Title Page
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Site conducted
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Safety / Emergency Responder / Team Leader
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Conducted on (Date and Time)
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Name of Auditor
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Section 1 - Housekeeping
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1.0 Select Department
- Sizing
- Winding
- Insulation
- Lamination
- Core & Coil
- Testing
- Final Assembly
- Warehouse
- Fabrication
- VPD
- Ground(s)
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1.1 Are walkways, aisles, and working surfaces free of slip hazards (such as oil, grease, water, ink)?
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1.2 Are walkways, aisles, working surfaces, exits, and doors free of obstructions (such as boxes, equipment, materials, or tools)?
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1.3 Are traffic devices (such as a mirror, strobe light, or traffic cones) available for congested areas?
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1.4 Are pedestrian traffic signs and markings easy to see?
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1.5 Are there any blown lights in the work area?
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1.6 Are Exit routes clearly marked “Exit,” and show the direction of travel to an Exit?
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1.7 Are hoses and electrical cords positioned out of walk-ways to prevent injuries?
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1.8 Are team members familiar with emergency Assembly Points?
Section 2.0 - Fire and Chemicals
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2.1 Are fire extinguishers in the area charged and in place?
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2.2 Has each fire extinguisher been inspected and tagged for the month?
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2.3 Are fire extinguishers blocked?
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2.4 Are team members familiar with AED location(s)?
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2.5 Has the AED been checked for use?
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2.6 Are Eye Wash Inspection Tag(s) current?
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2.7 Are employee familiar with the First Aid Kit location?
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2.8 Are flammable and combustible materials stored as required by regulatory standards?
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2.9 Are drip pans and guards in place to catch spills?
Section 3 - Guarding
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3.1 Are barriers in place to keep un-authorized team member(s) and visitors away from heavy machinery and materials?
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3.2 Are machine guards in place to protect workers?
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3.3 Are there any machine guards that appear to broken, loose, or in need of repair?
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3.4 Is the ALTERNATE Energy Plan / Tool visible and available for clearing a jam / servicing?
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3.5 Is the LOTO program available for review for the operator?
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3.6 Are ALTERNATE Energy Storage Tools within the immediate work area?
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3.7 Have team mates been issued their own lock?
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3.8 Have team mates completed LOTO training?
Section 4 - Fall Protection
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4.1 Are ladders, step-ladders, or stools serviceable (do not require repairs or removal)?
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4.2 Are serviceable ladders, step-ladders, or stools stored and secured in specific locations?
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4.3 Have ladders, step-ladders, and tools been tagged and inspected for Safe Use?
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4.4 Have holes (larger than 2 inches) on walking or working surfaces been covered and will support twice the intended load?
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4.5 Are guard rails serviceable at all working levels?
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4.6 Have any guard rails been damaged or may be missing at any level?
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4.7 Have team mates received training for any work that may be performed 4 feet above another working surface or level?
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4.8 Have team mates received training for any specialty equipment (such as scissor or boom lift)?
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4.9 Have spills been cleaned on walking and working surfaces?
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4.10 Are there any slip / trip hazards?
Section 5.0 - Electrical
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5.1 Have electrical cords been inspected for the month?
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5.2 Are GFI(s) / GFCI(s) in serviceable condition?
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5.3 Are ground pins available on extension cords?
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5.4 Have extension cords been installed to serve as permanent wiring?
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5.5 Has the machine / equipment been locked and tagged out for maintenance and repairs?
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5.6 Are Lockout / Tagout procedures available or posted on the machine or equipment?
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5.7 Are there ALTERNATE Energy plans or procedures used for routine, cleaning, jams, and repetitive task(s)?
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5.8 Has the Exclusive Person or Operator been identified if the ALTERNATE Energy Storage Procedure?
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5.9 Are the controls for the equipment or machine under control of the Exclusive Person?
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5.10 Has the ALTERNATE Energy Storage decision tree been used and are hand tools available?
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5.11 Is the EST Yellow Tag visible on controls?
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5.12 Are there any additional hazards? If yes, take a picture and communicate it to Supervisor.
Section 6.0 - Forklift / Crane / Material Handling and Storage
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6.1 Have forklifts been inspected prior to shift change?
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6.2 Have 3rd party vendors made maintenance records available?
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6.3 Have forklift operators completed training?
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6.4 Have crane operators completed training?
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6.5 Have crane operators inspected hoisting equipment (such as slings and connectors)?
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6.6 Are crane records available for review?
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6.7 Are signs, cones, barricades, or spotters used for overhead work activities?
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6.8 Are crane operators, signal persons, and riggers identified with HI-VIZ PPE?
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6.9 Are materials stored in the designated areas to prevent falls?
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6.10 Has a BLUE CARD been completed for each shift for Overhead Work?