Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Training

  • Training provided to each employee assigned to a job and/or machine

  • Employees receive training in the usage of personal protective equipment provided

  • Employees receive training on the chemicals they work or may be exposed to as part of their job duties

Fall Prevention

  • Floors and walkways clear of debris, automobile fluids, and other trip, slip and fall hazards

  • Tools and parts kept in proper storage areas

  • Hoses and power cords tied, not left scattered across the floor

  • All drains and floor openings adequately covered

  • Employees wearing appropriate footwear

  • Walking surfaces - repair area, offices, parking lots, etc - in good condition, level ground and free of other trip, slip and fall hazards

  • Caution markings and barriers placed around repair pits

Material Handling

  • Hand trucks and other lifting aides available to transport heavy materials

  • Appropriate number of staff used to move heavy or awkward loads

  • Employees utilizing the correct lifting techniques

  • Hoist hooks have safety latches

Hand and Power Tool Safety

  • Tools inspected before use, defective tools repaired or replaced

  • Employees use the correct tool for the job

  • Electrical tools grounded with a third prong or rated "double insulated"

  • Tools kept in good operating condition, clean and grease free

Machine Safety

  • All machinery and mechanical equipment inspected before usage and maintenance logs kept on file

  • Appropriate guarding on all machinery and mechanical equipment

  • Required personal protective equipment worn during machine operations

  • Jewelry and loose clothing not worn while operating machinery

  • A lockout/tagout program in place

  • Lift systems properly maintained

  • Compressors properly muffled and secured

Fire Safety

  • Fire exit doors free of obstructions, exit signs appropriately illuminated

  • Oily rags and other combustible or flammable materials deposited in approved closed metal containers

  • "No Smoking" rules strictly enforced

  • Fire extinguishers fully charged, tagged, and not obstructed by materials

  • Welding and cutting operations not conducted near flammable liquids or combustible fumes

  • Flammable combustible containers kept closed and placed in approved storage cabinets

  • Paint spray booths separated from other work areas, properly ventilated and equipped with explosion proof fixtures

  • Only the quantity of flammable or combustible liquids required for one day or one shift kept near production

Electrical Safety

  • All cords and electrical equipment properly guarded or protected

  • Ground Fault Circuit Interrupters (GFCI) on electrical outlets near water sources

  • Junction boxes, electrical outlets, switches and other electrical components properly covered

  • Doors closed and circuits spaces covered on panel boxes

  • Frayed power cords repaired or replaced promptly

  • Extension cords not used for permanent wiring

Chemical Safety

  • A written HazCom program is in effect

  • Chemical inventory list available

  • SDS sheets available for the hazardous chemicals in the workplace

  • Employees wear the proper personal protective equipment when handling chemicals

  • All chemicals stored in their proper containers and appropriately labeled

  • Employees wash their hands after handling chemicals

Compressed Gas Cylinders

  • Compressed gas cylinders properly stored and secured

  • Gas cylinders stored away from flammable and combustible sources

  • Oxygen cylinders separated from fuel-gas cylinders or combustible materials

  • Valve protection caps placed on cylinders not in use

Parts Department

  • Storage kept at least 18 inches below sprinkler heads

  • Aisles clear and free of merchandise and other obstructions

  • Materials stacked properly, orderly and not over the edges of shelves

  • Proper ladder available to remove materials from shelves

  • Guardrails present when needed for overhead storage and platforms

  • Box cutters used safely

Salesperson Safety

  • Salespersons wear seat belts when operating vehicles

  • Employees operate vehicles in a safe manner

First Aid

  • Eyewash stations properly maintained and kept free of obstructions

  • Emergency numbers posted throughout workplace

  • First Aid kit adequately supplied

Ventilation

  • Ventilation system properly installed and operation

  • Exhaust vented outside the premises

Special

  • 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.

  • Hazards not under your control are presenting imminent danger to employees.

  • Employees are exposed to imminent danger.

  • Was the hazardous condition / behavior corrected immediately?

Other Comments/General Observations

  • Hazardous Condition or Behavior

  • Hazardous Condition or Behavior

  • Hazardous Condition or Behavior

  • Hazardous Condition or Behavior

  • Hazardous Condition or Behavior

Signature

  • Location Representative:

  • Inspector:

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.