Title Page
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Document No.
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Audit Title
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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
Postings and Warnings Signs
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-Signs Posted for Exposures <br>-EHS Information Boards Posted and up to Date <br>-Employees Observe following Sign Requirements
General Housekeeping
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-Floors ( Walking & Working surfaces) <br>-Clean Orderly, Sanitary Conditions <br>-Free of Slip, Trips & Fall <br>-Aisles and Passageways Marked Clear and Unobstructed <br>-Sufficient Width for All Normal Operations <br>-Materials Stacked and Stored in Orderly Manner <br>-Smoking Area Cleaned and Clear of Debris <br> <br> <br>
Personal Protective Equipment
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-PPE Worn as Required. <br>Safety Glasses and Side Shields <br>Clear Visors/ Shields <br>Welding Hoods <br>Respirators <br>Gloves <br>Footwear <br>Welding Vests <br>Protective Coveralls (Tyvex, or other Material) <br>Hearing Protection ( ear plugs, muffs, etc.) <br>-PPE Properly Maintained & Stored <br>-Assessment Conducted <br>-Respirator Fit Test and Medical Evaluation <br> <br>
Ladders
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-Safety Feet Usable <br>-Rungs Unpainted, Free of Grease & Oil <br>-One person on ladder <br>-Proper & Stable Positioning/ Tied Off at Top <br>-Doors Blocked Open, Locked or Guarded if in Front of Ladder <br>-3 Foot Extension Above Roof if Used for Access to Roof (or Platform) <br>-Defective Ladders Removed, Danger, Tagged, and Destroyed <br>-Metal Ladders Not Used in Electrical Areas <br>-Fixed Ladders -Landing Platforms up to 20' and Anti -Fall Cages if Over 20' <br>-Non Self - Supporting Ladders 4:1 Pitch in Use <br>
Stairs
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-Steps Uniform in Height and Tread Depth <br>-Open Risers if less than 9" Type Treads <br>-Outdoor Stairs Having Grating Treads and Nosing Slip Resistant <br>-Railing Provided on Open Sides Railing on at Least one Side if Closed
Storage Tanks/Drums
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-Spill Containment Provided <br>-All Containers Properly Labeled for Content <br>-Stored Neatly with Bungs Covered
Exits/Egress
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-Sufficient Exits for Prompt Escape <br>-No Locks or Fastenings Restricting Escape <br>-Routes and Exits Clearly Marked <br>-Exits Adequately and Reliably Illuminated <br>-More then one Exit from Work Area Remote from Each Other <br>-Approaches to Egresses from Exits Unobstructed <br>-Flammables Kept Out of Exits <br>-At Least 28"/70 cm wide <br>-Cleaned of Snow and Ice <br>-Open Outward Onto Level Floor
Lighting
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-Walking / Working Areas Adequately Illuminated <br>-Emergency Lighting of All Exit Routes Provided and Tested Periodicaly
Noise Exposure
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-Economically Feasible Engineering In Place <br>-Controls Implemented <br>-Protection Provided and Used <br>-Survey on File <br>
Ergonomics
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-Respective Motions Minimized <br>-Design Allows Normal / Low Stress <br>-Body Positions When Seated or Standing <br>-Controls Convenient <br>-Twists / Turns Minimized <br>-Hand Tools Used Permit Normal Body Positions <br>-Limited Weight and Size of Materials Lifted or Carried by People Minimized <br>
Stacking and Storage
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-All Stacks Stable and Secure Against Sliding / Collapsing <br>-No Storage Within 18" of Sprinklers <br>-Pallet Racks Anchored to Floor, One Another, or Building Structure <br>-Racks Capacity Labled <br>
Materials Handling
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-Trailer Wheels Properly Chocked at ALL TIMES <br>-Shipping /Receiving Docks ( signs requiring same posted) <br>-Proper Dock Boards Provided and Secured ( railcars & trailers ) <br>-Pallets & Skids of Content Type and in Good Condition <br>-Chains, Hoists, Slings, & Ropes Adequate for Loads and in Good Condition. Feral Condition, Damage, Cleanliness, Lubrication, Servicing Legibility, Labeled as to Capacity and Load Limit. <br>-Controls Operational <br>-All Motor Brakes Operational <br>-Cable/ Rope in Good Repair- No Kinks/ Twists <br>-Inspections- Visual, Daily- Documented Monthly -Outside Source Annualy
Lift Truck Operations
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-Authorized Trained Operations Only <br>-Inspections Program (Brakes, Leaks, etc.) <br>-Capacity Posted <br>-Overhead Guard in Place <br>-No Unauthorized Modifications <br>-Seat Belts Installed and Worn by Operators <br>-Shop Speeds Not Exceeded <br>-Lifting Capacity not Exceeded
Chemicals & Fuels
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-All Handling Container, Piping & Storage Vessels/ Drums Properly Labeled <br>-Flammable Tanks/ Drums Grounded, Bonded, & Stored in Vented Area <br>-Solvent Tanks Have Automatic Lids Closing Devices in Case of Fire <br>-Adequate Spill Containment <br>-Proper Spill Absorbent Materials Available <br>-Adequate Storage Cabinets Provided - Fire Resistant and Vented <br>-Approved Portable Safety Containers with Flash Arresters and Proper Grounding Used as Required <br>
Compressed Gasses
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-Stored Upright and Secured <br>-Fuels and Oil Segregated and Labeled <br>- Provided with Safety Release Devices <br>-Stored Away from Heat Sources and Highly Combustible Items <br>
Waste Disposal and Sanatation
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-Separate Containers Provided and Labeled <br>-Food/ Drinks not Permitted in Work Areas <br>-Eating Areas Maintained in Sanitary Condition & Separated from Any Toxic Materials Exposure <br>-Portable / Non- Portable Water Sources Clearly Designated
Hand & Portable Tools
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-Proper General Condition of Tools Electrical Cords, Air Hoses Guards and Safety Devices in Place <br>-Electrical Grounding or Double Insulation Serviceable <br>- Power Tools Equipped with Constant Pressure Switches <br>-All Air/ Gas Lines Cleaning Regulated to 30 psi Max
Pneumatic. Boiler& Pressure Vessel Systems
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-Safety Valves Operational & Tested <br>-Current Inspection Certificate Pressure Regulated Within Limits <br>-Hoses and Connections Good <br>-Air/Gas Lines Clearly Identified <br>
Lock Out/ Tag Out
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-Positive Lock-Outs Provided for all <br>-Lock-Outs Permit Multiple Locks <br>-Tags or Color Codes Indicate Users <br>-Machine Specific Lock Procedures for Two or More Energy Sources <br>-Annual audit of LOTO Program <br>
Container Lableing
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-All Satellite Containers Labeled as to Content Regardless of Size or Material
Fire Protection
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-Portable Extinguishers of Appropriate Size and Rating for Surrounding Materials & Readily Available ( 75 ft max travel distance 50 in high hazard areas) <br>-Extinguishers Inspected Monthly, Serviced Annually <br>-Fire Equipment Visibility Marked <br>-Fire Doors in Good Condition <br>-Sprinkler Heads Have Adequate Minimum Clearance from Sprinkler Control Valves <br>-Accessible, Locked Open and Inspected Monthly
-Emergency Showers/ Eye Washes
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-Readily Available and Accessible in Areas Where Caustic/ Corrosive Chemicals Are Used <br>-Proper Signs and Instructions <br>-Flushed & Tested Frequently (Monthly) <br>
First Aid Kits / Stations/ Equipment
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-Adequate Number & Properly Located <br>-Clearly Indentified
Welding,Cutting, or Brazing
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-Hot Work Permit System in Effect <br>-Work Done by Qualified Persons Only <br>-Fire Watch Maintained <br>-Adequate Ventilation Provided ( In Shop & Portable for in Plant) <br>-General Shop Air Quality (Smoke, Oder) <br>-Proper Personal Protective Equipment Used <br>-Welding Screens Used & Combustibles Removed From 35 ft Radius <br>-Lead Cables Frequently Inspected and Replaced When Damaged <br>-Fire Extinguishers Provided <br>-Floor or Wall Openings Covered <br>