Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location


    1. Please answer all questions below.
    2. Add Photos in "Media" and Comments in "Add note..." on each question as needed.
    3. Add a Corrective Measure in "Action" . Provide a description, assign to a member, set priority, and due date.
    4. Complete the audit by providing a digital signature.

  • Ladder
  • Are ladder rungs, cleats, and steps parallel, level, and uniformly spaced when the ladder is in position for use?

  • Are ladder rungs, cleats, and steps of step stools at least 8 inches and not more than 12 inches apart?

  • Is the minimum clear distance between the sides of the individual rung/step ladders at least 16 inches?

  • Are the rungs of individual rung/step ladders shaped so the employees’ feet cannot slide off the end of the rung/step?

  • Is a metal spreader or locking device provided on each stepladder to hold the front and back sections in an open position when the ladder is being used?

  • Are ladder components surfaced to prevent injury to employees from punctures or lacerations, and to prevent snagging of clothing?

  • Are the joints between the steps and side rails tight?

  • Are the fittings and hardware securely attached?

  • Do the moveable parts operate freely without binding or undue play?

  • Are the metal bearings of locks, wheels, pulleys, etc. liberally lubricated?

  • Is the rope fraying or badly worn on an extension ladder?

  • Are safety feet and other auxiliary equipment in good working order?

  • Are the rungs free of grease and/or oil?

  • Is the ladder bent or support brackets bent?

  • Are ladders stored properly when in use in a manner that they may not be damaged, tip over on employees and that their structural integrity is maintained.

Grinding Safeguarding

  • Machine Asset Number

  • Machine Name

  • Machine Manufacturer

  • Machine Model and Serial Number

  • Department/Location

  • Is the work rest used and kept adjusted to within 1/8 inch of the wheel?

  • Is the adjustable tongue on the top side of the grinder used and kept adjusted within ¼ inch of the wheel?

  • Do side guards cover the spindle, nut, flange and 75% of the wheel diameter?

  • Are bench and pedestal grinders permanently mounted?

  • Does each grinder have an individual on/off switch?

  • Is cleanliness maintained around grinders?

  • Machine Safeguarding
  • Machine Asset Number

  • Machine Name

  • Machine Manufacturer

  • Machine Model and Serial Number

  • Department/Location

  • Is all machinery and equipment clean and properly maintained?

  • Is sufficient clearance provided around and between machines to allow for safe operations, set up and servicing material handling and waste removal?

  • Is equipment and machinery securely anchored when necessary to prevent tipping or other movement that could result in personal injury?

  • Is the power shut off switch within reach of the operators position at each machine

  • Are non-current-carrying metal parts of electrically-operated machines bonded and grounded?

  • Are foot Switches guarded to prevent accidental actuation by personnel or falling object?

  • Are all emergency-stop buttons colored red?

  • Are pulleys, belts, chains and gears properly guarded?

  • Are methods provided to protect the operator and other employees in the machine area from hazards created at the point of operation, nip pints, rotating parts, flying chips and sparks?

  • Are machine guards secured and arranged so they do not offer a hazard in their use?

  • If any special tools are used for placing and removing material, do they protect the operator’s hands

  • Are revolving drums, barrels, and containers (required to be guarded by and enclosure that is interlocked with the drive mechanism so revolution cannot occur) guarded?

  • Do arbors and mandrels have firm and secure bearings, and are the free from play?

  • Are provisions made to prevent machines from automatically starting when power is restored (following a power failure or shut-down)?

  • Are fan blades protected with a guard having openings no greater than ½ inch when operating within seven feet of the floor?

  • Can the machine be lubricated without removing the safeguard?

  • Are daily safeguarding inspections conducted?

Universal Waste

  • Universal waste is not disposed of on site.

  • Universal waste is not diluted or treated on site

  • Universal waste batteries that are broken or show evidence of leakage or spillage are placed in closed, structurally sound containers that are compatible with the waste and not leaking.

  • All universal wastes are labeled or marked “Waste” or “Used” followed by the specific type of universal waste handled or “Universal Waste”.

  • Length of accumulation time is demonstrated by any of the following:

  • Universal waste is accumulated for less than one year from the date generated or received from another handler

  • Employees are trained on the proper handling and emergency procedures appropriate to the types of waste handled at the facility

  • If a release occurs the following procedures are followed:

  • Waste is picked up by another handler and not transported from one building to another to be accumulated and picked up by another handler

  • Used oil containers and tanks are in good condition and not leaking

  • Used oil containers are marked “Used Oil”

Additional Details

  • General Comments and Recommendations


  • Completed By:

  • Signature:

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