Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Signature of preparer
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Location
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Personnel
1.0 - Previous Inspection
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Are there any outstanding actions pending?
2.0 - General Area
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Exterior of building does not have any issues?
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Floor surfaces are even and uncluttered?
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Walkways are adequate (3ft. wide) and are well defined?
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Adequate lighting for the work being performed?
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Burnt out bulbs have been replaced?
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Stored items are in their designated storage area?
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Stairways and landing areas are clear, railings are in good condition?
3.0 - Emergency & Fire Prevention
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Evacuation plan displayed and understood by all personnel?
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Fire extinguishers are in place and are clearly marked?
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Fire extinguishers are charged and have been inspected?
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Fire extinguishers are in proper locations?
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Emergency exits are clearly marked?
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Exits are clear of obstructions?
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No Smoking signs posted?
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Fire or emergency alarm tested?
4.0 - First Aid
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First Aid kits are clearly marked?
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Contents are regularly checked for availability and expiration?
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Emergency numbers are clearly displayed?
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AED is ready and up to date?
5.0 - Electrical
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Electrical Panels are labeled and clear of obstruction?
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3 pronged or grounded extension cords are used?
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No broken prongs, plugs, sockets, or switches?
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Wall outlets covered with no cracks?
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No frayed or twisted leads?
6.0 - Chemical Safety
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Material Safety Data Sheets (MSDS) for all chemicals?
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All containers labeled correctly?
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Unused substances disposed of?
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If applicable, are special storage conditions followed (hazardous or flammable)?
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If required, PPE are available and used?
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Are eye wash and showers available and easily accessible?
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Have eye wash or showers been tested?
7.0 - Ladders & Step Stools
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Are ladders industrial rated?
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Are ladders or step stools in good condition?
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Are ladders or step stools used according to instructions?
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Are safety and instruction labels affixed to ladders?
8.0 - Rubbish Removal
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Rubbish bins located in suitable positions around work area?
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Bins emptied regularly?
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Oily rags and combustible refuse in covered metal containers?
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Plastics & Cardboard are separated for recycling?
9.0 - Office Condition
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Condition of filing cabinets is in good working order?
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Chairs are in good condition (wheels, cushions, stable)?
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Desks are good condition?
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Computer equipment (screens, keyboard) are positioned to reduce fatigue syndrome?
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Air conditioning systems are regularly maintained?
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Bathrooms and break area are clean?
10.0 - Vehicle Condition
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Daily or pre-shift inspections are conducted?
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Inspections are filed for record keeping?