Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Management / Office Staff

  • Associate

  • Location

Man

  • Is PPE being utilized?

  • Is the Associate focused on their task?

  • Is proper distance being maintained between operators on power equipment?

  • Add media

Machine

  • Is equipment in good condition?

  • Is proper machine guarding in place?

  • Are safety barriers and guards being maintained?

  • Add media

Method

  • Are SOPs up to date and being followed?

  • Are Associates demonstrating proper work methods? Ergonomically correct lifting, bending, reaching, etc techniques?

  • Are Associates operating machines properly?

  • Are tools being used properly?

  • Add media

Material

  • Is safety signage being observed and followed?

  • Are safety documents being used correctly? Power equipment inspection checklists, HazMat paperwork, etc.

  • Are tools in good working order?

  • Is storage equipment in good repair?

  • Add media

5S

  • Are work areas clean and organized according to 5S principles? Necessary items in correct place and close proximity with unnecessary items/trash removed.

  • Add media

Emergency Plan

  • Is the closest first aid station accessible?

  • Is the closest emergency exit clear and accessible?

  • Is the closest eye wash station accessible?

  • Is the closest fire extinguisher accessible?

  • Are associates aware of emergency evacuation meeting area?

  • Is the closest spill clean up kit accessible?

  • Is the closest AED accessible?

  • Add media

Boston PDC Site Specific

  • Seasonal safety supplies available?

  • Proper use of Green Path?

  • Add media

Additional Action Items

  • At Risk Observation

  • At Risk Observation

  • At Risk Observation<br>

  • At Risk Observation

  • At Risk Observation

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.