KAP Safety 7

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

HAZARDOUS ENERGY

• Are LOCKS-TAGS being used for hazardous energy being use?

  Yes

  No

  N/A

• Corrective Action Required :-

• Corrective action target date

  Date

• Are LOTO available for all types of energy sources ? (electrical, steam, pressure)

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective Action target date

  Date

• Are LOTO plan and instructions visible ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective action target date

  Date

• Electrical panels kept closed and unblocked ?

  Yes

  No

  N/A

• Corrective Action Required

• Corrective action target date

  Date

HOUSE KEEPING HAZARDS

• Are floors dry, no standing water ?

  Yes

  No

  N/A

• Corrective Action Required

• Corrective action target date

  Date

• Are walking surfaces even ( no pothole, no slopes or edges )

  Yes

  No

  N/A

• Corrective Action Required

• Corrective action target date

  Date

• Floors are clear of any hoses, cords lying around ?

  Yes

  No

  N/A

• Corrective Action Required

• Corrective action target date

  Date

• The site have good 5S (clean, no clutter, no littering)?

  Yes

  No

  N/A

• Corrective Action Required :

• Corrective action target date

  Date

HAND SAFETY

• Are hand tools used in safe conditions ?

  Yes

  No

  N/A

• Corrective Action Required:

• Corrective action target date

  Date

• Are proper PPE being used to protect hand injuries ?

  Yes

  No

  N/A

• Corrective Action Required:-

• corrective action target date

  Date

• Are there Safe Plan of Actions in place ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective action target date

  Date

• Are hand tools being used properly without excessive force/ improper positioning ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective action target date

  Date

FACILITIES/MAINTENANCE

• Electrical wiring observed are safe - no exposed wires, dangling wires ?

  Yes

  No

  N/A

• Corrective Action Required:

• Corrective Action Target Date

  Date

• Machine guards in place and closed ? Interlock functional ?

  Yes

  No

  N/A

• Corrective Action Required :-

• Corrective action target date

  Date

• Water pipes, air compressors, steam pipes are working properly - no leaks ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective action target date

  Date

• Are materials stored and stacked properly - stable loads (e.g. pallets, cartons, boxes etc)

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective action Target date

  Date

• Are fire exits, fire extinguishers, fire alarms, fire hoses clear of any obstruction ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective Action target date

  Date

• Are fire protection equipment inspected regularly according to schedule ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective Action Target date

  Date

WORKING AT HEIGHTS

• Are PPE being used for working at heights ?

  Yes

  No

  N/A

• Corrective Action Required

• Corrective Action Target Date

  Date

• Is work permit available for working at height ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective Action Target Date

  Date

• Are there inspection tags available for ladders/platforms/scaffolding ?

  Yes

  No

  N/A

• Corrective Action Required :

• Corrective action target date

  Date

• Are there proper guard rails available for platforms/scaffolding ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective Action target date

  Date

• Are there Safe Work Procedure for Working at Height ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective action target date

  Date

EMPLOYEE PRACTICES

• Are you employees using proper PPE ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective Action Target date

  Date

• Lifting /material handling is properly done?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective Action Target Date

  Date

• Pedestrian walkway is clearly marked and safe for use ?

  Yes

  No

  N/A

• Corrective Action Required

• Corrective Action Target Date

  Date

• Are Locks-Tags in use for all energy sources (e.g. Electricity, Steam, pressure) ?

  Yes

  No

  N/A

• Corrective Action Required

• Corrective Action target date

  Date

• Is LOTO plan and instruction visible ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective Action Target Date

  Date

• Electrical Panels closed and not blocked ?

  Yes

  No

  N/A

• Corrective Action Required

• Corrective Action Target Date

  Date

CHEMICAL USE

• Are chemical containers being stored properly ? ( proper segregation of hazardous chemicals, secondary containment available , good ventilation, spill kits available)

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective Action Target Date

  Date

• Is there proper chemical labeling on the containers? ( name, chemical characteristics, toxicity)

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective action Target date

  Date

• Chemical/Flavors managed properly ? No spillage ?

  Yes

  No

  N/A

• Corrective Action Required

• Corrective action target date

  Date

• Is there an Eyewash/Shower near the chemical use/storage area ?

  Yes

  No

  N/A

• Corrective Action Required:-

• Corrective Action Target Date

  Date

• Is flammable liquid being stored properly ( e.g. flammable cabinet)

  Yes

  No

  N/A

• Corrective Action Required :-

• Corrective Action Target date

  Date