Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PPE

  • Is PPE adequete for the job?<br> -Should gloves be required?<br> -Should a face shield be required?

  • Is PPE in good condition?<br> -Do gloves have holes?<br> -Are respirators clean?

  • 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.

  • PPE supplies readily available to operators (Interview >= 2 employees.)

Tools/Machinery/Equipment

  • 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

  • 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?

  • 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?

  • 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

  • Employees know how to find MSDS and understand the hazards of the chemicals they work with. (Interview >=2 employees)

  • 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?

  • Incidental spills cleaned up immediately?<br> -No evidence of spills being left?<br> -Chemicals being tracked on employees' shoes and/or mobile equipment?

  • 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

  • Portable ladders and portable stairways have legible labeling indicating weight limits?

  • 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?

  • 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?

  • Are stairs over processes, portable ladders and portable stairways in good condition and free of defects?<br>-Broken wheels<br>-Bent structure

  • Fall protection and/ or railings installed where a fall from a height of four feet or greater exists?

  • Fall protection equipment available for working at heights greater than 4 feet from the working surface below it where fall prevention is not available?

  • 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

  • Fire extinguishers inspected monthly and unblocked (3' radius)?

  • Employees aware of emergency procedures and where assembly areas are? (Interview >=2 employees)

  • Eyewash/Safety Shower stations inspected and unblocked (3' radius)?

  • Spill kits are available where needed and are equipped/inspected as required?<br>-Zip ties intact

  • Emergency exit routes and exits are clear and evident?

  • Fire suppression systems, pull stations and sprinklers not blocked/damaged?

Painting and Chemical Vaults

  • Are used paint filters and other paint debris submerged in water in a drum ?<br>-Tyvek<br>-Rags

  • Painting is performed in designated areas only?

  • Are combustible materials stored in chemical vaults?<br>-Paper<br>-Cardboard<br>-Wood

  • All pain deliveredt is staged in vaults- same day?

Powered Industrial Trucks/ Forklifts

  • Equipment inspected per inspection frequency requirements?

  • Operators using horns and warning devices where required?

  • Are operators following local safety requirements?

  • Are operators wearing seatbelts?

  • No passengers on equipment designed for operators only?

Electrical Hazards/Arc Flash

  • Material/Tools stored on top of electrical cabinets?

  • 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?

  • Electrical cabinets not blocked?<br> -Nothing within 36 inches of the front of the cabinet?<br> -Clear access/pathway to electrical cabinets?

  • Are electrical cords including extension cords in good condition?<br>-Frayed and exposed wires<br>-Missing grounding prong

  • Are extension cords used where permanent wiring should be used?

Crane/Hoist Safety

  • Inspections completed as per requirements?<br> -Operator inspections completed?<br>

  • Are employees working under suspended loads?

  • Are cranes working within their operating limits?<br> -Capacity not exceeded?<br> -Upper limit switch not used as a stop?

  • Slings, straps and lifting cables are in good condition and stored properly?

  • Are weight limits clearly visible on cranes, hoists and lifting fixtures?

  • Are controls for cranes and hoists in good operating condition with buttons and switches labeled legibly?

Welding

  • Are welders wearing required PPE?<br>-Welding helmets<br>-Leathers<br>-Gloves

  • Are grounding cables and leads in good condition?

  • Are welding screens deployed in safe locations?

  • Are cylinders secured and chained?

  • Cylinders have valve caps installed unless a regulator is attached to teh valve?

General Safety and Housekeeping

  • Trash, debris, and process material not left laying around?

  • Equipment free of excessive dust, oil and/or soot?

  • Floor surfaces covered in oil/dust?

  • General tripping hazards due to housekeeping, equipment layout, and/or workstation design?

Environmental

  • Are all containers including waste tightly closed when not being filled or emptied?<br>

  • Are all waste containers clearly labeled to indicate the contents?<br>

  • Are all waste containers in good condition and not leaking?

  • Are there any unusual odors noted in the area?<br>

  • 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>

  • Are all floor drains and/or wastewater drains operating normally (no unauthorized materials are being discharged)?<br>

Signature and Finalization

  • 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.

  • Select date

  • General Comments

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.