Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Procdures

  • Do the employees know the facilities Emergency Action Plan? (Primary meeting location in event of emergency)

  • Does the facility have a rescue procdures in place if a grain engulfment occurs?

  • In case of grain engulfment, does the facilities rescue team have adequate training?

Ladder Safety

  • Are ladders at the facility damaged?

  • Ladders over 20 feet have a cage around them?

  • Do the ladders that are over 30 feet have a resting platform?

  • Are fixed ladders meeting OSHA's regulations?

  • Examples of issue

  • Tap to enter information

Labeling

  • Are Confined Spaces properly labeled?

  • Are Emergency Ladders labeled, "Emergency Use Only"?

  • Are Exits properly labeled?

  • Example of issue

  • Tap to enter information

Machine Guarding

  • Are machines properly being protected from moving objects? (i.e. Belts)

  • Example of issue

  • Tap to enter information

Other

  • Are parked trucks being chalked?

  • Are dusk masks being placed in a dust free environment?

  • Are employees disposing of dusk masks after each use?

  • Is there adequate crash protection for oil tanks, annhydrous tanks, propane tanks, gas pumps, etc.?

  • Is there alcohol on location?

  • Tap to enter information

  • Tap to enter information

Slip, Trip, and Falls

  • Does the facility have a temporary railing that can be utilized when a man hole is in use?

  • Is there any areas over 4 feet that are not protected with fall protection?

  • Are the railings damaged?

  • Are the railings up to OSHA standards? (i.e. top railing, mid railing, and toe board)

  • Does the facility have proper fall protection? (i.e. bulk fuel and rail car loading)

  • Are the lanyards and rectractable lanyards in proper working condition? (Also are they exposed the weather elements)

  • Are the harness at facility in proper working conditon?

  • Example of issue

  • Example

Housekeeping

  • Does the facility have more than 1/8th inch of dust?

  • Example of issue

  • Tap to enter information

Autolifts

  • Are employees completeing Daily and Monthly Auto Lift inspections?

  • Has a third party completed an annual inspection of the auto lift?

Permit Required Confined Spaces

  • Are the air monitors charged?

  • Are the air monitors Calibrated?

  • Are the Permits being completed completely?

  • Does the location have more than a year of Permits on hand?

  • Are employees completeing the permits when entering PRCS?

Fire Extinguishers

  • Monthly Inspections are they completed?

  • Are the fire extinguishers being rechared annually?

  • Are the fire extingushers mounted?

  • Is there a sign labeling the fire extingushers location?

  • Example of issue

  • Tap to enter information

Forklift Safety

  • Employees completing Daily Forklift Inspections

Electrical Safety

  • Is the electrical room being used as a break room?

  • Do outlets outside or exposed to potential water hazards equiped with GFCI?

  • Are the outlets in proper working order?

  • Are extension cords being put away?

  • Are any extension cords secured to the wall or going through doors, windows, or walls?

  • Are the extension cords damaged or have alterations done to them?

  • Are the Electrical Boxes Closed?

  • Are the Electrical Boxes clearly Labeled?

  • Is there a 3 foot clearance in front of the Electrical Boxes?

  • Tap to enter information

  • Examples of Issues

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.