Audit

SAFETY PROGRAM MANAGEMENT
Unit Safety Representatives (USRs)

Are USRs appointed in writing?

Are USRs trained & documented?

Safety Briefings & Inspections

Are Supervisors and/or USRs conducting & documenting safety briefings?

Are Supervisors and/or USRs conducting & documenting periodic safety inspections?

Job Safety Training Guide (JSTG)

Is the JSTG developed and available?

Is the JSTG reviewed annually and documented?

Safety Training Documentation (tracked in ARCNET)

Are all Workcenter personnel loaded in ARCNET?

Is all job safety training documented in ARCNET?

Have all supervisors completed Supervisor Safety Training?

Have all personnel completed annual Fire Extinguisher training?

Are all personnel current on CPR training? (Annually for SCSP, every two years for others)

Have all personnel completed initial Hazard Communication (HAZCOM) training?

Have all personnel completed Ladder Safety training?

Personal Protective Equipment (PPE) available in the workcenter

Eye & Face Protection

Hand & Arm Protection

Head Protection

Hearing Protection

Foot & Leg Protection

Lockout/Tagout (LOTO)

Is there a written LOTO program in the workcenter?

Is there an annual inspection/performance of Energy Control Procedures?

Emergency Lights & Fire Extinguishers
Hoists/Cranes (SCSP & SCSV Only)

Does the attached ID tag include: annual inspection, load test, capacity, & ID number?

Is there a written training outline/plan?

Is the training outline reviewed annually?

Is a list of approved instructors retained on file?

Does the user maintain a record of all tests performed on hoists/cranes?

Are emergency lights tested monthly for 30 seconds and documented?

Are emergency lights tested annually for 90 minutes and documented?

Are fire extinguishers mounted, charged, and in working order?

Are fire extinguisher monthly inspections documented?

Safety Bulletin Board

Is AFVA 91-301 posted?

Is AF Form 457 (Hazard Reporting Form) available?

FACILITIES
Industrial Work Centers

Compressed Air Lines

Compressed Gas Cylinders

Hand Tools

Ladders

Machines firmly secured to floors, bases, or stands

Grinding Machines

Machine Guards

Hydraulic Floor Jacks - lubricated & inspected

HAZMAT

Are MSDSs availalble?

Are chemical inventories available in the workcenter?

Office Equipment

Are file drawers closed when not in use?

Is the area clear of trip hazards? (cords, etc.)

Are areas kept in a neat manner?

Circuit Breakers/Disconnects

Plainly marked?

Accessible?

Guarding Live Parts?

Electrical Cords

In good condition?

Extension cords NOT used as permanent wiring?

Workcenter free of multiple plug adapters?

Receptacles/Outlets/Switches

Workcenter free of broken, cracked, or missing receptacles/covers?

GFCI receptacles where required?

General Housekeeping

Are floors/walkways clean, free of oil, grease, water?

Are areas kept in a neat manner?

Are combustible materials NOT accumulating?

Are cabinets kept clear from stacked material?

Break Areas

Is the refrigerator used for food ONLY?

Emergency Shower & Eyewash Stations
Permanently Installed

Are monthly inspections documented?

Self-contained Units

Is fluid level checked monthly?

Is fluid replaced IAW manufacturer's instructions

If tap water is used, is fluid replaced monthly?

Is tag/label w/fluid change schedule available?

Other

Is the workcenter free of other safety concerns?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.