AUI District inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

PPE

• Signage or notification of required PPE

  Yes

  No

  N/A
Fire Prevention

Fire Prevention

• Extinguishers recently serviced? (Checked monthly and inspected yearly)

  Compliant

  Non-Compliant

  N/A

• Extinguishers in place, clearly marked for type of fire as per NFPA 10 6.1.3.3.1 if obstructed from view.

  Compliant

  Non-Compliant

  N/A

• Maximum travel distance to fire extinguisher less than 75 ft as per NFPA 5.2.3

  Yes

  No

  N/A

• Extinguishers clear of obstructions and at appropriate height(3 - 5 Feet) as per NFPA 10 6.1.3.8?

  Compliant

  Non-Compliant

  N/A

• Adequate notices for fire exits as perAlberta fire code 2.7.3.1

  Compliant

  Non-Compliant

  N/A

• Exit doors easily opened from inside?

  Yes

  No

  N/A

• Any combustible material stored in furnace room? NFPA10.18.5.1 Combustible material shall not be stored in boiler rooms, mechanical rooms, or electrical equipment rooms.

  Safe

  At Risk

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

• Comments

Office inspection

Office inspection

• Filing cabinets- secured? Locking mechanism working?

  Yes

  No

  N/A

• File cabinets properly loaded?

  Yes

  No

  N/A

• Chair condition- five star bases

  Safe

  At Risk

  N/A

• Desk is clean and in good condition?

  Yes

  No

  N/A

• Extension cords

  Safe

  At Risk

  N/A
Lighting

Lighting

• Good natural lighting?

  Yes

  No

  N/A

• Reflected light from walls & ceilings not causing glare to employees?

  Yes

  No

  N/A

• Light covers clean, in good condition and properly in place?

  Yes

  No

  N/A

• Comments

Building Safety

Building Safety

• Emergency exit lighting installed and operable as per National building Code 3.4.5.1

  Compliant

  Non-Compliant

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Walkways adequately and clearly marked?

  Yes

  No

  N/A

• Intersections kept clear?

  Yes

  No

  N/A

• Stair and risers kept clear?

  Yes

  No

  N/A

• Loading area clean and tidy?

  Yes

  No

  N/A

• Hand rails and railing adequate?

  Yes

  No

  N/A

• Comments

Work benches

Work Benches

• Clear of rubbish?

  Good

  Fair

  Poor

  N/A

• Tools not in use kept in place?

  Good

  Fair

  Poor

  N/A

• No damaged hand tools in use?

  Good

  Fair

  Poor

  N/A

• No damaged power tools or cords in use?

  Safe

  At Risk

  N/A

• Work height correct for the type of work and the employee?

  Yes

  No

  N/A

• No sharp edges?

  Yes

  No

  N/A

• Are gas bottles secured?

  Yes

  No

  N/A

• Comments

Overhead Door

• Inspection tag current

  Yes

  No

  N/A

• Door Panel condition

  Good

  Fair

  Poor

  N/A

• Rail condition

  Good

  Fair

  Poor

  N/A

• Glass condition

  Good

  Fair

  Poor

  N/A

• Electronic pad operational wire condition

  Pass

  Fail

  N/A

• Weather stripping

  Good

  Fair

  Poor

  N/A
Storage design and use

Storage Design and Use

• Materials stored in racks and bins wherever possible?

  Good

  Fair

  Poor

  N/A

• Storage designed to minimise lifting problems? Lift carts available?

  Yes

  No

  N/A

• Floors around racking clear of rubbish?

  Yes

  No

  N/A

• Storage racks secured to prevent tipping?

  Yes

  No

  N/A

• Outside storage marked if used for hazardous materials?

  Yes

  No

  N/A

• Outside storage areas have fire extinguisher with in 25 meters?

  Yes

  No

  N/A

• Comments

Equipment and machines

Equipment & Machines

• Are they kept clean?

  Yes

  No

  N/A

• Lock out tag out available? Used?

  Pass

  Fail

  N/A

• Are the floors kept clean?

  Yes

  No

  N/A

• Guards in good condition?

  Yes

  No

  N/A

• Guards at acceptable distance?

  Yes

  No

  N/A

• Drip pans on floor to prevent spillage?

  Yes

  No

  N/A

• Adequate work space?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• Noise levels controlled?

  Yes

  No

  N/A

• Comments

Energy use and efficiency

Energy use

• Lights turned off when room not occupied?

  Yes

  No

  N/A

• Are automatic on / off controls installed or available?

  Yes

  No

  N/A

• Computer equipment and monitors turned off?

  Pass

  Fail

  N/A

• Programable thermostat used? Programmed correctly?

  Yes

  No

  N/A

• Weather stripping around doorways and windows? Condition of stripping?

  Good

  Fair

  Poor

  N/A

• Any leaking water fixtures?

  Yes

  No

  N/A

• Hot water tank setting appropriate?

  Good

  Fair

  Poor

  N/A

• Furnace condition, clean filter? On a preventative maintenance schedule?

  Good

  Fair

  Poor

  N/A
Electrical

Electrical

• GFI outlets installed and tested?

  Safe

  At Risk

  N/A

• Safety switch breaker tested?

  Yes

  No

  N/A

• No double adapters in use?

  Yes

  No

  N/A

• Area around panel kept clear of obstructions?

  Safe

  At Risk

  N/A

• Electrical panel secure? No open breakers or boxes?

  Compliant

  Non-Compliant

  N/A

• No broken plugs, sockets or switches?

  Yes

  No

  N/A

• No power leads across walkways?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Safe

  At Risk

  N/A

• Portable power tools in good condition?

  Good

  Fair

  Poor

  N/A

• Comments

Chemical Safety

Chemical Safety

• Worker has up to date training?

  Yes

  No

  N/A

• Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• All containers labelled correctly?

  Yes

  No

  N/A

• Unused substances disposed of?

  Yes

  No

  N/A

• Is PPE available?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Are eye washes and showers easily accessed?

  Yes

  No

  N/A

• Comments

Ladders

Ladders

• Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• Are ladders in good condition?

  Good

  Fair

  Poor

  N/A

• Comments

First Aid kit

First Aid Facilities

• Eye wash station available, contents in acceptable condition and optimal placement?

  Good

  Fair

  Poor

  N/A

• Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• Are contents regularly checked?

  Yes

  No

  N/A

• Cabinets clearly labelled?

  Yes

  No

  N/A

• Is there easy access to cabinets?

  Yes

  No

  N/A

• Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• Are emergency numbers displayed?

  Yes

  No

  N/A

• Comments

Recyclables

Recyclables

• Appropriate containers available?<br>

  Yes

  No

  N/A

• Secondary containment required?

  Yes

  No

  N/A

• Quantities do not pose a fire hazard?

  Safe

  At Risk

  N/A

• Comments

Spill kit

Spill kit

• Contents easily accessed?

  Yes

  No

  N/A

• Required contents available in spill kit

  Yes

  No

  N/A

• Contents in good condition or expired?

  Yes

  No

  N/A
Yard site

Yard site

• Fencing in proper condition?

  Good

  Fair

  Poor

  N/A

• External lighting operational ?

  Yes

  No

  N/A

• Material stored correctly?

  Yes

  No

  N/A

• Liquids and chemicals stored correctly? Secondary containment for barrel storage?

  Yes

  No

  N/A

• Travelled surface is level?

  Good

  Fair

  Poor

  N/A

• Yard site secure after hours

  Safe

  At Risk

  N/A

• Comments

Building condition


• Building siding in place

  Good

  Fair

  Poor

  N/A

• Roofing condition is acceptable?<br>Check from ground level

  Good

  Fair

  Poor

  N/A

• Eaves trough in place and in good condition?

  Good

  Fair

  Poor

  N/A

• Ceiling showing any signs of water damage?

  Good

  Fair

  Poor

  N/A

Follow up items / corrective action

• Follow up / corrective action

Add follow up / corrective action

• Follow up / corrective action

• undefined

• Complete by:

  Date

• Hazard Risk Rating
  A: Hazards have the potential for causing immediate and serious injury or damage
  B: Hazards are less severe, but still have potential for causing injury or damage
  C: Hazards/deficiencies that have potential to cause minor injury or damage
  
  Category:
  1. Environmental
  2. Safety
  3. Procedures
  4. Equipment
  

• Hazard risk rating

• Assigned to:

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• On site representative

  Sign

• Auditor's signature

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