Occupational Health and Safety Management System Audit Checklist Form
Assess key system practices and record audit findings.
Audit date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Site or department
*
Auditor name
*
First Name
Last Name
Audit scope
*
Leadership and worker participation assessment
*
Rows
Assessment rating
Findings and evidence
Leadership and worker participation
Effective
Mostly effective
Needs improvement
Not implemented
Not applicable
Hazard identification and risk assessment
*
Rows
Assessment rating
Findings and evidence
Hazard identification and risk assessment
Effective
Mostly effective
Needs improvement
Not implemented
Not applicable
Operational controls and safe work practices
*
Rows
Assessment rating
Findings and evidence
Operational controls and safe work practices
Effective
Mostly effective
Needs improvement
Not implemented
Not applicable
Training and competency
*
Rows
Assessment rating
Findings and evidence
Training and competency
Effective
Mostly effective
Needs improvement
Not implemented
Not applicable
Incident reporting and corrective actions
*
Rows
Assessment rating
Findings and evidence
Incident reporting and corrective actions
Effective
Mostly effective
Needs improvement
Not implemented
Not applicable
Monitoring, evaluation, and continual improvement
*
Rows
Assessment rating
Findings and evidence
Monitoring, evaluation, and continual improvement
Effective
Mostly effective
Needs improvement
Not implemented
Not applicable
Submit Audit
Should be Empty: