Information

  • Inspection Title

  • Audit Area

  • Shift

  • Conducted on

  • Your Current Department

  • Prepared by

  • Location

Previous inspection

  • First time auditing area?

  • Are there any outstanding actions from previous audits?

General Safety

  • General PPE Required within all working areas

    d7284322-7e26-4edb-aa0a-d9652732e131.png
  • ANSI approved safety glasses with side shields worn by all employees? (Ref. ANSI Z87) <br>(Ref. OSHA 1910.132)

  • Other applicable PPE inspected and worn correctly? (Hearing protection, cut-resistant sleeves/gloves, etc.) <br>(Ref. OSHA 1910.132)

  • Is the area free from water or any other substances that could create a slip, trip, or fall hazard? <br>(Ref. OSHA 1910.22)

  • Take picture of finding

  • Wet floor signs are available? Wet floor signs are stored in the proper place when not in use? (Ref. OSHA 1910.145)

  • Are all ladders properly secured when not in use? (Ref. OSHA 1910.23)

  • Take picture of ladder not properly stored.

Hazard Communication (Ref. OSHA 1910.1200)

  • Does area have a flammable liquid storage cabinet? (Ref. OSHA 1910.106)

  • Are chemicals properly stored? (i.e flammable stored in fire rated cabinet, no items stored on top, cabinet grounded) <br>(Ref. OSHA 1910.1200)

  • Take picture of finding

  • Does the flammable cabinet contain combustible materials? (Ref. OSHA 1910.106)

  • Take picture of combustables

  • Are flammable cabinet doors shut when not in use? (Ref. OSHA 1910.106)

  • Take picture of open flammable cabinet

  • Are items stored on top of flammable cabinet? (Ref. OSHA 1910.106)

  • Take picture of items stored on top of flammable cabinet

  • All Chemical Labels should be legible and contain the following information:

    Chemical Label.PNG
  • Are all secondary containers labeled correctly and legible? <br>(Ref. OSHA1910.1200)

  • Take picture of finding

  • Is correct PPE worn when handling chemicals? (Where required - Review Chemical Handling Requirements) (Ref. OSHA 1910.1200)

  • Reference Physical and Health Hazards below:

    Physical & Health.PNG
  • Do employees know the chemical and physical hazards associated with the chemicals they are using? <br>(Where Applicable) (Ref. OSHA 1910.1200)

  • Interview(s)

Employee

  • Employee Name

  • Job Title

  • Reference the following Hazard Pictograms:

    Hazard Pictograms.PNG
  • Please Identify Chemical Hazards - Hazard Pictograms

  • Please Physical Health Hazards

Employee

  • Employee Name

  • Job Title

  • Chemical Physical Hazards - Hazard Pictograms

  • Physical Health Hazards

Machines and Guarding

  • Is Pre-Shift inspection completed and signed by Operator and Supervisor? <br>(Where applicable) <br>(Ref. OSHA 1910.147)

  • Take picture of inspection

  • Take a picture of incorrect pre-shift inspection and assign action to correct finding

  • Are work guidance's posted and do they include PPE requirements and safety awareness? <br>(Where applicable) <br>(Ref. OSHA 1910.147) (Ref. OSHA 1910.132)

  • Take picture of work guidance(s)

  • Take picture of incorrect work guidance and assign action to correct finding

  • Are Lock-Out Tag-Out procedures posted? (Where applicable)<br>(Ref. OSHA 1910.147)

  • Take picture of LOTO Procedure(s)

  • Take picture of missing procedure and assign action to correct finding.

  • Are LOTO locks attended and controlled by assigned operator? (No LOTO locks can be left unauthorized with key present) <br>(Ref. OSHA 1910.147)

  • Take a picture of uncontrolled or unattended LOTO lock and assign action to correct finding

  • Are all machine entrapment procedures posted? (Where applicable) (Ref. OSHA 1910.38)

  • Take picture of entrapment procedure

  • Are all machine safe guards in place and not damaged? (Light Curtains, E-Stops, Presence Sensing Devices, Safety Awareness Chains) <br>(Ref. OSHA 1910.212)

  • Take picture of missing or damaged presence sensing device.

Fire Protection and Emergency Exits

  • Are fire extinguishers accessible and tag current within one month of today's date? <br>NOTE: There should be nothing stored or staged within three feet of the fire extinguisher. (Ref. OSHA 1910.157)

  • Take picture of fire extinguisher with tag to date

  • Take picture of blocked fire extinguisher or out of date tag. Assign action to correct finding.

  • Are emergency exit signs illuminated? <br>(Ref. OSHA 1910.37)

  • Take picture of non-illuminated sign and assign action to correct finding.

  • Is there a clear pathway to the exits? <br>(Ref. OSHA 1910.37)

  • Take picture of what is blocking pathway to exit. Assign action to correct finding.

  • Are evacuation maps posted in area? (Ref. OSHA 1910.38)

  • Take picture of evacuation map in area

  • Reference the following Pipe Labeling Standards:

    Pipe Labeling 1.PNG
  • Are all pipes labeled and identified within area? (Pipe labeling must be placed every 50 feet) (Ref. ASME A13.1-2015)

  • Are all gas cylinders secured to the wall and are protective caps in place when not in use? (Where applicable) (Ref. OSHA 1910.101)

  • Take picture of missing protective caps or unsecured gas cylinder(s) and assign action to correct finding.

Electrical Safety

  • Are there electrical panels available within the work area? <br>(Ref. NEC Section 110-26)

  • Are all electrical panel doors closed and with nothing stored within 3 feet in front of them? (Ref. NFPA 70E)

  • Take a picture of blocked electrical panel or electrical panel with door open

  • Take a picture of electrical panel in compliance

  • Are electrical cords free of cuts, nicks and bare wires? <br>(Ref. NFPA 70E) (Ref. OSHA 1910.334)

  • Take picture of electrical cord with cuts, nicks, or bare wires

  • Are extension cords being used in work area? (Ref. NFPA 70E) <br>(Ref. OSHA 1910.334)

  • Take picture of extension cord used

Forklift and Rack Safety

  • Are forklift operators sounding horns at intersections, corners and when in reverse? (Ref. OSHA 1910.178)

  • Are forklifts operated safely at all times? (Ref. OSHA 1910.178)<br>NOTE: Check for seatbelts, excessive speed, sudden stopping and turning.

  • Are forklift operators carrying racks according to rack matrix? (Ref. OSHA 1910.178)

  • Are racks and pallet decking available within the audit area? <br>(Ref. OSHA 1910.176)

  • Are any racks damaged within the audit area?

  • Provide picture of damaged rack(s)

  • Is pallet decking damaged within audit area?

  • Provide picture of damaged racking and assign action to be repaired

  • Are all weight limits posted on all pallet decking within audit area?

  • Provide picture of missing weight limits within racking area and assign action to correct finding

  • Provide picture of pallet decking labels within pallet decking area

  • Are dock doors available within the audit area? <br>(Ref. OSHA 1910.29)

  • Are all dock doors currently closed, open with a trailer docked in place, or open with safety awareness chains in place?

  • Provide picture of finding (Dock door currently open without safety awareness chain or trailer docked)

  • Do all dock doors have safety awareness chains or barriers present and being used when the door is open and unoccupied?

  • Are all forklift operators using dock lock systems as designed?

Consultation and Participation of Workers

  • Are there any additional employee safety concerns or employee safety suggestions?

  • Does the employee have a safety concern or a safety suggestion?

  • Describe the safety concern and assign an action to address the concern (Assign an Action)

  • Describe the employee suggestion or improvement idea (Assign an Action)

  • Employee Name

  • Are there any ergonomic concerns within work area? (If yes, create action describing additional safety concern)

  • Are there any additional safety concerns or additional findings within work area? (If yes, take a picture and create action describing additional safety concern)

Sign Off

  • Auditor's signature

  • Area Supervisor or Manager signature

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