Information
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Audit Title
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Document No.
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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
Personal Protective Equipment (PPE)
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Appropriate workplace footwear<br>
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Respirator required<br>
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Hand protection required
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Where food or beverage is consumed on premise, are they consumed in areas free of toxic materials, blood or other potentially infectious materials
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Are all PPE maintained in a sanitary condition
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When applicable, are PPE available for all associated hazards in the workplace.
Electrical
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Extension cords used for temporary work only
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All extension cords are in good working condition. No exposed or frayed cords
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Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures
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Electrical panels clearly marked with no exposed openings
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Are electrical enclosures such as switches, receptacles, and juction boxes, provided with tight fitting covers or plates.
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Are extention cords out of aisles where they can be abused by heavy traffic
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In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected (e.g. through GFCI)
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Receptacle wiring system is correct; no open ground, reversed polarity, and hot/ground reversed
Material Handling
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Appropriately marked and sufficiently safe clearances for aisles and at loading docs for passageways where mechanical handling equipment is used
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Loose/unboxed materials which might fall from a pile are properly stacked by blocking, interlocking or limiting the height of the pile to prevent falling hazards
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Bag, containers, bundles, etc. are stored in tiers that are stacked, blocked, interlocked and limited in height so that they are stable and secure to prevent sliding or collapse
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Storage areas are kept free from accumulation of materials that could lead to tripping fire, explosion or pest infestation
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Excessive vegetation is removed from building entrances, work or traffic areas to prevent possible trip or fall hazards due to visual obstructions
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Covers and/or guardrails are provided to protect personnel from the hazards of stair openings in floors, meter or equipment pits and similar hazards
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Personnel use proper lifting techniques
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Hoists and other equipment for lifting materials/containers are properly used with adequate safe clearances, no obstructions, appropriate signals and directional warning signs.
Walking, Working Surface
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Are walking areas clean and orderly
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Floors are free from protruding objects, holes or loose boards
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Aisles and passageways are kept clear of obstructions
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Permanent passageways and aisles are clearly marked
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Level of light adequate for safe passage
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Are work surfaces kept dry or appropriate steps taken to assure surface areas are slip resistant
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Are Emergency exists marked and illumninated by a reliable light source
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Doors, passageways, or stairways appropriately marked for Emergency Exits
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Emergency Exists free of obstructions
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For floor maintneance, is it ensured that the right kind of product is used for the right kind of surface
Hazard Communication
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All hazardous material containers are properly labeled, indicating the chemical's identity, the manufacturer's name and address, and appropriate hazard warnings.
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There is an updated list of hazardous chemicals<br>
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The facility has a written program covering hazard determination including MSDS, labeling and training.
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There is a system to check that each incoming chemical is accompanied by a MSDS.
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All employees are trained in the requirements of the hazard communication standard, the chemical hazards to which they are exposed, how to read and understand a MSDS and chemical labels, and on what precautions to take to prevent exposure.
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All employee training is documented.
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All outside contractors are given a complete list of chemical products, hazards and precautions.
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Procedures have been established to maintain and evaluate the effectiveness of the current program.
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Employees use proper PPE when handling chemicals
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All chemicals are stored according to the manufacturer's recommendations and local or national fire codes.
Fall Protection Devices
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Inspection of all fall protection devices
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Anchor Points
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Body Harness
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Connectors<br>
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Inspection of any guardrail system
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Observation of employees using fall protection equipment
Other Items & Photos
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Other Items
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Photos
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Signature of Inspector
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Date & Time of Assessment
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Safety Manager's Notes