Information
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Client / Site / Location
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Scope of Work
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Conducted on
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Prepared by
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Document No.
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there any outstanding corrective actions?
2.0 - Fire Prevention
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2.1 - Is the evacuation plan understood by all employees?
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2.2 - Extinguishers are charged, in place, and clearly marked?
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2.3 - Extinguishers recently serviced?
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2.4 - Extinguishers clear of obstructions?
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2.5 - Adequate signage for fire exits?
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2.6 - Emergency exit lighting operable?
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2.7 - Exit doors easily opened from inside?
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2.8 - Exits clear of obstructions?
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2.9 - Fire extinguishers are with in 25 feet of hot work?
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2.10- Adequate number of fire extinguishers available for work space?
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 - Neither manufactured or natural light creates a glare, blind spot, visual blank, or dark spot?
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3.3 - Light fixtures are clean and in good condition?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways are kept clear?
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4.3 - Walkways are adequate and clearly marked?
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4.4 - Intersections are clear of boxes, pallets, debris, etc?
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4.5 - Stairs are kept clear?
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4.6 - Is there a spill kit large enough to contain the largest drum of product available on sight?
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4.7 - Are all spills cleaned up quickly and disposed of properly?
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4.8 - Are railings in good condition?
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4.8 - Are fall preventive measures in place and used where gaps occur in railings?
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4.9 - Is furniture in good condition?
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4.10 - Is loading area clear?
5.0 - Work Areas
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5.1 - Are work benches clear of trash & debris?
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5.2 - Tools that are not in use are kept in a location that would not create potential hazards?
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5.3 - Are damaged hand tools in use?
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5.4 - Are damaged power tools in use?
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5.5 - Working height is correct for the type of work and employee?
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5.6 - Are there any sharp edges that need to be eliminated? (table top,metal over hangs, all thread, etc.)
6.0 - Trash Removal
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6.1 - Trash Bins are located at suitable points around site?
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6.2 - Trash Bins are emptied regularly?
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6.3 - Oily rags and combustible materials are in covered metal containers?
7.0 - Storage Design and Use
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7.1 - Materials stored in racks and bins when ever possible?
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7.2 - Storage areas are designed to minimize lifting problems?
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7.3 - Floors are clear of trash and debris in storage area?
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7.4 - Racks and pallets are in good condition?
8.0 - Machines
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8.1 - Machines are clean and in good operating condition?
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8.2 - Are the floors around the machines kept clean?
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8.3 - Are machine guards in place and in good condition?
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8.4 - Starting and stopping devices are within easy reach of operator?
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8.5 - Waste and material shavings have been removed and stored safely?
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8.6 - Drip pans on floor to prevent spillage?
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8.7 - Adequate work space?
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8.8 - Is lighting adequate?
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8.9 - Noise levels are controlled or hearing protection is being utilized?
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8.10 - Operators trained in the operation of the machines?
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8.11 - Do operators comply with the training?
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8.12 - Are lockout tag out procedures implemented and followed?
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8.13 - Are compressed gas bottles secured?
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8.14 - Have all mobile equipment been inspected and documented before use?
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8.15 - Equipment operator has current training card readily available?
9.0 - Electrical Safety
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9.1 - Where needed are GFCIs being used?
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9.2 - Portable equipment is tested and tagged with current assured grounding color code?
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9.3 - No broken plugs, sockets or switches?
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9.4 - No drop cords across walkways?
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9.5 - No frayed or damaged drop cords or welding leads?
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9.6 - No strained leads?
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9.7 - Portable power tools in good condition?
10.0 - Chemical Safety
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10.1 - Safety Data Sheets are available for all chemicals?
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10.2 - All containers are labelled correctly?
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10.3 - Unused substances are being disposed of properly?
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10.4 - Do special storage conditions apply?
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10.5 - If applicable are special storage conditions followed?
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10.6 - Workers trained in the use of hazardous substances?
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10.7 - If required is chemical resistant PPE available?
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10.8 - Is adequate ventilation provided?
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10.9 - Are eye wash stations easily accessed?
11.0 Ladders
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11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
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11.2 - Are ladders in good condition?
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11.3 - Are all ladders non conductive?
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11.4 - Are all ladders being used according to instructions?
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11.5 - For extension ladders are ropes, pulleys and treads in good condition?
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11.6 - Are all manufacture labels in place and legible?
12.0 - First Aid Facilities
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12.1 - Are cabinets and contents clean and orderly?
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12.2 - Are contents regularly checked?
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12.3 - No contents are past their expiration date?
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12.4 - Cabinets are clearly labeled?
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12.5 - Is there easy access to cabinets?
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12.6 - Are employees aware of first aid cabinet location?
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12.7- Are emergency numbers displayed?
13.0 Mobile Equipment
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13.1 - Mobile equipment operators have been trained and authorized?
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13.2 - All warning and safety devices are in place and operable?
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13.3 - Equipment is being used for the work it was designed for?
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13.4 - Capacity tags, load charts, and operation diagrams are all clear and legible?
Corrective Actions
Sign Off
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On site representative
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Auditor's signature
