Title Page
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Site conducted
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Add site here if not listed in drop down
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Start Date
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Skip the question below until completion
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Completion Date
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Safety Manager Preparing Audit
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Location Name
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Location Safety Leader
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Location General Manager
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Area Manager
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Area Manager
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Senior Vice President
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Senior VP
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receiving a physical inspection
BFS Written Safety Programs - Paperwork Inspection
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Are you checking Paperwork Items?
Team Members Folders
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All action items shall be completed. Review 10% of EE folders and document findings and/or deficient items below. (Examples include: Equipment/Job specific Acknowledgements of Training (AOT), Job Safety Analysis (AOT), Group Training Acknowledgement, Etc.) Review PPE Hazard Assessment(s), Emergency Management Plan, and Hazard Communication Program.
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New Hire Orientation (Completed prior to performing any task) - Review a min. 10% of Team Members for accuracy of new hire onboarding.
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How many team member folders or files did you review on foundations or at the location?
- One
- Two
- Three
- Four
- Five
- Six
- Seven
- Eight
- Nine
- Ten
- None
New Hire Orientation
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Team Member Name
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Select whether team member completed group, online safety orientation, or none was completed.
- Group / Instructor Lead Safety Orientation
- Online Safety Orientation
- None/Not Uploaded in Foundations
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Select all documents that were reviewed and were found to be in compliance. All other documents that are not in compliance leave blank. (For those non compliant documents add an action plan for each that apply)
- Employee Training Agreement
- Safety Orientation Training Record
- PPE Certification of Training
- Mentor Agreement
- Written Exam (Passed 80% or better)
- Job-Specific Safety Training
- Job Safety Analysis AOTs
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Date of completion
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How long has the team member been employed?
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Select all documents that were reviewed in Foundations. Take pictures/screen shots, add notes and actions to correct for all deficiencies.
- Employee Training Agreement
- PPE Certification of Training
- Mentor Agreement
- Job-Specific Safety Training Checklist
- Job Safety Analysis AOTs
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Explain why the training not selected was not reviewed.
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How long has the team member been employed?
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Has the location completed the last three (3) months of Monthly Safety Training (If applicable, check paper files on at least 3 team members)
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Safety committee meeting minutes and daily quick start meetings are uploaded in Foundations for the last 3 months.
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Has the location completed the required safety observations and facility inspection for the last 3 months in eSafety.
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The facility Site-Specific Improvement Plan (SSIP) is in place and is actively being used (Where applicable)
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Produce last five years' OSHA logs.
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Did all supervisors at the location complete the Reasonable Suspicion for Drugs training in Foundations?
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Did all supervisors at the location complete the Reasonable Suspicion for Alcohol training in Foundations? I
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PPE Hazard Assessments Certification complete for each job/task/work area. (signed, dated, and maintained)
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Has the location completed the safety self-audit (locations shall complete one Jan - Jun, then again between July - Dec)
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Did the location complete and update the Written Emergency Management Plan (site-specific and emergency alarms distinguished between each event)
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Has the location conducted and documented an annual Emergency Evacuation Drill
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Check for a minimum of 2 First Aid/CPR certified team members per department and shift. Some states may require drivers to be First Aid/CPR certified. (Where applicable, AED training)
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Are First Aid kits properly stocked and expired items removed? Does the kit have ingestible products stored in the cabinet?
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Are the designated First Aid Responders trained in Bloodborne Pathogens Annual training?
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Written Hazard Communication Program (Review program administrator assigned)
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Current 3E information poster for Safety Data Sheets (SDS) posted throughout the location with emergency phone number
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Produce the facilities List of Hazardous Chemicals. (Review Annually)
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Job Safety Analysis (JSA)/Job Hazard Analysis (JHA) are current
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Owner's Manuals are available for each piece of equipment
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Were all training documents reviewed and uploaded into foundations prior to the audit?
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What Paperwork items were not uploaded into foundations?
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When will training documents be uploaded to Foundations?
Additional Misc Safety Findings
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Any safety findings that were not in any part of this safety audit
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Was the finding compliant or not compliant
General Safety Inspection
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Is this facility receiving a physical inspection? (Housekeeping, PPE, Fall Protection, Electrical, etc.)
General
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Facility clear of trash/debris
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Are ladders in good working condition
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Office/store is clean
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Are restrooms clean and properly lighted, with proper sanitation items (soap, hand sanitiser, warm water, toilet paper, and hand towels/air dryer)
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Are breakrooms, eating surfaces, microwaves, watercoolers, and refrigerators clean. Are there adequate lighted and proper sanitation items (soap, hand sanitiser, warm water, paper towels)
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Are walking and working surfaces in good condition; with no holes or torn surfaces (floors, carpets, pavements, etc.)
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No trip hazards
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Customer areas orderly
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Is the loading and unloading zone policy for flatbed trucks and trailers being followed (hard hats, designated work zone, minimum 10ft distance, etc.)
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Wheel chocks are available at dock areas and wheel chock notification sign is posted for drivers.
Personal Protective Equipment (PPE)
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Signage identifying designated areas for PPE is posted and visible upon entry to work area
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Associates hired within last 90 days are wearing orange safety vest, or similar orange safety clothing, whenever working in the yard, warehouse, production area or on deliveries and installs -Including temporary workers
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Associates greater than 90 days are wearing a high-vis yellow safety vest, or similar yellow safety clothing, whenever working in the yard, warehouse, production area or on deliveries and installs
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Team members are properly wearing PPE as specified? (See Hazard Assessment for PPE and BFS Minimum)
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RX safety glasses used, must be Z87.1 approved and worn with side shields or approved safety glasses worn over RX glasses.
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Tight-fitting goggles or safety glasses with face shield worn when team members are using compressed air for cleaning
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Eye protection and face shield provided at grinders and drill press
Fall Protection Paperwork Items
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Is fall protection training completed
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Is the fall protection system adequate for the task
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All fall protection equipment is being correctly used in serviceable conditions with no torn or frayed material, properly maintained and visually inspected prior to use
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Man-basket (if applicable) clearly indicates load capacity, gates should open inward and require safety latches
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Anchor systems (if applicable) are present and adequate
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Floor openings and holes greater than 2" in diameter are covered
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Guard rails and toe boards are provided around every elevated work surface 4' or more and in good repair
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Each flight of stairs that have at least 3 threads and 4 risers are equipped with stair rails and handrails. (If stairs of 42 inches or wider must have two handrails)
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Steps, landings & access areas are kept clear & not used for storage
Electrical
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All power cords are free from damage and have ground pins intact (if required) no electrical tape used. No exposed wiring, Strain relief provided on electrical connections
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Electrical panels are maintained, no exposed breaker knockouts, the area is clean, nothing is stored within 36 inches and properly marked with OSHA/NEC and other required labels.
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Individual breakers/disconnects are properly identified for each breaker.
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Breaker panel doors are kept closed
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Is guarding provided where panels are exposed to physical damage?
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Heaters, refrigerators, microwaves, vending machines, coffee makers, etc. are plugged directly into wall sockets, per UL listings. (no powerstrip)
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All live wires that are within 7ft above a working surface are protected and are in good condition
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GFCI receptacles used within 6' of water (kitchens, restrooms, outside, water coolers, etc.).
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Extention cords are to be unplugged after each shift
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Electrical boxes are free from missing knockouts, and receptacles and switches have cover plates
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Metal power strips are only to be used for computers or other IT equipment in a non office setting
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Are multiple extension cords and power strips used together (no daisy chain)
Lighting
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Is there adequate lighting throughout the facility
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Are there any unprotected light bulbs
Housekeeping
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Are trash cans and dumpsters not flowing with debris
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On a scale of 1-10, where does the location think their housekeeping is at (10 is the highest/best score)
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What areas that needs improvement
Racking and Mezzanine
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Are racking uprights and stationary machinery secured to concrete floors or walls where applicable?
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The maximum allowable load is posted for racking systems.
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Does the location have a mezzanines, decks or lofts that team members or 3rd party contractors may access
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Does the guardrail have a toe board, mid-rail at approximately 21" and top board at approximately 39" minimum height
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Can any of the rails be removed
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If rails can be removed, does the location have Personal Fall Arrest System (PFAS) anchor point, harness, SLR etc., do they have a corral system or other approved needs to protect them from a fall
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The maximum allowable load is posted for the mezzanine(s).
Fuel Storage
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Does the location have above or below-ground gas/diesel tank
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Fuel storage tanks are marked with the appropriate labels and signage (content identification, flammable warning, & no smoking signs)
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Fuel storage tanks are protected from vehicular damage by guard rails, posts, or similar means of protection
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Emergency shut-off was installed for each tank, and a sign posted indicating the location of switch. Shut-off switch should be more than 20ft. but less than 100ft.
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Fuel storage tanks are double walled or have a secondary containment that is free of trash and debris, cap(s) secured/closed, and capable of holding 110% of contents.
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A fire extinguisher is located within 25 to 50 feet of the storage cage/dispensing areas
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10ft. area is kept clear of any combustible materials (including vegetation) around fuel storage tanks
Propane Cylinders
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Does the location have propane cylinders?
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Propane cylinders can not be stored near exits, stairways, or other entryways
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Are propane cylinders stored in a cage that is in good condition and the door is able to shut and secured properly
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Are propane cylinder cages properly marked with the appropriate labels and signage (Content Identification, Flammable Warning, & No Smoking signs)
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Are propane cylinder storage cages and building propane tanks protected from vehicular damage by guard rails, posts, or similar means of protection
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Is required PPE for changing or exchanging LP tanks readily available and being used (gloves and faceshield)
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A fire extinguisher is located within 25 to 50 feet of the storage cage/dispensing areas
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10ft. area is kept clear of any combustible materials (including vegetation) around propane cage
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Are LP tank cages at least 20 feet from exit and entryways
Fire Extinguisher & Emergency Evacuation
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Fire Extinguishers are checked Monthly in the facility. (must have locator sign, fully charged, pin and seal, mounted between 3 1/2 - 5 ft. from ground to gauge and has unobstructed access.
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Fire Extinguishers are checked Annual in the facility inspection area?
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Are fire extinguishers placed within 75 feet or less of maximum travel distance
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Emergency exits are accessible, unobstructed and unlocked.
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All exits marked with signs that are illuminated and readily visible
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Doors that could be mistaken for exits, labeled "not an exit"
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Door hardware maintained in proper working condition - Exit doors kept unlocked or have emergency crash/panic bar
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Paths to, through, and away from all exits are kept clear at all times; exit paths are at least 28" wide
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Are emergency lighting system functioning properly
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Has the location posted an Emergency Evacuation Map throughout the building
Sprinkler System
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Does location have a sprinkler system
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3-foot clearance is maintained around sprinkler risers or hoses
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Sprinkler valves open & accessible
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Sprinkler heads clearance of minimum 18"
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Has the alarm system been inspect by a 3rd party annually
Additional Misc General Safety Findings
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Any safety findings that were not in this part of the safety audit
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Was the finding compliant or not compliant
Production
General Production Inspection
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Compressed air used for cleaning should be regulated to below 30 psi with diffuser nozzles to provide lesser pressure.
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Is compressed air being utilized in short bursts of air when cleaning
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Is compressed air used in a sweeping motion to clean large areas where a broom, vacuum or other means is preferred.
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Is compressed air being used to clean team members off
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Is there an alternative system to allow team members to clean self off
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What is the alternative system
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Is there an excess of sawdust build-up (floors, walls, work tables, and rafters)
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Does the location have a regular cleaning schedule and process (daily, weekly, monthly, quarterly, annually)
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Has the location received a facility sound level survey in the past 3 years
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Date of the last survey
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Based on the sound level survey results, does the location need to be in a hearing conservation program
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Has the facility conducted the annual hearing test on required team members
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Does the location offer the three different types of hearing protection (earplugs and earmuffs)
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Has the location conducted annual hearing conservation training
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If the location has a safety cabinet for flammables, are they stored correctly, and are there no combustibles inside or on top of the cabinet
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Does the location do hot work
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Does the location use a hot work permit
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Is Hot Work Permit process requirements properly followed (including subcontractor activity on-site)
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Is hot work training completed on all authorized team members
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Compressed gas cylinders segregated (Oxygen from fuel gas by 20 feet/1-hour rated fire wall 5' high)
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All Caps in place and cylinders secured with chain or similar to prevent displacement
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Are Compressed air hose hoses free from wear/damage and compression fitting is rated for high-pressure line with proper crimps installed?
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Cylinders and carts stored away from means of access/egress routes
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All propane cylinders are stored securely in a rack or cage
Additional Misc Safety Findings
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Any safety findings that were not in any part of this safety audit
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Was the finding compliant or not compliant
Are you inspecting Lumber Yard and/or Millwork Operations?
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Is Lumber Yard being inspected?
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Are material stacked neatly and organized
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Is the yard clean
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Is the location conducting the daily pre-operational check (e-stop and safety devices)
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Exposed portion of saw blades guarded
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All machine guards are in place for any point of operation, nip points, rotating parts, horizontal or vertical power transfer apparatus, flying chips, and sparks.
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Are tools/machinery secured from tipping or falling over
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Are Actuation/activation devices guarded on machines (pedals, buttons, bars)?
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Rotating shafts do not extend further than 1/2 the width of the diameter of the shaft (unless guarded)?
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Team members are using push sticks or other hand tools so that their hands are away from the point of operation when they work on small pieces of stock.
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All material staged on door carts is secured to prevent fall and tipping hazards
Additional Misc Safety Findings
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Any safety findings that were not in any part of this safety audit
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Was the finding compliant or not compliant
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Is Millwork being inspected?
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Are material stacked neatly and organized
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Is the millwork facility clean?
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Is the location conducting the daily pre-operational check (e-stop and safety devices)
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Exposed portion of saw blades guarded
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All machine guards are in place for any point of operation, nip points, rotating parts, horizontal or vertical power transfer apparatus, flying chips, and sparks.
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Are tools/machinery secured from tipping or falling over
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Nail/Staple gun operators freehand is not in the line of fire or is kept 8 inches away from the point of operation
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Are nail/staple guns in sequential fire and not in bump fire
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Are Actuation/activation devices guarded on machines (pedals, buttons, bars)?
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Rotating shafts do not extend further than 1/2 the width of the diameter of the shaft (unless guarded)?
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Team members are using push sticks or other hand tools so that their hands are away from the point of operation when they work on small pieces of stock.
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All material staged on door carts is secured to prevent fall and tipping hazards
Additional Misc Safety Findings
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Any safety findings that were not in any part of this safety audit
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Was the finding compliant or not compliant
Are you Inspecting Truss Operations?
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Is Truss Operations being inspected?
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Is the location's maintenance department utilizing the Fixx program to track deficiencies and when they have been corrected
- Fully Compliant
- Needs Improvement
- Non Compliant
- N/A
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Is the location conducting the daily pre-operational check (e-stop and safety devices)
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Hands maintained at a safe distance while engaging air locks on truss tables and floor tables
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Nail/Staple gun operators freehand is not in the line of fire and is kept 8 inches away from point of operation
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Are nail/staple guns in sequential fire and not in bump fire
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Are overhead interior cranes being serviced and inspected by 3rd party anually
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Are tools/machinery secured from tipping or falling over
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Access through the exit roller line is blocked from the finish press exit for at least 15 feet
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No team members(other than operator) within 3 feet of moving Gantry Press
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Are the controls labeled and legible (left, right, up, down, on, off, etc)
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Safety labels affixed to all control stations, to include the remote controller
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Pendant controls with strain relief
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E-stop bars/light curtain properly functioning on all rail riders/gantry/finish press
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Buzzers/lights properly functioning on all finish press inside and outside
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Exposed portion of saw blades guarded
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Does cyber saw outer blades stop in 15 seconds or less
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Are conveyor belts in good condition?
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All machine guards are in place for any point of operation, nip points, rotating parts, horizontal or vertical power transfer apparatus, flying chips, and sparks.
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Are Actuation/activation devices guarded on machines (pedals, buttons, bars)?
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Rotating shafts do not extend further than 1/2 the width of the diameter of the shaft (unless guarded)?
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Team members are using push sticks or other hand tools so that their hands are away from the point of operation when they work on small pieces of stock.
Additional Misc Safety Findings
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Any safety findings that were not in any part of this safety audit
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Was the finding compliant or not compliant
Are you inspecting Panel Operations?
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Is Panel Operations being inspected
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Is the location's maintenance department utilizing the Fixx program to track deficiencies and when they have been corrected
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Is the location conducting the daily pre-operational check (e-stop and safety devices)
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Are overhead Interior Cranes maintained regularly and annually inspected by 3rd party
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Do the framing tables have clear curtains to stop misfires, and/or are the assemblers starting at the opposite end of the wall panel (diagonal position)
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Nail/Staple gun operators' freehand is not in the line of fire or is kept 8 inches away from the point of operation. The use of a stud holder (twister tool) is preferred and in some markets it is mandatory.
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Are nail/staple guns in sequential fire and not in bump fire
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Are tools/machinery secured from tipping or falling over
- Fully Compliant
- Needs Improvement
- Non Compliant
- N/A
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Hands maintained at a safe distance while engaging air locks on tables
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Exposed portion of saw blades guarded
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All machine guards are in place for any point of operation, nip points, rotating parts, horizontal or vertical power transfer apparatus, flying chips, and sparks.
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Are Actuation/activation devices guarded on machines (pedals, buttons, bars)?
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Rotating shafts do not extend further than 1/2 the width of the diameter of the shaft (unless guarded)?
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Are conveyor belts in good condition?
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Team members are using push sticks or other hand tools so that their hands are away from the point of operation when they work on small pieces of stock.
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Are the controls labeled and legible (left, right, up, down, on, off, etc)
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Safety labels affixed to the pendant station, to include remote controller
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Pendant controls with strain relief
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Capacity clearly visible on the crane
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Safety latches where required
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Rigging/straps tagged indicating size and capacity and good condition lable
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Travel alarms and lights functioning
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Overhead cranes are equipped with grab bars
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E-stop bars / lights properly functioning on all rail riders/gantry/finish press
Additional Misc Safety Findings
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Any safety findings that were not in any part of this safety audit
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Was the finding compliant or not compliant
Lock Out Tag Out
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Does location have a Lock Out Tag Out Program?
LOTO Paperwork
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Does location have a master LOTO binder that has list of equipment, authorized team member certification, and procedures? (this is optional to locations)
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Does the location have an updated authorized users list?
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LOTO equipment list is up-to-date
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Does each LOTO equipment have a downtime log, daily checklist, JSA, and Hazardous Energy Control Procedure (HECP) readily available
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Periodic Inspection Certification has been completed within rolling (12 months) or when HECP has been modified (whichever is most recent)
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Are you inspecting team members' training for affected, and authorized?
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Inspect a minimum of 3 team members training for authorized
LOTO Training Verification
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Name of Employee
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Which training was completed?
- Affected or Authorized
- No training has been completed
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Was the authorized training completed within the last year?
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Date of authorized training
Authorized Team Member Physical LOTO
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Authorized team members can demonstrate how to lock out energy sources on selected equipment
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All equipment or machinery in the process of being repaired or maintained is locked/tagged out properly?
- Yes
- No
- N/A
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LOTO supplies are readily available and authorized team members have been assigned a specific lock
- Fully Compliant
- Needs Improvement
- Non Compliant
- N/A
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Written LOTO procedures are maintained and readily available for authorized team members.
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Emergency stop device checks have been completed and documented on Daily E-Stop Checklist / Daily Machine Inspection
Additional Misc Production Safety Findings
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Any safety findings that were not in this part of the safety audit
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Was the finding compliant or not compliant
Power Industrial Truck (Forklift)
Power Industrial Truck (PIT) Forklift
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Does the location have Power Industrial Truck authorized list current (optional)
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Is authorized list up to date?
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Are you reviewing Power Industrial Truck authorized operators?
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Choose 3 to 5 employees and list name of forklift operator for each section
Employees
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Name of forklift operator
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Has the forklift operator passed a written test (80% or better) and completed an evaluation (pre-requisite for other types of PIT)
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Name the deficient items
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Last Completion Date
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Is the operator trained on other PIT
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Name of other PIT trained on
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Last Completion Date
Is the operator trained on other PIT
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Name of other PIT trained on
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Last Completion Date
Physical Inspection
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Daily pre-shift inspections are compliant before each shift (Check minimum 30 days)
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During the pre-shift inspection, did the operator note any deficiencies on the daily pre-shift inspection sheet
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What is the lift number?
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What are the deficiencies?
Power Industrial Trucks Physical Inspection Items (Auditor)
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PIT Number (Put operator name in notes)
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Does the PIT have an orange seatbelt
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Was the operator observed not wearing a seatbelt while the PIT was in motion?
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Forklift overhead is properly secured clear see-through plastic in order not to obscure the view of upright/load when fully raised?
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Forklift Lever Controls are legibly marked and not missing?
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Forklift pedals have rubber padding on them?
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Are forks free from damage and safe to operate? (should not have cracks, differing heights, shortened length, bent, or positioning lock not in working order)
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Is the Operator following manufacturers' specifications such as load capacity and safety features
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Power Industrial Trucks data plate and operating controls are legibly marked
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Are all warning devices in good condition? (horns, backup alarms, strobe lights, blue and red lights)
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Are there any damages to the mast of the lift?
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Are the seats in good condition?
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Are Battery charging areas equipped with eyewash stations within 10 seconds walking distance. (a 15 minute eyewash station is, required and is a battery spill kit readilly available)
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Are Propane tanks properly secured onto powered industrial truck per manufacturer specifications (if applicable)?
Additional Misc Power Industrial Truck Findings
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Any safety findings that were not in this part of the safety audit
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Was the finding compliant or not compliant
Fleet
- Driver Points Assessment
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Does the location have any points assigned to a driver in the last 12 months
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Who is the driver, and what are their total points for the last 12 months
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Has the location completed a DOT self-audit this year or the previous calendar year
Commercial Vehicles
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Are you inspecting any commercial vehicles?
Fleet
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Truck Information
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GeoTab Truck Number
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Trucks back up to a building loading dock have their wheels chocked to protect truck from moving forward?
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Is the Interior and exterior of the truck clean?
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Current driver's license and medical card (If driver present)
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Does the truck have vehicle registration, proof of insurance, annual vehicle inspection report, and accident report?
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Truck inspections (DVIR) completed and noted deficiencies are properly addressed
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Trucks with Out Of Service issues are not placed in service until deficiencies corrected? (review past 30 days with documentation of repair)
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Is the bed of the truck or trailer in good condition
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Emergency Triangles (3) , First-aid kit, spill kit, fire extinguisher secured
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Does this truck have a trailer?
Trailer Information
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GeoTab Trailer Number
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Trailer inspections (DVIR) completed and noted deficiencies are properly addressed
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Trailers with Out Of Service issues are not placed in service until deficiencies corrected? (review past 30 days with documentation of repair)
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Is the bed of the truck or trailer in good condition
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Are you inspecting TMF?
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TMF overhead is properly secured clear see-through plastic in order not to obscure the view of upright/load when fully raised?
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Did the operator note any deficiencies found on the pre-shift inspection?
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What is the lift number?
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What are the deficiencies?
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TMF data plate and operating controls are legibly marked
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TMF- Forks are free from damage and safe to operate? (should not have cracks, differing heights, shortened length, bent, or positioning lock not in working order)
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Does the TMF have an orange seatbelt
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Was the operator observed wearing a seatbelt while the TMF was in motion?
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Was the operator observed having the safety bar in the down position while the TMF was in motion?
General Truck Questions
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Are all straps in good condition
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Are all tires in compliance (steer tire tread depth 4/32" minimum, all other tires 2/32" minimum with no cuts and uneven treads, etc)
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Are all lights functioning properly