Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Housekeeping Safety
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The work area is clean and organized.
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There are no trip hazards.
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Material is not leaning against the wall.
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Floor is not icy.
Evacuation
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Emergency exit routes are clear.
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Exit doors are clear.
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Exit doors have signs.
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Emergency lighting is working.
Fire Prevention
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Fire extinguishers are not blocked.
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Fire extinguishers are hanging on the wall.
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Fire extinguishers have proper identification.
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Fire extinguisher have been inspected by an outside company.
Eyewash Station
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The eyewash station is clean, not blocked, and ready for use.
Machine Guards
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Warning decals and stickers are legible.
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Rotating parts are guarded to prevent contact.
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Safety interlocks are working correctly.
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E-stops are working working correctly.
Lockout Tagout
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Lockout Tagout equipment is available to authorized employees.
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Equipment that was "Lockout" at the time of the audit was labeled correctly.
Personal Protective Equipment
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Personal protective equipment is being provided by the company.
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There are clear signs to indicate what type of PPE is required to be worn in the department.
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Gloves are being used as required.
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Hearing protection is being worn as required.
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Slip resistant footwear is being worn as required.
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Safety goggles are being worn when liquid chemicals are being used.
Fall Protection
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Work platforms that are 4ft high have railings to provide fall protection.
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Employees are wearing fall protection when working at heights greater than 4ft.
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Platforms have gates or safety chains to guard the entry location.
Electrical
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Flexible cords are not running through walls, windows, or doorways.
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Electrical plugs have covers as needed.
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Electrical boxes are not blocked.
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There are no missing knockouts or exposed electrical parts.
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Flexible cords are not frayed or damaged.
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There are no electrical cords run through water or across damp floors.
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Electrical cords are not tied around metal supports.
Chemicals
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Chemicals are labeled correctly.
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There are no food or drinks near chemicals.
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Chemicals are stored correctly.
Additional Information
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There are no other safety issues that need to be address.
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Were there positive safety items that need to be spotlighted.