BLE Facility Safety Audit

• Conducted on

  Date

• Inspector

• Location
  Address

• INSTRUCTIONS
  
  1. Please answer "Yes", "No" or "N/A" on the questions below.
  2. Add Photos in "Images" and Comments in "Notes" of each question.
  3. Add a Corrective Measure in "Action." Provide a description, assign to a member, set priority, and due date
  4. Complete the audit by providing a digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

GENERAL

• OSHA 300 forms posted & complete

  Yes

  No

  N/A

• OSHA poster posted

  Yes

  No

  N/A

• Contacts for nearest Medical Center

  Yes

  No

  N/A

• Contacts for Occupational Clinic

  Yes

  No

  N/A

• Potable Water available at site

  Yes

  No

  N/A

• Toilet facilities available

  Yes

  No

  N/A

• Protection for Bloodborne Pathogens

  Yes

  No

  N/A

• Work Areas Properly Signed

  Yes

  No

  N/A

• First Aid supplies readily available

  Yes

  No

  N/A

• AED pads and battery good

  Yes

  No

  N/A

• Verify Days without Lost time sign

  Yes

  No

  N/A

• Fire Extinguishers are within date

  Yes

  No

  N/A

• Fire Extinguishers clear of obstructions

  Yes

  No

  N/A

• Emergency exits clear of obstructions

  Yes

  No

  N/A

• Emerg. exit signs function upon test

  Yes

  No

  N/A

• "No Smoking" signs near flammables

  Yes

  No

  N/A

• Muster Area(s) properly signed

  Yes

  No

  N/A

• Adequate lighting

  Yes

  No

  N/A

• GHS/SDS readily available

  Yes

  No

  N/A

SHOP

• General Neatness of shop

  Yes

  No

  N/A

• Overhead/Davit Crane inspection <1 yr

  Yes

  No

  N/A

• Flammables properly stored/signed

  Yes

  No

  N/A

• Waste containers provided and used

  Yes

  No

  N/A

• Electrical cords are without damage

  Yes

  No

  N/A

• All guards on hand tools are present

  Yes

  No

  N/A

• Eyewash Stations full and clean

  Yes

  No

  N/A

• Proper handrails/fall protection

  Yes

  No

  N/A

• Rigging inspections <1 yr

  Yes

  No

  N/A

• Used oil containment devices clean

  Yes

  No

  N/A

• No oil/fuel spills in shop or canopies

  Yes

  No

  N/A

• Adequate interior lighting

  Yes

  No

  N/A

• Adequate exterior lighting

  Yes

  No

  N/A

• Emerg. Resp. Spill Kit

  Yes

  No

  N/A

WELDING

• Oxygen and Acetylene bottles secured

  Yes

  No

  N/A

• Oxygen bottles >20ft from fuels

  Yes

  No

  N/A

• Hoses / Regulators in good condition

  Yes

  No

  N/A

• Welding screen(s) in good condition

  Yes

  No

  N/A

• Fire extinguisher nearby

  Yes

  No

  N/A

• Adequate lighting

  Yes

  No

  N/A

YARD

• General Neatness of yard

  Yes

  No

  N/A

• Clear entrance & exit

  Yes

  No

  N/A

• No debris/trash on yard

  Yes

  No

  N/A

• Attachments properly stored

  Yes

  No

  N/A

• No oil/gas spills in yard

  Yes

  No

  N/A

• No oil/gas spills near fuel

  Yes

  No

  N/A

• No oil/gas spills near waste oil

  Yes

  No

  N/A

• Available equipment clearly marked

  Yes

  No

  N/A

• Down equipment clearly marked

  Yes

  No

  N/A

• Sale equipment clearly marked

  Yes

  No

  N/A

• Fuel Containment clean and orderly

  Yes

  No

  N/A

• Adequate exterior lighting

  Yes

  No

  N/A

WASH RACK

• Proper PPE provided to employees

  Yes

  No

  N/A

• Adequate lighting

  Yes

  No

  N/A

• General neatness of wash rack

  Yes

  No

  N/A

• Clean ramp to wash rack

  Yes

  No

  N/A

• No fuel or oil spills present

  Yes

  No

  N/A

• No sheen on Slab, ramp or weirs

  Yes

  No

  N/A

• Is the discharge clean

  Yes

  No

  N/A

• Hoses free of leaks and excessive wear

  Yes

  No

  N/A

• Ladders are safe and free of damage

  Yes

  No

  N/A

• How many spare sets of gloves

• How many spare sets of face shields

• How many spare sets of rain suits

• Spill Kit - Spare floating boom

  Yes

  No

  N/A

• Spill Kit - Spare absorbent pads

  Yes

  No

  N/A

• Pressure washer is current on service

  Yes

  No

  N/A

• Spoil pile is rounded to not hold water

  Yes

  No

  N/A

• How deep is water in ramp to top of mud

• Pile to be tested is quarantined

  Yes

  No

  N/A

• Qty: Solid removed from Ramp

• Qty: Solid removed from Weir 1

• Qty: Solid removed from Weir 2

• Qty: Solid removed from Weir 3

• Qty: Sludge removed from OWS 1st valve

• Qty: Sludge removed from OWS 2nd valve

• Qty: Sludge removed from OWS 3rd valve

• OWS Filter Media free of debris/sludge

CONNEX CONTAINERS

• Area is clean and orderly

  Yes

  No

  N/A

• Unit has operable lock mechanisms

  Yes

  No

  N/A

• No parts are leaning on walls

  Yes

  No

  N/A

• All items stored above ground secured

  Yes

  No

  N/A

PARTS

• General neatness of parts area

  Yes

  No

  N/A

• Parts on shelves properly secured

  Yes

  No

  N/A

• Area has operable lock mechanisms

  Yes

  No

  N/A

TOOL ROOMS

• Area is clean and orderly

  Yes

  No

  N/A

• Unit has operable lock mechanisms

  Yes

  No

  N/A

• No parts are leaning on walls

  Yes

  No

  N/A

• All items stored above ground secured

  Yes

  No

  N/A

Completion

• Comments / Suggestions

• Inspected by: (Name and Signature)

  Sign