Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Training

  • Other topics?

  • Are new hires provided training?

  • Lock out tag out?

  • Are new hires provided respirator training?

  • Are new hires provided electrical training?

  • Training topics that could use attention or a refresher?

Parking/Entrances/Egresses

  • Is vermin or wildlife a problem or risk to the plant staff?

  • Are any facility or safety related projects planned

  • Can the staff see who is at the door before opening them?

  • Do the door locks function properly?

  • Is there a vehicle announcer?

  • Is there a door bell?

  • Does the public typically show up at the site lost or unannounced?

  • Does the paving need repair and if so where?

  • Is the paving well maintained?

  • Are entrance pathways clear and free of hazards?

  • Is parking readily available for personal and company vehicles?

Material Handling

  • Do employees get trained on use of any lifting equipment?

  • Is the weight rating posted?

  • Is it proper for handling bulk containers?

  • Is it proper for handling 55 gallon drums?

  • Is a bridge/tower crane, forklift, scissor lift or mechanical lifting equipment in use?

  • Are materials delivered or handled that are too large or heavy to safely pick up?

  • What kind of materials are being picked up?

  • How much do they weigh?

Facilities

  • Does it send an alarm if compromised?

  • Is automatic HVAC provided?

  • Would the loss be extensive if the plant froze or got wet?

  • Does the building have processes or materials that are sensitive to getting wet?

  • Does the building have processes or materials that are sensitive to freezing?

  • Was indoor air quality acceptable during the inspection?

  • Powered and under operator control?

  • Ventilation/outside air, proper design and sufficient?

  • Are wet floors an issue?

  • Are chemical processes properly vented to the outside?

  • Meet proper design criteria?

  • Housekeeping and storage?

  • Walkways, catwalks, and stairways are they kept clear and free of hazards?

Miscellaneous

  • Number of full time staff?

  • What are their work hours?

  • Who is their manager?

  • What is the manager's phone number?

  • Do they work odd/late hours?

Chemical Safety / Hazard Communication

  • Does the staff know how to obtain new ones?

  • Have they been provided training on their purpose and use?

  • Does the site have a SDS binder for the chemicals used?

  • Does the staff know the location of the SDS binder?

  • Are containers properly marked?

  • Are appropriate labels and hazard warnings applied on all chemicals containers?

  • Are Safety Data Sheets (SDS) available for all chemicals used in the plant site?

  • Are emergency procedures (spillage, splash, poisoning) available and easy to read?

  • Is chemical handling training provided for the workers?

Gas Cylinder Safety

  • Are gas cylinders placed in a special room, fenced and locked?

  • Are gas cylinders properly labeled?

  • Are empty gas cylinders separated from new ones?

  • Are gas cylinders protected from falling and mechanical damage?

Electrical Safety

  • Are any 110V power tools in need of repair?

  • Are the 110V power tools proper for the task?

  • Are the 110V power tools in good condition?

  • Are 110V power tools used at the plant?

  • Are the extension cords in good condition?

  • Are extension cords being used properly?

  • Are there any normally wet process areas?

  • Are electrical circuits labeled?

  • Are electrical panels clear 36"?

  • Is GFCI protection in place?

  • Do all outlets have covers?

  • Is permanent lighting installed for outside work areas?

  • Is some work required outside on the grounds?

  • Is all work done inside the plant?

  • Do employees sometime work at night?

  • Does the lighting come on automatically if power is lost?

  • Is emergency lighting available?

  • Is the lighting ok for the tasks and processes?

  • Is electrical equipments, fittings and tools in the plant site regularly checked and maintained?

  • Are electrical safety signs and warnings available and easy to read?

  • Is high voltage electrical equipment restricted to authorized persons only?

  • Is power cable rack condition good?

  • Are power tools properly grounded?

  • Is temporary lighting installed securely?

  • Are power panels, controls, receptacles and wiring covered?

Lighting

  • Is emergency lighting available?

Machinery

  • Is preventative maintenance of machinery regularly carried out?

  • Are machine guards properly installed and maintained?

  • Are there enough safety signs around these machines?

  • Have workers been trained about machinery operation and maintenance?

Pressure vessels

  • Do the pressure vessels have typical pressures?

  • Are the pressure vessels gauges calibrated?

  • Are the pressure gauges in good condition?

  • Is secondary containment in place?

  • Are the pressure vessels suitable for the material?

  • Are the containers appropriate?

  • Is all the pressure vessels periodically checked and monitored?

  • Are appropriate pressure and temperature gauges installed on it?

  • Are normal operating pressure and temperature ranges indicted on the gauges?

  • Is a safety relief valve installed on any pressure vessels?

  • Is the pressure gauge periodically calibrated?

  • Is calibration record kept?

  • Are records of hydrostatic pressure test kept?

Personal Protective Equipment

  • Do employees know how to contact emergency assistance?

  • Does the facility have a phone?

  • Is the 911 address conspicuously posted?

  • Does the site have a 911 address?

  • Are the eye wash fountains flushed regularly?

  • Are eye wash fountains installed?

  • Has the staff been provided training on respirator use?

  • Are the respirators kept clean and stored properly?

  • Do the employees wear the appropriate mask and or filters for the exposure?

  • Has the staff been provided a respirator physical?

  • Has the plant/process been designed to minimize respirator use?

  • Process exposure control? What process?

  • Do employees need/have chemical goggles or face shields for use?

  • Do employees wear respiratory protection? Is this for nuisance odors or general concern?

  • Does the staff wear it continuously? Or as needed?

  • Is hearing protection kept on site and readily available?

  • Is eye protection provided?

  • Is personal protective equipment provided?

  • Is PPE condition regularly checked and monitored?

  • Is damage PPE immediately replaced?

  • Are eye washers and body showers stations clean, functional and accessible?

  • Is PPE training provided?

First aid

  • Is a first aid box provided and easily accessible?

  • Is the first aid box content complete and regularly checked?

  • Is there a clear sign for the first aid box?

Fire Precautions / Fire Protection / Flammables

  • Do the fire extinguishers have signage?

  • Are fire extinguishers in place and properly mounted?

  • Are sprinkler heads clear and 18" or > from materials?

  • Is the building equipped with a sprinkler system?

  • How are the flammable products stored?

  • What amounts of flammable products are being used?

  • Are flammable products used?

  • Does it transmit faults to a remote site?

  • Do any of the processes annunciate faults or alarms?

  • Does the plant operate without benefit of staff?

  • Are portable space heaters in use?

  • Is there a risk of explosion due to sparks or from a particular process?

  • Are there enough fire precaution signs through out the site?

  • Are storage of flammable materials separated?

  • Are sources of ignition far enough from these flammable materials storage?

  • Are flammable material tanks surrounded by adequate dike?

  • Are cigarettes and matches disposed separately from other rubbish?

  • Is hazardous area clearly defined?

  • Are fire hydrants available and coverage area adequate for the site?

  • Are fire extinguishers properly placed and protected?

  • Is fire drill carried out periodically each year?

  • Is map of fire extinguishers and fire hydrants available?

Emergency Response

  • Does the site have an emergency response plan?

  • Is emergency response training carried out periodically?

  • Can exits and evacuation routes signs be easily readable?

House Keeping

  • Are workplaces cleaned up regularly?

Slip, Trips and falls

  • Are drains and ditch covers good and installed?

  • Are ladders, guardrails, and steps in good condition?

  • Are floor openings and catwalks protected by guardrails?

Forklift

  • Are forklifts in use?

  • Are forklift operators licensed?

  • Do forklift accessories (brake, horn, controls and backup alarm) function properly?

  • Is forklift seat belt available?

  • Is forklift capacity chart established and marked?

  • Are forklift traffic routes established and marked?

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.