Facility Audit Checklist

• Facility Audit Checklist

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Program Administration & Accident Investigation CHESI Policies 1.25, 1.26, and 1.31

• Are the past 5 years of OSHA logs maintained? (1904.29)<br><br><br>

  Yes

  No

  N/A

• Are all the entries current (6 days for OSHA 200; 7 days for OSHA 300)?<br><br>

  Yes

  No

  N/A

• Has private information remained confidential?<br><br>

  Yes

  No

  N/A

• Are all entries complete and available?<br>

  Yes

  No

  N/A

• Are there supplement reports (either First Report or OSHA 101 or 301) available for all entries? (1904.29)<br><br><br><br><br>

  Yes

  No

  N/A

• Are all entries current (6 day rule OSHA 200; 7 day rule OSHA 300)?<br><br>

  Yes

  No

  N/A

• Are all entries complete and accurate?<br><br>

  Yes

  No

  N/A

Notice of OSHA Violations

• Free of violations?<br><br>

  Yes

  No

  N/A

• If no, did follow-up and resolution occur?<br><br>

  Yes

  No

  N/A

Accident Investigation (SRIs or HS-1.25 reports)

• Are all accident reports completed?<br><br>

  Yes

  No

  N/A

• Do the report contents accurately reflect the situation?<br><br>

  Yes

  No

  N/A

• Are corrective actions noted?<br><br>

  Yes

  No

  N/A

• Are the corrective actions adequate to prevent future recurrence?<br><br>

  Yes

  No

  N/A

• Were all the corrective actions completed?<br><br>

  Yes

  No

  N/A

• Do the appropriate personnel complete the reports?<br><br>

  Yes

  No

  N/A

Case Management (HS 1.25)

• Is adequate information documented or available from the treating physician to be able to classify the case per OSHA criteria?<br><br>

  Yes

  No

  N/A

• Does the final physician report note the employee is released to work with no restrictions?<br><br>

  Yes

  No

  N/A

Employee Safety Meetings (e.g,. monthly modules) (HS 1.28)

• Are meetings held at least monthly?<br><br>

  Yes

  No

  N/A

• Are they documented with Attendance Roster? <br><br>

  Yes

  No

  N/A

• Do all employees attend?<br><br>

  Yes

  No

  N/A

• If additional meetings are held and documented, are the meeting topics appropriate for work activities at the location?<br><br>

  Yes

  No

  N/A

Safety Committee Meetings

• Are Safety Committee meetings held monthly?<br><br>

  Yes

  No

  N/A

• Are management or supervision and employees in attendance?<br><br>

  Yes

  No

  N/A

• Are the meeting minutes documented and posted on an employee bulletin board?<br><br>

  Yes

  No

  N/A

• Do the minutes meet the criteria of the Health & Safety Committee guideline? <br><br>

  Yes

  No

  N/A

OSHA Annual Summary (1904.32)

• Is the OSHA annual summary posted annually?<br><br>

  Yes

  No

  N/A

• Is it posted in a conspicuous place?<br><br>

  Yes

  No

  N/A

• Are the summaries kept for 5 years?<br><br>

  Yes

  No

  N/A

Fatalities/Multiple Serious Injuries (1904.39)

• If an accident involved >3 injured employees which required their hospitalization, was it reported to OSHA within 8 hours?<br><br>

  Yes

  No

  N/A

• Has a fatality occurred at this location? If so, was it reported to OSHA within 8 hours?<br><br>

  Yes

  No

  N/A

Industrial Hygiene CHESI Policy HS 1.8 H&S Guidance Manual, OSH A Regulated Substances

Air Monitoring (1910.1000 - .10)

• If required by a substance specific standard, has the appropriate regulatory standard language signage been posted (e.g., Asbestos, Benzene, etc.)?<br><br>

  Yes

  No

  N/A

• If required, have the employees received training as required per the applicable substance specific standards?<br><br>

  Yes

  No

  N/A

• Do employees have exposure to any hazardous chemicals? If so, has an industrial hygiene study been conducted to determine employee exposures? <br><br><br>

  Yes

  No

  N/A

• Were the results greater than action levels or PELs? If yes, were appropriate actions taken?<br><br>

  Yes

  No

  N/A

• Were the Employee Exposure Records provided to the employee?<br><br>

  Yes

  No

  N/A

• Have the IH report corrective actions been achieved?<br><br>

  Yes

  No

  N/A

Medical Surveillance

Personal Protective Equipment (PPE)

Respiratory Protection

Hearing Conservation

Confined Space

Blood Borne Pathogens

Hazard Communication

Laboratory Safety

Hazardous Energy (LOTO)

Process Safety Management

Contractor Safety

Confined Space Vendor

Hot Work

Emergency Response

Emergency Equipment

Ergonomics

Training

Building Safety

Flammable Liquids and Compressed Gases

Decontamination

Cranes

Powered Industrial Trucks (Forklifts)

Heavy Equipment

Excavation

California Requirements

Canadian Requirements

Site and Industrial Services

General Observations