General Site Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• Picture of building

  Media

• Number of employees

• Number of students

• Number of visitors

• Is there a health and safety plan developed for this site?

  Yes

  No

  N/A

Personnel

• Are procedures in place for reporting unsafe conditions?

  Yes

  No

  N/A

• Do employees know how to report an incident and the claim processes?

  Yes

  No

  N/A

• Does the Emergency Operations Plan include floor plans, evacuation paths, and meeting areas?

  Yes

  No

  N/A

• Are evacuation plans accurate and posted?

  Yes

  No

  N/A

• What Personal Protective Equipment is used in the facility?

  Select Hard Hats Gloves Eye protection Hearing protection Respiratory protection Foot protection

  • Hard Hats
  • Gloves
  • Eye protection
  • Hearing protection
  • Respiratory protection
  • Foot protection

• Are employees wearing appropriate foot wear for their position and the conditions?

  Yes

  No

  N/A

• Is an approved Blood Borne Pathogens program established?

  Yes

  No

  N/A

• Are first aid supplies on site?

  Yes

  No

  N/A

• Does the site have an AED?

  Yes

  No

  N/A

• Is the AED inspected monthly?

  Yes

  No

  N/A

• Are weight restrictions in place on manual lifting?

  Yes

  No

  N/A

• Are material handling devices provided?

  Yes

  No

  N/A

Electrical

• Is all wiring in good working condition and free of defects?

  Yes

  No

  N/A

• Are wires and tubes crossing a path marked and protected?

  Yes

  No

  N/A

• Are extension cords not used for long term use and are not daisy chained?

  Yes

  No

  N/A

• Is adequate lighting provided for the task being preformed?

  Yes

  No

  N/A

• Is there 35 inches of clearance between electrical panels and other objects?

  Yes

  No

  N/A

• Is emergency lighting in place and working order?

  Yes

  No

  N/A

Fire Protection

• Date of last fire drill

  Date

• Are emergency EXIT sighs in place and in working order?

  Yes

  No

  N/A

• Are non evacuation doors marked "not an exit"

  Yes

  No

  N/A

• Is there a centralized alarm system for the facility?

  Yes

  No

  N/A

• Are fire alarms and fire extinguishers visible and accessable?

  Yes

  No

  N/A

• Is the facility equipped with a sprinkler system?

  Yes

  No

  N/A

• Are sprinkler system valves locked open?

  Yes

  No

  N/A

• Are fire doors kept closed or equipped with auto closure devices?

  Yes

  No

  N/A

• Are fire extinguishers inspected annually?

  Yes

  No

  N/A

• Is the facility equipped with fire/smoke/heat detectors?

  Yes

  No

  N/A

• Are there high fire loads in rooms or halls?

  Yes

  No

  N/A

• 18 inch clearance is given between the ceiling and other objects

  Yes

  No

  N/A

• Are doors covered with less then 33% combustible materials?

  Yes

  No

  N/A

• Are portable electrical heaters 3 ft from any combustible materials?

  Yes

  No

  N/A

• Water heaters, furnaces and other heat producing devices have a three foot clearance from combustible materials

  Yes

  No

  N/A

• Is smoking prohibited on the property?

  Yes

  No

  N/A

• Is appropriate areas provided to extinguish smoking materials?

  Yes

  No

  N/A

Building Condition

• The general up keep of the building is adequate

  Yes

  No

  N/A

• Is the floor free of trip hazards or dangerous conditions?

  Yes

  No

  N/A

• Are all rugs and mats.secured from moving or slipping?

  Yes

  No

  N/A

• Are stairs clear, in good condition and non-slip?

  Yes

  No

  N/A

• Is equipment clean and in working order?

  Yes

  No

  N/A

• Are emergency shut off switches/valves marked and in working order?

  Yes

  No

  N/A

• Are wet floor signs used to mark wet areas?

  Yes

  No

  N/A

• Are elevated surfaces protected with guard rails and toe boards?

  Yes

  No

  N/A

• Are all external walkways maintained?

  Yes

  No

  N/A

• Are all storage and work areas orderly?

  Yes

  No

  N/A

• Is there any serious damage to walls or ceilings?

  Yes

  No

  N/A

• Are items secured from falling?

  Yes

  No

  N/A

• Is adequate ventilation provided to remove excess heat and gasses

  Yes

  No

  N/A

Maintanance

• Are all guards and safety devices in place?

  Yes

  No

  N/A

• Are ladders in good working order?

  Yes

  No

  N/A

• Are hazardous materials stored properly and in appropriate containers?

  Yes

  No

  N/A

• Are power tools in good working condition?

  Yes

  No

  N/A

• Defective tools are marked and taken out of service?

  Yes

  No

  N/A

• Permit required confined spaces are identified properly

  Yes

  No

  N/A

• Required equipment is provided if confined spaces are entered

  Yes

  No

  N/A

• Lockout Tagout procedures have been developed and are in place

  Yes

  No

  N/A

• Appropriate equipment is available for locking out equipment

  Yes

  No

  N/A

Housekeeping

• The general housekeeping of the facility is adequate

  Yes

  No

  N/A

• Is the workplace generally clean and dry?

  Yes

  No

  N/A

• Are any hazardous materials stored on site?

  Yes

  No

  N/A

• Are all MSDS sheets available for all chemicals on site?

  Yes

  No

  N/A

• Has an inventory been taken within the last year for chemicals on site?

  Yes

  No

  N/A

• No quantities greater then 10,000 lbs of any hazardous materials are stored on site?

  Yes

  No

  N/A

• Are all containers labeled with product and other required information?

  Yes

  No

  N/A

Training

• This facility has a centralized record system for documenting and retrieving training records

  Yes

  No

  N/A

• Have employees been educated on the health and safety plan?

  Yes

  No

  N/A

• Have employees been educated on evacuation procedures?

  Yes

  No

  N/A

• Required people are trained on Lockout Tagout

  Yes

  No

  N/A

• Employees required to enter confined spaces are trained to do so.

  Yes

  No

  N/A

• Are employees trained in specialized equipment?

  Yes

  No

  N/A

• Are employees trained on the Blood Borne Pathogens program

  Yes

  No

  N/A

• Are employees trained in the use of personal protective equipment?

  Yes

  No

  N/A

• Have employees received Hazard Communication training?

  Yes

  No

  N/A

• Are employees trained on safe lifting techniques?

  Yes

  No

  N/A

• Are any employees trained in First Aid and CPR?

  Yes

  No

  N/A

Notes

Signature

• On Site Auditor

  Sign

• Facility Managemant

  Sign

• Safety and Wellness Coordinator

  Sign