Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0. EMERGENCY EXITS AND EMERGENCY PREPAREDNESS
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1.1. All exits marked with an exit sign and illuminated? (Test to ensure proper functionality)
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1.2. All exits kept free of obstruction?
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1.3. Are air horns utilized for emergency notification in place and free of obstruction?
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1.4. Emergency Muster Area sign posted?
2.0. FIRST AID
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2.1. First Aid Kit(s) in accessible location?
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2.2. First Aid Kit(s) contents appropriate and inspected?
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Date of last inspection:
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2.3. Bloodborne Pathogen Kit(s) in accessible location and fully stocked?
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2.4. AED in accessible location and ready for use? (Check "Ready" Status)
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2.5. Emergency Eye Wash and Shower Stations functional and ready for use?
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Portable Eye Wash and Shower Stations shall be drained, flushed and refilled with clean potable water at least every 90 days.
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Date of last water change out (Mechanic Shop):
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Date of last water change out (Welding Shop):
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Date of last water change out (Tong Shop):
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Date of last water change out (Chemical-Fuel Storage Area):
3.0. FIRE FIGHTING EQUIPMENT
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3.1. Fire extinguisher's located in designated areas and accessible?
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3.2. Have fire extinguisher's been visually inspected monthly (in-house) and annually (3rd Party)?
4.0. SAFETY SIGNS AND WARNINGS
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4.1. Safety signage posted and in good condition?
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4.2. Signs easily identifiable?
5.0. FLOORS, WALKWAYS, STAIRS AND PLATFORMS
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5.1. Walkways clear of trash, materials, equipment, extension cords and protruding sharp edges?
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5.2. Are walkways and working surfaces free of tripping hazards?
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5.3. Surfaces free of slip hazards (oil, grease, etc.)?
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5.4. Handrails, steps and grating in good condition?
6.0. WORK ENVIRONMENT
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6.1. Overall housekeeping satisfactory?
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6.2. Work areas clean and orderly?
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6.3. Work Surfaces kept free of dust/dirt (where practical)?
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6.4. Work area adequately illuminated?
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6.5. Restroom and washing facilities clean and sanitary?
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6.6. Work areas free from obstructions, materials and sharp edges?
7.0. WASTE
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7.1. Trash / Debris picked up when necessary?
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7.2. Waste Bins regularly emptied?
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7.3. Waste Bins segregated into correct waste types?
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7.4. Waste Bins properly labeled?
8.0. PERSONAL PROTECTIVE EQUIPMENT (PPE)
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8.1. Are employees utilizing the proper PPE for the type of hazard?
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8.2. PPE used and correctly worn?
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8.3. PPE kept clean and in good condition?
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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
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9.1. Chemical inventory and Safety Data Sheets (SDS) / Material Safety Data Sheets (MSDS) available and up-to-date?
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9.2. Are containers clearly labeled?
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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?
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9.4. Gas cylinders stored upright and secured?
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9.5. Are empty and full gas cylinders stored separately?
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9.6. Are gas cylinders stored away from ignition sources?
10.0. MATERIAL HANDLING & STORAGE
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10.1. Are materials stored in a safe manner?
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10.2. Materials stored in racks & bins where possible?
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10.3. Proper staging of material to minimize lifting and carrying utilized?
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10.4. Are forklifts operated in a safe manner by trained/qualified operators only?
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10.5. Are forklift inspections conducted and documented daily?
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10.6. When employees are operating the forklift, are seat belts being utilized?
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10.7. Are overhead crane inspections conducted and documented daily?
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10.8. Are chains, slings and cables (rigging equipment) in good condition and within certification / expiration date?
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10.9. Are cotter/split pins utilized for securing shackles on lifting rigging gear?
11.0. LADDERS
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11.1. Are ladders properly stored when not in use and maintained in good condition (no missing or broken rungs, etc.)?
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11.2. Are ladders marked as industrial strength and non-conductive?
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11.3. Are ladder rungs and steps free of grease and oil (clean - free of slip hazards)?
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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
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12.1. Equipment and tools kept in good condition and clean?
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12.2. All guards in place and functioning properly?
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12.3. Emergency stop controls present, marked and functions properly?
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12.4. Damaged equipment and/or hand tools rendered safe (repaired) or taken out-of-service?
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12.5. Are hand tools and equipment free of any obvious physical damage?
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12.6. Are tools not in use stored in designated storage?
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12.7. Compressed air tools and hoses in good condition, used properly and returned to storage after use?
13.0. ELECTRICAL
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13.1. Any frayed cable insulation showing on extension / power tool cords?
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13.2. Are tools and cords properly grounded (ground pins in good condition)?
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13.3. Wiring/Cabling positioned off the ground and/or secured?
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13.4. Electrical Panels properly labeled and no missing covers?
14.0. ENVIRONMENTAL
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14.1. Are tanks, drums and containers properly labeled?
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14.2. Are tanks, drums and containers free of signs of leakage, ruptures, drips and/or stains?
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14.3. Overall exterior condition of tanks, drums and containers is satisfactory?
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14.4. Storm Water / Drain checked?
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14.5. General housekeeping of chemical storage area(s) is satisfactory?
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14.6. Drain valve(s) for secondary containment area and equipment skids are closed to prevent leakage?
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14.7. Secondary containment area and equipment skids are free of leaking material and standing rain water?
ATTENDEES (SIGNATURES)
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