General facility inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Exits

• Are exits free from any obstruction within 5 feet inside and out?

  Yes

  No

  N/A

• Are exit signs illuminated

  Yes

  No

  N/A

Fire extinguishers

• Are the fire extinguisher inspected monthly

  Yes

  No

  N/A

• Is there 3 three feet of clearance around all fire extinguishers

  Yes

  No

  N/A

• Are the fire extinguishers identified?

  Yes

  No

  N/A

• Are the fire extinguishers inspected monthly?

  Yes

  No

  N/A

First aid areas

• Are first aid areas identified?

  Yes

  No

  N/A

• Is first aid area located away from break rooms?

  Yes

  No

  N/A

• Is the first aid area stocked with the required fill?

  Yes

  No

  N/A

• Is there a bodily fluid cleanup kit?

  Yes

  No

  N/A

• Are the first aid cabinets away from drinking fountains

  Yes

  No

  N/A

Eyewash Stations

• is access to the eyewash station unobstructed?

  Yes

  No

  N/A

• Is the eyewash station identified?

  Yes

  No

  N/A

• is the eyewash inspected weekly?

  Yes

  No

  N/A

• Is the eyewash equipped with a tepid water supply?

  Yes

  No

  N/A

• If the eyewash is plumbed is the water solution changed out at regular 160 day intervals?

  Yes

  No

  N/A

Machinery

• Is the machinery guarded correctly?

  Yes

  No

  N/A

• Are there automatic kill switches on the woodworking equipment?

  Yes

  No

  N/A

• Are pressure sensing devices working correctly?

  Yes

  No

  N/A

• Are the guards on Saws Inplace?

  Yes

  No

  N/A

• Are the guards on lathes in place?

  Yes

  No

  N/A

• Are the kickbacks in place on the saw

  Yes

  No

  N/A

• Does the saw return when its released?

  Yes

  No

  N/A

• Are the belts guarded on the equipment?

  Yes

  No

  N/A

• Are gears guarded?

  Yes

  No

  N/A

• Are the tongue guards and work rests on bench grinders adjusted properly?

  Yes

  No

  N/A

Overhead Hoists

• Are the hoist beams Identified?

  Yes

  No

  N/A

• Are the pendant controls properly identified

  Yes

  No

  N/A

• Are the pendant controls equipped with an operator user tag?

  Yes

  No

  N/A

• Are the hoists being is inspected prior to use?

  Yes

  No

  N/A

• Is the Hook on the hoist equipped with a functioning safety latch?

  Yes

  No

  N/A

• Are any below the hook devices identified with their capcaity limits?

  Yes

  No

  N/A

• Are slings in good condition?

  Yes

  No

  N/A

Forklifts

• Are forklifts being inspected prior to the start of each shift?

  Yes

  No

  N/A

• Are operators driving the forklift acceptably?

  Yes

  No

  N/A

• Is the forklift in good condition?

  Yes

  No

  N/A

• Do the battery charging areas have eyewash stations?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Are trucks chocked prior to forklifts loading?

  Yes

  No

  N/A

• Are docks identified with its capacity limits?

  Yes

  No

  N/A

• If dock doors are open is there a chain across?

  Yes

  No

  N/A

Electrical

• Are cords free from hazards?

  Yes

  No

  N/A

• Only single extension cords are being used at a time to a piece of equipment.

  Yes

  No

  N/A

• There are no cords tied around pipes, table legs etc

  Yes

  No

  N/A

• All electrical boxes have their covers securely fastened in place.

  Yes

  No

  N/A

• All electrical boxes are identified with their voltage, phase and what they are controlling.

  Yes

  No

  N/A

• Knockouts are in place?

  Yes

  No

  N/A

• Electrical Equipment access is not prohibited.

  Yes

  No

  N/A

• Is the electrical equipment suitable for its location? Ex.. Wet area

  Yes

  No

  N/A

• Are lights used for illumination covered with a guard or coated bulb?

  Yes

  No

  N/A

• Are extension cords used for permanent positions.

  Yes

  No

  N/A

Chemicals in the facility

• Are containers in the facility identified with their chemical contents?

  Yes

  No

  N/A

• Are flammable chemicals grounded?

  Yes

  No

  N/A

• Are flammable chemicals stored 20' away from an exit?

  Yes

  No

  N/A

• Are flammable cabinets grounded?

  Yes

  No

  N/A

• Is there an eyewash station present for chemicals in use

  Yes

  No

  N/A

• Are containers provided with spill protection?

  Yes

  No

  N/A

Welding

• Are compressed gases secured from falling?

  Yes

  No

  N/A

• Are cylinder storage areas identified with the types of gases being stored

  Yes

  No

  N/A

• Are welders in good condition?

  Yes

  No

  N/A

• Are welding screens present and above 2' from the bottom?

  Yes

  No

  N/A

• Are fuel gases separated by a distance of 20' or by metal piece at least 5 feet high with a 1 hour burn time.?

  Yes

  No

  N/A

• Are torch lines equipped with anti flashback devices?

  Yes

  No

  N/A

• Do Gages have their covers and screws in place

  Yes

  No

  N/A

• Are cylinders covered with a cap or a regulator?

  Yes

  No

  N/A

• Has the gas been bleed off of lines?

  Yes

  No

  N/A

• Welding other

  Yes

  No

  N/A

Material Storage

• Are racks Identified with their capacity limits

  Yes

  No

  N/A

• Enter Details

• Overhead Storage areas are identified with its capacity limits

  Yes

  No

  N/A

• Overhead storage ares have toeboards, railings and midrails ? Entrances have removable handrail and midrail?

  Yes

  No

  N/A

• Is material being stored so that it can not fall on employee working below it?

  Yes

  No

  N/A

• Is racking Identified with its capacity limits?

  Yes

  No

  N/A

• Are all the components of racking in good working order?

  Yes

  No

  N/A

• Are pallets stored correctly?

  Yes

  No

  N/A

• Are safety on dumpsters in place

  Yes

  No

  N/A

Employee Tools

• Is compressed air used with nozzles that regulate the air to 30psi?

  Yes

  No

  N/A

• Are employees tools free from defects such as broken handles ,mushrooming etc.

  Yes

  No

  N/A

• Are portable tools Identified with a double insulated marking or grounded?

  Yes

  No

  N/A

Personal Protective equipment

• Are employees properly wearing their PPE

  Yes

  No

  N/A

• Is Personal Protective Equipment in good working order

  Yes

  No

  N/A

Ladders

• Are the ladders identified with their capacity limits

  Yes

  No

  N/A

• Are the rungs of the ladders in good condition

  Yes

  No

  N/A

• Are the supports in good condition

  Yes

  No

  N/A

• Are the feet in good condition

  Yes

  No

  N/A

• Are ladders stored correctly

  Yes

  No

  N/A

Other Information

• Are there other issues occurring not mentioned in the issues above

Problem

• Are there other issues not identified in any of the preceding areas?

  Yes

  No

  N/A

• Enter details