Department Safety Audit

• Department Audited

  Select

• Conducted on

  Date

• Prepared by:

• Facility

  Select 1 2 3 4 5 6 7 8 15

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  • 15

Walk & Working Surfaces

• Work areas are neat and orderly?

  Good

  Fair

  Poor

  N/A

• Walkways are kept free of obstruction and trip hazards?

  Good

  Fair

  Poor

  N/A

• Materials are stored on racks securely?

  Good

  Fair

  Poor

  N/A

• Are the garbage cans over flowing?

  Yes

  No

• Open containers and food are on not production floor?

  Correct

  There is food/open container

• Ladders are clean, not damaged, and stored properly?

  Yes

  No

• Notes / "Fix it" comments

Machine & Tool Safety

• All points of operation and points of contact are gaurded?

  Yes

  No

• Machines are secure to the floor if meant to be fixed location?

  Yes

  No

• Correct tools are utilized when required and procedures followed?

  Yes

  No

• Lockout/Tagout used when required; procedures followed?

  Yes

  No

• Bench grinders gaps adjusted to 1/4" on top and 1/8" on bottom?

  Yes

  No

  N/A

• Areas surrounding machines are free of hazards?

  Yes

  No

• Notes / "Fix it" comments

Hazard Communication

• Containers are labeled according to the contents?

  Yes

  No

• Chemical containers are stored properly and sealed when not used

  Yes

  No

• Containers not leaking?

  Pass

  Fail

• Employees understand how to access Safety Data Sheets (SDS)?

  All Employees

  Some Employees

  No Employee

• Spill Kits are clean, accessible, sealed and ready for use?

  Yes

  No

• Compressed gas cylinders are secure and valves are closed?

  Yes

  No

  N/A

• Notes / "Fix it" comments

Emergency Response

• Eye wash stations are checked weekly; clean, accesible, working?

  Yes

  No

• Extinguishers are checked monthly; charged and operable?

  Yes

  No

• Exits are marked and illuminated corretly?

  Yes

  No

• Exits doors and aisles are clear for egress in case of emergency?

  Yes

  No

• EAP Map is posted and employees are informed of procedures?

  Yes

  No

• First Aid kits are ready for use? First Aid contact list posted?

  Yes

  No

• Notes / "Fix it" comments

Powered Industrial Equipment

• Employees are wearing required hearing protection?

  Yes

  No

• The load does not exceed the lifting capacity?

  Compliant

  Non-Compliant

• Only certified personnel are operating hoists?

  Yes

  No

• Employees do not pass underneath load?

  Compliant

  Non-Compliant

• Forklift operators are wearing seatbelts and lanyards?

  Yes

  No

• Materials are transported safety and stacked securely?

  Yes

  No

• Notes / "Fix it" comments

Personal Protective Equipment

• Employees are wearing required hearing protection?

  Yes

  No

• Employees are wearing Z87 types safety glasses; side shields?

  Yes

  No

• Employees are wearing the correct type of safety shoes?

  Yes

  No

• Personal Protective Equipment (PPE) stored properly?

  Yes

  No

  N/A

• Respiratory Protection is worn in areas where required?

  Yes

  No

  N/A

• Other misc. PPE is worn according to the hazards?

  Yes

  No

  N/A

• Notes / "Fix it" comments

Electrical

• Extension cords are not damaged and used temporarily only?

  Compliant

  Non-Compliant

• Electrical componants are not near water unless GFCI is utilized?

  Compliant

  Non-Compliant

• Power strip are not overloaded?

  Compliant

  Non-Compliant

• Extension cords are no daisy chained together?

  Compliant

  Non-Compliant

• Electrical panels have adequate clearance and are closed?

  Compliant

  Non-Compliant

• Materials and containers are grounded near flammable contents?

  Compliant

  Non-Compliant