Maintenance Shop 8 Pit Falls

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Visitors

• 1.1 Are visitors behind the line and guard rail?

  Safe

  At Risk

  N/A

• 1.2 Are chains up when doors are open?

  Safe

  At Risk

  N/A

• 1.3 Are walking surfaces free from water or fluids?

  Safe

  At Risk

  N/A

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2.0 Battery Charging Station

• 2.1 Are used batteries stored in the storage box?

  Safe

  At Risk

  N/A

• 2.2 Are batteries charged in charging station properly?

  Yes

  No

  N/A

• 2.3 Are fire extinguishers checked and signed off on each month?

  Safe

  At Risk

  N/A

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3.0 Tools and Equipment

• 3.1 Are toolbox drawers closed to prevent tip-over(s)?

  Safe

  At Risk

  N/A

• 3.2 Is the tool and equipment room organized and clean?

  Safe

  At Risk

  N/A

• 3.3 Are tools, materials, and equipment stored on racks?

  Safe

  At Risk

  N/A

• Add media

  Media

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4.0 Forklifts

• 4.1 Do operators possess a current certificate to operate a forklift?

  Safe

  At Risk

  N/A

• 4.2 Are forklift operators wearing seatbelts?

  Safe

  At Risk

  N/A

• 4.3 is the gas bottle stored over the lift pin?

  Safe

  At Risk

  N/A

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5.0 Other Safety Hazards

• 5.1 Are guard rails up and secured on the mezzanine?

  Safe

  At Risk

  N/A

• 5.1 Are there any other immediate safety hazards that should be discussed at this time?

  Safe

  At Risk

  N/A

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