Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 - Previous Inspection
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1.1 - Date of last inspection?
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1.2 - He the last inspection been reviewed?
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1.3 - Are there any outstanding actions?
2.0 - Fire Prevention
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2.1 - Evacuation plan is openly displayed?
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2.2 - Evacuation procedures are discussed regularly?
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2.3 - Extinguishers are in place and clearly marked for type of fire?
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2.4 - Extinguishers are still within service date?
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2.5 - Extinguishers have been inspected and are in date?
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2.6 - Portable extinguishers are adequate, charged, pins secure, and mounted appropriately?
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2.7 - Are employees trained annually in the use of fire extinguishers?
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2.8 - Extinguishers are clear of obstructions?
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2.9 - Fire rated doors are kept closed?
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2.10 - Adequate direction notices for fire exits?
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2.11 - All exit doors open easily from the inside?
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2.12 - Exits are clear of obstructions?
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2.13 - Is there adequate walking space approaching exits?
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2.14 - Fire alarm functions correctly?
3.0 - Building Safety
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3.1 - Floor surfaces even and uncluttered?
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3.2 - Entry-ways are clear?
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3.3 - Walkways and hallways are clear?
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3.4 - Walkways are adequately marked?
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3.5 - Walkway and hallway intersections are clear of clutter?
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3.6 - Aisles, walkways, and work areas are free of trip and fall hazards (i.e., torn carpets, turned up edges of door mats, boxes, etc.)?
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3.7 - Extension cords, phone cords, and cables are properly routed or covered to avoid trip and fall hazards?
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3.8 - Stairways are clear of clutter?
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3.9 - Stairways have non-slip tread?
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3.10 - All railings are in good condition?
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3.11 - Fall prevention measure are in place for areas with gaps in railing?
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3.12 - Waiting room furniture is in good condition?
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3.13 - Loading areas are clean and tidy?
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3.14 - All fans are adequately guarded?
4.0 - Office Spaces
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4.1 - Condition of filing cabinets?
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4.2 - Condition of chairs?
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4.3 - Do chairs have loose casters?
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4.4 - Desks are in good condition?
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4.5 - Desk and file drawers are closed immediately after use?
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4.6 - Computer workstations are ergonomically correct (document holders, wrist rests, etc.)?
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4.7 - Are there any sharp edges, points, burns, or splinters on the furniture?
5.0 - Office Work Spaces
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5.1 - Are work areas clear off trash and clutter?
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5.2 - Are sharp tools such as scissors and razor blades stored point/blade down?
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5.3 - Are all tools in their proper place?
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5.4 - The tension on the paper cutter blade is adjusted to prevent the blade from free falling?
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5.5 - All work spaces have adequate lighting?
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5.6 - The Preferred Provider List poster and Worker's Compensation Benefits poster are posted in staff lounge/break rooms and bulletin boards?
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5.7 - Are these posters up to date?
6.0 - Machinery and Work Spaces
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6.1 - Are all tools in their proper place?
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6.2 - All areas have adequate lighting?
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6.3 - Each work space has adequate room?
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6.4 - Noise level is controlled?
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6.5 - No bending or stooping required?
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6.6 - Machines are kept clean?
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6.7 - Are the floors around the machines kept clean?
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6.8 - Guards are in a good condition?
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6.9 - Starting and stopping devices are within easy reach of the operator?
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6.10 - Waste/off cuts are removed and stored/disposed of safely and appropriately?
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6.11 - Drip pans are on are the floors to prevent spillage?
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6.12 - Operators are adequately trained to operate machinery?
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6.13 - Lock-out/Tag-out (LOTO) procedures are posted and used regularly?
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6.14 - All employees have been trained on LOTO procedures?
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6.15 - Gas bottles are secured?
7.0 - Confined Space
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7.1 - Are permit-required confined spaces present?
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7.2 - Is signage posted noting that the space is a permit required confined space?
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7.3 - Is a permitting process in place and followed?
8.0 - Asbestos Containing Materials
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8.1 - Are asbestos containing materials (ACM) present?
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8.2 - If ACM is present are signs posted notifying employees and the public?
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8.3- If ACM is present, are workers trained in working around ACM?
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8.4 - Is an Asbestos O & M plan in place?
9.0 - Electrical
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9.1 - Electrical receptacles are in good working condition?
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9.2 - Electrical equipment is in good working condition?
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9.3 - Are all personal appliances such as space heaters or coffee makers compliant within the buildings electrical system?
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9.4 - A maximum of one power strip per electrical receptacle is used?
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9.5 - Are any electrical cords frayed organic?
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9.6 - If electrical outlets are near a water source, are GFI's being used?
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9.7 - 36" clearance is maintained in front of all electrical panels?
10.0 - Chemical Safety
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10.1 - Material Safety Data Sheets are available for all hazardous materials used by employees?
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10.2 - Duplicating fluid is stored in a cabinet away from heat producing sources?
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10.3 - All chemical containers are labeled correctly?
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10.4 - Unused substances are disposed of?
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10.5 - Are workers trained in the use and handling of hazardous substances?
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10.6 - Is required PPE available?
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10.7 - Is adequate ventilation provided?
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10.8 - Are eyewash stations and showers available and easily accessible?
11.0 - Ladders
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11.1 - Are all ladders industrial-strength?
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11.2 - Are ladders in good condition?
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11.3 - If used for electrical work are they nonconductive?
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11.4 - Are ladders used properly?
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11.5 - For extension ladders are ropes, pulleys, and treads in a good state of repair
12.0 - Storage
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12.1 - Have employees been instructed in proper lifting techniques?
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12.2 - Are storage cabinets organized in such a way that heavy items are stored in the lower and middle shelves?
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12.3 - Are bolted materials within easy reach?
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12.4 - File cabinets, storage cabinets, bookshelves, and other items over 5 feet in height are properly anchored?
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12.5 - Hand trucks, dollies, or carts are available and used for handling bulk mailing supplies?
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12.6 - Storage and equipment rooms are neat and orderly?
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12.7 - Work and storage areas are free of improper storage (e.g. heavy, high and/or unstable storage)?
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12.8 - Are ladders are readily available for reaching high places?
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12.9 - Floors around storage racks are clear of clutter?
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12.10 - General condition of racks and pallets?
13.0 - Lighting
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13.1 - Good natural lighting?
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13.2 - Light fittings are clean and in good condition?
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13.3 - All the emergency lights are checked and operating?
14.0 - First Aid and Health
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14.1 - Are First-Aid kits available and clearly labeled?
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14.2 - Are employees aware of the location of the kits?
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14.3 - Are emergency numbers displayed?
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14.4 - Have employees who are responsible for performing First-Aid been trained in blood-borne pathogen prevention annually?
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14.5 - Gloves and one-way valve resuscitators are available to employees performing First-Aid and CPR?
15.0 - Vehicles
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15.1 - Has scheduled maintenance been performed?
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15.2 - Condition of tires?
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15.3 - Brake performance?
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15.4 - Lights? (Check operation of break, indicator, and reverse lights)
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15.5 - Condition of driver's seat?
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15.6 - Condition of other seats?
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15.7 - Is a First-Aid kit supplied?
16.0 - Additional Comments
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16.1 - Are there any additional comments?
