EHS: Internal Departmental Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Department:

• 1.1 - Exit Routes kept free of obstructions?

  yes

  no

• 1.2 - Exit Doors kept free of obstructions?

  yes

  no

• 1.3 - Fire extinguishers free from obstructions or blockages?

  yes

  no

• 1.4 - Trash bins/containers clearly and properly labeled?

  yes

  no

• 1.5 - Trash bins/containers emptied regularly?

  yes

  no

• 1.6 - Aisles/Walkways kept clear?

  yes

  no

• 1.7 - Work area kept organized?

  yes

  no

• 1.8 - Are any of the following present: spills, cords or other trips, trash/clutter, parts/materials?

  *YES

  No

  n/a

• Indicate which hazards are present

  Select Spills Cords/Other Trip Hazards Trash/clutter Parts/Materials

  • Spills
  • Cords/Other Trip Hazards
  • Trash/clutter
  • Parts/Materials

• 1.9 - Are all work areas clean, sanitary and orderly?

  yes

  no

• 1.10 - Are work surfaces kept dry and appropriate means taken to assure the surfaces are slip resistant?

  yes

  no

• 1.11- Are holes in the floor, sidewalk, or other walking surface repaired properly, covered, or otherwise made safe?

  Yes

  No

  N/A

• 1.12 - Are materials or equipment stored in such a way that sharp projections will not interfere with the walkway?

  yes

  no

  N/A

• 1.13 - Are aisles or walkways that pass near moving or operating machinery, welding operations, or similar operations arranged so employees will not be subjected to potential hazards?

  yes

  no

• 1.14 - When possible, is combustible dust cleaned up with a vacuum system to prevent suspension of dust particles in the environment?

  yes

  no

  N/A

• 1.15 - Is metallic or conductive dust prevented from entering or accumulating on or around electrical enclosures or equipment?

  yes

  no

  N/A

• 1.16 - Are pits and floor openings covered or otherwise guarded?

  yes

  no

  N/A

• 1.17 - Is material on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?

  yes

  no

  N/A

• 1.18 - Are flexible cords and cables free of splices or taps?

  yes

  no

• 1.19 - Do all extension cords have a grounding conductor?

  yes

  no

  N/A

• 1.20 - Are extension cords being used as permanent powers sources?

  *YES

  No

  n/a

• 1.21 - Are exposed wiring and cords with frayed or deteriorated insulation reported promptly?

  yes

  no

• 1.22 - Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?

  yes

  no

• 1.23 - Is sufficient access and working space provided and maintained around all electrical equipment to permit ready and safe operations and maintenance?

  yes

  no

• 1.24 - Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?

  yes

  no

• 1.25 - Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?

  yes

  no

2.1 - PERSONAL PROTECTIVE EQUIPMENT

• Are employees wearing appropriate PPE?

  yes

  no

• Specify what PPE is not being worn.

  Select Safety Glasses/Goggles Rx Safety Glasses/Over the Glasses Safety Glasses Face Shields Steel Toes Gloves

  • Safety Glasses/Goggles
  • Rx Safety Glasses/Over the Glasses Safety Glasses
  • Face Shields
  • Steel Toes
  • Gloves

• Is PPE being worn correctly?

  yes

  no

• Is PPE maintained in a sanitary condition and ready for use?

  yes

  no

2.2 - HAZARD COMMUNICATION

• Are approved containers and tanks used to store and handle flammable and combustible liquids?

  yes

  no

• Are all flammable liquids kept in closed containers when not in use (e.g., parts cleaning tanks, pans, etc.)?

  yes

  no

• Are safety cans used for dispensing flammable or combustible liquids at the point of use?

  yes

  no

• Are all containers such as spray bottles, vats, storage tanks, etc., identified with a GHS Compliant Label?

  yes

  no

• Are storage tanks adequately vented to prevent the development of excessive vacuum or pressure as a result of filling, emptying, or atmosphere temperature changes?

  yes

  no

• Are rules enforced in areas involving storage and use of hazardous materials?

  yes

  no

3.1 - OIL DISCHARGE FROM FACILITY OPERATIONS (SPCC)

3.1.1 - Spill Containment for In-Service Drums and/or Pails

• Are all in-service drums stored on a proper secondary containment pad?

  yes

  no

  N/A

• Are in-service drums in good condition with no leaks?

  yes

  no

  N/A

• Are all in-service pails on a proper secondary containment pad?

  yes

  no

  N/A

• Are in-service pails in good condition with no cracks or leaks?

  yes

  no

  N/A

• Are secondary containment pads in good condition?

  yes

  no

  N/A

• Indicate any issues found during inspection

  Select Possible leakage Dents/Damage Needs Emptying

  • Possible leakage
  • Dents/Damage
  • Needs Emptying

• Are all secondary containment pads free of other objects that would reduce the containment volume in the event of a spill?

  yes

  no

  N/A

• Are all containers properly labeled?

  yes

  no

  N/A

• Are spill containment kits available nearby?

  yes

  no

  N/A

• Are adequate supplies available in spill kits?

  yes

  no

  N/A

• Are spill kits clearly labeled and easily accessible?

  yes

  no

  N/A

3.1.2 - Oil Storage

• Are any IBC Totes damaged or leaking?

  *YES

  No

  n/a

• Are any drums damaged or leaking?

  *YES

  No

  n/a

• Are barrels completely sealed to prevent leakage?

  yes

  no

  N/A

• Any leaks or damage to secondary containment and/or coverage?

  *YES

  No

  n/a

• Are any totes or drums stored outside?

  *YES

  No

  n/a

3.1.3 - Above Ground Storage Tanks (USED OIL/WASTE OIL)

• Any damage to tank body, footings and/or secondary containment?

  *YES

  No

  n/a

• Any spills present around storage tank?

  *YES

  No

  n/a

3.1.4 - Process Equipment & Dies

• Leaks can occur from either the service side of tooling (dies) or from the structural seal failure side of the press or machine. In either case contamination can occur from the petroleum based product.

• Are there any significant leaks from equipment containing oil?

  *YES

  No

  n/a

• Are pads or absorbent materials being used consistently or as the main solution to contain leakage?

  *YES

  No

  n/a

• Is excessive oil present in the die racks?

  *YES

  No

  n/a

• Is excessive oil present around presses or equipment?

  *YES

  No

  n/a

• Are pads or absorbent materials being used to contain leakage and keep the floor dry?

  yes

  no

  N/A

• Are hydraulic hoses in good condition with no damage or significant wear?

  yes

  no

  N/A

3.2 - WATER DISCHARGE FROM FACILITY OPERATIONS (SWPPP)

3.2.1 - Die Washer

• Is there a die washer at the facility?

  Off

  On

• Is there any damage to die washer since last inspection?

  *YES

  No

  n/a

• Are there any leaks/overflow of the "closed-loop" system?

  *YES

  No

  n/a

• Any damage to the covering to allow rainwater to enter and overflow the system?

  *YES

  No

  n/a

3.2.2 - Storm Water Run-off from Parking Lot

• Standing, flowing or run-off water present?

  Off

  On

• Is any of the following present: odor, color, solids, foams or oily sheen

  *YES

  No

  n/a

3.3 - WASTE GENERATION

3.3.1 - General Waste

• Is there any trash on the ground around containers?

  *YES

  No

  n/a

• Are there any stains or residue on the ground that may indicate the container is leaking?

  *YES

  No

  n/a

• Is the container in good physical condition (no excessive rust, holes, etc.)?

  yes

  no

  N/A

3.3.2 - Aerosol Can Disposal

• Is the lever and containment cover in good working condition?

  yes

  no

  N/A

• Are aerosol cans placed in scrap bins after cans are punctured and emptied?

  yes

  no

  N/A

• Is a Hazardous Waste Label with accumulation start date present on drum?

  yes

  no

  N/A

• Does the accumulation date exceed one year from the date of inspection?

  *YES

  No

  n/a

3.3.3 - Battery Disposal

• Is the handle working properly

  yes

  no

  N/A

• Is lid secured to the container?

  yes

  no

  N/A

• Are positive ends of batteries taped (Scotch) to prevent fire?

  yes

  no

  N/A

• Adequate signage to indicate location of disposal?

  yes

  no

  N/A

• Does the accumulation date exceed one year from the date of inspection?

  yes

  no

  N/A

3.3.4 - Fluorescent Light Bulbs

• Adequate signage present to indicate location of disposal?

  yes

  no

  N/A

• Is container equipped with a lid?

  yes

  no

  N/A

• Is container labeled with a Universal Waste Label?

  yes

  no

  N/A

• Does the accumulation date exceed one year from the date of inspection?

  *YES

  No

  n/a

3.3.5 - Parts Cleaner

• Are waste solvents from all degreasing units stored in covered containers?

  yes

  no

  N/A

• Is Standard Work, summarizing how to decrease emissions posted on or near the degreaser ?

  yes

  no

  N/A

• Is the unit equipped with a cover which is kept closed when parts are not being handled in the cleaner?

  yes

  no

  N/A

3.3.6 - Polish Dust

• Any signs of dust being washed off roofs and through down-spouts?

  *YES

  No

  n/a

• Dust collector appears to be working properly?

  yes

  no

  N/A

• Any signs of damage to dust collector

  *YES

  No

  n/a

• Is there significant polishing dust on the ground?

  *YES

  No

  n/a

• Does dust appear to be washing away from the immediate area?

  *YES

  No

  n/a

• Are all dust containers covered?

  yes

  no

  N/A

3.4 - NATURAL RESOURCE CONSUMPTION

3.4.1 - Energy

• Any air leaks around production equipment?

  *YES

  No

  n/a

• Any air leaks around hand tooling?

  *YES

  No

  n/a

• Any Energy Conservation methods implemented and/or in place?

  yes

  no

  N/A

3.4.2 - Scrap Metal Recycling

• Are Scrap Bins stored under some type of covering such as a canopy.

  yes

  no

  N/A

• Are Scrap Bins not stored under cover tarped or covered?

  yes

  no

  N/A

• Any oily residue on Scrap Metal?

  *YES

  No

  n/a

• Any residue on the ground indicating scrap bins are leaking?

  *YES

  No

  n/a

3.4.3 - Recycling

• Are Recycling Services available and present at plant?

  Off

  On

• Are recycling materials being sorted and containers utilized properly?

  yes

  no

  N/A

• Are containers clearly marked and available?

  yes

  no

  N/A

• Any improper disposal of recyclable materials in containers?

  *YES

  No

  n/a

• Recycling used copper tips and properly maintaining containers at collection stations?

  yes

  no

  N/A

3.5 - STORAGE OF GASES & CHEMICALS ON-SITE

3.5.1 - Compressed Gas Cylinders

• Is the area in and around where compressed gases are stored kept in neat and orderly manner to prevent additional hazards?

  yes

  no

  ?

  N/A

  verbal

• Are Safety Chains utilized across each section?

  yes

  no

  N/A

• Are cylinders legibly marked to clearly identify the type of gas?

  yes

  no

  ?

  N/A

  verbal

• Are compressed gas cylinders stored in their marked section of the Compressed Gas Storage Area?

  yes

  no

  ?

  N/A

  verbal

• Are empty cylinders appropriately marked, their valves closed and stored in their marked section of the Compressed Gas Storage Area?

  yes

  no

  ?

  N/A

  verbal

• Are compressed gas cylinders stored in areas protected from external heat sources such as flame impingement, intense radiant heat, electric arcs, or high-temperature lines?

  yes

  no

  ?

  N/A

  verbal

• Are cylinders located or stored in areas where they will not be damaged by passing or falling objects or subject to tampering by unauthorized persons?

  yes

  no

  ?

  N/A

  verbal

• Are valve protectors always placed on cylinders when the cylinders are not in use or connected for use?

  yes

  no

  ?

  N/A

  verbal

• Are signs posted reading “DANGER, NO SMOKING, MATCHES, OR OPEN LIGHTS, ” or the equivalent?

  yes

  no

  ?

  N/A

  verbal

• Any corrosion, general distortion, cracks or any other defect to cylinders indicating a weakness or render then unfit for service?

  *YES

  No

  n/a

3.6 - SECURITY & EMERGENCY

• Are outdoor lights undamaged and in proper working condition?

  yes

  no

  N/A

• Is fencing in good condition?

  yes

  no

  N/A

• Are gates in good condition and working properly?

  yes

  no

  N/A

• Are all sprinkler system valves in the open position?

  yes

  no

  N/A

• Any errors at the fire alarm system control?

  *YES

  No

  n/a

Sign-off

• Auditor

  Sign

• Supervisor

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• Additional Personnel

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• Additional Personnel

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• Additional Personnel

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