Title Page
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Conducted on
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Prepared by
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Location
Manufacturing Facilities
First Aid Facilities
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Are first aid cabinets and contents clean and orderly
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Are there any expired first aid items?
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Are first aid cabinets accessible and readily available?
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Are employees aware of the location of first aid cabinets?
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Are emergency numbers displayed?
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Are first aid cabinets inspected on a monthly basis?
Fire Prevention and Emergencies
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Is there an evacuation plan in place and understood by personnel?
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Are Exit doors easily opened from the inside?
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Are Exits clear of obstructions?
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Are Exits clearly marked?
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Are there adequate direction notices for evacuation exits?
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Are there extinguishers in place, clearly marked for the class of fire?
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Extinguishers recently serviced?
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Are extinghuishers clear of obstructions?
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Are extinguishers inspected monthly?
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Are extinguishers properly mounted and easily accessible?
Personal Protective Equipment (PPE)
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Is head protection worn correctly and where required?
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Is eye protection worn when required?
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Is hearing protection worn in designated areas?
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Are the correct forms of hand protection worn for the manual handling of materials?
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Is respiratory protection worn where dust, mist or fumes are present?
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Are respirators routinely maintained and stored appropriately?
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Are safety toed footwear worn by GENESYS personnel in the shop?
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Are visitors provided with and wearing hi-visibility vests while in the manufacturing areas?
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Are safety harnesses appropriately worn at height?
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Is there additional PPE used where required?
Housekeeping
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Are work benches clear of debris?
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Are tools not in use put away as to not create a tripping hazard?
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Are work surfaces height correct for the type of work and the employee?
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Are dumspters/trash containers located at suitable points in the shop?
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Is the shop generally orderly, with trash or waste materials disposed of correctly?
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Are waste containers emptied regularly?
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Are oily rags and combustible refuse disposed of in covered metal containers?
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Loading/delivery area(s) clean, free of tripping hazards?
Slips, trips and falls
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Are floor surfaces even and uncluttered?
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Are entry and walkways kept clear?
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Are walkways adequately and clearly marked?
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Are intersections kept clear of boxes and other tripping hazards?
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Are floor surfaces free of liquid spills?
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Are footpaths in good condition?
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Is all fall protection equipment visually inspected prior to use?
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Is all work above 4' done safely with fall preventive measures?
Manual Material Handling
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When possible, mechanical lifting devices (forklifts, hoists, cranes, and block and tackle) are used.
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Manual lifting and carrying devices (dollies, hand trucks, pry bars, and hooks) are available and in good condition.
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Heavy materials which must be lifted manually are stored off the ground, no lower than knee height.
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Heavy materials are stored where there is enough space to lift them safely without reaching or twisting.
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When possible, jobs are designed to minimize manual material handling?
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Workers have been trained in safe lifting techniques.
Hand and Power Tools
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Are there damaged hand tools in use?
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Are there damaged power tools in use?
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Are tool guards in place and operable?
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Are power cords in good condition?
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Are tools double insulated or have a ground plug?
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Are ground fault circuit interrupters in place that the source of electricity?
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Are defective pieces of equipment and tools red tagged and removed from services?
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Are tools stored correctly when not in use?
General Machinery
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Are there maintenance schedules in place for machines?
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Are relevant pre-start inspections being completed on machinery or equipment?
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Are machines maintained clean?
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Are machine guards in good condition?
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Where appropriate, are there drip pans on floors to prevent spillage?
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Are noise levels controled?
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Is there sufficient room to use all machines safely?
Ladders
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Are ladders inspected monthly?
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For extension ladders: are ropes, pulleys, and treads in good condition?
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If observed, are ladders being used according to instructions?
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Are there any loose steps/rungs?
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Are there any damages, worn or missing non-slip bases?
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Is there oil, grease, or any other slippery material on steps/rungs?
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Are there dents or bends in ladders rails or steps/rungs?
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Are there cracked, split/broken uprights, steps/rungs?
Electrical Safety
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Are there broken plugs, sockets or switches?
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Are there power leads across walkways?
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Are there any frayed or damaged leads?
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Are leads under strain?
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Where required are there emergency shut-down procedures in place?
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Are lockout/tagout procedures in place?
Hazard Communication and Chemical Safety
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Are safety data sheets (SDSs) readily available and accessible to workers?
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Are all containers labeled correctly?
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Are workers trained in the use of of hazardous substances?
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Is adequate ventilation provided?
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Are there eye washes and showers available and easily accessible?
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Are there spill kits or other clean up arrangements available?
Incident, injury and emergency procedures
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Are employees familiar with incident reporting and emergency procedures?
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Post incident corrective actions implemented?
Employee Facilties
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Are facilities kept clean and sanitary?
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Are facilities in good repair?
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Are hand washing facilities available?
Sign Off
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Name and Signature of Auditing Party
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Date and time