521 Safety Audit

• Site

  Select

• Conducted on

  Date

• Prepared by (auditors)

• Location (Department)
  Address

• Using required Personal Protective Equipment (PPE)

  Yes

  No

  N/A

• What PPE is not being used and what is the associates name

• Suitable shoes, clothing and hair length for job

  Yes

  No

  N/A

• Trained personnel operating equipment safely

  Yes

  No

  N/A

• Proper lifting methods being used

  Yes

  No

  N/A

• Proper usage of compressed air

  Yes

  No

  N/A

• Proper usage of case cutter

  Yes

  No

  N/A

Machinery and Equipment

• Emergency power controls identified

  Yes

  No

  N/A

• Guards properly installed and maintained

  Yes

  No

  N/A

• Clean and free of unnecessary material

  Yes

  No

  N/A

• Are checklists audited and all items correct

  Yes

  No

  N/A

Chemical Storage

• Safely loaded in proper containers

  Yes

  No

  N/A

• All containers, bottles and cans properly labeled

  Yes

  No

  N/A

• Hazardous/Flammable material properly stored

  Yes

  No

  N/A

• Chemicals stored in appropriate areas

  Yes

  No

  N/A

Aisles and Floors

• Clear to work station

  Yes

  No

  N/A

• Clear to Fire Extinguishers and Hoses

  Yes

  No

  N/A

• Floor conditions (Chips, Cracks, Holes, Wet, Oily, Uneven)

  Yes

  No

  N/A

• Free of slip or Trip Hazards

  Yes

  No

  N/A

• What Slip or Trip Hazards?

• Allows for safe movement of material

  Yes

  No

  N/A

• Clean and free of excess scraps and material

  Yes

  No

  N/A

• Emergency exits and evacuation routes clear?

  Yes

  No

  N/A

Power equipment

• Employees stopping at end of aisles

  Yes

  No

  N/A

• What is the associates name

• Employees blowing horn?

  Yes

  No

  N/A

• What is the associates name?

• Employees wearing harness on order picker

  Yes

  No

  N/A

Dock Safety

• Employees filling out Dock Control log

  Yes

  No

  N/A

• What dock doors

• Trailer wheels chocked and lights correct?

  Yes

  No

  N/A

• What dock doors?

Fire Fighting Equipment

• Extinguishers properly charged and serviceable

  Yes

  No

  N/A

• Location of extinguisher

• Extinguishers inspected monthly

  Yes

  No

  N/A

• Location of extinguisher

• Extinguisher and hoses easily accessible

  Yes

  No

  N/A

• Location of extinguisher

• Extinguisher and hose locations visible?

  Yes

  No

  N/A

• Location of extinguisher

• Longitudinal Flute Space Maintained in racks

  Yes

  No

  N/A

Material Handling

• Are heavy objects properly handled?

  Yes

  No

  N/A

• Do associates have their Powered Equipment license on their person?

  Yes

  No

  N/A

• Associate's name

• Are pallets stacked properly and stable?

  Yes

  No

  N/A

• Are pallets/product in the rack stored properly?

  Yes

  No

  N/A

• Has associate received training in material handling procedures?

  Yes

  No

  N/A

Equipment Usage

• Are forks of equipment not more than 6" off the floor?

  Yes

  No

  N/A

• Are the harness and lanyard in good working condition?

  Yes

  No

  N/A

• Has daily powered equipment checklist been completed?

  Yes

  No

  N/A

• Have safety devices been tampered with?

  Yes

  No

  N/A

• Is equipment clean?

  Yes

  No

  N/A

Office Areas

• Free of slip, trip hazards

  Yes

  No

  N/A

• Is the workstation properly adjusted?

  Yes

  No

  N/A

• Are there cracked or broken electrical outlets?

  Yes

  No

  N/A

Signatures

• Auditor 1

  Sign

• Auditor 2

  Sign