Title Page

Safety Committee Member Information


  • First Name (As it appears on your badge)

  • Last Name (As it appears on your badge)

Audit Location

Choose a Zone and Area

  • Audit Zone

  • Observation 1 Area

  • Observation 1 Area

  • Observation 1 Area

  • Audit Area

  • Observation 1 Area

  • Observation 1 Area

  • Observation 1 Area

  • Observation 1 Area

  • Observation 1 Area

Audit Questionnaire

  • Secondary Containers<br><br>Are secondary containers properly labeled with GHS Label? Failure to attach label will make it difficult to identify material.

  • Proper hygiene<br><br>Ensure personnel using solvents/chemicals are washing hands after use. Failure to wash hands can result in personnel injury.

  • Welding gun operations<br><br>Ensure welder keeps hands and legs away from tip of welding gun. Weld wire punctures can cause serious injury.

  • Safe Vehicle Operations<br><br>Ensure equipment operators are not talking on cell phone or being distracted while driving. Distracted equipment operators can cause serious injuries or equipment damage.

  • Material Carts<br><br>Inspect Material Carts daily. "If You Connect You Must Inspect". Damaged carts can cause injury and damage to equipment.

  • Shot Blast<br><br>Inspect Curtain to ensure no excessive shot is impacting surrounding areas. Shot can cause serious eye injuries.

  • Cell Phone Usage<br><br>Are people walking and texting? Walking and Texting can cause injuries.

  • Painters PPE<br><br>Are all painters wearing to proper PPE. Failure to wear proper PPE can result in personnel injuries.

  • Re-work Material<br><br>Are material requiring re-work parked in correct areas? Can cause trip hazards.

  • Pinch Points<br>Verify workers are avoiding pinch points around work area. Eliminate pinch points. to Avoid injury.

  • Hydraulic Cylinders/Presses<br>Verify cylinders are not leaking. Are cylinders being used in a safe manner? Hydraulic cylinders can cause severe bodily injuries.

  • Hydration<br>Verify employees know early warning signs of dehydration. Dehydration can result in significant bodily injuries.

  • Proper PPE<br>Verify employees working around pressurized hydraulics wear proper eye protection. Avoid eye injuries.

  • Battery Use<br>Verify batteries are in good working order. Damaged cables can cause fire or shock hazards.

  • Proper Lifting<br>Are employees using proper lifting device? Avoid back injuries.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.