Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Work Environment

  • Are all worksites clean and orderly

  • Are all spilled materials or liquids cleaned up immediately

  • Is combustible scrap, debris and waste stored safely and removed from worksites

  • Is accumulated combustible dust routinely removed from elevated surfaces, including the overhead structure of buildings

  • Is metallic or conductive dust prevented from entering or accumulation on or around electrical enclosures or equipment

  • Are covered metal waste cans used for oily and paint-soaked waste

  • are toilet and washing facilities clean and sanitary

  • are all work areas adequately illuminated

  • Are aisles and passageways kept clear

  • Are aisles and walkways marked as appropriate

  • Is there safe clearance for walking in aisles where motorized or mechanical handling equipment is operating

  • Are materials or equipment stored in such a way that sharp projectiles will not interfere with the walkway

  • Are changes of direction or elevations readily identifiable

  • Are aisles or walkways that pass near moving or operating machinery, welding operations or similar operations arranged so employees will not be subjected to potential hazards

  • Is adequate headroom provided for the entire length of any aisle or walkway

Floor and Wall Openings, Stairs and Stairways

  • Are floor openings guarded by a cover, guardrail, or equivalent on all sides (except for entrance to stairways or ladders)

  • Are toe boards installed around the edges of permanent floor openings (where persons may pass below the opening)

  • Are open-sided floors, platforms and runways having a drop of more than 4 feet guarded by a standard railing or toe board

  • Are standard stair rails or handrails on all stairways having four or more risers

  • Do stairways have at least 6-1/2 foot overhead clearance

  • Are step risers on all stairs uniform from top to bottom

  • Are steps on stairs and stairways designed or provided with a slip-resistant surface

  • where stairs or stairways exit directly into any area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic

  • Is the glass in windows, doors, glass walls that are subject to human impact, of sufficient thickness and type for the condition of use

  • Are grates or similar type covers over floor openings such as drains, of such design that foot traffic or rolling equipment will not be affected by the grate spacing

  • Are unused portions of service pits and pits not actually in use either covered or protected by guardrails or equivalent

  • Are floor or wall openings in fire resistive construction provided with doors or covers compatible with the fire rating of the structure and provided with self-closing feature when appropriate

Elevated Surfaces

  • Are signs posted, when appropriate, showing the elevated surface load capacity

  • Are surfaces elevated more than 30 inches above the floor or ground provided with standard guardrails

  • Are all elevated surfaces (beneath which people or machinery could be exposed to falling objects) provided with standard 4-inch toeboards

  • Is a permanent means of access and egress provided to elevated storage and work surfaces

  • Is required headroom provided where necessary

  • Is material on elevated surfaces piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading

  • Are dock boards or bridge plates used when transferring materials between docks and trucks or rail cars

Exits and Exit Doors

  • Are all exits marked with an exit sign and illuminated by a reliable light source

  • Are emergency exit light inspections and tests documented

  • Are the directions to exits, when not immediately apparent, marked with visible signs

  • Are doors, passageways or stairways, that are neither exits nor access to exits and which could be mistaken for exits, appropriately marked with "NOT AN EXIT", "TO BASEMENT", "STOREROOM", and the like

  • Are exit signs provided with the word "EXIT" in lettering at least 5 inches high and the stroke of the lettering at least 1/2 inch wide

  • Are exit doors side-hinged

  • Are all exits kept free of obstructions

  • Are at least two means of egress proved from elevated platforms, pits or rooms where the absence of a second exit would increase the risk of injury from hot, poisonous, corrosive, suffocating, flammable, or explosive substances

  • Are there sufficient exits to permit prompt escape in case of emergency

  • When ramps are used as part of required exiting from a building, is the ramp slope limited to 1-foot vertical and 12 feet horizontal

  • Where exiting will be through frameless glass doors, glass exit doors, storm doors, and such are the doors fully tempered and meet the safety requirements for human impact

  • Are exit doors openable from the direction of travel with the use of o key or any special knowledge or effort, when the building is occupied

  • Where panic hardware is installed on a required exit door, will it allow the door to open by applying a force of 15 pounds or less in the direction of the exit traffic

  • Where exit doors open directly onto any street, alley or other area there vehicles may be operated, are adequate barriers and warnings provided to prevent employees stepping into the path of traffic

  • Are doors that swing in both directions and are located between rooms where there is frequent traffic, provided with viewing panels on each door

Hazardous Substances Communication

Personal Protective Equipment

Respiratory Protection

Electrical Safety

Lockout Blockout

  • Is all machinery or equipment capable of movement, required to be de-energized or disengaged and blocked or locked out during cleaning, servicing, adjusting or setup operations, whenever required

  • Is the locking-out of control circuits in lieu of locking-out main power disconnects prohibited

  • Are all equipment control valve handles provided with a means for locking-out

  • Does the lockout procedure require that stored energy (i.e. mechanical, hydraulic, air) be released or blocked before equipment is locked-out for repairs

  • Are appropriate employees provided with individually keyed personal safety locks

  • Are the appropriate electrical enclosures identified

Ergonomics

Hazardous Chemical Exposure

Control of Harmful Substances by Ventiliation

Ventilation for Indoor Air Quality

Sanitizing Equipment & Clothing

Confined and Permit-Controlled Confined Spaces

  • Before entry, are appropriate atmospheric tests performed to check for oxygen deficiency, toxic substance and explosive concentrations in the confined space before entry?

  • Is adequate illumination provided for the work to be performed in the confined space?

  • Is the atmosphere inside the confined space frequently tested or continuously monitored during conduct of work?

  • Is there an assigned safety standby employee outside of the confined space, whose sole responsibility is to watch the work in progress, sound an alarm if necessary, and render assistance?

  • Is the standby employee or other employees prohibited from entering the confined space without lifelines and respiratory equipment if there is any questions as to the cause of an emergency?

  • In addition to the standby employee, is there at least one other trained rescuer in the vicinity?

  • Are all rescuers appropriately trained and using approved, recently inspected equipment?

  • Does all rescue equipment allow for lifting employees vertically from a top opening?

  • Are there trained personnel in First Aid and CPR immediately available?

  • Is there an effective communication system in place whenever respiratory equipment is used and the employee in the confined space is out of sight of the standby person?

  • Is approved respiratory equipment required if the atmosphere inside the confined space cannot be made acceptable?

  • Is all portable electrical equipment used inside confined spaces either grounded and insulated, or equipped with ground fault protection?

  • Before gas welding or burning is started in a confined space, are hoses checked or leaks, compressed gas bottles forbidden inside of the confined space, torches lighted only outside of the confined area and the confined area tested for an explosive atmosphere each time before a lighted torch is to be taken into the confined space?

  • Whenever combustion-type equipment is used in confined space, are provisions made to ensure the exhaust gases are vented outside of the enclosure?

Emergency Action Plan

Fire Protection

Flammable and Combustible Materials

Medical Services and First Aid

Industrial Noise and Hearing Conservation

Hand and Power Tools and Equipment

  • Are all tools and equipment used by employees at their workplace in good condition

  • Are appropriate handles used on files and similar tools

  • Are appropriate safety glasses, face shields, and similar equipment used while using hand tools or equipment that might produce flying materials or be subject to breakage

  • Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping

  • Are grinders, saws, and similar equipment provided with appropriate safety guards

  • Are power tools used with the correct shield, guard or attachment recommended by the manufacturer

  • Are portable circular saws equipped with guards above and below the base shoe

  • Are rotating or moving parts of equipment guarded to prevent physical contact

  • Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type

  • Are effective guards in place over belts, pulleys, chains, and sprockets, on equipment

  • Are portable fans provided with full guards or screens having openings 1/2 inch or less

  • Are temporary electrical cords plugged into ground-fault circuit interrupters on 15 and 20 amp electrical circuits

  • Are pneumatic and hydraulic hoses on power-operated tools free from deterioration or damage

  • Are all pneumatic, electrical cords properly stored when not in use

  • Do all pneumatic hoses have proper hose clamps (Not radiator type clamps)

Portable Ladder Safety

  • Are all ladders maintained in good condition, joints between the steps and side rails tight, all hardware and fittings securely attached, and moveable parts operating freely without binding or undue play

  • Are non-slip safety feet provided on each ladder

  • Are non-slip safety feet provided on each metal or rung ladder

  • Are ladder rungs and steps free of grease and oil

  • Is it prohibited to place a ladder in front of doors opening toward the ladder except when the door is blocked open, locked or guarded

  • Are employees instructed to face the ladder when ascending or decending

  • Are employees prohibited from using ladders that are broken, missing steps, rungs, or cleats, broken side rails or other faulty equipment

  • Are portable metal ladders legibly marked with signs reading "CAUTION" "Do Not Use Around Electrical Equipment" or equivalent wording

  • Are all pedestal mounted equipment (abrasive wheel grinders and drill presses) properly attached to the ground to prevent tipping

  • Are all abrasive wheel grinder guards installed and properly adjusted

  • Are abrasive wheel grinder locations identified with appropriate PPE warning labels (Goggles and Face Shield Required)

  • Are fixed or permanently mounted grinders connected to their electrical supply system with metallic conduit or other permanent wiring method

  • Does each grinder have an individual on and off switch

  • Is each electrically operated grinder effectively grounded

  • Are dust collectors and powered exhausts provided on equipment that produces large amounts of dust

  • Are splashguards mounted on equipment that use coolant, to prevent the coolant from reaching employees

Forklifts and Industrial Trucks

  • Are the required lift truck operating rules posted and enforced?

  • Are only trained personnel allowed to operate industrial trucks?

  • Does each industrial truck have a warning horn, gong or other device which can be clearly heard above the normal noise in the areas where operated?

  • Are the brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded?

  • Will the industrial truck's parking brake effectively prevent the vehicle from moving when unattended?

  • Are industrial trucks operating in areas where flammable gases or vapors, or combustible dust or ignitable fibers may be present in the atmosphere, approved for such locations?

  • Are motorized hand and hand/rider trucks so designed that the brakes are applied and power to drive motor shuts off when the operator releases his/her grip on the device that controls the travel?

  • Are industrial trucks with internal combustion engine operated in buildings or enclosed areas, carefully checked to ensure such operations do not cause harmful concentration of dangerous gases or fumes?

Transporting Employees and Materials

Machine and Machine Guarding

  • Is there a training program to instruct employees on safe methods of machine operation

  • Is there a regular program of safety inspection of machinery and equipment

  • Is all machinery and equipment kept clean and properly maintained

  • Is sufficient clearance provided around and between machines to allow for safe operations, setup and servicing, material handling and waste removal

  • Is there a power shut-off switch within reach of the operator's position at each machine

  • Can electrical power to each machine be locked out for maintenance, repair, or security

  • Are the noncurrent-carrying metal parts of electrically operated machines bonded and grounded

  • Are foot-operated switches guarded or arranged to prevent accidental actuation by personnel or falling

  • Are manually operated valves and switches controlling the operation of equipment and machines clearly identified and readily accessible

  • Are all emergency stop buttons colored red

  • Are all pulleys and belts that are within 7 feet of the floor or working level properly guarded

  • Are all moving chains and gears properly guarded

  • Are all methods provided to protect the operator and other employees in the machine area from hazards created at the point of operation, ingoing nip points, rotating parts, flying chips, and sparks

  • Are machinery guards secure and so arranged that they do not offer a hazard in their use

  • If special hand tools are used for placing and removing material, do they protect the operator's hands

  • Are revolving drums, barrels, and containers required to be guarded by an enclosure that is interlocked with the drive mechanism, so that revolution cannot occur unless the guard enclosure is in place, so guarded

  • Do arbors and mandrels have firm and secure bearings and are they free from play

  • Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown

  • Are machines constructed so as to be free from excessive vibration when the largest size tool is mounted and run at full speed

  • If machinery is cleaned with compressed air, is air pressure controlled and personal protective equipment or other safeguards used to protect operators and other workers from eye and body injury

  • Are saws used for ripping, equipped with anti-kick back devices and spreaders

  • Are radial arm saws so arranged that the cutting head will gently return to the back of the table when released

Compressors and Compressed Air

  • Are compressors equipped with pressure relief valves, and pressure gauges

  • Are compressor airtakes installed and equipped to ensure that only clean uncontaminated air enters the compressor

  • Are air filters installed on the compressor intake

  • Are signs posted to warn of the automatic starting feature of the compressor

  • Is the belt drive system totally enclosed to provide protection for the front, back, top and sides

  • Employees are prohibited from using highly compressed air for cleaning purposes

  • If compressed air is used for cleaning off clothing, is the pressure reduced to less than 10 psi

  • When using compressed air for cleaning, do employees use personal protective equipment

  • Are safety chains or other suitable locking devices used at couplings of high pressure hose lines where a connection failure would create a hazard

  • When compressed air is used with abrasive blast cleaning equipment, is the operating valve a type that must be held open manually

  • Is every receiver equipped with a pressure gauge and with one or more automatic, spring-loaded safety valves

  • Is every air receiver provided with a drainpipe and valve at the lowest point for the removal of accumulated oil and water

  • Is there a current operating permit issued by the Division of Occupational Safety Health

Compressed Gas and Cylinders

  • Are cylinders legibly marked to clearly identify the gas contained

  • Are compressed gas cylinders stored in areas which are protected from external heat sources such as flame impingement, intense radiant heat, electric arcs, or high temperature lines

  • Are cylinders located or stored in areas where they will not be damaged by passing or falling objects

  • Are cylinders stored or transported in a manner to prevent them creating a hazard by tipping, falling or rolling

  • Are cylinders containing liquefied fuel gas, stored or transported in a position so that the safety relief device is always in direct contact with the vapor space in the cylinder

  • Valve protectors are always placed on cylinders that are not in use or connected for use

  • Low pressure fuel gas cylinders are free of corrosion, general distortion, cracks or any other defect that might indicate a weakness or render it unfit for use

Motor Vehicle Service and Repair Operations

Welding, Cutting and Brazing

  • Are only authorized and trained personnel permitted to use welding, cutting or brazing equipment

  • Are compressed gas cylinders free of defects, deep rusting, or leakage

  • Are only approved apparatus (torches, regulators, pressure-reducing valves, acetylene generators, manifolds) used

  • Are cylinders kept away from sources of heat

  • Are empty cylinders appropriately marked, their valves closed and valve-protection caps on

  • Are signs preventing ignition sources (NO SMOKING, OPEN FLAMES), or the equivalent posted

  • Are cylinders, valves, couplings, regulators, hoses and apparatus kept free of oily or greasy substances

  • Is red used to identify the acetylene (and other fuel-gas) hose, green for oxygen hose, and black for inert gas and air hose

  • Are pressure-reducing regulators used only for the gas and pressures for which they are intended

  • Electrodes are removed from holders when not in use

  • Is suitable fire extinguishing equipment available for immediate use

  • Work, electrode and grounding cables are free of damage and wear

  • Are appropriate weld shields used to confine heat, sparks and slag and protect other employees from viewing the welding arc

  • Are combustible floors kept wet, covered by damp sand, or protected by fire-resistant shields

  • Welding helmets, hand shields and googles meet appropriate standards

  • Are employees exposed to the hazards created by welding, cutting, or brazing operations protected with personal protective equipment and clothing

  • Is adequate ventilation provided in and around areas were welding and cutting are performed

  • When working in confined spaces are environmental monitoring tests taken and means provided for quick removal of welders in case of an emergency

Spraying Operations

  • Is adequate ventilation assured before spray operations are started?

  • Is mechanical ventilation provided when spraying operation is done in enclosed areas?

  • When mechanical ventilation is provided during spraying operations, is it so arranged that it will not circulate the contaminated air?

  • Is the spray area at least 20 feet from flames, sparks, operating electrical motors and other ignition sources?

  • Are portable lamps used to illuminate spray areas suitable for use in a hazardous location?

  • Is approved respiratory equipment provided and used when appropriate during spraying operations?

  • Do solvents used for cleaning have a flash point of 100E F or more?

  • Are fire control sprinkler heads kept clean?

  • Are no smoking signs posted in spray areas, paint rooms, paint booths and paint storage areas?

  • Is the spray area kept clean of combustible residue?

  • Are spray booths constructed of metal, masonry or other substantial non combustible material?

  • Are spray booth floors and baffles noncombustible and easily cleaned?

  • Is the spray booth completely ventilated before using the drying apparatus?

  • Is the electric drying apparatus properly grounded?

  • Are lighting fixtures for spray booths located outside of the booth and interior lighted through sealed clear panels?

  • Are the electric motors for exhaust fans placed outside booths or ducts?

  • Are belts and pulleys inside the booth fully enclosed?

  • Do ducts have access doors to allow cleaning?

  • Do all drying spaces have adequate ventilation?'

Crane, Hoist and Auxiliary Equipment

  • Is each overhead electric hoist equipped with a limit device to stop the hook travel at its highest and lowest point of safe travel

  • Is the rated load of each hoist legibly marked on both sides and visible by the operator

  • Are stops provided at the safe limits of travel for trolley hoists

  • Are the controls of hoists plainly marked to indicate the direction of travel or motion

  • Are close-fitting guards or other suitable devices installed on hoists to assure hoist ropes will be maintained in the sheave groves

  • Are all hoist chains or ropes of sufficient length to handle the full range of movement for the application while still maintaining two full wraps on the drum at all times

  • Are only employees who have been trained in the proper use of hoists allowed to operate them

  • All hoist slings are free from nicks, cuts, tears or other defects and have a legible rating tag attached

  • All hoist chains have a tag stating its rating capacity and are free from stretch or other defects

Environmental Controls

  • Are employees instructed in proper first aid and other emergency procedures?

  • Are hazardous substances identified which may cause harm by inhalation, ingestion, skin absorption or contact?

  • Are employees aware of the hazards involved with the various chemicals they may be exposed to in their work environment, such as ammonia, chlorine, epoxies, and caustics?

  • Is employee exposure to chemicals in the workplace kept within acceptable levels?

  • Is the work area's ventilation system appropriate for the work being performed?

  • Is employee exposure to welding fumes controlled by ventilation, use of respirators, exposure time, or other means?

  • Are welders and other workers nearby provided with flash shields during welding operations?

  • Has there been a determination that noise levels in the facilities are within acceptable levels?

  • Are steps being taken to use engineering controls to reduce excessive noise levels?

  • Is vacuuming with appropriate equipment used whenever possible rather than blowing or sweeping dust?

  • Are grinders, saws, and other machines that produce respirable dusts vented to an industrial collector or central exhaust system?

  • Are all local exhaust ventilation systems designed and operating properly such as airflow and volume necessary for the application? Are the ducts free of obstructions or the belts slipping?

  • Is personal protective equipment provided, used and maintained wherever required?

  • Are there written standard operating procedures or the selection and use of respirators where needed?

  • Are all outlets for water not suitable for drinking clearly identified?

Identification of Piping Systems

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.