Information

  • AUDIT TITLE-City

  • LOCATION:

  • BUILDINGS / AREA:

  • INSPECTION MONTH:

  • INSPECTION YEAR:

1.0 - EXT . BLDG. & GROUNDS, ABOVE GROUND STORAGE TANKS (AST)

  • 1. The exterior of the buildings are free of trash and debris (weeds and trash)

  • 2. Above Ground Storage Tanks (AST) and pad area is free of signs of staining, spills

  • 3. AST'S are visually inspected for rust, leaks or any other defects-check fluid levels

2.0 - FIRE EXTINGUISHERS, EMERGENCY EXITS

  • 4. Each fire extinguisher is readily and easily accessible, fully charged and mounted on bracket

  • 5. Extinguishers inspected monthly (by Foley Employee) and inspector name (initials) and date recorded on tag

  • 6. Aisles, floors, walkways (Exit Egress for Building Emergency Evacuation) are clear of obstructions

  • 6a. Emergency Exit lights are tested and lights are working

  • 7. Emergency Response Plan (ERP) posted on bulletin boards (Bldg. Evacuation, Severe Weather) map

3.0 - PERSONAL PROTECTIVE EQUIPMENT

  • 8. Safety Glasses and Hearing Protection available for visitors, employees while in shop / hazard areas

  • 9. Eye Protection worn at all times while in shop hazard areas

  • 10. Hearing Protection worn in noise hazard areas (>85 db)

  • 11. Protective Footwear (Workboots) worn where required

4.0 - ENVIRONMENTAL STORAGE - Flammable, Cylinders

  • 12. All storage containers (tanks, drums, etc.) are clearly marked "Used Oil", "Used Antifreeze", etc.

  • 13. All "Secondary Containers" are properly labeled (GHS) with contents

  • 14. All Red Oily Waste Containers (Combustible / Flammable materials) are closed and emptied every night

  • 15. Used Oil Filters are completely drained and disposed of properly

  • 16. Small Parts Washers (red solvent tanks) lids are closed when not in use

  • 17. Flammable liquids, such as gasoline, diesel, kerosene, are kept in approved metal safety cans

  • 18. Compressed cylinders are stored upright, secured and caps in place

5.0 - HAND AND POWER TOOLS, MACHINE GUARDS

  • 19. Hoses and extension cords are stored properly when not in use to prevent trip hazards in the work area

  • 20. Electrical power and extension cords are free of visible signs of damage, have grounding plug-no exposed wiring

  • 20a. Continuity and Resistance Testing (MSHA) and Assured Equipment Grounding Testing has been completed on all power tool and extension cords / inspection labels are current

  • 21. Fixed machinery (grinders, chop saw, etc.) are securely anchored to prevent tipping over

  • 21a. Grinder Rest (1/8") and Tongue Guard (1/4") are adjusted properly?

  • 22. Each grinding / cutting station has a faceshield available and Foley Safety sign / gauge

  • 23. Each grinder displays no excessive wheel wear or visible defects.

  • 24. Machine guards are in place (as original equipment from manufacturer) and functioning properly

5.0 - ELECTRICAL / LOTO

  • 25. Electrical panels (breaker, distribution box) are accessible and have a minimum of 3' clearance?

  • 26. Electrical panel doors are closed at all times?

  • 27. Electrical junction boxes are free of unprotected or exposed knockout plugs-covers are in place

6.0 - SAFETY EQUIPMENT, MISCELLANEOUS

  • 28. Plumbed eyewash stations are accessible, have a minimum of 36" clearance... weekly inspection tag is up to date

  • 28a. Fixed / Self-Contained (green) eyewash stations are inspected weekly for having the correct fluid level. Third Party vendor quarterly inspection current.

  • 29. Eyewash bottles are located in each hazard area (danger of flying particles, chemicals)-Expiration date checked

7.0 - CHAINS, SLINGS, BLOCKING/CRIBBING, JACKSTANDS, LADDERS

  • 30. Chains, slings and other lifting devices are inspected and have legible identification tag

  • 31. Synthetic (nylon) slings are free of defects and ID is tag legible

  • 32. Jack stands, blocking and cribbing are in good working order-free of defects

  • 32a. Jack stands are marked with capacity

  • 33. Portable step ladders are Industrial strength-fiberglass, aluminum, metal

  • 34. Ladder Manufacturer's capacity rating sticker legible

OTHER ITEMS:

  • Monthly shop cranes inspected

  • Other 1

  • Other 2

MONTHLY INSPECTION DOCUMENTATION

  • Visual inspection completed by:

  • Date Inspection performed

  • Inspector Notes:

  • Signature of Manager

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.