IST

• Audit Title

• Conducted on

  Date

• Document No.

• Client / Site

• Location
  Address

• Personnel

• Prepared by

• Overview Shop Pictures

  Media

• Summary of general audit observations:

• Performance rating. 10 being best (little or no risk) and 1 being worst (high risk for injury or fines)

Explanation of audit scoring

• All of the following audit questions will be answered in one of three ways:
  
  "Yes" (Green color) - 2 points
  (The jobsite performance met or exceeded expectations for this specific audit question.)
  "Improve" (Yellow color) - 1 point
  (The performance generally met expectations, but some specific improvements are needed.)
  "No" (Red color) - 0 points
  (The performance failed to meet expectations, or a serious violation was identified.)
  
  If an audit question does not apply to the jobsite's activities, the auditor will select N/A for "not applicable", and no score will be added or subtracted from the audit. (The auditor will typically select to omit these questions from the final audit report.)

Previous inspection

• Has the last inspection been reviewed, items corrected and results documented?

  Yes

  Improve

  No

  N/A

1. Premises and Housekeeping

Facilities

• Building and floors

  Safe

  At Risk

  N/A

• Floors clean, not damaged and freed from dirt and other damages

  Safe

  At Risk

  N/A

• Structure, furniture, and equipment in good and safe condition

  Safe

  At Risk

  N/A

• Lighting: natural and artificial

  Safe

  At Risk

  N/A

• Ventilation, adequate, extraction system efficient

  Yes

  Improve

  No

  N/A

• Ablution facilities,e.g. Toilets, wash basins etc, hygiene,no food in an unauthorised areas

  Yes

  Improve

  No

  N/A

Waste Management

• Non-Hazardous waste stored and disposed of in a responsible manner

  Safe

  At Risk

  N/A

• Hazardous waste stored and disposed of in a responsible manner

  Safe

  At Risk

  N/A

Aisle and Stacking

• Aisle and storage areas demarcated

  Yes

  No

  N/A

• Access to fire- lighting equipment and electrical switchgear demarcated and unobstructed

  Yes

  No

  N/A

• Stacking: stable, neat and safe

  Yes

  No

  N/A

• Windowsills and cupboards tops clear, heavy objects on the floor

  Yes

  No

  N/A

• Workstation neat and tidy, free from superfluous redundant equipment

  Yes

  No

  N/A

• Scrap and refuse bins provided, separated bins for septet materials where necessary

  Yes

  No

  N/A

• Removal of scraps and refuse controlled

  Yes

  No

  N/A

Demarcation

• Area of scrap and refuse buns demarcated

  Yes

  No

  N/A

• Color coding of pipelines and plant correct, color keyboard prominently displayed

  Yes

  No

  N/A

2. Mechanical, Electrical and Personal Safeguarding

Signage

• Standardised symbolic signs and notices in positions

  Yes

  No

  N/A

• Appropriate electrical warning signs clearly displayed e.g. No unauthorised entry

  Yes

  No

  N/A

• Notices and signs: electrical mechanical, protective equipment, traffic signs and symbolic safety signs

  Yes

  No

  N/A

Hazardous Substances

• Hazardous substances listed and handled/stored using correct procedures

  Yes

  No

  N/A

• Hazardous substances controlled by appointed and trained person

  Yes

  No

  N/A

• Hazardous substances listed alphabetically

  Yes

  No

  N/A

• Staff informed of hazards

  Yes

  No

  N/A

• Radioactive sources handled and maintained by trained personnel using correct procedures

  Yes

  No

  N/A

• Registers maintained

  Yes

  No

  N/A

Driven Machinery

• Operators are in position of a medical fitness certificate

  Yes

  No

  N/A

• Does machinery has an annual inspection sheet available?

  Yes

  No

  N/A

• Operators trained and competent, carry valid operator cards

  Yes

  No

  N/A

• Daily inspection done, signed and available?

  Yes

  No

  N/A

Ergonomics

• Can work done without repetitive twisting, bending or lifting of arms above the shoulders level?

  Yes

  No

  N/A

• Can employees keep their hand and wrists in a neutral position when they are working?

  Yes

  No

  N/A

• If workers have to push or pull objects of using great amounts of force, are mechanical aids provided?

  Yes

  No

  N/A

• Is work arranged so that workers are not required to lift and carry too much weight(no more than 23 kg/employee?

  Yes

  No

  N/A

• Are there sufficient rest breaks (in addition to schedule rest breaks ) to relieve stress from repetitive motion tasks?

  Yes

  No

  N/A

• Are pressure points on body parts(such as wrists, forearms, backs of thighs) avoided?

  Yes

  No

  N/A

• Are workers protected from exposure to excessive vibration from tools or equipment?

  Yes

  No

  N/A

• Are chairs and work benches adjusted, position and arranged to minimise strains on the body?

  Yes

  No

  N/A

• Are tools, instruments and machinery shaped, positioned, and handled so that tasks can be performed comfortably?

  Yes

  No

  N/A

• Are mechanical assists available to the worker performing material handing tasks?

  Yes

  No

  N/A

Personal Protection

• Adequate equipment provided for eye and face protection and use correctly

  Yes

  No

  N/A

• Safety foot ware provided and where necessary and used

  Yes

  No

  N/A

• Adequate protective clothing provided, clean and in good condition

  Yes

  No

  N/A

• Risk assessment done

  Yes

  No

  N/A

• Head protection provided where necessary and used correctly

  Yes

  No

  N/A

• Suitable respirator equipment provided where necessary and used correctly

  Yes

  No

  N/A

• Registers for issue of all protection protective equipment maintained

  Yes

  No

  N/A

• Staff signed acceptance of rules

  Yes

  No

  N/A

• Approved hearing protection provided and worn as required

  Yes

  No

  N/A

• Noise zones identified

  Yes

  No

  N/A

• Appreciate hand protection provided where necessary and used

  Yes

  No

  N/A

Electrical Safety

• Earth leakage available

  Yes

  No

  N/A

• Earth leakage protection test carried out by a trained/competent person

  Yes

  No

  N/A

• General electrical installation ( I.e. Fixed installation, no plugs) safe in good condition

  Yes

  No

  N/A

• Registers maintained

  Yes

  No

  N/A

Hand Tools

• Hand tools are properly stored and I good condition

  Yes

  No

  N/A

• Registers maintained

  Yes

  No

  N/A

• Do all power tools visually appear to be in good working order( no obvious physical defect, missing ground prong, cracked cars, etc)?

  Yes

  No

  N/A

• Are the switches operating properly (move freely, don't get hung up, etc)?

  Yes

  No

  N/A

• Are employees storing hand tools properly, (not leaving them stern on work benches, resting on material, left on floor, etc)?

  Yes

  No

  N/A

• Have lockout/tag out procedure been used for defective tools or extension cords?

  Yes

  No

  N/A

Machine Guarding

• Are machine guards firmly secured and not easily removable?

  Yes

  No

  N/A

• Are all point-of-operations guards provided, in place and properly adjusted?

  Yes

  No

  N/A

• Are belts and chains drives guarded?

  Yes

  No

  N/A

• Are all gears, speakers, pulleys and flywheels properly guarded?

  Yes

  No

  N/A

• Have pinch points and inward running rollers properly guarded

  Yes

  No

  N/A

• Do the guards prevent workers hand or other body parts from making contact with other moving parts of the machine?

  Yes

  No

  N/A

3. Management of Fire and Other Emergency Risk

Fire Risk Management

• Fire extinguishing equipment adequate and correctly located

  Yes

  No

  N/A

• Register maintained

  Yes

  No

  N/A

• Location of fire extinguishing equipment clearly marked, equipment unobstructed(0.5 x 1m)

  Yes

  No

  N/A

• Fire extinguishing equipment identified labeled, inspected annually and maintained

  Yes

  No

  N/A

• Date of next service

  Date

• Flammable material stored correctly as authorised and approved by fire department

  Yes

  No

  N/A

• Smoke detectors/other early warning systems in place.

  Yes

  No

  N/A

• At least stuff member per 20 employees trained in use of fire extinguisher and evacuation procedures.

  Yes

  No

  N/A

• Fire drill done at least annually

  Yes

  No

  N/A

Emergency Management

• Staff aware of alarm signals

  Yes

  No

  N/A

• Written emergency action plan available, communicated, understood and acknowledged by staff.

  Yes

  No

  N/A

• Signed registers

  Yes

  No

  N/A

• 1 trained first aider per 20 employees in possession of valid competent certificate and appointed

  Yes

  No

  N/A

• Name of first aider displayed

  Yes

  No

  N/A

• First aid box and equipment adequate and in good condition, located clearly marked

  Yes

  No

  N/A

Security Management

• Is there control of persons and vehicles on entry and exits of the facility?

  Yes

  No

  N/A

• Daily operations recorded in site OB

  Yes

  No

  N/A

Emergency Planning

• Emergency plan available

  Yes

  No

  N/A

• Site plan available

  Yes

  No

  N/A

• MSDS and Chemicals spill plan/procedures available

  Yes

  No

  N/A

4. Incident Recording and Investigation

Incident Recording

• Reporting incidents include events where any person: dies, becomes unconscious, suffers the loss of limb or part thereof or is otherwise becomes injured or becomes I'll to such a degree that he/she is likely to either to die, or suffer a permanent physical defect or likely to be unable for a period of at least 14 days either to work or to continue with activity for which he/she was employed or is usually employed

  Yes

  No

  N/A

• Records Available

  Yes

  No

  N/A

Statistics and Follow up

• Injury statistics kept for each months

  Yes

  No

  N/A

• Annual statistics available

  Yes

  No

  N/A

5. Organizational Management

Compliance Management

• Occupational Health, Safety and environmental management policy available?

  Yes

  No

  N/A

• Communicated to all employees and signed registers available

  Yes

  No

  N/A

• OHSE risk and impact assessment available?

  Yes

  No

  N/A

• Communicated to all employees and signed register available

  Yes

  No

  N/A

• OHSE plan available

  Yes

  No

  N/A

• Communicated to all employees and signed register available

  Yes

  No

  N/A

Appointments

• Signed appointments available

  Yes

  No

  N/A

Safety Committee

• Regular meetings held (at least once 3 months )

  Yes

  No

  N/A

• Minutes and records of meetings keep on file

  Yes

  No

  N/A

• Health and Safety committee established

  Yes

  No

  N/A

Safety Awareness

• Regular toolbox talks held? ( at least once per week)

  Yes

  No

  N/A

• Signed attendance registers available

  Yes

  No

  N/A

• Safety awareness posters displayed

  Yes

  No

  N/A

Training

• Training matrix kept and maintained

  Yes

  No

  N/A

• Training records /certificates available

  Yes

  No

  N/A

Contractor Control

• List of contractor available

  Yes

  No

  N/A

• Contractors safety documentation available onsite

  Yes

  No

  N/A

Safety Work Procedures

• Written safe work procedure/codes of practice available

  Yes

  No

  N/A

• Communicated and signed registers available

  Yes

  No

  N/A

6. Industrial Hygiene

Hearing Conservation

• Have noise levels in all areas been evaluated to determine if they are below 85 decibels for an 8 hour time-weighted average?

  Yes

  No

  N/A

• Have all employees exposed to over 85 dB TWA been included in a hearing conservation program?

  Yes

  No

  N/A

• (Areas above 90 decibels 8hr TWA) Are employees required to wear hearing protection, and is it well stock and readily available?

  Yes

  No

  N/A

• (Hearing conservation program) Has annual audiometric testing been provided for employees in the program?

  Yes

  No

  N/A

• Are signs clearly posted for all areas where hearing protection is required?

  Yes

  No

  N/A

7. Administrative

Required Postings - Labor Laws and policy

• Are the state and labor law posters current, and is the required employer information filled out and up to date?

  Yes

  No

  N/A

Morning Huddle and Near Miss Incident Reporting

• Are employees following the Morning Huddle process and filling out the documentation correctly?

  Yes

  Improve

  No

  N/A

• Are employees able to explain the AWS definition of a Near Miss incident?

  Yes

  Improve

  No

  N/A

• Do workers conduct stretch & flex exercises daily to prevent repetitive motion injuries (if exposed to strains and sprains)?

  Yes

  Improve

  No

  N/A

• Are employees actively reporting and documenting Near Miss incidents and their corrective actions?

  Yes

  Improve

  No

  N/A

• Are identified corrective actions still in place for recent Near Miss incidents?

  Yes

  Improve

  No

  N/A

Management Engagement and Employee Involvement

• Have all the managers received formal training in safety and health management responsibilities?

  Yes

  Improve

  No

  N/A

• Do management personnel consistently enforce and reinforce safe work practices through their words and actions?

  Yes

  Improve

  No

  N/A

• Do employees feel they have a positive impact on identifying and resolving safety and health issues?

  Yes

  Improve

  No

  N/A

• Can a majority of employees can give examples of management's active commitment to safety and health?

  Yes

  Improve

  No

  N/A

8. Office Areas

• Are the office aisles, walkways, and work areas free of trip and fall hazards (i.e. torn carpets, flipped door mats, boxes etc.)?

  Yes

  Improve

  No

  N/A

• Do all office areas have 36” clearance maintained in front of any electrical panels and fire extinguishers?

  Yes

  Improve

  No

  N/A

• Are electrical cords, plugs, and power strips in good condition (not frayed, taped, spliced, or ground prong missing)?

  Yes

  Improve

  No

  N/A

• Are computer work stations and work area ergonomically correct, and are workers following safe work practices?

  Yes

  Improve

  No

  N/A

• Have possible struck-by hazards been identified and resolved (closed cabinet doors, file drawers, etc)?

  Yes

  Improve

  No

  N/A

• Are all items stored properly (e.g.: heavy items on lower shelves, shelves stable and evenly distributed, etc.)?

  Yes

  Improve

  No

  N/A

Outdoor storage / Yard

• Are the grounds well groomed (snow & ice removed, grass mowed, weeds controlled, etc.)?

  Yes

  Improve

  No

  N/A

• Are items stored neatly in a logical fashion (accessible, accounted for, assigned to specific jobs, etc.)?

  Yes

  Improve

  No

  N/A

• Are flammable liquids and compressed gasses properly stored?

  Yes

  Improve

  No

  N/A

• Are all other recognized hazards resolved in an appropriate manner?

  Yes

  Improve

  No

  N/A

Unsafe acts and conditions - OSH Act Section 5(a)(1) (General Duty Clause)

• Are all employees following safe work practices for all items not specifically identified in this audit?

  Yes

  Improve

  No

  N/A

• Have employees been receptive and responsive to any issues identified during the audit?

  Yes

  Improve

  No

  N/A

Safety representative Signature

• Representative

  Sign

Auditor Signature

• Auditor

  Sign