Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. General Areas

  • OSHA posters(job safety and health it's the law) properly displayed where employees can see it.

  • Responsible Party

  • Target Completion Date

  • Floors and aisles clear of all items that could cause slips, trips and falls.

  • Responsible Party

  • Target Completion Date

  • Stairs are clean and orderly. Stair treads are non slip and in good repair. <br>

  • Responsible Party

  • Target Completion Date

  • Carpets are well secured to the floor and not worn or frayed.<br>Floor mats are not curled up and free from wear and tear

  • Responsible Party

  • Target Completion Date

  • Good housekeeping standard maintained.<br>OSHA 29 CFR 1910.22(a)

  • Responsible Party

  • Target Completion Date

  • Walkways and exits are free from obstructions.<br>Exit stairways are not used for storage.<br>OSHA 29 CFR 1910.36(a)(3)

  • Responsible Party

  • Target Completion Date

  • Exit routes are clearly marked to provide a line of sight to the exit.<br>OSHA 29 CFR 1910.37(b)(4)

  • Responsible Party

  • Target Completion Date

  • Exit signs are lit and are no less than 6 inches high and 3/4 inches wide.<br>OSHA 29 CFR 1910.37(b)(7)

  • Responsible Party

  • Target Completion Date

  • Doorway or passage along an exit access that is not used as an exit, marked "not an exit" or similar designation. ("Not an exit" "electrical closet" "store room")<br>OSHA 29 CFR 1910.37(b)(5)

  • Responsible Party

  • Target Completion Date

2. Electrical

  • Electrical extension cords should not be used in place of permanent wiring.

  • Responsible Party

  • Target Completion Date

  • Power strips, surge protectors, and extension cords not "daisy chained." (They should not be plugged into each other for additional outlets; they should be plugged into the wall.

  • Responsible Party

  • Target Completion Date

  • Wiring is not exposed.

  • Responsible Party

  • Target Completion Date

  • Cords are not posing a trip hazard.

  • Responsible Party

  • Target Completion Date

  • Cords are not run through doorways or wall openings.

  • Responsible Party

  • Target Completion Date

  • Electrical cords are not run under carpets or mats.

  • Responsible Party

  • Target Completion Date

  • Junction boxes are closed.

  • Responsible Party

  • Target Completion Date

  • Electrical panels have at least 36 inch access. Live parts of electric equipment operating at 50 volts or more shall be guarded against accidental contact by use of approved cabinets or other forms of approved enclosures.<br>OSHA 29 CFR 1910.303 (g)(1)(vi)(b)

  • Responsible Party

  • Target Completion Date

  • Appropriate sings and notices are displayed to warn electrical hazard and live parts.<br>

  • Responsible Party

  • Target Completion Date

  • Transformers, breaker boxes, and rooms marked high voltage were applicable ( systems over 600 volts)

  • Responsible Party

  • Target Completion Date

  • All unused openings (including conduit knockouts) in electrical enclosures and fittings are closed with appropriate covers, plugs, or plates.<br>OSHA 29 CFR 1910.305(b)(1)

  • Responsible Party

  • Target Completion Date

3. Fire

  • Fire doors remain closed at all times or are provided with a mechanism to automatically shut the door during an evacuation.<br>OSHA 29 CFR 1910.36(a)(3)

  • Responsible Party

  • Target Completion Date

  • Emergency evacuation procedures posted.<br>(R.A.C.E.)<br>(P.A.S.S.)

  • Responsible Party

  • Target Completion Date

  • Fire extinguishers are readily accessible with proper signage. <br>(Maximum 150 feet apart.)<br>OSHA 29 CFR 1910.157(c)(1)

  • Responsible Party

  • Target Completion Date

  • Extinguishers have been inspected visually within the past 30 days.

  • Responsible Party

  • Target Completion Date

  • No items hanging from sprinkler lines.

  • Responsible Party

  • Target Completion Date

  • Sprinkler heads have at least 18 inches of Clearance.<br>OSHA 29 CFR 1910.159(c)(10);NFPA 13

  • Responsible Party

  • Target Completion Date

  • Sprinkler heads are protected against damage by system location or with metal guards.<br>OSHA 29 CFR 1910.159(c)(8)(iii)

  • Responsible Party

  • Target Completion Date

  • No sprinkler heads are missing.

  • Responsible Party

  • Target Completion Date

  • All sprinkler heads are clean.

  • Responsible Party

  • Target Completion Date

4. Hazard Communication

  • All hazardous material containers have labels containing proper name and warnings.<br>OSHA 29 CFR 1910.1200(f)(1)<br>

  • Responsible Party

  • Target Completion Date

  • Flammable materials stored within flammable cabinets labeled "flammable - keep fire away"<br>OSHA 29 CFR 1910.106(d)(3)(ii)

  • Responsible Party

  • Target Completion Date

  • Cleaning supplies are not kept in the flammable cabinet.

  • Responsible Party

  • Target Completion Date

  • Flammable cabinets are in good working order.

  • Responsible Party

  • Target Completion Date

  • Flammable storage cabinets are not used to store more than their rated capacity.<br>OSHA 29 CFR 1910.106(d)(3)(i)

  • Responsible Party

  • Target Completion Date

  • Hazardous waste storage locations marked "Danger - Hazardous Waste"

  • Responsible Party

  • Target Completion Date

  • SDS in a localized place where it is easy to access by all employees.<br>OSHA 29 CFR 1910.1200(g)(1)

  • Responsible Party

  • Target Completion Date

  • SDS binder is up to date with Safety Data Sheets.

  • Responsible Party

  • Target Completion Date

  • Hazardous chemical inventory accurate and up to date.

  • Responsible Party

  • Target Completion Date

5. Safety Equipment.

  • Eyewash stations available and unobstructed.<br>With in ten feet of area with hazardous chemicals.

  • Responsible Party

  • Target Completion Date

  • Eyewash stations have been inspected this month.

  • Responsible Party

  • Target Completion Date

  • First aid kits adequately stocked and accessible.

  • Responsible Party

  • Target Completion Date

  • Any equipment that has physical hazards has proper guards and fixtures.

  • Responsible Party

  • Target Completion Date

  • PPE available.

  • Responsible Party

  • Target Completion Date

  • Glasses and Gloves

  • Responsible Party

  • Target Completion Date

  • Electrical gloves.

  • Responsible Party

  • Target Completion Date

  • Hard Hat and Face Shield<br>

  • Responsible Party

  • Target Completion Date

  • Hearing protection available in high nose areas.

  • Responsible Party

  • Target Completion Date

  • Arc Suit

  • Responsible Party

  • Target Completion Date

  • All PPE is not damaged, worn, or torn.<br>OSHA 29 CFR 1910.132(e)

  • Responsible Party

  • Target Completion Date

6.Ladders

  • Ladders are maintained in good condition. <br>OSHA 29 CFR 1910.26(c)(iv)

  • Responsible Party

  • Target Completion Date

  • Manufacturer's labels and warnings are present and visible on the ladder.

  • Responsible Party

  • Target Completion Date

  • Appropriate ladders are available for the tasks completed at this location.

  • Responsible Party

  • Target Completion Date

  • Ladders have non slip safety feet.

  • Responsible Party

  • Target Completion Date

  • Ladders are inspected by a competent person for visible defects on a periodic basis and after any occurrence that could affect it.

  • Responsible Party

  • Target Completion Date

  • Ladders with only nonconductive side rails shall be used when exposed to energized parts.

  • Responsible Party

  • Target Completion Date

7. Hand tools

  • No broken or fractured handles on tools.<br>OSHA 29 CFR 1910.242(a)

  • Responsible Party

  • Target Completion Date

  • Appropriate handles on all tools. (No homemade handles)<br>OSHA 29 CFR 1910.242(a)

  • Responsible Party

  • Target Completion Date

  • Tools are not worn or bent.<br>OSHA 29 CFR 1910.242(a)

  • Responsible Party

  • Target Completion Date

  • Power tools have the appropriate shields, guards, or attachments as recommended by the manufacturer.<br>OSHA 29 CFR 1910.243

  • Responsible Party

  • Target Completion Date

  • No tools have mushroomed heads? If they do they are replaced immediately.

  • Responsible Party

  • Target Completion Date

8. Lockout Tagout

  • Employee is required to lock and tag when the employee removes or bypass a guard or safety device, when an employee is required to place any part of his or her body into an area of a machine or piece of equipment or where an associated danger zone exists during operating. Also if there is electrical hazards.<br>OSHA 29 CFR 1910.147(a)(2)(ii)(A)<br>OSHA 29 CFR 1910.147(a)(2)(ii)(B)

  • Responsible Party

  • Target Completion Date

  • Lockout Tagout devices shall be easily identified, shall be the only devices used for lockout, shall be not used for any other purpose. <br>OSHA 29 CFR 1910.147(c)(5)(ii)

  • Responsible Party

  • Target Completion Date

  • Lockout Tagout devices shall be durable.<br>OSHA 29 CFR 1910.147(c)(5)(ii)(A)

  • Responsible Party

  • Target Completion Date

  • Lockout Tagout devices shall be capable of withstanding the environment to which they are exposed for the maximum period of time that exposure is expected.<br>OSHA 29 CFR 1910.147(c)(5)(ii)(A)(1)

  • Responsible Party

  • Target Completion Date

  • Tags shall not deteriorate when used in corrosive environments such as areas where chemicals are handled or stored.<br>OSHA 29 CFR 1910.147(c)(5)(ii)(A)(3)

  • Responsible Party

  • Target Completion Date

  • Lockout and Tagout devices shall be standardized within the facility in at least one of the following criteria: color, shape, or size.<br>OSHA 29 CFR 1910.147(c)(5)(ii)(8)

  • Responsible Party

  • Target Completion Date

  • Lockout devices shall be substantial enough to prevent removal without the use of excessive force or unusual techniques, such as with the use of bolt cutters or other metal cutting.<br>OSHA 29 CFR 1910.147(c)(5)(ii)(C)(1)

  • Responsible Party

  • Target Completion Date

9. Fall Protection.

  • Employees at this facility are not exposed to the roof or work 4 feet or more above unguarded walking surface?

  • Responsible Party

  • Target Completion Date

  • Are all holes into which a worker can accidentally walk by, guarded by use of a railing and toe board?

  • Responsible Party

  • Target Completion Date

  • Are guardrails and toe boards used around every open sided platform, floor or runway that is 4 feet or higher off the ground?

  • Responsible Party

  • Target Completion Date

  • Are other means of fall protection (safety harness and line, safety nets, or hand railings) used?

  • Responsible Party

  • Target Completion Date

10. Compressed gas cylinders.

  • Gas cylinders are labeled to clearly identify the contained gas.<br>OSHA 29 CFR 1910.101(b)

  • Responsible Party

  • Target Completion Date

  • All empty gas cylinders are being stored and separated from full containers.<br>OSHA 29 CFR 1910.101(b)

  • Responsible Party

  • Target Completion Date

  • All gas cylinders are being stored in the upright position using the wall supported storage technique or in a rack or cage.<br>OSHA 29 CFR 1910.101(b)<br>

  • Responsible Party

  • Target Completion Date

  • All cylinders are placed so they are protected from passing or falling objects.<br>OSHA 29 CFR 1910.101(b)<br>

  • Responsible Party

  • Target Completion Date

  • Valve protectors are always placed on cylinders when the cylinders are not used or connected.<br>OSHA 29 CFR 1910.101(b)

  • Responsible Party

  • Target Completion Date

  • Each pipe carrying medical gases in the workplace is labeled with the identity of the product name and shows the direction of flow.<br>OSHA 29 CFR 1910.1200(f) NFPA 99

  • Responsible Party

  • Target Completion Date

11. Confined Space

  • Employees are not required to enter confined spaces?

  • Responsible Party

  • Target Completion Date

12. Doors

  • Doors are closing at good speed (all doors - sliders, revolvers, fire doors, stairwells)

  • Responsible Party

  • Target Completion Date

  • Doors are not too heavy and open easily.

  • Responsible Party

  • Target Completion Date

  • There are no trip hazards in the doorways.(lip on carpet, frayed carpet, etc.)

  • Responsible Party

  • Target Completion Date

Additional Concerns.

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.