Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Personal Protective Equipment

  • Are safety glasses being worn?

  • Is employee wearing approved safety footwear?

  • Is hand protection being worn when needed?

  • Is hearing protection being worn when required?

  • Is proper respiratory equipment utilized when required?

  • Head protection is utilized as required?

Worksite Safety

  • Is immediate worksite free from debris and obstacles?

  • Is there sufficient lighting?

  • Is floor in immediate work area dry and free of slip hazards?

  • Is emergency egress understood?

Safety Behaviors

  • Employee demonstrates general awareness of job hazards?

  • Employee is demonstrating safe work procedures?

  • Employee is using the correct tools for the assigned task?

  • Employee worksite is not causing environmental issues to building occupants?

  • Employee is demonstrating proper ergonomic movements during activities? (Lifting, bending, twisting etc.)

Hand and Power Tools

  • Are proper tools being used for the job?

  • Are tools being maintained in a safe manner?

  • Are mechanical guards in place?

  • Has proper training been provided for tool(s) being used?

  • Are cords free of cuts and properly grounded for conditions?

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.