EHS Gemba Walk Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

PPE & Safe Work Practices

• Correct PPE worn and is it in good condition?

  Yes

  No

  N/A

• Safety shoes worn and are they in good condition

  Yes

  No

  N/A

• Hearing protection worn

  Safe

  At Risk

  N/A

• Gloves (if required)

  Yes

  No

  N/A

• Are respirators being stored properly?

  Yes

  No

  N/A

Mobile Equipment

• Are inspections being completed on equipment, prior to being used before each shift

  Yes

  No

  N/A

• Material lifting devices used and are they in good condition

  Yes

  No

  N/A

• Is mobile equipment free of excess oil, dirt and grease?

  Yes

  No

  N/A

• Is the date plate in place and legible?

  Yes

  No

  N/A

• Is the emergency brake set

  Yes

  No

  N/A

• Mobile equipment license and training current within 3 years

  Yes

  No

  N/A

• Seatbelt used whenever forklift operated

  Yes

  No

  N/A

• Proper techniques are being used for suspended loads - not suspended over employees

  Yes

  No

  N/A

• Proper techniques are being used for suspended loads - not unattended

  Yes

  No

  N/A

• Can operator explain daily inspection performed on lifting devices

  Yes

  No

  N/A

Safety Shower / Eye Wash Station

• Are all safety showers / eye wash stations operational

  Yes

  No

  N/A

• Are they inspected monthly

  Yes

  No

  N/A

• All safety showers are free from blockage - easily accessible

  Yes

  No

  N/A

• Are the caps present and closed to prevent dust collection?

  Yes

  No

  N/A

• Are emergency lights in working condition?

  Yes

  No

  N/A

Emergency Exits/ First Aid

• Aisles and emergency exits not blocked

  Yes

  No

  N/A

• Are exit signs illuminated and visible?

  Yes

  No

  N/A

• Are employees familiar with emergency response procedures?

  Yes

  No

  N/A

• Are 1st aid kits available and properly stocked?

  Yes

  No

  N/A

• Are emergency telephone numbers posted and up to date?

  Yes

  No

  N/A

Electrical

• Is voltage indicated on electrical control enclosures, power cabinets,, junction boxes etc.

  Yes

  No

  N/A

• Arc Flash label present on electrical control enclosures, power cabinets, junction boxes etc.

  Yes

  No

  N/A

• Clearance in front of electrical enclosures36" (0-150v) and 42" (151-600v)

  Yes

  No

  N/A

• Chords are free from frays and damage

  Yes

  No

  N/A

• Extension cords only allowed for temporary situations <90 days. must be inspected annually

  Yes

  No

  N/A

• GFCI's required on portable electric tools and in areas where wetness or damage to cord is possible

  Yes

  No

  N/A

• Are knockout plugs present on all electrical enclosures

  Yes

  No

  N/A

• All other electrical hazards removed?

  Yes

  No

  N/A

Material Storage Area

• Material organized and rotated by date

  Yes

  No

  N/A

• Material not triple stacked, only two high

  Yes

  No

  N/A

• Are pallets in good condition

  Yes

  No

  N/A

• Are hazardous chemicals stored in appropriate areas?

  Yes

  No

  N/A

• Are flammable transfer containers connected to bonding cables?

  Yes

  No

  N/A

• Are flammable liquids kept in closed containers when not in use?

  Yes

  No

  N/A

• Are materials not stored within 18 inches of fire suppression sprinklers?

  Yes

  No

  N/A

• Is adequate lighting provided?

  Yes

  No

  N/A

• Are areas clean and free of debris?

  Yes

  No

  N/A

• Are floors free of oil spills or leaking material?

  Yes

  No

  N/A

• Is there adequate aisle space between containers to provide for container inspection?

  Yes

  No

  N/A

• Are tools stored in designated areas?

  Yes

  No

  N/A

• All other chemical storage hazards removed?

  Yes

  No

  N/A

Flammable Cabinets

• Only flammable liquids in cabinet (no paper, wood or plastic stored in cabinet)

  Yes

  No

  N/A

• Cabinets undamaged

  Yes

  No

  N/A

• No more than 3 cabinets within 100 square feet

  Yes

  No

  N/A

Environmental

• All areas are free of spills

  Yes

  No

  N/A

• Are spill clean up materials available and properly stocked?

  Yes

  No

  N/A

• Are unprotected outdoor areas free of debris or potential sources of contamination?

  Yes

  No

  N/A

Waste

• Is there only one drum per satellite area

  Yes

  No

  N/A

• Is the waste pad organized

  Yes

  No

  N/A

• Do hazardous Waste have appropriate label (with date <90days)

  Yes

  No

  N/A

• Are the pallets with waste drums in good condition

  Yes

  No

  N/A

Machine Guarding

• Is point of operation (grinding wheel, etc.) protected such that inadvertent contact is prevented?

  Yes

  No

  N/A

• Flywheels, gears, shafts, pulleys, belts, gears, sprockets, chains and couplings guarded to protect employees

  Yes

  No

  N/A

• E-stop button present

  Yes

  No

  N/A

Walking / Working surfaces

• All holes or floor openings are guarded.

  Yes

  No

  N/A

• Are employees using hand rails while ascending/ descending stairs?

  Yes

  No

  N/A

Fire Extinguishers

• Monthly Inspection completed / Verify completely charged

  Yes

  No

  N/A

• Are Fire Extinguisher locations properly identified/visible ?

  Yes

  No

  N/A

Confined space

• Marked with proper signage (permit required sign or non permit required sign)

  Yes

  No

  N/A

HAZCOM

• Are containers properly labeled. (Original container with Manufacturers Label or secondary container with HMIS label)

  Yes

  No

  N/A

• Do employees know how to access an MSDS for a chemicals used?

  Yes

  No

  N/A

Lockout / Tagout

• Are LOTO labels present

  Yes

  No

  N/A

Compressed Air Nozzles

• Are nozzles labeled as OSHA compliant. (regulate air pressure to 30psi or less)

  Yes

  No

  N/A

Compressed Gas Cylinder Storage

• Are cylinders identified with a durable label that clearly identifies the cylinder contents and gives a brief description of the potential hazard?

  Yes

  No

  N/A

• Cylinders secured with chain, lab strap or hard stock device located on the upper one third of the cylinder

  Yes

  No

  N/A

• Nesting methods for storage are prohibited. Acceptable means of storage include individual chains or straps, holding racks, cylinder carts etc.

  Yes

  No

  N/A

• Flammable gasses shall be stored at least 20 feet from oxidizers and any other source of ignition or separated by an approved firewall

  Yes

  No

  N/A

Fall Protection

• Are fall protection devices in good condition?

  Yes

  No

  N/A

• Are step relief devices in place?

  Yes

  No

  N/A

Ergonomics

• Are tasks being performed with proper posture and body mechanics?

  Yes

  No

  N/A

• Are tools and work stations being used the best for proper body mechanics?

  Yes

  No

  N/A

• Are there any sharp edges at work stations that could cause nerve compression?

  Yes

  No

  N/A

• Are proper Lift techniques being used?

  Yes

  No

  N/A

Ladders

• Are ladders free frome any loose steps, loose fasteners, missing, bent or broken steps?

  Yes

  No

  N/A

• Are the bases/shoes in good condition

  Yes

  No

  N/A

• Are the identification tags present and in good condition?

  Yes

  No

  N/A

• Are extension ladders in good condition? (no loose rungs, no corrosion, pulley free from fraying, etc)

  Yes

  No

  N/A

Ventiliation

• Is proper ventilation being used in areas where chemical fumes are present?

  Yes

  No

  N/A

• Are chemical fume hoods on when needed and in good condition?

  Yes

  No

  N/A

• Are chemicals in fume hoods not stored in area for more than 1 day?

  Yes

  No

  N/A

Housekeeping

• Are areas free of trip hazards?

  Yes

  No

  N/A

• Are areas free of clutter?

  Yes

  No

  N/A

• Has equipment been returned to storage area after use?

  Yes

  No

  N/A

Combustible Dust

• Are your combustible dust systems active with no faults?

  Yes

  No

  N/A

• Are your quarterly inspections completed?

  Yes

  No

  N/A

• Is there residual dust on horizontal planes/surfaces greater than the thickness of a paper clip?

  Yes

  No

  N/A

• The process is free of any noticeable materials leaks.

  Yes

  No

  N/A

Hand Tools and Equipment

• Are all tools and equipment maintained in good condition?

  Yes

  No

  N/A

• Are safety glasses, face shields, or other appropriate protective equipment used while using<br>hand tools or equipment that might produce flying materials or be subject to breakage?

  Yes

  No

  N/A

• Are tools stored in dry, secure locations?

  Yes

  No

  N/A