Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Personnel
Housekeeping
Housekeeping
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Are Emergency Exits/Aisles clear and free from obstructions?
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Are walking/working aisles clear and free from obstructions?
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Are desks/ supervisors work space neat/orderly?
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Is material in use or to be used kept in a safe manner?
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Are the floors clear of all trip hazards?
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Are fire extinguishers clear and accessible?
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Have all extinguishers in the area been in inspected in the last month?
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Do all door carts have front guard installed?
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Are all door carts using the front guard?
PPE
Personal Protective Equipment
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Are all employees wearing proper safety glasses?
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Are employees handling sheet metal wearing gloves?
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Any additional PPE required? (Chemical gloves, electrical rubber gloves, leather gloves, face shield, FR smock?)
Electrical
Electrical
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Are all outlets, power drops & cords in good working condition? (No holes or openings greater than 1/8", no cracking, no insulation exposure)
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Are there extension cords in use greater that 24 consecutive hours?
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Are there power strips close to being overloaded.
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Are there power strips daisy chained together?
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Are fans in good working condition? Blade cage has no opening greater 1/2"?<br>Power cords have ground plugs?<br>Power cords are un-nicked and un-frayed?
Hand Tools
Hand Tools
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Are hand tools in use in good working condition?
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Were hand tools inspected prior to use?
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Was it the right tool for the job?
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Are powered hand tools in good working condition? Cords/hoses free from nicks, cuts and I frayed?
General Safety
General Safety
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Do two associates know where the AED is located?
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Do two associates know where the SDS binder is located?
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Do two associates know who the nearest first responder is? If no, do they know where the list can be found?
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Do two associates know what to do if they are cut an bleeding? (Stay in place and call for help. No blood trails.)
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How many near misses reported last month?
- Less than 5
- Between 5 and 9
- Greater than 10
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How many near misses reported current month?
- Less than 5?
- Between 5 and 9?
- 10 or more?
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Has cell/ area been without a recordable injury?
Overall Assessment
Overall Assessment
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Cell Lead Signature
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Supervisor Signature
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Auditor Signature