Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PPE
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Are PPE requirements sufficient?<br> -Should gloves be required?<br> -Should a face shield be required?
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Is PPE supplied adequate for the task?<br> -Previous injuries when using current PPE? Why?<br> -PPE being replaced excessively? (e.g. Burn holes, soaked with liquid chemicals, etc.)
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Is PPE being worn properly? <br> -Ear plugs completely inserted into ears<br> -Safety glasses fit properly and pass fit test (gaps no larger than width of finger)<br> -Gloves being worn when handling materials that are sharp, hot, etc.
Tools/Machinery/Equipment
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Are all tools in good working condition?<br> -Held together with tape?<br> -Excessive noise/vibration?<br> -Requires excessive manual manipulation?
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All existing guarding in place?<br> -Guards laying on the floor?<br> -Bolts/Screws missing from fixed guarding?<br> -Guards shifted causing open point of operation?
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Machinery working properly and not causing regular manual manipulation?<br> -Frequent breakdowns causing manual work?<br> -Machinery producing excessive noise/vibration due to disrepair?
Hazard Communication
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Employees know how to find MSDS and understand the hazards of the chemicals they work with. (Interview >=2 employees)
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Ventilation adequate for the airborne health hazards?<br> -Industrial hygiene sampling results on file?<br> -Employee complaints about "fumes" or "nausea/dizziness"
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Chemicals are stored in proper containers and labeled properly?<br> -Secondary containers that are not in control of current shift labeled with HMIS label or equivalent?<br> -Labels legible and accurately indicates the chemical that is inside the container?<br>Chemicals stored properly?<br> -Flammable materials not in use stored in proper cabinet/safety container?<br> -Incompatible materials stored away from each other?
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Incidental spills cleaned up immediately?<br> -No evidence of spills being left?<br> -Chemicals being tracked on employees' shoes and/or mobile equipment?
Walking/Working Surfaces and Fall Protection
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Proper labels in place and legible?<br> -Portable ladders and stairways require labeling indicating weight limits.
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Floors and work platforms free of excessive debris and clutter?<br> -Excessive oil, trash, manufacturing byproducts, etc. in the work are?<br> -No items stored on stairs?
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Handrails secure and free of excessive defects?<br> -Heavily damaged handrails that require replacement? Loose? Broken welds? Bent handrails and/or toe boards?<br> -Handrails do not contain excessive oil/grease?
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Fall protection equipment available for working at heights greater than 3 meters from the working surface below it where fall prevention is not available?
Emergency Response/Fire Protection
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Fire extinguishers inspected monthly and unblocked?
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Employees aware of emergency procedures and where assembly areas are? (Interview >=2 employees)
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Eyewash/Safety Shower stations inspected and unblocked?
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Spill kits are available where needed and are equipped/inspected as required?
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Sufficient emergency equipment installed in the area?<br> -Fire extinguishers, eyewash, safety shower, spill kits, alarm pull stations, etc.
Mobile Equipment
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Equipment inspected per inspection frequency requirements?
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Operators using horns and warning devices where required?
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No passengers on equipment designed for operators only?
Electrical Hazards/Arc Flash
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High voltage signs in place and visible?
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Electrical cabinets closed and in good repair?<br> -Do the cabinets close securely?<br> -Knock-outs all in place?<br> -Debris/Tools stored on top of electrical cabinets?<br> -Nothing within 36 inches of the front of the cabinet?<br> -Large dents in the housing/door?
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Arc flash signage in place?<br> -Indicates arc flash category?
Hazardous Energy Control (Lockout/Tagout)
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Employees expected to conduct lockout trained and equipped properly?<br> -Employees understand their role and requirements?<br> -Employees have locks available if needed?
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Employees locked out during a change over and/or other tasks that require lockout?<br> -All employees who are working on the equipment have their own lock affixed to the proper energy source(s)?<br> -Lockout was verified, stored energy was dissipated and equipment will not operate?
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Energy control procedures exist for all equipment in the area and employees know where to find them?
Crane/Hoist Safety
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Are employees working under suspended loads?
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Are cranes working within their operating limits?<br> -Capacity not exceeded?<br> -Upper limit switch not used as a stop?
General Safety and Housekeeping
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Trash, debris, and equipment not left laying around?
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Equipment free of excessive dust, oil and/or soot?
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Floor surfaces covered in oil/dust covering the painted surface?
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General tripping hazards due to housekeeping, equipment layout, and/or workstation design?
Signature and Finalization
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I have completed this assessment to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify all visible/known hazards as of the date printed on the completed assessment. assessment.
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Select date
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General Comments
