LID Building Stewardship Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Instruction: Complete audit fields, any "No" requires an action (at bottom of each question field). Pictures can be taken; watch file size. All actions must be entered into the SOS system. Site leader must sign off and track actions to completion. Inspection file must be saved as PDF, include BSI_location_month_year in filename, email to yourself and site leader for the record. Post inspections monthly on HSE board and/or intranet.

• Site Leader Name: Name of Inspector(s):

• Add location
  Address

• Select date

  Date

• Add signature

  Sign

Action Closure Previous Building Steward Inspections

• Are actions identified on previous' months inspections assigned, and closed consistently and in a timely manner?

  Yes

  No

  N/A

Mandatory Site information & Notifications

• Sustainability Opportunity & HSE Policy is displayed, current year and signed by business leader?

  Yes

  No

  N/A

• Cardinal Rules displayed, up-to-date and signed by business leader?

  Yes

  No

  N/A

• Are HSE performance monitoring and metrics visible and readily available (posted or intranet)?

  Yes

  No

  N/A

• Is the Visitor (Tri-fold) HSE Pamphlet up-to-date, available and handed out to all visitors?

  Yes

  No

  N/A

• Is the company Integrity and Compliance Hotline Information and Poster posted?

  Yes

  No

  N/A

• Is a Notice of Availability of Medical & Occupational Health Records: Access to Medical Records posted (where applicable)?

  Yes

  No

  N/A

• Are current Country / State / Province / Federal Labor Laws posted as required?

  Yes

  No

  N/A

• Are previous year OSHA 300A Log is posted Feb 1 through Apr 30 of the current year?Contact HSE Manager for OSHA 300A Log.

  Yes

  No

  N/A

• Are current Workers Compensation Notice of Insurance Document etc. posted for applicable jurisdiction in which business is located. Contact HSE Manager for current posting.

  Yes

  No

  N/A

• Are boards containing up-to-date information and in conspicuous location?

  Yes

  No

  N/A

• Is the Emergency Response Plan (ERP) posted, site specific, up-to-date Iincl. all listed contacts?

  Yes

  No

  N/A

• Are HSE Committee Representatives names and contact details posted and up-to-date?

  Yes

  No

  N/A

• Are HSE Committee Minutes of Meeting up-to-date, meeting dates posted (intranet), and meetings held as required?

  Yes

  No

  N/A

• Are any regulatory inspection etc. notices posted as required by local regulations?

  Yes

  No

  N/A

• Comments:

Emergency Response Planning

• Are fire wardens assigned for each floor, the name and contact details list up-to-date and posted?

  Yes

  No

  N/A

• Are all workers involved in ERP and response trained in their roles, responsibilities, hazards, risks, controls, evacuation procedures, PPE, and perform a drill at least annually (or local requirement)?

  Yes

  No

  N/A

• Is all emergency response equipment inspected / tested at least every 6 months (or local requirement)?

  Yes

  No

  N/A

• Are annual facility evacuation drills are conducted within 12 months of previous drill and is documented using Emergency Preparedness Critique Form (or equivalent)?

  Yes

  No

  N/A

• Is emergency evacuation map showing building escape routes and collection point(s) posted and up-to-date?

  Yes

  No

  N/A

• Is a process in place to ensure persons with disabilities can effectively identify when an emergency occurs and safely evacuate the building?

  Yes

  No

  N/A

• Is a process in place to ensure that visitors are accounted for and evacuated during an emergency?

  Yes

  No

  N/A

• Are Emergency Exit signs visible from main aisles or walkways (if self-illuminated: lit at all times) and exit light remains on when Press-To-Test Button is pressed.

  Yes

  No

  N/A

• Is Emergency lighting present and unobstructed, so as to light the path to exit doors (where applicable) and functional?

  Yes

  No

  N/A

• Are all Exterior doors operable and secure, exterior windows secure, and the path to each emergency exit door clean, clear and free from obstructions -aisle width consistently maintained and Exit doors operable from inside building --Exit doors swing freely (open/closed) without obstructions?

  Yes

  No

  N/A

• Are Certified First Aiders names and First Aid contact details posted and current?

  Yes

  No

  N/A

• Are first aid kits appropriate to the medical emergencies expected, stocked, and include biohazard bags, disposable gloves, CPR masks, etc.?

  Yes

  No

  N/A

• Are local emergency services (fire, ambulance, police) contact numbers posted and up-to-date and are communication devices readily available?

  Yes

  No

  N/A

• Where supplied: are Automatic External Defibrillators (AEDs) inspected monthly (battery, pads) and battery indicator is "green/OK"?

  Yes

  No

  N/A

• Where AEDs are supplied: are first aiders trained in their use and is certification current?

  Yes

  No

  N/A

• Are fire extinguishers available, mounted on the wall, with sign posted above extinguishers. Inspection tags present, and extinguishers serviced by fire extinguisher inspection company within past 1 year?

  Yes

  No

  N/A

• Are fire hoses available, have signage, are tested, inspected and tagged per local requirements?

  Yes

  No

  N/A

• Are potential fire / ignition sources controlled -no candles, open flames permitted- and heat sources are managed to prevent contact with combustibles, etc.?

  Yes

  No

  N/A

• Are electrical appliances double insulated and operated in designated kitchen areas only -such as microwaves, food warmers, toasters, coffee machines, kettles, etc.?

  Yes

  No

  N/A

• If used: do space heaters meet these requirements (where permitted by local regulations): used only when 90cm (36”) or more away from combustible materials, equipped with tip-over (shut-off) protection and marked “UL listed” (or local equivalent), and shut off when area is not occupied or not in use?<br>

  Yes

  No

  N/A

• Comments:

General

• Is a risk assessment covering the activities of the site available, up-to-date, communicated to workers, contractors and visitors, and reviewed annually?

  Yes

  No

  N/A

• Walking surfaces (interior and exterior) are clean, clear, and free from hazards that could cause slips, trips, or falls? -winter and wet conditions-

  Yes

  No

  N/A

• Are interior lighting levels adequate (including conference rooms, restrooms, kitchen areas, entry, work areas, etc) for the work performed?

  Yes

  No

  N/A

• Are refrigerator and food preparation areas clean and no expired/spoiled food or drink present?

  Yes

  No

  N/A

• Are restrooms clean, accessible, appropriately lit and stocked?

  Yes

  No

  N/A

• Are all wastes characterized (non-hazardous and hazardous), identified, labeled, stored, handled, transported and disposed of per company requirements?

  Yes

  No

  N/A

• Are designated waste storage areas in place: -indoor trash receptacles available, labeled, maintained and used as intended (if waste segregation and / or recycling in place)?

  Yes

  No

  N/A

• If any hazardous waste: start date of accumulation indicated, labeled as required, quantities limited (local requirements), secondary containment if potential release to environment, disposed of within 90 days of start date by company approved hazardous waste contractor?

  Yes

  No

  N/A

• If any hazardous waste: is worker assigned responsibility and trained appropriately annually.

  Yes

  No

  N/A

• Are all non-hazardous wastes disposed of in government approved facility (or per local requirements)?

  Yes

  No

  N/A

• If outside dumpsters are available and under company responsibility: is the area around dumpster is clean, no evidence of loose debris, spills or pests?

  Yes

  No

  N/A

• Are electrical outlets and power strips in good condition and are not overloaded -No ‘interlinking / daisy chaining’ of power strips or extension cords. Electrical outlet covers are in place?

  Yes

  No

  N/A

• Upon visual inspection of electrical cords: no cracks, frays, use of electrical tape present, and plugs are intact and 3rd prong is present (where applicable)?

  Yes

  No

  N/A

• Are all HVAC systems in good working order and maintenance requests responded to? -ask worker discomfort

  Yes

  No

  N/A

• Is clear access to electrical panels maintained 90cm clearance (36”) from in front of panel, electrical panel doors kept closed at all times, and electrical panels are properly labeled?

  Yes

  No

  N/A

• Are storage areas neat and orderly and are materials and storage racks secured so as to prevent tipping or falling?

  Yes

  No

  N/A

• Are storage units used appropriately: racks not overloaded or sagging, all shelves are labeled with weight capacity?

  Yes

  No

  N/A

• For all storage units: is a clearance of at least 45cm (18”) from sprinkler heads/pipes (where applicable) in place?

  Yes

  No

  N/A

• Is storage of chemicals and chemical wastes is appropriate. No chemical spills or leaks evident. Secondary containment for hazardous substances where release into environment potential, spill clean-up equipment available?

  Yes

  No

  N/A

• Chemicals are labeled (hazardous substances have original manufacturer label or equivalent), containers are kept closed and clean?

  Yes

  No

  N/A

• Is a complete and current Inventory of all Chemicals with Safety Data Sheets (SDS) posted, annually reviewed, SDS are no older than 3 years AND is the need for (or not) a Spill Prevention & Control Plan (SPCC) indicated? Inventory includes general household & office cleaning Chemicals? <br>

  Yes

  No

  N/A

• Are workers aware of the location of the SDS and have they been trained on how to get approval for, store, transport, use, emergency response, PPE, container management, and dispose of hazardous substances at the site?

  Yes

  No

  N/A

• Flammables, combustibles and other hazardous materials are stored securely (no public access) with incompatibles appropriately segregated, in approved cabinets (labeled, no storage on top of cabinet or near side vents and cabinet doors close and latch properly), in permitted quantities?

  Yes

  No

  N/A

• All compressed gas cylinders have caps in place and are secured to prevent them from falling, (e.g. chained or strapped) --Fuel & oxygen cylinders are separated by 6m (20') or a fire safe barrier at least 1.5m (5') in height with a fire resistance rating of at least 30 minutes?

  Yes

  No

  N/A

• Site has no obvious leaks or water intrusion from roof, plumbing, or other sources -Ceiling tiles (in place), ceiling surfaces, carpets and floor surfaces are dry, unstained, and in good condition?

  Yes

  No

  N/A

• Universal wastes (lamps, batteries, electronics) and recyclables are labeled, segregated and stored appropriately?

  Yes

  No

  N/A

• Work spaces are neat, clean, accessible and set up in ergonomically appropriate manner -ask worker about discomfort-?

  Yes

  No

  N/A

• Have ergonomic self-assessments been performed for each new or transferred worker, and if worker communicates discomfort, and actions taken to remedy ergonomically inappropriate set-up?

  Yes

  No

  N/A

• Noise levels are appropriate for type of work -ask worker for discomfort?

  Yes

  No

  N/A

• Temperature levels are appropriate for type of work -ask worker for discomfort?

  Yes

  No

  N/A

• Lighting levels at work space are appropriate -ask worker for discomfort?

  Yes

  No

  N/A

• Air quality is acceptable -minimal scents, volatile organics and other potential irritants or sensitizers?

  Yes

  No

  N/A

• If any exposure or indoor air quality assessments have been performed, have the results been communicated to the workers, and actions to remedy (where required) the situation closed?

  Yes

  No

  N/A

• Aisles and access and egress routes in / out of workspace / site are clear, adequate width, with no obstacles, or stored objects?

  Yes

  No

  N/A

• Stairs are unobstructed, in good condition with handrails in place?

  Yes

  No

  N/A

• If any power tools or equipment is at the site: have inspections, testing, calibration, maintenance been performed per schedule? -anything not in good condition taken out of service

  Yes

  No

  N/A

• Elevators are inspected, maintained and license posted?

  Yes

  No

  N/A

• Are any signs of animal / plant pests, mold or other health hazards present?

  Yes

  No

  N/A

• If PPE is required in areas are signs in place and is the PPE readily available, appropriate, maintained, and employees trained in its use?

  Yes

  No

  N/A

• Are parking areas secure, safe from slip, trip hazards, accessible, and safe transit to site in place and maintained?

  Yes

  No

  N/A

• Is drinking water supplied, distributed and tested (5 year) per company requirements?

  Yes

  No

  N/A

• Are water dispenser filters changed out every 6 months and water quality requirements met?

  Yes

  No

  N/A

• Comments:

Action Follow-Up

• Are all actions required entered into the SOS system and tracked for closure?

  Yes

  No

  N/A

• Site Leader:

  Sign

• Select date

  Date