FMSO Cable Repair Area Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Compliance Audit

• Fire Extinguisher is inspected and in good order.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Fire Extinguisher is easily accessible and not blocked by anything.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Inspect for adequate lighting.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Inspect all lights for proper guarding.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check for spills and leaks.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check for proper signage (flammable, etc.).

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check for proposer storage of overhead items.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• First aid kits fully stocked and readily available.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Housekeeping in good order.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Area inspection properly filled out.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check steps, guarding, and handrails as applicable.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are walkways clear of clutter?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are proper trash cans with lids provided?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are all electrical checks current?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Do all outlets have GFCI protection?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are all distribution circuits properly labeled?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are all breakers, controls and switches labeled correctly?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are there any missing knock-outs?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are all equipment guards in place?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are all power cords in good condition?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Is fixed equipment clean and access clear?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are fixed equipment guards adequate and in place?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are employees using proper PPE?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Is the area free of any combustibles?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are ladders in good condition and inspected?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are are all doors and windows in good repair?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are there any water leaks or leaks from any other source?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Is garbage management in place?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Are all items properly labeled?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Auditor(s) Signature

  Sign

• Revision 1.0 iCloud posted document is the controlled copy. 07/03/13