CNO Facility Safety Audit 3.0

• Audit Title

• Client / Site

• Facility

• Conducted on

  Date

• Prepared by

1.0 - Previous inspection

• 1.1 - Have all the critical items from the previous report been addressed?

  Yes

  No

  N/A

2.0 - Fire and Life Safety

• 2.1 - Evacuation plan displayed? (NFPA 101 - 4.8)

  Yes

  No

  N/A

• 2.2 - Extinguishers checked monthly and documented on tag? Enter last date. {29CFR 1910.157(e)(2)}

  Yes

  No

  N/A

• 2.3 - Extinguishers serviced yearly and documented on tag? Enter last date. {29CFR 1910.157(e)(3)}

  Yes

  No

  N/A

• 2.4- Extinguishers in place, clearly marked for type of fire? {29CFR 1910.157(c)(1)}

  Yes

  No

  N/A

• 2.5 - Extinguishers clear of obstructions? (IFC 906.6)

  Yes

  No

  N/A

• 2.6 - Extinguisher no more than 5' max height & base not lower that 5"? (IFC 906.9)

  Yes

  No

  N/A

• 2.7 - Exit signs/Emergency Lights working properly? {29CFR 1910.37(a)(4)}

  Yes

  No

  N/A

• 2.8 - Adequate exit signs indicating fire exits? {29CFR 1910.37(b)(4)}

  Yes

  No

  N/A

• 2.9 - Exit doors easily opened from inside and not locked and swing in the direction of travel? {29CFR 1910.36(d)(1)}

  Yes

  No

  N/A

• 2.10 - Exits clear of obstructions? {29CFR 1910.37(a)(3)}

  Yes

  No

  N/A

• 2.11 - Are aisles maintained in good condition, and free and clear of obstructions? (NFPA 101 - 7.1.10.1)

  Yes

  No

  N/A

• 2.12 - Are aisles properly illuminated? (IFC 1006.1)

  Yes

  No

  N/A

• 2.13 - Are stairways free of obstructions, defects, or other items that would impede egress? {29CFR 1910.37(a)(3)}

  Yes

  No

  N/A

• 2.14 - Do stairways have handrails where required? {29CFR 1910.23 (d)}

  Yes

  No

  N/A

3.0 - Fire Safety Systems

• 3.1 - Does the facility have a fire alarm? (IFC 907.2)

  Yes

  No

  N/A

• Is the system up to date on the annual inspection? (NFPA 72 - 14.3.1)

  Yes

  No

  N/A

• What color is the tag from the last inspection?

  Red

  Green

  Yellow

• Are horn/strobes unobstructed? {29CFR 1910.165(b)(2)}

  Yes

  No

  N/A

• Are pull stations unobstructed? (NFPA 101 - 9.6.2.7)

  Yes

  No

  N/A

• 3.2 - Does the facility have a fire sprinkler? (IFC 903.2.1)

  Yes

  No

  N/A

• Is the system up to date on the annual inspection? (NFPA 25 - 5.1.1.2)

  Yes

  No

  N/A

• What color is the tag from the last inspection?

  Red

  Green

  Yellow

• Is the sprinkler room clean and orderly with ease of access to system? (NFPA 25 - 4.1.2)

  Yes

  No

  N/A

• 3.3 - Does the facility have a fire pump?

  Yes

  No

  N/A

• Is the system up to date on the annual inspection? (NFPA 25 - 8.1.2)

  Yes

  No

  N/A

• What color is the tag from the last inspection?

  Red

  Green

  Yellow

• Is the pump being exercised weekly as required? (NFPA 25 - 8.3.1)

  Yes

  No

  N/A

• 3.4 - Does the facility have a clean agent system?

  Yes

  No

  N/A

• Is the system up to date on the biannual inspection? (IFC 904.10)

  Yes

  No

  N/A

• What color is the tag from the last inspection?

  Red

  Green

  Yellow

4.0 - Building Safety

• 4.1 - Floor surfaces even and uncluttered? {29CFR 1910.22(b)(1)}

  Yes

  No

  N/A

• 4.2 - Entry and walkways kept clear? {29CFR 1910.22(a)(2)}

  Yes

  No

  N/A

• 4.3 - Walkways adequately and clearly marked? {29CFR 1910.22(b)(2)}

  Yes

  No

  N/A

• 4.4 - Stair and risers kept clear? {29CFR 1910.22(a)(1)}

  Yes

  No

  N/A

• 4.5 - Are railings in good condition? {29CFR 1910.23(e)}

  Yes

  No

  N/A

• 4.6 - Loading area clean and tidy? {29CFR 1910.22(b)(1)}

  Yes

  No

  N/A

• 4.7 - Ceiling tiles are in good condition and are in place. (IFC 703.1)

  Yes

  No

  N/A

• 4.8 - Exterior sidewalks are in good condition. {29CFR 1910.22(a)(1)}

  Yes

  No

  N/A

5.0 - Kitchen

• 5.1 - Does the facility have kitchen Ansul systems? (IFC 903.2.12.2)

  Yes

  No

  N/A

• Is the system up to date on the biannual inspection? (IFC 904.11.6.4)

  Yes

  No

  N/A

• What color is the tag from the last inspection?

  Red

  Green

  Yellow

• Pull stations for Ansul Fire Suppression are not blocked or obstructed? (NFPA 101 - 9.6.2.7)

  Yes

  No

  N/A

• 5.2 - Is there proper coverage for all require cooking equipment. (IMC 507.12)

  Yes

  No

  N/A

• 5.3 - Vent-a-hood grates (filters) are properly installed? (IMC 507.11.1)

  Yes

  No

  N/A

• 5.4 - Vent-a-hood drip pans are properly installed? (IMC 507.8 & 507.11.2)

  Yes

  No

  N/A

• 5.5 - Vent-a-hood grates (filters) are clean and free or dust and grease? (NFPA 96 - 11.6.2)

  Yes

  No

  N/A

• 5.6 - Vent-a-hood is current on professional cleaning schedule (allow a 30-day grace period from date indicated on the tag)? Enter due date for cleaning. (IFC 904.11.6.3)

  Yes

  No

  N/A

• 5.7 - A "K" fire extinguisher is installed within 30 feet of the commercial cooking equipment? (IFC 904.11.5)

  Yes

  No

  N/A

• 5.8 - Kitchen floors are clean and dry and free of slip hazards? {29CFR 1910.22(a)(2)}

  Yes

  No

  N/A

• 5.9- Co2 detectors are installed in coolers or confined spaces where required? (NFPA 720)

  Yes

  No

  N/A

• 5.10 - There are no obvious health or food safety hazards such as pests, cross-contamination, food spoilage, etc?

  Yes

  No

  N/A

6.0 General

• 6.1 - Are the appropriate workplace posters located where employee can access them? (29CFR 1903.2)

  Yes

  No

  N/A

• 6.2 - Is the facility clean and free of housekeeping hazards? {29CFR 1910.22(a)(3)}

  Yes

  No

  N/A

• 6.3 - Are ladders in good condition? {29CFR 1910.26(c)(2)(iv)}

  Yes

  No

  N/A

• 6.4 - Are hand and power tools in good operating condition? {29CFR 1910.242(a)}

  Yes

  No

  N/A

• 6.5 - Are compressed gas cylinders stored properly? {29CFR 1910.101(b)}

  Yes

  No

  N/A

7.0 - Storage Design and Use

• 7.1 - Materials stored in racks and bins wherever possible? {29CFR 1910.176(b)}

  Yes

  No

  N/A

• 7.2 - Storage designed to minimise lifting problems? {29CFR 1910.176(b)}

  Yes

  No

  N/A

• 7.3 - Racks and pallets in good condition? {29CFR 1910.176(b)}

  Yes

  No

  N/A

• 7.4 - The required 18" clearance between materials and ceiling is maintained? (IFC 315.2.1)

  Yes

  No

  N/A

• 7.5 - Oily rags/materials are stored in approved containers? {29CFR 1910.125(e)(4)(ii) & 1926.252(e)}

  Yes

  No

  N/A

• 7.6 - Flammables are stored in approved containers? (IFC 3404.3.4.4)

  Yes

  No

  N/A

8.0 - First Aid Facilities

• 8.1 - Are first aid kits readily available? {29CFR 1910.151(b)}

  Yes

  No

  N/A

• 8.2 - Are kits clearly labelled, clean, and orderly? {29CFR 1910.151(b)}

  Yes

  No

  N/A

• 8.3 - Is there easy access to kits? {29CFR 1910.151(b)}

  Yes

  No

  N/A

• 8.4 - Are blood borne pathogen kits available? {29CFR 1910.1030(d)(3)}

  Yes

  No

  N/A

9.0 - Electrical Safety

• 9.1 - Electrical panels not blocked or obstructed and a 3ft clearance maintained around the equipment? {NEC 110.26(A)(1)}

  Yes

  No

  N/A

• 9.2 - Are breakers in electrical panels labeled? (IFC 605.3.1)

  Yes

  No

  N/A

• 9.3 - Combustible materials not stored in electrical rooms? (IFC 315.2.3)

  Yes

  No

  N/A

• 9.4 - Openings in panels, outlets, and/or junction boxes are properly closed? {NEC 312.5(a)}

  Yes

  No

  N/A

• 9.5 - Proper Lockout-tagout devices are in use on breakers? {29CFR 1910.333(b)(2)(iii)}

  Yes

  No

  N/A

• 9.6 - No broken plugs, sockets, switches, or faceplates? {29CFR 1910.334(a)(2)(ii)}

  Yes

  No

  N/A

• 9.7 - No power leads run through walls, doorways, windows, etc? {29CFR 1910.305(g)(1)(iii)}

  Yes

  No

  N/A

• 9.8 - No frayed or damaged leads? {29CFR 1910.303(b)}

  Yes

  No

  N/A

• 9.9 - Extension cords are not "daisy chained" or improperly used? {29CFR 1910.305(g)(2)(ii)}

  Yes

  No

  N/A

• 9.10 - Extension cords are not being used as permanent power? {(29CFR 1910.305(g)(1)(iii)(a)}

  Yes

  No

  N/A

• 9.11 - Where required are emergency shut-down procedures (LOTO) in use? {29CFR 1910.333(b)(2)}

  Yes

  No

  N/A

• 9.12 - Are all outlets within the area of a water source protected with GFCI outlet or breaker? (NEC 210.8)

  Yes

  No

  N/A

10.0 - Chemical Safety

• 10.1 - Material Safety Data Sheets available for all chemicals? {29CFR 1910.1200(g)(1)}

  Yes

  No

  N/A

• 10.2 - All containers labelled correctly? {29CFR 1910.1200(f)(1)}

  Yes

  No

  N/A

• 10.3 - Are unlike chemicals stored properly? (IFC 2703.9.8)

  Yes

  No

  N/A

• 10.4 - If required is PPE available? {29CFR 1910.1200(h)(3)(iii) & 1910.132(a)}

  Yes

  No

  N/A

• 10.5 - Is adequate ventilation provided? (IFC 2704.3)

  Yes

  No

  N/A

• 10.6 - Are eye washes and showers easily accessed, if applicable? {29CFR 1910.151(c)}

  Yes

  No

  N/A

11.0 Safety Infractions

• Did the site receive any safety infractions during this inspection period?

  Select Serious - Could cause death Major - Could cause major injury Minor - Could cause minor injury No infractions given

  • Serious - Could cause death
  • Major - Could cause major injury
  • Minor - Could cause minor injury
  • No infractions given

• Add media

  Media

12.0 - Additional Comments

• Are there additional items or comments to include about this inspection?

  Yes

  No

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• Auditor's signature

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