Facility/Office Audit

• Location

• Division(s)

• Conducted on

  Date

• Facility Manager(s)

• Prepared by

FACILITY LANDSCAPING

Ditches

• Erosion

  Satisfactory

  Unsatisfactory

  N/A

• Blockage

  Satisfactory

  Unsatisfactory

  N/A

• Condition of Vegetation

  Satisfactory

  Unsatisfactory

  N/A

Storm Sewers

• Evidence of spilled materials

  Satisfactory

  Unsatisfactory

  N/A

• Evidence of blockage or blockage of outlets

  Satisfactory

  Unsatisfactory

  N/A

Roof Drains

• Drain Condition

  Satisfactory

  Unsatisfactory

  N/A

• Erosion of lawn at outlets

  Satisfactory

  Unsatisfactory

  N/A

HAZARDOUS / NON-HAZARDOUS WASTE STORAGE AREA

• Is storage area locked / secured?

  Yes

  No

  N/A

• Is storage area kept clean and organized?

  Yes

  No

  N/A

• Is spill equipment present and serviceable?

  Yes

  No

  N/A

• Are all containers labeled with name of waste and date moved to storage?

  Yes

  No

  N/A

• Are any containers damaged?

  YES

  NO

  N/A

• Are fire extinguishers present and certification current?

  Yes

  No

  N/A

DRUM STORAGE

• Drum labeling correct and current?

  Yes

  No

  N/A

• Empty drums for return to vendor stored under a covered area?

  Yes

  No

  N/A

• Condition of floor?

  Satisfactory

  Unsatisfactory

  N/A

• Is there any evidence of leakage?

  YES

  NO

  N/A

ENVIRONMENTAL

• Are spills reported promptly?

  Yes

  No

  N/A

• Are emergency contact numbers posted and readily available?

  Yes

  No

  N/A

• Is spill clean-up materials readily available?

  Yes

  No

  N/A

• Are materials stored or dispensed away from drains or possible spillage overboard?

  Yes

  No

  N/A

EQUIPMENT

• Evidence of spills or discharges?

  YES

  NO

  N/A

• Is any piece of equipment in obvious need of maintenance or repair?

  YES

  NO

  N/A

• Are hand tools in good condition with proper guards in place?

  Yes

  No

  N/A

PPE

• Are employees wearing hearing protection in high noise areas?

  Yes

  No

  N/A

• Are employees wearing secondary eye protection when grinding?

  Yes

  No

  N/A

• Are employees wearing the appropriate clothing for the job task at hand?

  Yes

  No

  N/A

• Are employees wearing PFD's when needed and correctly?

  Yes

  No

  N/A

FIRST AID

• Does the first aid Kit appear to be fully stocked?

  Yes

  No

  N/A

• Is the gurney and blanket in place?

  Yes

  No

  N/A

GENERAL SAFETY

• Are containers properly labeled?

  Yes

  No

  N/A

• Are bench grinder tool rests in place and properly set?

  Yes

  No

  N/A

• Are hand/power tools in proper shape? No cracked/bent handles, guards in tact, power cords complete, etc.

  Yes

  No

  N/A

• Are compressed cylinders secured with a chain and caps on?

  Yes

  No

  N/A

• Is fire extinguishing equipment in place and inspected monthly?

  Yes

  No

  N/A

• Are ladders in good condition with no apparent damage?

  Yes

  No

  N/A

• Are electrical cords and receptacles protected by GFCI?

  Yes

  No

  N/A

• Are abrasive blasting media controls in place? (Curtains, dust suppressant, signs, etc.)

  Yes

  No

  N/A

• Are walking / working surfaces clear of tripping hazards?

  Yes

  No

  N/A

• Are lockout/tagout materials readily available onsite if needed?

  Yes

  No

  N/A

• Are surface openings properly guarded?

  Yes

  No

  N/A

• Are combustible materials stored away from hot work areas?

  Yes

  No

  N/A

• Are extension cords grounded and in good condition?

  Yes

  No

  N/A

• Lift slings in good condition (random check)? Stored properly?

  Yes

  No

  N/A

• Forklift inspections up to date?

  Yes

  No

  N/A

• Is a tag line used when a load could swing or needs guidance?

  Yes

  No

  N/A

• Are guards in place on machinery, shafts, pinch points, power tools, etc?

  Yes

  No

  N/A

• Does heavy equipment such as cranes, forklifts, dozers, etc have a back-up alarm when backing up?

  Yes

  No

  N/A

OFFICE SAFETY

• No tripping hazards present?

  Yes

  No

  N/A

• Floors dry, not slippery?

  Yes

  No

  N/A

• Emergency exit doors clearly marked and accessible?

  Yes

  No

  N/A

• Cords not stretched across aisles or under carpet?

  Yes

  No

  N/A

• Entrance mats available and used in wet weather?

  Yes

  No

  N/A

• Carpet secure and free of tears, lumps or loose pieces?

  Yes

  No

  N/A

• Adequate lighting in stairs, halls and storage rooms.

  Yes

  No

  N/A

• Stair treads in good condition?

  Yes

  No

  N/A

• Handrails installed and in good condition?

  Yes

  No

  N/A

• Bookcases and shelves not overloaded?

  Yes

  No

  N/A

• File drawers closed when not in use?

  Yes

  No

  N/A

• Chairs in good condition (springs, casters).

  Yes

  No

  N/A

• Step stools and ladders properly used?

  Yes

  No

  N/A

• Paper shredder guarded?

  Yes

  No

  N/A

DOCUMENTATION

• Are safety meetings being held and documented?

  Yes

  No

  N/A

• Are monthly site inspection forms being filled out?

  Yes

  No

  N/A

• Are monthly fire extinguisher inspections being documented?

  Yes

  No

  N/A

• Are employees training records up to date and current?

  Yes

  No

  N/A

• Are JSEA's being completed daily?

  Yes

  No

  N/A

• Are employees completing the BBSP observation cards?

  Yes

  No

  N/A

• SITE SUPERVISOR'S COMMENTS

• SITE SUPERVISOR'S SIGNATURE

  Sign

• CORRECTIVE ACTION TAKEN OR NEEDED

• COMPLETION DATE AND RESPONSIBILITY

• CLOSING COMMENTS

• SIGNATURE OF PERSON COMPLETING INSPECTION

  Sign