CPI Card Group

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Warehouse

• Are all tripping hazards removed?

  Yes

  No

  N/A

• Do all chemicals have proper labels?

  Yes

  No

  N/A

• If PPE is required is it donned by all staff?

  Yes

  No

  N/A

• Is there a minimum of 3 feet of clearance around electrical panels?

  Yes

  No

  N/A

• Are all required guards in place?

  Yes

  No

  N/A

• Do all interlocks work?

  Yes

  No

  N/A

• Are pallets stored flat and in good repair?

  Yes

  No

  N/A

• Are flexible cords and cables free of splices or tape?

  Yes

  No

  N/A

• Are extension cords in good repair and only used for temporary applications?

  Yes

  No

  N/A

• Are fire extinguishers available and not blocked?

  Yes

  No

  N/A

• Are Fire Exits unobstructed and marked with lighted signs?

  Yes

  No

  N/A

• Is there a minimum of 18" of clearance from sprinkler heads?

  Yes

  No

  N/A

• Are emergency routes posted?

  Yes

  No

  N/A

• Are forklifts and pallet jacks properly parked/stored?

  Yes

  No

  N/A

• Is general housekeeping of area used?

  Yes

  No

  N/A

Printing

• Are all tripping hazards removed?

  Yes

  No

  N/A

• Do all chemicals have proper labels?

  Yes

  No

  N/A

• If PPE is required is it donned by all staff?

  Yes

  No

  N/A

• Is there a minimum of 3 feet of clearance around electrical panels?

  Yes

  No

  N/A

• Are all required guards in place?

  Yes

  No

  N/A

• Do all interlocks work?

  Yes

  No

  N/A

• Are pallets stored flat and in good repair?

  Yes

  No

  N/A

• Are flexible cords and cables free of splices or tape?

  Yes

  No

  N/A

• Are extension cords in good repair and only used for temporary applications?

  Yes

  No

  N/A

• Are fire extinguishers available and not blocked?

  Yes

  No

  N/A

• Are Fire Exits unobstructed and marked with lighted signs?

  Yes

  No

  N/A

• Is there a minimum of 18" of clearance from sprinkler heads?

  Yes

  No

  N/A

• Are emergency routes posted?

  Yes

  No

  N/A

• Is general housekeeping of area used?

  Yes

  No

  N/A

Dock

• Are all tripping hazards removed?

  Yes

  No

  N/A

• Do all chemicals have proper labels?

  Yes

  No

  N/A

• If PPE is required is it donned by all staff?

  Yes

  No

  N/A

• Is there a minimum of 3 feet of clearance around electrical panels?

  Yes

  No

  N/A

• Are all required guards in place?

  Yes

  No

  N/A

• Do all interlocks work?

  Yes

  No

  N/A

• Are pallets stored flat and in good repair?

  Yes

  No

  N/A

• Are flexible cords and cables free of splices or tape?

  Yes

  No

  N/A

• Are extension cords in good repair and only used for temporary applications?

  Yes

  No

  N/A

• Are fire extinguishers available and not blocked?

  Yes

  No

  N/A

• Are Fire Exits unobstructed and marked with lighted signs?

  Yes

  No

  N/A

• Is there a minimum of 18" of clearance from sprinkler heads?

  Yes

  No

  N/A

• Are emergency routes posted?

  Yes

  No

  N/A

• Is general housekeeping of area used?

  Yes

  No

  N/A

Service Bureau

• Are all tripping hazards removed?

  Yes

  No

  N/A

• Do all chemicals have proper labels?

  Yes

  No

  N/A

• If PPE is required is it donned by all staff?

  Yes

  No

  N/A

• Is there a minimum of 3 feet of clearance around electrical panels?

  Yes

  No

  N/A

• Are all required guards in place?

  Yes

  No

  N/A

• Do all interlocks work?

  Yes

  No

  N/A

• Are pallets stored flat and in good repair?

  Yes

  No

  N/A

• Are flexible cords and cables free of splices or tape?

  Yes

  No

  N/A

• Are extension cords in good repair and only used for temporary applications?

  Yes

  No

  N/A

• Are fire extinguishers available and not blocked?

  Yes

  No

  N/A

• Are Fire Exits unobstructed and marked with lighted signs?

  Yes

  No

  N/A

• Is there a minimum of 18" of clearance from sprinkler heads?

  Yes

  No

  N/A

• Are emergency routes posted?

  Yes

  No

  N/A

• Is general housekeeping of area used?

  Yes

  No

  N/A

Cutting

• Are all tripping hazards removed?

  Yes

  No

  N/A

• Do all chemicals have proper labels?

  Yes

  No

  N/A

• If PPE is required is it donned by all staff?

  Yes

  No

  N/A

• Is there a minimum of 3 feet of clearance around electrical panels?

  Yes

  No

  N/A

• Are all required guards in place?

  Yes

  No

  N/A

• Do all interlocks work?

  Yes

  No

  N/A

• Are pallets stored flat and in good repair?

  Yes

  No

  N/A

• Are flexible cords and cables free of splices or tape?

  Yes

  No

  N/A

• Are extension cords in good repair and only used for temporary applications?

  Yes

  No

  N/A

• Are fire extinguishers available and not blocked?

  Yes

  No

  N/A

• Are Fire Exits unobstructed and marked with lighted signs?

  Yes

  No

  N/A

• Is there a minimum of 18" of clearance from sprinkler heads?

  Yes

  No

  N/A

• Are emergency routes posted?

  Yes

  No

  N/A

• Is general housekeeping of area used?

  Yes

  No

  N/A

Adminstrative

• Have ergonomic concerns been addressed at work stations?

  Yes

  No

  N/A

• Are all tripping hazards removed?

  Yes

  No

  N/A

• Are extension cords in good repair and only used for temporary applications?

  Yes

  No

  N/A

• Are Fire Exits unobstructed and marked with lighted signs?

  Yes

  No

  N/A

• Is there a minimum of 18" of clearance from sprinkler heads?

  Yes

  No

  N/A

• Are emergency routes posted?

  Yes

  No

  N/A

• Is general housekeeping of area used?

  Yes

  No

  N/A

Parking Lot

• Are sidewalks free of debris, snow and ice?

  Yes

  No

  N/A

• Is parking lot I good repair and free of snow and ice?

  Yes

  No

  N/A

Lockout Tagout

• Does a written program exist detailing the components of the Lockout Tagout program and training process including an annual sign-off by the Forklift Safety Coordinator?

  Yes

  No

  N/A

• Has a LO/TO Coordinator been assigned?

  Yes

  No

  N/A

• Do specific procedural steps exist for all equipment that details the process for shutting down, isolating, blocking and securing equipment to control hazardous energy?

  Yes

  No

  N/A

• Are authorized employees trained on the recognition of hazardous energy sources, type and magnitude of the energy available in the workplace, and methods and means necessary for energy isolation and control?

  Yes

  No

  N/A

• Are affected employees trained on the purpose and use of energy control procedures and what their responsibilities are?

  Yes

  No

  N/A

• Are authorized employees provided with individually keyed personal safety locks and is a procedure in place to remove a lock if the authorized employee is not available?

  Yes

  No

  N/A

• Is a process in place to verify the effectiveness of the lockout procedure by attempting an equipment startup after making sure no one is exposed?

  Yes

  No

  N/A

• Are tags utilized to identify the employee working on locked out equipment?

  Yes

  No

  N/A

Hazard Communication

• Does a written program exist detailing the components of the hazard communication program and training.

  Yes

  No

  N/A

• Has a SDS Coordinator been assigned?

  Yes

  No

  N/A

• Have all employees received annual training on hazardous substances in their workplace?

  Yes

  No

  N/A

• Are employees trained on hazardous substances prior to their assignment?

  Yes

  No

  N/A

• Does a process exist for updating the chemical inventory list and acquiring SDS?

  Yes

  No

  N/A

• Are SDS books complete and up to date?

  Yes

  No

  N/A

• Are SDS books accessible to all staff?

  Yes

  No

  N/A

Hazardous Waste

• Are all hazardous waste containers free from leaks or deterioration?

  Yes

  No

  N/A

• Are all hazardous waste containers closed, bungs in place, funnel clips closed, and containers labeled?

  Yes

  No

  N/A

• Are spill response kits readily accessible?

  Yes

  No

  N/A

Emergency Preparedness

• Are fire extinguishers inspected monthly by in-house staff?

  Yes

  No

  N/A

• Are exit signs and emergency lights inspected on a monthly by in-house staff?

  Yes

  No

  N/A

• Are emergency egress areas free of obstructions?

  Yes

  No

  N/A

• Are fire drills conducted on a biannual basis?

  Yes

  No

  N/A

• Are fire pumps testing monthly by conducting a "pressure drop" test?

  Yes

  No

  N/A

• Are all required tests on the fire sprinkler system up to date?

  Yes

  No

  N/A

• Are drum drips on dry pipe system inspected at least quarterly?

  Yes

  No

  N/A

Forklift

• Does a written program exist detailing the components of the forklift operations and training process including an annual sign-off by the Forklift Safety Coordinator?

  Yes

  No

  N/A

• Has a Forklift Safety Coordinator been assigned?

  Yes

  No

  N/A

• Is an authorized list of forklift operators maintained including last date of training?

  Yes

  No

  N/A

• Is a process in place for new forklift operators to immediately be trained?

  Yes

  No

  N/A

• Do operation inspections occur on each shift the forklifts are used?

  Yes

  No

  N/A

• Is an eyewash station available at battery charging locations?

  Yes

  No

  N/A

Safety Committee

• Does site Safety Committee exist and are meetings conducted at least monthly with a predefined agenda?

  Yes

  No

  N/A

• Are notes from the Safety Committee meeting taken and posted/distributed to all employees?

  Yes

  No

  N/A

• Are action items documented based on employee suggestions and is status of the action items updated and reviewed each meeting?

  Yes

  No

  N/A

• Are there more employee representatives than managers/supervisors on the Safety Committee?

  Yes

  No

  N/A

• Does the Safety Committee conduct site safety inspections?

  Yes

  No

  N/A

• Are the Safety Committee members posted somewhere in the facility?

  Yes

  No

  N/A

• Does the Safety Committee charter exist defining the duties and responsibilities of the Safety Committee and is it reviewed at least annually?

  Yes

  No

  N/A