Safety Audit Checklist - Report

Guideline
The audit comprises of 2 parts:-

1. The system management audit
2. The facility management audit
1. The system management audit will cover the system of approaching the safety hazards and risks identification, operation
controls etc.. The auditor verifies the system and score is awarded.
2. The facility management audit will verify the physical status of the facility including visual management, alarms, controls
etc.The auditor verifies the facility and score is awarded. The hazards identified during the risk assessment should be
addressed in the facility.
Scoring system
Each individual question is awarded a maximum of 1 mark. A total compliance is awarded 1 mark and a partial compliance
A total non compliance is awarded 0 marks.
Any partial or total non compliance score should be supported by an observation or a photo indicating the non compliance
During the facility audit, the applicable hazards should be marked as "Y" and non applicable hazards as "N"
A hazard is the potential for harm (physical or mental). In practical terms, a hazard often is associated with a condition or
activity that, if left uncontrolled, can result in an injury or illness. Identifying hazards and eliminating or controlling them as
early as possible will help prevent injuries and illnesses.
Safety hazards can cause immediate accidents and injuries. Examples are hot surfaces, broken ladders, and slippery floors.
Safety hazards can result in burns, cuts, broken bones, electric shock, or death.
Chemical and biological hazards are agents that can make you sick. They can get into the body through the nose, mouth, or
skin to cause harm.
Other hazards are those that cannot be classified into the other categories but can cause health or safety problems for
workers. This can include stress, violence, and ergonomic hazards.
risks identification, operational
anagement, alarms, controls

assessment should be
ark and a partial compliance is awarded 0.5 mark.
dicating the non compliance.

azards as "N"
ociated with a condition or

nating or controlling them as
ladders, and slippery floors.
through the nose, mouth, or
h or safety problems for

Sr.No
1
2
3
4
5
6
1
2
3
4
1
2
3
4
5
1
2
3
4
5
6
7
1
2
3
4
5
6
7
8
1
2
3
4
5
6
The following is a list of hazards that are normally found in the workplace. (source OHSA.Gov)
SAFETY HAZARDS: These are the most common and will be present in most workplaces at one time or another. They includ
cause injury, illness and death.
Safety Hazards include:
Spills on floors or tripping hazards, such as blocked aisles or cords running across the floor
Working from heights, including ladders, scaffolds, roofs, or any raised work area
Unguarded machinery and moving machinery parts; guards removed or moving parts that a worker can accidentally touch
Electrical hazards like frayed cords, missing ground pins, improper wiring
Confined spaces
Machinery-related hazards (lockout/tagout, boiler safety, forklifts, etc.)
PHYSICAL HAZARDS: Are factors within the environment that can harm the body without necessarily touching it.
Physical Hazards include:
Radiation: including ionizing, non-ionizing (EMF’s, microwaves, radiowaves, etc.)
High exposure to sunlight/ultraviolet rays
Temperature extremes – hot and cold
Constant loud noise
CHEMICAL HAZARDS: Are present when a worker is exposed to any chemical preparation in the workplace in any form (sol
than others, but to some workers who are more sensitive to chemicals, even common solutions can cause illness, skin irrit
Beware of:
Liquids like cleaning products, paints, acids, solvents – ESPECIALLY if chemicals are in an unlabeled container!
Vapors and fumes that come from welding or exposure to solvents
Gases like acetylene, propane, carbon monoxide and helium
Flammable materials like gasoline, solvents, and explosive chemicals.
Pesticides
ERGONOMIC HAZARDS: Occur when the type of work, body positions and working conditions put strain on your body. The
you don’t always immediately notice the strain on your body or the harm that these hazards pose. Short-term exposure ma
next day or in the days following exposure, but long-term exposure can result in serious long-term illnesses.
Ergonomic Hazards include:
Improperly adjusted workstations and chairs
Frequent lifting
Poor posture
Awkward movements, especially if they are repetitive
Repeating the same movements over and over
Having to use too much force, especially if you have to do it frequently
Vibration
WORK ORGANIZATION HAZARDS: Hazards or stressors that cause stress (short-term effects) and strain (long-term effects).
associated with workplace issues such as workload, lack of control and/or respect, etc.
Examples of work organization hazards include:
Workload demands
Workplace violence
Intensity and/or pace
Respect (or lack of)
Flexibility
Control or say about things
Social support/relations
Sexual harassment
BIOLOGICAL HAZARDS: Associated with working with animals, people, or infectious plant materials. Work in schools, day c
universities, hospitals, laboratories, emergency response, nursing homes, outdoor occupations, etc. may expose you to bio
Types of things you may be exposed to include:

Blood and other body fluids
Fungi/mold
Bacteria and viruses
Plants
Insect bites
Animal and bird droppings
System Facility
Sr. No. Facility Name Total Score Target
Score Score
1 1. Facility Name _walkway_paths'! 70% 84% 82% 100%

2 2. Facility Name _Entrance_Gate'! 70% 84% 82% 100%
3 3. Facility Name _Lab (2)'! 70% 84% 82% 100%
5 5. Facility Name _Water T Plant'! 70% 84% 82% 100%
7 7. Facility Name Production (3)'! 70% 84% 82% 100%
8 8.Facility Name _Production (2)'! 70% 84% 82% 100%
9 9.Facility Name _Production'! 70% 84% 82% 100%
10
11
12
13
14
15
FINAL SCORE 81% 100%
81%
3. Facility
6. Facility
Name _Lab
Name
9.Facility
(2)'!
_LabName
(1)'! _Production'! 3. Facility
6. Facility
Name _LabName
9.Facility
(2)'!
_Lab (1)'!
Name _Production'!
0%
0%
100%
100%
Break Up
Summary Score
200%
200%
System Score
Total Score
Facility Score
Safety Audit Checklist
Facility Name Walkway & Path Percentage 82%
Sr. No Criteria
SYSTEM MANAGEMENT Percentage 70%
A Documented procedure exists and safety requirements are clarified
B Risk assessment is done
C Responsible persons are assigned and communicated
D Trained persons are available for operation and maintenance
E Incidents are reported and actions taken
FACILITY MANAGEMENT Percentage 84%

1 Electrical (high voltage, high current etc)
i Warning signages and notices available, visible and understandable
ii Control devices/alarms available and working
iii PPE defined, available and used
iv Physical condition is good, no damages or deterioration observed. Maintenance is evident.
v Emergency conditions and actions defined
2 Radiation (microwave, UV, X ray etc)
iv Condition is good, no damages or deterioration observed. Maintenance is evident.
3 Chemical (corrosive, toxic, inflammable, any other)
4 Mechanical (sharp edge, pointed , rough edge, hard surface, crushing, moving parts)
5 Vibration (high frequency, low frequency, high amplitude, continuous, intermittent )
6 Noise (high frequency, low frequency, intensity , continuous, intermittent)
7 Fumes (smoke, chemical , dust etc)
8 Temperature (cold, freeze, hot, warm etc)
9 Height (low height, normal height, rooftop, uneven height etc)
FACILITY MANAGEMENT
Score 37 45
Applicable Score Maximum
Score 3.5 5
Y 1 1
Y 0 1
Y 0.5 1
Y 1 1
Y 1 1
SCORE 3.5 5
Score 33.5 40
Y 0.5 5
0 1
0.5 1
0 1
0 1
0 1
Y 3 5
1 1
1 1
0 1
0 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
N 0 0
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
SCORE 28.5 35
Facility Name Entrance Gate Percentage 82%
Sr. No Criteria

FACILITY MANAGEMENT
Score 37 45
Score 3.5 5
Y 1 1
Y 0 1
Y 0.5 1
Y 1 1
Y 1 1
SCORE 3.5 5
Score 33.5 40
Y 0.5 5
0 1
0.5 1
0 1
0 1
0 1
Y 3 5
1 1
1 1
0 1
0 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
N 0 0
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
SCORE 28.5 35
Facility Name EMC Lab Percentage 80%
Sr. No Criteria

Chemical/material substances (corrosive, toxic, inflammable, explosive, combustible, any
3 other)
5 Vibration (high frequency, low frequency, high amplitude, continuous, intermittent)
FACILITY MANAGEMENT
Score 36 45
Score 3 5
Y 1 1
Y 0 1
Y 0.5 1
Y 0.5 1
Y 1 1
SCORE 3 5
Score 33 40
Y 1 5
0 1
0.5 1
0.5 1
0 1
0 1
Y 3 5
1 1
1 1
0 1
0 1
1 1
Y 4.5 5
1 1
1 1
0.5 1
1 1
1 1
Y 4.5 5
1 1
1 1
0.5 1
1 1
1 1
N 0 0
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
SCORE 28 35
Facility Name Mechanical Lab Percentage 82%
Sr. No Criteria

FACILITY MANAGEMENT
Score 37 45
Score 3.5 5
Y 1 1
Y 0 1
Y 0.5 1
Y 1 1
Y 1 1
SCORE 3.5 5
Score 33.5 40
Y 0.5 5
0 1
0.5 1
0 1
0 1
0 1
Y 3 5
1 1
1 1
0 1
0 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
N 0 0
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
SCORE 28.5 35
Facility Name Water (Effluent) Treatment plant Percentage 78%
Sr. No Criteria

FACILITY MANAGEMENT
Score 35 45
Score 3.5 5
Y 1 1
Y 0 1
Y 0.5 1
Y 1 1
Y 1 1
SCORE 3.5 5
Score 31.5 40
Y 0.5 5
0 1
0.5 1
0 1
0 1
0 1
Y 3 5
1 1
1 1
0 1
0 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
N 0 0
1 1
1 1
1 1
0.5 1
1 1
Y 4.5 5
1 1
1 1
0.5 1
1 1
1 1
Y 4.5 5
0.5 1
1 1
1 1
1 1
1 1
Y 4.5 5
1 1
0.5 1
1 1
1 1
1 1
Y 4.5 5
0.5 1
1 1
1 1
1 1
1 1
SCORE 27 35
Facility Name Production Percentage 77%
Sr. No Criteria

FACILITY MANAGEMENT
Score 34.5 45
Score 3.5 5
Y 1 1
Y 0 1
Y 0.5 1
Y 1 1
Y 1 1
SCORE 3.5 5
Score 31 40
Y 0.5 5
0 1
0.5 1
0 1
0 1
0 1
Y 3 5
1 1
1 1
0 1
0 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 4.5 5
1 1
1 1
0.5 1
1 1
1 1
N 0 0
1 1
1 1
0.5 1
1 1
1 1
Y 4.5 5
1 1
0.5 1
1 1
1 1
1 1
Y 4.5 5
1 1
1 1
0.5 1
1 1
1 1
Y 4.5 5
1 1
1 1
0.5 1
1 1
1 1
Y 4.5 5
1 1
1 1
0.5 1
1 1
1 1
SCORE 26.5 35
Facility Name Production shopfloor 3 Percentage 82%
Sr. No Criteria

FACILITY MANAGEMENT
Score 37 45
Score 3.5 5
Y 1 1
Y 0 1
Y 0.5 1
Y 1 1
Y 1 1
SCORE 3.5 5
Score 33.5 40
Y 0.5 5
0 1
0.5 1
0 1
0 1
0 1
Y 3 5
1 1
1 1
0 1
0 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
N 0 0
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
SCORE 28.5 35
Sr. No Criteria

FACILITY MANAGEMENT
Score 37 45
Score 3.5 5
Y 1 1
Y 0 1
Y 0.5 1
Y 1 1
Y 1 1
SCORE 3.5 5
Score 33.5 40
Y 0.5 5
0 1
0.5 1
0 1
0 1
0 1
Y 3 5
1 1
1 1
0 1
0 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
N 0 0
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
SCORE 28.5 35
Sr. No Criteria

FACILITY MANAGEMENT
Score 37 45
Score 3.5 5
Y 1 1
Y 0 1
Y 0.5 1
Y 1 1
Y 1 1
SCORE 3.5 5
Score 33.5 40
Y 0.5 5
0 1
0.5 1
0 1
0 1
0 1
Y 3 5
1 1
1 1
0 1
0 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
N 0 0
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
Y 5 5
1 1
1 1
1 1
1 1
1 1
SCORE 28.5 35
Applicability Score
Y 0
N 0.5
1

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Guideline

The audit comprises of 2 parts:-

anagement, alarms, controls

ark and a partial compliance is awarded 0.5 mark.

dicating the non compliance.

ociated with a condition or

ladders, and slippery floors.

through the nose, mouth, or

h or safety problems for

Types of things you may be exposed to include:

1 1. Facility Name _walkway_paths'! 70% 84% 82% 100%

Facility Name Walkway & Path Percentage 82%

SYSTEM MANAGEMENT Percentage 70%

A Documented procedure exists and safety requirements are clarified

B Risk assessment is done

C Responsible persons are assigned and communicated

D Trained persons are available for operation and maintenance

E Incidents are reported and actions taken

FACILITY MANAGEMENT Percentage 84%

Applicable Score Maximum

Facility Name Entrance Gate Percentage 82%

SYSTEM MANAGEMENT Percentage 70%

A Documented procedure exists and safety requirements are clarified

B Risk assessment is done

C Responsible persons are assigned and communicated

D Trained persons are available for operation and maintenance

E Incidents are reported and actions taken

FACILITY MANAGEMENT Percentage 84%

Applicable Score Maximum

Facility Name EMC Lab Percentage 80%

SYSTEM MANAGEMENT Percentage 60%

A Documented procedure exists and safety requirements are clarified

B Risk assessment is done

C Responsible persons are assigned and communicated

D Trained persons are available for operation and maintenance

E Incidents are reported and actions taken

FACILITY MANAGEMENT Percentage 83%

Applicable Score Maximum

Facility Name Mechanical Lab Percentage 82%

SYSTEM MANAGEMENT Percentage 70%

A Documented procedure exists and safety requirements are clarified

B Risk assessment is done

C Responsible persons are assigned and communicated

D Trained persons are available for operation and maintenance

E Incidents are reported and actions taken

FACILITY MANAGEMENT Percentage 84%

Applicable Score Maximum

Facility Name Water (Effluent) Treatment plant Percentage 78%

SYSTEM MANAGEMENT Percentage 70%

A Documented procedure exists and safety requirements are clarified

B Risk assessment is done

C Responsible persons are assigned and communicated

D Trained persons are available for operation and maintenance

E Incidents are reported and actions taken

FACILITY MANAGEMENT Percentage 79%

Applicable Score Maximum

Facility Name Production Percentage 77%

SYSTEM MANAGEMENT Percentage 70%

A Documented procedure exists and safety requirements are clarified

B Risk assessment is done

C Responsible persons are assigned and communicated

D Trained persons are available for operation and maintenance

E Incidents are reported and actions taken