IPS Facility Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Employer Posting

• Is the required OSHA Job Safety and Health Protection Poster displayed in a prominent location where all employees are likely to see it?

  Yes

  No

  N/A

• Are emergency telephone numbers posted where they can be readily found in case of an emergency?

  Yes

  No

  N/A

• Where employees may be exposed to toxic substances or harmful physical agents, has appropriate information concerning employee access to medical and exposure records and MSDS been posted or otherwise made readily available to affected employees?

  Yes

  No

  N/A

• Are signs concerning exit routes, room capacities, floor loading, biohazards, exposure to x-ray, microwave or other harmful radiation or substance posted where appropriate?

  Yes

  No

  N/A

• Is the summary of Work-Related injuries and illnesses (OSHA Form 300A) posted during the months of February, March and April?

  Yes

  No

  N/A

Record keeping

• Are occupational injuries or illnesses, except minor injuries requiring only first aid, recorded as required on the OSHA 300 log?

  Yes

  No

  N/A

• Are employee medical records and records of employee exposure to hazardous substances or harmful physical agents up-to-date and in current OSHA standards?

  Yes

  No

  N/A

• Are employee training records kept and accessible for review by employees as required by OSHA standards?

  Yes

  No

  N/A

• Have arrangements been made to retain records for the time period for each specific type of record?

  Yes

  No

  N/A

• Are operating permits and records up-to-date for items such as elevators, air pressure tanks, liquified petroleum tanks, etc?

  Yes

  No

  N/A

Safety and Health Program

• Do you have an active safety and health program in operation that includes general safety and health program elements as well as the management of hazards specific to your work-site?

  Yes

  No

  N/A

• Is one person clearly responsible for the safety and health program?

  Yes

  No

  N/A

• Do you have a safety committee or group made up of management and labor representatives that meets regularly and reports in writing on its activities?

  Yes

  No

  N/A

Medical Services and First Aid

• Is there a hospital or clinic for medical care near your workplace or is at least one employee on each shift currently qualified to render first aid?

  Yes

  No

  N/A

• Are medical personnel readily available for advice and consultation on matters of employees' health?

  Yes

  No

  N/A

• Are emergency phone numbers posted?

  Yes

  No

  N/A

• Are fully supplied first aid kits easily accessible to each work area, inspected monthly and replenished as needed?

  Yes

  No

  N/A

• Have first aid kits and supplies been approved for the particular area or operation they are in?

  Yes

  No

  N/A

• Is there an eye-wash station or sink available for quick drenching or flushing of the eyes and body in areas where corrosive liquids or materials are handled?

  Yes

  No

  N/A

Environmental Controls

• Are all work areas properly illuminated?

  Yes

  No

  N/A

• Are all hazardous substances identified?

  Yes

  No

  N/A

• Are employees aware of the hazards involved with various chemicals they may be exposed to?

  Yes

  No

  N/A

• Are employee exposure levels kept at an acceptable level?

  Yes

  No

  N/A

• Is work ventilation adequate?

  Yes

  No

  N/A

• Are spray painting operations performed in a room or booth with ventilation?

  Yes

  No

  N/A

• Are nearby workers provided with flash shields during welding operations?

  Yes

  No

  N/A

• Are noise levels within acceptable levels?

  Yes

  No

  N/A

• Are caution labels and signs used to warn of hazardous substances?

  Yes

  No

  N/A

• Are there written standard operating procedures for the selection and use of respirators where needed?

  Yes

  No

  N/A

Fire Protection

• Is a Fire Prevention Plan in place, current and discussed with employees?

  Yes

  No

  N/A

• Is your local fire department familiar with your facility, it's location and specific hazards?

  Yes

  No

  N/A

• If you have a fire alarm system, is it certified as required and tested annually?

  Yes

  No

  N/A

• If you have interior standpipes and valves, are they inspected regularly?

  Yes

  No

  N/A

• If you have outside private fire hydrants, are they flushed at least once a year and on a routine preventative maintenance schedule?

  Yes

  No

  N/A

• Are fire doors and shutters in good operating condition?

  Yes

  No

  N/A

• Are fire doors and shutters un-obstructed and protected against obstructions, including their counterweights?

  Yes

  No

  N/A

• Are fire door and shutter fusible links in place?

  Yes

  No

  N/A

• Are automatic sprinkler system water control valves, air and water pressure checked periodically as required?

  Yes

  No

  N/A

• Is the maintenance of automatic sprinkler systems assigned to responsible persons or to a sprinkler contractor?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is proper clearance maintained below sprinkler heads? (18 inches clearance from sprinkler head to material below)

  Yes

  No

  N/A

• Are portable fire extinguishers provided in adequate numbers, type and mounted in readily accessible locations? (Travel distance from hazard area to extinguisher should be 50 feet or less)

  Yes

  No

  N/A

• Are fire extinguishers inspected and charged yearly by certified company and it noted on tag?

  Yes

  No

  N/A

• Are fire extinguishers inspected monthly and it recorded either on tag or in other paperwork?

  Yes

  No

  N/A

• Are employees periodically instructed in the use of fire extinguishers and the fire protection procedures?

  Yes

  No

  N/A

PPE

• Have hazards been determined in the work area and appropriate PPE required?

  Yes

  No

  N/A

• Are employees required to use appropriate PPE for job tasks?

  Yes

  No

  N/A

• Are employees properly trained on PPE use? (When to use, proper use and how to adjust)

  Yes

  No

  N/A

• Are protective goggles or face shields provided and used when there is danger of flying particles or corrosive material?

  Yes

  No

  N/A

• Are protective gloves, aprons or shields provided and used where there could be an exposure to corrosive liquids, chemicals, blood or other potentially infectious materials?

  Yes

  No

  N/A

• Are hard hats inspected periodically to make sure they are in accordance to OSHA standards?

  Yes

  No

  N/A

• Are approved respirators provided and used when required?

  Yes

  No

  N/A

• Is protection against the effects of noise exposure provided and used when required by OSHA standards?

  Yes

  No

  N/A

• Are adequate work procedures, PPE and other equipment provided and used when cleaning up spilled hazardous materials?

  Yes

  No

  N/A

• Are appropriate procedures in place to dispose of contaminated PPE?

  Yes

  No

  N/A

General Work Environment

• Clean, sanitary and orderly?

  Yes

  No

  N/A

• Work area dry and surfaces slip resistant?

  Yes

  No

  N/A

• Are spilled hazardous materials or liquids cleaned up immediately and according to procedures?

  Yes

  No

  N/A

• Is combustible scrap, debris and waste stored safely and removed promptly?

  Yes

  No

  N/A

• Are covered metal waste cans used for oily or paint-soaked waste?

  Yes

  No

  N/A

• Are paint spray booths, dip tanks, etc., cleaned regularly?

  Yes

  No

  N/A

• Are the minimum number of toilets and washing facilities provided and maintained in a clean and sanitary fashion?

  Yes

  No

  N/A

• Are all work areas adequately illuminated?

  Yes

  No

  N/A

• Are all pits and floor openings covered or otherwise guarded?

  Yes

  No

  N/A

• Have all confined spaces been evaluated for compliance with OSHA?

  Yes

  No

  N/A

Walkways

• Are aisles and passageways kept clear as appropriate?

  Yes

  No

  N/A

• Are wet surfaces covered with non-slip materials?

  Yes

  No

  N/A

• Are holes in floor, sidewalk or other walking surface repaired properly or otherwise made safe?

  Yes

  No

  N/A

• Is there safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?

  Yes

  No

  N/A

• Are materials or equipment stored in such a way that sharp projections will not interfere with the walkway?

  Yes

  No

  N/A

• Are spilled materials cleaned up immediately?

  Yes

  No

  N/A

• Are changes in directions or elevation readily identifiable?

  Yes

  No

  N/A

• Are aisles or walkways that pass near moving equipment or operating machinery, welding operations arranged so employees will not be subjected to potential hazards?

  Yes

  No

  N/A

• Is adequate headroom provided the entire length of any aisle or walkway?

  Yes

  No

  N/A

• Are standard guardrails provided wherever aisles or walkway surfaces are elevated more than 30 inches above any adjacent floor or the ground?

  Yes

  No

  N/A

Floor and Wall openings

• Are floor openings guarded by a cover, a guardrail or equivalent on all sides? (Except at stairs or ladder entrance)

  Yes

  No

  N/A

• Are toeboards installed around the edges of permanent floor openings where persons may pass below the opening?

  Yes

  No

  N/A

• Are skylight screens able to withstand a load of at least 200 lbs?

  Yes

  No

  N/A

• Is glass in windows, doors, walls, etc., subject to possible human impact of sufficient thickness and type for the condition of use?

  Yes

  No

  N/A

• Are grates or similar type covers over floor openings such as floor drains designed to allow unimpeded foot traffic or rolling equipment?<br>

  Yes

  No

  N/A

• Are unused portions of service pits and pits not in use either covered or protected by guardrails or equivalent?

  Yes

  No

  N/A

Stairs and Stairways

• Do standard stair rails or handrails on all stairways have at least 4 risers?

  Yes

  No

  N/A

• Are all stairways at least 22 inches wide?

  Yes

  No

  N/A

• Do stairs have landing platforms not less than 30 inches in the direction of travel and extend 22 inches in width at every 12 feet or less vertical rise?

  Yes

  No

  N/A

• Do stairs angle no more than 50 and no less than 30 degrees?

  Yes

  No

  N/A

• Are stairs of hollow-pan type treads filled to the top edge of the pan with a solid material?

  Yes

  No

  N/A

• Are step risers on stairs uniform from top to bottom?

  Yes

  No

  N/A

• Are steps slip-resistant?

  Yes

  No

  N/A

• Are stairway handrails located between 30 inches and 34 inches above the leading edge of stair treads?

  Yes

  No

  N/A

• Do stairway handrails have at least 3 inches of clearance between the handrails and the wall or surface they are mounted on?

  Yes

  No

  N/A

• Where door or gates open directly on a stairway, is a platform provided so the swing of the door does not reduce the width of the platform to less then 21 inches?

  Yes

  No

  N/A

• Are stairway handrails capable of withstanding a load of 200 lbs, applied within 2 inches of the top edge in any downward or outward direction?

  Yes

  No

  N/A

• Where stairways exit directly into area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic?

  Yes

  No

  N/A

• Do stairway landings have a dimension measured in the direction of travel at least equal to the width of the stairway?

  Yes

  No

  N/A

• Is the vertical distance between stairway landings limited to 12 feet or less?

  Yes

  No

  N/A

Elevated Surfaces

• Are signs posted showing the elevated surface load capacity?

  Yes

  No

  N/A

• Are surfaces that are elevated more than 30 inches provided with a standard guardrail?

  Yes

  No

  N/A

• Are elevated surfaces beneath which people or machinery could be exposed to falling objects provided with standard 4 inch toeboards?

  Yes

  No

  N/A

• Is a permanent means of access and egress provided to elevated storage and work surfaces?

  Yes

  No

  N/A

• Is required headroom provided where necessary?

  Yes

  No

  N/A

• Is material on elevated surfaces piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading?

  Yes

  No

  N/A

• Are dock boards or bridge plates used when transferring materials between docks and trucks or railcars?

  Yes

  No

  N/A

Exiting or Egress- Evacuation

• Is an Emergency Action Plan in place, easily accessible to employees and discussed with employees?

  Yes

  No

  N/A

• Is an Emergency Response Plan in place, easily accessible to employees and discussed with employees?

  Yes

  No

  N/A

• Are all exits marked with an exit sign and illuminated by a reliable light source?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are doors, passageways or stairways that are neither exits nor access to exits, but could be mistaken for exits, appropriately marked "NOT AN EXIT," "OFFICE," etc?

  Yes

  No

  N/A

• Are exit signs labeled with the word "EXIT" in lettering at least 5 inches high and the stroke of the lettering at least 1/2 inch wide?

  Yes

  No

  N/A

• Are exit doors side hinged?

  Yes

  No

  N/A

• Are all exits kept free of obstructions?

  Yes

  No

  N/A

• Are at least 2 means of egress provided from elevated platforms, pits or rooms where the absence of a second exit would increase the risk of injury?

  Yes

  No

  N/A

• Are there sufficient exits to permit prompt escape in case of an emergency?

  Yes

  No

  N/A

• Are special precautions taken to protect employees during construction and repair operations?

  Yes

  No

  N/A

• Is the number of exits from each floor of a building and the number of exits from the building itself appropriate for the building occupancy load?

  Yes

  No

  N/A

• Are exit stairways that are required to be separated from other parts of a building enclosed by at least 2 hour fire resistive construction in buildings more then 4 stories in height and not less than 1 hour fire resistive construction elsewhere?

  Yes

  No

  N/A

• Where ramps are used as part of required exiting from a building, is the ramp slope limited to 1 foot vertical and 12 feet horizontal?

  Yes

  No

  N/A

• Where exiting will be through frameless glass doors, storm doors, etc, are the doors fully tempered and meet the safety requirements for human impact?

  Yes

  No

  N/A

Exit Doors

• Are doors that are required to serve as exits designed and constructed so that the path of exit travel is obvious and direct?

  Yes

  No

  N/A

• Are windows that could be mistaken for exit doors made inaccessible by means of barriers or railings?

  Yes

  No

  N/A

• Are exit doors able to be opened from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?

  Yes

  No

  N/A

• Is revolving, sliding or overhead door prohibited from serving as a required exit door?

  Yes

  No

  N/A

• Where panic hardware is installed on a required exit door, will it allow the door to open by applying a force of 15 lbs or less in the direction of the exit traffic?

  Yes

  No

  N/A

• Where exit doors open directly onto any street, alley or other area where vehicles may be operated are barriers and warnings provided to prevent employees from stepping into the path of traffice?

  Yes

  No

  N/A

• Are doors that swing in both directions and are located between rooms where there is frequent traffic provided with viewing panels in each door?

  Yes

  No

  N/A

Portable Ladders

• Are all ladders in good condition, hardware secure and moveable parts operating freely?

  Yes

  No

  N/A

• Are non slip safety on ladder and are rungs and steps free of grease and oil?

  Yes

  No

  N/A

• Are employees prohibited from placing ladders in front of doors opening towards the ladder unless the door is blocked open, locked or guarded?

  Yes

  No

  N/A

• Are employees prohibited from placing ladders on boxes, barrels or other unstable bases to obtain additional height?

  Yes

  No

  N/A

• Are employees required to use ladders for only their intended purpose and use them properly?

  Yes

  No

  N/A

• Are broken or loose ladders prohibited from being used?

  Yes

  No

  N/A

• If a portable ladder is used to gain access to elevated platforms, roofs, etc., does it extend at least 3'feet above the elevated surface?

  Yes

  No

  N/A

• Are employees required to secure the base of a portable ladder to prevent slipping or otherwise lash or hold it in place?

  Yes

  No

  N/A

• Do metal ladders have legible warning to not use around electrical equipment?

  Yes

  No

  N/A

Hand Tools and Equipment

• Are tools in good condition?

  Yes

  No

  N/A

• Are hand tools that develop mushroom heads during use, reconditioned or replaced as necessary?

  Yes

  No

  N/A

• Are broken or fractured handles replaced?

  Yes

  No

  N/A

• Are worn or bent wrenches replaced?

  Yes

  No

  N/A

• Are handles wedged tightly into the heads of all tools?

  Yes

  No

  N/A

• Are tool cutting edges kept sharp?

  Yes

  No

  N/A

Power Tools

• Are guards in place and at appropriate setting according to OSHA standards?

  Yes

  No

  N/A

• Are portable circular saws equipped with guards above and below the base shoe?

  Yes

  No

  N/A

• Are circular saw guards in good working order and the lower part of the blade guarded?

  Yes

  No

  N/A

• Are all cord-connected electrically operated tools and equipment effectively grounded or of the approved double insulated type?

  Yes

  No

  N/A

• Are effective guards in place over belts, pulleys, chains and sprockets on equipment?

  Yes

  No

  N/A

• Are portable fans provided with full guards or screens have openings 1/2in or less?

  Yes

  No

  N/A

• Is hoisting equipment available and used for lifting heavy objects and are hoist ratings appropriate for the task?

  Yes

  No

  N/A

• Are pneumatic and hydraulic hoses on power operated tools checked regularly for deterioration or damage?

  Yes

  No

  N/A

Grinders

• Is work rest used and kept adjusted to within 1/8 inch of the wheel?

  Yes

  No

  N/A

• Do side guards cover the spindle nut and flange and 75% of the wheel diameter?

  Yes

  No

  N/A

• Are bench and pedestal grinders permanently mounted?

  Yes

  No

  N/A

• Are goggles and face shield always worn when grinding?

  Yes

  No

  N/A

• Is the RPM rating of wheel compatible with grinder?

  Yes

  No

  N/A

• Does the ON/OFF switch work correctly?

  Yes

  No

  N/A

• Is the grinder effectively grounded?

  Yes

  No

  N/A

• Are new abrasive wheels visually inspected and given a ring test before being mounted?

  Yes

  No

  N/A

• Is area around grinder clean and orderly?

  Yes

  No

  N/A

Welding, Cutting and Brazing

• Are only trained and authorized personnel permitted to use equipment?

  Yes

  No

  N/A

• Have all operators been trained on operating procedures?

  Yes

  No

  N/A

• Are compressed gas cylinders regularly examined for defects, rusting and leaks?

  Yes

  No

  N/A

• Is care used to handle cylinders to prevent damage?

  Yes

  No

  N/A

• Are only approved apparatuses used? (Torches, regulators, etc)

  Yes

  No

  N/A

• Are cylinders kept away from heat sources?

  Yes

  No

  N/A

• Is it prohibited to use to cylinders as rollers or supports?

  Yes

  No

  N/A

• Are empty cylinders marked and valves closed?

  Yes

  No

  N/A

• Are "NO SMOKING" signs posted?

  Yes

  No

  N/A

• Are cylinders, valves, couplings, regulators, apparatuses and hoses kept free of oily or greasy substances?

  Yes

  No

  N/A

• Is care taken to not drop or strike cylinders?

  Yes

  No

  N/A

• Are cylinders not in use have the valves turned off, stored up-right and valve protection caps on?

  Yes

  No

  N/A

• Is grounding of welding machine and safety ground connections checked periodically?

  Yes

  No

  N/A

• Are electrodes removed from the holders when not in use?

  Yes

  No

  N/A

• Is power to welder shut off when no one is in attendance?

  Yes

  No

  N/A

• Is suitable fire extinguisher available for immediate use?

  Yes

  No

  N/A

• Is welder forbidden to coil or loop welding electrode cable around body?

  Yes

  No

  N/A

• Are lead cables inspected frequently for wear and damage and replaced when needed?

  Yes

  No

  N/A

• Are shields used to confine heat, sparks and slag when needed?

  Yes

  No

  N/A

• Is fire watch assigned when needed?

  Yes

  No

  N/A

• Is appropriate PPE used?

  Yes

  No

  N/A

Compressed Gas Cylinders

• Are cylinders legibly marked to clearly identify the type of gas?

  Yes

  No

  N/A

• Is oxygen and acetylene tanks stored 25 feet apart or separated by a 5 foot tall fire wall when not in use?

  Yes

  No

  N/A

• Are cylinders stored in areas protected from external heat sources?

  Yes

  No

  N/A

• Are cylinders stored in areas where they will not be damaged by passing or falling objects or subject to tampering by unauthorized personnel?

  Yes

  No

  N/A

• Are cylinders stored or transported in a manner to prevent them from creating a hazard by tipping, falling or rolling?

  Yes

  No

  N/A

• Are valve protectors always placed on cylinders that are not in use or connected for use?

  Yes

  No

  N/A

• Are valves closed before moved, when a cylinder is empty or at the completion of a job?

  Yes

  No

  N/A

• Are cylinders inspected periodically for corrosion, general distortion, cracks or other defects?

  Yes

  No

  N/A

• Are unfit cylinders removed from service and tagged?

  Yes

  No

  N/A

LOTO

• Is appropriate LOTO equipment provided to employees?

  Yes

  No

  N/A

• Are employees trained on how to use LOTO equipment correctly?

  Yes

  No

  N/A

• Are LOTO procedures in place?

  Yes

  No

  N/A

Compressors and Compressed Air

• Are compressors equipped with pressure relief valves and pressure gauges?

  Yes

  No

  N/A

• Are compressors operated and maintained according to manufacturers recommendations?

  Yes

  No

  N/A

• Are safety devices checked frequently?

  Yes

  No

  N/A

• Are signs posted to warn of the automatic starting feature of the compressors?

  Yes

  No

  N/A

• Is the belt drive system totally enclosed to provide protection for the front, back, top and sides?

  Yes

  No

  N/A

• Are employees strictly prohibited from directing compressed air towards a person?

  Yes

  No

  N/A

• Are employees prohibited from using highly compressed air for cleaning purposes?

  Yes

  No

  N/A

• When using compressed air is used to clean clothing, are employees trained to reduce the pressure to less than 10psi?

  Yes

  No

  N/A

• Are safety chains or locking devices used at couplings of high pressure hose lines where a connection failure is possible?

  Yes

  No

  N/A

• When compressed air is used to inflate auto tires, are clip-on chuck and in-line regulator preset to 40psi?

  Yes

  No

  N/A

Hoist and Auxiliary Equipment

• Does the overhead electric hoist have a limit device to stop the hook at its highest and lowest point of safe travel?

  Yes

  No

  N/A

• Will the hoist automatically stop and hold any load up to 125% of its rated load of its actuating force is removed?

  Yes

  No

  N/A

• Is the rated load of each hoist legibly marked and visible to the operator?

  Yes

  No

  N/A

• Are stops provided at the safe limits of travel for trolley hoists?

  Yes

  No

  N/A

• Are the controls of hoist plainly marked?

  Yes

  No

  N/A

• Is each cage controlled hoist equipped with an effective warning device?

  Yes

  No

  N/A

• Are close fitting guards installed on each hoist to ensure that hoist ropes will be maintained in the sheave grooves?

  Yes

  No

  N/A

• Are hoist chains and ropes long enough to handle the full range of movement while maintaining 2 full wraps around the drum at all times?

  Yes

  No

  N/A

• Are guards provided for nip points between hoist ropes and sheaves permanently located within 7 feet of the floor, ground or working platform?

  Yes

  No

  N/A

• Are chains and slings that are kinked or twisted prohibited from use?

  Yes

  No

  N/A

• Are employees prohibited from using the hoist rope or chain wrapped around the load as a substitute for a sling?

  Yes

  No

  N/A

• Is it prohibited to carry loads over people?

  Yes

  No

  N/A

Forklifts

• Do only trained personnel operate forklifts?

  Yes

  No

  N/A

• Are forklift operating procedures trained and followed?

  Yes

  No

  N/A

• Does the forklift have a warning horn, whistle or other device that can be clearly heard above normal noise in areas where it is operated?

  Yes

  No

  N/A

• Are brakes capable of stopping vehicle when fully loaded?

  Yes

  No

  N/A

• Is the parking brake fully functional?

  Yes

  No

  N/A

• Are areas checked for concentrations of dangerous gases or fumes where forklifts are operated?

  Yes

  No

  N/A

• Are employees prohibited from standing or passing under elevated portions of forklift, whether loaded or unloaded?

  Yes

  No

  N/A

• Are loads handled only within the rated capacity of the truck?

  Yes

  No

  N/A

• Are trucks in need of repair removed from service immediately?

  Yes

  No

  N/A

• Are daily inspection reports filled out?

  Yes

  No

  N/A

Flammable and Combustible Materials

• Are all connections on drums and combustible liquid piping, vapor and liquid tight?

  Yes

  No

  N/A

• Are all flammable liquids kept in closed containers when not in use?

  Yes

  No

  N/A

• Are "NO SMOKING" signs posted around flammable material?

  Yes

  No

  N/A

• Is fuel kept in safety cans?

  Yes

  No

  N/A

Hazardous Chemical Exposure

• Are eyewash fountains and safety showers provided in areas where corrosives are handled?

  Yes

  No

  N/A

• Are all containers labeled with its contents?

  Yes

  No

  N/A

• Are employees prohibited from eating around hazardous substances?

  Yes

  No

  N/A

• Is a written respiratory program in place?

  Yes

  No

  N/A

Hazardous Substances Communication

• Is there a list of hazardous substances used in your workplace and SDS's available for each substance?

  Yes

  No

  N/A

• Is a list of substances kept, both currently used and not used, for required amount of time by OSHA?

  Yes

  No

  N/A

• Are SDS's updated frequently?

  Yes

  No

  N/A

• Is each container labeled?

  Yes

  No

  N/A

Electrical

• Do extension cords have a grounding conductor?

  Yes

  No

  N/A

• Are multiple plug adapters prohibited?

  Yes

  No

  N/A

• Are exposed wiring and cords with frayed or deteriorated insulation required or replaced promptly?

  Yes

  No

  N/A

• Are flexible cords and cables free of splices or taps?

  Yes

  No

  N/A

• Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

  Yes

  No

  N/A

• Are all unused openings in breaker box closed with appropriate covers, plugs or plates?

  Yes

  No

  N/A

• Are all switches, receptacles, junction boxes, etc., provided with tight fitting covers or plates?

  Yes

  No

  N/A

• Are employees prohibited from storing material within 36 inches of the breaker box?

  Yes

  No

  N/A

Noise

• Are there areas in the workplace where continuous noise levels exceed 85 decibels?

  Yes

  No

  N/A

• Is there a written noise exposure program in place?

  Yes

  No

  N/A

• Is approved hearing protective equipment available to employees?

  Yes

  No

  N/A

• Is audio metric test performed yearly?

  Yes

  No

  N/A

• All the above information has been reviewed with the following individuals. A copy of this audit will be emailed to the District Manager, District HSE Rep and the Regional Manager.

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