Information
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Audit Number
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Physical Location
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Work Department
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Departmental Supervisor/Line Pro
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Prepared by
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Date & Time
Weekly Compliance Audit (by department)
Personal Protective Equipment Policy Enforcement
Personal Protective Equipment (PPE) Employee Check
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List any employee that is not correctly wearing the mandatory PPE (Eye Protection).
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List any employee that is not correctly wearing the mandatory PPE (Safety Footwear).
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List any employee that is not correctly wearing the mandatory PPE (Hearing Protection).
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List any employee that is not correctly wearing the mandatory PPE (Hand Protection).
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List any employee that is not correctly wearing the mandatory PPE (Respirators).
Housekeeping
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Work and storage areas are clean and uncluttered?
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Work stations are well organized and no trip hazards are present?
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Emergency equipment (eyewash, etc.) is easily accessible.
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Emergency routes and emergency doors are kept clear and fully accessible. Emergency doors are not locked.
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Equipment and tools (chains, slings, electrical & hand tools, etc.) are stored properly?
- Yes
- No
- N/A
Safety Signage
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Signs indicating required Personal Protective Equipments are in place.
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Signs indicating eyewash/safety shower, emergency exits, , etc. are in place?
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Evacuation maps and emergency numbers are posted throughout the plant?
Environment
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Liquid chemicals are stored in secondary containment?
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Flammable chemicals are stored in flammable cabinets (or in a dedicated storage room) when not in use?
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Waste area is properly maintained?
Maintenance
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Equipment (lighting fixtures, machine guarding, vehicles, etc.) are maintained in good working condition and in place.
Ergonomics
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Do workers avoid repetitive awkward positioning, excessive or overhead reaching, or continuous bending and twisting?<br>
Tools, Equipment and Machines
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Have operator's received proper tool and/or machine specific training?
- Yes
- No
- N/A
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Appropriate machine safety guards are in place?<br>.
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Tools, equipment and machines are operating properly?
Overall Notes
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What is the overall condition of the department?
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Any additional info?
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Are any safety concerns present that require immediate attention?
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Ensure all safety issues are noted in the audit above, with associated corrective actions created
Accomplishments
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Log below any examples of excellent work practices that were noted on this safety walk.
Positive Observations
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Employee Name
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Observed Action
Sign Off
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I declare that the audit above was conducted and completed accurately.
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Full name and signature of auditor