Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Pre-Shift Safety Meetings

  • 1. Are pre-shift safety meetings, toolbox talks & other workplace hazards communicated & documented?

  • 2. Are workplace safety boards updated?

  • Comments:

  • Add media

Housekeeping

  • 3. Are all cords, hoses and debris placed away from walkways to prevent tripping hazards?

  • 4. Is all trash and waste being contained properly?

  • 5. Are aisles clear and unobstructed to prevent slip, trip and fall hazards?

  • 6. Are tools and equipment stored properly to prevent accidents?

  • 7. Are spill kits available and adequately supplied?

  • 8. Are station booths maintained properly (Lighting, restrooms, A/C, heating, electrical, fire extinguishers, communications, operator equipment)

  • Comments:

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Personal Protective Equipment (PPE)

  • 9. Are personnel wearing their required safety equipment? i.e., reflective clothing, safety glasses, over the ankle leather shoes, hardhat, hearing protection.

  • 10. Are other PPE items being issued/worn/maintained and used as required?

  • Comments:

Hazard Communication

  • 11. Are MSDS / SDS(s) available and maintained for all personnel within the workplace?

  • 12. Are all chemical container labeled?

  • 13. Are all hazardous materials / waste tracked from cradle to grave?

  • 14. Have all employees been trained (Documented) appropriately for their work?

  • 15. Are all flammables stored in appropriate flammable cabinets?

  • 16. Is secondary containment provided and maintained in good condition?

  • Comments:

Emergency Equipment

  • 17. Are fire extinguishers and pull stations unblocked and readily available?

  • 18. Are fire extinguishers charged and inspected monthly and labeled?

  • 19. Are eye wash stations cleaned and inspected monthly w/ documentation?

  • 20. Are exits identified/illuminated tested?

  • 21. Have evacuation drills / emergency procedures been tested and documented?

  • 22. Are first aid kits readily available in each work area?

  • Comments:

Electrical Equipment

  • 23. Are all electrical panels and disconnects unblocked, accessible and properly labeled?

  • Comments:

Tools and Equipment

  • 24. Are all electrical cords / connections, tools and equipment in good repair?

  • 25. Is all lifting equipment marked with capacity and current certification?

  • 26. Are all lane checkers and over height alarms functioning properly?

  • 27. Are all air guns limited to 30 psi?

  • Comments:

Safe Acts

  • 28. Are company vehicles inspected and documented prior to use?

  • 29. Are employees recognized for safe work behaviors?

  • 30. Are employees disciplined for unsafe work behaviors?

  • Comments:

Accident Reporting Procedures

  • 31. Are all injuries and accidents reported immediately to the supervisor?

  • 32. Are supervisors reporting accidents and injuries to Safety and HR?

  • 33. Are root cause analysis done for each incident?

  • Comments:

Health and Medical

  • 34. Are personnel CPR certifications up to date?

  • 35. Are first aid supplies up to date?

  • Comments:

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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.