Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Location
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Personnel
1.0 - Previous Inspection
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1.1 Are there any outstanding actions pending?
2.0 - General Area
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2.1 Exterior of building does not have any issues?
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2.2 Floor surfaces are even and uncluttered?
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2.3 Walkways are adequate (3ft. wide) and are well defined?
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2.4 Adequate lighting for the work being performed?
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2.5 Burnt out bulbs have been replaced?
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2.6 Stored items are in their designated storage area?
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2.7 Stairways and landing areas are clear, railings are in good condition?
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2.8 Loading areas clean and tidy.
3.0 - Emergency & Fire Prevention
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3.1 Evacuation plan displayed and understood by all personnel?
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3.2 Fire extinguishers are in place and are clearly marked?
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3.3 Fire extinguishers are charged and have been inspected?
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3.4 Fire extinguishers are in proper locations?
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3.5 Emergency exits are clearly marked?
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3.6 Exits are clear of obstructions?
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3.7 Fire or emergency alarm tested?
4.0 - First Aid
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4.1 First Aid kits are clearly marked?
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4.2 Contents are regularly checked for availability and expiration?
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4.3 Emergency numbers are clearly displayed?
5.0 - Electrical
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5.1 Electrical Panels are labeled and clear of obstruction?
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5.2 3 pronged or grounded extension cords are used?
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5.3 No broken prongs, plugs, sockets, or switches?
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5.4 Wall outlets covered with no cracks?
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5.5 No frayed or twisted leads?
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5.6 Trouble lights are enclosed and in good working order?
6.0 - Chemical Safety
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6.1 Material Safety Data Sheets (MSDS) for all chemicals?
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6.2 All containers labeled correctly?
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6.3 If applicable, are special storage conditions followed (hazardous or flammable)?
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6.4 Are gas cylinders properly stored and secured?
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6.5 If required, PPE are available and used?
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6.6 Are eye wash and showers available and easily accessible?
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6.7 Have eye wash or showers been tested?
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6.8 Unused substances disposed of?
7.0 - Ladders & Step Stools
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Are ladders industrial rated?
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Are ladders or step stools in good condition?
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Are ladders or step stools used according to instructions?
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Are safety and instruction labels affixed to ladders?
8.0 - Rubbish Removal
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Rubbish bins located in suitable positions around work area?
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Bins emptied regularly?
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Oily rags and combustible refuse in covered metal containers?
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Plastics & Cardboard are separated for recycling?
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Old parts and scraps have been disposed of properly?
9.0 - Work Benches
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Clear of rubbish & clutter?
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Tools not in use are in their proper place?
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No open food or drink containers?
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No damaged power or hand tools in use?
10.0 - Machine/SST
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Are kept clean?
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Guards in place and in good condition?
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Floor around equipment are kept clean and clear?
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All equipment including lifts are not tagged "Do Not Operate" and are?
11.0 - Personal Protective Equipment
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Respiratory protection plan in place?
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PPE available and in use?<br>
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Fit testing and evaluations up to date?
12.0 - Storage and Design
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Materials stored in racks, bins and shelving wherever possible?
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Storage design minimizes lifting?
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Floors cleared around shelving?
13.0 - Material Handling Equipment
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Forklift inspected and in good condition?
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Hand trucks, carts, pallet jacks, in good condition?
14.0 - Vehicle condition
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Scheduled maintenance performed?
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Condition of tires?
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Lights?
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Condition of seating
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First aid kit provided and up to date?
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Fire extinguisher provided and up to date?
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Storage compartment neat and orderly?
15.0 - No at risk behavior observed?
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Observation
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Observation
Sign off
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Site Supervisor
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Auditor