Cohen Safety Audit V1.1

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Safety File

• What is the date of the safety file being reviewed?

• Daily Safety Contacts Completed

  Yes

  No

  N/A

• JSHA Review Completed

  Yes

  No

  N/A

• Job Safety Orientations (JSO) Completed and in File

  Yes

  No

  N/A

• Monthly video topic sign-off

  Yes

  No

  N/A

• Weekly Walk Thru in file

  Yes

  No

  N/A

• Any accident reports still open

  Yes

  No

  N/A

• Safety Committee Minutes

  Yes

  No

  N/A

• Employee List Reviewed

  Yes

  No

  N/A

• Are there open observations

  Yes

  No

  N/A

• Safety discipline write-ups

  Yes

  No

  N/A

• Confined space re-classification and air monitoring sheets

  Yes

  No

  N/A

• Hot Work permits

  Yes

  No

  N/A

• Safety lock cutoff sheets

  Yes

  No

  N/A

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed and items corrected

  Yes

  No

  N/A

2.0 - Fire Prevention

• 2.1 - Evacuation plan displayed and understood by all employees?

  Yes

  No

  N/A

• 2.2 - Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• 2.3 - Extinguishers checked monthly by employee?

  Yes

  No

  N/A

• 2.4 - Extinguishers are in date by a qualified company and tagged?

  Yes

  No

  N/A

• 2.5 - Extinguishers clear of obstructions?

  Yes

  No

  N/A

• 2.7 - Adequate direction notices and signs at and for fire exits?

  Yes

  No

  N/A

• 2.8 - Exit doors easily opened from inside?

  Yes

  No

  N/A

• 2.9 - Exits clear of obstructions?

  Yes

  No

  N/A

• 2.10 - Are there sufficient exits to permit prompt escape and evacuation?

  Yes

  No

  N/A

• 2.11 - Fire alarm system functioning correctly?

  Yes

  No

  N/A

3.0 - General Lighting

• 3.1 - Good natural lighting?

  Yes

  No

  N/A

• 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  Yes

  No

  N/A

• 3.3 - Light fixtures clean and in good condition?

  Yes

  No

  N/A

• 3.4 - Emergency exit lighting operable?

  Yes

  No

  N/A

• 3.5 - Egress Lighting in place and operable?

  Yes

  No

  N/A

4.0 - Building Safety

• 4.1 - Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 4.2 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 4.3 - Walkways adequately and clearly marked?

  Yes

  No

  N/A

• 4.4 - Intersections kept clear of boxes etc?

  Yes

  No

  N/A

• 4.5 - Stair and risers kept clear?

  Yes

  No

  N/A

• 4.6 - Are liquid spills removed quickly?

  Yes

  No

  N/A

• 4.7 - Are railings in good condition?

  Yes

  No

  N/A

5.0 - Work Benches

• 5.1 - Clear of rubbish?

  Yes

  No

  N/A

• 5.2 - Tools not in use kept in proper place?

  Yes

  No

  N/A

• 5.3 - No damaged hand tools in use?

  Yes

  No

  N/A

• 5.4 - No damaged power tools in use?

  Yes

  No

  N/A

• 5.5 - Work height correct for the type of work and the employee?

  Yes

  No

  N/A

• 5.6 - No sharp edges?

  Yes

  No

  N/A

6.0 - Rubbish Removal

• 6.1 - Bins located at suitable points around site?

  Yes

  No

  N/A

• 6.2 - Bins emptied regularly?

  Yes

  No

  N/A

• 6.3 - Oily rags and combustible refuse in covered metal containers?

  Yes

  No

  N/A

7.0 - Storage Design and Use

• 7.1 - Materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• 7.2 - Storage designed to minimise lifting problems?

  Yes

  No

  N/A

• 7.3 - Floors around racking clear of rubbish?

  Yes

  No

  N/A

• 7.4 - General condition of racks and pallets?

  Yes

  No

  N/A

8.0 - Machines

• 8.1 - Are they kept clean?

  Yes

  No

  N/A

• 8.2 - Are the floors around the machines kept clean?

  Yes

  No

  N/A

• 8.3 - Guards in good condition?

  Yes

  No

  N/A

• 8.4 - Starting and stopping devices within easy reach of operator?

  Yes

  No

  N/A

• 8.5 - Waste/off cuts removed and stored safely?

  Yes

  No

  N/A

• 8.6 - Drip pans on floor to prevent spillage?

  Yes

  No

  N/A

• 8.7 - Adequate work space?

  Yes

  No

  N/A

• 8.8 - Is lighting adequate?

  Yes

  No

  N/A

• 8.9 - Noise levels controlled?

  Yes

  No

  N/A

• 8.10 - No bending or stooping required?

  Yes

  No

  N/A

• 8.11 - Do operators comply with the training?

  Yes

  No

  N/A

• 8.12 - Are lockout procedures implemented and followed when needed?

  Yes

  No

  N/A

• 8.13 - Are gas bottles secured?

  Yes

  No

  N/A

• 8.14 - Are foot operated pedals guarded properly?

  Yes

  No

  N/A

9.0 - Electrical Safety

• 9.1 - Safety switches installed?

  Yes

  No

  N/A

• 9.2 - No double adapters in use?

  Yes

  No

  N/A

• 9.3 - No broken plugs, sockets or switches?

  Yes

  No

  N/A

• 9.4 - No power leads or extension cords across walkways?

  Yes

  No

  N/A

• 9.5 - No frayed or damaged leads?

  Yes

  No

  N/A

• 9.6 - No strained leads?

  Yes

  No

  N/A

• 9.7 - Portable power tools in good condition?

  Yes

  No

  N/A

• 9.8 - Where required are emergency shut-down procedures in place?

  Yes

  No

  N/A

• 9.9 - Are GFCIs in use where applicable?

  Yes

  No

  N/A

10.0 - Chemical Safety

• 10.1 - Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• 10.2 - All containers labelled correctly?

  Yes

  No

  N/A

• 10.3 - Unused substances disposed of?

  Yes

  No

  N/A

• 10.4 - Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• 10.5 - If required is PPE available?

  Yes

  No

  N/A

• 10.6 - Is adequate ventilation provided?

  Yes

  No

  N/A

• 10.7 - Are eye washes and showers easily accessed?

  Yes

  No

  N/A

• 10.8 - Are Eye wash stations in date?

  Yes

  No

  N/A

11.0 Ladders

• 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• 11.2 - Are ladders in good condition?

  Yes

  No

  N/A

• 11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  Yes

  No

  N/A

• 11.4 - Used according to instructions?

  Yes

  No

  N/A

• 11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

12.0 - First Aid Facilities

• 12.1 - Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• 12.2 - Are contents regularly checked?

  Yes

  No

  N/A

• 12.3 - Cabinets clearly labelled?

  Yes

  No

  N/A

• 12.4 Is there easy access to cabinets?

  Yes

  No

  N/A

• 12.5 - Is there a first aid / BBP trained employee on site?

  Yes

  No

  N/A

• 12.6 - Are emergency numbers displayed?

  Yes

  No

  N/A

14.0 - Employee Personal Protective Equipment

• 13.1 - Are employees who need corrective lenses using proper safety glasses with side shields?

  Yes

  No

  N/A

• 13.2 - Is PPE maintained in a sanitary condition ready for use?

  Yes

  No

  N/A

• 13.3 - Are engineering and / or administrative controls where applicable?<br>

  Yes

  No

  N/A

• 13.4 - Employees are properly wearing PPE as required for task

  Yes

  No

  N/A

Other

• Other

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign