Free Health & Safety Compliance Audit Rubric Template
Health & Safety Compliance Audit Rubric
|
Prepared by: |
[Your Name] |
|
Date: |
[Month Day, Year] |
|
Section |
Criteria |
Compliance Level |
Remarks/Evidence Required |
|
General Safety |
Proper signage, emergency exits, fire extinguishers |
Compliant / Non-Compliant / Partially Compliant |
Photos, inspection dates |
|
Employee Training |
Regular training sessions, training records |
Compliant / Non-Compliant / Partially Compliant |
Training schedules, attendance records |
|
Equipment Safety |
Regular maintenance, safety checks |
Compliant / Non-Compliant / Partially Compliant |
Maintenance logs, safety check records |
|
Hazardous Materials |
Proper storage, handling procedures |
Compliant / Non-Compliant / Partially Compliant |
Storage protocols, training on handling |
|
Personal Protective Equipment (PPE) |
Availability and use of PPE |
Compliant / Non-Compliant / Partially Compliant |
Inventory logs, usage guidelines |
|
Health & Safety Policies |
Updated and accessible policies |
Compliant / Non-Compliant / Partially Compliant |
Policy documents, revision dates |
|
Incident Reporting |
Effective reporting system, follow-up |
Compliant / Non-Compliant / Partially Compliant |
Incident logs, follow-up actions |
|
Ergonomics & Workplace Design |
Comfortable, safe workspace design |
Compliant / Non-Compliant / Partially Compliant |
Workspace layout plans, employee feedback |
|
Environmental Health |
Waste management, air quality |
Compliant / Non-Compliant / Partially Compliant |
Waste disposal records, air quality reports |
|
Health & Wellness Programs |
Employee wellness initiatives |
Compliant / Non-Compliant / Partially Compliant |
Program details, participation rates |
