DCNA80 Safety Inspection Audit

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

• Performed by:

Employee (Behavior) & PPE

• Are earplugs being worn correctly

  Yes

  No

  N/A

• Knife blades are being dispose of properly

  Yes

  No

  N/A

• Safety glasses with side shields are in use

  Yes

  No

  N/A

• Steel toe footwear being worn

  Yes

  No

  N/A

• Employees are asked about safety concerns

  Yes

  No

  N/A

• Employees know they are free to make suggestions

  Yes

  No

  N/A

• Supervisors discuss safety topics daily and weekly

  Yes

  No

  N/A

• Trainers discuss safety violations with trainee

  Yes

  No

  N/A

Material Handling and Forklifts

• Wheel cleaning procedures are being followed

  Yes

  No

  N/A

• Trucks and buggies are being used and moved properly

  Yes

  No

  N/A

• Forklifts being operated and driven in a safe manner

  Yes

  No

  N/A

• Forklift drivers are using seatbelts

  Yes

  No

  N/A

• Trailers are secured with trailer jacks

  Yes

  No

  N/A

• Are chemicals (oil) being stored properly

  Yes

  No

  N/A

• All chemicals are labeled

  Yes

  No

  N/A

Fire Safety

• Fire extinguisher are in place and unblocked

  Yes

  No

  N/A

• Fire extinguisher are inspected monthly and annually

  Yes

  No

  N/A

Slips, Trips and Falls

• Emergency exits unblocked

  Yes

  No

  N/A

• Floors are clear of tripping hazards

  Yes

  No

  N/A

• Floors are free of water, oil and grease

  Yes

  No

  N/A

• Bale straps and covers are being disposed of properly

  Yes

  No

  N/A

• Air hoses are secure and not a safety risk

  Yes

  No

  N/A

• No clutter around or on top of machines

  Yes

  No

  N/A

Machine Safety

• Electrical boxes are secure and all knockout s in place

  Yes

  No

  N/A

• Electrical panels are closed and locked and unblocked

  Yes

  No

  N/A

• Electrical cords and wires are not frayed

  Yes

  No

  N/A

• Lockout Tagout procedures are followed

  Yes

  No

  N/A

• Hazards signs, tags and labels are in place

  Yes

  No

  N/A

• Lightings is good in all areas of the facility

  Yes

  No

  N/A

• Machines and floor are free from oil leaks

  Yes

  No

  N/A

• Machine cleaning schedules are being followed

  Yes

  No

  N/A

• Daily safety check are performed correctly

  Yes

  No

  N/A

6S Program

• Set: Equipment and supplies returned to proper locations

  Yes

  No

  N/A

• Sort: All frequently used items are properly identified

  Yes

  No

  N/A

• Shine: Machines and tools kept clean and in good condition

  Yes

  No

  N/A

• Standardize: 6S methods are being documented and followed

  Yes

  No

  N/A

• Sustain: 6S findings are tracked and actions developed

  Yes

  No

  N/A

• Safety: Safety program policies are followed correctly

  Yes

  No

  N/A

• Signature

  Sign