Information

  • Audit Title

  • Building/Department/Area

  • Building

  • Department

  • Area

  • Conducted on

  • Prepared by

  • Supervisor

  • Employee

  • EHS Rep

  • Personnel working in the area who were involved in the inspection.

1. IDEX Global

1. IDEX Global [Reserved]

2. General Workplace Environmental

General Workplace Environment - Environmental

  • 2.1 Energy saving practices and equipment are in place (e.g. motion sensor lighting, power management software, etc.)

  • Person Responsible

  • Date By

  • 2.2 Equipment and lights are powered off when not in use (when safe to do so).

  • Person Responsible

  • Date By

  • 2.3 Printers default to 2-sided printing, or a notice to encourage 2-sided printing is displayed.

  • Person Responsible

  • Date By

  • 2.4 Fluorescent tube lamps are low-mercury content and extended life models.

  • Person Responsible

  • Date By

  • 2.5 Designated smoking areas are marked with signage, and receptacles for cigarette butt disposal are provided.

  • Person Responsible

  • Date By

General Workplace Environment -Other

  • 2.6 Area is tidy and well kept.

  • Person Responsible

  • Date By

  • 2.7 Plant and equipment are maintained and in good condition.

  • Person Responsible

  • Date By

  • 2.8 Lockers or equivalent are available for staff, when appropriate.

  • Person Responsible

  • Date By

3. Air

3. Air [Reserved]

4. Water

  • 4.1 Dry sweeping is used instead of wet sweeping, when appropriate.

  • Person Responsible

  • Date By

  • 4.2 Faucets, valves, and toilets are free from water leaks.

  • Person Responsible

  • Date By

  • 4.3 Landscaping irrigation is not in use during or immediately before or after rain.

  • Person Responsible

  • Date By

  • 4.4 Water conservation methods are periodically reviewed, when possible.

  • Person Responsible

  • Date By

5. Waste

  • 5.1 Waste containers and storage areas are available, clearly labeled and indicated with signage.

  • Person Responsible

  • Date By

  • 5.2 Waste containers are in good condition and closed when not adding or removing waste.

  • Person Responsible

  • Date By

  • 5.3 Recycling bins for paper, printer cartridges, cardboard, batteries, scrap and other recyclables are provided and clearly labeled.

  • Person Responsible

  • Date By

  • 5.4 Waste and recyclables are removed/emptied regularly.

  • Person Responsible

  • Date By

  • 5.5 Waste is segregated and stored appropriately away from drains.

  • Person Responsible

  • Date By

6. Chemicals

Chemicals - Labeling and Storage

  • 6.1 Chemical Inventory and MSDSs are available.

  • Person Responsible

  • Date By

  • 6.2 Chemical containers are labeled with chemical name and class diamonds.

  • Person Responsible

  • Date By

  • 6.3 Chemicals of incompatible classes are stored separately.

  • Person Responsible

  • Date By

  • 6.4 Chemicals are stored correctly, bundled and segregated from all drains.

  • Person Responsible

  • Date By

  • 6.5 Empty drums are stored in the proper location and caps secured.

  • Person Responsible

  • Date By

  • 6.6 Dirty or chemical - soiled rags are stored in an approved covered metal waste can.

  • Person Responsible

  • Date By

  • 6.7 Food and chemicals are not stored in the same area.

  • Person Responsible

  • Date By

Chemicals - Flammability

  • 6.8 Material is not stored on the top of the flammable chemical storage cabinet.

  • Person Responsible

  • Date By

  • 6.9 Excess chemicals are returned to the flammable chemical storage cabinet when not in use.

  • Person Responsible

  • Date By

  • 6.10 Flammable chemicals are removed from area where heat sources are in use.

  • Person Responsible

  • Date By

  • 6.11 Flammable cabinets are grounded, with no more than 3 cabinets in succession to one ground source.

  • Person Responsible

  • Date By

  • 6.12 All flammable drums are grounded and bonded.

  • Person Responsible

  • Date By

Chemicals - Other

  • 6.13 Chemical spill kits are available and maintained.

  • Person Responsible

  • Date By

7. Hazardous Materials

  • 7.1 All hazardous materials are stored in properly labeled containers.

  • Person Responsible

  • Date By

  • 7.2 All hazardous materials are disposed of properly.

  • Person Responsible

  • Date By

8. Safety

  • 8.1 EHS posters and information are displayed.

  • Person Responsible

  • Date By

  • 8.2 Plant is locked/can not be accessed when left unattended.

  • Person Responsible

  • Date By

  • 8.3 Job-specific work instructions are posted on each job area.

  • Person Responsible

  • Date By

9. Process Safety

Process Safety - Burn Prevention

  • 9.1 All pipes are labeled.

  • Person Responsible

  • Date By

  • 9.2 All hot pipes are lagged or guarded.

  • Person Responsible

  • Date By

  • 9.3 All hot machine surfaces are guarded & identified through signage.

  • Person Responsible

  • Date By

  • 9.4 Screen or other means are in use to protect from welding arc.

  • Person Responsible

  • Date By

Process Safety - Compressed Gas

  • 9.5 Compressed air for cleaning is reduced to below 30 psi (2.041 atm) pressure at the nozzle or opening of gun, pipe, or cleaning lance.

  • Person Responsible

  • Date By

  • 9.6 Compressed gas cylinders have valve protector on when not in use.

  • Person Responsible

  • Date By

  • 9.7 Compressed gas cylinders are clearly marked to identify the gas cotained.

  • Person Responsible

  • Date By

  • 9.8 Compressed gas cylinders are securely stored to prevent them from tipping, falling, or rolling.

  • Person Responsible

  • Date By

  • 9.9 Compressed gas cylinders are stored away from external heat sources.

  • Person Responsible

  • Date By

Process Safety - Machinery and Equipment

  • 9.10 Warning and hazard signs for the area/equipment are present.

  • Person Responsible

  • Date By

  • 9.11 Cranes, hoists, or slings are free of wear, twist, cracks, distorted links, or excessive stretching in hooks, hoist chains, or end connectors.

  • Person Responsible

  • Date By

  • 9.12 Power tools are used with the correct shield, guard, or attachment recommended by the manufacturer.

  • Person Responsible

  • Date By

  • 9.13 Mechanical safeguards and guards are in place for each machine and protect against accidental operation.

  • Person Responsible

  • Date By

  • 9.14 Machine interlocks (electrical, pneumatic, hydraulic) are fully operational and periodically tested.

  • Person Responsible

  • Date By

  • 9.15 Local disconnect devices provided on equipment for all energy sources (electrical, hydraulic, pneumatic, steam, stored energy systems, etc.)

  • Person Responsible

  • Date By

  • 9.16 Emergency stops are properly labeled and working.

  • Person Responsible

  • Date By

  • 9.17 Emergency stops and disconnects are easily accessible from operating positions.

  • Person Responsible

  • Date By

  • 9.18 Disconnect configuration allows machine to be locked out without adversely affecting production.

  • Person Responsible

  • Date By

  • 9.19 Appropriate employees are provided with individually keyed personal safety lock.

  • Person Responsible

  • Date By

  • 9.20 Appropriate employees use LO/TO when cleaning, servicing or maintaining equipment.

  • Person Responsible

  • Date By

  • 9.21 Appropriate approved tools provided to assist in jam clearing procedures.

  • Person Responsible

  • Date By

  • 9.22 Sharp edges or exposed cutting blades are properly identified and protected.

  • Person Responsible

  • Date By

  • 9.23 Proper safe cutting tools are available and in use.

  • Person Responsible

  • Date By

  • 9.24 Laser is inherently safe? The Class 3b or Class 4 laser is completely enclosed in a protective housing such that the laser system meets the ANSI requirements for a Class 1 laser system.

  • Person Responsible

  • Date By

  • 9.25 If no to (above), the appropriate laser protection safety goggles have been procured or ordered.

  • Person Responsible

  • Date By

Process Safety - Safe Storage

  • 9.26 Materials are secured to prevent tipping over or falling from shelves.

  • Person Responsible

  • Date By

  • 9.27 Materials stacked on pallets on the floor are seven feet or lower.

  • Person Responsible

  • Date By

  • 9.28 Empty skids are stored flat on the floor and not leaning.

  • Person Responsible

  • Date By

  • 9.29 Coils of steel are stored flat on a skid or choked if stored vertically.

  • Person Responsible

  • Date By

  • 9.30 Tools and components are properly stored when not in use.

  • Person Responsible

  • Date By

Process Safety - Fork Lifts

  • 9.31 Fork lift parking break adequately holds lift when unattended.

  • Person Responsible

  • Date By

  • 9.32 Fork lift horn, lights and back-up alarm function properly.

  • Person Responsible

  • Date By

  • 9.33 Fork lift controls operate properly (up/down, tilt, side).

  • Person Responsible

  • Date By

Process Safety - Fall, Trip, & Collision Prevention

  • 9.34 Working surfaces more than 4 feet above the ground are guarded with guardrail and self-closing swing gate.

  • Person Responsible

  • Date By

  • 9.35 Step ladders are shorter than 20 feet (6 meters) in length.

  • Person Responsible

  • Date By

  • 9.36 Fixed ladders over 20 feet (6 meters) have a safety cage.

  • Person Responsible

  • Date By

  • 9.37 Ladders are secured when not in use.

  • Person Responsible

  • Date By

  • 9.38 Ladders are constructed of aluminum and fiberglass and free of splinters and sharp edges.

  • Person Responsible

  • Date By

  • 9.39 Floor (including aisles) is free of obstructions.

  • Person Responsible

  • Date By

  • 9.40 Floors and coverings are in good condition and free of trip hazards such as cracks, holes or frayed carpet.

  • Person Responsible

  • Date By

  • 9.41 Work surfaces are kept dry and appropriate means are taken to assure the surface is slip-resistant.

  • Person Responsible

  • Date By

  • 9.42 Stairways are fitted with handrails and trip tape if needed.

  • Person Responsible

  • Date By

  • 9.43 Vision at intersections, stairways and risers is unobstructed.

  • Person Responsible

  • Date By

  • 9.44 low clearance areas or other head injury hazards are labeled.

  • Person Responsible

  • Date By

Process Safety - Electrical

  • 9.45 Clearances of 36 inches (1 meter) provided in front of all controls and electrical panels.

  • Person Responsible

  • Date By

  • 9.46 Electrical panels, disconnects and other devices are labeled appropriately (including arc flash labels).

  • Person Responsible

  • Date By

  • 9.47 Electrical panels and emergency disconnects are unobstructed.

  • Person Responsible

  • Date By

  • 9.48 The electrical supply can easily be isolated.

  • Person Responsible

  • Date By

  • 9.49 Plugs, sockets and switches are in good working condition.

  • Person Responsible

  • Date By

  • 9.50 Lighting covers and fittings are secure.

  • Person Responsible

  • Date By

  • 9.51 Flexible cords are not used as permanent wiring

  • Person Responsible

  • Date By

  • 9.52. Power leads are off the floor or placed away from walkways.

  • Person Responsible

  • Date By

  • 9.53 Power leads are in good working condition (not frayed, damaged or strained).

  • Person Responsible

  • Date By

  • 9.54 Power strips and leads are not daisy chained.

  • Person Responsible

  • Date By

  • 9.55 Power boards are used (not double adaptors).

  • Person Responsible

  • Date By

  • 9.56 Electrical equipment is properly grounded.

  • Person Responsible

  • Date By

  • 9.57 Electrical equipment is located away from water or water resources.

  • Person Responsible

  • Date By

  • 9.58 Combustible materials are stored away from electrical equipment.

  • Person Responsible

  • Date By

  • 9.59 Faulty equipment is tagged out.

  • Person Responsible

  • Date By

  • 9.60 Portable electrical equipment has current test tags.

  • Person Responsible

  • Date By

  • 9.61 Space heaters and fans in use are approved.

  • Person Responsible

  • Date By

Process Safety - Personal Protective Equipment

  • 9.62 Required PPE is available.

  • Person Responsible

  • Date By

  • 9.63 PPE is used appropriately when required.

  • Person Responsible

  • Date By

  • 9.64 PPE is correctly stored.

  • Person Responsible

  • Date By

  • 9.65 PPE is well maintained and in good condition.

  • Person Responsible

  • Date By

  • 9.66 Signage of PPE requirements is displayed.

  • Person Responsible

  • Date By

  • 9.66 Job-specific work instructions are posted in each job area.

  • Person Responsible

  • Date By

Process Safety - Aisle Width

  • 9.67 Pedestrian walkway aisles maintain a width of 1 meter.

  • Person Responsible

  • Date By

  • 9.68 Minor aisles maintain a width of 2 meters (6.6 feet).

  • Person Responsible

  • Date By

  • 9.69 Major aisles used for forklift traffic maintain a width of 3 meters (9.8 feet).

  • Person Responsible

  • Date By

10. Emergency Preparedness

Emergency Preparedness

  • 10.1 Emergency procedures are posted

  • Person Responsible

  • Date By

  • 10.2 Emergency response numbers are posted.

  • Person Responsible

  • Date By

Emergency Preparedness - Fire Fighting

  • Fire extinguishers of appropriate types are unobstructed and easily accessible.

  • Person Responsible

  • Date By

  • 10.4 Tags on extinguishers are present and indicate that extinguishers are up to date.

  • Person Responsible

  • Date By

  • 10.5 Sprinklers are unobstructed.

  • Person Responsible

  • Date By

Emergency Preparedness - Evacuation

  • 10.6 Visitor and contractor EHS brochures are available at reception areas.

  • Person Responsible

  • Date By

  • 10.7 Alarm can be heard in all areas.

  • Person Responsible

  • Date By

  • Escape route paths and emergency exits are clearly marked, illuminated and free of obstructions.

  • Person Responsible

  • Date By

11. Occupational Health

Occupational Health - First Aid

  • 11.1 Adequate first aid supplies are available and easily accessible.

  • Person Responsible

  • Date By

  • 11.2 Eyewash stations and bottles are unobstructed, unexpired, and properly sealed, and emergency showers are unobstructed.

  • Person Responsible

  • Date By

Occupational Health - Environmental Conditions

  • 11.3 Temperature is comfortable.

  • Person Responsible

  • Date By

  • 11.4 Lighting is adequate and all necessary lighting is operable.

  • Person Responsible

  • Date By

  • 11.5 Area is free from dust, fumes and odors.

  • Person Responsible

  • Date By

  • 11.6 Ventilation is adequate

  • Person Responsible

  • Date By

  • 11.7 Noise level is acceptable/adequately controlled.

  • Person Responsible

  • Date By

  • 11.8 Vibration sources are dampened or isolated.

  • Person Responsible

  • Date By

  • 11.9 Engineering controls in place to control exposure to lasers, radiation or RF producing equipment.

  • Person Responsible

  • Date By

Occupational Health - Ergonomics

  • 11.10 Working positions appear comfortable.

  • Person Responsible

  • Date By

  • 11.11 Task chairs provide adequate support and are properly adjusted for ergonomics.

  • Person Responsible

  • Date By

  • 11.12 Computer displays/monitors are properly adjusted and free of glare.

  • Person Responsible

  • Date By

  • 11.13 Static or awkward positions are not maintained for prolonged periods.

  • Person Responsible

  • Date By

  • 11.14 Workflow allows for smooth task completion.

  • Person Responsible

  • Date By

  • 11.15 Frequently used items are within easy access between knee and shoulder.

  • Person Responsible

  • Date By

  • 11.16 Stepladders or safe steps available to access items stored on high shelves.

  • Person Responsible

  • Date By

  • 11.17 Heavy items stored at waist height.

  • Person Responsible

  • Date By

  • 11.18 Carts are available for heavy items and loads.

  • Person Responsible

  • Date By

Occupational Health - Other

  • 11.19 Washing facilities are clean and functional.

  • Person Responsible

  • Date By

  • 11.20 Hands-free rest-rooms are available, when possible (e.g. Auto-flush toilets, motion-sensing faucets and lights, waste container near bathroom door).

  • Person Responsible

  • Date By

Other Comments &Recommendations

  • Other Comments

  • Recommendations

  • For use in conjunction with IDEX Corporate Procedures OPS-WW-30-115 EHS Management System and OPS-WW-30-117. For further information contact your human resources leader, operations leader or EHS coordinator.

  • Inspected by:

  • Supervisor

  • Employee

  • EHS Rep

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.