Title Page
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Completed By:
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Contact:
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Email:
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Conducted On:
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Client:
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Address:
Facility Safety Audit
GENERAL
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Drinking water available?
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Adequate lighting in work areas?
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First aid kit(s) available and easily accessible?
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First-aid kit(s) fully stocked with necessary supplies?
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If medical and first aid facilities are not in proximity of the workplace, is anyone qualified to render first aid?
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Eye wash station(s) or other suitable means for eye flushing available?
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Employees familiar with muster points in the event of an emergency?
HOUSEKEEPING/MATERIAL STORAGE
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Walking working surfaces orderly (free of slip/trip hazards)?
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Materials stored and stacked neatly, limited in height, and secured to prevent displacement?
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Combustibles kept away from fire hazards?
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Trucks and trailers secured from movement during loading and unloading operations?
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Pits and floor openings covered or otherwise guarded?
PERSONAL PROTECTIVE EQUIPMENT (PPE)
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Eye and face protection worn as required for work performed?
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Hard hats worn where danger of falling objects and head injury exists?
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Appropriate hand protection worn for work performed?
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Hearing protection worn as required?
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Respiratory protection as required?
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Appropriate foot protection worn for work performed?
EXITS
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Are exits properly marked?
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Are exits kept free of obstructions?
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Are areas that could be mistaken for an exit identified by a sign reading "NOT AN EXIT," or similar wording?
FIRE PROTECTION
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Only NFPA approved containers used for fuel?
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Adequate number of fully charged fire extinguishers available?
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Are appropriate fire extinguishers mounted, located, and identified so that they are readily accessible?
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Fire extinguisher inspections current (annual/monthly)?
HEALTH AND SAFETY
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Employees familiar with the symptoms of heat related illnesses?
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Employees aware of what to do if suffering from heat stress?
LADDERS
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Of the appropriate type (height, capacity, selection)?
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Secured and properly set up?
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Overall condition?
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Properly stored when not in use?
ELECTRICAL
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GFCI in use as required?
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Overall condition of cord powered tools and extension cords?
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Utilized as intended?
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Access to electrical panel boxes unobstructed?
HAND AND POWER TOOLS
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Are grinders, saws, and similar equipment equipped appropriate safety guards?
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Power cords in good operable condition having ground pins and free of cuts and frays?
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Cords protected from accidental damage when in use?
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Overall condition of hand and power tools?
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Utilized as designed?
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Tools safely secured and stored when not in use?
POWERED INDUSTRIAL TRUCKS (Forklifts)
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Are forklifts in use?
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Operator certified to operate the Forklift?
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Pre-operational inspection complete?
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Seat belts worn when operating forklifts?
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Audible warning devices (horn/back-up alarm)?
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If not in use or unattended, are forks titled forward minimizing trip hazards?
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Spotters required where operators do not have a full view of intended path of travel?
MOBILE ELEVATED WORK PLATFORMS (Aerial Lift, Scissor Lift, etc.)
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Are mobile elevated work platforms in use?
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Operator certified to operate the MEWP?
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Pre-operational inspection complete?
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Fall protection worn when operating aerial lifts?
COMPRESSED GAS CYLINDERS
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Compressed gas cylinders labeled?
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Cylinder hoses, valves, gauges, regulators, etc., in good condition?
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Secured and protected from accidental damage?
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Protective valve caps in place when not in use?
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Properly stored?
HAZARD COMMUNICATION
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Is there an existing hazard communication program?
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SDS sheet available for every chemical substance?
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Are SDS sheets readily accessible to employees?
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Are employees aware of the hazards associated with working with these chemicals?
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Are containers labeled as required?
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Employees trained on how to locate, read and understand SDS sheets?
OTHER
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Additional comments or observations?
