Annual Site Audit

• Branch:

  Select

• Date of Inspection:

  Date

• Auditor:

• Location:
  Address

• Doc ID#

• Rate the overall appearance

  Good

  Fair

  Poor

  n/a

• Does the location have the appropriate signage?

  Compliant

  Non-Compliant

  N/A

• Are stairways level, with good edges and adequate lightingt?

  Yes

  No

  n/a

• Are stairways free of all storage?

  Yes

  No

  n/a

• Are stairways equipped with appropriate handrails?

  Yes

  No

  n/a

Access for Customers/Visitors

• Does location have a sign in sheet?

  Yes

  No

  n/a

• Is there adequate and safe parking for customers/visitors?

  Yes

  No

  n/a

• Does the location control visitor access?

  Yes

  No

  n/a

ADA Compliance

• Does the parking lot meet ADA compliance for size of location?

  Compliant

  Non-Compliant

  N/A

• Does the facility access meet ADA compliance for aisles/ramps?

  Compliant

  Non-Compliant

  N/A

• Does the customer/visitor bathroom meet ADA compliance?

  Compliant

  Non-Compliant

  N/A

Location Surface

• Is the office floor clean and level to avoid slips, trips and falls?

  Safe

  At Risk

  N/A

• Is the parking lot/warehouse floor surface free of damage and clear of debris?

  Good

  Fair

  Poor

  n/a

Warehouse Condition

• Does the warehouse keep good house keeping? Rate (1/2/3)

• Is the warehouse organized safely? Rate (1/2/3)

• Is material stacked in racks where applicable?

  Yes

  No

  n/a

• Is the racking anchored to the floor?

  Yes

  No

  n/a

• Is the racking in good condition and undamaged?

  Yes

  No

  n/a

• Is the proper shelving used for the material it is holding?

  Yes

  No

  n/a

• Is there properly marked pathways for pedestrians?

  Yes

  No

  n/a

• Is the break room/bathroom kept clean?

  Good

  Fair

  Poor

  n/a

• Is the LP storage contained properly?

  Compliant

  Non-Compliant

  N/A

• Is the location's Site Map posted at each exit door showing all exits and fire extinguishers?

  Compliant

  Non-Compliant

  N/A

• Are emergency action drills performed and documeneted?

  Yes

  No

  n/a

• Is mezzanine access restricted?

  Yes

  No

  n/a

• Are location's gates functional to control access?

  Yes

  No

  n/a

• Are dock doors/dock plates in good condition?

  Good

  Fair

  Poor

  n/a

• Does the warehouse have proper/adequate lighting?

  Good

  Fair

  Poor

  n/a

• Does the warehouse meet 130'lf egress to an exit?

  Yes

  No

  n/a

• Are all exit signs/lights in working order?

  Yes

  No

  n/a

• Is there 36" clearance from other material to Circuit Breakers (Panel Boxes)?

  Compliant

  Non-Compliant

  N/A

• Are panel boxes marked (Circuits labeled)

  Compliant

  Non-Compliant

  N/A

• Is emergency action plan updated/posted in common area? (Included Site Map)

  Yes

  No

  n/a

• Extension cords are used only for temporary use?

  Compliant

  Non-Compliant

  N/A

• Adequate space for material handling?

  Good

  Fair

  Poor

  n/a

• Are all exit door(s) accessible and functionally maintained?

  Compliant

  Non-Compliant

  N/A

Fire Inspection

• Are all exit passageways to outside exits at least 36" in width and unobstructed at all times?

  Compliant

  Non-Compliant

  N/A

• Sprinkler Flow test performed/Inspection up to date?

  Compliant

  Non-Compliant

  N/A

• Fire Extinguishers up to date/mapped?

  Compliant

  Non-Compliant

  N/A

• All flammable materials stored properly and out of the way of traffic?

  Yes

  No

  n/a

• Sprinklers and water control system is accessible in case of an emergency?

  Compliant

  Non-Compliant

  N/A

Fork Lifts

• Forklift appearance is clean/clear of debris/free of damage?

  Good

  Fair

  Poor

  n/a

• All forklift operators are driving in a safe manner/wearing seatbelts at all times?

  Safe

  At Risk

  N/A

• All forklift operators are trained and certified every three years?

  Compliant

  Non-Compliant

  N/A

• Forklifts are inspected daily/documented?

  Compliant

  Non-Compliant

  N/A

• Forklift propane fill station has procedure and proper PPE available?

  Yes

  No

  n/a

• Electric forklifts/Order pickers are in good condition?

  Yes

  No

  n/a

• Battery fill station has face shield/eye wash station?

  Compliant

  Non-Compliant

  N/A

• Battery fill station has appropriate PPE/Jacket/Gloves?

  Compliant

  Non-Compliant

  N/A

Yard Condition

• Yard lighting is adequate for hours of service?

  Yes

  No

  n/a

• Location's product yard is fenced/enclosed?

  Yes

  No

  n/a

• Idle pallets are no higher than 6'lf?

  Compliant

  Non-Compliant

  N/A

• The loading ramp is in good condition/free of product and debris?

  Good

  Fair

  Poor

  n/a

• Location's yard has good house keeping/organized and free of debris?

  Good

  Fair

  Poor

  n/a

• Access to location's yard is controlled/restricted?

  Yes

  No

  n/a

On-site Ladders

• Ladders are stored properly/organized/functional without damage?

• Ladders are inspected annually/Documented?

  Compliant

  Non-Compliant

  N/A

Trucks Inspection

• Trucks appearance interior/exterior?

  Good

  Fair

  Poor

  n/a

• Trucks are free of all/any damage?

  Pass

  Fail

  N/A

• Truck is mechanically fit?

  Yes

  No

  n/a

• Samsara ELOG installed and used/update to date?

  Pass

  Fail

  N/A

• Accident Procedure Form/Accident Checklist in all company vehicles?

  Yes

  No

  n/a

• Vehicle registrations are current/Inspections are current?

  Pass

  Fail

  N/A

Permanent Mounted Equipment Inspection

• Equipment guards are up to manufacture specifications and installed?

  Yes

  No

  n/a

• Machinery's wiring is not exposed/without fraying?

  Pass

  Fail

  N/A

• Machine wiring/hard wired with proper ground fault?

  Yes

  No

  n/a

Loading/Deliveries

• Rigid Rules for drivers/proper loading procedures?

  Safe

  At Risk

  N/A

• Use of Jobsite Safety Work Plan where applicable?

  Yes

  No

  n/a

Safety Information Inspection

• Overall Safety knowledge of location?

  Good

  Fair

  Poor

  n/a

• Osha 300 log posted accordingly/up to date?

  Compliant

  Non-Compliant

  N/A

• First Aid Kit available and stocked?

  Yes

  No

  n/a

• First Aid/CPR/AED trained personnel current and up to date per branch size requirement?

  Pass

  Fail

  N/A

• AED Inspected and up to date?

  Pass

  Fail

  N/A

• Triage nurse information accessible/available upon request?

  Yes

  No

  n/a

• Fall protection inspections complete/up to date?

  Pass

  Fail

  N/A

Warehouse Worker/Dress Code

• HI-VIS Shirts being worn in warehouse/yard at all times?

  Compliant

  Non-Compliant

  N/A

• Workers have on leather/Cut Resistant shoes/and following company dress code?

  Safe

  At Risk

  N/A

• Workers are trained in proper lifting techniques?

  Yes

  No

  n/a

• Workers are trained in back injury pervention?

  Yes

  No

  n/a

• Loads are of safe size/weight/configuration to handle properly?

  Yes

  No

  n/a

• Pallet jack/hand trucks/carts are in good condition and stored properly?

  Yes

  No

  n/a

• Proper PPE is available gloves/glasses/etc. at all times?

  Yes

  No

  n/a