Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Initial Notes:

Personal Protective Equipment

  • Do all employees have safety glasses with them?

  • Priority:

  • Are the safety glasses in good/clean condition?

  • Priority:

  • Do all employees have hand protection, such as cotton gloves with them?

  • Priority:

  • Is the location equipped with safety goggles?

  • Priority:

  • Is the location equipped with face shields and are in their proper place?

  • Priority:

  • Is the location equipped with earplugs or earmuffs?

  • Priority:

  • Are all employees wearing steel toe boots?

  • Priority:

  • Are still toe boots in good condition?

  • Priority:

  • Are all employees wearing a hard hat?

  • Priority:

  • Do employees have all the safety equipment needed to work safe?

  • Priority:

  • Notes:

Walkways/Stairways/Handrails

  • Are all walkways clear of equipment such as air hoses, hand tools, etc?<br>

  • Priority:

  • Are all stairways clear of oil and grease?

  • Priority:

  • Are all handrails clean and free from oil and grease?

  • Priority:

  • Are all steps on the stairway in good condition?

  • Priority:

  • Are the handrails free from any hoses or other objects tied off to the handrails that could disrupt the use?

  • Priority:

  • Are handrails free from any metal or pipe laying against the handrail that may fall over and cause an accident?

  • Priority:

  • Are all handrails in good condition?

  • Priority:

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

  • Priority:

  • Are emergency routes clear at all times?

  • Priority:

  • Notes:

Fire Extinguishers

  • Are all extinguishers located close to the equipment?

  • Priority:

  • Are all extinguishers free from obstruction or blockage?

  • Priority:

  • Are all extinguishers fully charged and in their designated places?

  • Priority:

  • Are all extinguishers in good visual shape?

  • Priority:

  • Are all extinguisher inspections up to date?

  • Priority:

  • Are all extinguishers free from ever being used?<br>

  • Priority:

  • Are all extinguishers capable of being tied down secure?

  • Priority:

  • Does this location have a sufficient amount of fire extinguishers?

  • Priority:

  • Are all fire extinguishers clearly marked?

  • Priority:

  • Does each employee know where the extinguishers are located?

  • Priority:

  • Notes:

Electrical Safety & Lockout/Tagout

  • Are all employees aware of the SCR room hazards?

  • Priority:

  • Do all employees have the authorization to enter the SCR room alone?

  • Priority:

  • Do employees know to notify electrician before entering the SCR room?

  • Priority:

  • Do all employees understand the wiring system?

  • Priority:

  • Does lockout procedure require that stored energy be released or blocked before equipment is locked out for repairs?

  • Priority:

  • Are all wires free of any cuts, damages, or splices?

  • Priority:

  • Is all equipment grounded properly?

  • Priority:

  • Does all equipment need repair tagged out?

  • Priority:

  • Will lockout procedure reduce power to zero energy state?

  • Priority:

  • Do extension cords have a grounding conductor?

  • Priority:

  • Are all disconnecting switches and circuit breakers labeled to indicate their use of equipment served?

  • Priority:

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

  • Priority:

  • Are multi plug adapters prohibited?

  • Priority:

  • Notes:

Machine Guarding

  • Is there adequate supervision to ensure that employees are following safe machine operating procedures?

  • Priority:

  • Is there a power shut-off switch within reach of the operators position at the machine?

  • Priority:

  • Are emergency stop buttons colored red, clearly identified, and readily accessible?

  • Priority:

  • Is all machinery and equipment kept clean and properly maintained?

  • Priority:

  • Are machine guards secure and so arranged that they do not offer a hazard in their use?

  • Priority:

  • Can electric power to each machine be locked out for maintenance, repair, or security?

  • Priority:

  • Are manually operated valves and switches controlling the operation of the equipment and machine clearly identifiable and readily accessible?

  • Priority:

  • Does the machine guard fully prevent the operator from reaching around the guard?

  • Priority:

  • Are all guards on properly?

  • Priority:

  • Is authorized personnel or person who perform the maintenance properly trained?

  • Priority:

  • Notes:

General Work Environment

  • Are the work sites clean and orderly?

  • Priority:

  • Are all the work sites adequately luminated?

  • Priority:

  • Are all the toilets and washing facilities clean and sanitary?

  • Priority:

  • Are aisle and passageways kept clear?

  • Priority:

  • Is disposal pit and path leading to pit clean?

  • Priority:

  • Are all spilled materials or liquids cleaned up immediately?

  • Priority:

  • Notes:

Hand/Power Tools

  • Are all tools and equipment used by employees at their workplace in good condition?

  • Priority:

  • Are hand tools such as chisels, punches, etc, that develop mushroomed heads during use, recognized and replaced as necessary?

  • Priority:

  • Are worn and bent wrenches replaced regularly?

  • Priority:

  • Are appropriate handles used on files and similar tools?

  • Priority:

  • Are bench and pedestal grinders permanently mounted?

  • Priority:

  • Are goggles or face shields always worn when grinding?

  • Priority:

  • Does each grinder have an individual on and off control switch?

  • Priority:

  • Is each electronically operated grinder effectively grounded?

  • Priority:

  • Is cleanliness maintained around grinders?

  • Priority:

  • Notes:

Hazard Communication

  • Is there a list of hazardous chemicals at Haz-Com Station?

  • Priority:

  • Is there a MSDS readily available for each hazardous substance used?

  • Priority:

  • Are all containers properly labeled?

  • Priority:

  • Are employees trained in Haz-Com?

  • Priority:

  • Notes:

Welding/Brazing/Cutting

  • Are any of the employees welding, cutting, or brazing?

  • Are only authorized personnel permitted to use welding, cutting, or brazing equipment?

  • Priority:

  • Are gas cylinders free from obvious signs of defects, deep rusting, or leakage?

  • Priority:

  • Is care used in handling and storage of cylinders to prevent damage?

  • Priority:

  • Are cylinders kept away from sources of heat?

  • Priority:

  • Are only approved apparatus (torches, regulators, pressure reducing valves, acetylene generators, manifolds) used?

  • Priority:

  • Is it prohibited to use cylinders as rollers or supports?

  • Priority:

  • Are empty cylinders appropriately marked and their valves closed?

  • Priority:

  • Are signs reading: DANGER - NO SMOKING, or equivalent posted?

  • Priority:

  • Are cylinders, cylinder valves, couplings, regulators, hoses, and apparatus kept free of oily or greasy substances?

  • Priority:

  • Are provisions made to never crack a fuel-gas cylinder valve near sources of ignition?

  • Priority:

  • Is RED used to identify the acetylene (and other fuel-gas) hose, GREEN for oxygen hose, and BLACK for inert gas and air hose?

  • Priority:

  • Is grounding of the machine frame and safety ground connections of portable welding machines checked periodically?

  • Priority:

  • Are electrodes removed from the holder when not in use?

  • Priority:

  • Is it required that electric power to the welder be shut off when no one is in attendance?

  • Priority:

  • Is the welder forbidden to coil or loop welding electrode cable around his body?

  • Priority:

  • Is suitable fire extinguishing equipment available for immediate use?

  • Priority:

  • Before hot work is begun, are used drums, barrels, tanks, and other containers so thoroughly cleaned that no substances remain that could explode, ignite, or produce toxic vapors?

  • Priority:

  • Is there adequate ventilation in and where welding or cutting is performed?

  • Priority:

  • Under wet conditions, are automatic controls for reducing no load voltage used?

  • Priority:

  • Are pressure-reducing regulators used only for the gas and pressure for which they are intended?

  • Priority:

  • Is open circuit (No Load) voltage of arc welding and cutting machine as low as possible and not in excess of the recommended limits?

  • Priority:

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