Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Inspection

1. General Work Environment

  • 1.1 Housekeeping, cleanliness, and organization (dust, clutter, trash emptied)

  • 1.2 OSHA/Labor Law posters

  • 1.3 Safety information center established

  • 1.4 Safety information center current

2. Emergency Prevention and Preparedness

  • 2.1 Walkways unobstructed, marked, walking surfaces

  • 2.2 Clear access to unlocked emergency exits

  • 2.3 Illuminated EXIT signs and pathways

  • 2.4 Fire extinguishers accessible and inspected

  • 2.5 Evacuation maps present

  • 2.6 Emergency phone numbers posted conspicuously

  • 2.7 First aid kits stocked and clean

  • 2.8 Bloodborne pathogen kits

3. Personal Protective Equipment (PPE)

  • 3.1 General PPE Requirements conspicuously posted where required

  • 3.2 Lack of PPE use not observed during inspection

  • 3.3 Hearing conservation regulatory standard posted

  • 3.4 Hearing protection available

  • 3.5 Respiratory protection worn when required

  • 3.6 Respiratory protection properly maintained

4. Equipment

  • 4.1 Guards not disabled or bypassed

  • 4.2 Interlocks not disabled or bypassed

  • 4.3 Portable tools not broken and in good condition

  • 4.4 Compressed air has vented tip and regulated to < 30 psi

  • 4.5 Lockout/tagout devices available

  • 4.6 Lockout/tagout devices utilized when applicable

  • 4.7 Hot work permitted (when appropriate)

  • 4.8 Crane and hoist load ratings posted

  • 4.9 Crane and hoist lifting devices tagged

5. Powered Industrial Lift Trucks

  • 5.1 Tires, seats, and horn in good condition

  • 5.2 Power source in good condition

  • 5.3 Operators utilizing seat belts on sit-down forklifts

  • 5.4 Forks flat on ground, neutral transmission, parking brake utilized when parked

  • 5.5 Battery charging area free of ignition sources (sign)

  • 5.6 Acid neutralizing spill kit in battery charging area

  • 5.7 Battery maintenance PPE includes face shield, apron, and gloves

  • 5.8 Eyewash station in battery maintenance area

  • 5.9 Propane storage is secure, relief valve is in proper position, and minimal indoor storage present

  • 5.10 Pedestrian right-of-way observed, employees keeping safe distances, etc.

  • 5.11 No unsafe acts observed

6. Elevated Work Areas

  • 6.1 Fall protection

  • 6.2 Approved railings

  • 6.3 Railings and stairs have no unsafe conditions

  • 6.4 No unsafe acts observed

  • 6.5 Ladders in good condition

7. Dock Areas

  • 7.1 Wheel chocks or dock locks, signage posted

  • 7.2 High visibility railing/chains across open bay doors or bay doors shut

  • 7.3 Area determined for drivers while loading/unloading to isolate drivers

  • 7.4 No unsafe acts observed

8. Racking

  • 8.1 Racking free of damage

  • 8.2 Uprights and horizontal beans secured

  • 8.3 Racking ends protected

  • 8.4 Mesh grating above underpasses

  • 8.5 Materials storage securely stacked

9.0 Electrical Safety

  • 9.1 Electrical panels and disconnects identified and marked appropriately

  • 9.2 Electrical enclosure doors closed

  • 9.3 No open breaker or conduit knockouts in electrical enclosures

  • 9.4 Minimum of 36 inches of clear access maintained

  • 9.5 Electrical cords grounded and/or double-insulated

  • 9.6 No electrical tape or splices on electrical cords

  • 9.7 Strain relief for electrical cords

  • 9.8 Temporary wiring (improper use of extension cords or multi-plug adaptors, etc.)

  • 9.9 GFCI in wet areas and/or within 6 feet of running water

10. Chemical Safety

  • 10.1 SDSs available

  • 10.2 SDS access instructions posted

  • 10.3 Chemical containers labeled

  • 10.4 Chemical containers closed

  • 10.5 Flammable materials grounded/bonded

  • 10.6 Flammable cabinets utilized

  • 10.7 Emergency eyewash stations clean, clear of obstructions, and marked

  • 10.8 Emergency eyewash stations inspected

  • 10.9 Oxygen and flammable gases separate

  • 10.10 Cylinders stored securely

  • 10.11 Cylinder valve caps in place

11. Confined Space Entry

  • 11.1 Permit spaces marked

12. Hot Work

  • 12.1 Designated areas and authorization

Programs, Policies and Trainings

1. Emergency Response Training

  • 1.1 Written action plan/EAP

  • 1.2 Evacuation training

  • 1.3 Fire extinguisher training

  • 1.4 Fire drills

2. Accident Prevention Program (Illness and Injury Prevention)

  • 2.1 Written program/policy

  • 2.2 Safety committee

  • 2.3 Safety rules

  • 2.4 Disciplinary system

  • 2.5 Method of reporting hazards

  • 2.6 Self-inspection system

3. Accident Investigation

  • 3.1 Accident investigation form/process

4. Bloddborne Pathogens/First Aid

  • 4.1 Exposure Control Plan

  • 4.2 Bloodborne pathogen training

  • 4.3 First aid training

  • 4.4 Annual audit/review

  • 4.5 Hepatitis B Vaccination

5. OSHA Recordkeeping

  • 5.1 Recordable incidents and OSHA 300 logs

  • 5.2 OSHA 300A summary forms

6. Personal Protective Equipment (PPE)

  • 6.1 Hazard assessments

  • 6.2 Equipment selection and requirements

  • 6.3 PPE training

7. Respiratory Protection and Industrial Hygiene

  • 7.1 Written program or vol use system

  • 7.2 Training

  • 7.3 Fit testing

  • 7.4 Medical evaluations

  • 7.5 Exposure monitoring: air contaminants

8. Hearing Conservation

  • 8.1 Hearing conservation program

  • 8.2 Audiometric testing program

  • 8.3 Hearing conservation training

  • 8.4 Noise monitoring

  • 8.5 Recording reported threshold shifts

9. Powered Industrial Lift Trucks

  • 9.1 Powered industrial lift truck training program/policy

  • 9.2 Operator training

  • 9.3 Inspections

  • 9.4 Carbon monoxide testing

10. Hoist/Cranes

  • 10.1 Designated personnel and training

  • 10.2 Crane inspections (frequent)

  • 10.3 Crane inspections (periodic)

11. Lockout/Tagout

  • 11.1 Energy control program

  • 11.2 Machine-Specific Procedures (MSPs)

  • 11.3 Periodic inspection process

  • 11.4 Lockout/tagout training

12. Fall Protection

  • 12.1 Fall hazard assessment and policy

  • 12.2 Fall protection training

  • 12.3 Aerial lift training

  • 12.4 Aerial lift inspections

  • 12.5 Equipment inspections

13. Electrical Safety

  • 13.1 Safe work practices/NFPA 70E Training

14. Hazard Communication

  • 14.1 Written program

  • 14.2 Chemical list

  • 14.3 Labeling system

  • 14.4 SDS system

  • 14.5 Hazard communication training

  • 14.6 New employee orientation

15. Confined Space Entry

  • 15.1 Written program, permits, and space procedures

  • 15.2 Site evaluation

  • 15.3 Contractor procedures

  • 15.4 Confined space entry training

  • 15.5 Monitoring equipment and emergencies

16. Hot Work Safety

  • 16.1 Permit system

  • 16.2 Hot work safety training

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