Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there no outstanding actions?
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Corrective Actions:
2.0 - Fire Prevention
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2.1 - Is there an Emergency Evacuation plan in place and understood by all employees?
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2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)
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2.3 - Extinguishers in place, clearly marked?
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2.4 - Extinguishers recently serviced? (Check punch mark on tabs.)
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2.5 - Extinguishers clear of obstructions?
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2.6 - Extinguisher no more than 5' off of floor and not lower than 3' from floor?
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2.7 - Indicator signs are clearly visible?
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2.8 - Exit doors easily opened and clearly marked.
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2.9 - Exits clear of obstructions?
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2.10 - Fire or emergency alarm tested?
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Corrective Actions:
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Responsible Person/Task Owner:
- EH&S - Kevin Gould
- Engineering - Scott Bontrager
- Facility - Rachel Tudor
- Maintenance - Bob Wyckoff
- Production - Jonathan Balash - Tim Edgell
- Production - Supervisors
- Quality - Jon Gawlak
- Tool Room - Tom Nix
- Warehouse - Kevin Cook
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Risk:
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 - Reflected light from walls & ceilings not causing glare to employees?
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3.3 - Light fittings clean and in good condition?
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3.4 - Emergency exit lighting operable?
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Corrective Actions:
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Responsible Person/Task Owner:
- EH&S - Kevin Gould
- Engineering - Scott Bontrager
- Facility - Rachel Tudor
- Maintenance - Bob Wyckoff
- Production - Jonathan Balash - Tim Edgell
- Production - Supervisors
- Quality - Jon Gawlak
- Tool Room - Tom Nix
- Warehouse - Kevin Cook
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Risk:
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately (3ft. wide) and clearly defined?
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4.4 - Intersections kept clear of boxes etc?
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4.5 - Stair and risers kept clear?
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4.6 - Are liquid spills removed quickly?
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4.7 - Are railings in good condition?
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4.8 - Are fall preventive measures in place and used where gaps occur in railings?
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4.9 - Are footpaths in good condition?
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4.10 - Furniture in sound condition?
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4.11 - Loading area clean and tidy?
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Corrective Actions:
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Responsible Person/Task Owner:
- EH&S - Kevin Gould
- Engineering - Scott Bontrager
- Facility - Rachel Tudor
- Maintenance - Bob Wyckoff
- Production - Jonathan Balash - Tim Edgell
- Production - Supervisors
- Quality - Jon Gawlak
- Tool Room - Tom Nix
- Warehouse - Kevin Cook
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Risk:
5.0 - Work Benches
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5.1 - Clear of rubbish?
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5.2 - Tools not in use kept in place?
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5.3 - No damaged hand tools in use?
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5.4 - No damaged power tools in use?
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5.5 - Work height correct for the type of work and the employee?
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5.6 - No sharp edges?
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Corrective Actions:
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Responsible Person/Task Owner:
- EH&S - Kevin Gould
- Engineering - Scott Bontrager
- Facility - Rachel Tudor
- Maintenance - Bob Wyckoff
- Production - Jonathan Balash - Tim Edgell
- Production - Supervisors
- Quality - Jon Gawlak
- Tool Room - Tom Nix
- Warehouse - Kevin Cook
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Risk:
6.0 - Rubbish Removal
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6.1 - Bins located at suitable points around site?
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6.2 - Bins emptied regularly?
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6.3 - Oily rags and combustible refuse in covered metal containers?
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6.4 - Are waste streams in these containers correct?
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6.5 - Are spill materials in kits stocked?
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Corrective Actions:
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Responsible Person/Task Owner:
- EH&S - Kevin Gould
- Engineering - Scott Bontrager
- Facility - Rachel Tudor
- Maintenance - Bob Wyckoff
- Production - Jonathan Balash - Tim Edgell
- Production - Supervisors
- Quality - Jon Gawlak
- Tool Room - Tom Nix
- Warehouse - Kevin Cook
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Risk:
7.0 - Storage Design and Use
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7.1 - Materials stored in racks and bins wherever possible?
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7.2 - Storage designed to minimize lifting problems?
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7.3 - Floors around racking clear of rubbish?
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7.4 - General condition of racks and pallets?
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Corrective Actions:
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Responsible Person/Task Owner:
- EH&S - Kevin Gould
- Engineering - Scott Bontrager
- Facility - Rachel Tudor
- Maintenance - Bob Wyckoff
- Production - Jonathan Balash - Tim Edgell
- Production - Supervisors
- Quality - Jon Gawlak
- Tool Room - Tom Nix
- Warehouse - Kevin Cook
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Risk:
8.0 - Machines
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8.1 - Are they kept clean?
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8.2 - Are the floors around the machines kept clean?
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8.3 - Guards in place and in good condition?
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8.4 - Starting and stopping devices within easy reach of operator?
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8.5 - Waste/off cuts removed and stored safely?
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8.6 - Drip pans on floor to prevent spillage?
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8.7 - Adequate work space?
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8.8 - Is lighting adequate?
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8.9 - Noise levels controlled?
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8.10 - Operators trained/inducted into the operation of the machines?
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8.11 - Is the training recorded?
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8.12 - Do operators comply with the training?
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8.13 - Are lockout procedures implemented and followed?
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8.14 - Are gas bottles secured and properly stored?
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Corrective Actions:
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Responsible Person/Task Owner:
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Risk:
9.0 - Electrical Safety
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9.1 - Electrical panels are labeled and clear (3ft. clearance) of obstructions?
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9.2 - Equipment disconnects clear accessible and clear of obstructions?
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9.3 - 3 pronged or grounded extension cords used?
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9.4 - No power leads across walkways?
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9.5 - No power leads through wall openings or used as permanent wiring?
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9.6 - No frayed or damaged leads?
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9.7 - No strained leads?
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9.8 - Portable power tools in good condition?
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Corrective Actions:
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Responsible Person/Task Owner:
- EH&S - Kevin Gould
- Engineering - Scott Bontrager
- Facility - Rachel Tudor
- Maintenance - Bob Wyckoff
- Production - Jonathan Balash - Tim Edgell
- Production - Supervisors
- Quality - Jon Gawlak
- Tool Room - Tom Nix
- Warehouse - Kevin Cook
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Risk:
10.0 - Chemical Safety
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10.1 - Safety Data Sheets available for all chemicals?
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10.2 - Do special storage conditions apply?
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10.3 - Are all primary and secondary containers labelled correctly?
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10.4 - Unused substances disposed of?
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10.5 - Workers trained in the use and identification of hazardous substances?
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10.6 - If required is PPE available?
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10.7 - Are eye washes and showers easily accessed?
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Corrective Actions:
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Responsible Person/Task Owner:
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Risk:
11.0 Ladders
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11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
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11.2 - Are ladders in good condition?
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11.3 - Used according to instructions?
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Corrective Actions:
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Responsible Person/Task Owner:
- EH&S - Kevin Gould
- Engineering - Scott Bontrager
- Facility - Rachel Tudor
- Maintenance - Bob Wyckoff
- Production - Jonathan Balash - Tim Edgell
- Production - Supervisors
- Quality - Jon Gawlak
- Tool Room - Tom Nix
- Warehouse - Kevin Cook
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Risk:
12.0 - First Aid Facilities
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12.1 - Are cabinets and contents clean and orderly?
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12.2 - Are contents regularly checked?
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12.3 - No contents past their expiration date?
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12.4 - Cabinets clearly labelled?
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12.5 - Is there easy access to cabinets?
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12.6 - Employees aware of location of AED and first aid cabinet?
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12.7 - AED accessible and checked monthly?
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12.8 - Are emergency numbers displayed?
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Corrective Actions:
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Responsible Person/Task Owner:
- EH&S - Kevin Gould
- Engineering - Scott Bontrager
- Facility - Rachel Tudor
- Maintenance - Bob Wyckoff
- Production - Jonathan Balash - Tim Edgell
- Production - Supervisors
- Quality - Jon Gawlak
- Tool Room - Tom Nix
- Warehouse - Kevin Cook
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Risk:
13.0 - Office Hazards
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13.1 - Condition of filing cabinets?
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13.2 - Condition of chairs? (Five star bases.)
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13.3 - Desks in good condition? (No damage.)
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13.4 - Screen Based Equipment positioned to reduce glare from windows etc?
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13.5 - Air conditioning systems regularly maintained?
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13.6 - Stable non-slip floor coverings in good condition?
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Corrective Actions:
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Responsible Person/Task Owner:
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Risk:
14.0 - Vehicle Condition
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14.1 - Schedule maintenance performed?
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14.2 - Condition of tires?
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14.3 - Brake performance?
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14.4 - Lights? (Check operation of brake, indicator and reversing lights)
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14.5 - Condition of drivers seat?
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14.6 - Condition of other seats?
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14.7 - First aid kit supplied and adequate?
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14.8 - Storage provisions?
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Corrective Actions:
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Responsible Person/Task Owner:
- EH&S - Kevin Gould
- Engineering - Scott Bontrager
- Facility - Rachel Tudor
- Maintenance - Bob Wyckoff
- Production - Jonathan Balash - Tim Edgell
- Production - Supervisors
- Quality - Jon Gawlak
- Tool Room - Tom Nix
- Warehouse - Kevin Cook
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Risk:
15.0 - Material Handling Equipment
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Daily or shift inspections performed on forklift?
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Hand trucks, carts, and pallet jacks in good condition?
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Corrective Actions:
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Responsible Person/Task Owner
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Risk:
16.0 - No at risk behavior observed
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16.1 - Observation
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16.2 - Observation
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Corrective Actions:
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Responsible Person/Task Owner
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Risk:
Sign Off
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On site representative
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Auditor's signature