Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

EMERGENCY & FIRE

  • Fire - Alarm Panel service agreement in place: evidence of regular testing

  • Fire - Smoke Detector service agreement in place; evidence of regular testing

  • Fire - Fire Door service agreement in place; evidence of regular testing

  • Fire - Emergency Lighting service agreement in place; evidence of regular testing

  • Fire - Extinguisher & Hose reel service agreement in place; evidence of regular testing

  • Fire - Extinguishers are appropriately placed with compliant signage

  • Fire - Sprinkler service agreement in place; evidence of regular testing<br>

  • Egress paths have 2 meter clearance at point of exit<br>

  • Extinguishers in place, of appropriate type, clearly marked for type of fire

  • Smoke alarm battery backup less than 1 year old

  • Hose reels and Sprinklers free from obstruction and housing damage

ELECTRICAL & LIGHTING

  • Electrical office equipment is neat, no loose wiring, well ventilated

  • RCDs used on electrical equipment (as required); regularly tested

  • Switchboard temperature checks: agreement in place, evidence of regular testing

  • Electrical equipment (e.g. power tools & appliances) in good condition

  • Electrical equipment regularly tested& tagged by licensed operator

WALKWAYS, STAIRS, LADDERS, LIFTS,WORKING AT HEIGHTS

  • Unobstructed vision at intersections & stairways

  • Access to doorways, walkways, stairs clear of obstructions

  • Stairs, steps/height differentials appropriately marked

  • Anti-Slip tread on steps &stairs as appropriate

  • Handrails in place on stairs and exposed edges as appropriate

  • Free of oil, grease and trip hazards

  • Automatic doors operate safely

  • Use of appropriate ladders & in good condition

  • Lift services agreement in place: evidence of regular maintenance

  • Achoring systems in place for working at heights; evidence of regular maintenance

  • Vehicular traffic controlled so as not to pose risk to people

AIR QUALITY & VENTILATION

  • Air conditioning service agreement in place; evidence of regular maintenance

  • Adequate extraction provided where contaminant/ steam generated

  • Where appropriate, an air quality measuring device w/alarm is in place

  • Are all toilet suites in good working condition

Access to plant and machinery clear of obstructions

  • Plant and controls designs and positioned to take account of the ergonomic requirements of workers

  • All plant and equipment listed and checked

  • Operating/maintenance procedures available for all plant and equipment

  • Regular maintenance carried out

  • Maintenance records kept

PLANT & EQUIPMENT

  • Adequate guards in position and maintained

  • Workers trained in safe operation of plant and equipment

  • Controls labelled and functioning as designed

  • Emergency stop switches fitted and easily accessible

  • Lock out switches provided where required

  • Danger tags available and used during maintenance and repair

  • Plant equipment kept clean

MANAGERS

  • Evidence of 2 x Admin inspections per year; outstanding actions addressed

  • Evidence of 2 x Physical inspection per year; outstanding actions addressed

VOLUNTEERS

  • Volunteer checklist, state and code of conduct in place and signed by each Volunteer

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.