Facility Audit Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add location
  Address

• Select date

  Date

1.0 Personal Protective Equipment

• 1.1 Are Required PPE Signs Posted And Legible?

  Yes

  No

  N/A

• 1.2 Only ANSI Z10 Rated Eye Protection In Use i.e. Safety Glasses, Prescription Safety Glasses.

  Yes

  No

  N/A

• 1.3 Hard Hat or Bump Caps in use?

  Yes

  No

  N/A

• 1.4 Face Shields & Welding Hoods In Use Where Required?

  Yes

  No

  N/A

• 1.5 Are Employees Wearing Steel Toe Boots?

  Yes

  No

  N/A

• 1.6 Respiratory Protection In Use Where Required?

  Yes

  No

  N/A

• 1.7 Hearing Protection in use where required?

  Yes

  No

  N/A

• 1.8 Chemical PPE In Use Where Required?

  Yes

  No

  N/A

2.0 Fire Extinguishers & Fire Prevention

• 2.1 Are Extinguishers Fully Charged?

  Yes

  No

  N/A

• 2.2 Have Extinguishers Been Inspected For The Month?

  Yes

  No

  N/A

• 2.3 Extinguishers Annually Inspected For Current Year?

  Yes

  No

  N/A

• 2.4 Are Pins And Keepers Present?

  Yes

  No

  N/A

• 2.5 Are Extinguisher Locations Properly Marked i.e. Fire Extinguisher Sign Above Extinguisher Mount?

  Yes

  No

  N/A

• 2.6 Are Extinguishers Located Within 50 Feet From Where Employees Are Working?

  Yes

  No

  N/A

• 2.7 Are Extinguishers Accessible And Free From Obstructions?

  Yes

  No

  N/A

• 2.8 Are Canisters In Good Operational Condition?

  Yes

  No

  N/A

• 2.9 Are Hose Nozzles Tight And In Good Operational Condition?

  Yes

  No

  N/A

3.0 Fire Prevention Measures

• 3.1 Are Propane Tanks Properly Stored In Rack?

  Yes

  No

  N/A

• 3.2 Are pressurized Gas Canisters Properly Secure In Racks?

  Yes

  No

  N/A

• 3.3 Are Electrical Panels Closed?

  Yes

  No

  N/A

• 3.4 Are All Containers W/ Flammable Fluids Labeled?

  Yes

  No

  N/A

• 3.5 Are Pressurized Gas Canisters Away From Combustibles?

  Yes

  No

  N/A

• 3.6 Are Flammable Fluids In Authorized Containers?

  Yes

  No

  N/A

• 3.7 Are Acetylene & Oxygen Tanks Segregated at 20ft.

  Yes

  No

  N/A

• 3.8 Are Outlets Near Flammable Fluids Equipped With Outlet Covers?

  Yes

  No

  N/A

• 3.9 Are Pressurized Gas Canisters 25ft. Away from Corrosives?

  Yes

  No

  N/A

• 3.10 Are Flammable Fluid Containers Equipped W/ Lids or Caps?

  Yes

  No

  N/A

• 3.11 Are Aerosol Cans Being Stored In Flammable Storage Cabinets?

  Yes

  No

  N/A

• 3.12 Are Oxidizers Segregated 10ft. From Flammable Fluids?

  Yes

  No

  N/A

• 3.13 Are All Empty Aerosol Cans Being Properly Disposed Of?

  Yes

  No

  N/A

• 3.14 Are Corrosives And Flammable Fluids Segregated And Stored In Separate Areas?

  Yes

  No

  N/A

• 3.15 Are Trash Cans Emptied On A Regular Basis?

  Yes

  No

  N/A

• 3.16 Are Work Areas Free Of Flammable Fluid Spills?

  Yes

  No

  N/A

• 3.17 Are All Valves On Pressurized Cylinders Placed in the Closed / Off position When Not In Use?

  Yes

  No

  N/A

• 3.18 Are Protective Valve Covers in place and Completely Threaded On All Gas Cylinders Not In Use?

  Yes

  No

  N/A

4.0 LOTO (Lock Out / Tag Out)

• 4.1 Proper LOTO In Use On All Downed / To Be Repaired Equipment?

  Yes

  No

  N/A

• 4.2 Are There Written Procedures For Each LOTO Unit?

  Yes

  No

  N/A

• 4.3 Are LOTO Devices Readily Available?

  Yes

  No

  N/A

• 4.4 Are LOTO Devices In Proper Working Order?

  Yes

  No

  N/A

5.0 Power Hand Tools & Extension Cords

• 5.1 Are Required PPE Signs Posted And legible?

  Yes

  No

  N/A

• 5.2 Are All Power Tools Mounted Properly And Used In A Safe Area?

  Yes

  No

  N/A

• 5.3 Are Extension cords / Equipment Power Cords In Good Operational Condition Free From Cuts, Abrasions or Splices?

  Yes

  No

  N/A

• 5.4 Are Guards In Place And In Proper Working Order On Grinders, Saws, Drills etc.

  Yes

  No

  N/A

6.0 Platform Ladders & Step Ladders

• 6.1 Is The Maximum Load Capacity Indicated And Legible On All Ladders?

  Yes

  No

  N/A

• 6.2 Are Ladder Inspections Current & Utilized?

  Yes

  No

  N/A

• 6.3 Are All Ladders in Good Working Order Free Of Defects / Damage i.e. Cracks, Bends, Missing Screws etc.

  Yes

  No

  N/A

7.0 Forklifts & Aerial Lifts

• 7.1 Are Inspections Present And Up to Date?

  Yes

  No

  N/A

• 7.2 Are the Last 90 Days Of Inspection Current And Available Upon Request?

  Yes

  No

  N/A

• 7.3 Are Operators Manuals Located On The Forklifts?

  Yes

  No

  N/A

• 7.4 Are All Lights Functional?

  Yes

  No

  N/A

• 7.5 Are Backup Alarms Functional?

  Yes

  No

  N/A

• 7.6 Are Seat Belts Functional And Free Of Damage i.e. Cuts & Abrasions

  Yes

  No

  N/A

• 7.7 Is Forklift Load Capacity Indicated and Legible On All Forklifts?

  Yes

  No

  N/A

• 7.8 Are Maintenance Records Kept And Available Upon Request?

  Yes

  No

  N/A

• 7.9 Are Fire Extinguishers In Place And Current?

  Yes

  No

  N/A

• 7.10 We're Discrepancies Cleared?

  Yes

  No

  N/A

8.0 OverHead Crane (Shop)

• 8.1 Periodic / Routine Maintenance Records Current and Available Upon Request?

  Yes

  No

  N/A

• 8.2 Are All Daily, Monthly & Yearly Inspections Current And Available Upon Request?

  Yes

  No

  N/A

• 8.3 Is The Crane Operators Manual Present And Available Upon Request?

  Yes

  No

  N/A

• 8.4 Crane Operators Certified And Able To Present Certification Cards Upon Request?

  Yes

  No

  N/A

• 8.5 Are Tag Lines Readily Available?

  Yes

  No

  N/A

• 8.6 Are Cranes In Good Working Order?

  Yes

  No

  N/A

9.0 Lift Chains & Straps

• 9.1 Are there Weight Capacity Tags Present & Legible?

  Yes

  No

  N/A

• 9.2 Are All Lifting Chain Certifications Current?

  Yes

  No

  N/A

• 9.3 Are All Lifting Chains & Straps In Good Operational Condition free of Damage i.e. Welds, Bends, Cuts Or Abrasions?

  Yes

  No

  N/A

10.0 MSDS / SDS

• 10.1 Are All MSDS / SDS Binders Up To Date And Available Upon Request?

  Yes

  No

  N/A

• 10.2 Are Current MSDS / SDS Present In All Areas Where Chemicals Are Stored?

  Yes

  No

  N/A

• 10.3 Are MSDS / SDS Binders Neat & Organized?

  Yes

  No

  N/A

• 10.4 Are MSDS / SDS Binders Easily Accessible?

  Yes

  No

  N/A

11.0 Safety Shower & Eye Wash Stations

• 11.1 Are All Safety Showers & Eye Wash Station Inspections Current For The Month?

  Yes

  No

  N/A

• 11.2 Are All Showers & Eye Wash Stations in Good Working Order?

  Yes

  No

  N/A

• 11.3 Have Showers And Stations Been Ran Regularly To Flush Out Bacteria And Debris?

  Yes

  No

  N/A

• 11.4 Are Stations & Eye Wash Areas Well Illuminated?

  Yes

  No

  N/A

• 11.5 Are Showers & Eye Wash Stations Unobstructed And Easily Accessible?

  Yes

  No

  N/A

12.0 Chemical Storage Areas

• 12.1 Are PPE Requirement Signs Posted And Legible

  Yes

  No

  N/A

• 12.2 Are Corrosives, Flammables & Oxidizers Stored Correctly And Properly Segrigated?

  Yes

  No

  N/A

• 12.3 Are All Chemicals Placed Or Stored Outside On Secondary Containment?

  Yes

  No

  N/A

• 12.4 Are Spill Kits Properly Stocked & Readily Available?

  Yes

  No

  N/A

• 12.5 Is The Area Free Of Slip, Trip & Fall Hazards?

  Yes

  No

  N/A

• 12.6 Are All Totes Stacked Safely?

  Yes

  No

  N/A

• 12.7 Are All Containers Properly Labeled?

  Yes

  No

  N/A

• 12.8 Are The Proper NFPA Placards Posted On Chemical Storage?

  Yes

  No

  N/A

• 12.9 Chemical Inventory Current And Available Upon Request?

  Yes

  No

  N/A

• 12.10 Hazard Communication Program Posted In Designated Areas?

  Yes

  No

  N/A

• 12.13 Chemical Storage Area Neat, Clean & Organized?

  Yes

  No

  N/A

• 12.14 Chemical PPE Readily Available?

  Yes

  No

  N/A

• 12.15 Are Spills & Releases Contained And Cleaned Immediately?

  Yes

  No

  N/A

• 12.16 Generated Waste Profiled, Picked Up And Disposed Of Properly?

  Yes

  No

  N/A

13.0 Radiation Storage Area & Densitometers

• 13.1 Documentation Available For Sources? (Nominal Source, Current BOL, Current Device Survey, Current Leak Test).

  Yes

  No

  N/A

• 13.2 Are All Densitometers In The Closed Position And Locked?

  Yes

  No

  N/A

• 13.3 Is The Proper Signage On Equipment & Storage Building Posted And Legible?

  Yes

  No

  N/A

14.0 House Keeping (Shop & Yard)

• 14.1 Are Fluids Contained & Cleaned From Floors?

  Yes

  No

  N/A

• 14.2 Are There Any Slip, Trip Or Fall Hazards Present?

  Yes

  No

  N/A

• 14.3 Are Trash Cans Equipped W/Lids To Prevent Attracting Bees?

  Yes

  No

  N/A

• 14.4 Are All Exits Well Lit & Unobstructed?

  Yes

  No

  N/A

• 14.5 Are There Any Overhead Falling Or Crushing Hazards Present?

  Yes

  No

  N/A

• 14.6 Is There Trash Or Other Unnecessary Debris Present In The Shop Or Yard?

  Yes

  No

  N/A

• 14.7 Is All Excess Iron Picked Up And Stored In The Appropriate / Designated Area?

  Yes

  No

  N/A

• 14.8 Are Batteries Kept At The Charging Area?

  Yes

  No

  N/A

• 14.9 Are Batteries Stored Over Spill Containment Pallets?

  Yes

  No

  N/A

Auditors Comments

Auditors Signature

• Add signature

  Sign