Information
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
1.0 - Previous inspection
-
1.1 - Has the last inspection been reviewed?
-
1.2 - Are there no outstanding actions?
2.0 JDHS 2 Personal Protective Equipment
-
2.1 Are employees wearing required PPE when required?
3.0 JDHS 3 Confined Space
-
Are all confined space entries followed according to the program?
4.0 JDHS 4 Lockout/ Tagout
-
4.1 Are LOTO placards posted?
-
4.2 Are employees following LOTO procedures?
5.0 JDHS 5 Electrical Safety
-
5.1 Are electrical plugs in good condition?
-
5.2 Are electrical panels blocked?
-
5.3 Other
6.0 JDHS 10 Equipment Operator Certification
-
6.1 Do operators have a license that allows them to operator equipment?
7.0 JDHS 11 Machine Guarding
-
7.1 Are all machine guards in place and being used?
-
7.2 Are all machine guards in good repair?
-
7.3 Other
8.0 JDHS14 Fall Protection
-
8.1 Are employees using fall protection where required?
-
8.2 Other
9.0 JDHS15 Welding, Cutting and Brazing
-
9.1 Are all employees wearing PAPRs when welding?
-
9.2 Have all combustible materials been moved or covered within a (35 foot) radius of welding area?
-
9.3 Other
10.0 JDHS 16 Ladders and Industrial Stairs
-
10.1 Are ladders in a safe condition?
-
10.2 Are all ladders properly stored and secured?
-
10.3 Other
11.0 JDHS 17 Dock Safety and Powered Industrial Trucks
-
11.1 Are jack stands under the front of the trailer?
-
11.2 Are dock locks being used?
-
11.3 Are trailer wheels chocked?
-
11.4 Are seat belts properly worn while vehicle in operation?
-
11.5 Do back-up alarms and horns work?
-
11.6 Are vehicles driven at a safe speed?
-
11.7 Other
12.0 JDHS 20 Flammable and Combustible Materials
-
12.1 Are all bottles properly labeled?
-
12.2 Are all combustibles properly stored?
-
12.3 Are all flammable cabinets grounded?
-
12.4 Other
13.0 JDHS 21 Cranes, Hoist and Lifting Devices
-
13.1 Are hook safety latches in good repair?
-
13.2 Are chains, slings and cables in good repair?
-
13.3 Are magnets in good condition?
-
13.4 Do all lifting devices have an ID number and lifting capacity clearly marked?
-
13.5 Are pendants or remotes in good condition? (Legible labels, exposed wires, cracked case, etc...)
-
13.6 Other
14.0 Hand Tools
-
14.1 Are there mushroomed hammers, drivers or punches being used?
-
14.2 Are tools in good condition?
-
14.3 Other
15.0 Emergency Eyewash and Shower
-
15.1 Have stations been inspected?
-
15.2 Are stations clean and working properly?
-
15.3 Is there clear access to the station?
-
15.4 Other
16.0 Fire Extinguishers
-
16.1 Have fire extinguisher been inspected and in working order?
-
16.2 Is access unblocked?
-
16.3 Other
17.0 Other
-
17.1 Items found either good or bad not captured above.
Sign Off
-
On site representative
-
Auditor's signature
