Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Slips, Trips & Falls

  • Are floor surfaces free of water, ice, oil or other surface contaminants?

  • Are floor surfaces even? (no loose tiles or carpet that is torn or has ridges or holes)

  • Are walkways, stairs and doorways clear of boxes, extension cords and litter?

  • Are spills cleaned up immediately?

  • Are stairs and ladders safe for use and structurally sound?

  • Are work areas, walkways and stairs well lit?

  • Does the lighting enable workers to move between indoor and outdoor tasks safely?

Emergency Procedures

  • Are emergency procedures displayed in the workplace?

  • Are emergency evacuation routes and emergency exit doors signposted and clear from obstructions?

  • Are fire extinguishers available and checked six monthly?

  • Are NO SMOKING signs posted and enforced where needed?

Chemicals

  • Are all chemicals clearly labelled?

  • Is a MSDS available and current (within 5 years) for all products?

  • Are the chemicals recorded on the Hazardous Substance Register?

  • Are proper storage practices being observed?

Machinery & Equipment

  • Are machine guards in place on all operating equipment?

  • Are Emergency Stop Buttons clearly visible, adequately signed and operational?

  • Are tools and equipment stored in their proper places?

  • Is equipment regularly inspected for damage and wear, and maintained in accordance with the manufacturers instructions?

Manual Handling

  • Can all materials and equipment be lifted and carried easily?

  • Are mechanical aids such as trolleys, jacks or hoists available?

  • Are work benches at a comfortable height?

  • Is office equipment (chairs, computer screens, desk lamps, etc) adjustable to avoid strain?

Housekeeping, Sanitation & General

  • Regular disposal of waste and trash?

  • Passageways and Walkways clear?

  • Sanitary facilities adequate and clean?

  • Drinking water available?

First Aid

  • First Aid Kit / Room available?

  • First Aid supplies are in date?

  • Fist Aid Personnel are trained, certified and listed?

  • Telephone number and location of nearest hospital and doctor provided?

  • First Aid record book is attached to each kit?

Electrical Installations

  • Isolation systems in place?

  • Provision of earth leakage circuit breaker protection?

  • Electrical leads and tools tested and tagged (3 monthly inspection)?

  • Electrical leads elevated off floor to remove tripping and damage risk?

  • Switchboards and electrical equipment in a safe condition?

  • Portable electrical equipment protected by safety switches / residual current devices?

Welding and Cutting

  • Are welding screens and shields available?

  • Equipment is in good condition?

  • Flammable materials are protected from heat and sparks?

  • Gas cylinders are chained upright?

Mechanical Lifting Equipment

  • Lifting equipment properly stored and in good order?

  • Inspections and tags are current?

Personal Protective Equipment

  • Appropriate PPE is available for all task requirements?

  • Maintained and in good repair?

  • Adequate signposting identifying hazardous areas requiring specific PPE?

  • PPE is being worn correctly?

Additional Information

  • Additional Comments Relating to Inspection

  • Relevant sketches

Verification

  • Person Conducting Inspection

  • Witness

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.