Information
-
Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
General Facilities Photos
Previous inspection
-
Has the last inspection been reviewed?
-
All prior corrective actions from previous incidents or audits have been completed.
Bloodborne Pathogens 1910.1030
-
(c)(1)(i) - A written exposure control plan has been developed and is available for review?
-
(d)(1) - Universal precautions have been taken to prevent contact with blood or other infectious materials?
-
(d)(2)(iv) - Handwashing stations or anti septic handwash is readily available?
-
(g)(1)(i)(a) - Warming labels are fixed to all containers of regulated waste, refrigerators, or any other potentially infectious materials?
-
Additional comments?
-
(d)(4)(l-x) - Equipment is available to use for permit entry?
-
Additional Comments
-
Add media
Confined Space Entry 1910.146
-
(d)(8) - Only authorized/trained employees may enter confined space.
-
(c)(2) - Danger signs are posted at location of permit required confined spaces.
-
(c)(4) - There is a written program for confined space entry?
-
(g)(1) - Training has been provided to employees who are required to enter the permitted space?
-
(d)(4)(l-x) - Equipment is available to use for permit entry?
-
Additional Comments
Record Keeping 1904
-
Is the facility properly reporting incidents, including near miss, property damage, first aid, and all a recordable incidents within the reporting guidelines and time frame?
-
.33 - Have incident reports, injury/illness logs, and all recordable incidents within the reporting guidelines and time frame?
-
Is the current required OSHA Job Safety and Health Protection poster displayed in a prominent location accessible to employees?
-
Safety committee minutes are maintained and available for review?
-
Job hazard analysis been completed for all jobs?
-
Additional Comments
-
Add media
Floor and Wall Openings 1910.23
-
(a)1 - Is every stairway floor opening guarded by a standard rail?
-
(c)1 - Is every open - sided floor or platform that is 4 feet or more adjacent floor or ground level, guarded by a standard railing on all opesides? (excluding loading docks w/proper visual control)
-
No openings are present that present a slip, trip, or fall hazard from either a platform, floor level, or height of elevation.
-
(e)1 - Is all railing 42 inches high with a smooth top railing that does not overhang causing a projection hazard.
-
Additional Comments
-
Add media
Fixed Industrial Stairs 1910.24
-
Add media
-
(b) - Are stairs fixed at all points where access to elevation is daily or regular?
-
(d) - Do fixed stairways have a minimum width of 22 inches?
-
(e) - Are all stairs installed and uniform at a 30-50 degree angle?
-
(f) - Are all stair treads reasonably slip- resistant and the nosing of nonskid finish?
-
Additional Comments
-
Add media
Portable Ladders 1910.26
-
(a)(1)(v) - Are ladder rungs and steps, corrugated, knurled, dimpled, coated with skid - resistant material, or otherwise treated to minimize the possibility of slipping?
-
All ladders are made of fiberglass material and no wooden or metal ladders are in use?
-
(c)(2)(vi)(d) - Are runs kept free of grease & oil and kept properly secured to prevent falling.
-
Additional Comments
-
Add media
Exit Routes 1910.36 & Exit Signs 1910.37 & 1910.38 (Subpart E)
-
(b)2 - Are there at least two exit routes for employees?
-
(d)1 - Are all exit doors able to open from the inside without keys, tools, or special knowledge?
-
Exits clear of obstructions?
-
(b)2 - Is each exit sign clearly and visibly marked "Exit"
-
(b)4 - Where exits are not visible, signs posted along the exit route indicating the nearest exit discharge?
-
Indicator signs above floor level?
-
(b)(c)(1)(e) - Is the Emergency Action Plan available to employees, include all of the minimum requirements, and employees have trained on the plan?
-
Additional Comments
-
Add media
Occupational Health (Subpart G)
Ventilation 1910.94
-
(b)2 - Is a local exhaust ventilation system used or is adequate means of ventilation available?
-
(b)(3)i - Are hoods and branch pipes connected in a manner that exhaust is projected in the direction of air flow and does not cause a greater hazard to others?
-
Additional Comments
-
Add media
Hearing Conservation 1910.95
-
(a) - Has occupational noise testing been conducted to ensure that no areas exceed the TWA of 85 Dba?
-
(c)1 - Is an effective and continuous hearing conservation program in place for areas that exceed 85 Dba?
-
(k)3 - Is there a training program installed for hearing conservation?
-
(k)5 - Are signs posted to warn/instruct employees to wear hearing protection?
-
(g)(6) - Employees in hearing conservation program have been evaluated for audiometric testing on annual basis.
-
Additional Comments
-
Add media
Hazardous Materials - Flammable & Combustible Liquid 1910.106 (Subpart H)
-
(b)(2)(ii) - Outside storage tanks are protected from means of damage?
-
Are storage cabinets which flammable liquids are labeled "FLAMMABLE - KEEP FIRE AWAY"?
-
Are tanks used to store used oil marked with the words "Used Oil"?
-
(b)(2)(vii)(c) - Means of protection in place to retain any liquids from draining into the ground or water systems.
-
Additional Comments
-
Add media
PPE 1910.132 (Subpart I)
-
(a) - Is PPE provided and maintained in a sanitary and reliable condition?
-
Employees are observed wearing the appropriate PPE in the proper manner.
-
(f) (I-V) - Has training been provided on the proper wearing of PPE?
-
Additional Comments
-
Add media
Eye and Face Protection 1910.133
-
(a)1 - Are face shields or hoods bring worn when exposed to molten metal, liquid chemicals, or other injury hazards?
-
(a)2 - Is side protection used where there is a hazard of flying objects? OSHA Approved Z-87 safety glasses.
-
-
Add media
Respiratory Protection 1910.134
-
(h)2(i) - Are respirators stored in a sealed container away from hazardous materials.
-
(a)1 - Are engineering controls in place where regular respiratory protection might be needed?
-
(c)1 - A respiratory protection program is established and updated.
-
(e)1 - Employees expected to use a respirator have been evaluated by a PLHCP
-
Employees that are not in the respirator program but have voluntarily chose to wear a respirator under Appendix D of the standard.
-
Additional Comments
-
Add media
Head and Foot Protection 1910.135 & 136
-
(a)1 - Are hard hats or helmets being worn in areas where there is a potential for injury from overhead objects?
-
(a) - Is foot protection being worn in areas where there is a potential for injury from falling or rolling objects or exposure to electrical hazards?
-
Additional Comments
-
Add media
General Environmental Controls 1910.141 & 145 (Subpart J)
-
(h) - Food is processed, handled, prepared and stored in a manner to protect against contamination?
-
(a)1 - All handmade signs of similar warning or caution are uniform to one another?
-
(c)(1-3) - Are caution, danger, and safety signs used throughout the facility to warn against potential hazards.
-
Additional Comments
-
Add media
Medical and First Aid 1910.151 Subpart K
-
(b) First aid kits are easily accessible and maintained with necessary supplies, periodically inspected, and replenished as needed.
-
(c)(1) - Emergency eyewash and shower facilities are within 50 feet of areas where employees are exposed to irritants or corrosive materials?
-
Are cabinets and contents clean and orderly?
-
Additional comments
-
Add media
Fire Protection Subpart L
Fire Extinguishers 1910.157
-
(c)(1) - Are all extinguishers mounted and identified so that they are easily accessible?
-
(c)(4) - All extinguishers maintained, fully charged, in their designated location, and inspected on a monthly basis?
-
(d)(1) - is the appropriate extinguisher available for use depending on the hazards?
-
(e)(3) - Extinguishers are subjected to an annual maintenance and inspection plan?
-
Add media
-
Sprinkler Systems 1910.159
-
(c)(2) - Main drain flow tests are performed annually on each system?
-
(c)(6) - Piping is protected from damaged, freezing, and corrosion?
-
(c)(10) - All materials 18" from all sprinkler heads?
-
NFPA 25 - Annual testing conducted?
-
Additional comments
-
Add media
Material Handling and Storage 1910.176 Subpart N
-
(a) - Are aisle ways designated, permanently marked, and kept clear to allow unhindered passage?
-
(b) - Are containers stored, stacked, blocked, and limited in height so that they are stable and secure?
-
Are storage racks maintained with no bent legs, deformities, or damage and load ratings marked?
-
(e) - Are clearance signs posted to warn of clearance heights of overhead doors?
-
Add media
-
Additional comments
Powered Industrial Trucks 1910.178
-
(a)(3) - Are all name plates and markings maintained and legible identifying the type and capacity of the lift?
-
(g)(1) - Are charging stations marked and located where they are not in the operating area?
-
(g)(2) - Are facilities provided for filling battery cells and is PPE provided at the area?
-
(m)(5)(i) - All unattended trucks are neutralized, brakes engaged, forks lowered, and powered off?
-
(n)(1) - All traffic regulations are observed including use of seat belts and speed limits, of which speed are appropriate for the environment?
-
(g)(7) - Industrial trucks are inspected daily and recorded
-
(g)(10) - All industrial trucks are kept in a clean condition and free from buildup of materials including grease and oil?
-
(i) - A training program has been developed and employees are trained on an annual basis, employee records are maintained?
-
Add media
-
Additional comments
-
Add media
Dock Systems 1910.30
-
(a)2 - Are dock levelers and dock locks in good operating condition and anchored in a way that prevents movement?
-
Are effective means being used to prevent unwanted movement of the truck?
-
Additional Comments
-
Add media
Overhead Cranes 1910.179
-
(b)(5) - The capacity of all lifting devices is clearly marked and identified from all points of operation?
-
(i)(2)(vi) - Cranes and lifting devices visually inspected everyday prior to use for sign of wear, twisting, cracks, distorted links, stretching in hooks, and deformities to end connections?
-
(i)(3) - Preventative maintenance program exists and inspections completed annually for wearing of bolts, sheaves, drums, brakes, wires, and sprockets?
-
Additional comments
-
Add media
Slings 1910.184
-
(c)(1) - Defective or damaged slings are removed from use and tagged inoperable?
-
(c)(4) - Sling or rope capacities are marked?
-
(i)(6)(ii) - Fiber or synthetic slings are not exposed to paint, sprays, mists, or other caustic liquids?
-
Additional comments
-
Add media
Machinery and Machine Guarding 1910.212 Subpart O
-
(a)(2) - All moving parts, chains, gears, sprockets, and pinch points are properly guarded?
-
(a)(3)(ii) - Emergency shut off switches are easily identified and located at the point of operation?
-
(a)(5) - All fans less than 7 feet above the floor are guarded with openings not larger than 1/2 inch?
-
(b) - All machines in fixed locations are securely mounted and anchored to prevent movement?
-
All machine controls clearly labeled as to their operation?
-
1910.217 (f)(3) - Is sufficient clearance provided around and between machinery to allow for safe operation, set up, servicing, and general movement?
-
Additional comments
-
Add media
Abrasive Wheel Machinery 1910.215
-
(a)(2) - Guards are fastened tightly in a manner that movement is prevented during operation?
-
(a)(4) - Off hand grinders have rigid work rest with a maximum opening of less than 1/8 inch?
-
Additional comments
-
Add media
Hand and Portable Power Tools 1910 (Subpart P)
-
242(a) - All tools are in a safe operating condition with no defects that pose a hazard during use or storage?
-
243(c)(1) - Are abrasive wheels approved for the speed of the grinder?
-
244(b) - Air hoses used for cleaning purposes are equipped with a pressure relief valve at 30 psi.
-
Additional comments
-
Add media
Welding, Cutting, Brazing 1910.252 (Subpart Q)
-
(a)(1)(ii) - Guards or curtains are in place when there is a possible fire hazard?
-
(a)(2)(ii) - Fire extinguishing equipment is readily available around all hot work?
-
(a)(2)(v) - The hot work area is clean from combustible debris?
-
(b)(2) - The proper eye protection is available and used during hot work?
-
(c)(2)(ii) - Mechanical ventilation is adequate in areas of low ceilings or concentrated welding?
-
Additional comments
-
Add media
Oxygen, Acetylene Cutting Torch
-
(b)(1)(ii) - All gas cylinders are properly marked and hazards are labeled.
-
(b)(2)(ii) - Cylinders are stored in an assigned location away from sources of heat.
-
(b)(2)(iv) - Valve caps are in place when cylinders are not in use.
-
(b)(4)(iii) - Oxygen and Acetylene are stored in separate locations at least 20' apart.
-
(b)(5)(iii)(A) - All gas cylinders are stored upright and secured from falling.
-
Additional comments
-
Add media
Electrical 1910.303 (Subpart S)
-
(b)(7)(i) - All unused boxes, punch outs, or housings are closed and present no opening?
-
(b)(7)(iv) - No damage to operational or mechanical parts that could cause a safety hazard?
-
(d) - Are electrical equipment parts enclosed and separated from all combustible materials?
-
(e) - Boxes are labeled with manufacturers name, voltage and other electrical ratings?
-
(f)(2) - Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?
-
(g)(1) - Sufficient space (3') is available for adjustment, servicing, and maintenance around electrical boxes?
-
Additional comments?
-
Add media
Switches 1910.305
-
(j)(2)(iv) - GFCI's are installed in potentially wet locations.
-
(c)(4) - All switches, receptacles and faceplates are we secured with tight fitting covers.
-
AdditionalComments.
-
Add media
Use of Equipment (wiring) 1910.334
-
(a)(1) - Cords are not used In place of permanent electrical wiring apparatus. (30 day max)
-
(a)(2)(I) - All cords are in good working condition with no defects or splices.
-
(a)(3)(ii) - No modifications have been made to cords smaller than 14 AGW.
-
AdditionalComments.
-
Add media
Control of Hazardous Energy (LOTO) 1910.147
-
(c)(7)(i) - Employees have received training on the knowledge and skills of controlling hazardous energy?
-
(c)(5)(i) - LOTO hardware is provided for isolating machines or equipment?
-
(d)(1-6) - Procedures are developed to include preparation, machine isolation, shutdown, device application, shift changes, group LOTO, and re-energization?
-
(f)(3)(ii)(d) - Each authorized employee has personal LOTO device or lock that can be used for single or group applications?
-
Procedures are in place for energy isolation of all trailers during loading and unloading operations and are being followed?
-
Additional comments
-
Add media
Toxic and Hazardous Substances 1910.1200 (Subpart Z)
-
(e)(1)(g)(1) - An SDS is readily available to all employees and contains all chemicals used within the operations.
-
(f)(1) - All containers are labeled and marked with the identity of the substance, the hazards, and name of the manufacturer.
-
(h)(3)(iii) - The work area contains the listing of all PPE required including Work Instructions when handling hazardous chemicals.
-
-
Add media
Toxic and Hazardous Substance (Chromium CrVI) - 1910.1026
-
(I)(2) - Annual training conduct?
-
(I)(3) - Chromium waste is in a sealed container
-
(k)(2) - Chromium annual medical evaluation conducted?
-
-
Add media
Walking - Working Surfaces 1910.22 (Subpart D)
-
(a)2 - Where wet/oily process are used is drainage maintained, false floors or mats provided where practical?
-
(a)1 - Evacuation plan displayed and understood by all employees?
-
(a)3 - Are all floors, working spaces and passageways kept free from sharp edges, splinters, holes or other hazards?
-
Is signage available to warn of hazards within the working environment or within the walking areas.
-
Additional Comments
-
Add media
Hazardous Waste 40.262
-
TN Rule 0400-12-01-.02 Hazardous waste determination
-
TN Rule 040-12-01-.03, 6 Small quantity generators of 220lbs but less than 2204lbs may store up to 180 days.
-
TN Rule 040-12-01-.03, 3 Large quantity generators of 2204lbs may store up to 90days.
-
TN Rule (6)a1. All generators must develop a hazardous waste reduction plan unless exempt by rule 0400-12-01-.02(1)(e)
-
-
Add media
Storm water permit 40.122.26 - Are there any reasons that would constitute a storm water permit?
-
Non exposure certification based on 40.122.26(g)
-
Spill contingency, countermeasures and controls 40.112 - Are there any reasons that would require an SPCC Plan?
5-S Housekeeping
-
Work areas are clean?
-
Tools and supplies are kept in pre-determined locations when not in use, storage areas are marked and labeled for placement of items?
-
Do employees have designated areas they are responsible for?
-
Are materials stacked and stored in a manner to prevent blind corners or intersections?
-
Ergonomics
-
Is the work station adjustable or at the proper height?
-
Are cushioned floor mats placed in areas where standing is required for a long period of time?
-
Are mechanical aids or equipment provided where feasible to assist with lifting or handling of materials?
-
Are ergonomic assessments completed to analyze potential injurious tasks?
-
The work area is designed to prevent twisting at the waist, reaching above the shoulder, static muscle loading, extension of the arms, or elevation of the elbows?
-
Add media
-
Tennessee Non Smoking
-
THE TENNESSEE NON-SMOKER PROTECTION ACT (section 39-17-1801) prohibits smoking in public places in order to protect employees and the public from secondhand smoke. Governor Phil Bredesen signed the act into law on June 11, 2007. The law makes it illegal to smoke in most places where people work
-
-
Add media
OHSA Small Business Requirements
-
http://www.osha.gov/Publications/smallbusiness/small-business.html#fuel
ADA requirements for businesses
-
http://www.ada.gov/smbusgd.pdf
Recommendations
Additional comments?
-
Were there additional findings?
-
Were there additional findings?
-
Were there additional findings?
-
Add media
Sign Off
-
Auditor's signature
-
On site representative
-
Select date