Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

GENERAL

  • Emergency numbers posted?

  • Emergency services notified of site location?

  • Emergency evacuation plan in place?

  • Weekly safety meeting completed?

  • Site specific training completed?

  • MSHA opening directions correct?

  • Lock Out Tag Out used when required?

HOUSEKEEPING AND SANITATION

  • Work area clear of hazards, clean and organized?

  • Trash receptacle covered and emptied regularly?

  • Sanitary facilities clean and maintained?

  • Storage areas have a clear, organized path?

FIRE PREVENTION

  • Extinguishers checked monthly?

  • Extinguishers have current annual inspections?

  • Flammable and combustible liquids are stored properly?

  • No smoking signs are posted in the proper areas?

HAND AND POWER TOOLS

  • Regular inspections and any damaged tools are tagged out?

  • Tools are correctly guarded and no trigger lock?

  • Proper PPE for task, tools are correctly adjusted?

  • Come-along maintained in good condition?

  • Pressure vessel inspection certificate available?

LADDERS

  • Inspected regularly and not altered?

  • Correct application for its use?

  • Properly secured and ladder is on stable base?

  • Any platforms have proper hand rail protection?

PLATFORM AREAS

  • Level and on a stable base, Secured from movement?

  • Walk ways are clear of hazards and material?

  • Hand rails or proper fall protection is in use?

  • Double chains at all ladder openings?

  • Fall protection is in use when required?

ELECTRICAL

  • All equipment cords are in good condition?

  • Extension cords are marked for annual continuity check?

  • Any cords on the ground are protected or are away from travel areas?

  • Panels and switches are secure and labeled?

  • Strain relief for all cords is intact where required?

  • Equipment continuity and ground resistance inspections are done?

  • There is 3 foot of clearance in front of all electrical panels?

  • Guarding on all lighting?

MOBILE EQUIPMENT

  • All equipment is inspected prior to use and any defects noted?

  • Back up alarm is audible over the surrounding noise in the area?

  • Fire extinguisher is available and inspected?

  • Wheels are chocked and the brake is set when parked an/or fueling?

  • Operator is sounding the warning device before moving mobile equipment?

WELDING AND CUTTING EQUIPMENT

  • Screen or shields are in use?

  • Work area is clear and fire protection is available?

  • Cables, hoses, connections, gauges, and tools are inspected?

  • Gas cylinders are properly stored and secured?

  • Equipment is chocked or secured when parked?

  • Guards over gauges where required?

  • Proper fire protection is available?

EMPLOYEE VEHICLES

  • Vehicles are parked in a designated area away from traffic flow?

  • Wheels chocked or parked in a ditch with the parking brake set?

  • Qualified operator?

MATERIALS AND STORAGE

  • Storage area is kept clear and free of hazards?

  • Spill prevention and control is in place?

  • Proper fire extinguisher is available and inspected?

  • Proper labeling of contents for all containers?

  • Flammable materials cabinet is available and in use?

  • All ignition sources are kept clear of combustibles?

PERSONAL PROTECTIVE EQUIPMENT

  • Hard hats, proper foot wear, safety glasses and gloves?

  • Hearing conservation program in use?

  • Personnel are wearing proper protective clothing?

  • CPR and first aid personnel are available for each shift?

  • Fall protection equipment is in used and inspected?

  • Fire blankets, back board and first aid kit is available and up to date?

  • Respiratory protection is in use when needed?

OVERALL SITE

  • Safe and efficient traffic patterns for mobile equipment is established?

  • Sufficient berms at all locations where required?

  • All moving parts are sufficiently guarded 7 foot and below?

  • Sufficient guarding on all equipment and it is secured from movement?

  • Warning and/or danger signs are in use when needed?

  • First aid, eye wash, back board and blanket is available?

  • Equipment, conveyors are supported securely and properly?

  • A alarm is sounded and all employees are accounted for prior to startup?

PAPERWORK

  • Legal I.D. and quarterly reports for the last 4 quarters?

  • Part (48) (46) training records are available?

  • Newly hired miner training records?

  • Annual refresher training for the last 2 years?

  • Task training records available

  • Daily workplace exams are available for the last year?

  • Equipment pre-use inspection completed?

  • Review recent accidents and incidents

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.