Electrostatic Discharge (ESD) Compliance Audit Checklist Form
Complete this checklist to document ESD compliance status and review key controls in ESD-protected areas.
Audit Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Auditor Name
*
First Name
Last Name
Area/Location Audited
*
Are ESD wrist straps available and in good condition?
*
Compliant
Non-Compliant
Not Applicable
ESD Mats: Condition and Proper Grounding
*
Compliant
Non-Compliant
Not Applicable
Signage and ESD Area Labeling Present
*
ESD Warning Signs Posted
Workstation Labels Present
Floor Markings Visible
Grounding Points and Connections Verified
*
Compliant
Non-Compliant
Not Applicable
Storage and Transport of ESD-Sensitive Items
*
Rows
Compliant
Non-Compliant
N/A
ESD Bags Used
1
2
3
Proper Labeling
4
5
6
Items Off Floor
7
8
9
Personal Protective Equipment (PPE) Usage
*
ESD Lab Coats Worn
ESD Footwear Used
Other PPE (Specify in Comments)
Overall ESD Compliance Condition
*
1
2
3
4
5
Comments or Corrective Actions
Submit Audit
Should be Empty: