Information

  • Audit Title

  • Building / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Workplace Inspection Review

  • Have all corrective actions been completed since last inspection?

  • Total number of open corrective actions identified?

1.0 - Health and Safety Systems

  • 1.1 - OH&S policy commitment displayed?

  • 1.2 - Register of Injuries available?

  • 1.3 - “If You Are Injured” poster displayed?

  • 1.4 - Occupational Rehabilitation poster available?

  • 1.5 - Workplace inspection records available?

  • 1.6 - Documented local safe work procedures available (if applicable)?

  • 1.7 - HSR appointed: Names of the HSR on poster?

  • 1.8 - Current OH&S Committee minutes displayed or available?

2.0 - Housekeeping

  • 2.1 - Work areas free from rubbish & obstructions?

  • 2.2 - Surfaces safe and suitable?

  • 2.3 - Free from slip/trip hazards?

  • 2.4 - Stock/material stored safely?

  • 2.5 - Aisles are unobstructed and clearly defined?

  • 2.6 - Aisles have adequate lighting?

  • 2.7 - Vision at corners?

  • 2.8 - Aisles are wide enough?

3.0 - Electrical Safety

  • 3.1 - No broken plugs, sockets, switches?

  • 3.2 - No frayed or defective leads?

  • 3.3 - Leads and portable equipment inspected and tagged?

  • 3.4 - No strained leads?

  • 3.5 - No cable-trip hazards?

  • 3.6 - Lock-out procedures / danger tags in place?

4.0 - Lighting

  • 4.1 - Adequate and free from glare?

  • 4.2 - Lighting is clean and efficient?

  • 4.3 - Windows are clean?

  • 4.4 - No flickering or inoperable lights?

  • 4.5 - Emergency lighting system is checked regularly?

5.0 - Fire Control & Emergency Response

  • 5.1 - Extinguishers in place and services as per requirements (every 6 months)?

  • 5.2 - Extinguishers are appropriately signed?

  • 5.3 - Personnel trained in use of fire fighting equipment (records)?

  • 5.4 - Emergency exit signage available and in working order?

  • 5.5 - Exit doors easily opened from inside?

  • 5.6 - Exit path ways clear of obstructions?

  • 5.7 - Alarm/communication system – adequate and tested?

  • 5.8 - Smoking restrictions are observed?

  • 5.9 - Emergency personnel identified and trained?

  • 5.10 - Emergency procedures are documented and up to date?

  • 5.11 - Emergency telephone numbers are displayed?

  • 5.12 - Are trial evacuations are conducted (Evacuation drill reports)?

  • 5.13 - Appropriate fire fighting equipment is available?

6.0 - Stairs, steps and landings

  • 6.1 - No worn or broken steps are present?

  • 6.2 - Handrails are in good repair?

  • 6.3 - Steps are clear of obstructions

  • 6.4 - Adequate lighting exists (including emergency lighting)?<br>

  • 6.5 - Non-slip treatments/treads are in good condition?

  • 6.6 - Kick plates are installed - where required?

  • 6.7 - Clear of debris and spills?

7.0 - Chemicals – for areas that have chemicals only

  • 7.1 - Material safety data sheets are available?

  • 7.2 - Dangerous goods Risk assessments documented & controls implemented?

  • 7.3 - Dangerous goods / Hazardous substances register are developed?

  • 7.4 - Containers labelled correctly & stored appropriately?

  • 7.5 - Adequate ventilation/exhaust systems are in place (if required)?

  • 7.6 - Protective clothing/equipment is available/used?

  • 7.7 - Personal hygiene–dermatitis control are in place?

  • 7.8 - Waste disposal procedures are in place?

  • 7.9 - HazSub handling safe work procedures are followed?

  • 7.10 - Appropriate emergency/first aid equipment– shower, eye bath, extinguishers?

  • 7.11 - HAZCHEM signage displayed (if required)?

  • 7.12 - Oxygen / Gas bottles are safely affixed to trolleys or restrained?

8.0 - Personal Protection

  • 8.1 - Employees provided with PPE and Clothing?

  • 8.2 - Sunscreen provided (outdoor workers)?

  • 8.3 - Correct PPE signage at access points?

  • 8.4 - Sharps containers are available and not overflowing?

9.0 - Workplace Ergonomics

  • 9.1 - Workstations and seating design acceptable?

  • 9.2 - Ergonomic factors considered in work layout and task design?

  • 9.3 - Use of excessive force and repetitive movements are minimized?

  • 9.4 - Appropriate training is provided (as required)?

10.0 - Material Storage

  • 10.1 - Storage is stable?

  • 10.2 - Safe means of accessing high shelves?

  • 10.3 - Heavier items stored low?

  • 10.4 - No danger of falling objects?

  • 10.5 - No sharp edges?

11.0 - Amenities

  • 11.1 - Washrooms clean?

  • 11.2 - Toilets clean and operational?

  • 11.3 - Meal rooms clean and tidy?

  • 11.4 - Place for perishable foods?

  • 11.5 - Facilities to store food, wash crockery etc in hygienic manner?

  • 11.6 - Supply of clean water for drinking (not in toilets/washrooms)?

  • 11.7 - Rubbish bins available (on wheels, as required)?

12.0 - First Aid

  • 12.1 - Kits and contents clean and orderly?

  • 12.2 - Stocks meet requirements?

  • 12.3 - Qualified 1st Aiders names displayed: List of First Aiders on poster?

  • 12.4 - 1st Aiders location and phone numbers displayed?

  • 12.5 - Record of treatment and of supplies dispensed

13.0 - No Lift / Manual Handling

  • 13.1 - Staff observed to be compliant with no lift manual handling techniques / procedure?

  • 13.2 - Mechanical aids provided and used (where relevant)?

  • 13.3 - Mobility and Transfer assessments are undertaken and on Ecase?

  • 13.4 - Behavioural changes and clothing problems have been identified and Ecase updated?

  • 13.5 - Ad hoc manual handling risk assessment are performed & controls implemented (as required)?

14.0 - Lifting Equipment / Trolleys / Plant

  • 14.1 - SWL is displayed on all lifting equipment?

  • 14.2 - Lifting equipment / batteries have a current service label?

  • 14.3 - Slings are in good condition, clean and hung on hooks?

  • 14.4 - Brakes are in good working order?

  • 14.5 - All trolleys are in good repair (i.e. no sharp edges and moving adequately)?

  • 14.6 - Spring loaded trolleys are in good working order?

  • 14.7 - Machine guarding is in place where necessary?

  • 14.8 - Danger tags are in use for damaged equipment?

15.0 - Buses (if any)

  • 15.1 - Seatbelts are in good condition?

  • 15.2 - Wheelchair ramp is in good repair?

  • 15.3 - Bus floor surfaces do not create slip or tripping hazards?

  • 15.4 - Fire equipment is clearly marked and free of obstructions (serviced every 6 months)?

16.0 - Residential Rooms (if any)

  • 16.1 - No excessive furniture or furniture creating hazards?

  • 16.2 - Beds can be easily moved?

  • 16.3 - Enough room either side of beds to allow transfers?

  • 16.4 - No slip, trip or fall hazards present?

  • 16.5 - Electrical safety requirements are being adhered to?

  • 16.6 - Linen skips are observed to be less than ¾ full?

17.0 - Outside Grounds or Common areas (if any)

  • 17.1 - Speed limit signs are in place?

  • 17.2 - Walkways are clearly marked and free from obstructions and trip hazards?

  • 17.3 - Fences and gates are adequately secured?

  • 17.4 - Lighting is sufficient for evening shifts

18.0 - Other site specific issues or hazards (if any)

  • 18.1 -

  • 18.2 -

  • 18.3 -

  • 18.4 -

  • 18.5 -

Sign Off

  • Employee or Health and Safety Representative

  • Management Representative

  • Auditor's signature

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.