General Safety Evaluation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Walkways, floors, and wall openings

• 1a. Are aisle and passages kept clear?

  Yes

  No

  N/A

• 1b. Are holes in floors and walkways covered and made safe for use?

  Yes

  No

  N/A

• 1c. Are materials stored so they do not project into the walkway?

  Yes

  No

  N/A

• 1d. Are walking surfaces kept clean and dry?

  Yes

  No

  N/A

• 1e. Are guardrails used where walkways are 4 feet above flooring?

  Yes

  No

  N/A

• 1f. Are floor openings guarded on all sides?

  Yes

  No

  N/A

• 1g. Are grates and covers of sufficient strength for foot and motor traffic?

  Yes

  No

  N/A

• 1h. Do stairs of 4 or more risers have handrails?

  Yes

  No

  N/A

• 1i. Do steps or stairs have a slip resistant surface or edge?

  Yes

  No

  N/A

• 1j. Are handrails 30-34 inches above the leading edge of the surface?

  Yes

  No

  N/A

• 1k. Are work areas clean and orderly?

  Yes

  No

  N/A

• 1l. Are areas properly illuminated?

  Yes

  No

  N/A

• Comments

2. PPE

• 2a. Are approved safety glasses/goggles used in work areas as required?

  Yes

  No

  N/A

• 2b. Are signs posted warning of potential for eye injury where flying particles can be present?

  Yes

  No

  N/A

• 2c. Are gloves, aprons, shields, or other means for protection against cuts, corrosives and chemicals?

  Yes

  No

  N/A

• 2d. Are hard hats provided and used when needed?

  Yes

  No

  N/A

• 2e. Are required safety shoes used while at work?

  Yes

  No

  N/A

• 2f. Is electrical protection available when working around or with electricity?

  Yes

  No

  N/A

• 2g. Is hearing protection provided for high noise areas?

  Yes

  No

  N/A

• 2h. Is damaged PPE replaced in a timely manner?

  Yes

  No

  N/A

• 2i. Is PPE stored and kept clean when not in use?

  Yes

  No

  N/A

• 2j. Does the supervisor enforce the use of PPE?

  Yes

  No

  N/A

• 2k. Are first aid and infection control kits readily available?

  Yes

  No

  N/A

• Comments

3. Fire protection

• 3a. Are fire alarms inspected annually?

  Yes

  No

  N/A

• 3b. Are fire doors and shutters operational and in good condition?

  Yes

  No

  N/A

• 3c. Are sprinkler systems checked and records kept?

  Yes

  No

  N/A

• 3d. Are portable fire extinguishers checked and tagged at least annually?

  Yes

  No

  N/A

• 3e. Are employees instructed in the use of fire extinguishers?

  Yes

  No

  N/A

• 3f. Are fire extinguishers needing service removed from the work area and stored for recharging?

  Yes

  No

  N/A

• 3g. Are emergency exits clear of obstructions?

  Yes

  No

  N/A

• 3h. Are stairwells clear and free of obstructions?

  Yes

  No

  N/A

• 3i. Are fire evacuations and emergency procedures current, posted and are employees aware of the procedures to follow?

  Yes

  No

  N/A

• 3j. Are voice speaker systems and phones inspected monthly?

  Yes

  No

  N/A

• Comments

4. Elevated surfaces

• 4a. Are platform areas guarded with rails and a 4 inch toe board for protection?

  Yes

  No

  N/A

• 4b. Is a means of access and egress provided to elevated surfaces?

  Yes

  No

  N/A

• 4c. Is material on elevated surfaces stored in a safe manner?

  Yes

  No

  N/A

• Comments

5. Exits and means of egress

• 5a. Are all exits marked with a sign and illuminated?

  Yes

  No

  N/A

• 5b. Are the i reactions to exits marked with proper signage?

  Yes

  No

  N/A

• 5c. Are letters on exit signs at least 6 inches high and 3/4 inch wide?

  Yes

  No

  N/A

• 5c. Are all exit doors unlocked, accessible and free of obstruction while the building is occupied?

  Yes

  No

  N/A

• Comments

6. Ladders

• 6a. Are ladders maintained in good condition?

  Yes

  No

  N/A

• 6b. Are non-slip safety feet provided on all extension ladders?

  Yes

  No

  N/A

• 6c. Are employees prohibited from using ladders that are broken?

  Yes

  No

  N/A

• 6d. Do portable rung ladders extend 3 feet above the landing surface?

  Yes

  No

  N/A

• 6e. Are all rungs and supports tight, without bends, twists or broken pieces?

  Yes

  No

  N/A

• Comments

7. Tools and Power Equipment

• 7a. Are all tools in good working condition?

  Yes

  No

  N/A

• 7b. Are tool handles free from tape repair?

  Yes

  No

  N/A

• 7c. Are employees prohibited from using chipped or cracked tools?

  Yes

  No

  N/A

• 7d. Do power tools have proper safety guards?

  Yes

  No

  N/A

• 7e. Are all belts, pulleys, chains and sprockets guarded?

  Yes

  No

  N/A

• 7f. Are fans guarded?

  Yes

  No

  N/A

• 7g. Is GFCIs used on temporary circuits?

  Yes

  No

  N/A

• 7h. Is GFCIs used where water or moisture is present?

  Yes

  No

  N/A

• 7i. Are hand grinders used with the proper guards in place?

  Yes

  No

  N/A

• 7j. Is the tool rest on bench grinders adjusted to within 1/8 inch of the wheel?

  Yes

  No

  N/A

• 7k. Do side guards cover nut, spindle and 75% of the wheel?

  Yes

  No

  N/A

• 7l. Are bench and pedestal grinders securely mounted?

  Yes

  No

  N/A

• 7m. Are goggles and face shields used and warnings sings posted?

  Yes

  No

  N/A

• 7n. Are tools, equipment and materials properly stored when not in use?

  Yes

  No

  N/A

• 7o. Are hammers and screwdrivers checked for damage and chipped surfaces?

  Yes

  No

  N/A

• Comments

8. Air compressors and compressed air

• 8a. Are air compressors equipped with relief valves and reassure gauges?

  Yes

  No

  N/A

• 8b. Are warning signs posted for the automatic starting feature?

  Yes

  No

  N/A

• 8c. Is he belt drive system guarded?

  Yes

  No

  N/A

• 8c. Are compressed air receivers episodically drained of moisture and oil?

  Yes

  No

  N/A

• 8d. Are maintenance records kept and up-to-date?

  Yes

  No

  N/A

• Comments

9. Welding, Cutting and Brazing

• 9a. Is care used in handling and storage or compressed gas?

  Yes

  No

  N/A

• 9b. Are empty cylinders identified and stored away from full tanks?

  Yes

  No

  N/A

• 9c. Are cylinder storage areas properly identified with signs?

  Yes

  No

  N/A

• 9d. Are cylinders kept away from heat sources?

  Yes

  No

  N/A

• 9e. Are welding electrodes removed from holders when not in use?

  Yes

  No

  N/A

• 9f. Is fire protection readily available?

  Yes

  No

  N/A

• 9g. Is proper PPE available and used?

  Yes

  No

  N/A

• 9h. Does the area have proper ventilation?

  Yes

  No

  N/A

• 9i. When welding is the area around the welding area protected with protection blankets?

  Yes

  No

  N/A

• 9j. When the welding unit is not in use are the cylinders properly stored e.g. Gauges removed and the cylinder caps put on?

  Yes

  No

  N/A

• Comments

10. Lockout/Tagout

• 10a. Are all electrical enclosures properly identified?

  Yes

  No

  N/A

• 10b. Are employees provided with proper LOTO equipment?

  Yes

  No

  N/A

• 10c. Are employees required to keep personal control of keys?

  Yes

  No

  N/A

• 10d. Are all machines capable of Lockout/Tagout have an ECP?

  Yes

  No

  N/A

• 10e. Are all employees trained in Lockout/Tagout?

  Yes

  No

  N/A

• Comments

11. Permit Required Confined Spaces

• 11a. Are permit required confined spaces properly identified and marked?

  Yes

  No

  N/A

• 11b. Are all employees trained in permit confined space entry procedures?

  Yes

  No

  N/A

• 11c. Is the proper PPE available?

  Yes

  No

  N/A

• 11d. Are all remit saves checked with gas detection meters before entry?

  Yes

  No

  N/A

• 11e. Is the proper rescue equipment available for permit spaces?

  Yes

  No

  N/A

• 11f. Are attendants used to assist and watch for hazards trained?

  Yes

  No

  N/A

• 11g. Are rescuers trained in CPR and first aid?

  Yes

  No

  N/A

• Comments

12. Flammable and Combustible Substances

• 12a. Are proper containers with labels used for storage of flammable liquids?

  Yes

  No

  N/A

• 12b. Are drums grounded during the transfer of materials?

  Yes

  No

  N/A

• 12c. Are storage areas properly ventilated?

  Yes

  No

  N/A

• 12d. Are No Smoking and Danger signs posted, regardless of the site smoking policy?

  Yes

  No

  N/A

• 12e. Are fire extinguishers available within 75 feet of outside and 10 feet of inside storage areas?

  Yes

  No

  N/A

• 12f. Are fire extinguishers charged, tagged, mounted and identified?

  Yes

  No

  N/A

• 12g. Are appropriate lockers or containers used for storage?

  Yes

  No

  N/A

• 12h. Are storage areas properly illuminated?

  Yes

  No

  N/A

• Comments

13. Hazard Communication

• 13a. Is an MSDS available for all chemicals used in the workplace ?

  Yes

  No

  N/A

• 13b. Are MSDS accessible to all employees?

  Yes

  No

  N/A

• 13c. Are proper labels used on all chemical containers?

  Yes

  No

  N/A

• 13d. Is proper PPE available for employees?

  Yes

  No

  N/A

• 13e. Are employees trained in the safe handling of chemicals?

  Yes

  No

  N/A

• 13f. Are eyewash and drenching shower stations provided within at least 75 feet of the use of corrosive chemicals?

  Yes

  No

  N/A

• 13g. Are eating and drinking prohibited in hazardous chemical use and storage areas?

  Yes

  No

  N/A

• 13h. Are identified asbestos-contains materials in good condition?

  Yes

  No

  N/A

• 13i. Are asbestos- containing materials identified to prevent disturbance?

  Yes

  No

  N/A

• 13j. If there is Asbestos containing materials in the facility has an asbestos survey been conducted by the customer and have we requested a copy of the survey?

  Yes

  No

  N/A

• Comments

14. Occupational Noise

• 14a. Does employees use hearing protection in high noise areas?

  Yes

  No

  N/A

• 14b. Are hearing protection required signs posted at entry areas with noise levels above 85 dBa or greater?

  Yes

  No

  N/A

• 14c. Are employees given a choice of hearing protection?

  Yes

  No

  N/A

• 14d. Have employees been trained in the proper use of hearing protection?

  Yes

  No

  N/A

• Comments

15. Electrical

• 15a. Are all electrical equipment properly grounded?

  Yes

  No

  N/A

• 15b. Are all cords with exposed wiring, damaged insulation, frays. Or taped splices removed from service or repaired?

  Yes

  No

  N/A

• 15c. Are all switches and circuit breakers identified as to their use?

  Yes

  No

  N/A

• 15d. Are all energized arts guarded against accidental contact?

  Yes

  No

  N/A

• 15e. Are all boxes, plugs, switches and fittings properly covered?

  Yes

  No

  N/A

• 15f. Are extension cords prohibited from bing used as permanent wiring?

  Yes

  No

  N/A

• Comments

16. Environmental

• 16a. Is there proper containers and labels for used oil/light bulbs and other hazardous waste?

  Yes

  No

  N/A

• 16b. Ae employees trained on hazardous waste?

  Yes

  No

  N/A

• 16c. Are storm drains appropriately marked?

  Yes

  No

  N/A

• 16d. Are personnel aware of best management practices to prevent releases of wash/ mop water, oil, fuels, and chemicals to storm drains?

  Yes

  No

  N/A

• 16e. Ae employees trained to properly record releases of refrigerants?

  Yes

  No

  N/A

• 16f. Are employees responsible for maintaining boilers, fire pumps, and emergency generators properly trained to comply with operating permit record keeping requirements?

  Yes

  No

  N/A

• 16g. Ae solvent cleaning containers and equipment kept closed and properly maintained?

  Yes

  No

  N/A

• 16h. Is solid waste properly segregated and defaced for recycling?

  Yes

  No

  N/A

Is Follow-up required

• Comments

• Add signature

  Sign