Title Page
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Client / Site
Certificates
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Crane/Hoist/Winch
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Co monitoring
Checklists
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Forklift
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Extinguishers
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Ladder inspection
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Monthly Plant/Yard Audit
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First Aid Tracking - Number for Tracking
Other Administrative Documents - Office
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LOTO Training Current
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Site Map Complete and Adequate
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Safety Committee Documentation
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Tool Box Talk Documentation
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Evacuation Plan posted and Adequate
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Exits and Exit Routes Free of Debris
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GHS/HAZ Com chemicals communicated
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Safety Training Completed for New Employees
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Annual training completed for all employees
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Blood borne kit available and Adequate
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First Aid kit available and Adequate
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Extra bio hazard bags available
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Forklift training records
Plant Administration
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First Aid kits available and Adequate
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First Aid Tracking completed
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SDS book available and Adequate
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Plant location and address posted
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911 numbers posted (Hospital, Fire, Police)
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Poison control numbers posted
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OSHA Posters posted and Current
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Evacuation Plan posted and Adequate
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Accident procedure posted
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Accident investigation forms available
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Blood Borne kit available and Adequate
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Sharps container available and convenient
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Sharps log present
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Eye wash stations installed and current
Plant PPE
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Safety knives used when possible
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Ear plugs/muff available and worn
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Safety glasses available and worn
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Face shields available and worn
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Welding hoods available
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Heat resistant gloves available and worn
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Purging jackets available and worn
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Purging hoods available and worn
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Cut resistant gloves available and worn
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Proper clothing worn/enforced
Plant Housekeeping/Fire Safety/Exits
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Floors clean, dry, organized
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All doors are functional
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Exits clear of debris
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Exit Routes clear of debris
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Exterior exit routes clear of debris
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Designated walkways clear of debris
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Emergency lighting adequately placed
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Emergency lighting in working order
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Exit signs adequately placed
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Exit signs working properly
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Overhead doors free of debris
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Fire extinguishers adequately placed
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Fire extinguishers inspected annually
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Fire extinguishers inspected monthly
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Flammable rags kept in proper container
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Flammable cabinets installed and used
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Heaters free of flammable items nearby
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Unused equipment properly stored
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Other equipment properly stored/mounted
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Pallets stacked straight
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Twine and sock stacked properly
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Pallet racking anchored properly
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Pallet racking posted with load limits
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Items on pallet racking safely stored
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Purgings picked up and stored properly
Plant Electrical
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Electrical doors closed
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Electrical cabinets clear of debris
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Safe electrical clearance
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All breakers labeled properly
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No exposed wires present
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All wires are in good condition (no bare wires)
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All electrical connections are tight
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All knockout plugs in electrical boxes are present
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All electrical cords/leads in good condition
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12 gauge or larger extension cords
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Class C fire extinguisher present in MCC room
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Wire nuts or heater studs are not exposed
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All strain reliefs adequately installed
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Ceramic covers being used on heater bands
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Transformers are securely fastened
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Electrical boxes are securely fastened
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Cord drops installed where needed
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Extension cords used only as temporary
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Outlets in good condition
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Conduit straight and not damaged
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Perforator interlocks installed
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Perforator interlocks properly functioning
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SAF starts installed where needed
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LOTO procedures posted on or near all equipment
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LOTO procedures adequate and accurate
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LOTO being followed per tracking log
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LOTO materials available and Adequate
Plant Machine guarding
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Extruder gear box guarding adequate
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Extruder drive motor guarding adequate
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Screen changer guarding adequate
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Melt pump guarding adequate
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Purging guard in place and Adequate
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Purging guard being used
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Purging chains and signs installed and used
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Corrugator gearbox guarding adequate
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Corrugator track guarding adequate
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Corrugator handrails adequate if applicable
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Corrugator upstream guarding adequate
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Corrugator downstream guarding adequate
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Water bath guarding adequate
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Haul-off/pulling wheels guarding adequate
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Perforator guarding adequate
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Drill presses have chuck guards adequate
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Drill presses securely anchored
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Bandsaw guarding adequate
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Bandsaw guards adjusted correctly per part
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Bench grinders securely anchored
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Bench grinder tongue guard within 1/4"
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Bench grinder tool rest within 1/8"
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Bench grinder wheel ring tested
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Coiler guarding adequate
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Striper hose in good working order no leaks
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Guarding on auxiliary equipment is adequate
Plant GHS
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Extruder free of oil leaks
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Corrugators free of oil leaks
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Resin spills contained (no open drains)
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Perforator free of oil leaks
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Vacuum pumps free of oil leaks
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Oil stored in adequate area
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All flammables stored in cabinets
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Spill containment for bulk oil
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Extra acetylene and oxygen tanks stored 25' apart
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Acetylene and oxygen properly secured
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Liquid propane tanks stored properly
Plant Mezzanine/Stairs
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Mezzanine storage labeled with 3x5" limits
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Mezzanine storage has adequate handrails
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Items stored on mezzanine are secure
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All other handrails are adequate
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Stairways meet OSHA standards
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Stairways are clear and unobstructed
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Handrails on stairways are secure (200#)
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Mobile stairs are in good condition/straight
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Mobile stairs have not been modified
Plant Forklift
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Seat belt installed and functional
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Seat is in factory condition
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Lights, break lights, flashers functional
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Horn functional
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Liquid propane tank (if LP) secured properly
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Liquid propane tank (if LP) alignment pin ok
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Forklift parked properly (break engauged, forks down)
Plant Miscellaneous items
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Bag compactor functioning properly
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Trash compactor functioning properly
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Cardboard compactor functioning properly
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Steel racks properly anchored (1 per leg)
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Steel racks labeled with 3x5" load rating
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Steel racks sufficient to hold current load
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Air wands/hoses are approved
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Brooms/Shovels have factory handles
Extra credit Opportunities
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Convex mirrors installed on blinder corners
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Forklift traffic signs
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Clearly marked walkways
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Extra efforts to protect property (list in notes)
Yard PPE
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Ear plugs/muffs available
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Proper footwear (observed)
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Safety vests or Hi-Vis shirts being worn
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Safety glasses being worn
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Rain gear available
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Safety knives available and used
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Cut resistant gloves available
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Cold weather gloves available
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Insulated rubber gloves for fueling provided
Yard forklift
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First Aid Kits Available And Adequate
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Windows are free of cracks/breaks
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Windows are clean and clear
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Fire extinguisher present and current
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Lights, brake lights, flashers functional
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Mast is free of defects, cracks or damage
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Seat belts installed and functional
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Operating speed is adequate
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All operators are certified
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Forklifts properly parked
Yard proper handling procedures/misc
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Proper lifting techniques (observed)
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Tie down ladders available and used for vans
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Mobile steps available and used for vans
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Wheel chocks available and used
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Trailer jacks available for docked vans
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Trailer jacks being used for docked vans
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Dock areas clean and free of debris
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Dock lighting is adequate and functional
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Drainage is controlled adequately
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Ratchet straps function properly
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Straps are undamaged - good working order
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Pipe is reasonably and safely stacked
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Lanes are adequate width for loading
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Lanes are adequate width for traffic flow
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Forklift attachments are adequate
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Forklift attachments are not bent
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Forklift attachments are free of cracks/defects
Yard housekeeping
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Twine is reasonably picked up and disposed
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All vehicles are parked in adequate areas
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Proper dust control measures in place
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Fittings area reasonably organized
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Center cores are neatly stacked
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Center cores are not scattered throughout
Yard environmental
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Signage clearly posted for customers
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Speed limits posted and followed
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Fuel tank berming is adequate
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Fuel tanks are protected against damage
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Fuel tanks have adequate signage
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Meeting place for emergencies is understood
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Adequate and fresh water is provided
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Restrooms are adequate and nearby
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Adequate shaded area available for breaks
Yard trucks/trailers/other yard vehicles
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Truck windshields are free of cracks
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Pickup windshields are free of cracks
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Truck lights appear to be in good condition
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Pickup lights appear to be in good condition
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Trailer lights appear to be in good condition
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Safety chains present on slant undercarriage
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Truck tires appear to be in good condition
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Trailer tires appear to be in good condition
Other
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No miscellaneous safety infractions present
