Arrow Exterminators Safety Audit Form

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Recordkeeping

• Are OSHA 300 logs and 301 Injury/Illness Incident Reports (or equivalent) maintained as required? 1904.1

  Yes

  No

  N/A

• Is the OSHA 300A Summary signed and posted (February 1st through April 30th)? 1904.32

  Yes

  No

  N/A

• Are training records maintained in accordance with OSHA requirements? Various Standards

  Yes

  No

  N/A

• Is there evidence that employees have received all necessary safety training for their job category? Various Standards

  Yes

  No

  N/A

• Do all employees receive required refresher training? Various Standards

  Yes

  No

  N/A

• Have all new employees received safety orientation training? Best Practice

  Yes

  No

  N/A

• Do employees participate in regularly scheduled safety meetings? Best Practice

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

First Aid & Medical Services

• Are first aid kits readily accessible, properly stocked, and no products expired? 1910.151

  Yes

  No

  N/A

• Is a Bloodborne Pathogens plan available? 1910.151

  Yes

  No

  N/A

• Are the names of authorized medical treatment facilities posted (Physician's Panel)? 1910.151

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Respiratory Protection

• Is there a written respiratory protection procedure for the selection and use of respirators where needed? 1910.134(c)

  Yes

  No

  N/A

• Are respirator users given periodic medical evaluations to determine their ability to wear respirators? 1910.134(e)

  Yes

  No

  N/A

• Are respirators users fit tested annually? 1910.134(f)

  Yes

  No

  N/A

• Are respirators users trained on the correct use, limitations, and care of respirators? 1910.134(k)

  Yes

  No

  N/A

• Are respirators properly cleaned, maintained, and stored? 1910.134(h)

  Yes

  No

  N/A

• Is voluntary respirator use governed through 191.134 Appendix D? 1910.134(c)(2)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Worksite General

• Are OSHA and other federal and state required posters prominently displayed? 1903.2(a)(1)

  Yes

  No

  N/A

• Are emergency telephone numbers posted? 1910.165(b)(4)

  Yes

  No

  N/A

• Are emergency evacuation routes and muster points identified? 1910.38

  Yes

  No

  N/A

• Is a practice fire drill/evacuation conducted at least annually? 1910.38

  Yes

  No

  N/A

• Floor surfaces even, uncluttered, and free of trip hazards? 1910.22

  Yes

  No

  N/A

• Is housekeeping well-maintained, trash properly disposed of, and work areas clean and orderly? 1910.22

  Yes

  No

  N/A

• Are bathroom facilities clean and sanitary? 1910.141(d)(1)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Fire Protection & Prevention

• Are fire suppression systems inspections current? 1910.159(c)(3)

  Yes

  No

  N/A

• Is there adequate clearance between sprinkler heads and stored materials? 1910159(c)(10)

  Yes

  No

  N/A

• Fire extinguishers provided in adequate number and type, and readily accessible? 1910.157(d)

  Yes

  No

  N/A

• Fire extinguisher signs posted? 1910.157(c)(1)

  Yes

  No

  N/A

• Fire extinguishers clear of obstructions? 1910.157(c)(1)

  Yes

  No

  N/A

• Annual fire extinguisher inspection current? 1910.157(e)(3)

  Yes

  No

  N/A

• Do all fire extinguishers receive monthly visual inspections? 1910.157(e)(2)

  Yes

  No

  N/A

• Are employees trained annually in the use of fire extinguishers? 1910.157(g)

  Yes

  No

  N/A

• Are approved containers used for the storage of flammable and combustible materials/liquids? 1910.106(d)(2)(i)

  Yes

  No

  N/A

• Are flammable and combustible materials/liquids stored in approved cabinets or promptly removed from work areas? 1910.106(d)(3)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Exit Routes & Lighting

• Exits signs properly posted (lighted or luminescent where necessary)? 1910.37(b)

  Yes

  No

  N/A

• Emergency exit lighting operable? 1910.37(b)

  Yes

  No

  N/A

• Exit routes clear of obstructions? 1910.37(a)(3)

  Yes

  No

  N/A

• Exit doors easily opened from inside? 1910.36(d)

  Yes

  No

  N/A

• Are all work areas adequately illuminated? 1926.56

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Walkways, Floor & Wall Openings, Stairs & Stairways

• Are aisles, passageways, and stairways kept clean, clear, and free of defects? 1910.22(a)

  Yes

  No

  N/A

• Are standard guardrails provided on elevated walkways? 1910.23(c)

  Yes

  No

  N/A

• Are floor and wall openings adequately covered or protected by guardrails? 1910.23(a)(8) & 1910.23(b)(1)

  Yes

  No

  N/A

• Standard stair rails or handrails on stairways with four (4) or more risers? 1910.23(d)(1)

  Yes

  No

  N/A

• Stair risers and treads uniform? 1910.24(f)

  Yes

  No

  N/A

• Handrails have at least 3 inches of clearance between the handrail and the surface they are mounted on? 1910.23(e)(6)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• An assessment has been performed to determine the type of PPE that is necessary for work tasks? 1910.132(d)(1)

  Yes

  No

  N/A

• Proper eye and face protection provided where there is a danger flying particles or hazardous chemicals? 1910.133(a)(1)

  Yes

  No

  N/A

• Protective gloves provided as needed? 1910.138(a)

  Yes

  No

  N/A

• Aprons or other protective clothing provided as needed? 1910.132(a)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Material/Supplies Handling & Storage

• Materials properly stacked/stored to prevent falling or tipping? 1910.176(b)

  Yes

  No

  N/A

• Materials stored to minimize lifting injuries? Best Practice

  Yes

  No

  N/A

• Storage racks and shelves in good condition? ANSI MH16.1

  Yes

  No

  N/A

• Storage racks and shelves secured to prevent tipping? ANSI MH16.1

  Yes

  No

  N/A

• Load limits posted on industrial storage rack beams? ANSI MH16.1

  Yes

  No

  N/A

• Are hand trucks (Pallet Jacks) maintained in safe operating condition? Best Practice

  Yes

  No

  N/A

• Load limits signs posted on elevated storage areas? 1910.22(d)(1)

  Yes

  No

  N/A

• Dock plates constructed and maintained with sufficient strength to support imposed loads? 1910.30(a)(1)

  Yes

  No

  N/A

• Fall hazards at dock areas properly guarded? 1910.23(b)(1)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Electrical Safety

• Extension cords not used in lieu of permanent fixed wiring? 1910.305(g)(iv)(A)

  Yes

  No

  N/A

• All electrical cords have a ground pin intact and outer insulation free of damage or tape repairs? 1910.304(g)(5)

  Yes

  No

  N/A

• Power strips not connected in series (daisy-chained)? 1910.303(b)(2)

  Yes

  No

  N/A

• Ground Fault Circuit Interrupters (GFCI's) installed on outlet in bathrooms and other wet/damp locations? 1910.304(b)(3)

  Yes

  No

  N/A

• Is sufficient access and working space provided and maintained around electrical equipment? 1910.303(g)(1)

  Yes

  No

  N/A

• Unused openings (breaker and conduit knockouts) in electrical enclosures protected? 1910.305(b)(1)(ii)

  Yes

  No

  N/A

• All electrical enclosures such as switches, receptacles, junction boxes, etc. provided with tight-fitting covers or plates? 1910.305(b)(2)(i)

  Yes

  No

  N/A

• Electrical breaker panel circuits and electrical disconnects properly labeled? 1910.303(f)(2)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Product Safety & Hazard Communication

• Is a written Hazard Communication Program meeting OSHA requirements in place? 1910.1200(e)(1)

  Yes

  No

  N/A

• A written Chemical Inventory List has been developed for all chemicals/products in the workplace? 1910.1200(e)(1)(i)

  Yes

  No

  N/A

• Safety Data Sheets available for all chemicals/products? 1910.1200(g)(8))

  Yes

  No

  N/A

• All containers properly labeled to identify the chemical and information about its hazards? 1910.1200(f)(5)

  Yes

  No

  N/A

• Chemicals/products properly stored and unused products disposed of?

  Yes

  No

  N/A

• Have all employees received Hazard Communication training? 1910.1200(h)(1)

  Yes

  No

  N/A

• Is adequate ventilation provided for the storage of chemicals/products? Best Practice

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Ladders

• Are ladders inspected and maintained in good condition? 1910.25(d)(1)(x)

  Yes

  No

  N/A

• Are all ladders of sufficient load rating to sustain loads (No light duty household ladders)? 1910.25(c)

  Yes

  No

  N/A

• Are the manufacturer's load rating limit and warning labels legible on all ladders? ANSI ASC A14.1-14.7

  Yes

  No

  N/A

• Are employees trained in the proper use and operation of ladders? 1926.1060

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Hand & Power Tools

• All hand and power tools inspected and maintained in good condition? Defective tools removed from service? 1910.242(a)

  Yes

  No

  N/A

• All hand and power tools used for their intended purpose? Best Practice

  Yes

  No

  N/A

• Rotating and moving parts on power tools/equipment properly guarded? 1910.212(a)(1)

  Yes

  No

  N/A

• All power tools equipped with electrical cords effectively grounded or of the approved double-insulated type? 1910.242(a)(5)

  Yes

  No

  N/A

• Portable fans provided with full guards or screens with openings of 1/2 inch or less? 1910.212(a)(5)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Office Hazards

• Condition of filing cabinets (secured to prevent tipping if necessary, draws closed when not in use, etc.)? Best Practice

  Yes

  No

  N/A

• Work stations designed/setup to minimize repetitive motion injuiries? Best Practice

  Yes

  No

  N/A

• Stable non-slip floor coverings in good condition? Best Practice

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Sign Off

• Arrow Site Represenative

  Sign

• Safety Auditor

  Sign

• Yes

  No

  N/A

• Yes

  No

  N/A