Information

  • Name:

  • Area:

  • Date/Time:

  • Shift:

  • Facility:

  • All safety issues in your audit are to be documented -ALL. Area Supervisor must sign off on audit when completed.

Section 1 - Employee Actions

  • 1.1 Employees lifting correctly with object weighing less than 50 lbs., employee using team lift technique if object is more than 50 lbs., or is awkward to lift.

  • 1.2 Employees exhibiting no forks of horseplay such as running, jumping, throwing objects, etc.

  • 1.3 Employees are loading and unloading machines without the use of excessive force.

  • 1.4 Employees who are servicing, repairing, or cleaning equipment and are in the point of operation have the equipment locked and tagged out.

Section 2 - Housekeeping

  • 2.1 Aisles are unobstructed and properly marked.

  • 2.2 Lighting is adequate for task work and workstations.

  • 2.3 Areas are clear of debris, hoses, cables, cords, and shavings. No water or fluid in walking/working surface.

  • 2.4 Aisles are clear of trip hazards. Hoses, cables, cords, pallets, work in progress, etc.

Section 3 - Personal Protective Equipment

  • 3.1 Safety glasses with sideshields worn properly. Welding helmet/lens and barrier screens used as needed. Safety glasses and shields worn while grinding.

  • 3.2 Proper gloves worn as indicated by the operation.

  • 3.3 Clothing is secure, not dangling. No loose jewelry.

  • 3.4 Hearing protection used during appropriate operations.

Section 4 - Machine Guarding

  • 4.1 Guards are in working condition. Works as designed.

  • 4.2 Physical guards securely fixed to equipment. Not easily removed.

  • 4.3 Machine controls guarded to prevent accidental activation. Warning signs posted as appropriate.

  • 4.4 Safety circuits and sensors function as designed, easily accessible, clearly identified, and properly marked. ( sensors, emergency stops, light curtains, door switches.)

Section 5 - Material Storage

  • 5.1 Material is stacked so it is stable.

  • 5.2 Storage racks are bolted to the floor, in good condition, and pedestrians are protected if working on the backside of a storage rack.

  • 5.3 Walkways, aisles, and restricted areas are clear of material storage.

  • 5.4 Material is being stored in the correct location.

Section 6 - Chemicals/Waste Management

  • 6.1 All containers are labeled to identify contents. (Proper manufacturer, HMIS, NFPA, or GHS label)

  • 6.2 Chemicals are stored in appropriate areas/cabinets when not in use. Corrosive material stored separately from flammable materials.

  • 6.3 MSDS or SDS are available for all chemicals.

  • 6.4 Waste separated and disposed of properly.

Section 7 - Fire Protection and Prevention

  • 7.1 Extinguishers marked/labeled, in place, hung on bracket, inspection tag indicating monthly and annual service date, signage present on wall/column, and pressure indicator in the green zone.

  • 7.2 Fire response equipment and electrical panels accessible (36" clearance in front.)

  • 7.3 Exits not obstructed either inside or outside, lighted exit signs visible, doors operate properly. Can you see a exit sign from where you are standing?

  • 7.4 Flammable material properly stored.

Section 8 - Powered Industrial Trucks

  • 8.1 Operator wearing seatbelt while operating PIT, belt in good condition, no knots and/or worn areas.

  • 8.2 Propane tank securely mounted, no leaks noticed.

  • 8.3 If unattended, forks lowered and parking brake set. Operable fire extinguisher, horn, back up alarm, and warning lights. No visible leaks or damage.

  • 8.4 Daily pre-shift checklist has been completed.

Section 9 - Electrical

  • 9.1 All electrical panels clear 36" to the front.

  • 9.2 Panels closed, covers over any empty slot.

  • 9.3 Absence of spliced /frayed cords. Ground prongs in place. Extension cords used only as temporary wiring.

  • 9.4 Cords are routed to prevent damage or are protected.

Section 10 - Walking/Working Surfaces

  • 10.1 Ladders are being properly used, warning and load labels visible, and no damage present.

  • 10.2 Stairs are well lit, in good repair, and covers are over any open slots.

  • 10.3 Floors are level, without holes, damage, water, oil, debris, or unnecessary material. Material shavings are picked up on properly disposed of in the required container.

  • 10.4 Platforms are clear of debris and have required safety railings.

Section 11 - Overhead Cranes and Rigging

  • 11.1 Overhead Cranes are properly marked with load rating and free of damage.

  • 11.2 Daily pre-shift checklists have been completed.

  • 11.3 All lifts have approved rigging load capacity for the load weight being lifted.

  • 11.4 All rigging is in good shape without damage, load capacity label visible, and unused rigging is returned to the proper location.

Section 12 - Other

  • Comments:

Signature

  • Auditor Name/Signature

  • Supervisor Name/Signature

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