Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. General inspection
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a. Is the JRR complete and compliant?
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b. Are all required USafe posters up?
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c. Are all required Federal, State labor posters up?
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d. Has the HIPO document been completed and updated?
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e. Has the site established and is running the USAFE program? E.g. Utake5, STARR, and HAZOB?
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f. Has each employee signed the cardinal rules and the safety pledge?
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g. Has the self inspection checklists been completed per each required program?
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h. Are there JSA's per each HIPO task and has each employee reviewed and signed the JSA?
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i. Has the site completed and or is up to date on all required safety training? And is it documented?
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j. Has the site established shift start-up meetings and the weekly toolbox/tailgate meetings?
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k. Has the site established a medical facility for work related injuries?
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l. Is the OSHA 300 A posted and or filed along with the OSHA 300 log for record keeping?
2. General housekeeping
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a. Are all storage / janitors closets neat and orderly?
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b. Are all supplies properly stacked and not higher than the shortest employees?
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c. Are all janitors carts neat and orderly?
3. Asbestos ACM
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a. Is there ACM at the Site?
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b. Has the site manager requested the asbestos survey from the customer? Did the manager receive it from the customer
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c. Has all employees been trained in asbestos awareness and locations of the ACM and what it looks like?
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d. Does to employee know who to report to if the ACM has been disturbed?
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e. Does management know how to respond in case of an exposure?
4. Blood borne pathogens
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a. Have personnel been designated for clean-up and is annotated on the HIPO document?
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b. Has the authorized personnel been offered the HEP-B series vaccine? And has the waiver/ consent form for HBV been completed and filed?
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c. Does the site have a current ECP and is it accessible to the employees?
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d. Has those designated employees been trained on the proper clean-up procedures? And is it documented?
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e. Does the site have BBP kits for access to the designated personnel and have back-ups in storage?
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f. Has all employees received BBP awareness training in the past year?
5. HAZCOM
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a. Does the site have all required MSDs? And are they readily available?
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b. Are all chemicals properly labeled?
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c. Is the HAZCOM standard readily available to the employee's?
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d. Is the master chemical inventory list completed? And up to date? "Not older than one year old"
6. Personal protective equipment
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a. Is the proper PPE available to all employees?
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b. Has the PPE Selection and risk assessment been completed for each task?
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c. Are the employees wearing the proper PPE?
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d. Are supervisors enforcing PPE requirements?
7. Emergency Evacuation
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a. Has the site conducted Em evac training within the fiscal year and is it documented?
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b. Does the site have a site program or have they adopted the customers EAP?
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c. Does the site conduct action drills? Or do they participate in the customers drills? Is it documented?
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d.
8. Electrical safety
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a. Are electric cords in good working order? Not missing grounding prongs, no cuts or exposed wiring..
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b. Are GFCI's being used for wet work?
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c. Has LOTO program been established and in place?
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d. Are all electrical equipment in good working order? Double insulated, grounding prong, no breaks or cut in the insulation.
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e. If equipment is out of order is it tagged as such?
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f. If LOTO is being conducted does each piece of equipment have an ECP/ LOTO Procedure?
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g. Are the LOTO devices; durable, standardized, substantial, identiable?
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h. Is a periodic inspection performed of the ECP procedures?
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i. Are employee's trained in LOTO procedures? Authorized? Affected?
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j. Is the employee/s trained to the NFPA 70E industrial standard?
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k. Are required employee's completed arc flash / short circuit analysis?
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l. Does the employee have the proper PPE and tools as categorized by the NFPA 70E requirements?
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m. Has the electrical tools been annually voltage tested and certified?
9. Power tools / hand tools
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a. Proper tool being used for each job?
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b. Inspections and documentation of and damaged tools tagged and removed?
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c. Proper training provided on tool use and documented?
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d. Properly grounded (GFCI's), cords and plugs in good condition?
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e. Proper PPE is used
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f. Compressed air shall not be used for cleaning purposes except when reduced >10 p.s.i. & chip guard used.
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g. Tools are properly stored when not in use
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h.
10. Ladder safety
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a. Step ladders used in the fully open position / do not use top two rungs of stepladder /. No metal or wooden or job built ladders..
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b. Are employees trained in the proper use of ladders?
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c. Are ladders inspected prior to use, monthly, quarterly! Color coded, ladder daily tag?
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d. All tools and materials are to be raised and lowered by rope or machine?
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e.
11. Drivers safety
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a. Are the site drivers authorized and annotated in the HIPO document?
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b. Are they qualified to operate company vehicles? Drivers licenses and DMV background checks?
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c. Has the authorized company driver been trained in defensive driving?
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d. Is there a fire extinguisher in the vehicle? Have they been trained to use it? Is inspection up to date?
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e. Is there a first aid kit in the vehicle?
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f. Is there regular inspection being performed daily, weekly, monthly?
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g. Is there assigned drivers for the vehicles? Are they responsible for inspections and maintenance of the vehicle?
12. Electric carts
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a. Are only authorized drivers allowed to drive an electric cart?
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b. Are the drivers properly trained and documented?
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c. Does the authorized drivers have a valid DL?
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d. Are regular inspections and maintenance being conducted and documented?
13. Flammable liquids & gases
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a. All containers are clearly marked / appropriate signage posted
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b. Are chemicals properly labeled?
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c. Are all chemicals stored and segregated by classes per manufacturer / federal requirements?
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d. Is propane stored properly? Not in the building...
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e. Are all flammable liquids and aerosols stored in a flammable cabinet?
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f. Is there an inventory on the cabinet or near with MSDS's readily available?
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g. Proper storage practices observed (20 lb ABC extinguisher within 25' - 75')?
14. Fall protection
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a. Written Fall Protection Plan (if deviations from 100% fall protection)
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b. Competent person training
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c. Are those authorized employees properly training in fall protection? And is it documented?
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d. Safety harnesses, lanyards and lifelines inspected properly, before use, monthly, quarterly? Is it documented?
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e. Those employees who are authorized to use aerial lifts; are they properly trained and is it documented?
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f. When using aerial lifts; Does the operators barricade off the area so no one can get hit by falling objects?
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g. Are employees protected from falling objects
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h. When working on roof tops are authorized employees the inside the 10' barrier? Are they wearing their PFE and are they anchored to an certified anchor point?
