Information

  • Enter "EH6S", the area, and the date (i.e. EH6S 65 9/19/14).

  • Enter the area the audit was performed (i.e. 65).

  • Conducted on

  • Prepared by

  • Enter the names of those who conducted the audit.

5-S / Housekeeping

Sort

  • Slow moving inventory is labeled and a retention schedule for parts and documents is created.

  • All unneeded and obsolete items are removed from the area.

  • Rate from 1 to 3 with 3 being the best

  • All unneeded and obsolete items are removed from the area.

  • Rate from 1 to 3 with 3 being the best

  • Rate from 1 to 3 with 3 being the best

Leadership/Documentation

Leadership & Documentation

  • Are Daily Safety Huddles being completed?

  • Are the injury free boards in the area and current?

  • Does the area have a Safety Playbook and is it complete and up-to-date?

  • Take a picture of the Safety Playbook binder checklist.

  • Has the Manager Safety Meeting with the SCM occurred this month (ask SCM)?

  • The SCM must sign here.

  • How many Weekly Supervisor Safety Meetings with the SCM have been missed this month (ask SCM)?

  • The SCM must sign here.

  • How many Safety Action Items have been open for more than 2 weeks?

  • Does the area have any other required logs (i.e. crane inspections, PASS device logs, environmental logs, etc.)?

  • Is the PASS device log current and up-to-date?

  • Is the eye wash inspection log current and up-to-date?

  • Are the crane daily inspection logs current and up-to-date?

  • Are the emission unit logs current and up-to-date?

  • Are the waste station inspections current and up-to-date?

Personal Protective Equipment (PPE)

  • How many employees are not wearing hard hats or have hard hats in poor condition?

  • How many employees are not wearing proper eye/face protection (i.e. safety glasses, face shields, etc.)?

  • How many employees are not wearing hearing protection or not wearing it properly?

  • How many employees are not wearing long sleeve shirts AND pants or they are in poor conditions with rips, tears, etc.?

  • How many employees are not wearing safety-toe boots or those boots are in poor condition (i.e. steel toe exposed through leather)?

  • How many employees are not wearing the proper gloves for the work they are doing?

  • What extra PPE is required to be worn in this area?

  • See the Hot Work PPE Chart/Card for further guidance.

  • How many employees are not wearing the proper leathers/green jacket for the position and type of hot work they are performing?

  • How many employees have exposed polyester or nylon clothing while performing hot work?

  • How many employees performing hot work are not wearing spats over lace-up boots?

  • How many employees are working in a river area NOT wearing a Personal Flotation Device (PFD) with whistle and strobe?

  • River PPE is required within 6' of the river's edge and any barge NOT surrounded 100% by guardrails.

  • Fall restraint or fall arrest (harnesses and lanyards) is required whenever someone is on a working surface at or greater than 5' above the next lower level without guardrails.

  • How many employees are not wearing fall arrest or fall restraint where required?

  • How many employees are wearing harnesses improperly?

  • How many employees are wearing harnesses in poor condition?

  • How many employees are wearing lanyards improperly?

  • How many employees are wearing lanyards in poor condition?

  • Half-Face respirators are required for any person in a confined/enclosed space where hot work or painting is being performed. Full-face respirators are required for any person in a confined/enclosed space where painting is being performed with a paint which requires the use of a supplied air respirator.

  • How many employees are not wearing the proper respirators where required OR the respirator is in poor condition?

  • How many employees wearing a respirator are NOT shaven so that the respirator seals properly?

  • How many respirators are stored improperly (not in a sealable bag)?

Equipment

General Equipment

  • How many Chicago fittings under pressure do not have at least 1 cotter pin securing them?

  • How many modified tools are in the area?

  • How many items that are equipped with e-stops (emergency stops) have broken or missing e-stops?

  • How many moving/rotating parts on machinery are not properly guarded?

  • How many blow sticks do not have relief holes present?

  • How many pieces of rigging are in poor condition?

  • How many machines, operating panels, crane pendants, etc. do not have the controls properly labeled or the controls are broken?

  • How many pieces of equipment not listed above are broken and not tagged out of service?

  • How many gas cylinders are not in the proper position (i.e. upright, away from hot work, away from other gasses, etc.)?

  • How many stored gas cylinders (not in use) have the regulator on or no safety cover?

Fitting Equipment

  • How many torch lines are not current on BRGY (the current quarter and last quarter colors are compliant)?

  • How many torch lines/torch heads do not have flashback arrestors?

  • How many gas manifold valves not in use do not have a cap on them?

  • How many fitting aids under pressure are not welded 100%?

Welding Equipment

Work Area

Walkways

  • How many walkways/exit routes are obstructed/blocked (e.g. materials, lines, equipment, etc.)?

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.