Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
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Add location
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EMPLOYEES ATTENDING AUDUIT
GENERAL OFFICE AREA
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RISK ASSESSMENT T5 DONE DALIY AND DOCUMENTED?
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FIRST AID KIT UP TO DATE?
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IS AT LEAST ONE PERSON CURRENTLY CPR QUALIFIED?
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SMOKE DETECTORS WORKING PROPERLY?
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EMERGENCY PHONE NUMBERS POSTED AND UP TO DATE?
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ARE EXITS PROPERLY MARKED AND KEPT FREE OF OBSTRUCTIONS?
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HOUSEKEEPING, WALKING SURFACES KEPT DRY TO PREVENT TRIP/SLIP/FALL HAZARDS?
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IS THE LIGHTING GOOD, AND LIGHTS GUARDED/SECURE FROM BULBS FALLING?
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SDS/MSDS MANUAL UP TO DATE?
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CHECK THREE PRODUCTS
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NO SMOKING SIGNS POSTED?
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ARE ALL ELECTRICAL WIRES AND PLUGS IN GOOD WORKING CONDITION?
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PEDESTRAIN PLAN/MAP POSTED?
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ARE ALL REQUIRED OSHA AND APAC EEO POLICIES POSTED?
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HAS A NEAR MISS BEEN REPORTED IN THE LAST MONTH?
PEDESTRAIN SEGREGATION
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SIGNING PROHIBITING CELL PHONE USE. (STOP TO TALK STOP TO TEXT)
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SIGN INDICATING THE POSTED SPEED LIMIT ON THE PROPERTY?
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PEDESTRAIN WALKWAY CLEARLY PAINTED?
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EMPLOYEE PARKING IDENTIFIED?
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PARKING SPACES CLEARLY MARKED. PARKING BLOCKS IN PLACE?
SHOP AREA GENERAL
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ARE FIRE EXTINGUSHIERS FULLY CHARGED, PROPERLY TAGGED AND INSPECTED MONTHLY?
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ARE SIGNS POSTED OF THE PRESENCE OF CARBON MONOXIDE?
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ARE THERE CARBON MONOXIDE DECTORS PRESENT AND IN GOOD WORKING CONDITION?
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IF CARBON MONOXIDE IS PRESENT DUE TO FORKLIFTS, HEATERS, OR IDING EQUIPMENT IS VENTILATION ADEQUATE?
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ARE WALKWAYS PAINTED AND KEPT CLEAR?
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ARE EXITS PROPERLY MARKED AND KEPT FREE OF OBSTRUCTIONS?
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HOSUEKEEPING, ARE ALL SPILLED MATERIALS AND LIQUIDS CLEANED UP IMMEDIATELY? ARE WORK AREAS CLEAN SO AS NOT TO PRESENT A HAZARD?
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CHECK ONE WORK AREA
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SHOW PICTURE OF GOOD HOUSEKEEPING
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IS PROPER PPE BEING WORN BY ALL EMPLOYEES, HARD HAT, SAFETY GLASSES, SAFETY TOE SHOES
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ARE ALL SAFETY CHAINS ACROSS SHOP DOORS IN GOOD WORKING CONDITION AND UP WHEN DOOR IS OPEN?
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LIGHTING IN SHOP AREA GOOD?
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ARE ALL OVERHEAD STORAGE AREAS PROPERLY MARKED FOR LOAD CAPACITY?
TRANSPORTATION SAFETY
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ALL DRIVERS DRIVING COMPANY VEHICLES TRAINED?
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ANNUALLY MVR CHECKED ON ALL APPROVED DRIVERS?
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EVIDENCE OF DOCUMENTED DAILY PRE/POST TRIPS INSPECTED DONE ON ALL VEHICLES OVER 26,001 POUNDS?
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LOCKOUT TAGOUT AND BLOCKING
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ARE ALL EMPLOYEES TRAINED IN LOTO?
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IS MANUAL IN PLACE AND UP TO DATE?
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CAN EMPLOYEES WORKING ON LOCKED EQUIPMENT BE IDENTIFIED BY THEIR LOCKS OR TAGS?
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IS ALL EQUIPMENT CHOCKED TO PREVENT MOVEMENT IN SHOP BAYS?
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CHECK ONE PIECE OF EQUIPMENT MAKE SURE LOCKED AND TAGGED OUT OF SERVICE AND CHOCKED WHEELS.
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SHOW PICTURE OF PROPER LOCKOUT TAGOUT.
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ARE SUSPENED LOADS OR POTENTIAL ENERGYS ISOLATED TO PREVENT HAZARDS FROM FALLING? (RAISED LOADER BUCKETS, DUMP BEDSM ETC)
COMPRESSED GASSES
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ARE COMPRESSED GAS CYLINDERS PROPERLY STORED AND HANDLED PROPERLY?
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ARE ALL FLAMMABLE MATERIALS PROPERLY STORED AT LEAST 25' FROM IGNITION SOURCES AND COMPRESSED GASES?
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AIR COMPRESSOR INSPECTED ANNUALLY?
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IS COMPRESSED AIR FOR CLEAING UNDER 30 PSI?
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ARE ALL HIGH PRESSURE LINES IN GOOD WORKING CONDITION?
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HOT WORK PERMIT IN PLACE FOR WELDING OPERATIONS?
LIFTING AND RIGGING
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OVERHEAD CRANE INSPECTED ANNUALLY AND MONTHLY?
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ARE LIFTS AND HOIST CAPACITY TESTED WITH LOAD RATINGS POSTED DIRECTLY ON LIFT OR HOIST?
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ALL LIFTING IMPLEMENTS AS STRAPS, CABLES AND CHAINS HAVE THEIR LOAD LIMIT IDENTIFIED, AS APPLICABLE?
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ALL SAFETY LATCHES IN PLACE?
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ARE EMPLOYEES LIFTING ANY MATERIAL MORE 50 POUNDS?
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ARE MECHANIC TRUCKS WITH AUTO CRANES ANNUALLY INSPECTED?
MACHINERY GUARDING
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DOCUMENTED SYSTEM FOR REGULAR CHECKING OF MACHINERY GUARDING IN PLACE?
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EVIDENCE THAT MACHINES/HAND TOOLS ARE NOT BEING OPERATED WITHOUT THE EXPOSED MOVING PARTS BEING APPROPRIATELY GUARDED?
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CHECK ONE HAND TOOL TO MAKE SURE GUARD IS IN PLACE.
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BENCH GRINDER TOOL REST AND GUARDS PROPERLY ADJUSTED?
WORKING AT HEIGHTS
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TRAINED BEING PROVIDED FOR EMPLOYEES WORKING AT HEIGHTS?
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LADDERS/WORKING PLATFORMS INSPECTED BEFORE USE?
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EMPLOYEES USING THREE POINTS OF CONTACT WHEN ENTERING AND EXITING EQUIPMENT?
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EXAMINE AT LEAST ONE TASK INVOLVING WORKING AT HEIGHTS TO ENSURE: 1. RISK ASSESSMENT HAS BEEN DONE 2. FALL PROTECTION MEASURES ARE IN PLACE BEFORE WORK COMMENCES
CONFINED SPACE
UNSAFE BEHAVIOR
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ALL CRH'S FFE'S BEING OBSERVED/SAFE BEHAVIOR OBSERVED DURING THIS AUDIT? IF NO, EXPAIN BELOW AND HOW UNSAFE BEHAVIOR WILL BE CORRECTED.
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SIGNATURE OF AUDITOR
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SIGNATURE OF SUPERVISOR