Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
HR Related Items
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1. Are adequate chairs and tables provided in break room?
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2. Is break room neat and clean?
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3. Have areas been provided to store lunches?
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4. Is there a working wash basin (With hot and cold water) in break room?
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5. Is there a soap dispenser in the break room?
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6. Are required employment and safety postings in the break room?
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7. Are temperature controls working throughout the building?
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8. Are coke machines, microwaves, etc. provided and working properly?
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9. Is the Blood Borne Pathogen kit available and located in the proper area?
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10. Is the First Aid kit available and located in the proper area?
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11. Is an evacuation plan posted complete with primary and secondary exits and meeting points?
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12. Are take cover shelters labeled? Training Provided?
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13. Are badge readers working?
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14. Are handicap parking spaces provided and # adequate?
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15. Does parking lot drain appropriately during rain?
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16. Is parking lot striped?
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17. Adequate Personal Protective Equipment onsite and provided to everyone?
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18. Have adequate smoking areas been provided with ash trays and water or fire extinguisher near by?
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19. Are emergency contacts posted?
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20. Are parking lot and sidewalks painted to denote elevation and surface changes?
Fire
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21. Does the fire sprinkler system meet MSIG requirements?
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22. Has the fire sprinkler system been certified by an outside contractor and building inspector?
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23. Has the fire pump been certified by and outside contractor and building inspector?
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24. Are fire extinguishers installed in all locations and denoted by a sign or red paint at the top of pole?
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25. Have fire extinguisher's been serviced within 1 year and visually checked within one month?
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26. Are smoke detector units included in the ductwork?
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27. Have emergency lights been tested and are they working properly?
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28. Are emergency lights included in the restrooms?
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29. Are single motion push bars installed on all exit doors?
OSHA
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31. Is the OSHA 300 log onsite with 3 years past + current injury data?
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32. Are Federal and State OSHA postings in place?
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33. Do you have a written Emergency Evacuation Plan in addition to the emergency evacuation map?
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34. Are SDS (Safety Data Sheets) available for chemicals?
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35. Do you have training records for portable fire extinguishers?
General
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36. Has the local building inspector issued an occupancy certificate?
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37. Are there adequate #s of emergency eyewash stations for battery charge?
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38. Have the eyewash stations received a monthly check?
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39. Is PPE readily available near the battery charge area? Gloves, apron, face shield?
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40. Is a spill cleanup kit available near the battery charge area?
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41. Have back flow preventers been checked and certified?
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42. If propane trucks are used, is proper ventilation provided?
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43. Are propane truck tanks located outside with proper, "No Smoking" signage?
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44. Are we using an energy efficient lighting system? (Not metal halide)
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45. Are dock locks installed and working properly?
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46. Are dock levelers installed and working properly?
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47. Are dock lights installed and working properly?
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48. Are sprinkler system valves locked and is a key control system in place?
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49. Fire Pump Test completed and capacity approved?
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50. Is there an emergency shut off procedure for the sprinkler system? Is it posted and have individuals been trained?
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51. Is the sprinkler system monitored electronically?
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52. Are there 2 means available for signaling evacuation?
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53. Has evacuation signaling means been checked for proper operation?
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54. Have inside poles been painted yellow to 15' (Fire ext. poles w/red band)
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55. Has weight limit been posted on the mezzanine?
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56. Are storage racks bolted to the floor?
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57. Are storage rack beam locks in place?
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58. Are power poles utilized in office areas to minimize trip hazards? Adequate #?
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59. Are electrical panel circuits labeled in electrical boxes?
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60. Is 3' maintained beettween electrical panels, transformers, etc. and combustible material.
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61. Are security cameras in place and functioning?
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62. Are restrooms functioning with hot and cold water? Adequate # and size?
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63. Are Exit signs posted above doors?
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64.Is safety signage provided throughout the building as needed?
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65. Is motion detecting lighting used when possible? (Break rooms, conference rooms, etc.
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66. Is outside lighting adequate?
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67. Are protective barriers (bollards) provided near office areas to ensure forklifts don't damage walls?
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68. Are protective barriers (bollards) provided near electrical installations to ensure forklifts don't damage?
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69. Is dock door marking provided to ensure forklifts do not hit door?
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70. Are adequate #'s of chocks and glad hand devices available?
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71. Is there a dock safety policy and have associates been trained on dock safety procedures?
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72. In general are electrical installation, electrical outlets, cords, etc. complete and working correctly?
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73. Is security alarm operational?
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74. Are floor surfaces reviewed for slip during wet seasons? Proper no slip c/ms such as mats in place?
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75. Smoking areas identified, posted and fire proof receptacles provided?
Environmental
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76. Are all dumpsters closed top?
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77. No machines, equipment or pallets stored outside?
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78. Adequate bins for trash and recyclables?
Forklift/Pedestrian Separation
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79. Does facility meet SWS forklift safety requirements?
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80. Does facility meet SWS forklift/pedestrian separation requirements?
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81. Does facility meet SWS standard for prevention of accidents while walking?
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82. Have measure been taken on mezzanine to ensure no open sided floor?
OTHER
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83. Are "STOP" signs posted when leaving parking lot?
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84. Are weight limits posted on racks?
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85. Has sufficient space been allocated for staging and storage of material/equipment within the area?
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86. Has the space in and around the equipment been properly marked and labeled?
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87. Are environmental conditions within safe limits (respiratory, noise, heat)?
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88. Are all mechanical devices properly guarded?
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89. Is proper forklift key control being practiced?
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90. Proper signage prohibiting guns, alcohol, drugs, etc.
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91. Pallet jacks equipped with weight limit, corner guards, handle padding, etc.
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92. Does facility meet CTPAT requirements?
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93. Adequate # of toilets, urinals and wash basins?