JDDMW

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed?

  Safe

  At Risk

  N/A

• 1.2 - Are there no outstanding actions?

  Safe

  At Risk

  N/A

2.0 JDEHS 2 Personal Protective Equipment

• 2.1 Are employees wearing required PPE when required?

  Safe

  At Risk

  N/A

3.0 JDEHS 3 Confined Space

• Are all confined space entries followed according to the program?

  Safe

  At Risk

  N/A

4.0 JDEHS Lockout/ Tagout

• 4.1 Are LOTO placards posted?

  Safe

  At Risk

  N/A

5.0 JDEHS Electrical Safety

• 5.1 Are electrical plugs in good condition?

  Safe

  At Risk

  N/A

• 5.2 Are electrical panels blocked?

  Safe

  At Risk

  N/A

6.0 JDEHS 10 Equipment Operator Certification

• 6.1 Do operators have license that allows them to operator equipment?

  Safe

  At Risk

  N/A

7.0 JDEHS 11 Machine Guarding

• 7.1 Are all machine guards in place and being used?

  Safe

  At Risk

  N/A

• 7.2 Are all machine guards in good repair?

  Safe

  At Risk

  N/A

8.0 JDEHS 14 Fall Protection

• 8.1 Are employees using fall protection where required?

  Safe

  At Risk

  N/A

9.0 JDEHS 15 Welding, Cutting and Brazing

10.0 JDEHS 16 Ladders and Industrial Stairs

• 10.1 Are ladders in a safe condition?

  Safe

  At Risk

  N/A

11.0 JDEHS 17 Dock Safety and Powered Industrial Trucks

• 11.1 Are jack stands under the front of the trailer?

  Safe

  At Risk

  N/A

• 11.2 Are dock locks being used?

  Safe

  At Risk

  N/A

• 11.3 Are trailer wheels chocked?

  Safe

  At Risk

  N/A

• 11.4 Are seat belts properly worn while vehicle in operation?

  Safe

  At Risk

  N/A

• 11.5 Do back-up alarms and horns work?

  Safe

  At Risk

  N/A

• 11.6 Are vehicles driven at a safe speed?

  Safe

  At Risk

  N/A

12.0 JDEHS 20 Flammable and Combustible Materials

• 12.1 Are all bottles properly labeled?

  Safe

  At Risk

  N/A

• 12.2 Are all combustibles properly stored?

  Safe

  At Risk

  N/A

• 12.3 Are all flammable cabinets grounded?

  Safe

  At Risk

  N/A

13.0 JDEHS 21 Cranes, Hoist and Lifting Devices

• 13.1 Are hook safety latches in good repair?

  Safe

  At Risk

  N/A

• 13.2 Are chains, slings and cables in good repair?

  Safe

  At Risk

  N/A

• 13.3 Are magnets in good condition?

  Safe

  At Risk

  N/A

• 13.4 Do all lifting devices have an ID number and lifting capacity clearly marked?

  Safe

  At Risk

  N/A

14.0 Hand Tools

• 14.1 Are there mushroomed hammers, drivers or punches being used?

  Safe

  At Risk

  N/A

• 14.2 Are tools in good condition?

  Safe

  At Risk

  N/A

15.0 Emergency Eyewash and Shower

• 15.1 Have stations been inspected?

  Safe

  At Risk

  N/A

• 15.2 Are stations clean and working properly?

  Safe

  At Risk

  N/A

• 15.3 Is there clear access to the station?

  Safe

  At Risk

  N/A

16.0 Fire Extinguishers

• 16.1 Have fire extinguisher been inspected and in working order?

  Safe

  At Risk

  N/A

• 16.2 Is access unblocked?

  Safe

  At Risk

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign