Information
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Document No.
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Audit Title
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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
Training
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Training provided to each employee assigned to a job and/or machine
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Employees receive training in the usage of personal protective equipment provided
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Employees receive training on the chemicals they work or may be exposed to as part of their job duties
Fall Prevention
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Floors and walkways clear of debris, automobile fluids, and other trip, slip and fall hazards
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Tools and parts kept in proper storage areas
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Hoses and power cords tied, not left scattered across the floor
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All drains and floor openings adequately covered
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Employees wearing appropriate footwear
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Walking surfaces - repair area, offices, parking lots, etc - in good condition, level ground and free of other trip, slip and fall hazards
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Caution markings and barriers placed around repair pits
Material Handling
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Hand trucks and other lifting aides available to transport heavy materials
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Appropriate number of staff used to move heavy or awkward loads
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Employees utilizing the correct lifting techniques
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Hoist hooks have safety latches
Hand and Power Tool Safety
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Tools inspected before use, defective tools repaired or replaced
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Employees use the correct tool for the job
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Electrical tools grounded with a third prong or rated "double insulated"
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Tools kept in good operating condition, clean and grease free
Machine Safety
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All machinery and mechanical equipment inspected before usage and maintenance logs kept on file
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Appropriate guarding on all machinery and mechanical equipment
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Required personal protective equipment worn during machine operations
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Jewelry and loose clothing not worn while operating machinery
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A lockout/tagout program in place
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Lift systems properly maintained
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Compressors properly muffled and secured
Fire Safety
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Fire exit doors free of obstructions, exit signs appropriately illuminated
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Oily rags and other combustible or flammable materials deposited in approved closed metal containers
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"No Smoking" rules strictly enforced
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Fire extinguishers fully charged, tagged, and not obstructed by materials
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Welding and cutting operations not conducted near flammable liquids or combustible fumes
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Flammable combustible containers kept closed and placed in approved storage cabinets
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Paint spray booths separated from other work areas, properly ventilated and equipped with explosion proof fixtures
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Only the quantity of flammable or combustible liquids required for one day or one shift kept near production
Electrical Safety
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All cords and electrical equipment properly guarded or protected
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Ground Fault Circuit Interrupters (GFCI) on electrical outlets near water sources
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Junction boxes, electrical outlets, switches and other electrical components properly covered
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Doors closed and circuits spaces covered on panel boxes
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Frayed power cords repaired or replaced promptly
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Extension cords not used for permanent wiring
Chemical Safety
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A written HazCom program is in effect
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Chemical inventory list available
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SDS sheets available for the hazardous chemicals in the workplace
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Employees wear the proper personal protective equipment when handling chemicals
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All chemicals stored in their proper containers and appropriately labeled
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Employees wash their hands after handling chemicals
Compressed Gas Cylinders
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Compressed gas cylinders properly stored and secured
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Gas cylinders stored away from flammable and combustible sources
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Oxygen cylinders separated from fuel-gas cylinders or combustible materials
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Valve protection caps placed on cylinders not in use
Parts Department
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Storage kept at least 18 inches below sprinkler heads
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Aisles clear and free of merchandise and other obstructions
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Materials stacked properly, orderly and not over the edges of shelves
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Proper ladder available to remove materials from shelves
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Guardrails present when needed for overhead storage and platforms
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Box cutters used safely
Salesperson Safety
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Salespersons wear seat belts when operating vehicles
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Employees operate vehicles in a safe manner
First Aid
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Eyewash stations properly maintained and kept free of obstructions
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Emergency numbers posted throughout workplace
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First Aid kit adequately supplied
Ventilation
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Ventilation system properly installed and operation
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Exhaust vented outside the premises
Special
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Imminent Danger defined: Any conditions or practices in any place of employment which are such that a danger exists which could reasonably be expected to cause death or serious physical harm immediately or before the imminence of such danger can be eliminated through the enforcement procedures.
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Hazards not under your control are presenting imminent danger to employees.
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Employees are exposed to imminent danger.
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Was the hazardous condition / behavior corrected immediately?
Other Comments/General Observations
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Hazardous Condition or Behavior
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Hazardous Condition or Behavior
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Hazardous Condition or Behavior
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Hazardous Condition or Behavior
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Hazardous Condition or Behavior
Signature
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Location Representative:
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Inspector: