LOTO

  • Are there any locks being used for unauthorized purposes?

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  • Is equipment de-energized while being repaired or adjusted?

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  • Do all employees have their Locks/tags in place while working on equipment?

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Compressed gas 1910 Subpart M

  • Do empty cylinders have their valves closed? 1910.253(b)(2)(iii)

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  • Are compressed gas cylinders stored to prevent tipping or falling?

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  • Are compressed gas cylinders capped with a metal protecting cover when not in use?

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Chemical handling and storage 1910.120

  • Are secondary bottles labeled to meet HMIS OR GHS compliance with HMIS or pictogram to indicate hazards along with first aid and specific hazard warning instructions.

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  • Are chemicals being handled and stored in a safe manner? ( i.e. containers closed when not in use, stored in flammable cabinets if applicable, etc.)

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  • Are metal flammable storage drums grounded properly to prevent sparks and fire.

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  • Are open drums and containers stored on spill containment pallets or pans.

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Dock and warehouse safety 1910 Subpart N

  • Loading area clean and tidy to prevent falling objects, slips trips or fall hazards?

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  • Pallets must be in good condition. Empties must be stored properly. No broken or protruding wood or nails. No pallets on edge. Avoid storing empty pallets in quantities or densities in excess of O.H. fire sprinkler combustible load ratings.

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  • Are rack uprights bolted to floor to prevent tipping or falling?

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  • Are rack uprights and beams in good condition? Bent racks and beams must be repaired or replaced.

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  • Aisles and forklift zones are indicated to protect pedestrians.

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  • Guardrails and/or covers are provided to protect personnel from the hazards of open sides of stairs, platforms, floor openings, floor holes, mezzanines, equipment pits, and other possible fall hazards.

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  • Fall hazards are protected with restraint and signage.

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  • Wheel chock required and utilized when loading or unloading trailers with forklifts?

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  • Are open docks with a fall hazard that exceeds 36" protected with a restraint and warning signage?

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Ergonomics Title 8 section 5110 and 5(a)(1) (GDC)

  • Are mechanical assists available to the worker performing materials-handling tasks?

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  • Are tools, instruments, and machinery shaped, positioned, and handled so that tasks can be performed comfortably?

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  • Are workers exposed to excessive vibration from tools or equipment?

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  • Are chairs and work benches adjusted, positioned, and arranged to minimize strain on the body?

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  • Are pressure points on body parts such as wrists, forearms, backs of thighs avoided?

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  • If workers have to push or pull objects using great amounts of force, are mechanical aids provided?

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  • Is work arranged so that workers are not required to lift and carry too much weight?

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  • Can employees keep their hands or wrists in a neutral position when they are working?

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  • Can work be done without repetitive twisting, bending or lifting of the arms above the shoulder level?

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Housekeeping 1910.22

  • Intersections kept clear of boxes etc?

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  • Entry and walkways kept clear?

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  • Walkways adequately and clearly marked?

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  • Floor surfaces even and uncluttered?

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  • Are footpaths in good condition?

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  • Are fall preventive measures in place and used where gaps occur in railings?

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  • Are railings in good condition?

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  • Stair and risers kept clear?

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Emergency preparedness 1910.38

  • Do you have spill kit or emergency supply's stored in a location that is safely accessible in an emergency evacuation?

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  • Are emergency numbers posted and up to date in a conspicuous location?

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  • Evacuation plan and maps displayed and understood by all employees?

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Emergency equipment 1910.157 and 120

  • Are eyewash stations, showers and fire blankets available,inspected and working properly?

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  • Are first aid kits available, applicable for the facility, stocked and readily available?

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  • Spill kits available where required, inspected and adequate for amount and type of chemicals on site?

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Electrical safety 1910 Subpart S

  • Were electrical panels and disconnects or junction boxes observed with open slots, uncapped conduit holes, discontinued circuits or uncovered wiring

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  • Are electrical panels and disconnects labeled with amperage and voltage?

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  • Are electrical panels, disconnects and breakers labeled as to what they control?

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  • Are there any loose electrical cords that are not considered temporary and should be hard wired?

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  • Do electrical panels and disconnects have 36" radial clearance for emergency access?

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Exits 1910 Subpart E

  • Emergency exit lighting and illuminated exits in place and operable?

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  • Is a clear path of egress visible from any point in the plant?( i.e., exits signs, direction/traffic flow signs leading to exit)

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  • Are Exits clear of obstructions?

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Fire Prevention 29 CFR 1910.39

  • Evacuation plan displayed and understood by all employees?

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  • Oily rags and combustible refuse in covered metal containers?

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  • Are Fire Extinguishers clear of obstructions?

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  • Are exit doors able to open from the direction of exit travel without the use of a key or special knowledge or effort?

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Forklifts and pallet jacks 1910.178

  • Are pallet jacks stored under a pallet when not in use?

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  • Are forks on lifts stored in the low position when parked?

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  • Were any forklift hazards or unsafe acts observed?

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Machine guarding 1910 Subpart O

  • Gears, sprockets, pulleys, and flywheels guarded?

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  • Pinch points and inward running rollers are properly guarded?

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  • Guards prevent worker’s hands, or any parts from making contact with moving parts?

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  • Belts and chain drives guarded?

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  • Machine controls within easy reach of the operator?

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  • Foot trundle or foot pedal safety guards are in place.

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  • Guarding and/or switches have NOT been bypassed.

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  • Guards in place are free of damage.

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  • Guards firmly secured and not easily removable.

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  • Point-of-operation guards provided and in place?

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Machine shop and maintenance area 1910.215, Subpart P,Q,O

  • Are ladders and other equipment safely secured to prevent falling?

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  • Are hand tools in safe working order?

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  • All grinders are properly adjusted (tool rest within 1/8" of wheel and tongue guard within 1/4" of wheel). Grinding wheel is smooth with no grooves.

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  • Is welding area free of clutter? Can welding be safely performed in this area?

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  • Are welding/cutting cylinders stored properly? (Fuel and oxygen stored 20 feet apart, secured with chains, caps in place).

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Warning signs and labels 1910.16

  • Warning signs, stickers or labels are placed in areas or on equipment to notify or warn employee of specific hazards.

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  • Are areas where PPE is critical and hazards are prevalent posted to remind workers to wear their assigned PPE.

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Personal protective equipment -PPE 1910.132

  • Are workers using the PPE properly?

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  • Are engineering controls in place to protect workers before PPE is utilized?

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  • Fall protection PPE available where applicable and areas where required are posted to restrict access to trained personnel only.

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  • Are respirators or dust mask being utilized properly where applicable?

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  • PPE - Personal protective equipment is well stocked and available for the hazards present at this facility

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State and federal postings. DOL and State req.

  • State and federal posters are current and the information that is required to be filled out by the employer is up to date.

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  • Are forklift safety rules posted in areas where forklifts are present.

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Office Area

  • Work and storage areas are free of improper storage (e.g., heavy, high and/or unstable storage)

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  • Exit paths are free of boxes/materials at all times.

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  • Electrical cords and plugs are in good condition (i.e., not frayed, taped, spliced, or ground prong missing)

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  • Computer work stations and work area are ergonomically correct and workers are working safely

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  • 36” clearance is maintained in front of all electrical panels and fire extinguishers

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  • Aisles, walkways, and work areas are free of trip and fall hazards (i.e. torn carpets, turned up edges of door mats, boxes etc.)

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  • Illuminated exit and emergency lighting working properly?

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  • First aid kits and fire extinguishers available and inspected monthly.

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Safety Concerns and Suggestions (Section will not be scored)

  • In the spaces provided, please make safety suggestions or address safety concerns. Please be as specific as possible.

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Miscellaneous

  • Only approved Safety knives are being used.

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  • No missing rollers on conveyors.

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  • Compressed air hoses have nozzles that meet OSHA requirements ( 30 psi with holes at end of nozzle).

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Unsafe acts or conditions

Unsafe Act or Condition

  • Was an unsafe act observed?

  • Was an employee or manager involved?

  • Description of unsafe act

  • Department or Area

  • Equipment or machine involved

  • Spoke with employee and reported to manager

  • Had to stop employee and council on safe procedures

  • Photo of issue

  • Name

  • Description of unsafe act

  • Spoke with manager involved

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  • A contractor or visitor was involved

  • Name if possible

  • Company

  • Description of unsafe act

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  • Unsafe condition

  • Element
  • Was an unsafe condition observed?

  • Describe the unsafe condition

  • Photo

  • Reported to manager

Signature

  • By signing below, you acknowledge the following statement:

    "This audit was completed to the best of my ability. All questions were answered honestly and accurately."

  • Type and Sign your name here.

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