Title Page

  • Facility/Area

  • StampZone

  • Audit Month

  • Audit Year

  • Audit Date

  • Auditor's Name

  • INSTRUCTIONS
    _______________

    1. Please answer all the questions below.
    2. Add Photos in "Images" and Comments in "Notes" on each question.
    3. Add a Corrective Measure in "Action" Provide a description, assign to a member, set priority, and due date
    4. Complete the audit by providing a digital signature
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

Monthly Safety Inspections Checklist

  • A1. PPE : Are safety glasses with side shields being worn by all employees?

  • A2. PPE : Is PPE stored in convenient locations near the hazardous functions in an accessible manner?

  • A3. PPE : Are safety toed shoes being worn by all employees on the shop floor?

  • A4. PPE : Is hearing protection being worn in all required areas?

  • A5. PPE : Are gloves being worn in potential hand injury areas?

  • A6. PPE : Are flame resistant coats, chaps, spats and other associated being worn by welders?

  • A7. PPE : Is long hair tied back and jewelry removed around rotating equipment?

  • A8. PPE : Are protective sleeves being worn in areas prone to forearm, wrist and elbow lacerations?

  • A9. PPE : Are face shields being used in conjunction with safety glasses when grinding is being performed?

  • B1. Plant Hazards : Is each work area adequately lighted?

  • B2. Plant Hazards : Where compressed air is used for cleaning, are the appropriate nozzles being used (30 psi)?

  • B3. Plant Hazards : Are floor mats clean and in good repair/condition?

  • B4. Plant Hazards : Where floor grating is used, is it level?

  • B5. Plant Hazards : Are barricades being utilized where maintenance and/or construction work is being performed?

  • B6. Plant Hazards : Are materials being stored properly?

  • B7. Plant Hazards : In assembly areas, are test stand lights working properly?

  • B8. Plant Hazards : Do electrical panels have proper 36" clearance?

  • B9. Plant Hazards : Are extension cords only being used for short term use?

  • B10. Plant Hazards : Are exits clear (inside/outside)?

  • B11. Plant Hazards : Are exit lights working properly?

  • B12. Plant Hazards : Is each work area adequately ventilated?

  • B13. Plant Hazards : Is racking in good condition, not overloaded, anchored, load beams pinned and capacity posted?

  • B14. Plant Hazards : Do fire suppression system sprinklers have at least 18" of clearance?

  • B15. Plant Hazards : Are workers situated such that they avoid injury relatively to machinery and process?

  • B16. Plant Hazards : Are the floors, aisles/walkways and steps/stairs free of tripping hazards?

  • B17. Plant Hazards : Are combustible materials not being stored under steps/stairs?

  • B18. Plant Hazards : Is the facility free of live electrical hazards?

  • B19. Plant Hazards : Are all electrical cords, plugs and covers free from damage and in good working order?

  • B20. Plant Hazards : Are machine guards in place?

  • B21. Plant Hazards : Are confined space areas identified and posted?

  • C1. Fire Extinguishers : Are fire extinguishers readily accessible, unblocked (36" square clearance) and in sight?

  • C2. Fire Extinguishers : Are fire extinguishers securely mounted or in an unlocked cabinet?

  • C3. Fire Extinguishers : Is there signage and other identifiers in red indicating the location of the extinguishers?

  • C4. Fire Extinguishers : Are operating instructions clearly legible and located on the front of the extinguishers?

  • C5. Fire Extinguishers : Are pressure gauges reading in operable range?

  • C6. Fire Extinguishers : Are the pins and tamper seals intact?

  • C7. Fire Extinguishers : Are the extinguishers in good condition - no corrosion, pitting or cylinder damage?

  • C8. Fire Extinguishers : Have the annual maintenance checks been performed and recorded?

  • C9. Fire Extinguishers : Have the extinguishers been inspected within the last 30 day?

  • D1. Weld Areas : Are only authorized and trained employees permitted to use welding, cutting or brazing equipment?

  • D2. Weld Areas : Appropriate (and dry) PPE worn: eye, ear, and body?

  • D3. Weld Areas : Are the work return leads connected to the work piece?

  • D4. Weld Areas : Are cables together, without worn/damaged insulation, protected and connected properly?

  • D5. Weld Areas : Area welders using local exhaust system?

  • D6. Weld Areas : Are gas cylinders secure, inspected and connected properly?

  • D7. Weld Areas : Is work stable and within reach?

  • D8. Weld Areas : Is the area clean, traffic areas clear, no clutter, no standing water, no flammable or combustible material in the area?

  • D9. Weld Areas : Are protective screens in place to protect others?

  • E1. Hazardous Chemicals : Are adequate engineering and protective steps taken to protect employees from chemical exposure hazards? (handling of chemicals during production, or exposure from spills/leaks)

  • E2. Hazardous Chemicals : Is proper PPE being worn by employees involved in the handling of hazardous chemicals?

  • E3. Hazardous Chemicals : Are decontamination procedures being utilized by employees involved in the use of chemicals prior to removing PPE?

  • E4. Hazardous Chemicals : Are workers nearby aware of the content of chemical systems and are operating procedures readily available?

  • E5. Hazardous Chemicals : Is there a safety data sheet readily available for each hazardous substance used or accessed to Fortis via a computer in the area of use?

  • E6. Hazardous Chemicals : Are all containers labeled, tagged or marked as to their contents? (e.g. vats, storage tanks, drums, bottles)

  • E7. Hazardous Chemicals : If hazardous waste is stored, are all hazardous waste requirements complied with?

  • E8. Hazardous Chemicals : Are provisions made for secondary containment of chemicals should a container become punctured and/or damaged?

  • E9. Hazardous Chemicals : Are provisions made to dam, dike, divert a chemical spill/leak from storm sewers?

  • E10. Hazardous Chemicals : Are spill kits stocked, identified and readily available for use should a spill occur?

  • E11. Hazardous Chemicals : Are chemicals stored in an orderly fashion and protected from damage to forklift and other motorized vehicle activity?

  • F1. Compressed Gas Cylinders : Are cylinders stored upright, secured and in a dry, cool area?

  • F2. Compressed Gas Cylinders : Are cylinders stored away from electrical connections, flames, sources of ignition and flammable/combustible substances?

  • F3. Compressed Gas Cylinders : Are acetylene and propane gas cylinders separated from oxygen by at least 20 feet or by a fire resistant partition when in storage?

  • F4. Compressed Gas Cylinders : Are all compressed gas cylinder valve covers in place when the cylinders are not in use?

  • F5. Compressed Gas Cylinders : Are all compressed gas cylinders labels clear and legible?

  • F6. Compressed Gas Cylinders : Are all compressed gas cylinders free from visual defects?

  • F7. Compressed Gas Cylinders : Are compressed gas cylinders moved by a suitable hand truck?

Additional Details

  • General Comments/Recommendations

Completion

  • Completed by:

  • Signature:

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