Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 - Location Being Inspected
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Office
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Zone (If Applicable)
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1.1 - Has the last Monthly Workplace EHS Compliance Checklist been reviewed?
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1.2 - Are there NO outstanding Actions?
2.0 - Fire Prevention
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2.1 - Extinguishers maintained in their correct locations and clearly marked for type of fire?
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2.2 - Are all portable fire extinguishers recharged regularly and inspection tags marked up accordingly?
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2.3 - Extinguishers clear of obstructions?
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2.4 - Exit doors easily opened from inside? (Open at least two fire doors during walk round.)
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2.5 - Exits clear of obstructions?
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2.6 - Fire alarm system tested weekly and records available?
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2.7 - Emergency Lighting tested monthly and records available?
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2.8 - Have the Fire Prevention and Emergency Action plans been communicated to all staff and do they know their roles and responsibilities?
3.0 - Waste Management
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3.1 - Is all waste being collected regularly from offices and kitchen break out areas?
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3.2 - Is adequate Personal Protective Equipment (PPE) being worn for waste collection and procedures followed for collection and handling of any Hazardous Waste e.g. chemicals, sharps etc.?
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3.3 - Are all waste transfer and consignment notes retained and filed correctly in the GSH Log Book?
4.0 - Electrical Safety
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4.1 - Are electricians familiar with the OSHA electrical code?
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4.2 - Are contractors aware of their responsibility for compliance with all OSHA rules related to any contract work being carried out?
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4.3 - Are walkways free of power leads or trailing cables?
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4.4 - Do extension power leads have a grounding conductor?
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4.5 - Have all other electrical hazards been identified?
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4.6 - Are electrical appliances such as vacuum cleaners, polishers and vending machines grounded?
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4.7 - Are Ground Fault Circuit Interruptors (GFCI's) installed on each temporary 15 or 20 ampere, 120 volt AC circuit at locations where construction, demolition, modifications, alterations or excavations are being performed?
5.0 - Chemical Safety (Hazard Communication)
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5.1 - Is there an inventory (List) of hazardous substances present for the site?
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5.2 - Are employees and other employers (Contractors) informed of hazardous substances on site?
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5.3 - Material Safety Data Sheets (MSDS) available for all chemicals on site and records available?
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5.4 - Are hazardous substance containers labelled with product identity and suitable hazard warning?
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5.5 - Adequate Personal Protective Equipment (PPE) available and being used when using chemicals? (E.g. Goggles, gloves and protective aprons.)
6.0 - First Aid Facilities
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6.1 - Are First Aid rooms clean and orderly?
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6.2 - Is there easy access to First Aid kits in an emergency?
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6.3 - Are First Aiders accessible and are their emergency contact details posted around site?
7.0 - Visitor / Contractor (Vendor) Management
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7.1 - Are all visitors and contractors signing into the GSH Log Book on site? (Reconcile records with visitors and contractors present on site.)
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7.2 - Is there site safety and guidance available for visitors and contractors?
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7.3 - Are site visitor and contractor records being kept?
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7.4 - Health and Safety information regarding hazards including hazardous substances, provided to visiting contractors?
8.0 - Accident Reporting
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8.1 - Have all accidents and incidents (Near Miss) been recorded on an OSHA 200 form?
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8.2 - Is there a process for retention of OSHA 200 forms and First Report of Injury Form 101, for minimum of 5 years?
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8.3 - All accidents that are notifiable to OSHA have been reported to the local OSHA area office or on telephone 1-800-321-6742 e.g. Inpatient Hospitalisation, Amputation or Eye loss, as required? (This should be carried out in conjunction with the EHS Manager.)
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8.4 - Have all accident details been collated and sent to the EHS Manager on a monthly basis?
9.0 - Environmental Health and Safety Documentation
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9.1 - Is the required OSHA safety poster displayed along with other notices e.g. OSHA 300 Log Summary, Safety Committee meeting minutes, Citations etc.?
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9.2 - Are Emergency Telephone numbers posted where they can be readily used in emergency?
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9.1 - Is a GSH Log Book system in use on site?
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9.2 - Are all reports and documentation filed correctly and cross referenced to other locations and files as appropriate?
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9.3 - Is all supporting documentation available such as:<br> Site asset list <br>Planned Maintenance schedule <br>Contract schedule <br>GSH and Client Contact details?
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9.6 - Are the requirements of the Injury & Illness Prevention Program or equivalent Safety & Health Management system being followed?
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9.4 - Are risk assessments being completed and available for all activities? (Verify 5 at random.)
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9.5 - Asbestos Register and Management Plan available for site (If required.) and information being passed onto staff and contractors who may be affected by asbestos?
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9.7 - Water temperatures (Outlet (Faucet) & Storage) being tested and other control measures being completed in accordance with the Water Risk Assessment and records available?
10.0 - Other EHS issues (Include reports, other documents, photos or drawings)
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Add media
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Add drawing
Sign Off
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Site Manager
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FM Coordinator
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Select date
