Information
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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
1. Equipment
Equipment in Yard
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Equipment tagged with Rent Ready Tags
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Status of Rent Ready Tags is appropriate for equipment condition
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Manufacturer's safety decals are legible
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Seat belts work properly on all equipment
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Equipment has Owners manual in unit if available
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An ANSI manual (where available) is present on aerial equipment
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An annual inspection sticker or certificate is present and current on all aerial equipment
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Safety mechanisms work correctly
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Towable items have safety chains
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Visual inspection of scaffolding indicates it is satisfactorily maintained
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Lifting equipment has capacity clearly marked
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Shop forklift maintenance records are current and complete
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Yard has flow; like equipment staged together, green tagged together
Small Equipment Area
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Lights are working and provide proper illumination
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Floor is clean and uncluttered
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Small equipment is stored in a uniform manner
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Small equipment awaiting repair is maintained in a uniformed manner
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Gasoline stored in the proper containers and labeled
Fuel Area
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Fuel logs for gas and diesel are used
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Gas & Diesel records balanced by dipping tanks or computerized method
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Fuel area clean, sign with "No Smoking" and "No Ignition" affixed on sides or ends of tank
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Fuel safety shut off working properly
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Spill kit is located near fuel area
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Fuel tank capacity marked on tank
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Does location have under ground fuel tanks
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No exposed electrical wires and proper conduit used for electrical service to fuel pumps
2. Service
Service Procedures
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All equipment washed & cleaned before rent ready
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Down equipment tagged with properly completed equipment tag
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Hour / Mile meter has next servicing indicated with hours greater than meter
3. Safety
Building Security
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Adequate lighting and all lights are operable
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Doors, locks, and windows are operable and in good condition
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Alarm system is in good working order
General Safety
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Do all Employees have an Employee Safety Binder
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Does the Employee Safety Binder include a signed Safety Orientation Manual
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Does the Employee Safety Binder contain up to date signed Safety Topics
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Employee Right to Know Center posted
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Emergency telephone numbers posted
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Emergency response plan posted
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All OSHA posters displayed in common area
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First Aid kits mounted and stocked
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Blood Borne Pathogen kits are available
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At least 2 employees are trained in First Aid / CPR
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"No Unauthorized Personnel Allowed in Shop" signs
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Facility provides proper PPE
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Are self inspection safety checks being performed, recorded, and filed"
Facility and Yard
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Covered metal waste cans used for oily and paint soaked waste and rags
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Steps & stairways provided with a surface that renders them slip resistant
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Signs posted showing the load capacity of elevated working or storage spaces
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Emergency Eye Wash / Shower Stations by employee work areas and free from obstructions
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Flammable liquids, such as gasoline, kept in approved Safety can
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Plan developed for emergency response for spill emergencies
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Floor in good repair, no slipping or tripping hazards
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Fire extinguishers inspected , serviced and maintained on a yearly basis by authorized agent
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Fire extinguishers inspected monthly and documented on the units inspection tag
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Parts washer has a serviceable "fusible Link"
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Sign indicating location of emergency shut off valve
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Exit doors marked and free of obstructions
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Exit lights are illuminated as per OSHA standards
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"No Trespassing" signs on perimeter fence
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"No Smoking" signs in shop areas
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Welding screens present and used properly
Tools
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Bench grinder tool trays are adjusted properly & safety shields are in place
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Grinders, saws and similar equipment equipped with appropriate safety guards
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Electrical equipment effectively grounded or approved double insulated type
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Effective guards with opening 1/2 inch placed over belts, pulleys, chains ,etc
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Ground Fault Interrupters (GFI) provided on all circuits exposed to damp environments
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Assured Ground Testing documented on electrical equipment
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Lock Out Tag Out system used on machinery with movement
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All extension cords have effective grounding conductor and are in good condition
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Electrical enclosures (switch, receptacle, junction boxes) with covers or plates
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All tools are placed in tool box and organized
Chemicals
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Chemicals stored and labeled properly & containment devices are where needed
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Material Safety Data Sheets (MSDS) are available on all chemicals
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Combustible items stored away from heater and flame sources
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Oxidizers and fuel cylinders must be stored a minimum of 20 feet apart
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Compressed gas cylinders properly secured with chains
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Flammable liquids kept in closed fire proof containers when not in use
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"No Smoking" signs near flammable or combustable liquids
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Fire extinguishers selected according to the materials in the work area
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Hazardous materials disposed of properly and manifested
4. Drivers
Drivers Procedures
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Driver Vehicle Inspection Reports (DVIR) are completed, signed and on file
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Drivers Log Books are maintained and on file
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All drivers keep daily logs
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Files kept on all deliveries and pick ups for one year
Delivery Vehicles
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Tractor trailers are equipped with a working remote winch
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Delivery trucks have reflective tape 50% on each side
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Delivery trucks have DOT number affixed
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Delivery trucks are clean, washed and have the proper decals
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Delivery vehicles have a current inspection sticker
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DVIR forms completed and most recent retained in vehicle
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Log Books completed and most recent retained in drivers possession
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All vehicles decals in good condition
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All vehicles have registration, side mirrors, fire extinguisher and working seat belts
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All vehicles carry a complete accident kit
5. Rental Procedures
Rental Agreements
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Safety handouts explained to customers and 1 copy is given to customer
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Safety hand outs signed by customer and retained with Rental Agreement
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Rent Ready Tag attached to open Rental Agreement
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Customer instructed on all equipment before releasing equipment
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Rental Agreements stored every night in a fire proof location
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Rental Agreements / Contract is signed & initialed in all areas
6. Safety Culture Observations
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Are 3 points of contact being used on equipment
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Are seat belts being properly used
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Is proper Fall Protection Equipment being used
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Is the proper PPE being worn by all employees per their job classification
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Are employees performing a walk around before operating equipment
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Are employees operating Scissor lifts from the platform (No Walking Beside)
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Are proper ergonomics used when manual lifting
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Are employees making use of machinery when lifting
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Are work areas designed ergonomically
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Do employees have acceptable general knowledge of Safety
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Does the Branch Manager have acceptable general knowledge of Safety
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Does the Service Manager have acceptable general knowledge of Safety
7. Possible Site Hazards
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Please fill in the possible site hazards
8. Operator Certification
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Number of employees NOT possessing a current Operator Certificate
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Is there personnel on staff that can provide Operator Certification. If yes who. Please list names
9. Environmental
Fuel and Oil Recycling and Disposal Company Contact Information
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Fuel Company
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Used Oil & Filters
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Used Tires
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Antifreeze
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Spray Paint Cans
Fuel Tank Capacity
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Gasoline Tank
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Off Road Diesel
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Diesel
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Underground Fuel Tank
Have Safety Directives Issued from the Safety Department been Complied with
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Have Safety Directives Issued from the Safety Department been Complied with
Items Not resolved from Previous Inspection
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Items Not resolved from Previous Inspection
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Add media
NOTES
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Safety Manager BlueLine Rental
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Branch Manager
