Free Workplace Safety Audit Form Template
Workplace Safety Audit Form
Welcome to the Workplace Safety Audit Form. This document aims to assess and enhance safety standards, fostering a secure environment for all employees. Your cooperation is appreciated.
I. General Information
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Organization: |
[Your Company Name] |
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Location: |
[Production Floor, Building 123] |
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Date of Audit: |
[Month Day, Year] |
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Audited by: |
[Name], [Job Title] |
II. Physical Environment
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No. |
Safety Aspect |
Compliance (Yes/No) |
Comments |
|
1 |
Condition of Work Areas |
[Yes] |
[Clean and well-maintained.] |
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2 |
Equipment and Machinery Condition |
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3 |
Presence of Safety Signs and Labels |
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4 |
Lighting and Ventilation |
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5 |
Emergency Exit Accessibility |
III. Personal Protective Equipment (PPE)
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No. |
PPE Aspect |
Compliance (Yes/No) |
Comments |
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1 |
Availability and Proper Use of PPE |
[Yes] |
[PPE available; employees observed using PPE.] |
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2 |
Maintenance of PPE |
IV. Fire Safety
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No. |
Fire Safety Aspect |
Compliance (Yes/No) |
Comments |
|
1 |
Presence and Condition of Fire Extinguishers |
[Yes] |
[PPE available; employees observed using PPE.] |
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2 |
Fire Exit Routes and Emergency Evacuation |
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3 |
Fire Alarm Systems |
V. Electrical Safety
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No. |
Electrical Safety Aspect |
Compliance (Yes/No) |
Comments |
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1 |
Condition of Electrical Equipment and Wiring |
[Yes] |
[No exposed wiring; equipment in good condition.] |
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2 |
Compliance with Electrical Safety Standards |
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3 |
Use of Grounded Outlets and Safety Measures |
VI. Chemical Safety
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No. |
Chemical Safety Aspect |
Compliance (Yes/No) |
Comments |
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1 |
Storage and Labeling of Chemicals |
[Yes] |
[Chemicals properly labeled and stored.] |
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2 |
Availability of Material Safety Data Sheets (MSDS) |
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3 |
Proper Use of Personal Protective Equipment |
VII. Machine Safety
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No. |
Machine Safety Aspect |
Compliance (Yes/No) |
Comments |
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1 |
Safeguarding Measures for Machinery |
[Yes] |
[Machine guards in place and operational.] |
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2 |
Employee Training on Machine Operation and Safety |
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3 |
Regular Maintenance of Equipment |
VIII. Workplace Ergonomics
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No. |
Ergonomics Aspect |
Compliance (Yes/No) |
Comments |
|
1 |
Evaluation of Workstations for Ergonomic Considerations |
[Yes] |
[Workstations ergonomically designed; adjustable chairs provided.] |
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2 |
Training on Proper Lifting Techniques and Ergonomics |
IX. Training and Education
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No. |
Training and Education Aspect |
Compliance (Yes/No) |
Comments |
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1 |
Documentation of Safety Training Programs |
[Yes] |
[Training programs documented; schedule available.] |
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2 |
Employee Awareness of Safety Policies and Procedures |
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3 |
Records of Safety Drills and Exercises |
X. Incident Reporting and Investigation
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No. |
Incident Reporting and Investigation Aspect |
Compliance (Yes/No) |
Comments |
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1 |
Procedures for Reporting Accidents or Near Misses |
[Yes] |
[Reporting procedures communicated; forms available.] |
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2 |
Investigation Process for Root Causes of Incidents |
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3 |
Corrective Actions Implemented |
XI. Emergency Preparedness
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No. |
Emergency Preparedness Aspect |
Compliance (Yes/No) |
Comments |
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1 |
Availability and Condition of Emergency Response Equipment |
[Yes] |
[Emergency equipment (first aid kits, AEDs) inspected and accessible.] |
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2 |
Employee Awareness of Emergency Procedures |
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3 |
Regular Testing of Emergency Systems |
