Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Instructions
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INSTRUCTIONS
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
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Are ladder rungs, cleats, and steps parallel, level, and uniformly spaced when the ladder is in position for use?
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Are ladder rungs, cleats, and steps of step stools at least 8 inches and not more than 12 inches apart?
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Is the minimum clear distance between the sides of the individual rung/step ladders at least 16 inches?
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Are the rungs of individual rung/step ladders shaped so the employees’ feet cannot slide off the end of the rung/step?
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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?
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Are ladder components surfaced to prevent injury to employees from punctures or lacerations, and to prevent snagging of clothing?
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Are the joints between the steps and side rails tight?
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Are the fittings and hardware securely attached?
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Do the moveable parts operate freely without binding or undue play?
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Are the metal bearings of locks, wheels, pulleys, etc. liberally lubricated?
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Is the rope fraying or badly worn on an extension ladder?
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Are safety feet and other auxiliary equipment in good working order?
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Are the rungs free of grease and/or oil?
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Is the ladder bent or support brackets bent?
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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
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Machine Asset Number
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Machine Name
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Machine Manufacturer
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Machine Model and Serial Number
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Department/Location
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Is the work rest used and kept adjusted to within 1/8 inch of the wheel?
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Is the adjustable tongue on the top side of the grinder used and kept adjusted within ¼ inch of the wheel?
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Do side guards cover the spindle, nut, flange and 75% of the wheel diameter?
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Are bench and pedestal grinders permanently mounted?
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Does each grinder have an individual on/off switch?
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Is cleanliness maintained around grinders?
Machine Safeguarding
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Machine Asset Number
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Machine Name
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Machine Manufacturer
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Machine Model and Serial Number
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Department/Location
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Is all machinery and equipment clean and properly maintained?
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Is sufficient clearance provided around and between machines to allow for safe operations, set up and servicing material handling and waste removal?
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Is equipment and machinery securely anchored when necessary to prevent tipping or other movement that could result in personal injury?
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Is the power shut off switch within reach of the operators position at each machine
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Are non-current-carrying metal parts of electrically-operated machines bonded and grounded?
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Are foot Switches guarded to prevent accidental actuation by personnel or falling object?
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Are all emergency-stop buttons colored red?
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Are pulleys, belts, chains and gears properly guarded?
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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?
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Are machine guards secured and arranged so they do not offer a hazard in their use?
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If any special tools are used for placing and removing material, do they protect the operator’s hands
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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?
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Do arbors and mandrels have firm and secure bearings, and are the free from play?
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Are provisions made to prevent machines from automatically starting when power is restored (following a power failure or shut-down)?
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Are fan blades protected with a guard having openings no greater than ½ inch when operating within seven feet of the floor?
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Can the machine be lubricated without removing the safeguard?
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Are daily safeguarding inspections conducted?
Universal Waste
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Universal waste is not disposed of on site.
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Universal waste is not diluted or treated on site
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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.
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All universal wastes are labeled or marked “Waste” or “Used” followed by the specific type of universal waste handled or “Universal Waste”.
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Length of accumulation time is demonstrated by any of the following:
- Mark or label each container with the earliest date the waste is generated or received
- Mark or label the individual item of waste with the date it was generated or received
- Maintain an inventory system identifying the date the waste generated was received
- Place the universal waste in a specific accumulation area identified with the earliest date the waste was generated or received
- Use some other method that clearly demonstrates the length of accumulation time
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Universal waste is accumulated for less than one year from the date generated or received from another handler
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Employees are trained on the proper handling and emergency procedures appropriate to the types of waste handled at the facility
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If a release occurs the following procedures are followed:
- Immediately contain the release
- Determine if the spill residue is hazardous waste
- If hazardous waste, dispose of properly
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Waste is picked up by another handler and not transported from one building to another to be accumulated and picked up by another handler
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Used oil containers and tanks are in good condition and not leaking
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Used oil containers are marked “Used Oil”
Additional Details
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General Comments and Recommendations
Completion
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Completed By:
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Signature: