Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0. EMERGENCY EXITS AND EMERGENCY PREPAREDNESS

  • 1.1. All exits marked with an exit sign and illuminated? (Test to ensure proper functionality)

  • 1.2. All exits kept free of obstruction?

  • 1.3. Are air horns utilized for emergency notification in place and free of obstruction?

  • 1.4. Emergency Muster Area sign posted?

2.0. FIRST AID

  • 2.1. First Aid Kit(s) in accessible location?

  • 2.2. First Aid Kit(s) contents appropriate and inspected?

  • Date of last inspection:

  • 2.3. Bloodborne Pathogen Kit(s) in accessible location and fully stocked?

  • 2.4. AED in accessible location and ready for use? (Check "Ready" Status)

  • 2.5. Emergency Eye Wash and Shower Stations functional and ready for use?

  • Portable Eye Wash and Shower Stations shall be drained, flushed and refilled with clean potable water at least every 90 days.

  • Date of last water change out (Mechanic Shop):

  • Date of last water change out (Welding Shop):

  • Date of last water change out (Tong Shop):

  • Date of last water change out (Chemical-Fuel Storage Area):

3.0. FIRE FIGHTING EQUIPMENT

  • 3.1. Fire extinguisher's located in designated areas and accessible?

  • 3.2. Have fire extinguisher's been visually inspected monthly (in-house) and annually (3rd Party)?

4.0. SAFETY SIGNS AND WARNINGS

  • 4.1. Safety signage posted and in good condition?

  • 4.2. Signs easily identifiable?

5.0. FLOORS, WALKWAYS, STAIRS AND PLATFORMS

  • 5.1. Walkways clear of trash, materials, equipment, extension cords and protruding sharp edges?

  • 5.2. Are walkways and working surfaces free of tripping hazards?

  • 5.3. Surfaces free of slip hazards (oil, grease, etc.)?

  • 5.4. Handrails, steps and grating in good condition?

6.0. WORK ENVIRONMENT

  • 6.1. Overall housekeeping satisfactory?

  • 6.2. Work areas clean and orderly?

  • 6.3. Work Surfaces kept free of dust/dirt (where practical)?

  • 6.4. Work area adequately illuminated?

  • 6.5. Restroom and washing facilities clean and sanitary?

  • 6.6. Work areas free from obstructions, materials and sharp edges?

7.0. WASTE

  • 7.1. Trash / Debris picked up when necessary?

  • 7.2. Waste Bins regularly emptied?

  • 7.3. Waste Bins segregated into correct waste types?

  • 7.4. Waste Bins properly labeled?

8.0. PERSONAL PROTECTIVE EQUIPMENT (PPE)

  • 8.1. Are employees utilizing the proper PPE for the type of hazard?

  • 8.2. PPE used and correctly worn?

  • 8.3. PPE kept clean and in good condition?

  • 8.4 Respiratory Protection (i.e., APR's in Paint Shop) in good condition, sanitary and filters/cartridges changed regularly?

9.0. HAZARDOUS SUBSTANCES / DANGEROUS GOODS

  • 9.1. Chemical inventory and Safety Data Sheets (SDS) / Material Safety Data Sheets (MSDS) available and up-to-date?

  • 9.2. Are containers clearly labeled?

  • 9.3. Spill Control/Kits readily available with adequate supplies of chemical resistant gloves, protective clothing, sorbent and container to collect and store spilled material?

  • 9.4. Gas cylinders stored upright and secured?

  • 9.5. Are empty and full gas cylinders stored separately?

  • 9.6. Are gas cylinders stored away from ignition sources?

10.0. MATERIAL HANDLING & STORAGE

  • 10.1. Are materials stored in a safe manner?

  • 10.2. Materials stored in racks & bins where possible?

  • 10.3. Proper staging of material to minimize lifting and carrying utilized?

  • 10.4. Are forklifts operated in a safe manner by trained/qualified operators only?

  • 10.5. Are forklift inspections conducted and documented daily?

  • 10.6. When employees are operating the forklift, are seat belts being utilized?

  • 10.7. Are overhead crane inspections conducted and documented daily?

  • 10.8. Are chains, slings and cables (rigging equipment) in good condition and within certification / expiration date?

  • 10.9. Are cotter/split pins utilized for securing shackles on lifting rigging gear?

11.0. LADDERS

  • 11.1. Are ladders properly stored when not in use and maintained in good condition (no missing or broken rungs, etc.)?

  • 11.2. Are ladders marked as industrial strength and non-conductive?

  • 11.3. Are ladder rungs and steps free of grease and oil (clean - free of slip hazards)?

  • 11.4. If a ladder is being utilized, is the proper ladder for the job being used correctly?

12.0. SHOP EQUIPMENT AND HAND TOOLS

  • 12.1. Equipment and tools kept in good condition and clean?

  • 12.2. All guards in place and functioning properly?

  • 12.3. Emergency stop controls present, marked and functions properly?

  • 12.4. Damaged equipment and/or hand tools rendered safe (repaired) or taken out-of-service?

  • 12.5. Are hand tools and equipment free of any obvious physical damage?

  • 12.6. Are tools not in use stored in designated storage?

  • 12.7. Compressed air tools and hoses in good condition, used properly and returned to storage after use?

13.0. ELECTRICAL

  • 13.1. Any frayed cable insulation showing on extension / power tool cords?

  • 13.2. Are tools and cords properly grounded (ground pins in good condition)?

  • 13.3. Wiring/Cabling positioned off the ground and/or secured?

  • 13.4. Electrical Panels properly labeled and no missing covers?

14.0. ENVIRONMENTAL

  • 14.1. Are tanks, drums and containers properly labeled?

  • 14.2. Are tanks, drums and containers free of signs of leakage, ruptures, drips and/or stains?

  • 14.3. Overall exterior condition of tanks, drums and containers is satisfactory?

  • 14.4. Storm Water / Drain checked?

  • 14.5. General housekeeping of chemical storage area(s) is satisfactory?

  • 14.6. Drain valve(s) for secondary containment area and equipment skids are closed to prevent leakage?

  • 14.7. Secondary containment area and equipment skids are free of leaking material and standing rain water?

ATTENDEES (SIGNATURES)

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