Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Plant wide observations

  • Add media

Interaction questions with employee

  • Are boots in good condition?

  • Date & Time observation was conducted

  • Department:

  • Did you stretch today?

  • Did your line or department stretch today?

  • Signature of the employee that was asked

  • Can you demonstrate proper lifting technique?

  • Knowledge of severe weather shelter areas for their departments?

  • Severe weather map

  • Do employees know where their fire extinguishers are at in their area?

  • Do employees know where their primary and secondary evacuation routes are located? Have them point those out for you

  • Where are the MSDS located for the plant? (Main gate, Medical & outside of the Meat Market)

  • Are you current on your mule/fork truck certification?

  • Signature of employee asked

Personal Protective Equipment

  • Hearing protection being worn and in good condition? ( plugs or muffs acceptable)

  • Eye protection (safety glasses w/side shields or chemical goggles) in good condition? (when applicable)

  • Bump cap or hard hat in good condition? Check for broken straps and or cracks on the cap

  • Are knives, scissors or box cutters in proper protective covers and located in their place when not in use?

  • Peeler & mule operators wearing cut resistant gloves?

  • Signature of operator inspected for cut resistant glove compliance

Housekeeping / Safe working conditions

  • Work areas clean and uncluttered ( nothing on the floor, walkways or exit routes clear from obstructions, banding straps cut off or taken off the load, hoses picked up and secured, tools and equipment are stored in their proper location)

  • Observation

  • Machine guards in place and good repair?

  • Observation

  • Work being performed properly( no risk taking, short cuts or rushing to get tasks done)? This is a behavior observation

  • Observation

  • Paying attention to the task at hand( horseplay or not watching what you are doing)?

  • Observation

  • Is there excessive meat on the floor?

  • Observation

  • Is the condensation wiped down?

  • Observation

  • Do all your Airlec doors work correctly in your area? (Open and close all the way)

  • Observation

  • Are any drains backed up causing slippery conditions?

Safety Programs

  • Do all ladders in your area have the correct and up to date inspection tag on it?

  • Observation

  • LOTO procedures being followed? If applicable, does the operator have a lock on them?

  • Observation

  • Are employees hauling more than 2 coffins at a time with a mule?

  • Observation

  • Signature of employee observed

Ergonomics

  • Stands adjusted to proper heights?

  • Observation

  • Is there job rotation?

  • State the job, situation and guidelines for rotation

  • Ergo mats in place, good condition and in use where authorized?

  • Observation

  • Body in proper position ( not bent or slouched over)?

  • Observation

  • Workstations and tools within normal reach ( no extended reaching)?

  • Observation

  • Proper lifting, pushing, posture and movements, ask for help if required to move or lift heavy objects, use appropriate equipment / tools for the job ( check that hoists, barrel lifts, etc. are used?

  • Observation

  • Signature of operator observed

  • Observation

  • Emergency equipment: fire extinguishers, eye wash stations/showers, fire alarm pull stations all accessible?

  • Observation

  • Emergency exits are accessible? Walkway clear 28" wide

  • Observation

  • Electrical panels clear from obstacles(36")?

  • Observation

  • Are all fire extinguishers checked and up to date?

  • Observation

  • Are eyewash stations in your area working correctly?

  • Observation

  • Are guardrail chains and gates present to guard openings which are 4ft or more above the ground or adjacent to a hazard?

  • Observation

  • Are all observed fixed and portable steps in good repair?

  • Observation

  • Is a clearance of 18 " maintained between sprinkler heads and stored material?

  • Observation

  • Are wooden pallets stored 6' high or less?

  • Observation

  • Are plastic pallets stored 4 ' high or less?

  • Observation

Chemicals

  • Used properly( dispensing and mixing)?

  • Labeled properly?

  • Observation

  • Are all chemical cages locked in your area?

  • Observation

  • Are incompatible chemicals such as acids and chlorine stored in a way from each other or located in a way that is leakage occurred, it would not use a common drain?

  • Stored and contained properly?

  • Observation

  • Observation

  • Are employees wearing proper PPE when dispensing or using chemicals? Goggles, face shields or rain suites

  • Observation

Fork Truck /Mule

  • Pre-op check sheet completed?

  • Signature of operator inspected

  • Driving safely ( fork height, speed, pedestrian awareness and horn usage)?

  • Seatbelt in use ( when applicable)?

  • Operator looking in the direction of travel?

Other safety concerns and/or corrective actions taken

  • Comments:

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.