LCI/Kinro Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• EH&S Policy Posted

• Safety Committee

• Annual Safety Training

• Incident Investigation

• Supervisor Safety Training

• General Housekeeping

• Restroom Cleanliness

• No Smoking Policy

OSHA Recordkeeping

• OSHA Poster Posted

• Are incidents recorded properly

Hearing Conservation

• Noise Survey

  Yes

  No

  N/A

• Audiometric Testing Completed

  Yes

  No

  N/A

• Hearing protection used properly

• Written HCP in place?

  Yes

  No

  N/A

• Annual training completed

PPE

• Hazard assessment completed

• Eye protection properly used

  Yes

  No

  N/A

• Hearing protection properly used

  Yes

  No

  N/A

• Foot protection properly used

  Yes

  No

  N/A

• Head protection properly used

  Yes

  No

  N/A

• Respiratory protection required?

  YES

  NO

• Fit Test Completed

  Yes

  No

• Training Completed

  Yes

  No

• Medical release received from the reviewing physician?

  Yes

  No

Hazardous Communications

• Chemical inventory list complete

• MSDS documents complete (kept or in binder or electronic) and accessible by all employees?

• Pick 5 items from the manufacturing space and verify the presence of the MSDS

• Are all non-primary containers properly labeled and legible?

  Yes

  No

  N/A

• Has initial Haz Com training been completed?

  Yes

  No

• Has all refresher and annual haz com training been completed?

  Yes

  No

Chemical Exposures

• Has IH sampling been completed? If so, list the most recent sampling event and the parameters that were monitored.

  Yes

  No

• If monitoring has been completed, were the employees and those immediately surrounding the employees notified of the results?<br>

  Yes

  No

  N/A

Hazardous Materials

• Are all compressed gases properly stored in accordance with OSHA guidelines?

  Yes

  No

• Are all flammable/combustible liquids properly stored in accordance with OSHA guidelines?

  Yes

  No

• Spray finishing is being conducted with approved equipment in accordance with the air permit?

  Yes

  No

  N/A

• Liquid hazardous materials are stored in closed containers?

• Propane & LPG are stored correctly in a lockable container and away from combustible materials?

  Yes

  No

  N/A

Confined Spaces

• Has the written program been fully implemented?

• Is the permit system in use and documented?

• If so, please pull the most recent entrant permit and provide the name of the entrant, the name of the standby individual and the date completed.

Machine Guarding

• Are all table saws properly guarded with top guard and anti kick back device in place?

  Yes

  No

  N/A

• Drill presses properly lagged to the concrete?

• Are the OEM guards in place on all hand tools?

  Yes

  No

  N/A

• Are the power tools inspected on a regular basis to assure no electrical hazards are present?

  Yes

  No

  N/A

• Does this facility have power presses (either mechanical or hydraulic)

  YES

  NO

• Are barriers used to assure that the operator or other employees are not capable of reaching over, under, around or through to contact a pinch point?

  Yes

  No

• If present are light curtains inspected periodically to assure they are being setup correctly and functioning correctly?<br>

  Yes

  No

  N/A

• If pullbacks or restraints are used are the daily inspections recorded and are the restraints adjusted for each operator?

  Yes

  No

  N/A

• If a laser is in use to protect the point of operation, is the laser properly installed and setup?

  Yes

  No

  N/A

• Are the presses inspected on a regular basis to assure all systems are functioning correctly?

  Yes

  No

Lockout/Tagout

• Does the facility have a copy of the LOTO program?

  Yes

  No

• Are written, established LOTO procedures available for each piece of equipment>

• Has the LOTO training been provided to the Authorized, Effected and Other employees annually?

  Yes

  No

  N/A

• Have the Authorized employees been certified on an annual basis?

  Yes

  No

  N/A

Electrical Safety

• Breaker boxes free of clutter and accesible?

• Properly grounded?

  Yes

  No

  N/A

• Any evidence of flexible wiring being used in lieu of permanent wiring?

• Extensions cords free from frays, cuts and tears?

• Breaker boxes (including knockouts and breaker blanks) in working order and secure?

Emergency Preparedness

• Are all exits points clearly marked?

  Yes

  No

• Are exit routes and doors free of obstructions and obstacles?

  Yes

  No

• Does the facility have an emergency action plan (EAP)?<br>

  Yes

  No

• Does the EAP include a map with exit routes and muster locations?

  Yes

  No

• Does the written plan explain procedures for head counts at the muster points?

  Yes

  No

• Are fire extinguishers inspected on a monthly basis?

• Are all fire extinguishers clear of obstructions within the 3' area?

• Are all extinguishers mounted a max of 48" from the ground and a minimum of 4" from the ground?

  Yes

  No

Powered Industrial Trucks

• All operators are trained?

  Yes

  No

  N/A

• Only certified operators are using the forklift?

  Yes

  No

  N/A

• Are the daily inspections completed and reviewed?

  Yes

  No

  N/A

Overhead & Gantry Cranes

• Were any employees working under suspended loads with no support?

  Yes

  No

• Are the daily hoist inspections completed and documented?

  Yes

  No

  N/A

• Are the monthly hoist inspections completed?

  Yes

  No

  N/A

• Are the hoists inspected an an annual basis?

  Yes

  No

  N/A

• Are all end of hooks attachments inspected on an annual basis?

  Yes

  No

  N/A

Blood Borne Pathogens

• Does the facility have the written plan in place?

  Yes

  No

  N/A

• Has the BBP training been completed?

  Yes

  No

  N/A

• Have all affected employees received the Hep B vaccine or signed the declination waiver?

Environmental Permitting

• Does the facility require and SPCC Plan? If greater than 1320 gallons of petroleum products are stored onsite.

  Yes

  No

  N/A

Air Permit

• Has the facility been evaluated for air permit requirements?

  Yes

  No

  N/A

• Are records maintained to verify compliance with the permit?

  Yes

  No

  N/A

• Is the facility in compliance with the permit?

  Yes

  No

  N/A

• Does the facility have a copy of the air permit?

  Yes

  No

  N/A

Storm Water

• Does the facility have either a storm water permit or an exclusion issued from the State or Fed EPA?

  Yes

  No

• Are all records present to assure compliance with the storm water permit? Sampling, monthly visible inspections etc

  Yes

  No

  N/A

Hazardous Waste

• Are all manifests maintained onsite, both the original and the return copy?<br>

  Yes

  No

  N/A

• Is the facility a LQG?

  YES

  NO

• Are weekly inspections of the haz waste storage area completed?

  Yes

  No

  N/A

• Does the facility maintain and Haz Waste Management plan and a Haz Waste contingency plan?

  Yes

  No

  N/A

• Does the facility maintain a log of drums including day entering longterm storage area and date leaving?

  Yes

  No

  N/A

Safety Statistics

• Is the OSHA recordable rate < than industry average?

  Yes

  No

• W/C meeting goals for the year?

  Yes

  No

  N/A