CSUSA Shop & Warehouse Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SAFETY COMMUNICATION

• Safety communication information is up to date and posted?

  Yes

  No

  N/A

• Close calls, safety sirens and incident reports are posted?

  Yes

  No

  N/A

• Monthly safety trainings are conducted and documented at the location?

  Yes

  No

  N/A

EMERGENCY EQUIPMENT

• First Aid and blood borne pathogen kits are available, stocked and up to date?

  Yes

  No

  N/A

• Emergency eye washes are the proper type, not out of date and unobstructed?

  Yes

  No

  N/A

• Emergency notification charts are posted with the proper information?

  Yes

  No

  N/A

CHEMICAL STORAGE

• Chemical storage areas are proper and segregated with a spill kit available?

  Yes

  No

  N/A

• Chemicals stored in appropriate containers (no food containers)

  Yes

  No

  N/A

• Compressed gasses are properly segregated by type and distance?

  Yes

  No

  N/A

• Warehouse pallets and material is properly stacked safely and in racks?

  Yes

  No

  N/A

GHS and Hazardous Communication

• Chemical containers are properly labeled

  Yes

  No

  N/A

• Piping systems and fixed process containers are properly labeled?

  Yes

  No

  N/A

MEANS OF EGRESS

• Exit routes are of adequate number and no obstructions?

  Yes

  No

  N/A

• Exit signs illuminated or visible? Non exits identified?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Proper PPE being used (eye, face, foot, hand and fall protection)? Ansi Cut level 4 gloves being used?

  Yes

  No

  N/A

• PPE maintenance and storage appropriate?

  Yes

  No

  N/A

LOCKOUT TAGOUT

• Work practices (1 lock, 1 key, kept on person with lock and tag)

  Yes

  No

  N/A

PLATFORMS, MEZZANINES and LADDERS

• Ladders portable (condition, safety feet, storage and properly chained)

  Yes

  No

  N/A

• Loading docks properly chained at 4ft and above?

  Yes

  No

  N/A

INDUSTRIAL TRUCKS and MOBILE EQUIPMENT

• Forklift trucks are inspected at the start of each shift?

  Yes

  No

  N/A

• Cranes, Hoists Chains and Slings

  Yes

  No

  N/A

• Slings/chains and hooks are in good condition

  Yes

  No

  N/A

ELECTRICAL SAFETY

• Electrical panels closed and not blocked? (36 Inch clearance in all directions)

  Yes

  No

  N/A

• Conduit and receptacles are in good condition?

  Yes

  No

  N/A

• Cords and extension cords are free of splices, kept out of aisle way and have grounding plug?

  Yes

  No

  N/A

CUTTING AND WELDING

• Cutting and welding areas are properly shielded and have flash screens to prevent welding sparks coming into the aisle?

  Yes

  No

  N/A

• Welding equipment (check valves, cylinders, screens)

  Yes

  No

  N/A

FIRE PROTECTION SYSTEMS

• Fire extinguishers are inspected monthly and serviced annually?

  Yes

  No

  N/A

• Emergency lights are inspected on a monthly basis?

  Yes

  No

  N/A

Machines and Equipment

• Power transmission guarding (belts and shaft guards)

  Yes

  No

  N/A

• Points of operation (guarded and otherwise protected)

  Yes

  No

  N/A

• Equipment controls (guarded against accidental start, functions labeled, and e-stops)

  Yes

  No

  N/A

PORTABLE HAND TOOLS

• Powered hand tools in good condition and used appropriately.

  Yes

  No

  N/A

• Compressed Air (used appropriately and correct tool used) controlled to 30 psi

  Yes

  No

  N/A

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