CRS Safety Audit - sample

• CRSSafety Audit

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Ergonomics - Body Posture

• Lifting/Bending

  Safe

  At Risk

  N/A

• Reaching/Twisting

  Safe

  At Risk

  N/A

• Pushing/Pulling

  Safe

  At Risk

  N/A

• Posture

  Safe

  At Risk

  N/A

• Awkward posture sustained

  Safe

  At Risk

  N/A

• Two person lift used (material over 50lbs or bulk items)

  Safe

  At Risk

  N/A

PIT

• E- Pre trip Inspection

  Safe

  At Risk

  N/A

• F - Use of seatbelt

  Safe

  At Risk

  N/A

• H- Proper use of trailer

  Safe

  At Risk

  N/A

• H- proper use of forks

  Safe

  At Risk

  N/A

• G-Prpoer use of horn

  Safe

  At Risk

  N/A

• Misc. Notes

• Misc. Picture

  Media

Behavioral Observations

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

  Yes

  No

  N/A

• Safe behaviors observed - Actions taken to encourage safe behavior

  Yes

  No

  N/A

Work Environment

• Ceiling fans are in place and in good condition

  Yes

  No

  N/A

• Furniture & chairs are in good stable condition

  Yes

  No

  N/A

• Work Areas:Clean, sanitary, & orderly

  Yes

  No

  N/A

• Items stored properly to avoid tripping & falling

  Yes

  No

  N/A

• Debris and scrap stored safely

  Yes

  No

  N/A

• PPE is readily available and well maintained

  Yes

  No

  N/A

• Areas requiring PPE have adequate warning signs posted , and usage is enforced

  Yes

  No

  N/A

• work area is adequately illuminated <br><br>

  Yes

  No

  N/A

• Aisles and passageways are clear

  Yes

  No

  N/A

• Material Storage - Sharp projections do not interfere with the walkways

  Yes

  No

  N/A

• All aisles maintain a safe clearance (3 feet minimum)

  Yes

  No

  N/A

• There are appropriate clearances around transformers, electrical panels, water pipes, sprinkler heads, building systems, etc

  Yes

  No

  N/A

• walkways are free from tripping hazards

  Yes

  No

  N/A

• Spills and floor damage areas are clearly marked with caution cones/tape

  Yes

  No

  N/A

• All exits are clearly marked "exit" and signs are illuminated

  Yes

  No

  N/A

• All non exit doors are marked "not an exit"

  Yes

  No

  N/A

• Are all exits free of obstructions

  Yes

  No

  N/A

• Are all fire extinguishers clearly marked and kept free of obstruction?

  Yes

  No

  N/A

• Are fire extinguisher inspection up to date

  Yes

  No

  N/A

• Circuit Breakers marked and free of combustible materials

  Yes

  No

  N/A

Equipment

• Ladders are in good condition and have current inspection ticket

  Yes

  No

  N/A

• All tools & equipment are in good working condition (corded devices have no frayed or exposed wires)

  Yes

  No

  N/A

• Tools & equipment are stored properly

  Yes

  No

  N/A

• All electric devices are plugged int secured outlets (extension cords and power strips for temporary use only)

  Yes

  No

  N/A

• All employees who use PIT hold a current license for the equipment

  Yes

  No

  N/A

• Employees driving PIT follow proper operating procedures and wear safety gear when applicable

  Yes

  No

  N/A

• All PIT have current inspection sheets

  Yes

  No

  N/A

• All out-of-service equipment has been moved off the floor and into quarantine location - awaiting repair

  Yes

  No

  N/A

Chemicals

• All chemicals are clearly marked & labeled

  Yes

  No

  N/A

• SDS (MSDS readily available & up to date for all chemicals in use

  Yes

  No

  N/A

• Appropriate PPE (when applicable) provided, used, & maintained

  Yes

  No

  N/A

• Combustible liquids are properly stored away from any heat sources

  Yes

  No

  N/A

First Aid

• First aid kits are wall mounted, fully stocked & clearly marked

  Yes

  No

  N/A

• Emergency Eye wash station is properly maintained & inspected

  Yes

  No

  N/A