Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Facility Location:

  • TBC Plant 2

  • TBC Plant 3

  • TBC ID Plant

  • TBC innergard

  • TBC DDJ

  • TBC load outs

  • TBC Yard

  • TBC BWW

  • Corrpro Sand Springs

  • CCSI

  • CRTS Tulsa

  • Plant

  • Supervisor

  • Work description

  • Subcontractors Onsite

  • Subs name

General Area

  • JSA complete and reviewed with workers

  • Workers instructed on site hazards and controls

  • Toolbox meeting conducted

  • Observations being conducted

  • Workers properly trained

  • Workers know Emergency Action Plan

  • Near miss reports taking place

  • SDS available or accessible

  • First Aid on site, workers know location

  • Fire Extinguisher Onsite

  • Workers have Health Bridge Number

Walkways

  • Walkways clear and clean

  • Exits identified and unobstrucked

Floor Openings

  • Drain grating in place

  • Temporary holes protected

  • Barriers in place for unguarded holes

Ladders

  • All ladders in good repair

  • Ladders properly stored

  • Ladders inspected

Abrasive wheels

  • Safety guard in place and in good repair

  • Tool rest 1/8" spacing Top guard 1/4" spacing

  • Eye protection signs in place

Electrical

  • All extension cords inspected and tagged

  • Exposed wires

  • GFCI in use

  • LOTO equipment available

  • Knockout plugs missing

  • Proper wiring to machines

Equipment

  • Equipment inspections completed and documented

  • All guards installed

  • Secured

  • Chains, tie downs, ropes inspected

  • Have PM's been completed on all equipment

  • All rotating equipment guarded

  • Are "E" stops in place and working properly

Personal Protective Equipment

  • Are all employees wearing required amount

  • Is it being worn correctly

  • Is it clean and in good order

  • Is it appropriate for the hazards

  • Working near navigation waterways

  • Respirators required

  • Noise above 85dB

Hand Safety

  • Are employees aware of hazards

  • Have employees been trained in hand safety

  • The appropriate gloves available

  • Pinch points identified on JSA

  • During cutting activities are Kevlar gloves on non cutting hand

Material Handling

  • Proper storage

  • Proper labeling

  • Lifts proper

  • Chemical classification posted

Sanitation

  • Water available

  • Cleanliness meets requirements

  • Eye wash / Showers clean and inspected

Fall protection

  • Equipment inspections completed

  • Fall plan required

  • Rescue plan verified

  • Is equipment appropriate

Confined Space Entry

  • Permit required?

  • Permit in place and completed?

  • Gas monitor available and calibrated

  • Rescue plan in place

Welding & Cutting

  • Proper eye protection

  • Proper gas cylinder storage

  • Hot work permit

Other

  • Anything removed from service

  • Items requiring repair

  • Safety concerns

  • Comments

Sign Off

  • On site representative

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.