• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Program Implementation

  • Is the required OSHA workplace poster displayed in a prominent location where all employees are likely to see it?

  • Are emergency telephone numbers posted where they can be readily found in case of emergency?

  • Where employees may be exposed to toxic substances or harmful physical agents, has appropriate information concerning employee access to medical and exposure records, and material safety data sheets, etc., been posted or otherwise made readily available to affected employees?

  • Are signs concerning "Exiting from buildings," room capacities, floor loading, exposures to x-ray, microwave, or other harmful radiation or substances posted where appropriate?

  • Is the Summary of Occupational Illnesses and Injuries posted February thru April?

General Work Environment

  • Are all worksites clean and orderly?

  • Are work surfaces kept dry or appropriate means taken to assure the surfaces are slip-resistant?

  • Are all spilled materials or liquids cleaned-up immediately?

  • Are combustible scraps, debris, and waste stored safely and removed from the worksite promptly?

  • Are accumulations of combustible dust routinely removed from elevated surfaces including overhead structures of the building, etc.?

  • Is combustible dust cleaned up with a vacuum system to prevent suspension of the dust?

  • Is metallic or conductive dust prevented from entering or accumulating on or around electrical enclosure or equipment?

  • Are covered metal waste cans used for oily and paint-soaked waste?

  • Are oil and gas fired devices equipped with flame failure controls that will prevent flow of fuel if pilots or main burners are not working?

  • Are paint spray booths, dip tanks, etc. cleaned regularly?

  • Are the minimum numbers of toilets and washing facilities provided?

  • Are all toilets and washing facilities sanitary?

  • Are all work areas adequately illuminated?

  • Are pits and floor openings covered or otherwise guarded?

  • Is preventive maintenance performed on equipment and documented?

  • Does the site regularly examine equipment breakdowns and accidents to determine the effectiveness of the preventative maintenance program?

  • Is normal equipment wear recorded and investigated as well as accidental damage?


  • Is electrical equipment free from recognized hazards that are likley to cause injury? 29 CFR 1910.303(b)(1)

  • Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?

  • Are portable electrical tools and equipment grounded or of the double insulated type?

  • Are electrical appliances such as vacuum cleaners, polishers, vending machines, etc., grounded?

  • Are extension cords prohibited for use on electrical appliances such as fans, coffee pots, or refrigerators? 29 CFR 1910.303(a)

  • Do extension cords have a grounding conductor?

  • Are flexible cords and cables free of splices or taps?

  • Are extension cords only used as temporary electrical power during remodeling, maintenance or repair of buildings, or seasonal lighting of to exceed 90 days? 29 CFR 1910.305(a)(2)(i)(B)

  • Is sufficient access and working space (3 feet) provided and maintained about all electrical equipment to permit ready and safe operations and maintenance? 29 CFR 1910.303(g)(1)(i)(A)

  • In wet or damp locations, are electrical tools and equipment appropriate for the use or otherwise protected?

Medical and First Aid

  • Does each crew outside of the range of reasonable medical response, 3-5 minutes, have at least one person qualified in CPR and First Aid?

  • Are first aid kits easily accessible to each work area, with necessary supplies available, periodically inspected, and replenished as needed?

  • Are means available for quick drenching or flushing of the eyes and body where corrosive liquids or materials are handled?

Fire Protection

  • Is the local fire department well acquainted with your facilities, its location and specific hazards?

  • For buildings, is there an established safe evacuation procedures, including evacuation of visitors?

  • If you have an alarm system, is it tested at least annually?

  • Are fire doors and shutters unobstructed and protected against obstructions, including counterweights?

  • Are all flammable and combustible liquids stored in designated areas and storage containers that are approved for such use and appropriately identified?

  • Are flammable material storage lockers in good condition, with doors and sills intact and operational?

  • Are flammable material storage locker vent holes capped with bungs?

  • Are portable fire extinguishers provided in adequate number and type?

  • Are portable fire extinguishers mounted in a readily accessible location?

  • Are portable fire extinguishers regularly inspected and noted on the tag?

  • Are employees trained in the use of fire extinguishers and fire protection equipment?

Exiting or Egress

  • Are all exits marked with an exit sign and illuminated by a reliable light source?

  • Are there sufficient exits to permit prompt escape in case of emergency?

  • Are all exits kept free from obstructions?

Personal Protective Equipment and Clothing

  • Has an assessment been completed which identifies potential exposures and the appropriate PPE for specific job activities? (See PPE Policy for Hazard Assessment/Certification Form)

  • Is all protective equipment maintained in a sanitary condition and ready for use?

  • Are warning signs posted specifying PPE requirements at entrances to hazardous areas?

  • Where lunches are eaten on the premises, are they eaten in areas where there is no exposure to toxic materials or other health hazards?

Hazardous Materials Communication

  • Is there a MSDS readily available for each hazardous substance used?

  • Is the hazardous chemical inventory up to date?

  • Are all product containers, i.e. vats. Bottles, storage tanks, etc. properly labeled?

  • Are blank Hazardous Materials Identification System (HIMS) labels available for use?

  • Have employees taken the required HazCom training and/or refresher?

Hazardous Waste

  • Are there any hazardous waste accumulation areas in the work place? If so, note location and associated waste stream.

  • Are all satellite accumulation containers properly labeled and inspected? 40 CFR 262.34

  • Is there any accumulation of universl waste, i.e. batteries, fluorescent light tubes, thermostats, in the workplace?

  • Are universal watse containers properly labeled with the word Universal Waste followed by the contents and the accumulation start date.

  • Has someone been assigned the responsibility to manage the worksite accumulation of hazardous or universal waste?

Compressed Gas Cylinders

  • Are cylinders with water weight capacity over 30 pounds, equipped with means for connecting a valve protector device or with a collar or recess to protect the valve? 29 CFR 1910.253(b)(1)(iv)

  • Are cylinders legibly marked to clearly identify the gas contained? 29 CFR 1910.253(b)(1)(ii)

  • Are compressed gas cylinders stored in areas where they will not be damaged by passing or falling objects or subject to tampering by unauthorized persons?

  • Are compressed gas cylinders stored in areas which are protected from external heat sources such as flame impingement, intense radiant heat, electric arcs, or high temperature lines? 29 CFR 1910.253(b)(2)(i-ii)

  • Are cylinders located or stored or transported in a manner to prevent them from creating a hazard by tipping, falling or rolling? 29 CFR 1910.101(b), CPA Pam P-1-1965

  • Are valve protectors always placed on cylinders when the cylinders are not in use or connected for use? 29 CFR 1010.253(b)(5)(ii) (C)

  • Are all valves closed off before a cylinder is moved, when the cylinder is empty, and at the completion of each job? 29 CFR 1910.253(b)(5)(ii) F-H

Motor Vehicles

  • Are vehicles routinely inspected and maintained at regular intervals?

  • Does the supervisor review motor vehicle licenses at least annually and documented?

  • Is unsafe equipment identified and removed from service until fixed?

  • Is there a program in place to reduce misuse and abuse of vehicles and motorized equipment?

  • Do all drivers receive safe driver training every three years?

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.