ISO 45001 Internal Audit Request Form
Use this form to request and scope an internal audit for an ISO 45001 occupational health and safety management system site, department, or process.
Requester and Organization Details
Requester Name
*
First Name
Middle Name
Last Name
Job Title / Role
*
Department
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization Name
*
Site / Facility Name
*
Site Address or Location Description
*
Audit Scope and Request Details
Audit Purpose / Objective
*
Audit Type or Area to Be Audited
*
Safety Management System (OHSMS)
Operational Controls
Incident Investigation
Hazard Identification and Risk Assessment
Emergency Preparedness and Response
Competence and Training
Worker Consultation and Participation
Legal and Other Requirements
Contractor Management
Other
Departments / Processes / Operations in Scope
*
Production
Maintenance
Warehousing
Logistics
Quality
Procurement
Human Resources
EHS / Safety
Facilities
Contractor Activities
Office Operations
Other
Number of Employees or Team Size in Scope
Previous Audit Findings or Open Issues
Specific Hazards, Activities, or OHSMS Elements to Review
Hazard Identification
Risk Assessment
PPE Use
Machine Safety
Manual Handling
Working at Height
Chemical Exposure
Electrical Safety
Emergency Drills
Incident Reporting
Training Records
Permit-to-Work
Contractor Control
Worker Consultation
Monitoring and Measurement
Other
Scheduling and Operational Constraints
Preferred Audit Date or Timeframe
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Estimated Audit Duration (Days)
Preferred Audit Location(s)
Main Facility
Warehouse
Production Area
Office
Remote/Virtual
Other
Availability Constraints
Access Requirements and Escort Needs
Site induction required
Safety PPE required
Restricted area access
Escort required
Visitor badge required
Other
Special Instructions or Operational Limitations
Review and Follow-up Information
Priority / Urgency Level
*
Low
Medium
High
Urgent
Audit Coordinator / Follow-up Contact Name
First Name
Middle Name
Last Name
Audit Coordinator / Follow-up Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Audit Coordinator / Follow-up Contact Email
example@example.com
Additional Notes for Audit Planner / Reviewer
Submit Request
Should be Empty: