Information
-
Taking The High Road To Safety Audit
-
Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel Involved:
-
You are auditing to OSHA, MSHA, DOT, EPA, and L&H HSET & DOT Standards!
-
Housekeeping:
-
Meets Standard:
-
Does not meet standard:
-
Describe what does not meet the Housekeeping Standard:
-
Add media
-
were all welding screens in place so no arc could be seen?
-
Add media
-
Was cord management in place and being followed?
-
Add media
-
PPE
-
Were all employees wearing the correct PPE for the job?
-
If not describe why and what?
-
Were employees wearing gloves at all time unless they created a greater hazard by wearing them?
-
Were PAPR hoods in use?
-
PPE in use:
-
Permitted Confined Space:
-
Did you encounter confined space work? If so will out below if not move to next section.
-
Was there a permit in use?
-
Was there an attendant? IF NOT THEN PULL EMPLOYEE FROM CONFINED SPACE AND FIND AREA MANAGER?
-
Was a gas meter in use?
-
Picture of permitted confined space:
-
Cranes & Rigging:
-
Was the crane being used in a safe manner?
-
If not what was wrong?
-
Was there anything wrong with the crane?
-
If not what is wrong with the crane?
-
Picture of the issue:
-
Was a tag line being used?
-
Was rigging being used?
-
Was it the right rigging for the lift?
-
Had it been inspected prior to use?
-
Were there any deficiency found in inspection?
-
Were all safety latches in good working order?
-
Was rigging protected from sharp edges?
-
If not why, and what did you do to protect it?
-
Rigging pictures:
-
OSHA & MSHA Violations of Rules and Regulations: (check if something was found for each area)
-
If any violations is or has the potential to be life threating, you must tag out the violations and report it to the Area Manager immediately.
-
Walking/Working Surface
-
Location of violation:
-
Violations:
-
Pictures of the violation:
-
Exit Routes/Emergency Action Plans/Fire extinguishers/Fire Prevention Plan:
-
Location of the violation:
-
Violations:
-
Pictures of the violation:
-
Hazcom
-
Location of the violations:
-
violations:
-
Pictures of the violation:
-
Compressed Gas/Welding/Cutting/Grinding:
-
Location of the violations:
-
Violations:
-
Pictures of the violation:
-
Material Handling & Storage:
-
Location of the violations:
-
Violations:
-
Pictures of the violation:
-
Machinery Guarding:
-
Location of the violations:
-
Violations:
-
Pictures of the violation:
-
Hand & Powered Tools
-
Location of the violations:
-
Violations:
-
Pictures of the violation:
-
Electrical:
-
Location of the violations:
-
Violations:
-
Pictures of the violation:
-
Dip Tanks:
-
Location of the violations:
-
Violations:
-
Pictures of the violation:
-
Other:
-
Location of the violations:
-
Violations:
-
Pictures of the violation:
-
DOT, Vehicle & Driving, Man-Lift, and Forklift Standards:
-
Was the pre-op filled out?
-
If not why?
-
Was the cab clean and organized?
-
If not why?
-
Were the front lights & front window clean?
-
If not why?
-
Was the forklift being operated at a safe speed?
-
Was the operator tasked trained on the equipment that they were operating?
-
Overall
-
Overall compliance of the location (1 being the worst and 10 the best).
