

  N/A

• Are light fixtures clean and in good condition?

  Yes

  No

  N/A

• Is emergency lighting operable?

  Yes

  No

  N/A

• Are diffuser covers in place and securely fixed where required?

  Yes

  No

  N/A

• Other Observations?

Chemicals (Hazardous/Dangerous Substances)

• Is there access to MSDS for all chemical products used?

  Yes

  No

  N/A

• Are chemical containers clearly labelled?

  Yes

  No

  N/A

• Are flammable substances stored in small quantities cabinet?

  Yes

  No

  N/A

• Is there adequate ventilation of work area?

  Yes

  No

  N/A

• Is there a Hazardous Substance register?

  Yes

  No

  N/A

• Have risk assessments been completed for hazardous substances?

  Yes

  No

  N/A

• Are there emergency spill kits available?

  Yes

  No

  N/A

• Other Observations?

First Aid

• Is there a first kit/cabinet available and accessible?

  Yes

  No

  N/A

• Are adequate stocks available?

  Yes

  No

  N/A

• Are first aid records kept?

  Yes

  No

  N/A

• Is there a list of first aiders and emergency contact numbers displayed?

  Yes

  No

  N/A

• Is the eyewash station operable?

  Yes

  No

  N/A

• Is the eyewash station solution within the expiry date?

  Yes

  No

  N/A

• Other Observations?

Machinery & Tools

• Are tools in good condition?

  Yes

  No

  N/A

• Are correct tools used for task?

  Yes

  No

  N/A

• Is all equipment adequately guarded?

  Yes

  No

  N/A

• Is equipment adequately maintained?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is ther provision for storage & waste?

  Yes

  No

  N/A

• Is there adequate work space around machinery?

  Yes

  No

  N/A

• Are noise levels at an acceptable level?

  Yes

  No

  N/A

• Where noise is a concern, is the noise level reading posted?

  Yes

  No

  N/A

• Is hearing protection available?

  Yes

  No

  N/A

• Are operators appropriately trained?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Other Observations?

General Housekeeping

• Are work areas clear of garbage?

  Yes

  No

  N/A

• Are tools not in use stored appropriately?

  Yes

  No

  N/A

• Are bins emptied & not overflowing?

  Yes

  No

  N/A

• Is the facility free from evidence of general clutter?

  Yes

  No

  N/A

• Other Observations?

Office Safety

• Is the office clean and tidy?

  Yes

  No

  N/A

• Is furniture appropriate and sound?

  Yes

  No

  N/A

• Are computer screens free from glare and reflection?

  Yes

  No

  N/A

• Is there adequate ventilation around photocopiers?

  Yes

  No

  N/A

• Is air conditioning maintained?

  Yes

  No

  N/A

• Are work stations layouts suitable?

  Yes

  No

  N/A

• Are floor coverings sound?

  Yes

  No

  N/A

• Are fling cabinets drawers kept closed when not in use?

  Yes

  No

  N/A

• Other Obsevations?

Storage

• Are materials stored so they will not fall?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are incompatible hazard substances segregated?

  Yes

  No

  N/A

• Other Observations?

Workshop Areas

• Are tools stored in an orderly manner?

  Yes

  No

  N/A

• Are tools free from damage?

  Yes

  No

  N/A

• Are gas cylinders restrained?

  Yes

  No

  N/A

• Is relevant PPE available & used?

  Yes

  No

  N/A

• Are drive belts / pulleys guarded?

  Yes

  No

  N/A

• Are work bench heights appropriate?

  Yes

  No

  N/A

• Are there manual handling aids?

  Yes

  No

  N/A

• Other Observations?

Welfare Matters

• Are toilets clean?

  Yes

  No

  N/A

• Are kitchen facilities/lunchrooms clean?

  Yes

  No

  N/A

• Is drinking water available?

  Yes

  No

  N/A

• Are there washing facilities?

  Yes

  No

  N/A

• Other Observations?

Opportunity for Improvement

• Corrective Actions

• signature of inspector

  Sign

• Signature of person involved

  Sign