21st Century Safety Committee Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Showroom

• Are all fire extinguisher in place and clearly marked?<br>

  Yes

  No

  N/A

• Are all breakers marked for their use?

  Yes

  No

  N/A

• Is there enough garbage bins and are they emptied regularly?

  Yes

  No

  N/A

• Are all liquid spills removed quickly?

  Yes

  No

  N/A

• Are Annual and monthly inspection checked off of the tag?

  Yes

  No

  N/A

• Are all exit door unlocked and easily opened from the inside? Are exits clear of obstructions and hazards?

  Yes

  No

  N/A

• Do emergency exit lights and luminous signs work?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are light switches easily accessed, is lighting adequate, and are shatter resistant tubes installed on lights below 8 feet?

  Yes

  No

  N/A

• Is all safety signage in place? (Example PPE, not and Exit, eye protection required)

  Yes

  No

  N/A

• Are floors clear and clean of trash?

  Yes

  No

  N/A

• Are “Keep Clear” areas around breaker boxes and fire extinguisher marked?

  Yes

  No

  N/A

• Are Stairs and rises kept clear?

  Yes

  No

  N/A

• Are overhead mezzanines marked for weight ratings and are railing in place with kick boards?

  Yes

  No

  N/A

• Are floors clear of all tripping hazard?

  Yes

  No

  N/A

• Are electrical panels marked with there highest voltage?

  Yes

  No

  N/A

• Are junction box and breaker box knock in place and breaker blanks install where breakers are missing?

  Yes

  No

  N/A

• Are receptacle outlets in good condition free from cracks and broken parts?

  Yes

  No

  N/A

• Are GCFI outlet use around all water sources?

  Yes

  No

  N/A

• Is all conduit free from stuff hanging on it?

  Yes

  No

  N/A

• Are power strips used correctly? (Not for permanent wiring or daisy chained)

  Yes

  No

  N/A

Parts Department

• Are all fire extinguisher in place and clearly marked?<br>

  Yes

  No

  N/A

• Are Annual and monthly inspection checked off of the tag?

  Yes

  No

  N/A

• Are all exit door unlocked and easily opened from the inside? Are exits clear of obstructions and hazards?

  Yes

  No

  N/A

• Do emergency exit lights and luminous signs work?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are light switches easily accessed, is lighting adequate, and are shatter resistant tubes installed on lights below 8 feet?

  Yes

  No

  N/A

• Is all safety signage in place? (Example PPE, not and Exit, eye protection required)

  Yes

  No

  N/A

• Are floors clear and clean of trash?

  Yes

  No

  N/A

• Are walk ways clearly marked?

  Yes

  No

  N/A

• Are “Keep Clear” areas around breaker boxes and fire extinguisher marked?

  Yes

  No

  N/A

• Are Stairs and rises kept clear?

  Yes

  No

  N/A

• Are all liquid spills removed quickly?

  Yes

  No

  N/A

• Are overhead mezzanines marked for weight ratings and are railing in place with kick boards?

  Yes

  No

  N/A

• Are part shelves and bins in good shape?

  Yes

  No

  N/A

• Is parts storage designed to minimize heavy lifting?

  Yes

  No

  N/A

• Are floors clear of all tripping hazard?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are all hoses and cords picked up and stored when not in use?

  Yes

  No

  N/A

• Are forklift daily inspection, back up alarms working, seatbelt in place?

  Yes

  No

  N/A

• Are pallet jacks in good operating condition?

  Yes

  No

  N/A

• Is machine guarding in place? (Drill press chuck guards, belt guards, hose cutting tool, etc)

  Yes

  No

  N/A

• Is there enough garbage bins and are they emptied regularly?

  Yes

  No

  N/A

• Are electrical panels marked with there highest voltage?

  Yes

  No

  N/A

• Are junction box and breaker box knock in place and breaker blanks install where breakers are missing?

  Yes

  No

  N/A

• Are all breakers marked for their use?

  Yes

  No

  N/A

• Are receptacle outlets in good condition free from cracks and broken parts?

  Yes

  No

  N/A

• Are GCFI outlet use around all water sources?

  Yes

  No

  N/A

• Is all conduit free from stuff hanging on it?

  Yes

  No

  N/A

• Are extension cord free from cracks and bare spots?

  Yes

  No

  N/A

• Are power strips used correctly? (Not for permanent wiring or daisy chained)

  Yes

  No

  N/A

• Are all containers labeled correctly?

  Yes

  No

  N/A

• Are eye wash stations and showers easily accessible, clearly marked and tested monthly. (Flushed for 5 seconds)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are Flammable cabinets in use?

  Yes

  No

  N/A

• Is PPE Available where needed? (Grinders and battery fill stations)

  Yes

  No

  N/A

• Are all face shields stored in a dust proof bag?

  Yes

  No

  N/A

• Are hearing protection and eye protection available to everyone?

  Yes

  No

  N/A

• Are all ladders industrial strength, good condition, used according to instruction and intended purpose.

  Yes

  No

  N/A

• Are first aid cabinet clearly marked, easily accessed, well stocked and emergency phone number displayed?

  Yes

  No

  N/A

Service Department

• Are all exit door unlocked and easily opened from the inside? Are exits clear of obstructions and hazards?

  Yes

  No

  N/A

• Do emergency exit lights and luminous signs work?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are light switches easily accessed, is lighting adequate, and are shatter resistant tubes installed on lights below 8 feet?

  Yes

  No

  N/A

• Is all safety signage in place? (Example PPE, not and Exit, eye protection required)

  Yes

  No

  N/A

• Are floors clear and clean of trash?

  Yes

  No

  N/A

• Are walk ways clearly marked?

  Yes

  No

  N/A

• Are all fire extinguisher in place and clearly marked?<br>

  Yes

  No

  N/A

• Are Annual and monthly inspection checked off of the tag?

  Yes

  No

  N/A

• Are “Keep Clear” areas around breaker boxes and fire extinguisher marked?

  Yes

  No

  N/A

• Are Stairs and rises kept clear?

  Yes

  No

  N/A

• Are all liquid spills removed quickly?

  Yes

  No

  N/A

• Are overhead mezzanines marked for weight ratings and are railing in place with kick boards?

  Yes

  No

  N/A

• Are floors clear of all tripping hazard?

  Yes

  No

  N/A

• Are all hoses and cords picked up and stored when not in use?

  Yes

  No

  N/A

• Are forklift daily inspection, back up alarms working, seatbelt in place?

  Yes

  No

  N/A

• Are the Man-lift safety rails and fall protection in place?

  Yes

  No

  N/A

• Are pallet jacks in good operating condition?

  Yes

  No

  N/A

• Are all striking tools in good shape with out mushroom heads?

  Yes

  No

  N/A

• Are all tools put away in their proper place 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 you voice to communicate it’s to loud)

  Yes

  No

  N/A

• Is machine guarding in place? (Drill press chuck guards, belt guards, hose cutting tool, etc)

  Yes

  No

  N/A

• Are lifting strap in good shape, clean with no bad cuts or abrasions and load rating tags in place?(is danger tread exposed)

  Yes

  No

  N/A

• Are bench grinder tongues and rest adjusted properly? (1/8 inch at bottom and 1/4 inch at top)

  Yes

  No

  N/A

• Do all jack stands have weight ratings marked on them?

  Yes

  No

  N/A

• Are splitting stand in good repair and stored neatly?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is lock out tag out equipment available, and are procedures utilized?

  Yes

  No

  N/A

• Are all liquified gas tanks stored and secured properly? (Propane, acetylene, Oxygen, inert gas)

  Yes

  No

  N/A

• Are electrical panels marked with there highest voltage?

  Yes

  No

  N/A

• Are junction box and breaker box knock in place and breaker blanks install where breakers are missing?

  Yes

  No

  N/A

• Are receptacle outlets in good condition free from cracks and broken parts?

  Yes

  No

  N/A

• Are GCFI outlet use around all water sources?

  Yes

  No

  N/A

• Is all conduit free from stuff hanging on it?

  Yes

  No

  N/A

• Are extension cord free from cracks and bare spots?

  Yes

  No

  N/A

• Are power strips used correctly? (Not for permanent wiring or daisy chained)

  Yes

  No

  N/A

• Are all containers labeled correctly?

  Yes

  No

  N/A

• Are eye wash stations and showers easily accessible, clearly marked and tested monthly. (Flushed for 5 seconds)

  Yes

  No

  N/A

• Do used oil tanks have spill retention?

  Yes

  No

  N/A

• Are Flammable cabinets in use?

  Yes

  No

  N/A

• Are steel safety cans used for fuel storage?

  Yes

  No

  N/A

• Is PPE Available where needed? (Grinders and battery fill stations)

  Yes

  No

  N/A

• Are all face shields stored in a dust proof bag?

  Yes

  No

  N/A

• Are hearing protection and eye protection available to everyone?

  Yes

  No

  N/A

• Are all air compressor guards in place, is pressure release valves operational, and is the water drain weekly?

  Yes

  No

  N/A

• Are all ladders industrial strength, good condition, used according to instruction and intended purpose.

  Yes

  No

  N/A

• Are pressure washers in good operating condition, wand heat shielding in place, is there slip resistant flooring in place?

  Yes

  No

  N/A

• Are first aid cabinet clearly marked, easily accessed, well stocked and emergency phone number displayed?

  Yes

  No

  N/A

• Are loose wheels and tire properly secured?

  Yes

  No

  N/A

Out Buildings

• Are all fire extinguisher in place and clearly marked?<br>

  Yes

  No

  N/A

• Do emergency exit lights and luminous signs work?

  Yes

  No

  N/A

• Are light switches easily accessed, is lighting adequate, and are shatter resistant tubes installed on lights below 8 feet?

  Yes

  No

  N/A

• Is all safety signage in place? (Example PPE, not and Exit, eye protection required)

  Yes

  No

  N/A

• Are Annual and monthly inspection checked off of the tag?

  Yes

  No

  N/A

• Are all exit door unlocked and easily opened from the inside? Are exits clear of obstructions and hazards?

  Yes

  No

  N/A

• Are light switches easily accessed, is lighting adequate, and are shatter resistant tubes installed on lights below 8 feet?

  Yes

  No

  N/A

• Are floors clear and clean of trash?

  Yes

  No

  N/A

• Are walk ways clearly marked?

  Yes

  No

  N/A

• Are “Keep Clear” areas around breaker boxes and fire extinguisher marked?

  Yes

  No

  N/A

• Are Stairs and rises kept clear?

  Yes

  No

  N/A

• Are all liquid spills removed quickly?

  Yes

  No

  N/A

• Are overhead mezzanines marked for weight ratings and are railing in place with kick boards?

  Yes

  No

  N/A

• Are floors clear of all tripping hazard?

  Yes

  No

  N/A

• Is there enough garbage bins and are they emptied regularly?

  Yes

  No

  N/A

• Are electrical panels marked with there highest voltage?

  Yes

  No

  N/A

• Are junction box and breaker box knock in place and breaker blanks install where breakers are missing?

  Yes

  No

  N/A

• Are all breakers marked for their use?

  Yes

  No

  N/A

• Are receptacle outlets in good condition free from cracks and broken parts?

  Yes

  No

  N/A

• Are GCFI outlet use around all water sources?

  Yes

  No

  N/A

• Is all conduit free from stuff hanging on it?

  Yes

  No

  N/A

• Are all ladders industrial strength, good condition, used according to instruction and intended purpose.

  Yes

  No

  N/A

• Is the service vehicle annual inspection current and is the hard copy located in the truck?

  Yes

  No

  N/A

• Is the service vehicle fire extinguisher location marked and inspected, spare fuses, warning triangles, federal motor carrier rule book, and first aid kit all present.

  Yes

  No

  N/A

Dealership grounds

• Are all liquified gas tanks stored and secured properly? (Propane, acetylene, Oxygen, inert gas)

  Yes

  No

  N/A

• Do loading docks have proper signage (no unauthorized use, wheel chocks required, falling hazards)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Do used oil tanks have spill retention?

  Yes

  No

  N/A

• Are wheel chocks available, is dock in good condition?

  Yes

  No

  N/A

General safety overview and written safety programs

• HAZCOM/SDS

  Yes

  No

  N/A

• Emergency Action Plan EAP - displayed and understood by all employees

  Yes

  No

  N/A

• Forklift

  Yes

  No

  N/A

• Lock out \ tag out

  Yes

  No

  N/A

• Blood borne pathogens

  Yes

  No

  N/A

• Machine guarding

  Yes

  No

  N/A

• Injury and illness prevention program (safety committee)

  Yes

  No

  N/A

• Stretching Program

  Yes

  No

  N/A

• Heat Illness Prevention

  Yes

  No

  N/A

• Is safety training conducted with all employees at least monthly <br> -List prior 4 topics discussed

  Yes

  No

  N/A

• Are emergency evacuation drills completed annually

  Yes

  No

  N/A

• Are fire alarm systems functioning correctly

  Yes

  No

  N/A

• Are most current employment signs posted where all employees can see them

  Yes

  No

  N/A

• Are fire suppression systems annually inspected?

  Yes

  No

  N/A

• Behavior observations<br> -PPE in use?<br> -Ladders/work platforms utilized correctly<br> -Proper lifting and use of body mechanics used<br> -Safety belt usage<br> -Fall prevention<br> -Any horseplay present

  Yes

  No

  N/A

• Is there a procedure for broken or damaged power tools

  Yes

  No

  N/A

• Has the compressor been serviced in the last 12 months (request tag if not present)

  Yes

  No

  N/A

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