• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 PPE

  • Eyes: protected from flying debris, chemicals and radiant light. Safety glasses worn in mandatory areas?

  • Hearing: protection used in mandatory areas and during short exposures to high decibel noise?

  • Body, Arms, and Hands: protected from resins, adhesives, sealants, chemicals and composite dust

  • Hands: protected when handling sharp objects/tools, severely hot or cold items

  • Head: protected from impact from above and at same height objects?

  • Respiratory: protected for vapors, dust, misc. debris. Clean shaven, mask stored in sealed container

2.0 Ergonomics

  • Lifting/Lowering: weights not above 50# at/above shoulder height. Lift is not awkward or repetitive?

  • Pushing: versus pulling?

  • Reach: not overextended for long periods of time or during lifting?

  • Grip/force: not excessive when combined with high frequency?

  • Repetition: is not excessive not excessive when combined with high force and frequency?

  • Vibration: long exposures reduced by PPE, tape or tool design?

  • Body Posture: wrist, neck back in neutral position, elbows 90, close to body?

3.0 Tools and Equipment

  • Razor Blades: stored when not used, cut resistant gloves worn

  • Fixtures/Carts/Racks: breaks, wheels and gen. frame operational. Pinch point iD'd

  • Tools/hoist: safety triggers operational, periodic checks done, no signs or wear or failure

  • 6S: clean as you go is evident<br>

4.0 Employee Suggestions and Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.