Branch Safety Audit 2014

• Document No.

• Branch Code

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Safety board

• WSIB form 82 posted?

  yes

  no

• Prevention form posted?

  yes

  no

• What's in it for you poster posted?

  yes

  no

• MSDS compliance

  yes

  no

  yes/expired

• OHSA current edition

  yes

  no

• Regulation 1101

  yes

  no

• Current store safety manual

  yes

  no

  yes/expired

First Aid Kits

• Does the store have one?

  yes

  no

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

  yes

  no

Forklift Safety

• Are all operators trained and liscensed?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are daily inspections performed?

  Yes

  No

  N/A

• What is the condition of the forklift?

  Safe

  At Risk

  N/A

• Forklift had an annual inspection?

  Yes

  No

  N/A

Electrical Safety

• Are extension cords used as permanent wiring?

  yes

  no

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

  yes

  no

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

  Yes

  No

  N/A

• No tape on electrical panel?

  yes

  no

• Are all appliances grounded?

  Yes

  No

  N/A

• Are all cords and outlets in good condition?

  Safe

  At Risk

  N/A

Personal Protective Equipment

• Is PPE proper available to all employees?

  yes

  no

• All employees wearing gloves in warehouse?

  yes

  no

• Proper PPE for forklift batteries/propane changing?

  Yes

  No

  N/A

• Are all employees wearing steel toes?

  yes

  no

• Is spill kit present?

  yes

  no

  not correct

• Is eyewash present and in good condition?

  yes

  no

  has issues

Emergency Action Plans

• Are written evacuation plans present?

  yes

  no

• Are emergency contact numbers posted at phones?

  yes

  no

• Are all emergency exit paths clear?

  yes

  no

• Are emergency exit signs present in correct areas? Maintained in good condition?

  yes

  no

  burnt out

Housekeeping

• Is the store clean, orderly and sanitary?

  Yes

  No

  N/A

• Are there slip/trip/fall hazards in the branch?

  yes

  no

Inspections

• Fire extinguisher- monthly

  yes

  no

• Exit and emergency lights - monthly

  yes

  no

• First aid kit - quarterly

  yes

  no

• Property - monthly

  yes

  no

• Eyewash - weekly

  yes

  no

Fire Extinguishers

• Are for extinguishers present and hung on the wall?

  yes

  no

  yes but not hung

• Have fire extinguishers received annual inspection?

  yes

  no

Ladder

• Are ladders inspected before use?

  Yes

  No

  N/A

• Are ladders being correctly stored? (Secured to wall, laying flat, set up with sign.)

  Yes

  No

  N/A

Power Tools

• What is the condition of the machines?

  Safe

  At Risk

  N/A

• Is there documented training on the usage?

  Yes

  No

  N/A

• Proper PPE present for any and all machines and power tools.

  Yes

  No

  N/A

Employee Training

• Is all employee training up to date?

  Yes

  No

  N/A

Additional Items

• Comments:

• Signature of manager or branch employee...

  Sign

• Add media

  Media