Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Docks
-
5S (Lighting, Floor, Material, etc)
-
Hazard Class
-
Eye Wash (Sign & Date, Refill every 4 months)
-
Hazard Class
-
Dock Doors, Dock Plates, Dock Controls
-
Hazard Class
-
Trailer Jacks (Proper position)
-
Hazard Class
-
Ramp Gate (Closed & locked if door open)
-
Hazard Class
-
Comments
Service
-
5S (Lighting, Floor, Material, etc)
-
Hazard Class
-
Stacking
-
Hazard Class
-
Comments
Quality/Eng Cage
-
5S (Material, Lighting, Floor, etc)
-
-
Comments
Maintenance Crib
-
5S (Lighting, Materials, etc)
-
Hazard Class
-
Gas Cylinders (Capped & chained; Oxygen & Acetylene stored separately)
-
Hazard Class
-
Machinery/Grinder (Less than 1/8" Gap on grinder; Machinery guarding in place)
-
Hazard Class
-
Chemicals In Approved Containers/Cabinets
-
Hazard Class
-
Universal Waste (Light Bulbs, Batteries) in Proper Containers
-
Hazard Class
-
Eye Wash (Sign & Date; Change solution every 4 months)
-
Hazard Class
-
Comments
Forklift Charging Area
-
5S (Lighting, Floors, Material, Cardboard, etc)
-
Hazard Class
-
Forklift Inspection Sheets Completed
-
Hazard Class
-
5S/PPE Board
-
Hazard Class
-
Eye Wash (Sign & Date; Change every 4 months)
-
Hazard Class
-
Comments
Materials Storage/Shelving
-
5S (Material, Floor, Lighting, etc)
-
Hazard Class
-
Stacked Material (Stable, Within material boundaries, etc)
-
Hazard Class
-
Shelving Units
-
Hazard Class
-
Aisles (Unblocked, Condition of floor/paint)
-
Hazard Class
-
Comments
