Champion City Recovery Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed?

  Yes

  No

  N/A

• 1.2 - Are there no outstanding actions?

  Yes

  No

  N/A

2.0 - Fire Prevention

• 2.1 - Evacuation plan displayed and understood by all employees?

  Yes

  No

  N/A

• 2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)

  Yes

  No

  N/A

• 2.3 - Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• 2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  Yes

  No

  N/A

• 2.5 - Extinguishers clear of obstructions?

  Yes

  No

  N/A

• 2.6 - Extinguisher no more than 4 feet max height & base not lower that 1 foot?

  Yes

  No

  N/A

• 2.7 - Indicator signs 6.5 feet above floor level?

  Yes

  No

  N/A

• 2.8 - Adequate direction notices for fire exits?

  Yes

  No

  N/A

• 2.9 - Exit doors easily opened from inside?

  Yes

  No

  N/A

• 2.10 - Exits clear of obstructions?

  Yes

  No

  N/A

• 2.11 - Fire alarm system functioning correctly?

  Yes

  No

  N/A

3.0 - General Lighting

• 3.1 - Good natural lighting?

  Yes

  No

  N/A

• 3.2 - Light fittings clean and in good condition?

  Yes

  No

  N/A

• 3.3 - Emergency exit lighting operable?

  Yes

  No

  N/A

4.0 - Building Safety

• 4.1 - Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 4.2 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 4.3 - Stair and risers kept clear?

  Yes

  No

  N/A

• 4.4 - Are railings in good condition?

  Yes

  No

  N/A

• 4.5 - Is the misting system operational / had the minimum test?

  Yes

  No

  N/A

• 4.6 - Are all the LED light fixtures in good condition?

  Yes

  No

  N/A

• 4.7 - Is the water system working at proper capacity?

  Yes

  No

  N/A

• 4.8 - Are both the water hose boxes in good condition, with both hoses and couplers included?

  Yes

  No

  N/A

5.0 - Conex Boxes

• 5.1 - Clear of rubbish?

  Yes

  No

  N/A

• 5.2 - Tools not in use kept in place?

  Yes

  No

  N/A

• 5.3 - No damaged hand tools in use?

  Yes

  No

  N/A

• 5.4 - No damaged power tools in use?

  Yes

  No

  N/A

• 5.5 - Are gas cans secured?

  Yes

  No

  N/A

• 5.6 - Are levels of bulk engine oil sufficient?

  Yes

  No

  N/A

• 5.7 - Are levels of hydraulic oil sufficient?

  Yes

  No

  N/A

• 5.8 - Is waste oil at a safe level?

  Yes

  No

  N/A

• 5.9 - Are light and electrical fixtures in good condition?

  Yes

  No

  N/A

6.0 - Rubbish Removal

• 6.1 - Bins located at suitable points around site?

  Yes

  No

  N/A

• 6.2 - Bins emptied regularly?

  Yes

  No

  N/A

• 6.3 - Oily rags and combustible refuse in covered metal containers?

  Yes

  No

  N/A

7.0 - Sweeper S9139D

• 7.1 - Is it kept clean?

  Yes

  No

  N/A

• 7.2 - Guards in good condition?

  Yes

  No

  N/A

• 7.3 - Is lighting adequate?

  Yes

  No

  N/A

• 7.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 7.5 - Is machine equipped with fire extinguishers?

  Yes

  No

  N/A

• 7.6 - Is the machine's safety railings in good condition?

  Yes

  No

  N/A

8.0 - 950H K5KO2152

• 8.1 - Is it kept clean?

  Yes

  No

  N/A

• 8.2 - Guards in good condition?

  Yes

  No

  N/A

• 8.3 - Is lighting adequate?

  Yes

  No

  N/A

• 8.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 8.5 - Is the machine equipped with fire extinguishers?

  Yes

  No

  N/A

• 8.6 - Is the machine's safety railings in good condition?

  Yes

  No

  N/A

9.0 - 966M KJP00855

• 9.1 - Is it kept clean?

  Yes

  No

  N/A

• 9.2 - Guards in good condition?

  Yes

  No

  N/A

• 9.3 - Is lighting adequate?

  Yes

  No

  N/A

• 9.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 9.5 - Is the machine equipped with fire extinguishers?

  Yes

  No

  N/A

• 9.6 - Is the machine's safety railings in good condition?

  Yes

  No

  N/A

10.0 - 966M KJP01177

• 10.1 - Is it kept clean?

  Yes

  No

  N/A

• 10.2 - Guards in good condition?

  Yes

  No

  N/A

• 10.3 - Is lighting adequate?

  Yes

  No

  N/A

• 10.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 10.5 - Is the machine equipped with fire extinguishers?

  Yes

  No

  N/A

• 10.6 - Is the machine's safety railings in good condition?

  Yes

  No

  N/A

11.0 - 336D W3K01009

• 11.1 - Is it kept clean?

  Yes

  No

  N/A

• 11.2 - Guards in good condition?

  Yes

  No

  N/A

• 11.3 - Is lighting adequate?

  Yes

  No

  N/A

• 11.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 11.5 - Is the machine equipped with fire extinguishers?

  Yes

  No

  N/A

• 11.6 - Is the machine's safety railings in good condition?

  Yes

  No

  N/A

12.0 - 336D W3K01128

• 12.1 - Is it kept clean?

  Yes

  No

  N/A

• 12.2 - Guards in good condition?

  Yes

  No

  N/A

• 12.3 - Is lighting adequate?

  Yes

  No

  N/A

• 12.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 12.5 - Is the machine equipped with fire extinguishers?

  Yes

  No

  N/A

• 12.6 - Is the machine's safety railings in good condition?

  Yes

  No

  N/A

13.0 - 826H AWF00691

• 13.1 - Is it kept clean?

  Yes

  No

  N/A

• 13.2 - Guards in good condition?

  Yes

  No

  N/A

• 13.3 - Is lighting adequate?

  Yes

  No

  N/A

• 13.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 13.5 - Is the machine equipped with fire extinguishers?

  Yes

  No

  N/A

• 13.6 - Is the machine's safety railings in good condition?

  Yes

  No

  N/A

14.0 - 320F YBM10109

• 14.1 - Is it kept clean?

  Yes

  No

  N/A

• 14.2 - Guards in good condition?

  Yes

  No

  N/A

• 14.3 - Is lighting adequate?

  Yes

  No

  N/A

• 14.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 14.5 - Is the machine equipped with fire extinguishers?

  Yes

  No

  N/A

• 14.6 - Is the machine's safety railings in good condition?

  Yes

  No

  N/A

15.0 - 246D BYF03685

• 15.1 - Is it kept clean?

  Yes

  No

  N/A

• 15.2 - Guards in good condition?

  Yes

  No

  N/A

• 15.3 - Is lighting adequate?

  Yes

  No

  N/A

• 15.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 15.5 - Is the machine equipped with fire extinguishers?

  Yes

  No

  N/A

• 15.6 - Is the machine's safety railings in good condition?

  Yes

  No

  N/A

16.0 - Trackmobile LGN99850-0915

• 16.1 - Is it kept clean?

  Yes

  No

  N/A

• 16.2 - Guards in good condition?

  Yes

  No

  N/A

• 16.3 - Is lighting adequate?

  Yes

  No

  N/A

• 16.4 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 16.5 - Is the machine equipped with fire extinguishers?

  Yes

  No

  N/A

• 16.6 - Is the machine's safety railings in good condition?

  Yes

  No

  N/A

17.0 - Electrical Safety

• 17.1 - No double adapters in use?

  Yes

  No

  N/A

• 17.2 - No broken plugs, sockets or switches?

  Yes

  No

  N/A

• 17.3 - No power leads across walkways?

  Yes

  No

  N/A

• 17.4 - No frayed or damaged leads?

  Yes

  No

  N/A

• 17.5 - Portable power tools in good condition?

  Yes

  No

  N/A

18.0 - Chemical Safety

• 18.1 - Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• 18.2 - Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• 18.3 - Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• 18.4 - All containers labelled correctly?

  Yes

  No

  N/A

• 18.5 - Unused substances disposed of?

  Yes

  No

  N/A

• 18.6 - Do special storage conditions apply?

  Yes

  No

  N/A

• 18.7 - If applicable are special storage conditions followed?

  Yes

  No

  N/A

• 18.8 - If required is PPE available?

  Yes

  No

  N/A

• 18.9 - Are eye washes and showers easily accessed?

  Yes

  No

  N/A

19.0 Ladders

• 19.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• 19.2 - Are ladders in good condition?

  Yes

  No

  N/A

• 19.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  Yes

  No

  N/A

• 19.4 - Used according to instructions?

  Yes

  No

  N/A

20.0 - First Aid Facilities

• 20.1 - Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• 20.2 - Are contents regularly checked?

  Yes

  No

  N/A

• 20.3 - No contents past their expiry date?

  Yes

  No

  N/A

• 20.4 - Cabinets clearly labelled?

  Yes

  No

  N/A

• 20.5 - Is there easy access to cabinets?

  Yes

  No

  N/A

• 20.6 - Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• 20.7 - Are emergency numbers displayed?

  Yes

  No

  N/A

21.0 - Scale House

• 21.1 - Condition of filing cabinets?

  Yes

  No

  N/A

• 21.2 - Condition of chairs?

  Yes

  No

  N/A

• 21.3 - Desks in good condition? (No damage.)

  Yes

  No

  N/A

• 21.4 - Screen Based Equipment positioned to reduce glare from windows etc?

  Yes

  No

  N/A

• 21.5 - Photocopiers positioned to avoid fumes?

  Yes

  No

  N/A

• 21.6 - Air conditioning systems regularly maintained?

  Yes

  No

  N/A

• 21.7 - Are all the cameras operational?

  Yes

  No

  N/A

22.0 - Office

• 22.1 - Condition of filing cabinets?

  Yes

  No

  N/A

• 22.2 - Condition of chairs?

  Yes

  No

  N/A

• 22.3 - Desks in good condition? (No damage.)

  Yes

  No

  N/A

• 22.4 - Screen Based Equipment positioned to reduce glare from windows etc?

  Yes

  No

  N/A

• 22.5 - Photocopiers positioned to avoid fumes?

  Yes

  No

  N/A

• 22.6 - Air conditioning systems regularly maintained?

  Yes

  No

  N/A

23.0 - Vehicle Condition

• 23.1 - Schedule maintenance performed?

  Yes

  No

  N/A

• 23.2 - Condition of tires?

  Yes

  No

  N/A

• 23.3 - Brake performance?

  Yes

  No

  N/A

• 23.4 - Lights? (Check operation of brake, indicator and reversing lights)

  Yes

  No

  N/A

• 23.5 - Condition of drivers seat?

  Yes

  No

  N/A

• 23.6 - Condition of other seats?

  Yes

  No

  N/A

• 23.7 - First aid kit supplied and adequate?

  Yes

  No

  N/A

• 23.8 - Storage provisions?

  Yes

  No

  N/A

24.0 Rail Yard

• 24.1 - Are all the switches and switch flags in good condition?

  Yes

  No

  N/A

• 24.2 - Are all the frogs in good condition?

  Yes

  No

  N/A

• 24.3 - Has the track been walked and checked for wear and detrition?

  Yes

  No

  N/A

• 24.4 - Are all the switch points in good condition?

  Yes

  No

  N/A

• 24.5 - Are all the 100 foot set back lines visible?

  Yes

  No

  N/A

• 24.6 - Is the tarping station in good condition? This includes all safety cables, catwalks, stairs, safety harnesses, and safety vests.

  Yes

  No

  N/A

• 24.7 - Is the tarp inventory above 5?

  Yes

  No

  N/A

• 24.8 - Has the rail scale been opened and cleaned?

  Yes

  No

  N/A

25.0 - Yard

• 25.1 - Is the yard free of potholes?

  Yes

  No

  N/A

• 25.2 - Are all fences around the site well maintained?

  Yes

  No

  N/A

• 25.3 - Are the sewer lines clear and free to move water?

  Yes

  No

  N/A

• 25.4 - Are all safety signs hung up and clearly visible?

  Yes

  No

  N/A

• 25.5 - Are trees limbs clear of parking lot?

  Yes

  No

  N/A

• 25.6 - Are the roll off cans set in a way that doesn't rip up the parking lot?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign