Information
-
Audit Title
-
Document No.
-
Conducted on
-
Prepared by
-
Address
-
Date/Time
1.0 - Confined Spaces
-
1.1 - Are confined spaces marked with appropriate signage?
-
1.2 - Comments/Other Observations
2.0 - Electrical
-
2.1 - Insulation on flexible and extension cords?
-
2.2 - Ground pins on flexible and extension cords?
-
2.3 - Strain relief on flexible cords?
-
2.4 - Required markings on electrical equipment (voltage, current, designated purpose)?
-
2.5 - Live parts operating above 50 volts are protected?
-
2.6 - GFCIs provided in wet environments (rooftops, restrooms, kitchens)?
-
2.7 - Extension cords used as temporary wiring only?
-
2.8 - Comments/Other Observations
3.0 - Fire Prevention
-
3.1 - Are fire extinguishers available, unobstructed?
-
3.2 - Are fire extinguishers inspected monthly?
-
3.3 - Are fire extinguishers certified annually?
-
3.4 - Are oily waste containers closed?
-
3.5 - Combustible dust is managed appropriately?
-
3.6 - Flammable liquids stored properly (safety cans, storage cabinets, grounded)?
-
3.7 - Comments/Other Observations
4.0 - First Aid and Emergency Action
-
4.1 First aid supplies are available?
-
4.2 - AED is inspected monthly? Pads are current?
-
4.3 - Emergency action plan is available for review?
-
4.4 - Floor plan with rally points and shelter-in-place is posted?
-
4.5 - Comments/Other Observations
5.0 - Hand and Power Tools
-
5.1 - Electrical power tools are grounded or double insulated?
-
5.2 - Insulation is intact?
-
5.3 - Required guards are present?
-
5.4 - Appropriate PPE is worn with Hand/Power Tool?
-
5.5 - Used knife blades are in approved containers?
-
5.6 - Compressed air cleaning tools meet 30psi requirement?
-
5.7 - Employees do not use compressed air to clean clothing or body?
-
5.8 - Comments/Other Observations
6.0 - Hazard Communication
-
6.1 - Safety Data Sheets are available?
-
6.2 - Chemical containers are labeled appropriately (product identifier, pictograms, signal word, hazard and precautionary statements)?
-
6.3 - Spill kits are available?
-
6.4 - Chemical containers are kept closed when not in use?
-
6.5 - Comments/Other Observations
7.0 - Lockout/Tagout
-
7.1 - Energy control procedures are available for machinery/equipment?
-
7.2 - Safety padlocks in use contain a tag (employees name, warning)?
-
7.3 - Safety are standardized in color, shape or size?
-
7.4 - Comments/Other Observations
8.0 - Machine Guarding
-
8.1 - The point of operation is adequately guarded to prevent employees from reaching in, over, under and around?
-
8.2 - The power transmission devices are guarded appropriately?
-
8.3 - Bench/pedestal grinders are guarded appropriately?
-
8.4 - Machinery is anchored to prevent movement?
-
8.5 Emergency stop buttons are accessible?
-
8.6 - Comments/Other Observations
9.0 - Material Handling/Storage (Powered Industrial Trucks, Cranes, Hoists, Slings)
-
9.1 - Are all containers, skids, pallets, materials, and equipment arranged neatly and orderly in assigned areas?
-
9.2 - Is material stored so it does not block sprinkler heads, alarm systems, electrical panels, or access to fire extinguishers? (A minimum clearance of 3 feet )
-
9.3 - Is there adequate clearance from overhead light fixtures when placing material overhead?
-
9.4 - Are pre-shift inspections documented for forklifts?
-
9.5 - Are associates using proper lifting techniques?
-
9.6 - Are heavy items stored on lower shelves?
-
9.7 - Have items been properly secured to prevent tipping/falling?
-
9.8 - Are materials stored or stacked in a safe manner?
-
9.9 Are safety devices functioning on forklifts (horns, lights, back-up alarms)?
-
9.10 - Storage racks are maintained (not damaged)?
-
9.11 - Storage racks are lagged to the floor?
-
9.12 - Storage rack capacity is posted?
-
9.13 - Cranes/hoists are inspected frequently (daily to monthly)?
-
9.14 - Cranes/hoists are inspected periodically (monthly to annually)?
-
9.15 - Sling tags are legible?
-
9.16 - Slings are not damaged?
-
9.17 - Crane/hoist is functioning properly (visual and operational)?
-
9.18 - Comments/Other Observations
10.0 - Personal Protective Equipment
-
10.1 - Eye protection is worn (Z87 safety glasses)?
-
10.2 - Hearing protection is worn properly?
-
10.3 - Safety footwear is worn?
-
10.4 - Other PPE is worn (hi-viz, welding protection, respiratory protection)?
-
10.5 - Comments/Other Observations
11.0 - Signs, Signals, Barricades
-
11.1 - Load ratings are posted?
-
11.2 - Danger/Warning/Caution signs are maintained (legible)?
-
11.3 - Machine warning labels are legible?
-
11.4 - Comments/Other Observations
12.0 - Walking-Working Surfaces
-
12.1 - Are areas free of tripping hazards?
-
12.2 - Are aisles free from obstructions (skids, scrap, banding)?
-
12.3 - Are floors clean and free from liquids?
-
12.4 - Are exits clearly marked and access is unobstructed?
-
12.5 - Unprotected edges/sides are protected?
-
12.6 - Portable ladders are used properly?
-
12.7 - Stair rails/handrails are provided when required?
-
12.8 - Ladderway opening is guaded with a gate?
-
12.9 - Safe access/egress is provided and used for walking-working surfaces?
-
12.10 - Standard railing is provided when required?
-
12.11 - Comments/Other Observations
13.0 - Welding and Cutting
-
13.1 - Hot work permit is completed? (If applicable)
-
13.2 - A fire watch is provided? (If applicable)
-
13.3 - A fire extinguisher is provided for hot work area?
-
13.4 - Combustibles and flammables are 35 ft from operations or are effectively shielded?
-
13.5 - Comments/Other Observations
14.0 - Administration
-
14.1 - OSHA poster is posted?
-
14.2 - Workers compensation poster is posted?
-
14.3 - Comments/Other Observations
Sign Off
-
Reviewer's signature