• Instructions: Check each section as Satisfactory (YES), or Unsatisfactory (NO). If you check NO, describe the hazardous condition or unsafe practices observed during the inspection and make recommendations for correction on 14001 - Form 432-01-24-02 EH&S Inspection Corrective Action Summary Form. Each Corrective Action must be assigned to a Responsible Person to follow-up. Auditors are required to notify those who are assigned Corrective actions. Completion of corrective actions must be documented and sent to EH&S.

A. FIRE PROTECTION

  • 1. Are extinguishers charged, serviced within the last year, tagged, and accessible (at least 30" clearance)?

  • 2. Have extinguishers been inspected within the last month and has this been indicated on the tag.

  • 3. Are fire hydrants accessible?

  • 4. Is there a minimum of 18" clearance around all fire sprinkler heads?

  • 5. Are all risers clear and free of debris?

B. EGRESS

  • 1. Are all exits visible, unobstructed, and accessible?

  • 2. Are doors that are not exits marked as "Not an Exit"?

  • 3. Are all exits marked with visible sign?

C. WORK AREAS

  • 1. Are all walking and work surfaces clear of obstructions?

  • 2. Are all trip hazards identified and marked?

  • 3. Are work areas, storerooms, lunchrooms, washrooms, and other occupied areas clean, orderly, and sanitary?

D. STAIRS

  • 1. Is there adequate lighting on stairs?

  • 2. Is non-skid material in place and in good condition?

  • 3. Are handrails and treadways present and secure?

  • 4a. Is there storage under the stairs.

  • 4b. If there is storage under the stairs, are sprinklers present and unobstructed by a minimum of 18"?

E. LADDERS

  • 1. Are supplied ladders appropriate for their intended use?

  • 2. Are ladders in good operating condition (rungs, hinges, locks, rubber cleats, frame)?

  • 3. Are ladders being properly stored?

  • 4. Are ladders secured or tied off when in use?

  • 5. Are all metal ladders marked "Keep Away from Electrical Sources"?

F. RAMPS, PLATFORMS, AND CATWALKS

  • 1. Are walking and working surfaces clear of obstructions?

  • 2. Are handrails and toe boards intact and secure?

G. COMPRESSED GAS CYLINDERS/TANKS

  • 1. Are current Inspection Certificates posted on pressure tanks?

  • 2. Are gas cylinders stored upright, properly secured, and labeled?

  • 3. Are empty and full Gas Cylinders separated?

  • 4. Are gas cylinders properly segregated (i.e. O2 away from flammables)?

  • 5. Are Gas Cylinders stored with valve protection caps in place?

H. ELECTRICAL

  • 1. Is wiring clear of combustibles and/or flammables?

  • 2. Is there adequate clearance (36") around control panels?

  • 3. Are all control panel switches clearly identified?

  • 4. Extension cords not used as permanent wiring?

  • 5. Are all electrical outlet boxes sealed with a cover plate?

  • 6. Is wiring in good condition and secured adequately?

  • 7. Is proper PPE (gloves, eye protection, etc.) being used when working on panels?

I. SAFE WORK PRACTICES

  • 1. Is proper PPE (eye, hearing, fall, gloves, respirators, etc...) in use when required?

  • 2. Are safe lifting practices being observed?

  • 3. Is PPE being properly stored and maintained?

J. INDUSTRIAL POWERED LIFT TRUCKS

  • 1. Are trucks being inspected daily?

  • 2. Are all operators certified and instructed in safe operation?

  • 3. Are appropriate safety precautions being taken during recharging?

  • 4. Are driving lanes clearly identified?

  • 5. Are all drivers using seat belts and/ or appropriate restraints when operating the equipment?

K. MACHINERY AND EQUIPMENT

  • 1. Are moving parts properly guarded?

  • 2. Are all hazard areas clearly defined by signs?

  • 3. Are guards interlocked into power source?

  • 4. Are Lock-Out/Tag-Out procedures in use when applicable?

  • 5. Are data plates, capacities, and instructions posted on equipment?

L. POWER HAND TOOLS

  • 1. Are constant-pressure switches used on tools?

  • 2. Are all power tools double-insulated or grounded?

  • 3. Is equipment in good working condition?

M. CHEMICAL STORAGE AND USE

  • 1. Are all flammable liquids kept in approved & labeled safety containers/cabinets?

  • 2. Are "NO SMOKING OR OPEN FLAME" signs posted near flammable storage areas?

  • 3. Are ventilation systems in place and operational (if required)?

  • 4. Is a Shelter in Place Kit available for the inspected work area (contents complete)?

  • 5. Are Material Safety Data Sheets/Safety Data Sheets (MSDS/SDS) available?

  • 6. Are hazardous materials containers properly labeled as to the contents and hazard warnings?

  • 7. Are incompatible chemicals stored in different locations (i.e. acids/bases separated)?

  • 8. Are lids and caps replaced on all containers when not in use?

  • 9. Are eyewashes available, clearly marked, accessible (30" clearance), and inspected/flushed monthly?

  • 10. Are flammable liquids grounded and bonded when dispensed?

CORRECTIVE ACTIONS

  • Input any corrective actions to be undertaken, identify employee responsible to carry out the corrective action(s), and appropriate timeline for completion.

  • Section A Items:

  • Section B Items:

  • Section C Items:

  • Section D Items:

  • Section E Items:

  • Section F Items:

  • Section G Items:

  • Section H Items:

  • Section I Items:

  • Section J Items:

  • Section K Items:

  • Section L Items:

  • Section M Items:

  • Other:

SIGN OFF

  • Representative signature:

  • Auditor's signature:

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