Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PPE
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Is PPE adequete for the job?<br> -Should gloves be required?<br> -Should a face shield be required?
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Is PPE in good condition?<br> -Do gloves have holes?<br> -Are respirators clean?
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Is PPE being worn properly? <br> -Ear plugs completely inserted into ears<br> -Safety glasses fit properly and pass fit test (gaps no larger than width of finger)<br> -Gloves being worn when handling materials that are sharp, hot, etc.
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PPE supplies readily available to operators (Interview >= 2 employees.)
Tools/Machinery/Equipment
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Are all tools in good working condition and adequete for job/ intended use?<br> -Excessive noise/vibration due to disrepair?<br> -Requires excessive manual manipulation?<br>Tools being used for the wrong job
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All existing guarding in place?<br> -Guards laying on the floor?<br> -Bolts/Screws missing from fixed guarding?<br> -Guards shifted causing open point of operation?
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Existing guarding sufficient in preventing access to the point of operation?<br> -Gaps in guarding too large?<br> -Use of chains as barrier guarding?<br> -Interlocked/Presence sensing devices not working properly?<br> -No guard installed where it should exist?
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Machinery working properly and not causing regular manual manipulation?<br> -Frequent breakdowns causing manual work?<br> -Machinery producing excessive noise/vibration due to disrepair?
Hazard Communication
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Employees know how to find MSDS and understand the hazards of the chemicals they work with. (Interview >=2 employees)
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Chemicals are stored in proper containers and labeled properly?<br> -Secondary containers that are not in control of current shift labeled with HMIS label or equivalent?<br> -Labels legible and accurately indicates the chemical that is inside the container?
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Incidental spills cleaned up immediately?<br> -No evidence of spills being left?<br> -Chemicals being tracked on employees' shoes and/or mobile equipment?
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Chemicals stored properly?<br> -Flammable materials not in use stored in proper cabinet/safety container?<br> -Incompatible materials stored away from each other?
Walking/Working Surfaces and Fall Protection
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Portable ladders and portable stairways have legible labeling indicating weight limits?
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Floors, stairways and walkways free of excessive debris and clutter?<br> -Oil, trash, manufacturing byproducts, etc. in the work are?<br> -No items stored on stairs?
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Handrails secure and free of defects?<br> -Heavily damaged handrails that require replacement? Loose? Broken welds? Bent handrails and/or toe boards?<br> -Handrails do not contain excessive oil/grease?
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Are stairs over processes, portable ladders and portable stairways in good condition and free of defects?<br>-Broken wheels<br>-Bent structure
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Fall protection and/ or railings installed where a fall from a height of four feet or greater exists?
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Fall protection equipment available for working at heights greater than 4 feet from the working surface below it where fall prevention is not available?
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Harnesses, lanyards, self retracting lifelines (SRL's), and lifelines maintained in good condition and inspected properly?<br> -Inspection labels present and legible?<br> -Webbing free of frayed, cut or broken fibers?<br> -Quick connect buckles working properly?<br> -Free of knots
Emergency Response/Fire Protection
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Fire extinguishers inspected monthly and unblocked (3' radius)?
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Employees aware of emergency procedures and where assembly areas are? (Interview >=2 employees)
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Eyewash/Safety Shower stations inspected and unblocked (3' radius)?
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Spill kits are available where needed and are equipped/inspected as required?<br>-Zip ties intact
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Emergency exit routes and exits are clear and evident?
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Fire suppression systems, pull stations and sprinklers not blocked/damaged?
Painting and Chemical Vaults
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Are used paint filters and other paint debris submerged in water in a drum ?<br>-Tyvek<br>-Rags
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Painting is performed in designated areas only?
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Are combustible materials stored in chemical vaults?<br>-Paper<br>-Cardboard<br>-Wood
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All pain deliveredt is staged in vaults- same day?
Powered Industrial Trucks/ Forklifts
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Equipment inspected per inspection frequency requirements?
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Operators using horns and warning devices where required?
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Are operators following local safety requirements?
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Are operators wearing seatbelts?
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No passengers on equipment designed for operators only?
Electrical Hazards/Arc Flash
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Material/Tools stored on top of electrical cabinets?
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Electrical cabinets and junction boxes closed and in good repair?<br> -Do the cabinets close securely?<br> -Knock-outs all in place?<br> -Large dents in the housing/door?
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Electrical cabinets not blocked?<br> -Nothing within 36 inches of the front of the cabinet?<br> -Clear access/pathway to electrical cabinets?
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Are electrical cords including extension cords in good condition?<br>-Frayed and exposed wires<br>-Missing grounding prong
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Are extension cords used where permanent wiring should be used?
Crane/Hoist Safety
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Inspections completed as per requirements?<br> -Operator inspections completed?<br>
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Are employees working under suspended loads?
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Are cranes working within their operating limits?<br> -Capacity not exceeded?<br> -Upper limit switch not used as a stop?
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Slings, straps and lifting cables are in good condition and stored properly?
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Are weight limits clearly visible on cranes, hoists and lifting fixtures?
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Are controls for cranes and hoists in good operating condition with buttons and switches labeled legibly?
Welding
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Are welders wearing required PPE?<br>-Welding helmets<br>-Leathers<br>-Gloves
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Are grounding cables and leads in good condition?
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Are welding screens deployed in safe locations?
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Are cylinders secured and chained?
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Cylinders have valve caps installed unless a regulator is attached to teh valve?
General Safety and Housekeeping
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Trash, debris, and process material not left laying around?
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Equipment free of excessive dust, oil and/or soot?
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Floor surfaces covered in oil/dust?
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General tripping hazards due to housekeeping, equipment layout, and/or workstation design?
Environmental
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Are all containers including waste tightly closed when not being filled or emptied?<br>
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Are all waste containers clearly labeled to indicate the contents?<br>
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Are all waste containers in good condition and not leaking?
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Are there any unusual odors noted in the area?<br>
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Are all air emission equipment and/or stacks operating normally (i.e., no unusual smoke or particulate matter, no leaks or unusual odors, blowers operating normally)?<br>
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Are all floor drains and/or wastewater drains operating normally (no unauthorized materials are being discharged)?<br>
Signature and Finalization
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I have completed this assessment to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify all visible/known hazards as of the date printed on the completed assessment. assessment.
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Select date
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General Comments
