• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Program Management

  • Has the commander appointed a primary and alternate Safety Representative to assist them in implementing their Safety Program? AFI 91-202, 2.2

  • Does the USR advise the commander on safety related matters at least on a quarterly basis or more frequently as necessary and document key elements briefed? AFI 91-202 para

  • Does the commander ensure request for equipment, products and services using purchase orders and/or Government Purchase Card are reviewed for potential safety and health impact? AFI 91-202 para

  • Have supervisors provided job safety training to all newly assigned individuals on the work hazards of their job before they start work and immediately when their is a change in equipment, processes or safety, fire and health requirements? AFI 91-202 para 14.1.1

  • Have supervisors reviewed and updated the JSTO annually and/ or when there is a change in equipment, processes, or safety, fire and health requirements and document the review? Annual review of JSTO will be completed by the shop supervisor and documented with the date of review and the person conducting the review. AFI 91-202 para 14.1.1

  • Do USRs conduct and document spot inspections in conjunction with facility managers<br>when possible? AFI 91-202 para

  • Do supervisors conduct monthly spot inspections of there work areas and document those inspections in there unit spot inspection database? AFI 91-202 para 3.7.3

  • Have the USRs attended training hosted by the Wing Safety Office within 30 days of appointment? AFI 91-202 para 2.2

  • If appointed, have flight level Safety Representative been trained by the Wing Safety Office within 30 days of appointment? AFI 91-202 Para 2.2.

  • Does the USR disseminate safety education materials to unit personnel? AFI 91-202 Para 8.5.4

  • Does the USR ensure monthly safety briefings are conducted for unit personnel and documented in the unit's monthly briefing database? AFI 91-202 Para

Risk Management

  • Has the commander appointed a primary Risk Management Advisor to assist them in managing their Risk Management Program? AFI 90-802 para 4.9.3

  • Has the RM advisor completed the online RM Fundamentals CBT? AFI 90-802 para 11.2.1

  • Do RM advisors serve as the unit's RM point of contact? AFI 90-802 Para 4.10.3

  • Has the RM Advisor ensured RM Fundamentals training is conducted with 60 days of a member's assignment to a unit and included as part of in-processing? Training is only required one time in an Airman's career and shall be documented IAW AFI 90-802 para 12.1?

Motorcycle Program Management

  • Has the commander appointed a primary and alternate Motorcycle Safety Representative to assist them in implementing their motorcycle safety program? AFI 91-207,

  • Has the unit's MSR attended training within 30 days of appointment? AFI 91-207 para

  • Does the unit have a system in place to identity new and newly assigned motorcycle riders to ensure they are enrolled in MUSTT? AFI 91-207 Para

  • Are identified riders requiring motorcycle training scheduled for training by he MSR? AFI 91-207 Para

  • Is MUSTT used to track all unit motorcycle and three wheeled vehicle riders? AFI 91-207 Para

  • Does the unit commander or designated MSR provide an initial briefing to all new or newly assigned motorcycle riders within 30 days from initial assignment, identification as a rider or purchase of a motorcycle? AFI 91-207 para

  • Are unit riders given time to attend the mandatory annual/ preseason motorcycle riders' briefing? AFI 91-207 para

  • Does the MSR QC the MUSTT database regularly to identify deficiencies with the unit rider's training and required briefings? AFI 91-207 para

Lock Out/Tag out

  • Are only standardized AF tags used to tag out equipment? AFMAN 91-203 para 21.3.3

  • Are procedures developed and documented for the safe and proper use of locks and tags? AFMAN 91-203 para 21.2.4

  • Has a training plan been developed for initial and recurring training on LOTO procedures? AFMAN 91-203 para 21.2.6

  • Are periodic self-inspections conducted and documented by the unit? AFMAN 91-203 Para 21.6.1

  • Is an adequate supply of safety tags and locks available for use? AFMAN 91-203 Para 21.3.3

  • Are specific written procedures utilized during shift or personnel changes to ensure the continuity of LOTO protection? AFMAN 91-203 para Para 21.4.9

  • Do supervisor, authorized worker and operator responsible for the equipment or machinery know the type, magnitude and the hazards of the energy source? AFMAN 91-203 Para

Confined Spaces

  • Has the commander or functional manager identified all confined spaces within the organization, located both on and off the installation? AFMAN 91-203 para 23.3.2<br>

  • Does the organization ensure all members assigned permit- required confined space duties are trained prior to being assigned? AFMAN 91-203 para

  • Are all master entry plans (MEPs) reviewed by the Confined Space Program Team (CSPT) at least annually, to ensure conditions have not changed? AFMAN 91-203 para

  • Does the commander and/or functional manager ensure required equipment is available and properly maintained? AFMAN 91-203 para

  • Does the commander and/or functional manager maintain a current list of all confined spaces, both permit- required and non-permit required, under the control of their organization? AFMAN 91-203 para

  • Is initial testing of confined spaces accomplished by a technically qualified member of the installation CSPT prior to the space being classified? AFMAN 91-203 para 23.3.3

  • Are entry permits, including those cancelled or revoked, retained on file for one year? AFMAN 91-203 para

Specialty Vehicle Program

  • Have All Terrain Vehicle operators completed Specialty Vehicle Institute of America's ATV Rider Course? AFI 91-207 para

  • Are operator's of OGMVCs educated on the Wing Commander's RM policy prior to operating? AFI 91-207 para

  • Are operators trained on use of OGMVs prior to operation and is the training documented in the individuals training record? AFI 91-207 para

Emergency Eyewash Units and Showers

  • Do eyewash bottles have instructions and expiration dates? And if applicable, are they permanently affixed to the unit. AFMAN 91-203 para 9.4.4

  • Do supervisors inspect permanently-installed unit(s) monthly IAW manufacturer’s instructions and document the inspection when completed? AFMAN 91-203 para 9.4.2


  • Are all personnel briefed on the findings and recommendations contained in surveys and reports? Is a copy of the survey report posted on the work place bulletin board for a period of 10 days after receipt to allow all workers free access to the findings? Are the reports maintained on file in the work place for a minimum of two years? AFI 91-202 Para

  • Are supervisors and employees who handle, use, or are potentially exposed to hazardous materials in the course do official AF duties provided training on the AF HAZCOM program, including training to address work area specific hazards prior to the use of hazardous chemicals. Do supervisors ensure the appropriate functionals review and approve the shop HAZCOM training program for technical accuracy and completeness prior to implementation in the work area/shop? AFI 90-821 para 2.7.1

Hangar Doors

  • Have all personnel who routinely work in hangars or require access through the hangar doors received annual Hangar Door Awareness training? AFI 91-202 para 24.14.5

  • Are only qualified personnel, approved by the squadron commander or designated representative, authorized to operate hangar doors? AFMAN 91-203 para

  • Do facility managers conduct monthly inspections of hangar door operational and safety features? AFMAN 91-203 para

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