Information
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Department
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Auditor Name
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Conducted on
General Safety
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Is area free from spills & trip hazards, has neatly stored tools/materials - general good housekeeping practice?
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Observed employee behaviors are safe and reflect company policy
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Comments/Notes/Best Practices
Personal Protective Equipment (PPE)
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Is PPE required in this area?
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Required PPE is worn by all employees
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PPE is stored properly
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Area supervisor enforces use of PPE to affected personnel
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Comments/Notes/Best Practices
Hazard Communication/Chemical Safety
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Chemicals are properly labeled
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Chemicals are properly stored
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Comments/Notes/Best Practices
Hazardous Waste
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Does this area generate or store hazardous waste?
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Containers are labelled "WASTE"
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Empty containers are labelled "3X Rinsed" for common disposal
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180 Day Area is in compliance
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Comments/Notes/Best Practices
Compressed Air and Gases
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Does this area utilize compressed air or compressed gas?
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Does this area utilize air guns with compressed air?
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Are air guns OSHA compliant?
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Do any employees clean themselves with compressed air?
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Are safety glasses worn during operation of compressed air gun?
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Does this area utilize compressed gas cylinders?
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Cylinders are stored upright & secured
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Does this area utilize liquid nitrogen or other cryogenic liquids?
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Is proper PPE available & used?
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Comments/Notes/Best Practices
Fire Protection
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Fire extinguishers are charged, inspected, and unobstructed
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Areas containing combustibles and or flammables are free of ignition sources
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Proper clearance maintained below sprinkler heads (18 inches)
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Oily waste cans are fire rated with closing lids and kept free from other waste
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Comments/Notes/Best Practices
Equipment
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Does this area have operational equipment?
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Adequate guarding is utilized at each piece of equipment so that it protects the employee from the point of operation, nip points, rotating parts, flying chips, and sparks
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Are abrasive grinders used in this area?
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Grinder has 1/8" gap between tool rest and wheel and 1/4" gap between tongue guard and wheel
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Are lockout procedures available for equipment required to have written procedures?
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Is equipment being serviced locked out?
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Comments/Notes/Best Practices
Electrical Safety
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Electrical panels, switch gears & junction boxes have no missing knockouts
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Plate covers are secure & not broken
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Identification of circuit breakers is clearly marked in circuit breaker panels
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Electrical panels & disconnects have clear access & 36" clearance
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Extension cords are used only for temporary applications (less than 90 days)
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Comments/Notes/Best Practices
Ergonomics
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Does an ergonomic assessment need to be performed for any tasks in this area?
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Name task(s) or equipment/devices in highest priority
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Comments/Notes/Best Practices
Portable Ladders
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Are portable ladders used or stored in this area?
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Are ladders stored properly & secured from falling?
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Are step ladders used properly?
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Does an extension ladder extend at least 3' above roof edge?
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Comments/Notes/Best Practices
Emergency Evacuation & Preparedness
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All aisles, passageways, and exit doors are free from obstructions
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All exit & emergency lights are functioning & have been inspected this month
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Eye wash stations have clear access & have been inspected weekly
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Comments/Notes/Best Practices
Hand and Power Tools
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Are any tools used in this area?
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Are tools used for intended purpose?
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Is PPE used when required?
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Comments/Notes/Best Practices
Welding/Cutting/Brazing
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Does this area contain any welding, cutting (torch), or brazing operations?
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Is welding PPE being used?
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Are other employees protected from light generated by weld arc?
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Comments/Notes/Best Practices
Forklifts, Order Picker, PPJ, Scissor Lift
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Does this area utilize powered industrial trucks (powered pallet jack, forklift, etc.)?
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Has all equipment in area been inspected this shift?
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Comments/Notes/Best Practices