General Workplace Safety Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

Pre Visit Client Information Checklist

1. Active Employee List 2. Employees Receiving Checks 3. WC Certificates 4. AM Best LCM/BUG pulled and reviewed 5. Loss Run

• Has the business been verified by Sunbiz.org?

  Yes

  No

  N/A

• Have the Loss Runs been verified?

  Yes

  No

  N/A

• Has the Gross Payroll been verified?

  Yes

  No

  N/A

• Have the Workers Compensation Codes for the Active Employees been verified by job descriptions?

  Yes

  No

  N/A

• Has the active employee list been verified?

  Yes

  No

  N/A

1.0 Safety and Health Program

• Does the Client have and active safety and health program in operation that includes general safety and health elements as well as the management of hazards specific to their work site?

  Yes

  No

  N/A

• Is one person clearly responsible for the safety and health program?

  Yes

  No

  N/A

• Name of employee:

• Is there a safety committee made up of management and labor representatives that meet regularly?

  Yes

  No

  N/A

• Are the meetings and topics discussed recorded in writing?

  Yes

  No

  N/A

• Are employees advised of the efforts and accomplishments of the safety and health program made to ensure they will have a workplace that is safe and healthful?

  Yes

  No

  N/A

• Is there a procedure to handle in-house employee complaints regarding safety and health?

  Yes

  No

  N/A

2. Worksite General

• Are OSHA and State required posters displayed in a prominent location?

  Yes

  No

  N/A

• Are safety signs/warnings posted where appropriate?

  Yes

  No

  N/A

• Are emergency telephone numbers posted where they can be found readily?

  Yes

  No

  N/A

• Are emergency exit routes identified, unobstructed; adequately lighted; with illuminated exits signs clearly marked with the word 'EXIT' in letters not less than 6" high? 1910.37(a)(3); 1910.37(b)(1), 1910.37(b)(2); 1910.37(b)(6); 1910.37(b)(7)

  Yes

  No

  N/A

• Are all work areas clean and orderly? 1910.22(a)(1) 1910.141(a)(3)(i)

  Yes

  No

  N/A

• Are work areas adequately illuminated?

  Yes

  No

  N/A

• Are entries and walkways kept clear?

  Yes

  No

  N/A

• Are stairs kept clear and free of debris?

  Yes

  No

  N/A

• Are handrails and guard rails in place and secure?

  Yes

  No

  N/A

3. Medical Sevices/First Aid 1910.151

• Are First Aid Kits present? 1910.151(b)

  Yes

  No

  N/A

• Are they adequately stocked? 1910.151 App A; ANSI Z308.1-1998

  Yes

  No

  N/A

• Are employees aware of their location?

  Yes

  No

  N/A

• Is a blood borne pathogen plan in place? 1910.1030

  Yes

  No

  N/A

• Are any employees trained and certified in first aid? 1910.151(b)

  Yes

  No

  N/A

• Is the certification up to date?

  Yes

  No

  N/A

• Are eye wash stations available where corrosive liquids or materials are handled? CFR 1910.151(c)

  Yes

  No

  N/A

4. Health and Safety Training

• Have all new employees received safety orientation training?

  Yes

  No

  N/A

• Do all employees receive refresher training at least annually?

  Yes

  No

  N/A

• Is the training documented in writing?

  Yes

  No

  N/A

• Do employees participate in regularly scheduled safety meetings?

  Yes

  No

  N/A

• Select Yes No N/A

  • Yes
  • No
  • N/A

• Have employees been instructed to report all unsafe conditions, unsafe behaviors and defective equipment to management?<br>

  Yes

  No

  N/A

5. Fire Protection. 1910.155

• Are fire extinguishers provided in adequate number, type and are readily accessible? 1910.157

  Yes

  No

  N/A

• Are fire extinguishers properly charged?

  Yes

  No

  N/A

• Have they been recently serviced? (Check Tag) 1910.157(e)(1)

  Yes

  No

  N/A

• Are employees trained in the use of extinguishers and fire suppression upon initial employment and at least annually thereafter? 1910.157(g)(1);(2)

  Yes

  No

  N/A

• Is the training recorded?

  Yes

  No

  N/A

• Is there a fixed fire extinguishing system and audible alarm? 1910.160(b)(3)

  Yes

  No

  N/A

• Is it tested at least annually? 1910.160(b)(6)

  Yes

  No

  N/A

6. Personal Protective Equipment (PPE) CFR 1910.132

• Has the workplace been assessed to determine if hazards are present, or are likely to be present, that necessitate the use of PPE?

  Yes

  No

  N/A

• Is the required workplace hazard assessment that identifies the workplace evaluated; the person certifying the evaluation has been performed; and the dates of the hazard assessment, on file? CFR 1910.132(d)(2)

  Yes

  No

  N/A

• Have employees required to use PPE received training? CFR 1910.132(f)(1)

  Yes

  No

  N/A

• Is the training documented?

  Yes

  No

  N/A

• Does the documentation show that the employee understands When PPE is Necessary; what PPE is necessary; how to properly don, doff adjust and wear PPE; the limitations of PPE; and the proper care, maintenance, useful life and disposal of PPE? CFR 1910.132(f)(1)(i)-(v)

  Yes

  No

  N/A

7. Emergency Action Plan (EAP) 1910.38

• Is there an EAP?<br>

  Yes

  No

  N/A

• If there are more than 10 employees is it in writing? 1910.38(b)

  Yes

  No

  N/A

• Does the EAP contain the minimum elements described in 1910.38(c) (1-6)

  Yes

  No

  N/A

8. Ladders 1910.25 and 1910.26

• Are all ladders rated for industrial use; Type I or Type II?

  Yes

  No

  N/A

• Are all ladders in good working order?

  Yes

  No

  N/A

• If used for electrical work are ladders non conductive; i.e. wood or fiberglass?

  Yes

  No

  N/A

• Are ladders used according to instructions?

  Yes

  No

  N/A

• Do ladders extend at least 3' above all landings?

  Yes

  No

  N/A

• Are ladders tied off?

  Yes

  No

  N/A

• Are pulleys, ropes etc. on extension ladders in good shape?

  Yes

  No

  N/A

9. Powered Industrial Trucks (Forklifts) 1910.178

• Have all powered industrial truck operators completed the necessary training as stated under 1910.178(l)?

  Yes

  No

  N/A

• Is the training documented?

  Yes

  No

  N/A

• Are all powered industrial trucks examined at least daily prior to being placed in service? 1910.178(q)(7)

  Yes

  No

  N/A

• Are the inspections documented?

  Yes

  No

  N/A

• Are all nameplates and markings in in place and legible?1910.178(a)(6)

  Yes

  No

  N/A

• Are back up alarms working correctly?

  Yes

  No

  N/A

• Are seat belts installed and functioning correctly?

  Yes

  No

  N/A

Summary

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Corrective Actions

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