Information
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Audit Number
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Department
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Supervisor
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Prepared by
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Date & Time
Weekly Compliance Audit (by department)
Housekeeping
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Work areas are generally clean and uncluttered?
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Work stations are well organized and no trip hazards are present?
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Are the department's tools and equipment stored properly?
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Are emergency routes kept clear and unobstructed?
Safety Signage
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Are evacuation maps and emergency numbers posted in the department?
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Are signs indicating required Personal Protective Equipment are in place?
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Are emergency exit signs in place?
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Are "No Smoking" signs displayed in the department?
Employee Issues
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Generally speaking, are the employees correctly wearing required PPE?
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Have employee's received proper training for assigned job/tasks?
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Do workers avoid repetitive awkward positioning, excessive or overhead reaching, or continuous bending and twisting?<br>
Maintenance Issues
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Generally speaking, is the department's equipment in working condition?
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Are appropriate machine guards in place?
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Is a 3' perimeter around all electrical breaker boxes?
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Are LOTO procedures being followed? (Answer only if repair/maintenance is being performed at the time of inspection, otherwise answer N/A.)
Environmental
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Liquid chemicals are stored in secondary containment?
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Flammable chemicals are stored in flammable cabinets (or in a dedicated storage room) when not in use?
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Waste area is properly maintained?
Overall Notes
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What is the overall condition of the department?
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Are any safety concerns present that require immediate correction?
Sign Off
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I declare that the audit above was conducted and completed accurately.
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Full name and signature of auditor
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Date/Time