Information
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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
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there any outstanding actions?
2.0 - Emergency Planning
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2.1 - Evacuation plan present and understood by all employees?
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2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)
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2.3 - Extinguishers in place, clearly marked for type of fire?
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2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
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2.5 - Adequate direction notices for fire exits?
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2.6 - Exit doors easily opened from inside?
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2.7 - Doors along exit routes marked as " Not an Exit".
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2.8 - Exits clear of obstructions?
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2.9 - Are "No Smoking" signs posted in areas where flammable or combustible materials are used or stored?
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 - Reflected light from walls & ceilings not causing glare to employees?
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3.3 - Light fixtures clean and in good condition?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately and clearly marked?
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4.4 - Intersections kept clear of boxes etc?
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4.5 - Stair and risers kept clear?
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4.7 - Lack of edge protection?
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4.8 - Are fall preventive measures in place and used where gaps occur in railings?
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4.9 - Are elevated surfaces (more than four feet above the floor) provided with guardrails and toe boards?
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4.12 - Loading area clean and tidy?
5.0 Hazardous Manual Tasks
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5.1 - Lack of assessment of hazardous manual tasks?
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5.2 - Inadequate risk controls? (Lifting equipment, lighter loads, PPE, etc...)
6.0 - Trash Removal
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6.1 - Bins located at suitable points around site?
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6.2 - Bins emptied regularly?
7.0 - Storage Design and Use
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7.1 - Materials stored in racks and bins wherever possible?
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7.3 - Storage designed to minimize lifting problems?
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7.4 - General condition of racks and pallets?
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7.5 - Floors around racking clear of trash?
8.0- Gas Cylinders
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8.1 - Are gas cylinders labeled and secured either to the wall, in a cage or to equipment?
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8.2 - Are empty gas cylinders also secured at top and bottom and labeled as empty?
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8.3 - Are fuel-gas cylinders and oxygen cylinders separated by distance or fire resistant barriers while in storage?
9.0 - Electrical Safety
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9.1 - GFCI outlets installed?
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9.2 - GFCI Outlets tested weekly and tests recorded?
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9.3 - Are multiple plug adapters in use?
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9.4 - Are there broken plugs, sockets or switches?
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9.5 - No power leads across walkways?
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9.6 - No frayed or damaged extension cords?
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9.7 - Do extension cords have a grounding conductor?
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9.8 - Are portable power tools in good condition, properly grounded and with undamaged cords?
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9.9 - Lack of lock-out/tag-out (LOTO) procedures for electrical equipment?
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9.10 - Are switch, receptacle and junction boxes provided with tight-fitting covers or plates?
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9.11 - Do electrical service panels have doors that can be closed?
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9.12 - Are service panels clear of combustible materials and other obstructions?
10.0 - Chemical Safety/HAZCOM Program
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10.1 - Material Safety Data Sheets (SDS) available?
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10.2 - Risk assessments completed for hazardous substances?
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10.3 - All containers labeled correctly?
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10.4 - If applicable, are special storage conditions followed?
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10.5 - If required, is PPE available and workers trained in its use?
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10.6 - Is adequate ventilation provided?
11.0 Ladders
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11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
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11.2 - Are ladders in good condition?
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11.3 - If used for electrical work are they non-conductive?
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11.4 - Used according to instructions?
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11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?
12.0 - First Aid
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12.1 - Are contents regularly checked?
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12.2 - Is there easy access to first aid kit?
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12.3 - Employees aware of location of first aid kit?
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12.4 - Are emergency numbers displayed?
13.0 - Lift Condition
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13.1 - Scheduled maintenance performed?
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13.2 - Daily inspections performed and documented?
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13.3 - If required is fall protection inspected daily?
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13.4 - Lack of or inadequate training for operators?
14.0 - Additional Safety Considerations
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14.1 - Lack of/or inadequate Site Safety Plan?
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14.2 - Company Safety Program binder location is known and documented by employees?
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14.3 - Is Personal Protective Equipment (PPE) provided as needed?
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14.4 - Is the PPE in good condition and are workers trained in its use and care?
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14.5 - Are workers trained in the use of all equipment and tools used by them, by a competent person?
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14.6 - Lack of/or inadequate amenities? (Toilets, wash area, lunch room, etc...)
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14.7 - Daily Job Hazard Analysis Forms current?
15.0 Traffic Management
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15.1 - Lack of/or inadequate Traffic Management Plan in place?
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15.2 - inadequate controls for TMP? (Physical barriers, bollards, speed limits, etc...)
Corrective Actions
Sign Off
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On site representative
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Auditor's signature
