LUESA Industrial Facility Inspection

• Audit Title

• Facility/Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

INFORMATIONAL POSTINGS

• Employee OSHA (publication 3165) and U.S. Department of Labor Postings: 29 CFR 1903.2

OSHA publication 3165 & US Dept. of Labor Postings

• Are the OSHA (publication 3165) and US Department of Labor Postings posted and available for the employees to read?

  Yes

  No

  N/A

HOUSEKEEPING

• Cleanliness and Sanitation

29 CFR 1910(a)(1):

• Are all places of employment kept clean and orderly and in sanitary condition?

  Yes

  No

  N/A

• Are the restrooms clean with hot water available?

  Yes

  No

  N/A

• Isles and passageways.

29 CFR 1910.22(b)

• Are all isles and passageways kept clear with no obstruction across the aisles that could create a hazard.

  Yes

  No

  N/A

FLOOR LOAD RATING & LADDERS

• Floor Load Rating

29 CFR 1910.22

• Are placards indicating the applicable load rating of the floor provided?

  Yes

  No

  N/A

• Ladders

29 CFR 1910.25

• Do the ladders have the ladder manufacturer's information and warning labels in place and are they legible?

  Yes

  No

  N/A

• Are all ladders inspected prior to use and taken out of service if any defects are found?

  Yes

  No

  N/A

• Is the ladder observed in use the correct type of ladder for the job being performed?

  Yes

  No

  N/A

• Are the observed ladders which are not in use stored properly and secured?

  Yes

  No

  N/A

EMERGENCY EXITS

• Obstructions

29 CFR 1910.37(3):

• Are all exit routes free and unobstructed?

  Yes

  No

  N/A

• Exit Signage

29 CFR 1910.37(b)..

• Are all exits clearly visible and marked by a sign reading "Exit"?

  Yes

  No

  N/A

• Non-exit Doorways

29 CFR 1910.37(b)(5):

• Is each doorway which could be mistaken for and exit marked "Not an Exit"?

  Yes

  No

  N/A

• Emergency Exit Lighting

life Safety Code 101-67 7.9.3.1.1

• Do all emergency lights illuminate when the test button is pressed?

  Yes

  No

  N/A

PPE

• Personal Protective Equipment

29 CFR 1910.132

• Has a JSA (Job Safety Analysis) been performed to determine the correct PPE for the task?

  Yes

  No

  N/A

• Are employees using the required PPE appropriately?

  Yes

  No

  N/A

• Is the PPE maintained and stored in a sanitary and reliable condition to prevent damage and/or contamination?

  Yes

  No

  N/A

ELECTRICAL

• Extension cords and power strips.

29 CFR 1910.303 & 304

• Are extension cords and electrical strips used in accordance with manufacturer's guidelines?

  Yes

  No

  N/A

• Are extension cords used only for immediate use and not as permanent wiring?

  Yes

  No

  N/A

• Are all extension cords free from damage and defects such as damage to the outer jackets (insulation) or missing grounding pins?

  Yes

  No

  N/A

• Are all electrical cords and electrical power strips free from daisy chaining and overloading?

  Yes

  No

  N/A

• Portable cord and plug equipment.

29 CFR 1910.304

• Are all portable cord and plug connected equipment and extension cords free from damage and defects such as damage to the outer jackets (insulation) or missing grounding pins?

  Yes

  No

  N/A

• Are all strain relief points free from exposed electrical wiries?

  Yes

  No

  N/A

• Electrical outlets, boxes, equipment casings, cabinets

29 CFR 1910.305(b)

• Are all unused openings in electrical outlets, boxes, equipment casings, cabinets closed to prevent exposure and accidental entry?

  Yes

  No

  N/A

• Do all boxes, junction boxes, fittings .....outlet fixtures have covers?

  Yes

  No

  N/A

• Is there exposed wiring?

  Yes

  No

  N/A

• GFCI

NFPA 70E 210.8 & 110.4

• Are all electrical outlets installed within 1.8m (6 ft.) of the outside edge of a sink (laundry, utility, and wet bar sinks) GFCI protected?

  Yes

  No

  N/A

• Are all receptacles installed to serve the countertop surfaces in kitchens GFCI protected?

  Yes

  No

  N/A

• Is GFCI protection provided when an employee is outdoors and operating or using cord and plug connected equipment supplied by 125-volt, 15, 20 or 30 amp circuits?

  Yes

  No

  N/A

• Panel Labeling

29 CFR 1910.303(e)(1)(ii) NFPA 70E:

• Are labels providing voltage, current and protective clothing requirements posted on outside of electrical panels?

  Yes

  No

  N/A

• Are breakers properly labeled with circuit identification or area served?

  Yes

  No

  N/A

• Overhead lighting

29 CFR 1910.305L(a)(2)(ix):

• Are all lamps used for general illumination protected from accidental contact or breakage by a suitable fixture or guard?

  Yes

  No

  N/A

• Other "OBSERVED" Electrical hazards?

Other Observed Electrical Hazards

• Are all other "OBSERVED"conditions free from Electrical hazards?

  Yes

  No

  N/A

LIFE SAFETY / FIRE

• Emergency Action postings and drills

29 CFR 1910.38 & 39

• Are Emergency Evacuation Diagrams or directions posted?

  Yes

  No

  N/A

• Are periodic Emergency and Evacuations Drills Conducted?

  Yes

  No

  N/A

• Combustible Materials

Fire Code 2009 Chapter 3:315.2

• Are combustible materials in buildings separated from heaters or heating devices by distance or shielding so ignition cannot occur?

  Yes

  No

  N/A

• Are combustible materials kept to a minimum and not allowed to accumulate ?

  Yes

  No

  N/A

• Flammable and Combustable Storage

29 CFR 1910.106(d)(3)(ii)

• Are all flammables and combustibles properly stored in flammable cabinets?

  Yes

  No

  N/A

• Are "ONLY" flammables and combustibles stored in flammable cabinets?

  Yes

  No

  N/A

• Ceiling Clearance.

International Fire Code 2009:315.2.1

• Is storage maintained 18" from sprinkler heads in buildings which have fire sprinkler systems?

  Yes

  No

  N/A

• Is storage maintained 24” below the ceiling in non-sprinkled buildings?

  Yes

  No

  N/A

FIRE ALARM & SPRINKLER SYSTEMS

• Fire Alarm System & Testing

NFPA-72, Table 10.4.3 Testing Frequencies

• Has the system been tested/inspected?

  Yes

  No

  N/A

• Is the documentation available upon request?

  Yes

  No

  N/A

• Sprinkler System & Testing

Is testing of the Fire Alarm System conducted in accordance with National Fire Protection Association (NFPA) testing schedule?

• Has the Fire Pump / Sprinkler System been inspected/tested?

  Yes

  No

  N/A

• Is the documentation available upon request?

  Yes

  No

  N/A

FIRE SAFETY: FIRE EXTINGUISHERS

• Mounting and location

29 CFR 1910.157(c)

• Are all portable fire extinguishers properly mounted, located and identified so they are readily accessible to employees?

  Yes

  No

  N/A

• Are all portable fire extinguishers kept in their designated places at all times except during use?

  Yes

  No

  N/A

• Inspections

29 CFR 1910.157(e)

• Do all fire extinguishers receive an annual inspection?

  Yes

  No

  N/A

• Do all of the fire extinguishers receive a monthly inspection?

  Yes

  No

  N/A

HAZARD COMMUNICATION

• Safety Data Sheets

29 CFR 1910.1200

• Is there a list of hazardous chemicals known to be present and are the appropriate safety data sheet available to employees?

  Yes

  No

  N/A

• Are employees properly trained on the chemical hazards. In the workplace and the facilities Hazard Communication Plan?

  Yes

  No

  N/A

• Are all chemical containers labeled properly?

  Yes

  No

  N/A

WELDING, CUTTING, BRAZING

• Compressed gas cylinders.

29 CFR 1910.253 & 1910.101

• Are all compressed gas cylinders legibly marked for the purpose of identifying the gas content?

  Yes

  No

  N/A

• Are oxygen cylinders in storage separated from fuel-gas cylinders or combustible materials by a minimum of 20 feet or by a noncombustible barrier at least 5 feet high?

  Yes

  No

  N/A

• Are cylinders stored with protective caps in place over valve stems?

  Yes

  No

  N/A

• Are cylinders stored and anchored in such a way to prevent falling?

  Yes

  No

  N/A

• Welding Operations

29 CFR 1910.252

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Is the proper PPE provide to and used by the employee?

  Yes

  No

  N/A

• Hot Work Permit

29 CFR 1910.252

• Are employees using Hot Work Permits to avoid fire hazards?

  Yes

  No

  N/A

• Are contractors required to follow a Hot Work Permit program?

  Yes

  No

  N/A

MACHINERY AND MACHINE GUARDING

• Machine Guarding

29 CFR 1910.212(a)(1) :

• Do all tools and machines have the proper machine guarding to protect the operator from hazards at the point of operation? <br>

  Yes

  No

  N/A

• Grinders

29 CFR 1910.215

• Are all GRINDER work rests adjusted closely to the wheel with a maximum opening of one eighth (1/8) of an inch?

  Yes

  No

  N/A

• Are all GRINDER tongue guards adjusted so as to never exceed one-fourth (1/4) of an inch between the wheel to the guard?

  Yes

  No

  N/A

• Machine Mounting

29 CFR 1910.305(b)(2)(i)

• Are all machines designed for a fixed location securely anchored to prevent walking or moving?

  Yes

  No

  N/A

EYE WASH STATIONS

• Are eye wash stations unblocked and placed within 10 seconds or 55 feet of the hazard?

ANSI Z358.1 2009: 29 CFR 1910.151:

• Are eye wash stations unblocked and placed within 10 seconds or 55 feet of the hazard?

  Yes

  No

  N/A

• Are all eye wash stations flow tested on a weekly basis and mechanically tested annually?

  Yes

  No

  N/A

• Does the eye wash station deliver tepid (between 60 and 100 degrees F) water for 15 minutes?

  Yes

  No

  N/A

• Are the eyewash solutions for portable eye wash stations being inspected for expiration dates?

  Yes

  No

  N/A

Other Observed Conditions

• Other "Observed" potential hazards to the employees?

OTHER HAZARDS

• Do all other conditions at the location provide a safe workplace free from potential hazards to employees?

  Yes

  No

  N/A

Auditor's Comments

Signatures

• Department / Facility representative:

  Sign

• Participating Risk Management Representative:

  Sign