Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • House keeping-Yard,equipment and location clean

  • Add media

  • Fire extinguisher hung and up to date

  • Add media

  • LO/TO used when necessary. Equipment clean and in place

  • Add media

  • Guards on tools and equipment used and in place

  • Add media

  • Tripping Hazard

  • Add media

  • Ladders used in correct way

  • Add media

  • Electrical cords in good condition and used correctly

  • Add media

  • Air hoses in good condition and used correctly

  • Add media

  • PPE used correctly and for the correct application

  • Safety glasses

  • Safety vest

  • Hearing protection

  • Proper clothing

  • Add media

  • Forklift used by a qualify operator.

  • Seatbelt used

  • Equipment and. Machinery clean and in good condition

  • Add media

  • Warehouse, floors and location free of sawdust and trash.

  • Any other unsafe acts noticed?

  • Add media

  • Safety Reviewer:

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.