Belfor Safety job site audit

• Audit Title

• Document No.

• Conducted on

  Date

• Prepared by

1.0 - House Keeping and General

• 1.1 - Are areas free of tripping hazards?

  Safe

  At Risk

  N/A

• 1.2 - Are aisles free from obstructions such as skids, equipment, shelves?

  Safe

  At Risk

  N/A

• 1.3 - Are floors clean and free from slippery substances such as water, oil, etc?

  Safe

  At Risk

  N/A

• 1.4 - Are scrap metal, glass, knife blades deposited in the proper containers?

  Safe

  At Risk

  N/A

• 1.5 - Are overhead hazards secured properly?

  Safe

  At Risk

  N/A

• 1.6 - Are exits clearly marked?

  Safe

  At Risk

  N/A

• 1.7 - Do employees promptly secure first aid for all injuries?

  Safe

  At Risk

  N/A

• 1.8 - Are heavy items stored on lower shelves?

  Safe

  At Risk

  N/A

• 1.9 - Have items been properly secured to prevent tipping/falling?

  Safe

  At Risk

  N/A

• 1.10 - Are materials stored or stacked in a safe manner?

  Safe

  At Risk

  N/A

• 1.11 - Are chairs, benches, shelves in safe condition?

  Safe

  At Risk

  N/A

• 1.12 - Is the OSHA poster displayed? Does everyone on the job site know it's location?

  Safe

  At Risk

  N/A

• 1.13 - Is the SDS(safety data sheet) book complete will all chemicals on job site secured? Also does everyone know it's location?

  Safe

  At Risk

  N/A

2.0 - Electrical

• 2.1 - Inspect all electrical cords for frayed wire and loose ends?

  Safe

  At Risk

  N/A

• 2.2 - Check that electric fans have protective covering?<br>

  Safe

  At Risk

  N/A

• 2.3 - Check that outlets are not damaged and do not show signs of burning?

  Safe

  At Risk

  N/A

3.0 - Fire Prevention and ERT

• 3.1 - Are fire extinguishers available, not blocked and in good condition?

  Yes

  No

  N/A

• 3.2 - Have all Fire Extinguishers on the job site been initialed and dated for monthly inspection?

  Yes

  No

  N/A

• 3.3 - Are packing material, cardboard and paper properly and promptly disposed of?

  Safe

  At Risk

  N/A

4.0 - Ask 3 people these questions

• Person 1

• 4.1 - Do you know how to contact immediate supervisor/Project manager in case of emergency?

  Yes

  No

  N/A

• 4.2 - Do you know who is trained in First aid/CPR on the job site?

  Yes

  No

  N/A

• Person 1 signature

  Sign

• Person 2

• 4.1 - Do you know how to contact immediate supervisor/Project manager in case of emergency?

  Yes

  No

  N/A

• 4.2 - Do you know who is trained in First aid/CPR on the job site?

  Yes

  No

  N/A

• Person 2 signature

  Sign

• Person 3

• 4.1 - Do you know how to contact immediate supervisor/Project manager in case of emergency?

  Yes

  No

  N/A

• 4.2 - Do you know who is trained in First aid/CPR on the job site?

  Yes

  No

  N/A

• Person 3 signature

  Sign

5.0 - Material Handling

• 5.1 - Are all containers, skids, pallets, materials, and equipment arranged neatly and orderly in assigned areas?

  Safe

  At Risk

  N/A

• 5.2 - Are certified personnel operating fork lifts? Verify that operators posses valid operators license?

  Yes

  No

  N/A

• 5.3 - Are safety type knives being used?

  Safe

  At Risk

  N/A

• 5.4 - Are pallets properly banded or secured for shipment?

  Safe

  At Risk

  N/A

• 5.5 - Is the forklift and pallet jacks in good condition?

  Safe

  At Risk

  N/A

• 5.6 - Is material stored so it does not block sprinkler heads, alarm systems, electrical panels, or access to fire extinguishers? (A minimum clearance of 3 feet )

  Safe

  At Risk

  N/A

• 5.7 - Is there adequate clearance from overhead light fixtures when placing material overhead?

  Safe

  At Risk

  N/A

• 5.8 - Do operators perform safety inspections on the fork lift? (Prior to the begining of each work shift)

  Safe

  At Risk

  N/A

• 5.9 - Are associates using proper lifting techniques?

  Safe

  At Risk

  N/A

• 5.10 - Are pallet jacks stored in a manner that would minimize the possibility of tripping?

  Safe

  At Risk

  N/A

Sign Off

• Auditor's signature

  Sign