Title Page
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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
Audit information
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Select Zone being audited
- Front office
- Lunchroom/restrooms
- Shipping/dock & white rooms
- Finishing
- Tube mill/hazardous waste
- Lathe/Fab A
- Cage area
- Quality & offices
- Maintenance
- Blast/Fab B
- Machining
- Tooling
- Forming
- Laser
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Auditor Name
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Select date
Employees
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Are all employees wearing eye protection, side shields, slip resistant shoes?
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Select an employee: is the employee aware of where the safety card or JHA is for their machine?
Environment
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Look at the I always wear employees walk: are there any trip hazards?
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Is there safe clearance between all the equipment through aisles and doors? (28" minimum)
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Are floors free of oil spillage or leakage?
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Look in the area for the used rag container. Is it metal? It is NOT overflowing? Is the container labeled?
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Are extension cords off of the floor where they can be abused by traffic and/or chemicals?
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Look for the nearest exit. Is the exit clearly marked? Do employees have easy access?
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Look at a machine. Is it free from excessive oil and dirt?
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Is there a fire extinguisher in sight and within 30'?
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Are materials that are stacked stable and secure?
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Look for all phones in the area. Are there 911 and address tags in view?
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Check storage racks for proper movement. Do they move freely when unlocked and not move freely when locked?
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Are here hoses off the floor when not in use?
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Look at the primary workspace. Is the area clean and orderly? Are unnecessary items removed from the work area?
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Take photo
Electrical
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Are the electrical panels closed?
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Is permanent wiring used instead of extension cords?
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Is there a minimum of 36" clearance around the electrical panel?
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Take photo
Grinding Wheels
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Are all stationary grinding equipment bolted down?
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Is all safety guarding in place?
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Is guarding secure and free from sharp edges?
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Take photo
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Additional Comments
JASFO-08-02-13B (n/r)