Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Tap to enter information
Worksite General
-
Are Occupational Safety and Health Administration (OSHA) and state required posters displayed in a prominent location?
-
Are safety signs/warnings posted where appropriate?
-
Are emergency telephone numbers posted where they can be found readily?
-
Tap to enter information
-
Is a first aid kit available and adequately stocked?
-
Tap to enter information
-
Is a substance abuse policy in place?
-
Is the Summary of Occupational Illnesses posted?
-
Are emergency evacuation traffic routes identified?
-
Are all work areas clean and orderly?
-
Are combustible scrap, debris, and waste stored safely and removed from work areas promptly?
-
Are adequate toilets and washing facilities provided?
-
Are toilets and wash areas clean and sanitary?
-
Are work areas adequately illuminated?
-
Tap to enter information
-
Tap to enter information
Record Keeping
-
Are OSHA 300/301 logs maintained as required?
-
Are medical records and exposure records maintained as required?
-
Are training records maintained in accordance with OSHA requirements?
-
Are employee records being maintained for the required time frames?
-
Are operating permits and records up to date?
-
Are procedures in place to maintain records and logs?
-
A. Safety inspections
-
B. Safety meeting minutes
-
C. Accident investigations
-
D. Emergency response drills
Medical Services/First Aid
-
Is a blood borne pathogen plan in place?
-
Is regulated waste discarded according to applicable laws and regulations?
-
Are medically approved firs aid kits and sharps containers adequately supplied?
-
Tap to enter information
-
If medical/first aid facilities are not in proximity, is at least one employee on each shift qualified to render first aid?
-
Are medical personnel readily available for advice and consultation?
-
Are quick drenching showers and eye flushing stations available where hazardous liquids or materials are handled?
-
Tap to enter information
Health & Safety Training
-
Have all new employees received safety orientation training?
-
Do employees participate in regularly scheduled safety meetings?
-
Are adequate training resources available and management committed to employee training?
-
Is it documented that all employees have received required training?
-
A. Work area hazards
-
B. Emergency action plan
-
C. Equipment operation
-
D. Personal protective equipment
-
E. Locations and use of emergency equipment
-
F. Hazard communication/ Safety Data Sheets (SDS)<br>
-
G. Hearing conservation
-
Do all employees receive refresher training at least annually?
-
Have employees received instruction on procedures to report unsafe conditions, defective equipment and unsafe acts?
Fire Protection
-
Is the local fire department acquainted with the facility and its specific hazards?
-
Is the fire suppression equipment inspection current?
-
Tap to enter information
-
Tap to enter information
-
Are fire alarm systems tested at least annually?
-
Are interior standpipes and valves inspected regularly?
-
Are fire doors and shutters maintained and inspected regularly?
-
Are automatic sprinkler system water control valves, air and water pressure checked as required?
-
Are sprinkler heads protected by metal guards if exposed to possible physical damage?
-
Are fire extinguishers provided in adequate number, type, and are they in readily accessible locations?
-
Tap to enter information
-
Tap to enter information
-
Are employees periodically trained in use of fire suppression and protection procedures?
Exit Routes
-
Are all exit routes marked and illuminated by reliable light source?
-
Tap to enter information
-
Tap to enter information
-
Are doors, passageways or stairways that are not exits, or accessible to exits appropriately marked "Not An Exit" or with an indication of its actual use?
-
Tap to enter information
-
Tap to enter information
-
Is "Exit" sign lettering at least 5 inches high with 1/2 inch wide stroke?
-
Tap to enter information
-
Are exit doors side hinged?
-
Tap to enter information
-
Are all exits free from obstruction?
-
Tap to enter information
-
Tap to enter information
-
Are there sufficient exits to permit prompt emergency escape?
-
Where ramps are used as required exits, is the ramp slope limited to 1 foot vertical and 12 feet horizontal?
-
Do all exit doors open from the inside without the use of a key, tool or any special knowledge?
-
Where panic hardware is installed on an exit door, will it allow the door to open with 15 pounds or less force in the direction of the exit traffic?
-
Tap to enter information
-
Are exit doors that open onto a street, alley or vehicle parking area provided with adequate barriers and warnings to prevent employees stepping into traffic or vehicles blocking the exit?
Walkways
-
Are aisles and passageways kept clear and clean?
-
Tap to enter information
-
Tap to enter information
-
Are wet surfaces covered with non-slip materials?
-
Tap to enter information
-
Tap to enter information
-
Are pits and floor openings covered or guarded?
-
Tap to enter information
-
Is aisle clearance provided for motorized or mechanical handling equipment operation?
-
Tap to enter information
-
Are walkways properly marked?
-
Tap to enter information
-
Tap to enter information
-
Are aisles and walkways passing near moving or operating machinery, welding operations or similar operations arranged to minimize potential hazard exposure?
-
Tap to enter information
-
Is adequate headroom provided for the entire length of each walkway?
-
Tap to enter information
-
Are standard guardrails provided when the walkway surface is elevated more than 30 inches above any adjacent floor or ground?
-
Tap to enter information
-
Tap to enter information
-
Are bridges provided over conveyors and similar hazards?
Floor and Wall Openings
-
Are floor openings guarded by a cover, guardrail or equivalent on all sides?
-
Tap to enter information
-
Are toe boards installed around edges of permanent floor openings?
-
Tap to enter information
-
Are skylight screens capable of supporting at least 200 pounds?
-
Tap to enter information
-
Are grates or similar type floor covers designed so that foot traffic or rolling equipment will not be affected by their placement?
-
Tap to enter information
-
Are portions of pits not actually in use either covered or protected by guardrails or equivalent?
-
Tap to enter information
-
Are manhole covers, trench covers and similar covers, plus their supports, designed to carry a truck rear axle load of at least 20,000 pounds?
Stairs and Stairways
-
Are standard stair rails or handrails on all stairways with 4 or more risers?
-
Tap to enter information
-
Are stairways at least 22 inches wide?
-
Tap to enter information
-
Are stair landing platforms not less than 30 inches in the direction of travel and extending 22 inches in width at every 12 feet or less of vertical rise?
-
Tap to enter information
-
Tap to enter information
-
Do stairs angle no more than 50 degrees and no less than 30 degrees?
-
Are stairs of hollow-pan type treads and landings filled to the top edge of the pan with solid material?
-
Tap to enter information
-
Are step risers on stairs uniform from top to bottom?
-
Tap to enter information
-
Are steps designed or provided with a slip resistant surface?
-
Tap to enter information
-
Tap to enter information
-
Are handrails located between 30 and 34 inches above the stair treads?
-
Tap to enter information
-
Do hand rails have at least 3 inches of clearance between the handrail and the wall surface they are mounted on?
-
Tap to enter information
-
Where doors or gates open directly on a stairway, is there a platform provided so the swing of the door does not reduce the width of the platform less than 21 inches?
-
Are handrails capable of withstanding a load of 200 pounds, applied within 2 inches of the top edge?
-
Tap to enter information
Elevated Surfaces
-
Are signs posted showing the surface load capacity?
-
Are surfaces elevated more than 30 inches above the floor or ground provided with standard guardrails?
-
Tap to enter information
-
Tap to enter information
-
Are elevated surfaces that expose people or machinery to falling objects provided with standard 4 inch toe boards?
-
Tap to enter information
-
Tap to enter information
-
Is permanent means of access and egress provided to elevated storage and work surfaces?
-
Tap to enter information
-
Tap to enter information
-
Is material on elevated surfaces piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading?
-
Tap to enter information
-
Are dock boards or bridge plates used when transferring materials between docks and trucks or railcars?
Personal Protective Equipment (PPE)
-
Are protective goggles or face shields provided and worn where there is a danger of flying particles or hazardous materials?
-
Are approved safety glasses worn at all times in areas where there is a risk of eye injuries?
-
Tap to enter information
-
Are protective gloves, aprons, shields or other means provided where employees could be cut or where there is reasonably anticipated exposure to; hazardous liquids, chemicals, blood or other potentially infectious materials?
-
Are hard hats provided and worn where danger of falling objects exists?
-
Tap to enter information
-
Are hard hats inspected periodically for damage to the shell and suspension system?
-
Is appropriate foot protection provided as required?
-
Are approved respirators provided for regular and emergency use as needed?
-
Are employees fit tested for respirators, if in use?
-
Is PPE maintained in a sanitary condition and ready for use?
-
Is a hearing conservation program established for noise levels exceeding 85 decibels?
-
Is hearing protection required when noise levels are exceeded?
-
Are adequate work procedures and PPE provided and used when cleaning up spilled toxic or hazardous materials or liquids?
-
Are appropriate procedures in place for disposing of or decontaminating PPE?
-
Are employees trained in use, limitations, maintenance, storage and inspection requirements of PPE?
-
Are machines and equipment, which process, handle or apply materials that could be injurious to employees, cleaned and/or decontaminated before being overhauled or placed in storage?
Ladders
-
Are ladders inspected and maintained in good condition?
-
Tap to enter information
-
Are non-slip feet provided on each ladder?
-
Tap to enter information
-
Are ladder rungs and steps free from grease and oil?
-
Tap to enter information
-
Tap to enter information
-
Are employees trained in the proper use and operation of ladders?
-
Is it prohibited to place ladders on boxes, barrels or other unstable bases to obtain extra height?
-
Are ladders with broken, missing steps, rungs, or cleats, broken side rails or faulty equipment removed from service?
-
Are employees instructed to face ladders when climbing and descending?
-
Are employees instructed not to use the top two steps of stepladders as steps?
-
When in use, do ladders extend at least 3 feet above elevated surface?
-
Are metal ladders legibly marked with signs cautioning against using them around electrical power sources?
-
Tap to enter information
-
Are rungs of ladders uniformly spaced at 12 inches, center to center?
Compressed Gas Cylinders
-
Are cylinders legibly marked to clearly identify the gas contained?
-
Tap to enter information
-
Are compressed gas cylinders stored in areas that are protected from external heat sources?
-
Are cylinders located or stored in areas where they will not be damaged by passing or falling objects or tampered with by unauthorized persons?
-
Tap to enter information
-
Tap to enter information
-
Are cylinders stored or transported in a manner to prevent them from creating a hazard by slipping, falling or rolling?
-
Are all valves closed off before a cylinder is moved, when the cylinder is empty and at the completion of each job?
-
Are cylinders stored at least 20 feet away from highly combustible materials?
-
Are cylinders maintained with current hydro inspection dates?
-
Tap to enter information
-
Tap to enter information
-
Are in-service cylinders adequately supported to prevent them from falling over?
-
Tap to enter information
-
Tap to enter information
Lockout/Tag Out Procedures
-
Are all hazardous energy sources required to be de-energized, disengaged, blocked or locked-out during cleaning, servicing, adjusting, setting-up operations, or as required?
-
When electrical control circuits cannot be disconnected, are the appropriate electrical supply enclosures identified?
-
Tap to enter information
-
Tap to enter information
-
Is lockout of control circuits in lieu of locking-out main power disconnects prohibited?
-
Are all equipment control valve handles provided with a means for lockout?
-
Do lockout procedures require stored energy to be released or blocked?
-
Are appropriate employees provided with individually keyed safety locks?
-
Are employees required to keep personal control of their key(s) while they have safety locks in use?
-
Is it required that only the employee exposed to the hazard place or remove the safety lock?
-
Do you require employees to verify equipment lockout by attempting to start-up after making sure no one is exposed to the hazard?
-
Are employees instructed to always push the control circuit stop button prior to re-energizing the main power switch?
-
Are means established to identify all employees who are working on locked-out equipment by their locks or accompanying tags?
-
In the event that equipment or lines cannot be shut down, locked and tagged out, is a safe job procedure established and rigidly enforced?
Environmental Conditions
-
Are all work areas properly illuminated?
-
Tap to enter information
-
Tap to enter information
-
Are workers aware of the hazards involved with the various chemicals they may be exposed to in their work environment?
-
Is employee exposure to chemicals in the workplace kept within acceptable levels?
-
Is the work area's ventilation system appropriate for the work being done?
-
Are noise levels in work areas within acceptable levels?
-
Tap to enter information
-
Are labels and signs used to warn of hazardous substances and biohazards?
-
Tap to enter information
-
Are grinders, saws and other machines that produce respirable dusts vented to an industrial collector or central exhaust system?
-
Is potable water provided for drinking, washing and cooking?
-
Are water outlets not suitable for drinking clearly identified?
Hazardous Chemical Exposure
-
Are employees trained in the safe use of hazardous chemicals and materials?
-
Are employees knowledgeable of potential workplace chemical hazards?
-
Are eyewash fountains and safety showers provided in areas where hazardous chemicals are handled?
-
Tap to enter information
-
Tap to enter information
-
Are chemical containers labeled?
-
Tap to enter information
-
Tap to enter information
-
Are employees required to use personal protective clothing and equipment when handling chemicals?
-
Are adequate means readily available for containing spills or overflows properly and safely?
-
Are standard operating procedures established and being followed when cleaning up chemical spills?
-
Are respirators stored in a convenient, clean and sanitary location?
-
Tap to enter information
-
Are respirators intended for emergency use adequate for the various uses for which they may be used?
-
Are employees prohibited from eating in areas where hazardous chemicals are present?
-
Is personal protective equipment provided, used and maintained where needed?
-
Tap to enter information
-
Are there written standard operating procedures for the selection and use of respirators?
-
If you have a respirator protection program, are your employees instructed on the correct usage and limitations of the respirators?
-
Are respirators regularly cleaned, sanitized and maintained?
-
Are hazardous substances handled in properly designed and exhausted locations?
-
If internal combustion engines are used, is carbon monoxide kept within acceptable levels?
-
Whenever possible, is vacuuming used, rather than blowing off or sweeping dusts for clean up?
-
Are annual spirometry and medical examinations maintained for personnel using respirators?
-
Tap to enter information
Hazardous Substances Communication
-
Is there a list of hazardous substances that are used in your workplace?
-
Is there a current written exposure control plan for occupational exposure to blood borne pathogens and other potentially infectious materials?
-
Do you have a written hazard communication program dealing with Safety Data Sheets (SDS), labeling, employee training, etc., that meets the OSHA standard?
-
Tap to enter information
-
Are all containers for a hazardous substance (i.e., vats, bottles and storage tanks, etc.) labeled with product identity and a hazard warning (communication of the specific health hazards and physical hazards)?
-
Tap to enter information
-
Are Safety Data Sheets (SDS) readily available for each hazardous substance used?
-
Is there an employee training program for hazardous substances?
-
Are employees trained in the following?
-
A. How to recognize tasks that might result in occupational exposure?
-
B. How to use work practice, engineering controls and personal protective equipment, and to know their limitations?
-
C. How to obtain information on the types, selection, proper use, location, removal, handling, decontamination and disposal of personal protective equipment?
-
D. Who to contact and what to do in an emergency?
Electrical
-
Do you specify compliance with OSHA as a requirement for all contract electrical work?
-
Are employees required to report as soon as practical any obvious hazard to life or property observed in connection with electrical equipment or lines?
-
Are employees instructed to make preliminary inspections and/or appropriate tests to determine what conditions exists before starting work on electrical equipment or lines?
-
When electrical equipment or lines are to be serviced, maintained or adjusted, are necessary switches open, locked-out and tagged whenever possible?
-
Do all extension cords on site have a grounding conductor?
-
Are multiple plug adaptors prohibited?
-
Tap to enter information
-
Are exposed wiring and cords with frayed or deteriorated insulation repaired/replaced promptly?
-
Tap to enter information
-
Are flexible cords and cables free of splices and taps?
-
Tap to enter information
-
Are cord, cable and raceway connections intact and secure?
-
Tap to enter information
-
Is use of metal ladders prohibited in areas where the ladder or the person using the ladder could come in contact with energized parts of equipment, fixtures or circuit conductors?
-
Are disconnecting switches and circuit breakers labeled to indicate their use or equipment served?
-
Tap to enter information
-
Tap to enter information
-
Is sufficient access and working space provided and maintained around all electrical equipment to permit safe operations and maintenance?
-
Tap to enter information
-
Tap to enter information
-
Are all unused openings (including conduit knockouts) in electrical enclosures and fittings protected with appropriate covers, plugs or plates?
-
Tap to enter information
-
Tap to enter information
-
Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?
-
Tap to enter information
-
Is each motor disconnecting switch or circuit breaker located within sight of the motor control device?
-
Are employees who regularly work on or around energized electrical equipment or lines instructed in cardiopulmonary resuscitation (CPR) methods?
Noise
-
Are there areas in the workplace where continuous noise levels exceed 85 dBA?
-
Tap to enter information
-
Is there an ongoing preventative health program to educate employees in safe levels of noise exposures, effects of noise on their health and the use of personal protective equipment?
-
Have work areas where noise levels make communication between employees difficult been identified and posted?
-
Are noise levels being measured with a dosimeter or an octave band analyzer and records being kept?
-
Are engineering controls being used to reduce excessive noise levels?
-
Where engineering controls are determined not to be feasible, are administrative controls (i.e. worker rotation) being used to minimize individual employee exposure to noise?
-
Is approved hearing protection equipment (noise attenuating devices) available to every employee working in noisy areas?
-
Are employees properly fitted and instructed in the use of hearing protectors?
-
Are employees in high noise areas given periodic audiometric testing to ensure effective hearing protection systems are in place?
Material Handling
-
Is there safe clearance for equipment through all aisles and doorways?
-
Tap to enter information
-
Are aisles properly mark and kept clear?
-
Tap to enter information
-
Are motorized vehicles and mechanized equipment inspected daily or prior to use?
-
Tap to enter information
-
Are vehicles shut off and their brakes set prior to loading or unloading?
-
Are dock boards (bridge plates) used when loading or unloading operations are taking place between vehicles and docks?
-
Are trucks and trailers secured from movement during loading and unloading operations?
-
Tap to enter information
-
Tap to enter information
-
Are dock plates and loading ramps constructed and maintained with sufficient strength to support any imposed loading?
-
Are all hand trucks maintained in safe operating condition?
Transporting Employees and Materials
-
Do all employees who operate vehicles on public thoroughfares have a valid operator's license?
-
Are vehicles used to transport employees equipped with lamps, brakes, horns, mirrors, windshields and turn signals in good condition?
-
Are transport vehicles provided with handrails, steps, stirrups or similar devices so placed and arranged that employees can safely mount or dismount?
-
Are employee transport vehicles equipped at all times with at least two reflective type flares or three reflective type triangles?
-
Are fully charged fire extinguishers, in good condition, with at least a 4 B-C rating maintained in each employee transport vehicle?
Control of Harmful Substances By Ventilation
-
Is the volume and velocity of air in each exhaust system sufficient to gather the dusts, fumes, mists, vapors or gases to be controlled, and convey them to a suitable point of disposal?
-
Are exhaust inlets, ducts and plenums designed, constructed and supported to prevent collapse or failure of any part of the system?
-
Is adequate makeup air provided to areas where exhaust systems are operating?
-
Are source points for makeup air located so that only clean, fresh air, free of contaminants will enter the work environment?
Industrial Trucks/Forklifts
-
Are only trained personnel allowed to operate industrial trucks?
-
Tap to enter information
-
Is substantial overhead protective equipment provided on high lift rider equipment?
-
Are required lift truck operating rules posted and enforced?
-
Tap to enter information
-
Is directional lighting provided on each industrial truck that operates in an area with less than 2 foot candles per square foot of general lighting?
-
Do industrial trucks have warning horns or other devices that can be clearly heard above normal noise in the areas where they are operated?
-
Tap to enter information
-
Are brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded?
-
Does the industrial truck's parking brake effectively prevent the vehicle from moving when unattended?
Hand Tools and Equipment
-
Are all tools and equipment maintained in good condition?
-
Are broken or fracture handles on hammers, axes and similar equipment replaced promptly?
-
Tap to enter information
-
Are worn or bent wrenches replaced regularly?
-
Are appropriate handles used on files and similar tools?
-
Tap to enter information
-
Tap to enter information
-
Are employees made aware of the hazards caused by faulty or improperly used hand tools?
-
Are safety glasses, face shields, etc. used while using hand tools or equipment that might produce flying materials or be subject to breakage?
-
Are jacks checked periodically to ensure they are in good operating condition?
-
Are tool handles wedged tightly in the heads of all tools?
-
Are tools stored in dry, secure locations?
-
Tap to enter information
-
Tap to enter information
Portable Power Tools and Equipment
-
Are grinders, saws and similar equipment provided with appropriate safety guards and are they used as recommended by the manufacturer?
-
Are portable electric tools and extension cords inspected regularly with the results documented and the tools marked with a dated "OK" tag?
-
Are all cord-connected, electrically-operated tools and equipment effectively grounded or of the approved double insulated type?
-
Tap to enter information
-
Are portable fans provided with full guards or screens having openings of 1/2 inch or less?
-
Tap to enter information
-
Are pneumatic and hydraulic hoses on power-operated tools checked regularly for deterioration or damage?
Machine Guarding
-
Is there a training program to instruct employees on safe methods of machine operation?
-
Is there adequate supervision to ensure that employees are following safe machine operating procedures?
-
Is there a regular program of safety inspections of machinery and equipment?
-
Is all machinery and equipment kept clean and properly maintained?
-
Tap to enter information
-
Is sufficient clearance provided around and between machines to allow for safe operations, servicing, material handling and waste removal?
-
Is equipment and machinery securely placed and anchored when necessary, to prevent tipping or other movement that could result in personal injury?
-
Is the power shutoff switch within reach of the operators position at each machine?
-
Can electric power to each machine be locked-out for maintenance, repair or security?
-
Tap to enter information
-
Tap to enter information
-
Are non-current-carrying metal parts of electrically operated machines bonded and grounded?
-
Are foot-operated switches guarded or arranged to prevent accidental actuation by personnel or falling objects?
-
Tap to enter information
-
Are manually operated valves and switches controlling the operation of equipment and machines clearly identified and readily accessible?
-
Tap to enter information
-
Are all emergency stop buttons brightly colored or placarded?
-
Tap to enter information
-
Are all pulleys and belts that are within 7 feet of the floor or working level properly guarded?
-
Tap to enter information
-
Are methods provided to protect the operator and other employees in the machine areas from hazards created at the point of operation, nip points, rotating parts, flying chips and sparks?
-
Tap to enter information
-
Are machinery guards secure and arranged so they do not offer a hazard when in use?
-
Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown?
-
Tap to enter information
-
Are fan blades protected with a guard having openings no larger than 1/2 inch, when operating within 7 feet of the floor?