• Department Inspected

  • Document No.

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • An audit is a snapshot in time. Auditors will draw conclusions on the compliance status of the facility based on conditions observed and information provided by facility staff during the period of time the auditors are on site. Auditors are not responsible, nor can they be held accountable for activities, conditions, operations, actions or failure of actions by facility staff that may occur or not occur after the auditors leave the facility.
    Auditors shall not be held liable for any fines, penalties, or other sanctions that may be assessed against the audited facility by any state, county, city or other local regulatory authority for any findings reported by the auditors in the audit report.

Semi Annual or Monthly Inspection

  • Is this a Semi- Annual Inspection? (January and June)

  • Are Occupational Safety & Health Administration (OSHA) and State required posters displayed in a prominent location?

  • Are emergency evacuation traffic routes identified and posted?

  • Are emergency telephone numbers posted where they can be found readily?

  • Annually-Fire alarm tested and drills performed Annually? (Must be documented)

  • Automatic sprinkler system tested every 6 months?

  • Are the automatic sprinklers protected from freezing to prevent frozen pipes

  • Are disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

  • Fuse/breaker/cord size appropriate for use? Amperage rating checked?

  • High voltage equipment (over 600 v) securely enclosed, warning signs posted?

  • All electrical equipment on recorded inspection schedule?


  • Units checked annually by qualified contractor? Certificates on file?

  • Gas or electric sources hut off when not in use? Verified?

  • Pressure relief features operating well? Compressors drained regularly?

General Workplace Safety

  • First Aid Stock and available for use

  • Safety signage in place

  • Are the emergency numbers posted where they can be easily found

Chemical Usage

  • Chemicals in use in the area?

  • Proper labels on containers Proper health hazard listed / Proper flammability listed / Proper reactivity listed / Proper PPE listed (1910.1200(b)) <br>

  • Knowledge of SDS system Employee can locate SDS, Verify first aid and PPE (1910.1200(h)) <br>

  • "Proper containers (prevent leakage, self closing lids)<br>No open containers / no spills " <br>

  • Are metal waste cans being used for oil soaked rags

  • Are the metal cans for oil soaked rags grounded

Confined Spaces

  • Are confined spaces located in the area?

  • Have the confined spaces been identified by a visible label

  • Has a Confined Space Permit been completed and signed by the Confine Space Supervisor

  • Have all the involved employees received required training per 1910.146

  • Is the air being sampled per company procedures

  • Has the rescue team been notified or put on stand by in case of an emergency


  • No open areas in junction boxes (1910.303(b)(1)) <br>

  • Electrical panels have 36" clearance (1910.303(g)(1)(i) Table S-1) <br>

  • Power panels, controls, receptacles & wiring covered. No missing, loose or broken parts 1910.303(b)(1) <br>

  • All disconnects, circuit breakers, and electrical panels marked to indicate service and voltage (1910.303(e)) <br>

  • Extension Cords used without damage or repaired. (1910.305(g)(2)(i)) <br>

  • No permanent extension cords used in place of fixed wiring (1910.305(g)(1)) <br>

  • Plug ends do not have ground pin removed, all plugs have 3 prongs (1910.303(b)(1)) <br>

  • Is the production area free of multiple plug power strips

Employee Safety

  • PPE Worn are as required (safety glasses, hard hats, hearing protection, gloves, face shield, safety boots, etc.) 1910.95,133,136,138

  • Employees using to proper lifting methods and requesting help when needed. (Lifts over 50 lbs) <br>

  • Employees and visitors all wearing long sleeve shirts or other PPE to cover exposed skin

  • Employees are property using lifting devices

  • Is the Area free of any sign of smoking outside of the designated smoking areas

  • Are employees and visitors wearing Reflective vests or or similar device

Fall Protection

  • Is Fall Protection In use?

  • Employees are wearing fall protection correctly?

  • Fall protection in service for less than 5 years? (Harness and larnyards)

  • Is the fall protection in serviceable condition? i.e. no burns, worn areas, broken or missing devices

  • Has the fall protection been inspected by a competent person in the last 12 months? (Must be documneted)

  • Have employees assigned fall protection received Fall Protection Training?

  • Are the fall protection properly stored? (not exposed to direct sun light, solvents or petroleum products)

Fire Protection

  • Fire Extinguishers Charged <br>

  • Fire Extinguishers Hung properly Max top Ht 5 Feet (Or just above the yellow bumper) <br>

  • Fire Extinguishers accessible (not blocked) <br>

  • Fire Extinguishers Inspected every 30 days <br>

  • Fire Extinguishers in good working order <br>

  • Fire Exits unlocked <br>

  • Fire Exits access accessible <br>

  • Fire Exits clear on the outside for 30 feet

  • Flammable liquids stored, handles and dispensed in a safe manner?

  • Are approved containers and tanks used for the storage and handling of flammable and combustible liquids?

  • Are bulk drums of flammable liquids grounded and bonded to containers during dispensing?

  • Automatic sprinkler system locked open, tested, 18" minimum head clearance?

  • Emergency lighting maintained exits and paths illuminated for emergencies? Checked monthly?

Gas Cylinder Storage and Handling

  • Are gas cylinders stored or handled in this area?

  • Are Gas Cylinders located or stored in areas where they will not be damaged by passing or falling objects or tampered with?

  • Are Gas Cylinders stored at least 20 feet away from highly combustible materials?

  • Are Empty cylinders stored and secured separately from full cylinders.

  • Are the cylinders clearly marked as to their contents. Labels must not be defaced or removed.

  • Are Cylinders stored with their protective cap in place

  • Are Flammable and oxygen gas separated by forty (40) feet

  • Are Gas Cylinders stored in a manner to prevent them from creating a hazard by slipping, falling, or rolling?

  • Are all cylinders stored in the upright position

Hand And Portable Tools And Equipment 1910 Subpart P

  • Hand Tools Being used in the Area?

  • Are the electrical cord undamaged or unprotect

  • Electrically grounded (1910.242) <br>

  • Good condition of connecting cords, tools, and air hoses (1910.242) <br>

  • Guard in place and being used properly (1910.243) <br>

  • Air tools is good operating condition


  • Are designated smoking area well maintained? i.e. free of trash, cigarette butts on the ground,

  • Are safety signs posted and legible throughout?

  • Are floors clean and free of slip, trip, or fall hazards (1910.22(a))

  • Are the Aisle free of any Unobstruction (1910.22(b)) <br>

  • Is the HEATING/VENTILATION clear of combustibles by a minimum of 3 feet ((from contact with HVAC units or fixtures)

Ladder Safety

  • Are ladders in use in the area?

  • Free of Loose steps or rungs (loose if can be moved by hand)

  • Free of Cracked, split, or broken uprights, braces, steps, or rungs

  • Rungs/steps on metal ladders are free of corrugation or other damage

  • Warning Labels and Instruction are readable

  • Free of damaged or worn non-slip bases

  • Appropriate ladder used for task

  • Free from grease, oil, or slippery materials

  • Do ladders extend at least 3 feet above elevated surface and secured from movement?

Lifting Devices

  • Does the Area Have Lifting Devices

  • Lifting devices listed as to the weight capacity?

  • Are lifting device free of damage?

  • Do the lifting devices have their data label available and readable?

  • Slings- Material is intact; no signs of wear, bleaching, fraying, shrinkage, holes, ripped stitching, etc

  • Nylon web straps are intact

  • Fitting/Shackles/End Fitting/Hard eyes -free form being deformed, worn, corrosion, burns or other damage?

  • Hooks without damage and mouse intact?

Lockout And Tagout

  • Is LOTO being used in the area?

  • On/Off Switch easily accessible without leaving his/her position at the point of operation?

  • Lockout Procedures written and inplace? 1910.147

  • Authorized employees maintain control of their locks?

  • Are locks assigned to the authorized employee?

  • Are certain type of locks identified for lockout operations only and not used for security purposes?

Machine Guarding / Safety Signage

  • Are machines located in the area?

  • Barrier guards on moving machinery parts, belts & pulleys (1910.219) <br>

  • Point-of-operation & pinch points guarded & marked (1910.212) <br>

  • Fixed machinery anchored to deck/work bench to prevent movement (1910.212(b)) <br>

  • All rotating shafts are guard to prevent accidental contact

  • Bench grinders (1/8” tool rest adjusted from wheel) (1910.215(b)(9)) <br>

  • Abrasive wheels in good condition (1910.215(c)(9)) <br>(No damage to the sides, groves or worn down)

  • On/Off Kill switch easily accessible without leaving his/her position at point of operation <br>

  • Lock Out Tag Out procedures in place (1910.147) <br>

  • Is disabled equipment locked/tagged to avoid unauthorized use?

  • Is equip. & machinery securely placed and anchored when necessary, to prevent movement that could result in personal injury?

  • Is all machinery and equipment kept clean and properly maintained?

Material Handling

  • Is material handling or storage occurring in this area

  • Is material on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, or spreading?

  • Are the employee(s) using mechanical assistance for picking materials?

  • Are all pallets free of damaged before being loaded or moved?

  • Is there safe clearance for equipment through all aisles and doorways?

  • Are all hand trucks maintained in safe operating condition?

Power Industrial Truck Operations (All PITs Forklift, sweepers, loaders, scrappers, etc)

  • Are PITs in use in the area?

  • The PIT has had it Pre-use inspection completed <br>

  • Employee wearing their seat belt

  • PIT Operators following the facility rules of operation? speed, parking, driving skills

  • Do Employee have in their possession their operators card <br>


  • Are Shipping or Receiving Operations occurring?

  • Are the Dock lights working as designed

  • Are the loading dock plates secured and used properly

  • Are Dock locks working as designed

  • Are outside drivers restricted from the Dock areas


  • Floor and aisles well marked and clear of waste, debris, scrap, spills or obstructions?

  • Is there aisle clearance provided for motorized or mechanical handling equipment operation?

  • Walkways and surfaces free of holes, imperfections or slipping hazards?

  • Treads, railings secured and clear of obstructions?

  • Are pits and floor openings guarded by a cover, guardrail, or equivalent on all sides?

  • Are step free of damage

Welding Operations

  • Are welding operation occurring in the area?

  • Compressed oxygen/acetylene cylinders safety stores, handled, labeled and dispensed?

  • Is a welding screen or similar shielding in place to protect by-standers from being exposed to the arc

  • Are the gauges in good working condition

  • Fuel lines/torches protected with anti-flashback/back flow protection?

  • Appropriate class extinguisher located nearby for emergency use?

  • Have the gauges been attached to the bottles for less than 24 hours when not in immediate use

  • Welding helmets equipped with tinted lenses? Safety glasses used also?

  • Protective flame retardant clothing used during welding?

  • Hot work permits completed and available for review

  • Fire watch on duty during and for 30 minutes after completion of work/task

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.