Facility Inspection

• Location Number

• Location Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Previous inspection

• Has the last inspection been reviewed?

  Yes

  No

  N/A

• Are there no outstanding actions?

  Yes

  No

  N/A

Postings / File Management

• Are the required Federal and State Labor Law posters (5 in 1) current and displayed in a prominent location where associates are likely to see them?

  Yes

  No

  N/A

• If visiting between February 1 and April 30, is the latest OSHA 300A form signed and posted?

  Yes

  No

  N/A

• Is Penske Logistics' "Commitment To A Safe Work Environment" posted in a highly visible location?

  Yes

  No

  N/A

• Is there an adequate supply of blank Near Miss Report forms accessible to all associates?

  Yes

  No

  N/A

• Are the most current Safety Team Meeting minutes posted on-site?

  Yes

  No

  N/A

• Does the location maintain a three-ring binder of past and current safety team meeting minutes?

  Yes

  No

  N/A

• Are all Personnel Files kept in a secure location with controlled access?

  Yes

  No

  N/A

Contractor and Visitor Safety

• Does the location require contractors and visitors to sign in before being given entry to the facility?

  Yes

  No

  N/A

• Do Penske hired contractors review their safety procedures with local management prior to performing on-site work?

  Yes

  No

  N/A

• Is there an adequate supply of vests for visitors?

  Yes

  No

  N/A

Environmental Compliance

• If the location does not use the 3E program, does it have a complete and updated MSDS book covering all chemicals in the workplace?

  Yes

  No

  N/A

• If the location does not use the 3E program, does it have a complete and updated MSDS book covering all chemicals in the workplace?

  Yes

  No

  N/A

• If the 3E program is used for obtaining MSDSs, are stickers and postings placed conspicuously near the fax and associate areas?

  Yes

  No

  N/A

• If the 3E program is used, does the location have a designated fax machine available 24 hours a day and is the location's fax number posted on it?

  Yes

  No

  N/A

• Does the location maintain a chemical inventory list that is updated annually by February 1st?

  Yes

  No

  N/A

• Are chemicals properly identified with an approved label?

  Yes

  No

  N/A

• As required by OSHA, are past chemical inventories being maintained for 30 years?

  Yes

  No

  N/A

• Are spill kits available where chemicals are stored or handled?

  Yes

  No

  N/A

Emergency Management

• Does the location have an up to date Emergency Action Plan (EAP)?

  Yes

  No

  N/A

• Are the emergency phone numbers, evacuation routes and assembly areas current and posted?

  Yes

  No

  N/A

• Is there more than one exit on the emergency evacuation route map?

  Yes

  No

  N/A

• Are all doors that could be confused with an exit clearly marked as "not an exit?"

  Yes

  No

  N/A

• Are emergency lighting systems operable?

  Yes

  No

  N/A

• Are all exit doors (including emergency) clear from obstruction, unlocked, and in proper working order?

  Yes

  No

  N/A

• Are all exits clearly visible and marked by an "Exit" sign?

  Yes

  No

  N/A

• Are routes to all exits clearly marked?

  Yes

  No

  N/A

• Adequate direction notices for fire exits?

  Yes

  No

  N/A

Office Hazards

• Condition of filing cabinets?

  Yes

  No

  N/A

• Condition of chairs? (Five star bases.)

  Yes

  No

  N/A

• Desks in good condition? (No damage.)

  Yes

  No

  N/A

• Screen Based Equipment positioned to reduce glare from windows etc?

  Yes

  No

  N/A

• Photocopiers positioned to avoid fumes?

  Yes

  No

  N/A

• Air conditioning systems regularly maintained?

  Yes

  No

  N/A

General Lighting

• Good natural lighting?

  Yes

  No

  N/A

• Reflected light from walls & ceilings not causing glare to employees?

  Yes

  No

  N/A

• Light fittings clean and in good condition?

  Yes

  No

  N/A

Fire Protection

• Does the location have the appropriate number and class of fire extinguishers to address the associated fire hazards?

  Yes

  No

  N/A

• Are fire extinguishers properly charged?

  Yes

  No

  N/A

• Extinguishers inspected annually?

  Yes

  No

  N/A

• Are monthly visual inspections being documented on the fire extinguishers?

  Yes

  No

  N/A

• Are all fire extinguishers accessible and not blocked by freight or other obstructions?

  Yes

  No

  N/A

• Are all fire extinguishers mounted at a height not to exceed five feet?

  Yes

  No

  N/A

Fire Suppression System

• Fire alarm system functioning correctly?

  Yes

  No

  N/A

• Has the fire suppression system been tested within the past 12 months?

  Yes

  No

  N/A

• At least one functioning pull alarm in building?

  Yes

  No

  N/A

Walking and Working Surfaces

• Are the floors clean, dry, and free of materials that could cause slips, trips, or falls?

  Yes

  No

  N/A

• Is an adequately stocked spill kit available?

  Yes

  No

  N/A

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Are permanent aisles and passageways appropriately marked?

  Yes

  No

  N/A

• Are passageways and aisle ways of adequate width?

  Yes

  No

  N/A

• Intersections kept clear of boxes etc?

  Yes

  No

  N/A

• Are the number of light fixtures adequate to properly illuminate work areas?

  Yes

  No

  N/A

Stairs

• Are stair risers and railings in good condition?

  Yes

  No

  N/A

• Are all steps reasonably slip-resistant?

  Yes

  No

  N/A

• Do all stairs with four or more risers, have handrails at least 36 inches high?

  Yes

  No

  N/A

• Stair and risers kept clear?

  Yes

  No

  N/A

Housekeeping

• Garbage containers located at suitable points around site?

  Yes

  No

  N/A

• Oily rags and combustible refuse in covered metal containers?

  Yes

  No

  N/A

• Are locker and / or rest rooms clean and in good condition?

  Yes

  No

  N/A

• Garbage containers emptied regularly?

  Yes

  No

  N/A

Vehicular Traffic Protection

• Are adequate barriers or warnings provided when exit doors open directly into an area where vehicles may be operating, exposing associates to the path of traffic?

  Yes

  No

  N/A

• Where PITs are present, are appropriate guards in place to protect pedestrians, product, equipment, and the facility?

  Yes

  No

  N/A

Storage Design and Use

• Are storage racks in good condition and show no damage?

  Rating

• Are vertical clearances between automatic sprinkler heads and stored materials at least 18 inches?

  Yes

  No

  N/A

• Floors around racking clear of debris?

  Yes

  No

  N/A

• Materials stored within racks and bins.

  Yes

  No

  N/A

• Are load limits posted on elevated storage areas?

  Yes

  No

  N/A

• Storage designed to minimize lifting problems?

  Yes

  No

  N/A

• Are unsecured pallets stacked no higher than 8 feet?

  Yes

  No

  N/A

Balconies and Mezzanines

• Where there is a risk from falling objects, do balconies have properly maintained toe boards?

  Yes

  No

  N/A

• If associates have access to balconies/mezzanines (greater than 4 feet high), do they have properly maintained guardrails?

  Yes

  No

  N/A

Yard Safety

• Are the yard/parking surfaces free of hazards that could lead to accidents or injuries?

  Yes

  No

  N/A

• Are light fixtures in good condition and properly maintained?

  Yes

  No

  N/A

• Are jack stands or built in anti-tilt devices being used on trailers, with a length of 28 feet or less (pup trailers), when tractors are not connected during loading and unloading?

  Yes

  No

  N/A

Powered Industrial Trucks

• Are propane tanks properly mounted on the PITs?

  Yes

  No

  N/A

• Is the location using an approved PIT mounted platform (i.e. manlift) and is it inspected monthly?

  Yes

  No

  N/A

Compactor / Bailer

• Do all bailers, compactors, or other high voltage equipment, have a properly labeled quick disconnect switch?

  Yes

  No

  N/A

• Where required are emergency shut-down procedures in place?

  Yes

  No

  N/A

Electrical Panels

• Are all high voltage lines and panels properly identified and marked with "High Voltage" signs?

  Yes

  No

  N/A

• Are unused openings in electrical boxes, cabinets, and panels closed?

  Yes

  No

  N/A

• Are circuit breakers labeled with what they control?

  Yes

  No

  N/A

• Do all electrical panels have at least 36 inches of clearance in front of the panel?

  Yes

  No

  N/A

Electrical Cords

• Are cover plates, switches, and outlets in good condition?

  Yes

  No

  N/A

• Where moisture may be present (i.e. near a dock door), are GFCI outlets provided?

  Yes

  No

  N/A

• Are extension cords being used only on a short-term, temporary basis?

  Yes

  No

  N/A

• Are flexible power cords in good condition?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• No strained leads?

  Yes

  No

  N/A

• No double adapters in use?

  Yes

  No

  N/A

• No broken plugs, sockets or switches?

  Yes

  No

  N/A

• No power leads across walkways?

  Yes

  No

  N/A

• Portable power tools in good condition?

  Yes

  No

  N/A

First Aid Facilities

• Is First Aid Kit clearly labelled?

  Yes

  No

  N/A

• No contents past their expiration date?

  Yes

  No

  N/A

• Does location have a first responder?

  Yes

  No

  N/A

• Have all associates, with a reasonable potential for Bloodborne Pathogens exposure, been offered the Hepatitis B vaccination?

  Yes

  No

  N/A

• If an associate was offered, but declined the Hepatitis B vaccination, is a declination form maintained in their personnel file?

  Yes

  No

  N/A

• Guidance

Fall Protection

• If the location uses fall arrest systems, are inspections documented in the Safety Documents Library - Fall Protection Proced

  Yes

  No

  N/A

• Is fall protection being worn correctly?

  Yes

  No

  N/A

• Is fall protection in proper condition for use?

  Yes

  No

  N/A

Dock

• Are dock chains or barriers used on open dock doors?

  Yes

  No

  N/A

• Are the overhead dock doors in good working condition?

  Yes

  No

  N/A

• Does dock have operable safety equipment? (chocks or dock locks, operable lights)

  Yes

  No

  N/A

• Are dock levelers / plates in good working condition?

  Yes

  No

  N/A

• Is there separation between the dock and the dock plate system?

  Yes

  No

  N/A

• Is adequate lighting available in the dock area (both inside and out)?

  Yes

  No

  N/A

Vehicle Condition (PIT, golf cars, scissor lifts)

• Is there visible damage to them it?

  Yes

  No

  N/A

• Are pre-trip inspections being performed?

  Yes

  No

  N/A

• Schedule maintenance performed?

  Yes

  No

  N/A

• Condition of tires?

  Yes

  No

  N/A

• Brake performance?

  Yes

  No

  N/A

• Lights? (Check operation of brake, indicator and reversing lights)

  Yes

  No

  N/A

• Condition of seat?

  Yes

  No

  N/A

• Are modifications approved by the vendor or manufacturers?

  Yes

  No

  N/A

Eyewash Stations

• Are eyewash stations and showers installed where associates are exposed to corrosive hazards?

  Yes

  No

  N/A

• Are the eyewash stations and showers within a direct path from the corrosive hazard, which requires no more than a 10 second walk?

  Yes

  No

  N/A

• If eye wash bottles are used, are the bottles maintained within the expiration date?

  Yes

  No

  N/A

Battery Charging Area

• Are properly charged fire extinguishers readily accessible near the battery charging station(s)?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Is PPE being worn in the battery charging / changing station?

  Yes

  No

  N/A

• Is PPE available in the battery charging / changing station?

  Yes

  No

  N/A

Propane Storage

• Is proper PPE being worn as needed in the propane changing/filling station?

  Yes

  No

  N/A

• Is proper PPE available for use at the propane changing/filling stations?

  Yes

  No

  N/A

• Is the quantity of indoor propane storage less than 300 pounds?

  Yes

  No

  N/A

• Are "Flammable Gas" placards posted in the propane storage area?

  Yes

  No

  N/A

• Are "No Smoking" signs posted in the propane storage area?

  Yes

  No

  N/A

• Are empty propane canister valves closed?

  Yes

  No

  N/A

• Is the propane storage area protected from vehicular traffic?

  Yes

  No

  N/A

Fueling Station

• Are "No Smoking" signs posted around the fuel island?

  Yes

  No

  N/A

• Is the fuel island area clean?

  Yes

  No

  N/A

• Are CO2 fire extinguishers readily accessible and properly charged at the fueling station?

  Yes

  No

  N/A

• Is a fully stocked spill kit stored around the fueling area?

  Yes

  No

  N/A

Ladders

• Are ladders in good condition?

  Yes

  No

  N/A

• If used for electrical work are they non conductive? (Wood or fibre glass.)

  Yes

  No

  N/A

• Are portable metal ladders legibly marked with signs that state "Caution, Do Not Use Around Electrical Equipment" or similar wording?

  Yes

  No

  N/A

• Used according to instructions?

  Yes

  No

  N/A

• 11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

• Are portable ladders properly maintained and in good condition?

  Yes

  No

  N/A

Tools and Machines

• Are tools kept clean?

  Yes

  No

  N/A

• Are the floors around machines kept clean?

  Yes

  No

  N/A

• Guards in good condition?

  Yes

  No

  N/A

• Starting and stopping devices within easy reach of operator?

  Yes

  No

  N/A

• Waste/off cuts removed and stored safely?

  Yes

  No

  N/A

• Drip pans on floor to prevent spillage?

  Yes

  No

  N/A

• Adequate work space?

  Yes

  No

  N/A

• No bending or stooping required?

  Yes

  No

  N/A

• Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• Portable equipment tested and tagged?

  Yes

  No

  N/A

• Are gas bottles secured?

  Yes

  No

  N/A

• Is there a documented process to ensure defective tools are immediately removed from service?

  Yes

  No

  N/A

• Are properly maintained guards in place to protect associates from being caught in machinery?

  Yes

  No

  N/A

• Are machines which are designed for a fixed location, securely anchored to prevent movement?

  Yes

  No

  N/A

• Is proper PPE available for associates who use power tools?

  Yes

  No

  N/A

• No damaged hand tools in use?

  Yes

  No

  N/A

• No sharp edges?

  Yes

  No

  N/A

• Tools not in use kept in place?

  Yes

  No

  N/A

• Are pop-off valves and pressure gauges installed on air compressors?

  Yes

  No

  N/A

Grinders

• Is proper PPE being worn when operating a grinder?

  Yes

  No

  N/A

• Is proper PPE available for use when operating a grinding machine?

  Yes

  No

  N/A

• On abrasive wheel grinders, is the work rest no more than 1/8 inch away from the wheel and the tongue guard no more than 1/4 inch away from the wheel?

  Yes

  No

  N/A

• Is grinder mounted to prevent movement?

  Yes

  No

  N/A

Cranes and Hoists

• Are the overhead crane / hoist controls plainly marked to indicate the direction of travel or motion?

  Yes

  No

  N/A

• Are the rail, overhead cranes / hoists, and rigging legibly marked with the load capacity?

  Yes

  No

  N/A

• Are chains, ropes, hooks, and other visible working hoist parts in good condition?

  Yes

  No

  N/A

• Do associates wear head protection in areas where cranes / hoists lift items greater than five feet?

  Yes

  No

  N/A

• Are inspections documented prior to crane / hoist use?

  Yes

  No

  N/A

• Are periodic crane / hoist inspections completed and documented by a vendor?

  Yes

  No

  N/A

Welding

• If welding, cutting, or brazing is conducted, is there adequate fire protection available (curtains, shields, class D fire extinguisher, fume exhaust, etc.)?

  Yes

  No

  N/A

• Is adequate PPE (welding shields, gloves, aprons) made available for associates who weld, cut, or braze?

  Yes

  No

  N/A

• Are flash arrestors, hoses, and welder cables in good condition for welding, cutting, or brazing?

  Yes

  No

  N/A

• Are gas cylinders which are used for welding, cutting, or brazing, stored in a secure location, upright, with valves closed?

  Yes

  No

  N/A

• Is oxygen and acetylene cylinder storage separated by at least 20 feet and away from electrical outlets, oil, and heat?

  Yes

  No

  N/A

• Are cylinder valve protection caps installed?

  Yes

  No

  N/A

• Is there a hot work permit process in place for work that involves open flames, generates heat, or produces sparks?

  Yes

  No

  N/A

Confined Spaces

• Have all confined spaces been identified and marked with proper signage?

  Yes

  No

  N/A

Hearing Conservation

• Is the location's noise level below 85 dB?

  Yes

  No

  N/A

• If tested noise levels exceed the 85dB action level, has a hearing conservation program been developed?

  Yes

  No

  N/A

• Are appropriate and properly maintained guards present on portable power tools?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign