Entergy-Office Independent

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Business Unit

• Work Group

• Function

• Number of Employees

• Work Being Performed

General Inspection

• Where is the safe room in this facility in the event of an emergency?

  Yes

  No

  N/A

• Where is the assembly point outside this facility after an emergency evacuation?

  Yes

  No

  N/A

• Who is responsible for the accounting for all employees after an emergency?

  Yes

  No

  N/A

• How will you be notified in case of an emergency?

  Yes

  No

  N/A

• Name at least 2 employees at this facility who are certified in first aid

  Yes

  No

  N/A

• Are the aisles clear of obstructions?

  Yes

  No

  N/A

• What is the purpose of the MSDS book? (to get a yes the employee must know the book identifies chemicals and what to do in case of chemical exposure)

  Yes

  No

  N/A

• Name at least one item in the MSDS book and hat information it provides.

  Yes

  No

  N/A

• Who is the safety champion at this facility?

  Yes

  No

  N/A

• Where is the OSHA poster located and what information does it provide?

  Yes

  No

  N/A

• Do you regularly attend monthly safety meetings?

  Yes

  No

  N/A

• Do you get any value out of the monthly safety meetings?

  Yes

  No

  N/A

• What do you do to encourage your coworkers to be safe?

  Yes

  No

  N/A

• Are you responsible for your personal safety?

  Yes

  No

  N/A

• Comments

• Additional Comments

• Signature

  Sign