CPI Grain & Feed Mill

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Driveway

• Pit grating good condition

  Yes

  No

  N/A

• Floors and Walls less than 1/8 inch of dust

  Yes

  No

  N/A

• Fire extinguishers in place and checked monthly

  Yes

  No

  N/A

• Load out landings gates or chains in place

  Yes

  No

  N/A

Main floor

• Housekeeping

  Yes

  No

  N/A

• Fire extinguisher inspected monthly

  Yes

  No

  N/A

• All area of main floor picked and stored properly

  Yes

  No

  N/A

Basement tunnels

• Proper lighting

  Yes

  No

  N/A

• All spouting and conveying equipment have less than 1/8 inch dust

  Yes

  No

  N/A

• Fire extinguisher inspection completed monthly

  Yes

  No

  N/A

• All motors gearboxs and shafts properly guarded

  Yes

  No

  N/A

• All floors clean (no grain piles) no dust over 1/8 inch, water pumped

  Yes

  No

  N/A

Boot pit

• Proper lighting

  Yes

  No

  N/A

• Fire extinguisher inspection completed monthly

  Yes

  No

  N/A

• Housekeeping dust level under 1/8 inch

  Yes

  No

  N/A

• All grain is cleaned up and water pumped

  Yes

  No

  N/A

• All conditions are safe

  Yes

  No

  N/A

MCC Room

• Pannel doors are not blocked (3 ft clearance)

  Yes

  No

  N/A

• Pannel doors labeled

  Yes

  No

  N/A

• Housekeeping all is cleaned no trip hazards

  Yes

  No

  N/A

• All conditions are safe

  Yes

  No

  N/A

Manlift

• Manlift light and alarm working

  Yes

  No

  N/A

• Manlift door works properly

  Yes

  No

  N/A

• Manlift shaft clean

  Yes

  No

  N/A

• All conditions are safe

  Yes

  No

  N/A

Bin deck inside

• Fire extinguisher inspection completed monthly

  Yes

  No

  N/A

• All spouting in good condition

  Yes

  No

  N/A

• Housekeeping all areas haveless than 1/8i inches dust

  Yes

  No

  N/A

• All equipment has proper guarding

  Yes

  No

  N/A

• All conditions are safe

  Yes

  No

  N/A

Bin deck outside

• Hand rail

  Yes

  No

  N/A

• Emergency exit marked and gate or chains in place

  Yes

  No

  N/A

• All conditions are safe

  Yes

  No

  N/A

Motor floor / Distributor floor

• Fire extinguisher inspection completed monthly

  Yes

  No

  N/A

• All conditions are safe

  Yes

  No

  N/A

• Additional comments

  Yes

  No

  N/A

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