21st Century Equipment director walk through Copy

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Written Safety Programs

• HAZCOM/SDS

  Yes

  No

  N/A

• Forklift

  Yes

  No

  N/A

• Lockout/Tagout

  Yes

  No

  N/A

• EAP(emergency action plan)

  Yes

  No

  N/A

• Blood Borne Pathogens

  Yes

  No

  N/A

• Machine guarding

  Yes

  No

  N/A

• Injury and illness prevention program Safety Committees

  Yes

  No

  N/A

• Stretching program

  Yes

  No

  N/A

• Heat illness prevention

  Yes

  No

  N/A

Employee training

• Is safety training conducted with all employees at least monthly?

  Yes

  No

  N/A

• List the last four safety training topics.

  Yes

  No

  N/A

First aid supplies

• Are first aid cabinets clearly marked? Are they easily accessed? Are they well stocked?

  Yes

  No

  N/A

• Are emergency phone numbers displayed?

  Yes

  No

  N/A

• Are current employment signs post where all employees can see them.

  Yes

  No

  N/A

Fire Prevention

• Fire extinguishers in place and clearly marked?

  Yes

  No

  N/A

• Are annul and monthly inspections checked off of the tag?

  Yes

  No

  N/A

• Are exit doors unlocked and easily opened from inside? Are exits clear of obstructions and hazards?

  Yes

  No

  N/A

• Are emergency evacuation drill done annually ?

  Yes

  No

  N/A

• Do emergency exit lighting and luminous signs work?

  Yes

  No

  N/A

• Are fire alarm systems functioning correctly?

  Yes

  No

  N/A

• Sprinkler system inspected and in good condition?

  Yes

  No

  N/A

• Are EAP (emergency action plan) displayed and understood by all employees?

  Yes

  No

  N/A

General lighting

• Are all lights turned on and off by a switch and not a circuit breaker?

  Yes

  No

  N/A

• Are light switches easily accessed?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• Are safety tubes installed on lights below eight feet?

  Yes

  No

  N/A

Building Safety

• Is all safety signage in place? (Not an exit, eye protection require, ect.)

  Yes

  No

  N/A

• Are the floors clean and clear of trash?

  Yes

  No

  N/A

• Are walk ways clearly marked?

  Yes

  No

  N/A

• Are keep clear areas marked around breaker boxes and fire extinguisher ?

  Yes

  No

  N/A

• Are stair and risers kept clear?

  Yes

  No

  N/A

• Are all liquid spills removed quickly?

  Yes

  No

  N/A

• Are over head mezzanine mark for weight ratings? Are the railing in place with kick boards.

  Yes

  No

  N/A

Parts storage

• Are parts shelves and bin in good shape ? Is parts storage designed to minimize manual lifting.

  Yes

  No

  N/A

• Are materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• Are floors around storage clear of tripping hazards?

  Yes

  No

  N/A

• Are shipping and receiving areas cleared of freight and boxes in a timely matter?

  Yes

  No

  N/A

• Are all cord and hoses pick up and stored when not in use?

  Yes

  No

  N/A

Forklifts, pallet jacks, and Man lifts

• Are forklift daily inspections current for the month?

  Yes

  No

  N/A

• Are seat belts In place and used at all times while operating ? Are back up alarms working?

  Yes

  No

  N/A

• Are man lifts safety rails and fall protection in place?

  Yes

  No

  N/A

• Are pallet jacks in good operating condition?

  Yes

  No

  N/A

Hand and Power tools

• Are all striking tool dressed with no mushroomed heads?

  Yes

  No

  N/A

• Is there a procedure for broken or damaged power tools?

  Yes

  No

  N/A

Shop work area and benches, and tools

• Are all tools put away in the proper place when not in use?

  Yes

  No

  N/A

• Are all air hoses and electrical cord picked up and stored when not in use?

  Yes

  No

  N/A

• Are work benches clean and orderly?

  Yes

  No

  N/A

• Are noise levels at adequate levels? ( if you have to raise your voice to communicate it is too loud.)

  Yes

  No

  N/A

• Are lifting straps in good shape, clean with no bad cuts or abrasions? ( check to see if the danger stripe is exposed.)

  Yes

  No

  N/A

Machines, Cranes, splitting stands and jack/jack stands

• Are machines kept clean? Are floors around machines kept Clean.

  Yes

  No

  N/A

• Is all machine guarding in place? ( includes drill press chuck guards.)

  Yes

  No

  N/A

• Are bench grinder rest and tongue adjusted?

  Yes

  No

  N/A

• Do cranes have annual inspections?

  Yes

  No

  N/A

• Are jacks inspected monthly?

  Yes

  No

  N/A

• Do jack stands have weight rating marked on them?

  Yes

  No

  N/A

• Are splitting stands in good repair and stored neatly ?

  Yes

  No

  N/A

Garbage bins/cans

• Are there enough garbage bins and are they in suitable locations?

  Yes

  No

  N/A

• Are bins emptied regularly?

  Yes

  No

  N/A

• Are oily rag and combustible refuse in a self closing bin?

  Yes

  No

  N/A

Lock out Tag out

• Is lock out tag out equipment available ?

  Yes

  No

  N/A

• Are lockout procedures implemented and followed?

  Yes

  No

  N/A

Liquified gases

• Are all Gas/liquified gas bottles secured and stored correctly? (Includes propane and acetylene as well as oxygen and inert gas.)

  Yes

  No

  N/A

Electrical safety

• Are electrical panels marked with their highest voltage?

  Yes

  No

  N/A

• Are all junction box and breaker box knock outs in place? (no openings)

  Yes

  No

  N/A

• Are all breakers in place and blanks installed where breakers are missing?

  Yes

  No

  N/A

• Are all breakers marked for their use?

  Yes

  No

  N/A

• Are receptacle outlet in good condition free of cracks and broken parts?

  Yes

  No

  N/A

• Are GFCI outlets used around water sources?h

  Yes

  No

  N/A

• Is all conduit free from stuff hanging on it?

  Yes

  No

  N/A

• Are extension cord in good shape free from cracks and bare spots?

  Yes

  No

  N/A

• Are power strips used correctly? (Not used for permanent wiring and no daisy chaining.)

  Yes

  No

  N/A

Chemical safety

• Are Safety data sheets available for all chemicals? (Can be online)

  Yes

  No

  N/A

• Are all containers labeled correctly?

  Yes

  No

  N/A

• Are eye wash stations and showers easily accessed and clearly marked?

  Yes

  No

  N/A

• Are eye wash stations tested monthly?

  Yes

  No

  N/A

• Are used batteries and battery acid stored on a spill proof pallet?

  Yes

  No

  N/A

• Do used oil tanks have spill retention ?

  Yes

  No

  N/A

• Are flammable cabinet in use?

  Yes

  No

  N/A

• Are steel safety cans used for fuel storage?

  Yes

  No

  N/A

Personal protective equipment

• Is PPE available where needed? (Grinders, Battery fill stations)

  Yes

  No

  N/A

• Are face shields store in a dust proof bag?

  Yes

  No

  N/A

• Is the safety glass policy in place and followed?<br>

  Yes

  No

  N/A

• Are hearing protection and eye protection available ?

  Yes

  No

  N/A

Air compressor

• Are all guard in place? <br>

  Yes

  No

  N/A

• Has the compressor been serviced in the last year? ( belt checked and adjusted and oil changed.)

  Yes

  No

  N/A

• Is the pressure relief valve operational?

  Yes

  No

  N/A

• Is the water drained weekly?

  Yes

  No

  N/A

Ladders, and work platforms

• Are all ladders industrial strength?

  Yes

  No

  N/A

• Are ladders in good condition ? (Make sure that there are no modification)

  Yes

  No

  N/A

• Are ladders used according to instruction and intended purpose?

  Yes

  No

  N/A

Wash bays

• Are pressure washers in good operating condition?<br>

  Yes

  No

  N/A

• Is wash wand heat shielding in place? Are water heat levels at or below 130 degrees?

  Yes

  No

  N/A

• Is there slip resistant flooring in place?

  Yes

  No

  N/A

General house keeping

• Is house keeping acceptable?

  Yes

  No

  N/A

• Are all bathrooms clean?

  Yes

  No

  N/A

• Are retail areas clean neat and safe?

  Yes

  No

  N/A

Loading Docks

• Do docks have proper signage? (No unauthorized use. Wheel chock required. Falling hazards.)

  Yes

  No

  N/A

• Are wheel chocks available ?

  Yes

  No

  N/A

• Is the dock in good shape?

  Yes

  No

  N/A

Service vehicles

• Is the annual inspection current?

  Yes

  No

  N/A

• Is there a fire extinguisher and is it's location marked?

  Yes

  No

  N/A

• Are there spare fuses?

  Yes

  No

  N/A

• Is there warning triangles?

  Yes

  No

  N/A

• Is there a copy of the Federal motor carriers rule book?

  Yes

  No

  N/A

• Is there a first aid kit and is it well stocked?

  Yes

  No

  N/A

Behavior Observation

• PPE usage? (Safety Glasses)

  Safe

  At Risk

  N/A

• Ladder/work platform usage?

  Safe

  At Risk

  N/A

• Proper lifting and use of body mechanics?

  Safe

  At Risk

  N/A

• Safety belt usage?

  Safe

  At Risk

  N/A

• Fall prevention use?

  Yes

  No

  N/A

• Is there any horse play?

  Safe

  At Risk

  N/A

• Location Representative

  Sign

• Auditor

  Sign