FLOORS & PLUMBING

• Audit Title

• Client / Site

• Conducted on

  Date

• Document No.

• Prepared by

• Location
  Address

• Personnel

Floors/Plumbing

Housekeeping

• Are walkways free of debris and obstructions?

  Yes

  No

  N/A

• Is General Housekeeping neat and orderly, Items picked up off the floor?

  Yes

  No

  N/A

• Are work surfaces clear of clutter?

  Yes

  No

  N/A

• Are Dumpsters and Bins segregated (Cardboard, Plastic, Industrial Trash, Household Trash, Aluminum Cans, Plastic Bottles)

  Yes

  No

  N/A

Fall Protection

• Harnesses worn on roof and tied off or scaffolds 12" from house?

  Yes

  No

  N/A

• Mezzanine gates closed unless material is being loaded?

  Yes

  No

  N/A

Ladders

• Ladders are well maintained and in satisfactory condition?

  Yes

  No

  N/A

• Are team members standing below the first two steps?

  Yes

  No

  N/A

• Ladders are being used properly and with 3 point contact?

  Yes

  No

  N/A

Line Roll Procedures

• Line Roll Policy being followed (spotters, working on houses,exiting and entering houses)?

  Yes

  No

  N/A

• Roof access ladders being used properly with handrails in place on the front mezzanine?

  Yes

  No

  N/A

• Yellow safety steps are being pulled back in place after line roll?

  Yes

  No

  N/A

• End scaffolds returned to proper position after line roll and wheels scotched?

  Yes

  No

  N/A

• Are catwalks and chain hoist being raised and lowered within safety guidelines and operated by designated personnel?

  Yes

  No

  N/A

Personal Protective Equipment

• Bump caps worn properly and in safe condition?

  Yes

  No

  N/A

• Safety glasses (standard, prescription or overview) with side shields by team members and in safe condition?

  Yes

  No

  N/A

• Hearing protection properly worn by team members and in safe condition?

  Yes

  No

  N/A

• Foot protection is being worn (Full toed, full heeled with a good sole)?

  Yes

  No

  N/A

Electrical Safety

• Extension cords in good condition (No cuts, exposed wires, sheathing pulled from cord plug)?

  Yes

  No

  N/A

• Extension cords removed from the walking area to prevent tripping hazards?

  Yes

  No

  N/A

• Power cords on tools are in good condition, no wire exposure?

  Yes

  No

  N/A

• Cut resistant gloves are being worn when working with sharp objects or utility knives?

  Yes

  No

  N/A

• Panel box knock outs are covered and box is labeled on door?

  Yes

  No

  N/A

• Battery chargers stored properly (non-combustible surfaces)?

  Yes

  No

  N/A

• Is the panel box in the house energized and covered?

  Yes

  No

  N/A

Hazard Communication

• Containers legibly labeled

  Yes

  No

  N/A

• Flammables stored properly in flammable cabinet (limited to one day usage in work area)

  Yes

  No

  N/A

Tools and Equipment

• General tools condition safe?

  Yes

  No

  N/A

• All large guns set to sequential fire (No bump fire or modified guns)?

  Yes

  No

  N/A

• Team members are trained to be competent in tools appropriate for their work tasks?

  Yes

  No

  N/A

• Air hose in good condition? (No hissing, bumps)

  Yes

  No

  N/A

• Hands are outside the "No Hands Zone" while operating a saw?

  Yes

  No

  N/A

• Team member using the saw without wearing gloves?

  Yes

  No

  N/A

• Guards are on all saws, in place and functioning?

  Yes

  No

  N/A

• Push sticks are available and being used?

  Yes

  No

  N/A

• Compressed air is being used properly? No blowing off with hose or blowing off area without a regulator <15psi.

  Yes

  No

  N/A

• Team members are cutting away from themselves when using a utility knife?

  Yes

  No

  N/A

Training and Authorization

• Hoist are being used by authorized team member?

  Yes

  No

  N/A

• Forklifts being operated by authorized team members?

  Yes

  No

  N/A

• LOTO Procedures being followed correctly?

  Yes

  No

  N/A

• Are Hitch locks in place in Station #Test, 25A&B, 24A&B, 23A&B?

  Yes

  No

  N/A

Body Mechanics and Material Handling

• Team Members using the proper carrying techniques (not carrying material on head or shoulders)?

  Yes

  No

  N/A

• Team Members using carts and other material moving equipment?

  Yes

  No

  N/A

• Proper lifting techniques are being used. (using legs, straight back, chin up, feet, shoulder width apart)?

  Yes

  No

  N/A

• Using Team Lift for material over fifty pounds?

  Yes

  No

  N/A

Emergency Preparedness

• Exit Doors cleared, accessible and unlocked?

  Yes

  No

  N/A

• Fire Extinguishers identified?

  Yes

  No

  N/A

• Extinguishers accessible?

  Yes

  No

  N/A

• Extinguishers adequately charged (needle in the green)?

  Yes

  No

  N/A

• Eyewash station clean and available within work area?

  Yes

  No

  N/A

Team Member Assessment

• Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures in the department?

• Does the team member know what the hazard/safety topic that was discussed in the tail gate meeting or plant meeting this week? What was it?

  Yes

  No

  N/A

• Can the team member describe the correct process to follow an emergency situation? (Zones 1,2,3 for evacuation)

  Yes

  No

  N/A

• Can the team member name a hazard that he/she encounters daily? If they can, then what is the hazard?

  Yes

  No

  N/A

• Team Member's Name

  Sign

General Comments

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• EHS Manager or Area Coordinator Signature

  Sign