Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Audit information

  • Select Zone being audited

  • Auditor Name

  • Select date

Employees

  • Are all employees wearing eye protection, side shields, slip resistant shoes?

  • Select an employee: is the employee aware of where the safety card or JHA is for their machine?

Environment

  • Look at the I always wear employees walk: are there any trip hazards?

  • Is there safe clearance between all the equipment through aisles and doors? (28" minimum)

  • Are floors free of oil spillage or leakage?

  • Look in the area for the used rag container. Is it metal? It is NOT overflowing? Is the container labeled?

  • Are extension cords off of the floor where they can be abused by traffic and/or chemicals?

  • Look for the nearest exit. Is the exit clearly marked? Do employees have easy access?

  • Look at a machine. Is it free from excessive oil and dirt?

  • Is there a fire extinguisher in sight and within 30'?

  • Are materials that are stacked stable and secure?

  • Look for all phones in the area. Are there 911 and address tags in view?

  • Check storage racks for proper movement. Do they move freely when unlocked and not move freely when locked?

  • Are here hoses off the floor when not in use?

  • Look at the primary workspace. Is the area clean and orderly? Are unnecessary items removed from the work area?

  • Take photo

Electrical

  • Are the electrical panels closed?

  • Is permanent wiring used instead of extension cords?

  • Is there a minimum of 36" clearance around the electrical panel?

  • Take photo

Grinding Wheels

  • Are all stationary grinding equipment bolted down?

  • Is all safety guarding in place?

  • Is guarding secure and free from sharp edges?

  • Take photo

  • Additional Comments

  • JASFO-08-02-13B (n/r)
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.