Information

  • Document No.

  • CRS Audit

  • Site Visited

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Employees

  • Have employees been trained on the equipment they are using?

  • Are employees practicing safe work habits?

  • Are employee wearing the appropriate uniform?

  • Do the employees have fresh drinking water?

PPE

  • Hearing: protection used in mandatory areas and during short exposures to high decibel noise?

  • Is appropriate footwear being worn?

  • Hands: protected when handling sharp objects/tools, severely hot or cold items

  • Head: protected from impact from above and at same height objects?

  • Respiratory: protected for vapors, dust, misc. debris. Clean shaven, mask stored in sealed container

2.0 Ergonomics

  • Lifting/Lowering: weights not above 50# at/above shoulder height. Lift is not awkward or repetitive?

  • Pushing: versus pulling?

  • Reach: not overextended for long periods of time or during lifting?

  • Grip/force: not excessive when combined with high frequency?

  • Repetition: is not excessive not excessive when combined with high force and frequency?

  • Vibration: long exposures reduced by PPE, tape or tool design?

  • Body Posture: wrist, neck back in neutral position, elbows 90, close to body?

Equipment

  • Is the equipment in good, safe working order?

  • Are all machine guards I place and in use?

  • If equipment is equipped with backup alarms, lights, and horns; are they working?

  • Are vehicles equipment in need of , marking lights, strobe lights, warning signs for roadside safety?

  • Are all containers properly labeled? (SDS sheets available)<br>

  • Are ladders in good working condition and being used properly?<br>- belt buckle facing uprights<br>- not standing on top 2 steps<br>- 3 point climbing descending practiced

Vehicle

  • Is the vehicle parked in a safe legal spot?

  • Seat belts worn?

  • Safe Speeds followed?

  • Are the safety triangles/cones in use when parked for longer than 10-minutes?<br>

  • Are spotters used when backing vehicles?

  • Is the vehicle/equipment locked to prevent theft?<br>

  • Are the drivers operating the exiles in a safe and courteous manner?

  • Is the vehicle equipped and inspected and a working fire extinguisher onboard?

  • Is the cab free of trash and clutter?

Job Site

  • Are appropriate traffics warning signs (Men Working) posted in conspicuous places?

  • Have unsafe conditions that may cause injury or property damage been addressed?

Safe Behaviros

Safe Behavior Observations

  • Safe behaviors observed - Actions taken to encourage safe behavior

  • Unsafe behaviors observed - Actions taken to correct and prevent reoccurrence

  • Line of Fire. Is the employee in the line of fire?<br>- Cutting, trimming mower discharge chute creating flying particles and objects - face shield/googles?<br>- Heavy equipment movement in the area - operator aware of pedestrians?

  • Tools & equipment being used correctly?

  • Employees focused on task?

  • Pace of work appropriate?

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.