Title Page
-
Site conducted
-
5 letter Branch code
-
General Manager
-
Conducted on
-
Prepared by
EHS & Sustainability Customer Needs
-
Does the location have National Account customers connected in a third-party verifier?
-
Were these accounts reviewed with site management?
-
Are all scores "green" or passing for these customers?
-
Is there an action plan to address any 'failing' areas in place (for issues that can be corrected?)
Required General Items
-
Has the location been participating in the self-audit program and have all employees been participating?
-
Are Safe Work Practices Posted at the location?
-
Are the current labor laws for Local, State and Federal requirements posted?
-
Are there any non-Fastenal items that do not have an SDS sheet posted?
-
Are the OSHA 300A hours posted?
-
Have safety items been fixed after audit or incident?
-
What is the Square Footage of the facility?
Employee Training
-
Does the branch have all NEOP packets for employees?
-
Are all employees up to date with online training?
-
Have all new employees gone through retraining within 90 days?
Ergonomics
-
Have all employees taken safe lifting training?
-
Have Safe work practices been reviewed by all employees?
-
Is the location taking steps to reduce ergonomic hazards (aka. raising pallets, etc)
-
Does the location have material handling equipment readily available?
Forklift Safety 29. CFR 1910.178
-
Are the LPG tanks stored safely?
-
Do they have at least 3/4 of a tank on hand?
-
Is there documented training on all operators?
-
Is the seat belt being used?
-
Are there daily inspection sheets filled out?
-
What is the condition of the forklift?
Electrical Safety
-
Are extension cords used as permanent wiring? (Zip-tied or daisy chained up)
-
Are electrical panels clear of obstructions for 36 inches deep and 30" wide?
-
Electrical panels have proper labeling?
-
Are all appliances grounded?
-
Is there evidence of gang plugging? Extension cords or power strips
-
Are all cords and outlets in good condition?
-
There are no holes or gaps in breaker panels or junction boxes?
PPE
-
Is PPE available to all employees?
-
Is the store only using Fastenal Approved safety knives?
First Aid kits
-
Does the store have a First aid kit?
-
Is the first aid kit restocked and items are not expired?
Emergency Action Plan
-
Are the written evacuation plans present?
-
Are employees aware of the designated meeting place? Is it posted?
-
Are all emergency exit paths clear?
-
Are emergency exit signs present and in correct locations?
-
Are emergency contact numbers posted at phones?
-
Are the emergency lights functioning properly?
Housekeeping
-
Is the store clean, orderly, and sanitary?
-
Are pallets in good condition?
-
Are pallets properly stored? (Laying down flat and not stacked to high)
-
Is there adequate storage present?
-
Are aisles free from trip hazards
-
Is rod/strut properly secured in it's location?
-
Cleaning station present and stocked? 6S board if applicable?
-
Is all signage in good condition?
-
Is adequate lighting present?
Fire Extinguishers
-
Are fire extinguishers located every 50 feet of walking distance?
-
Are there signs above each fire extinguisher?
-
Are fire extinguishers clear of obstructions?
-
Are monthly inspection completed?
-
Are annual inspections completed?
-
If there is a sprinkler system, has it been serviced annually?
Ladder
-
Are ladders properly secured in their locations?
-
Are ladders being inspected before use?
Power Tools and Bandsaw
-
What is the condition of the machines? ( Blades, guards, power cords, fluid levels)
-
Is there any documented training for the machine?
-
Is there proper PPE near the machine?
Pallet Racking
-
Pallets properly stored in racking?
-
Pallet racking secured to the floor or wall?
-
Is there pallet wrap hanging from the racks?
-
Is the racking damaged?
-
Are proper supports located under each pallet?
Fleet Operations
-
How many 'actively used' vehicles are assigned to the location?
-
Have there been any motor vehicle accidents/incidents in the last year?
-
Is vehicle maintenance being performed regularly? Oil change needed? Check Vehicle Info setting on dashboard or sticker on windshield.
-
Is the exterior in good condition and lights functioning? Any damage?
-
Does the location have a process and equipment to secure loads during transit?
-
Do the tires have correct air pressure? Front: 36-55 psi, Rear: 36-45 psi. Check Vehicle Info setting on dashboard.
-
Are the tires in good condition and have adequate tread depth?
-
Is the interior of the truck in good condition?
-
Is there an ERG book present in the truck?
Back Room and Driver safety
-
Dock/receiving area clean and clear of obstructions?
-
Is the snow cleared away and is there a snow removal plan? (How is salt stored outside for drivers?)
-
Adeqaute lighting inside for drivers after hours?
-
Adequate lighting outside for making night time deliveries?
-
After hours contact phone number posted by the alarm or back door.
Facility Condition
-
Is there damage to the exterior / interior of the building or signage?
-
Is paint and trim in good condition?
-
Is the ADA Parking available and identified?
-
Is the parking lot/area in good condition?
-
Is the facility roof in good condition and free of damage?
-
Are door seals free of damage?
-
Does the entry/exit door and roll up door function properly?
-
Are all stair/mezzanine railings and fall protection conditions address and compliant?
-
Are the windows and window seals in good condition?
Environmental Sustainability
-
Consumption - Is the location reusing supplies and packaging material?
-
Consumption - Is the location optimizing routes and minimizing idle time to reduce fuel consumption?
-
Consumption - Is the location minimizing consumption of water by reducing leaks and controlling use?
-
Waste - Does this location reuse and recycle cardboard?
-
Waste - Does the location reuse and recycle plastic waste?
-
Waste - Does the location reuse and recycle metal waste?
-
Waste - Does the location have a recycling program for wood waste?
-
Energy - Does the location use Energy Star equipment and 'turn - off' that equipment when not in use?
-
Energy - Does the overhead door and exits have proper weather-stripping seal?
-
Energy - Does the location have a programable thermostat?
-
Energy - Is the temperature set between 68-70 (Winter), or 72-74 (Summer)?
-
Energy - Does the location insulate it's water heater?
-
Energy - Does the location have motion/dimming activated lights in the back rooms?
-
Energy - Does this location have LED lighting on the interior and exterior of the building?
-
Energy - Does the location use window film to manage inside/outside temperature control
-
Energy - Does the location regularly change out its HVAC filters and perform maintenance on the equipment?
-
Are there any other sustainability efforts being taken by this branch?
-
Enter the facility Energy Star Score if it's over 5,000 Sqft
Environmental Compliance
-
Does the location properly manage universal and hazardous wastes?
-
Does the location have materials and equipment to manage these wastes?
-
Does the location fall under air permitting requirements?
-
Does the location require an SPCC plan?
-
Does the location manage it's 'expired' product?
-
Does the location fall under waste permitting requirements?
Security
-
Has the location had any reportable incidents in the last 12 months?
-
Does the store have a security alarm system?
-
Does the store have glass breakage detection?
-
Is a risk assessment needed?
-
Last date of criminal activity if recent?
-
Does the location have security gate at entry points?
COVID-19
-
If it is a public store allowing customers, do they have the front area taped off to prevent customers from moving throughout the store?
-
Does the store have signage promoting social distancing measures?
-
Are they participating in regular cleaning and disinfecting on a regular basis? (This includes all company vehicles)
-
Is this cleaning being documented and kept on file?
-
Does this location have face covers or industrial masks available for employee use?
-
Do they have sign-offs, if applicable, for mask requirements and health assessment?
-
Is the employee using a mask or practicing social distancing while interacting with customers in the store?
-
Does this store have a wash area available with disinfecting soap?
-
Does the store have hand sanitizer available for employees in the store?
-
Have social distancing techniques and strategies been implemented in this store?
-
Is the hierarchy of controls poster, posted and visible for all employees to see?
Commercial Motor Vehicle
-
Does the store have a commercial motor vehicle?
-
Does the truck have the DOT Number and Company Name displayed on both sides of the truck?
-
Are all windows, mirrors, and lights clean, without cracks, and in working order?
-
Is a copy of the FMCSA Safety Regulations handbook in the truck? Part number 9701814, should be printed within the last two years
-
Is a Copy of the Hazardous Materials Compliance Pocketbook in the truck? Part number 9701816, 2017 or newer
-
Is the Emergency Response Guidebook in the truck? Part number 9701815, 2020 print
-
Is there a logbook in the truck?
-
Is there a driver's vehicle inspection report booklet in the truck?
-
Is the current Registration in the truck?
-
Is the current Insurance card in the truck?
-
Is the Annual Inspection current and in the truck?
-
Is there a fire extinguisher in the truck and properly secured?
-
Are there warning triangles in the truck? Part number 1002805 or 1026059
-
Are there appropriate spare fuses in the truck?
Auditors Signature
-
Add signature