Title Page
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Select the division
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Customer Name
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Location/ Site
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Location
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Conducted on
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Audited by
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1. Do you submit the CAS checklist on monthly basis? (If NO, please answer the following questions)
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2. Are equipment mountings, fittings and other attachments securely mounted to avoid or reduce noise and vibration?
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3. Are dosing lines free from leakage, corrosion, deformation, with no fraying or bulges?
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4. Are electrical switches free from oil & dust, and in proper seating alignment?<br>
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5. Are the equipment's safety devices working? ( Eg: return valves, PRV, safety alarm, motor fan guard, etc)
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6. Are extension cords in good condition and properly placed, and is earthing / grounding adequate?<br>
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7. Is the working area free from slip, trip and fall hazard (E.g, hoses, cables, piping, tubing, etc)<br>
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8. Are PPEs, first aid box and emergency safety shower/eye wash operative & accessible?<br>
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9. Are safety signs, MSDS and emergency contact details labels displayed in storage / application area?
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10. Are the containment and drainage system well maintained and in good condition?
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11. Is the equipment maintenance schedule properly carried out?
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12. Are Buckman chemicals segregated according to the hazards classification?
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Share the audit photos here
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Your Signature
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List any other safety concerns:
