Branch Safety Audit 2013

• Document No.

• Branch Code

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

First Aid Kits. 29 CFR 1910.152 and 120

• Does the store have one?

  Yes

  No

  N/A

• Is there a restocking plan?<br>Is there a usage log?

  Yes

  No

  N/A

• Deficiencies:

Forklift Safety. 29 CFR 1910.178

• Are spare LPG tanks stored safely? (Outside and locked in cage)

  Yes

  No

  N/A

• Are all operators trained and liscensed?

  Yes

  No

  N/A

• Are seatbelts used?

  Yes

  No

  N/A

• Are daily inspections performed?<br>(located at Fastnet>Operations>Corporate Safety>Select Country>Audit Forms and Checklists)

  Yes

  No

  N/A

• What is the condition of the forklift?

  Safe

  At Risk

  N/A

Electrical Safety. 29 CFR 1910 Subpart S

• Are extension cords used as permanent wiring?

  yes

  no

• Are junction boxes clear of obstructions for 36" and labelled?

  Yes

  No

  N/A

• Is there evidence of "gang plugging"? Extension cords plugged into extension cords or power strips<br>

  yes

  no

• Are junction boxes kept clear for 36"?

  Yes

  No

  N/A

• Are all appliances grounded?

  Yes

  No

  N/A

• Are all cords and outlets in good condition?

  Safe

  At Risk

  N/A

Personal Protective Equipment. 29 CFR 1910.132

• Is PPE proper available to all employees?

  Yes

  No

  N/A

Emergency Action Plans. 29 CFR 1910.38

• Are written evacuation plans present?

  Yes

  No

  N/A

• Are employees aware of designated meeting place?<br>Is it posted?

  Yes

  No

  N/A

• Are all emergency exit paths clear?

  Yes

  No

  N/A

• Are emergency exit signs present in correct areas?

  Yes

  No

  N/A

• Are emergency contact numbers posted at phones?

  Yes

  No

  N/A

Housekeeping. 29 CFR 1910.22

• Is the store clean, orderly and sanitary?

  Yes

  No

  N/A

• Are pallets in good condition?

  Yes

  No

  N/A

• Is adequate storage present?

  Yes

  No

  N/A

• Is adequate lighting present?

  Yes

  No

  N/A

Fire Extinguishers. 29 CFR 1910.39 and NFPA 70E

• Are for extinguishers located every 50' of walking distance?

  Yes

  No

  N/A

• Are there signs above each fire extinguisher?

  Yes

  No

  N/A

• Are monthly inspections completed?<br>(Check that extinguisher is mounted, in good condition and tag is dated)

  Yes

  No

  N/A

• Are yearly inspections completed?

  Yes

  No

  N/A

• Is sprinkler system serviced yearly?

  Yes

  No

  N/A

Required Safety Items. Title 8 3203 and OSH Act and MSDS 1910.1200

• Are required safety items present and accessible?<br>(For a list, to to Fastnet>Operations>Corporate Safety>Select Country>Audit Forms and Checklists)

  Yes

  No

  N/A

Ladder. OSHA 5(a)(1)(GDC)

• Are ladders inspected before use?<br>(For a list, to to Fastnet>Operations>Corporate Safety>Select Country>Audit Forms and Checklists)

  Yes

  No

  N/A

Power Tools and Band Saw. 29 CFR 1910.215 Subpart P,Q,O

• What is the condition of the machines?<br>(blades, guards, power cords, fluid levels, cleanliness)

  Safe

  At Risk

  N/A

• Is there documented training on the usage?

  Yes

  No

  N/A

Employee Training. 29 CFR Part 128

• Is all employee training up to date?<br>(Safety training can be found at Fastnet>FSB Learncenter>View Courses>Safety)

  Yes

  No

  N/A

Dock Receiving Area. 1910 Subpart N

• Dock/Receiving area clean and clear of obstructions?

  Yes

  No

  N/A

• Snow cleared and good snow removal plan in place?

  Yes

  No

  N/A

• Snow Removal Plan:

• Adequate lighting inside for drivers?

  Yes

  No

  N/A

• Adequate lighting outside for drivers?

  Yes

  No

  N/A

Injury Resolution

• Have safety fixes and retraining been implemented?

  Yes

  No

  N/A

• Are Labor Laws and OSHA poster posted?

  Yes

  No

  N/A

Additional Items

• Comments:

• Add media

  Media

Fleet Safety: Fastenal Trucks

• Condition of exterior lighting.

  Safe

  At Risk

  N/A

• Condition of exterior body and glass.

  Safe

  At Risk

  N/A

• Condition of tires.

  Safe

  At Risk

  N/A

• Condition of interior.

  Safe

  At Risk

  N/A

• Is the ERG book present?

  Yes

  No

  N/A