Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Which Branch is currently being audited?

  • Personnel

  • Branch Manager

  • Auditor

Record Keeping / Safety Records

OSHA 300 Log (Previous and current-to-date)

  • Is the previous year’s log available

  • Is this year's log up to date

Accident Investigation Files

  • Are files current

  • Are they maintained

  • Verify Incident log current

  • Are FROI reports submit in a timely manner

  • Are Incident Investigation Reports completed in a timely manner

  • Are Safety flashes completed and issued for all incident reports in a timely manner

Monthly Facility Branch Safety Audit Records

  • Have branch audits been conducted at least monthly

  • Have deficiencies been addressed

Monthly Field Supervisor Site Hazard Audit Records

  • Have Supervisor Hazard audits been conducted at least monthly

  • Have deficiencies been addressed

Job Safety Analysis Forms

  • Are they completed properly

  • Are they audited regularly

  • Verify JSA's are retained for at least 1 year

H&S Manual Available & up-to-date

  • Verify safety manual is available and updated as appropriate

Safety Meeting Records

  • Weekly topics and attendance records are maintained

  • Monthly branch Safety meetings recorded and maintained

  • Monthly supervisor safety meeting recorded and maintained

Variance Files

  • Variance files maintained and up-to-date

Corporate Safety Reporting

  • Do Monthly Safety reports get submit on time

  • Does the branch meet monthly safety goals

  • Does the Branch Conduct Monthly Supervisor Safety Meetings

  • Does the Branch Conduct Monthly Branch Safety Meetings

  • Does the Branch conduct Weekly Safety Meetings (nested sited)

Safety Incentive

  • Does the branch maintain a Safety bucks log

  • Does the branch offer any other safety incentives

Employee Safety Evaluation Cards

  • Does the branch maintain a record of card completion

  • Is the branch higher than 50% completion of cards

Bulletin Board

  • Verify OSHA poster

  • Verify State and Federal posters

  • Verify minimum wage poster

  • Verify OSHA 300-A displayed (Feb 1 to Apr 30 only)

  • Verify OSHA 300 Log current

Behavior Based Safety

  • Verify JSO's are completed by (Managers)

  • Verify JSO's are completed by (Supervisors)

  • Verify JSO's are completed by (Safety)

  • Verify JSO's are completed by (Employees)

  • Verify JSO log's are maintained (Monthly)

Emergency Egress

  • Verify off site muster locations identified

  • Verify on site muster locations identified

  • Are quarterly drills conducted and documented

  • Emergency Action Plan in place and employees trained

  • Verify evacuation routes are visibly posted

  • Verify exit signs are visible all lighted exit signs are lit

  • Verify interior of exits are not blocked

  • Verify exterior of exits are not blocked

  • Verify exit doors are not locked

  • Doors that are not exits marked "Not A Exit"

  • Verify that isle ways do not have boxes and other clutter impeding walkways

  • Verify interior lighting is ok in offices and shop areas

  • Emergency lighting provided if employees work at night or in a windowless building

Hazard Communication

Site Hazard Communication Plan

  • Verify the site specific information in the Hazard Communication Program is complete

Containers/labels/tags

  • Verify original containers and labels are marked with name of contents, hazard and manufacturer

  • Verify secondary containers are marked with contents of container

  • Verify containers are in good condition

Chemicals and Waste Properly Stored

  • Verify chemicals, diesel fuel, oils and hydraulic fluids are properly stored

  • Verify wastes are marked and stored properly

  • Verify proper containment area is used

  • Verify area is not cluttered with trash or items not belonging in area

Combustible materials properly stored

  • Verify combustibles such as oily rags, flammable chemicals, diesel fuel and other materials are not being left sitting around or being stored improperly

  • Verify area is not cluttered with trash or items not belonging in area

Spill Kits Available for Clean-up

  • Verify spill kits are available for clean-up

Fire Protection and Prevention

  • Verify fire extinguisher locations are properly marked and visible

  • Verify fire extinguishers are charged and have current fire Marshall annual inspections

  • Verify extinguishers are being inspected regularly (monthly)

  • Verify are in correct locations and accessible

  • Verify “No Smoking Signs” are posted in all applicable areas

  • Verify fire hazards are not present

General Shop Area

Housekeeping

  • General area is free from clutter

  • Trash cans not overflowing

  • Workstations clean

  • Unused tools in their proper place

Floor free from spills and trip hazards

  • Verify shop floor is free from chemical, oil, diesel or transmission fluid spills

  • Verify there are no trip hazards caused by extension cords, wiring, flooring, boxes, parts or other material

Lighting and ventilation adequate

  • Verify lighting in office area is adequate

  • Verify lighting in shop area is adequate

  • Verify lighting in storage area is adequate

  • Verify ventilation in chemical storage area is adequate

  • Verify ventilation in welding area is adequate

Machine guards in place and operable

  • All machine guards are in place and being used

All Applicable Warning Signs in Place

  • Verify hearing protection, goggles required, safety glasses required and other warning signs are in place as appropriate

Bathroom, kitchen and break areas clean

  • Verify bathrooms are clean and not being used for chemical storage

  • Verify kitchens are clean and not being used to store chemicals or lab samples

  • Verify refrigerators are being used for Food Only.

  • Verify break areas are clean

Stairways and/or landings properly guarded

  • Verify steps and stairway have hand rails

  • Verify landings have hand rails, mid-rails and toe-boards as appropriate

GFCI's

  • GFCI’s are available and being used

Forklifts

Operator certified

  • Verify forklift operators have a valid certification and is not expired

  • Equipment is being used as designed.

  • Deficiencies noted during inspections are being corrected when noted.

  • Equipment is in good condition.

  • Verify forklifts are equipped with seatbelts and they are being used

  • Verify a fire extinguisher is on-board fork lift

  • Verify the daily check is complete and safety items addressed

  • Files maintained and up-to-date

  • Verify Forklift warning signs are posted in activity areas

  • Back-up alarms are operable.

Yard and Parking Areas

Perimeter fence in good condition

  • Verify fence is in good condition

  • Verify gate is in good condition

  • Verify parking areas are free from trip hazards

  • Verify there are no unknown packages or containers in area

  • Verify there are no chemical drums in area

  • Verify equipment and vehicles are parked in designated areas

  • Verify parking areas are free from trip hazards

QAQC

HOSE TESTING

  • Hose testing done quarterly

  • Hoses marked with color codes

  • Hose testing done monthly

  • Quarterly files being kept

  • Are high pressure fittings marked correctly

Fall Protection

  • Does the Branch maintain fall protection properly

  • Verify fall protection not soiled or damaged

  • Are harness's and Lanyards of the same manufacturer

  • Are harness and lanyards inspected quarterly (Competent Person)

  • Are harness and Lanyards inspected monthly (Visual)

  • Verify fall protection within life cycle

PPE

  • Verify employees PPE in good overall condition

  • Verify employees wearing Z87 eyewear

  • Verify hardhat are within life cycle

Body Protection

  • FRC clothing in good overall condition.

  • Holes in FRC clothing is not larger that a quarter.

  • FRC Clothing is not excessively soiled w/ oils or paint

  • FRC Clothing is worn with the zipper up.

  • Do uniforms have proper Company Logo

  • Verify employees in compliance with company uniform policy

Ladder Condition is Ok

  • Verify the ladder is in good condition. No missing or damage wrung's, steps or feet.

Extension Cords

  • Used properly

  • In good condition

  • Verify extension cords are inspected and tested quarterly

Power Tools

  • Verify power tools are inspected monthly

  • Verify that all hand power tools are in compliance with the Hand & Power Tool Safety Program

  • Verify Bench grinders not to exceed 1/4" gap from wheel to adjustable tongue

Storage

Appropriate PPE Storage Area

  • Verify storage of PPE is acceptable

  • Verify access to PPE is controlled

Respiratory Protection

  • Are respirator stored properly

  • Are respirators maintained by qualified individual

  • Evidence on respirators being used that employees are not fit tested for

Storage Rooms (office)

  • Are supplies stored and maintained in an orderly condition

  • Do employees use material handling devices or get help to move heavy objects

  • Is a step stool or ladder available to reach high places

Office

Office Furniture

  • Are desk, chairs, file cabinets, etc., in good condition?

  • File drawers do not open into hallway or walkway?

  • File cabinet drawers kept closed when not in use?

  • File cabinets secured to prevent tip-over when the two upper drawers are open?

  • Proper stepping stools provided?

  • Employees trained not to use chairs for stepping stool?

  • Are desk chairs ergonomically sound & roll smoothly?

  • Are sharp objects stored where they can’t fall or be handled accidentally?

  • Employees instructed to call maintenance when file cabinets, heavy objects moved?

Electrical

  • Three-prong grounded type plugs on power cords to office equipment where required?

  • Electrical power cords in good condition?

  • Electrical wall receptacles properly covered?

  • Identification/marking of circuit breakers noted in circuit breaker panels?

  • Are office employees instructed not to make electrical repairs on office equipment?

Aisles, Floors & Stairs

  • Is there a clear aisle way of four feet for two-way traffic within a room or hallway?

  • Are floors, aisle ways, stairways, and hallways adequately lighted.

  • Are electrical or telephone outlets in the floor protected by arrangement of furniture of other means to minimize the tripping hazard?

  • Are carpet edges secure? Curled carpet edges or tears repaired so as to eliminate the tripping hazard?

  • Do ramps or inclines have non-slip surfaces?

  • Unusual changes in the walking surface are marked?

  • Are spills cleaned up as soon as possible? Wet floor signs provided for custodial staff?

  • Handrails provided on stairways?

  • Stair treads in good condition?

Ergonomics

  • Were workstations observed ergonomically correct?

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.