Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Housekeeping/5S
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Work and storage areas are clean and tidy.
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Work stations are well organized and no trip hazards are present. <br>
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Aisles and walkways are clearly marked and unobstructed.
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Emergency equipment (eyewash, fire extinguishers) is constantly accessible.
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Emergency routes and emergency doors are kept clear of any item and fully accessible . Emergency exit doors are not locked.
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Wastes/scrap bins are emptied and not overflowing.
Personal Protective Equipment (PPE)
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Signs indicating required PPE are in place.
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PPE is appropriately stored when not in use and kept in good condition.
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Safe work shoes are being worn by employees, visitors and contractors.
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Safety glasses are being worn by employees, visitors and contractors.
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Appropriate gloves are being worn by employees, visitors and contractors.
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Hearing protection is being worn by employees, visitors and contractors.
Maintenance
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Equipment (lighting fixtures, machine guarding, barriers, etc.) are maintained in good working condition and in place.
Ergonomics
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No awkward position, no excessive or overhead reach; limited bending and twisting.
Tools, Equipment, Machines
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Tools, equipment and machines are operating properly. safety guards are in place Electrical wiring is in good condition.
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Safety knives are being used instead of utility knives or other types of blades.
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There are no homemade tools or equipment, such as step stools, ladders and untested under-hook devices.
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Hand tools are in condition and employees are using the right tool for the job.
Powered Industrial Vehicles (PIV)
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PIVs are being operated safely, operators yield to pedestrians, loads are being transported safely
Other
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Other
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Other
Accomplishments
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Select one or two items for which the employees or the site should be commended:
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Additional Comments and Corrective Actions
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