Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Personal Protective Equipment (PPE)

  • Appropriate workplace footwear<br>

  • Respirator required<br>

  • Hand protection required

  • Where food or beverage is consumed on premise, are they consumed in areas free of toxic materials, blood or other potentially infectious materials

  • Are all PPE maintained in a sanitary condition

  • When applicable, are PPE available for all associated hazards in the workplace.

Electrical

  • Extension cords used for temporary work only

  • All extension cords are in good working condition. No exposed or frayed cords

  • Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures

  • Electrical panels clearly marked with no exposed openings

  • Are electrical enclosures such as switches, receptacles, and juction boxes, provided with tight fitting covers or plates.

  • Are extention cords out of aisles where they can be abused by heavy traffic

  • In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected (e.g. through GFCI)

  • Receptacle wiring system is correct; no open ground, reversed polarity, and hot/ground reversed

Material Handling

  • Appropriately marked and sufficiently safe clearances for aisles and at loading docs for passageways where mechanical handling equipment is used

  • 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

  • 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

  • Storage areas are kept free from accumulation of materials that could lead to tripping fire, explosion or pest infestation

  • Excessive vegetation is removed from building entrances, work or traffic areas to prevent possible trip or fall hazards due to visual obstructions

  • Covers and/or guardrails are provided to protect personnel from the hazards of stair openings in floors, meter or equipment pits and similar hazards

  • Personnel use proper lifting techniques

  • 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

  • Are walking areas clean and orderly

  • Floors are free from protruding objects, holes or loose boards

  • Aisles and passageways are kept clear of obstructions

  • Permanent passageways and aisles are clearly marked

  • Level of light adequate for safe passage

  • Are work surfaces kept dry or appropriate steps taken to assure surface areas are slip resistant

  • Are Emergency exists marked and illumninated by a reliable light source

  • Doors, passageways, or stairways appropriately marked for Emergency Exits

  • Emergency Exists free of obstructions

  • For floor maintneance, is it ensured that the right kind of product is used for the right kind of surface

Hazard Communication

  • All hazardous material containers are properly labeled, indicating the chemical's identity, the manufacturer's name and address, and appropriate hazard warnings.

  • There is an updated list of hazardous chemicals<br>

  • The facility has a written program covering hazard determination including MSDS, labeling and training.

  • There is a system to check that each incoming chemical is accompanied by a MSDS.

  • 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.

  • All employee training is documented.

  • All outside contractors are given a complete list of chemical products, hazards and precautions.

  • Procedures have been established to maintain and evaluate the effectiveness of the current program.

  • Employees use proper PPE when handling chemicals

  • All chemicals are stored according to the manufacturer's recommendations and local or national fire codes.

Fall Protection Devices

  • Inspection of all fall protection devices

  • Anchor Points

  • Body Harness

  • Connectors<br>

  • Inspection of any guardrail system

  • Observation of employees using fall protection equipment

Other Items & Photos

  • Other Items

  • Photos

  • Signature of Inspector

  • Date & Time of Assessment

  • Safety Manager's Notes

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.