Diversified Label Image - General Safety & Fire Equipment Monthly Inspection V2

• Type of Inspection

  Select

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• An audit is a snapshot in time. Auditors will draw conclusions on the compliance status of the facility based on conditions observed and information provided by facility staff during the period of time the auditors are on site. Auditors are not responsible, nor can they be held accountable for activities, conditions, operations, actions or failure of actions by facility staff that may occur or not occur after the auditors leave the facility.
  Auditors shall not be held liable for any fines, penalties, or other sanctions that may be assessed against the audited facility by any state, county, city or other local regulatory authority for any findings reported by the auditors in the audit report.

Semi Annual or Monthly Inspection

• Is this a Semi- Annual Inspection? (January and June)

  Yes

  N/A

• Are Occupational Safety & Health Administration (OSHA) and State required posters displayed in a prominent location?

  Yes

  No

  N/A

• Are emergency evacuation traffic routes identified and posted?

  Yes

  No

  N/A

• Are emergency telephone numbers posted where they can be found readily?

  Yes

  No

  N/A

• Has the automatic sprinkler system been tested once per quarter ?

  Yes

  No

  N/A

• Are the automatic sprinklers protected from freezing to prevent frozen pipes

  Yes

  No

  N/A

• Are disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

  Yes

  No

  N/A

• Fuse/breaker/cord size appropriate for use? Amperage rating checked?

  Yes

  No

  N/A

• High voltage equipment (over 600 v) securely enclosed, warning signs posted?

  Yes

  No

  N/A

HEATING/VENTILATION

• Units checked annually by qualified contractor? Certificates on file?

  Yes

  No

  N/A

• Gas or electric sources shut off when not in use? Verified?

  Yes

  No

  N/A

• Pressure relief valves features operating well? Compressors drained regularly?

  Yes

  No

  N/A

General Workplace Safety

• Is the First Aid Supplies Stock and available for use

  Yes

  No

  N/A

• Are safety signage in place, i.e. Hearing Protection Require, Safety Glasses required

  Yes

  No

  N/A

• Are the emergency numbers posted where they can be easily found

  Yes

  No

  N/A

• Eye Wash Stations visually Inspected weekly? (Testing is required by manufacturer recommendations)

  Yes

  No

  N/A

Chemical Usage

• Chemicals in use in the area?

  Yes

  N/A

• Proper labels on containers Proper health hazard listed / Proper flammability listed / Proper reactivity listed / Proper PPE listed (1910.1200(b)) <br>

  Yes

  No

  N/A

• Knowledge of SDS system Employee can locate SDS, Verify first aid and PPE (1910.1200(h)) <br>

  Yes

  No

  N/A

• "Proper containers (prevent leakage, self closing lids)<br>No open containers / no spills " <br>

  Yes

  No

  N/A

• Container lids are closed / secured

  Yes

  No

  N/A

Electrical

• No open areas in junction boxes (1910.303(b)(1)) <br>

  Yes

  No

  N/A

• Electrical panels have 36" clearance (1910.303(g)(1)(i) Table S-1) <br>

  Yes

  No

  N/A

• Power panels, controls, receptacles & wiring covered. No missing, loose or broken parts 1910.303(b)(1) <br>

  Yes

  No

  N/A

• All disconnects, circuit breakers, and electrical panels are marked to indicate service and voltage (1910.303(e)) <br>

  Yes

  No

  N/A

• Extension Cords used without damage or repaired. (1910.305(g)(2)(i)) <br>

  Yes

  No

  N/A

• All receptacles, switches & boxes in good condition (1910.303(b)(1)) <br>

  Yes

  No

  N/A

• No permanent extension cords used in place of fixed wiring (1910.305(g)(1)) <br>

  Yes

  No

  N/A

• Plug ends do not have ground pin removed, all plugs have 3 prongs if required by manufacturer (1910.303(b)(1)) <br>

  Yes

  No

  N/A

• Is the production area free of multiple plug power strips

  Yes

  No

  N/A

Employee Safety

• PPE Worn are as required (safety glasses, hearing protection, gloves, safety boots, etc.) 1910.95,133,136,138

  Yes

  No

  N/A

• Employees using to proper lifting methods and requesting help when needed. (Lifts over 50 lbs) <br>

  Yes

  No

  N/A

• Employees are property using lifting devices

  Yes

  No

  N/A

• Area if free of any sign of smoking outside of the designated smoking areas

  Yes

  No

  N/A

Fire Protection

• Fire Extinguishers Charged <br>

  Yes

  No

  N/A

• Fire Extinguishers Hung properly Max Ht 5 Feet <br>

  Yes

  No

  N/A

• Fire Extinguishers accessible (not blocked) <br>

  Yes

  No

  N/A

• Fire Extinguishers Inspected every 30 days <br>

  Yes

  No

  N/A

• Fire Extinguishers in good working order <br>

  Yes

  No

  N/A

• Fire Exits unlocked <br>

  Yes

  No

  N/A

• Fire Exits access accessible (Not Blocked, must be able to see the door frame and the entire door) <br>

  Yes

  No

  N/A

• Fire Exits clear on the outside for 30 feet

  Yes

  No

  N/A

• Flammable liquids stored, handles and dispensed in a safe manner?

  Yes

  No

  N/A

• Are approved containers and tanks used for the storage and handling of flammable and combustible liquids?

  Yes

  No

  N/A

• Are bulk drums of flammable liquids grounded and bonded to containers during dispensing?

  Yes

  No

  N/A

• Automatic sprinkler system locked open, tested, 18" minimum head clearance?

  Yes

  No

  N/A

• Emergency lighting maintained exits and paths illuminated for emergencies? Checked monthly?

  Yes

  No

  N/A

• Are Emergency lights clean?

  Yes

  No

  N/A

• Are Exit Lights lit up?

  Yes

  No

  N/A

Hand And Portable Tools And Equipment 1910 Subpart P

• Hand Tools Being used in the Area?

  Yes

  N/A

• Are the electrical cord undamaged or unprotect

  Yes

  No

  N/A

• Electrically grounded (1910.242) <br>

  Yes

  No

  N/A

• Good condition of connecting cords, tools, and air hoses (1910.242) <br>

  Yes

  No

  N/A

• Guard in place and being used properly (1910.243) <br>

  Yes

  No

  N/A

• Air tools is good operating condition

  Yes

  No

  N/A

• Are brooms, shovels, hoes in good condition (not broken)

  Yes

  No

  N/A

Housekeeping

• Are designated smoking area well maintained? i.e. free of trash, cigarette butts on the ground,

  Yes

  No

  N/A

• Are safety signs posted and legible throughout?

  Yes

  No

  N/A

• Are floors clean and free of slip, trip, or fall hazards (1910.22(a))

  Yes

  No

  N/A

• Are the Aisle free of any Unobstruction (1910.22(b)) <br>

  Yes

  No

  N/A

• Is the HEATING/VENTILATION clear of combustibles by a minimum of 3 feet (from contact with HVAC units or fixtures)

  Yes

  No

  N/A

Ladder Safety

• Are ladders in use in the area?

  Yes

  N/A

• Free of Loose steps or rungs (loose if can be moved by hand)

  Yes

  No

  N/A

• Free of Cracked, split, or broken uprights, braces, steps, or rungs

  Yes

  No

  N/A

• Rungs/steps on metal ladders are free of corrugation or other damage

  Yes

  No

  N/A

• Warning Labels and Instruction are readable

  Yes

  No

  N/A

• Free of damaged or worn non-slip bases

  Yes

  No

  N/A

• Appropriate ladder used for task

  Yes

  No

  N/A

• Free from grease, oil, or slippery materials

  Yes

  No

  N/A

Lifting Devices

• Does the Area Have Lifting Devices

  Yes

  N/A

• Lifting devices listed as to the weight capacity?

  Yes

  No

  N/A

• Are lifting device free of damage?

  Yes

  No

  N/A

• Do the lifting devices have their data label available and readable?

  Yes

  No

  N/A

• Slings- Material is intact; no signs of wear, bleaching, fraying, shrinkage, holes, ripped stitching, etc

  Yes

  No

  N/A

• Nylon web straps are intact

  Yes

  No

  N/A

• Fitting/Shackles/End Fitting/Hard eyes -free form being deformed, worn, corrosion, burns or other damage?

  Yes

  No

  N/A

• Hooks without damage and mouse intact?

  Yes

  No

  N/A

• Do the lifting devices and its supports have their weight limits visible?

  Yes

  No

  N/A

Lockout And Tagout

• On/Off Switch easily accessible without leaving his/her position at the point of operation?

  Yes

  No

  N/A

• Lockout Procedures written and inplace? 1910.147

  Yes

  No

  N/A

• Authorized employees maintain control of their locks and badges?

  Yes

  No

  N/A

• Are locks assigned to the authorized employee or otherwise accounted for?

  Yes

  No

  N/A

• Are certain type of locks identified for lockout operations only and not used for security purposes?

  Yes

  No

  N/A

Machine Guarding / Safety Signage

• Barrier guards on moving machinery parts, belts & pulleys (1910.219) <br>

  Yes

  No

  N/A

• Point-of-operation & pinch points guarded & marked (1910.212) <br>

  Yes

  No

  N/A

• Fixed machinery anchored to deck/work bench to prevent movement (1910.212(b)) <br>

  Yes

  No

  N/A

• All rotating shafts are guard to prevent accidental contact

  Yes

  No

  N/A

• Bench grinders (1/8” tool rest adjusted from wheel) (1910.215(b)(9)) <br>

  Yes

  No

  N/A

• Abrasive wheels in good condition (1910.215(c)(9)) <br>(No damage to the sides, groves or worn down)

  Yes

  No

  N/A

• On/Off Kill switch easily accessible without leaving his/her position at point of operation <br>

  Yes

  No

  N/A

• Is disabled equipment locked/tagged to avoid unauthorized use?

  Yes

  No

  N/A

• Is equip. & machinery securely placed and anchored when necessary, to prevent movement that could result in personal injury?

  Yes

  No

  N/A

• Is all machinery and equipment kept clean and properly maintained?

  Yes

  No

  N/A

Material Handling

• Is material handling or storage occurring in this area

  Yes

  N/A

• Is material on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, or spreading?

  Yes

  No

  N/A

• Are the employee(s) using mechanical assistance for picking materials?

  Yes

  No

  N/A

• Are all pallets free of damaged before being loaded or moved?

  Yes

  No

  N/A

• Is there safe clearance for equipment through all aisles and doorways?

  Yes

  No

  N/A

• Are all hand trucks maintained in safe operating condition?

  Yes

  No

  N/A

Power Industrial Truck Operations (All PITs Forklift, sweepers, loaders, scrappers, etc)

• Are PITs in use in the area?

  Yes

  N/A

• The PIT has had it Pre-use inspection completed <br>

  Yes

  No

  N/A

• Employee wearing their seat belt

  Yes

  No

  N/A

• The proper fueling method has been followed? Employee wearing proper PPE, Safety glasses, Face Shield arm and hand protection <br>

  Yes

  No

  N/A

• PIT Operators following the facility rules of operation? speed, parking, driving skills

  Yes

  No

  N/A

• Do Employee have in their possession their operators card <br>

  Yes

  No

  N/A

STAIRWAYS/WALKING SURFACES

• Floor and aisles well marked and clear of waste, debris, scrap, spills or obstructions?

  Yes

  No

  N/A

• Is there aisle clearance provided for motorized or mechanical handling equipment operation?

  Yes

  No

  N/A

• Walkways and surfaces free of holes, imperfections or slipping hazards?

  Yes

  No

  N/A

• Steps/Stairs treads, railings secured and clear of obstructions?

  Yes

  No

  N/A

• Are pits and floor openings guarded by a cover, guardrail, or equivalent on all sides?

  Yes

  No

  N/A

• Are step free of damage

  Yes

  No

  N/A