Information

  • Audit Number

  • Physical Location
  • Work Department

  • Departmental Supervisor/Line Pro

  • Prepared by

  • Date & Time

Weekly Compliance Audit (by department)

Personal Protective Equipment Policy Enforcement

Personal Protective Equipment (PPE) Employee Check

  • List any employee that is not correctly wearing the mandatory PPE (Eye Protection).

  • List any employee that is not correctly wearing the mandatory PPE (Safety Footwear).

  • List any employee that is not correctly wearing the mandatory PPE (Hearing Protection).

  • List any employee that is not correctly wearing the mandatory PPE (Hand Protection).

  • List any employee that is not correctly wearing the mandatory PPE (Respirators).

Housekeeping

  • Work and storage areas are clean and uncluttered?

  • Work stations are well organized and no trip hazards are present?

  • Emergency equipment (eyewash, etc.) is easily accessible.

  • Emergency routes and emergency doors are kept clear and fully accessible. Emergency doors are not locked.

  • Equipment and tools (chains, slings, electrical & hand tools, etc.) are stored properly?

Safety Signage

  • Signs indicating required Personal Protective Equipments are in place.

  • Signs indicating eyewash/safety shower, emergency exits, , etc. are in place?

  • Evacuation maps and emergency numbers are posted throughout the plant?

Environment

  • Liquid chemicals are stored in secondary containment?

  • Flammable chemicals are stored in flammable cabinets (or in a dedicated storage room) when not in use?

  • Waste area is properly maintained?

Maintenance

  • Equipment (lighting fixtures, machine guarding, vehicles, etc.) are maintained in good working condition and in place.

Ergonomics

  • Do workers avoid repetitive awkward positioning, excessive or overhead reaching, or continuous bending and twisting?<br>

Tools, Equipment and Machines

  • Have operator's received proper tool and/or machine specific training?

  • Appropriate machine safety guards are in place?<br>.

  • Tools, equipment and machines are operating properly?

Overall Notes

  • What is the overall condition of the department?

  • Any additional info?

  • Are any safety concerns present that require immediate attention?

  • Ensure all safety issues are noted in the audit above, with associated corrective actions created

Accomplishments

  • Log below any examples of excellent work practices that were noted on this safety walk.

  • Positive Observations
  • Employee Name

  • Observed Action

Sign Off

  • I declare that the audit above was conducted and completed accurately.

  • Full name and signature of auditor

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.