Information
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Document No.
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Audit Title
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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
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This general safety inspection focuses on basic safety topics. This inspection may not cover all topics in great detail (i.e. confined space, equipment specific hazards, etc.)
Housekeeping
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Work area free of clutter and tripping hazards.
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Egress maintained.
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Nuisance dusts controlled.
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Cords and hoses neatly tucked away.
Hygiene
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No evidence of eating or drinking where hazardous substances are stored or used.
Emergencies
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Fire equipment (extinguishers, pull stations, sprinkler heads, exit signs) unobstructed.
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Eyewashes and/or safety showers available.
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Eyewashes and/or safety showers operational.
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Eyewashes and/or safety showers accessible.
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Eyewashes flushed weekly.
Hazard Communication
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Hazardous substances used or stored in work area (chemicals, paints, solvents, adhesives, cleaning products, aerosols, etc.)
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Hazardous substance container labels in good condition.
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Hazardous substance containers have the following minimum information - product name, hazards, and manufacturer.
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Hazardous substance inventory list and SDSs present is current with hazardous substances used or stored in work area.
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SDSs organized - Alphabetized by product name.
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SDSs accessible to workers during their shift.
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For CEMS areas, all hazardous substance containers have an inventory barcode.
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Food product containers (drinking cups, soda bottles, yogurt containers, coffee cans, etc.) are not used for storing or otherwise working with hazardous substances.
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Large quantities of flammable substances stored in flammable cabinet.
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Incompatible hazardous substances segregated where necessary.
Compressed Gas Cylinders
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Compressed gas cylinders used or stored in work area.
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Compressed gas cylinders labeled properly.
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Compressed gas cylinders secured from tipping (straps, chains, etc.)
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Valve protected with cap when not in use.
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Compressed gas cylinders transported properly.
Hazardous Waste
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Basic hazardous waste and universal waste requirements were reviewed. Additional requirements may be necessary outside of this inspection report.
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Hazardous or universal wastes generated.
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Hazardous waste stored in red hazardous waste collection bin or other approved container (drum, safety can, etc.)
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Hazardous waste labeled with orange hazardous waste label.
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Hazardous waste stored in closed containers.
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Hazardous waste containers are not leaking.
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Universal waste (batteries, fluorescent bulbs) stored properly.
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Universal waste labeled properly.
Material Handling
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Materials not stored above shoulder level.
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Workers practice safe lifting.
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Material handling equipment available and in good condition (carts, etc.)
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Material handling equipment used when necessary.
Personal Protection Equipment (PPE)
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Proper PPE readily available (eye protection, gloves, etc.)
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Proper PPE use observed.
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PPE kept in sanitary condition.
Hearing Protection
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Hearing protection required for certain tasks.
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Hearing protection devices available.
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Hearing protection devices worn.
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Hearing protection devices stored properly and maintained in good condition.
Respiratory Protection
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Half or full face air purifying respirators (APRs) used.
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Respirator use approved by EHS.
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Respirators kept in sanitary condition.
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Correct cartridges available.
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Correct cartridges used.
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Cartridges in good condition.
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Respirator cleaning supplies available.
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N95 respirators are used.
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N95 use required.
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N95 use approved by EHS.
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N95s kept in sanitary condition.
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N95 voluntary use forms completed.
Electrical
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GFCIs used when needed.
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Electrical outlets not overloaded.
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Electrical cords in good condition (not frayed or taped, insulation intact, wires not exposed).
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Extension cords used appropriately (not for supplying permanent power).
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No broken plugs, sockets or switches.
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Workers have required arc flash rated equipment (tools, clothing, PPE).
Tools/Equipment
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Power tools and equipment available.
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Power tools and equipment maintained in good condition.
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Appropriate machine guards in place.
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Machine Authorization Form used for authorizing machine operators.
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Out of service power tools and equipment marked ("out of service", "do not use", etc.)
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Hand tools in use.
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Hand tools maintained in good condition.
Lockout/Tagout
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Lockout/tagout procedures required for certain equipment. (If no, no further action required.)
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Lockout/tagout procedures developed.
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Lockout/tagout procedures followed.
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Appropriate lockout/tagout equipment available (locks, tags, devices, etc.)
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Generic locks and tags used for regular business shut downs (seasonal, control unauthorized access, etc.)
Ladders
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Ladders used.
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Ladders in good condition (free of damage, cracks, loose/missing parts).
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Ladders used properly.
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Ladder type/ratings appropriate (height, type, weight limits).
Signage
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Appropriate hazard warnings/signs posted.
Ventilation
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Ventilation is adequate.
Lighting
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Lighting is adequate.
First Aid Kits
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First aid kit(s) available.
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Kit kept in sanitary condition.
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Kit inspected regularly.
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Supplies are not expired.
Hot Work
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Hot work performed in work area. (If no, no further action required.)
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Valid hot work permit.
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Hot work performed in approved locations.
Fall Protection
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Fall protection required for certain tasks. (If no, no further action required.)
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Appropriate fall protection equipment available.
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Fall protection equipment used where required.
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Fall protection equipment maintained in good condition.
Aerial Work Platform Safety
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Aerial work platforms used. (If no, no further action required.)
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Frequent (daily) inspections performed.
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Inspection checklist completed when deficiencies are found.
Bucket Truck Safety
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Bucket truck used. (If no, no further action required.)
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Frequent (daily) inspections performed.
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Inspection checklist completed when deficiencies found.
Powered Industrial Trucks
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Powered industrial trucks used. (If no, no further action required.)
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Frequent (daily) inspections performed.
Scaffolding
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Scaffolding equipment present or used. (If no, no further action required.)
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Scaffolding equipment secured from unauthorized access.
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Scaffolding equipment complete and in good condition (pins, platforms, railings available).
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Scaffolding erected properly (pins, platforms, railings).
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Appropriate ladder use with scaffolding (built in ladder or separate ladder.
Training
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Workers assigned appropriate safety training.
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Student workers have been identified and assigned appropriate safety training.
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Workers are compliant with all safety trainings.
Other Findings
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Description of other findings
EHS Comments
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EHS Comments
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Please complete action items by the following date
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Initials of inspector upon report completion.
