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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Has the last inspection been reviewed?
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Are there no outstanding actions?
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Is there documentation of weekly safety talks? 1926.21
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Is there a PPE Assessment Policy on site? 1910.132
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Is the PPE Assessment Plan update as needed?
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Is there documentation on training of use and care of PPE
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Is there a current Emergency Action Plan on site? 1910.38
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Does the Emergency Action Plan designate certain employees for ensuring evacuation is complete, personnel are accounted for, and who shuts down pertinent equipment? 1910.38
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Does the plan address Rescue Operations? 1910.38
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Does the plan list two muster areas? 1910.38
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Are there documented drills? 1910.38
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Is there documented training on Emergency Action Plan? 1910.38
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Evacuation plan displayed and understood by all employees? 1910.38
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Is Emergency Action Plan updated annually?
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Is there a completed SPCC (Spill Prevention, Containment and Cleanup)<br>Policy in place as required?
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All electrical breakers properly identified ?
2. Fire Prevention. 1910.157
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Fire Extinguishers annually tested by outside vendor? 1910.157
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Are fire extinguishers inspected monthly? 1910.157
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Fire Extinguishers clear of obstructions? 1910.157
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Fire Extinguishers in place, clearly marked for type of fire? 1910.157
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Are employees annually trained on use of fire extinguishers with proper<br>documentation? 1910.157
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Indicator signs above extinguisher and clearly visible? 1910.157
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Adequate direction notices for fire exits? 1910.38
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Exit doors easily opened from inside? 1910.33-38
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Exits clear of obstructions? 1910.33
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Fire alarm system functioning correctly? 1910.165
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Is there a City of Memphis Hot Work Permit on site and current?
3. General Lighting
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Good natural lighting? 1915.82
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Reflected light from walls & ceilings not causing glare to employees?
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Light fittings clean and in good condition? 1915.82
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Emergency exit lighting operable? 1926.34
4. Building Safety
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Floor surfaces even and uncluttered 1910.22
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Entry and walkways kept clear? 1910.22
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Intersections kept clear of boxes etc? 1910.22
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Stair and risers kept clear? 1926.1050
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Are railings in good condition? 1926.1050
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Are fall preventive measures in place and used where gaps occur in railings? 1926,1050
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Are footpaths in good condition? 1910.22
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Furniture in sound condition?
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Loading area clean and tidy? 1910.22
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Do floor openings have adequate barricading able to support 250lbs? 1910.23
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Is general housekeeping in order? 1910.22
5. Work Benches
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Clear of rubbish? 1910.22
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Tools not in use kept in place?
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No damaged hand tools in use?
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No damaged power tools in use?
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Work height correct for the type of work and the employee?
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No sharp edges?
6. Rubbish Removal
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Bins located at suitable points around site? 1910.22
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Bins emptied regularly?
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Oily rags and combustible refuse in covered metal containers? 1926.252
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Is the Flammable Liquid cabinet free from stored material on top of and are the contents properly placed and secured?
7. Storage Design and Use
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Materials stored in racks and bins wherever possible? 1926.250
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Storage designed to minimize lifting problems? 1926.250
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General condition of racks and pallets? 1926.250
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Floors around racking clear of rubbish? 1926.250
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Are there signs posted displaying load limit for overhead storage? 1910.22
8. Machines
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Are machines kept clean? 1910.22
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Are the floors around the machines kept clean? 1910.22
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Are machine guards in good condition? 1910.243
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Are Starting and stopping devices within easy reach of operator?
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Waste/off cuts removed and stored safely? 1910.22
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Drip pans on floor to prevent spillage?
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Adequate work space?
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Is lighting adequate?
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Noise levels controlled?
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No bending or stooping required?
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Is there a PPE Assessment for use of machinery?
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Are lockout procedures implemented and followed? 1910.147
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Are gas bottles secured? 1926.350
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Does abrasive machinery have work rests/tongue guards in place? 1910.215
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Are machines properly anchored? 1910.212
9. Electrical Safety
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Safety switches installed? 1910.304
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No double adapters in use?
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No broken plugs, sockets or switches?
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No power leads across walkways?
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No frayed or damaged leads?
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Portable power tools in good condition?
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Are all junction boxes and fittings properly covered? 1910.305
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Are all cords properly grounded? 1910.304
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Are all electrical parts clear from ignitable material? 1910.304
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Are all unused openings in cabinets, boxes or fittings properly closed?
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Are cords being used for temporary electrical sources only?
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Are cords in a position so as to not create a strain on the cords?
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Is the electrical panel box clear from any obstruction?
10. Chemical Safety. 1910.1200
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SDS Binder complete with Table of Contents and in order?
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Safety Data Sheets available for all chemicals?
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Employees trained and documented on Haz-Com/GHS policy?
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All containers labelled correctly?
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Is there a Haz-Com Policy on site?
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If required is PPE available?
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Is adequate ventilation provided?
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Are eye washes and showers easily accessed?
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Are eye wash stations show current inspections?
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Is there documentation of test scores for required annual training?
11. Ladders
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Are all ladders Industrial strength? (Non Household rated, check label.). 1910.26
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Are ladders in good condition?
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If used for electrical work are they non conductive? (Wood or fibre glass.)
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Used according to instructions?
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For extension ladders are ropes, pulleys and treads in a good state of repair?
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Are ladders properly secured when not in use? 1926.105, 1926.1053
12. First Aid Facilities. 1910.151
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Are cabinets and contents clean and orderly?
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Are contents regularly checked?
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No contents past their expiry date?
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Cabinets clearly labelled?
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Is there easy access to cabinets?
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Employees aware of location of first aid cabinet?
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Are emergency numbers displayed?
13. Office Hazards
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Condition of filing cabinets?
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Condition of chairs? (Five star bases.)
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Desks in good condition? (No damage)
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Air conditioning systems regularly maintained?
14. Vehicle Condition 1926.601
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First aid kit supplied and adequate?
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Has a pre-trip inspection been completed prior to usage? 1926.601
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Are wheels properly chocked when vehicle not in use? 1926.601
15. Respiratory Protection. 1910.134
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Are employees required to wear respiratory protection?
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Is there documentation stating employee is fit to wear respiratory equipment?
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Is there documentation stating what type/brand/size respiratory equipment employees are certified to use?
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Are employees trained on proper care of respiratory equipment ?
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Is there a written respiratory program site specific for the location?
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Is the Respiratory Program updated annually?
16. Confined Space. 1910.146
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Is there a written confined space program?
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Is testing done for oxygen, explosive concentrations and toxicity performed prior to entry?
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Is there documented annual training for confined space employees?
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Is the Confined Space Policy updated annually?
17. Lock Out Tag Out. 1910.147
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Is there a written Lock Out Tag Out Program?
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Are employees annually trained with proper documentation?
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Does the program address each specific equipment on means for lock out?
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Does program address the removal of locks?
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Do employees have individual locks?
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Is the LOTO Policy updated annually?
18. Blood Borne Pathogens. 1910.1030
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Is there a written program for Blood Borne Pathogens?
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Have you identified and documented potential occupational exposures?
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Are all possible contaminated areas and equipment properly disinfected with documentation on means to?
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Are all employees trained on an annual basis with documentation?
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Is written plan reviewed and updated annually?
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Is there documented test scores for required annual training?
19. Postings
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Is the Tennessee Right To Know poster posted?
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Is the OSHA 300 Log posted between the months of February and April?
Other
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Any other findings, hazards or notations?