Information
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Conducted on
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Prepared by
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Document No.
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Client / Site
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Personnel
3.0 - Emergency Action Plan
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3.1 - Emergency Action Plan Initial Training for All Employees Completed?
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3.2 - Emergency Action Plan Reviewed and Updated Annually?
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3.3 - EAP / VISITORS LOGS used? (except customers)
4.0 - Lockout Tagout Safety Program
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4.2 - LOTO / Machine specific WRITTEN PROCEDURES are complete?
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4.4 - LOTO / All LOCKS/TAGS identify authorized employees?
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4.5 - LOTO / Required LOTO EQUIPMENT is available?
8.0 - Office Area within or near elevators (not main office)
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8.1 - OFFICE / FIRE EXTINGUISHERS in place and properly mounted?
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8.2 Monthly Fire Extinguisher inspections recorded on the tag?
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8.3 - OFFICE / EGRESS routes well marked and clear of obstacles?
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8.5 - OFFICE / ELECTRICAL SYSTEMS compliant?
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8.6 - OFFICE / Free of SLIP or TRIP hazards?
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8.7 Platforms, Stairs and Handrails satisfactory?
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8.5 - OFFICE / Facility SIGNAGE compliant?
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8.6 - Electrical Circuit Breakers and Disconnects clearly identified?
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8.7 - Clear access to electrical panels?
9.0 - Grain Handling Areas
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9.1 - MAIN LEVEL / FIRE EXTINGUISHERS in place and compliant?
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9.2 - MAIN LEVEL / EGRESS routes kept clear of obstacles?
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9.3 - MAIN LEVEL / ELECTRICAL EQUIPMENT SATISFACTORY?
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9.4 - GRAIN / MACHINE GUARDING compliant?
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9.5 - GRAIN / ORGANIZED and free of clutter, rubbish, and spilled grain?
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9.6 - GRAIN / Free of SLIP or TRIP hazards?
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9.7 - GRAIN / RAILINGS AND HOLE GUARDING compliant?
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9.8 - GRAIN / LADDERS compliant?
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9.9 - GRAIN / PERMIT SPACES properly marked?
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9.10 - GRAIN / HOUSEKEEPING performed adequately?
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9.11 - GRAIN / MAINTENANCE performed adequately?
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9.14 - GRAIN / DUMP PIT GRATES compliant?
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9.13 - GRAIN / EMERGENCY RESCUE EQUIPMENT on site and stored properly? (Rope retrieval kit, plywood coffer dams, proper harness, and lifelines)
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9.15 - GRAIN / Grain processing equipment MAGNETS are properly maintained?
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9.16 - GRAIN / All CHEMICALS are properly stored and labeled?
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9.17 - GRAIN / NO SMOKING WITHIN 50 FEET properly marked?
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9.18 - GRAIN / LOTO ENERGY ISOLATION POINTS properly marked?
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9.19 - GRAIN / EXTENSION CORDS are OSHA compliant including GFCI where required?
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9.20 - GRAIN / Adequate SECURITY at facility? (Ladders, doors, electrical, overheads, etc.)
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9.21 - GRAIN / LOADERS, skid steers etc. compliant and in safe operating condition?
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9.22 - GRAIN / FACILITY SECURITY; Buildings lock securely
Sign Off
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Auditor's signature
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On site representative
