Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Safety Read Board

  • BO 5100.31B- Is there a Safety Read Board to keep employees up-to-date on changes in safety policies, procedures, and/or mishap records. Organizations/activities occupying the same facility shall have their own documentation properly posted

  • If yes, does the Safety Read Board have, at a minimum;

  • DD Form 2272, Department of Defense Ground Occupational Safety and Health Protection Program

  • NAVMC 11400, Occupational Safety and Health Deficiency Notice

  • NAVMC 11401, Unsafe or Unhealthful Working Conditions

  • Commandant of the Marine Corps Safety Policy Letter

  • Commanding General (CG), MCB Policy Statement on Safety

  • Unit/Organization Safety Policy Letter

  • Emergency Action Plan

Deficiency

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

  • Is there another deficiency to report?

  • Area

  • Defeciency

  • List Defeciency

  • RAC

  • Picture of Deficiency

Administrative Facility Checklist

  • Would you like to use an Administrative Workplace Checklist?

Sign Posting/ Labeling

  • Is a written EMERGENCY / EVACUATION PLAN posted and up-to-date?

  • Are BOMB THREAT procedures posted near doors and phones?

  • Are industrial Hygiene Surveys available and up-to-date?

  • When required, are floor loading signs posted? (i.e. mezzanine areas)

Housekeeping

  • Are aisle ways and exits clear and unobstructed?

  • Are offices and storage areas clean, orderly, and free of debris and slipping/tripping hazards?

  • Are cabinet tops clean and not used as storage?

  • Are mops and brooms stored in a well-ventilated area with heads up off the floor?

  • Are janitors closets clean and not used for storage?

  • Are food appliances and eating areas kept clean?

  • Are floors adequately swept, mopped, vacuumed and free of slipping/tripping/fall hazards?

  • Are fluorescent light tubes properly disposed of?

  • Are filing cabinet drawers evenly loaded to prevent tipping over?

Electrical

  • Is the use of extension cords eliminated when possible?

  • Are only UL-approved extension cords and/or power strips used?

  • Are electric cords in good repair (not spliced or taped, ground prong intact, plug secure on cord)?

  • Are electric cords arranged so they do not present tripping or other hazard?

  • Are electric cords kept out of doorways and aisles?

  • Are breaker boxes and junction boxes securely covered?

  • Are heat-producing appliances plugged directly into hard-wired outlets, not extension cords?

  • Do portable heat-producing appliances have tip over safety feature?

  • Is emergency lighting operational?<br>

  • Do electrical panel boxes lock and close properly?<br>

Fire Protection

  • Are emergency egress lanes clear and unobstructed?<br>

  • Are personnel EXIT signs posted and clearly visible?<br>

  • Are fire exits kept free of obstructions?<br>

  • Are the directions to exits, when not immediately apparent, marked clearly with visible signs?<br>

  • Are emergency egress EXIT signs illuminated and in working order?<br>

  • Are fire suppression sprinkler heads kept clean?<br>

  • Are sprinkler heads protected by metal guards when exposed to physical damage?<br>

  • Is proper clearance maintained below sprinkler heads (18 inches)?<br>

  • Are appropriate fire extinguishers mounted, located, and identified so they are readily accessible to employees?<br>

  • Are all fire extinguishers inspected monthly and recharged regularly and noted on the inspection tag?<br>

Hazardous Material

  • If secondary containers are used, are they properly labeled?<br>

  • Are SDS logs current and readily available?<br>

Training

  • Are all personnel assigned appropriate (Core) duty/task(s)?<br>

  • Are all personnel assigned correct job specific duty/task(s) that correctly identify their training requirements?<br>

  • Are all personnel current with required training and Medical Surveillance?<br>

Miscellaneous

  • Are office furnishings and chairs in good repair?<br>

  • Do rolling chairs have 5 casters?<br>

  • Are step stools and ladders sturdy and fitted with rubber caps to control movement while in use?<br>

  • Are paper cutters equipped with safety latches, finger guards, and stored with the blade locked?<br>

  • Are fans equipped with adequate blade guards?<br>

  • Are all employees briefed on the office emergency evacuation plan and re-assembly point?<br>

  • Are ergonomic hazard mitigations being used?<br>

  • Are Area JHAs for the area up to date, and are they available for worker review?<br>

Industrial Facility Checklist

  • Would you like to use an Industrial Workplace Checklist?

Sign Posting / Labeling

  • Is a written EMERGENCY / Evacuation PLAN posted and up-to-date?

  • Are CAUTION EYE HAZARD signs posted at entrances to eye hazard areas?

  • Are CAUTION NOISE HAZARD signs posted in noise hazard areas?

  • Are CAUTION FOOT HAZARD signs posted in foot hazard areas?

  • Are BOMB THREAT procedures posted near doors and telephones?

  • Are NO SMOKING signs posted by outdoor flammable storage areas, fuel tanks, etc.?

  • Are gas and hazardous material pipe/lines labeled as to contents and appropriately color coded?

  • Are Industrial Hygiene Surveys available and up-to-date?

  • Are routine (monthly / quarterly) Supervisor Workplace Safety Inspections conducted and recorded?

  • Are Unsafe/Unhealthful report forms readily available to employees?

  • When required, are floor loading signs posted? (i.e. mezzanine areas)

  • Are aisle ways and all shop areas clean, orderly and free of debris and slipping/tripping hazards?

  • Are cabinet tops clean and not used as storage?

  • Are mops and brooms stored in a well-ventilated area with heads up off the floor?

  • Are waste cans available, covered, and emptied daily?

  • Are exits clear and unobstructed?

  • Are storage cabinets and shelving units secured to a wall, floor, or together, to prevent tipping over?

  • Are storage drawers evenly loaded to prevent tipping over?

  • Are janitors closets clean and not used for storage?

  • Are food appliances and eating areas kept clean?

  • Are floors adequately swept and free of slipping/tripping/fall hazards?

  • Are unauthorized extension cords removed from service?

  • Are heat-producing appliances plugged directly into hard-wired outlets?

  • Are electric cords in good repair (not spliced or taped, ground prong intact, plug secure on cord)?

  • Are electric cords kept out of doorways and aisles?

  • Are breaker boxes and junction boxes securely covered?

  • Are heat-producing appliances plugged directly into hard-wired outlets, not extension cords?

  • Do portable heat-producing appliances have tip over safety feature?

  • Are electrical outlets not overloaded?

  • Is emergency lighting operational?

  • Do electrical panel boxes lock and close properly?

Personal Protective Equipment

  • Is PPE adequate for work performed in the area?

  • Is PPE cleaned and inspected as needed, and in good shape?

  • Is eye, face, hand, and hearing protection used and appropriate for the process/task?

  • Is safety footwear being worn where required?

Safety Devices

  • Are eyewash/shower units clean, serviceable, clearly identified and unobstructed? Are they being inspected as required?

  • Are slings and other lifting devices inspected, marked with weight limit and within certification date?

  • Are hoist directions clearly marked? Is load capacity marked on a supporting beam? Are hoist/beam load capacities compatible?

  • Are machine guards in place and being properly used?

  • Are grinder tool rests adjusted to no more than 1/8 inch from abrasive wheel? Are tongue guards adjusted to no more than 1/4 inch from wheels?

  • Are shatter-resistant shields in place on pedestal grinders?

  • Are pedestal grinders, portable drill presses, and lathes secured to a bench or the floor?

  • Are appropriate tags and/or locking devices installed in out of service equipment?

  • Are degreasers and chemical tanks equipped covers/lids? Are lids closed when tanks are not in use?

  • Are hazardous waste drum lids on at all times?

  • Are work stands locked down and secured to prevent movement?

  • Are legs of step stools, ladders, and stands fitted with rubber end caps to prevent movement while in use?

Fire Protection

  • Are fire aisles, access to stairways, and fire equipment kept clear?

  • Are personnel EXIT signs posted and clearly visible?

  • Are fire exits kept free of obstructions?

  • Are the directions to exits, when not immediately apparent, marked clearly with visible signs?

  • Are egress EXIT signs illuminated and in working order?

  • Are fire suppression sprinkler heads kept clean?

  • Are sprinkler heads protected by metal guards when exposed to physical damage?

  • Is proper clearance maintained below sprinkler heads (18 inches)?

  • Are appropriate fire extinguishers mounted, located, and identified so they are readily accessible to employees?

  • Are all fire extinguishers inspected monthly and recharged regularly and noted on the inspection tag?

Hazardous Material

  • If secondary containers are used, are they properly labeled?

  • Are SDS logs current and readily available?

Training

  • Are all personnel assigned appropriate (Core) duty/task?

  • Are all personnel assigned correct job specific duty/task(s) that correctly identifies their training requirements?

  • Are all personnel current with required training and Medical Surveillance?

Miscellaneous

  • Are local ventilation units working properly?

  • Is furniture in good repair, including shop chairs and office furniture?

  • Do rolling chairs have 5 casters?

  • Is machinery attended while in operation?

  • Is the wearing of jewelry banned when working around rotating equipment?

  • Are compressed gas cylinders properly secured to avoid tipping over? Are caps in place?

  • Are all employees briefed on the office emergency evacuation plan and re-assembly point?

  • Are ergonomic hazard mitigations being used?

  • Are Area and Job Specific JHAs developed and up to date? Are they available for worker review?

Respiratory Protection

Personal Protection Equipment

  • Do employees wear respirators?

Selection and UseH

  • Are respirators used only by the person to whom they are issued? <br>Reference: NAVMC 5100.8, 13008.7

  • Are only NIOSH certified or NIOSH/Mine Safety and Health Administration (MSHA) certified respirators used?<br>Reference: NAVMC 5100.8, 13008.7

  • Is respiratory protection equipment approved in writing by ISO RPPM?<br>Reference: NAVMC 5100.8, 13008.5

  • Are personnel given the opportunity to select a different respirator face piece, and be retested, if their respirator is uncomfortable to the user?<br>Reference: NAVMC 5100.8, 13008.7

  • Are personnel prohibited from making modifications to their issued respirators?<br>Reference: NAVMC 5100.8, 13008.8a

  • Is it prohibited to use one manufacturer's parts on another manufacturer's respirator, including filters and cartridges?<br>Reference: NAVMC 5100.8, 13008.12.c