Cohen Location Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Safety File

• Daily Safety Contacts Made

  Yes

  No

  N/A

• JSHA Being Reviewed

  Yes

  No

  N/A

• JSO (job site orientations) Being Completed. Alligator Shear, High Hazards, Non-Routine

  Yes

  No

  N/A

• Monthly Video Topic Sign-Off

  Yes

  No

  N/A

• Weekly Walk Thru Observations Completed

  Yes

  No

  N/A

• Confined Space Re-classification And Air Monitoring Sheets

  Yes

  No

  N/A

• Hot Work Permit Sign-offs

  Yes

  No

  N/A

• Safety Lock Cutoff Sheets

  Yes

  No

  N/A

Employee Info / Accidents

• Employee List Reviewed

  Yes

  No

  N/A

• Open Operator Observations

  Yes

  No

  N/A

• Accident Report In File

  Yes

  No

  N/A

• Are Any Accident Reports Open

  Yes

  No

  N/A

General Work Environment

• Are Work Areas Clean and Orderly

  Yes

  No

  N/A

• Are All Spilled Materials Or Liquids Cleaned Up Immediately

  Yes

  No

  N/A

• Are Work Areas Adequately Illuminated

  Yes

  No

  N/A

Personal Protective Equipment

• Is PPE Being Worn As Required

  Yes

  No

  N/A

• Is PPE Maintained In A Sanitary Condition And Ready For Use

  Yes

  No

  N/A

• Are Those Requiring Corrective Lenses Using Side Shields And Proper Glasses

  Yes

  No

  N/A

• Are Approved Respirators Provided And Used As Required

  Yes

  No

  N/A

• Is There An Eyewash Station Within Work Area Of Corrosive Materials

  Yes

  No

  N/A

• Eye Wash Station Fluid Is In Date and Not Expired

  Yes

  No

  N/A

Walking And Working Surfaces

• Are Aisles And Passageways Kept Clear

  Yes

  No

  N/A

• Are Holes In The Floor Repaired Properly Or Covered With Safe Material

  Yes

  No

  N/A

• Is Adequate Headroom Provided For The Entire Length Of Any Aisle Or Walkway

  Yes

  No

  N/A

• Are Standard Guardrails Provided Wherever Aisle Or Walkway Surfaces Are Elevated More Than 30 Inches Above Any Adjacent Floor Or The Ground

  Yes

  No

  N/A

• Are Standard Stair Rails Or Handrails On All Stairways Having Four Or More Risers

  Yes

  No

  N/A

• Are Stairway Handrails Capable Of Withstanding A Load of 200 Pounds, Applied In Any Direction

  Yes

  No

  N/A

Egress And Exit Doors

• Are All Exit Signs Marked With An Exit Sign And Illuminated By A Reliable Light Source

  Yes

  No

  N/A

• Are Directions To Exits When Not Immediately Apparent Marked With Visible Signs

  Yes

  No

  N/A

• Are Doors That Are Not Exits Marked Properly

  Yes

  No

  N/A

• Are All Exits Kept Free From Obstructions

  Yes

  No

  N/A

• Are There EnoughExits To Permit Prompt Escape In Case Of Emergency

  Yes

  No

  N/A

• Are Exit Doors Openable From Direction Of Exit Travel Without Special Knowledge Or A Key

  Yes

  No

  N/A

• CanThe Exit Door Be Opened With 15 Pound Or Less Of Force

  Yes

  No

  N/A

Ladders / Tools

• Are Ladders Maintained In Good Condition

  Yes

  No

  N/A

• Are Non-slip Safety Feet Provided On Each Ladder

  Yes

  No

  N/A

• Are Ladder Rungs And Steps Free Of Oil And Grease

  Yes

  No

  N/A

• Are All Tools And Equipment In Good Condition

  Yes

  No

  N/A

• Are Tools Stored Properly

  Yes

  No

  N/A

• Are Tools That Are Corded Grounded Properly

  Yes

  No

  N/A

• Are Grinder Work Rests Used And Kept Adjusted To Within 1/8 Inch Of The Wheel

  Yes

  No

  N/A

• Is The Adjustable Tongue On The Top Side Of The Grinder Used And Kept Adjusted To Within 1/4 Inch Of The Wheel

  Yes

  No

  N/A

• Is Cleanliness Maintained Around Grinders And Work Areas

  Yes

  No

  N/A

• Is There A Power Shut Off Switch Within Reach Of The Operator Position

  Yes

  No

  N/A

• Are All Foot Operated Switches Guarded Properly

  Yes

  No

  N/A

• Are All Emergency Stops Colored Red

  Yes

  No

  N/A

• Can Power To Each Machine Be Locked-Out

  Yes

  No

  N/A

SIGNATURES

• YARD MANAGER SIGNATURE

  Sign

• CORPORATE SAFETY REPRESENATIVE

  Sign