Information
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Contractor
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Client / Site
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Conducted on
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Prepared by
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Personnel
PPE
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Are PPE requirements sufficient? -Should gloves be required? -Should a face shield be required?
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Is PPE supplied adequate for the task?<br>
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Is PPE being worn properly? <br> -Ear plugs completely inserted into ears<br> -Safety glasses fit properly and pass fit test (gaps no larger than width of finger)<br> -Gloves being worn when handling materials that are sharp, hot, etc.
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PPE supplies readily available to operators (Interview >= 2 employees.)
Tools/Machinery/Equipment
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Are all tools in good working condition?<br>
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Machinery working properly and not causing regular manual manipulation?<br> -Frequent breakdowns causing manual work?<br> -Machinery producing excessive noise/vibration due to disrepair?
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Machinery design/layout inherently hazardous?<br> -Congestion created in design?<br> -Equipment no longer safest design for the process?<br> -Can a hazardous piece of equipment be eliminated from the process/work area?
Hazard Communication
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Employees know how to find MSDS and understand the hazards of the chemicals they work with.
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Chemicals are stored in proper containers and labelled properly?
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Chemicals stored properly?<br> -Flammable materials not in use stored in proper cabinet/safety container?<br> -Incompatible materials stored away from each other?
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Incidental spills cleaned up immediately?<br> -No evidence of spills being left?<br> -Chemicals being tracked on employees' shoes and/or mobile equipment?
Walking/Working Surfaces and Fall Protection
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Proper labels in place and legible?<br> -Portable ladders and stairways require labeling indicating weight limits.
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Floors and work platforms free of excessive debris and clutter?<br> -Excessive oil, trash, manufacturing byproducts, etc. in the work are?<br> -No items stored on stairs?
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Handrails secure and free of excessive defects?<br> -Heavily damaged handrails that require replacement? Loose? Broken welds? Bent handrails and/or toe boards?<br> -Handrails do not contain excessive oil/grease?
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Fall protection equipment available for working at heights; and are operatives using fall protection correctly?
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Harnesses, lanyards, SRL, and lifelines maintained in good condition and inspected properly?<br> -Inspection labels present and legible?<br> -Webbing free of frayed, cut or broken fibers?<br> -Quick connect buckles working properly?
Emergency Response/Fire Protection
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Fire extinguishers in date and untampered with?
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Employees aware of emergency procedures and where assembly areas are? (Interview >=2 employees)
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Spill kits are available where needed and are equipped/inspected as required?
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Sufficient emergency equipment installed in the area?<br> -Fire extinguishers, eyewash, safety shower, spill kits, alarm pull stations, etc.
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Fire suppression systems not blocked/damaged?
Mobile Equipment
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Equipment inspected per inspection frequency requirements?
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Operators using horns and warning devices where required?
Electrical Hazards/Arc Flash
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High voltage signs in place and visible?
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Debris/Tools stored on top of electrical cabinets?
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Electrical cabinets closed and in good repair?<br> -Do the cabinets close securely?<br> -Knock-outs all in place?<br> -Large dents in the housing/door?
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Electrical cabinets not blocked?<br> -Nothing within 36 inches of the front of the cabinet?<br> -Clear access/pathway to electrical cabinets?
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Arc flash signage in place?<br> -Indicates arc flash category?
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Proper arc flash PPE available and in use?
Crane/Hoist Safety
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Inspections completed as per requirements?<br> -Operator inspections completed?
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Are employees working under suspended loads?
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Are cranes working within their operating limits?<br>
General Safety and Housekeeping
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Trash, debris, and equipment not left laying around?
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Equipment free of excessive dust, oil and/or soot?
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Floor surfaces covered in oil/dust covering the painted surface?
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General tripping hazards due to housekeeping, equipment layout, and/or workstation design?
Signature and Finalization
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I have completed this assessment to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify all visible/known hazards as of the date printed on the completed assessment. assessment.
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Select date
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General Comments
