Information

  • Audit Title

  • Document No.

  • Prepared by

  • Client / Site

  • Conducted on

Red Tag Area

  • Is there an established Red Tag area?

  • All items have been dispositioned within 1 month

  • Items are organized and accessible

  • The area is clean (no oil spills, dirt, broken pallets, etc.)

  • The Red Tag SOP is displayed in the area and tags are available for use

  • Red Tag SOP is being followed, all items have a completely filled out red tag attached to them

Cleaning (oil leaks, electrical cabinets, resin spills, purgings, floors, cleaning stations)

  • Dirt/Grime/Rust/Calcium/Salt build up has been removed from the equipment

  • Corrected on

  • Dock areas are clear and free of debris

  • Corrected on

  • Equipment is free of oil leaks

  • Corrected on

  • Exits/Interior exit routes/Exterior exit routes are clear of debris

  • Corrected on

  • Floors are clean, dry and organized (floor dry is only used as a temporary solution)

  • Corrected on

  • Half used tape rolls/fittings/twine are reasonably picked up and disposed

  • Corrected on

  • Overhead doors are free of debris

  • Corrected on

  • Purgings are picked up in an appropriate time frame and stored properly

  • Corrected on

  • Resin spills are swept up/contained(no open drains), Striper hose is not leaking

  • Corrected on

  • Scrap wood/Conduit/Misc. items have been removed from corners/window ledges/tops of cabinets

  • Corrected on

Documentation (Training/Audits/Certifications/Team members)

  • 6S team members have been identified

  • Corrected on

  • Annual training is completed for all employees

  • Corrected on

  • CO monitoring and Crane/Hoist/Winch - Certification

  • Corrected on

  • LOTO training is current

  • Corrected on

  • Monthly 6S audits are being conducted and saved

  • Corrected on

  • Safety/5S training is completed for new employees

  • Corrected on

  • Tool box talks/Safety meeting documentation is saved

  • Corrected on

Electrical

  • All electrical cords/leads/outlets are in good condition

  • Corrected on

  • All strain reliefs/electrical connections are adequately installed/tightened

  • Corrected on

  • Ceramic covers are being used on heater bands

  • Corrected on

  • Conduit is straight and not damaged

  • Corrected on

  • Cord drops are installed where needed

  • Corrected on

  • Electrical boxes/transformers are securely fastened

  • Corrected on

  • Electrical cabinets are clear/free of debris/have safe clearance around them

  • Corrected on

  • Electrical doors are closed and all breakers are labeled

  • Corrected on

  • Emergency lighting/exit signs/dock lights are in working order and adequately placed

  • Corrected on

  • Exposed wire nuts/bare wires/heater studs/missing knockouts are not present

  • Corrected on

  • Extension cords are 12 gauge or larger and used for temporary use only

  • Corrected on

  • Perforator interlocks are installed/functioning properly

  • Corrected on

  • SAF starts are installed where needed

  • Corrected on

Employee health (PPE/Environmental)

  • Adequate shaded areas and fresh water is provided

  • Corrected on

  • Cold weather/Cut resistant/Insulated rubber/Heat resistant gloves are available

  • Corrected on

  • Ear plugs/muffs are available and being worn

  • Corrected on

  • Face shields/Welding hoods are available and being worn

  • Corrected on

  • Location for heat gloves/purging PPE is clear

  • Corrected on

  • Location for personal items has been identified (Water bottles, coats, etc.)

  • Corrected on

  • Proper clothing/footwear is worn and enforced

  • Corrected on

  • Proper lifting techniques are observed

  • Corrected on

  • Purging hoods/jackets are available and worn

  • Corrected on

  • Rain gear is available

  • Corrected on

  • Restrooms are adequate and nearby

  • Corrected on

  • Safety knives are available and used

  • Corrected on

  • Safety Glasses/Safety vests/Hi-vis shirts are available and being worn

  • Corrected on

Equipment (Guards/Compactors)

  • Bag/Trash/Cardboard compactors are functioning properly

  • Corrected on

  • Bandsaw guarding is adequate/adjusted correctly per part

  • Corrected on

  • Bench grinder tongue guard/tool rest is adjusted properly - 1/8"

  • Corrected on

  • Bench grinder wheel has been ring tested/replaced yearly

  • Corrected on

  • Bench grinders/Drill presses are adequately guarded and securely fastened

  • Corrected on

  • Corrugator/Extruder drive motor, gear box guarding is adequate

  • Corrected on

  • Guarding on auxiliary equipment is adequate

  • Corrected on

  • Melt pump/Screen changer guarding is adequate

  • Corrected on

  • Perforator/Coiler guarding is adequate

  • Corrected on

  • Purging guard is in place, adequate and being used

  • Corrected on

  • Spare/Extra equipment is stored properly in their designated location

  • Corrected on

  • Waterbath/Haul-off/Pulling wheels guarding is adequate

  • Corrected on

Flammables/Fire safety/First aid

  • Accident investigation forms/procedures are posted and current

  • Corrected on

  • Acetylene and Oxygen tanks are properly secured/stored 25' apart

  • Corrected on

  • All flammable items are stored in cabinets/containers (Spray paint, gasket spray, rags, etc.)

  • Corrected on

  • Evacuation plan/meeting place for emergencies is understood/posted/adequate

  • Corrected on

  • Eye wash station and sharps container are available and current

  • Corrected on

  • Fire extinguisher checklist is being filled out

  • Corrected on

  • Fire extinguishers have been inspected monthly/annually

  • Corrected on

  • Fire extinguishers are present/current and adequately placed (including a Class "C" extinguisher in MCC room

  • Corrected on

  • First aid kits/blood borne kits/extra bio hazard bags are available and adequate

  • Corrected on

  • First aid tracking is being completed

  • Corrected on

  • Flammable cabinets have been installed

  • Corrected on

  • Fuel tank berming is adequate and protected against damage

  • Corrected on

  • GHS/HAZ COM chemicals are communicated

  • Corrected on

  • Heaters are free of flammable items nearby

  • Corrected on

  • Liquid propane tanks are stored properly

  • Corrected on

  • Oil is stored in an adequate area with adequate spill containment for bulk oil

  • Corrected on

  • Plant address/Poison control numbers/911 numbers (hospital, fire and police) are posted

  • Corrected on

Fleet Equipment (Forklifts/Trucks/Pickups/Trailers)

  • All forklift operators are certified

  • Corrected on

  • All vehicles/forklifts are parked properly and in adequate areas

  • Corrected on

  • Forklift attachments/masts are adequate/not bent/free of cracks/defects

  • Corrected on

  • Forklift training records and checklists are saved

  • Corrected on

  • Forklifts/trailers/trucks/pickups tires appear to be in good condition

  • Corrected on

  • Forklift/truck/pickups glass is clean/clear/free of breaks/cracks

  • Corrected on

  • Lanes are adequate width for loading/traffic flow

  • Corrected on

  • Lights/brake lights/flashers/horns are functional

  • Corrected on

  • Liquid propane tank alignment pin is ok and tank is secured properly

  • Corrected on

  • Safety chains are present on trailers where needed

  • Corrected on

  • Seats/seat belts are in good condition and functional

  • Corrected on

  • Trailer jacks/wheel chocks are available and used for docked vans

  • Corrected on

General (Tools/Brooms/Inventory/Air wands)

  • Air wands/hoses are approved

  • Corrected on

  • All doors are functional

  • Corrected on

  • Brooms/shovels/garbage cans/ladders are in their place

  • Corrected on

  • Brooms/shovels/hand tools have factory handles that are not broken/modified

  • Corrected on

  • Center cores are stacked neatly and not scattered

  • Corrected on

  • Cleaning stations are adequately placed (easy to locate) and have a consistent layout (same tool same spot)

  • Corrected on

  • Dust and drainage is controlled adequately

  • Corrected on

  • Extra pallets/boxes/unused sock rolls have been put away in their assigned location

  • Corrected on

  • Fittings area is reasonably organized and labeled

  • Corrected on

  • Garbage cans have a handle and are on a dolly or have wheels (no 55 gallon barrels)

  • Corrected on

  • Lifting straps/lifting chains are in good condition and have inspection tag attached

  • Corrected on

  • Loose hardware/straps/chains/un-used hand tools have been picked up

  • Corrected on

  • Obsolete items/un-used equipment have been moved to the red tag area

  • Corrected on

  • Pipe is reasonably and safely stacked

  • Corrected on

  • Ratchet straps/Chains are in good working order with no defects

  • Corrected on

  • Spare parts are organized/labeled in cabinets or on shelves

  • Corrected on

Mobile stairs/Stairways/Handrails/Walkways/Racking

  • All handrails are adequate (corrugator, mezzanine storage) and secure (200#)

  • Corrected on

  • Designated walkways/stairways are clear of debris/unobstructed/clearly marked

  • Corrected on

  • Items stored on mezzanines/pallet racking is secure/stacked straight

  • Corrected on

  • Mezzanine storage/Steel racks/Pallet racking is labeled with 3" x 5" load limits

  • Corrected on

  • Mobile stairs are in good condition/straight/unmodified and available

  • Corrected on

  • Pallet racking/Steel racking is anchored properly and are sufficient to hold current load

  • Corrected on

  • Stairways meet OSHA standards

  • Corrected on

  • Tie down ladders are available for rack trailers

  • Corrected on

Visual controls (Signage/SOP's/Procedures/LOTO)

  • Exit signs are adequately placed

  • Corrected on

  • Fuel tanks have adequate signage

  • Corrected on

  • Kanban is being used/replenished for inventory items (screens, tape, fittings, etc.)

  • Corrected on

  • Ladder inspection SOP's are next to all ladders

  • Corrected on

  • Location of hand tools/cleaning supplies are visible (color coding, shadow boards, etc.)

  • Corrected on

  • Location for spare equipment has been identified (sock tubes, perforators, string stands, etc.)

  • Corrected on

  • LOTO is being followed per tracking log

  • Corrected on

  • LOTO materials are available/adequate/current

  • Corrected on

  • LOTO procedures are adequate/accurate/posted on or near all equipment

  • Corrected on

  • OSHA posters are posted and current

  • Corrected on

  • Purging chains and signs are installed and used

  • Corrected on

  • SDS book is available and adequate

  • Corrected on

  • Sharps log is present

  • Corrected on

  • Signage is clearly posted for customers

  • Corrected on

  • Site map is complete and adequate

  • Corrected on

  • Speed limits are posted and followed

  • Corrected on

  • Zones are color coded (including tools, garbage cans, etc.)

  • Corrected on

Completion date

  • Expected completion date for "At Risk and Repeat" items

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.