• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Disclaimer: While the Brandywine Safety Solutions, LLC inspector makes every attempt to recognize and locate hazards at the time of this inspection, we do not warrant nor guarantee that all hazards were discovered or observed during this inspection. We recommend, and it is required, to conduct periodic safety inspections on an ongoing basis as new or recurring hazards may develop at any time. Additionally, the findings and recommendations recorded in this report are derivative of the professional experience and knowledge of the individual auditor and may be interpreted differently by other auditors.
    Should you or your company seek further clarification please contact Daniel Stabilito, President of Brandywine Safety Solutions, LLC in order to discuss the specific rules and regulations pertaining to the items addressed in this report.

  • Auditors summary

  • Program rating 10 being best (little or no risk) and1 being worst (high risk for injury or fines)

1.0 Previous inspection

  • Has the last inspection been reviewed, items corrected and documented?

2.0 Office area

  • Are aisles, walkways, and work areas free of trip and fall hazards (i.e. torn carpets, turned up edges of door mats, boxes etc.)?

  • Are exit paths free of boxes/materials at all times?

  • Are illuminated exit and emergency lighting working properly?

  • Are work and storage areas free from improper storage (e.g., heavy, high and/or unstable storage)?

  • Are 36” clearances maintained in front of all electrical panels and fire extinguishers?

  • Are electrical cords and plugs in good condition (i.e., not frayed, taped, spliced, or ground prong missing)?

  • Are computer work stations and work areas ergonomically correct and employees working safely?

3.0 Control of hazardous energy - Lockout Tagout 1910.147

  • Are proper LOTO devices available for all energy sources?

  • Do authorized persons performs periodic inspections of the energy control procedures at least annually?

  • Is there a written LOTO program of procedures, training, and periodic inspections?

4.0 Chemical handling and storage 1910.120

  • Are open drums and containers properly stored on spill containment pallets or pans?

  • Are employees using appropriate PPE for the chemicals being handled (gloves, goggles, safety glasses, face shields, aprons, etc.)?

  • If applicable Is there a spill plan in place with sufficient spill response supplies?

5.0 Chemical - RTK and GHS compliance - SDS 1910.1200

  • Have employees been trained on hazard communication and the GHS "employee right to understand" system?

  • Is the SDS binder up to date (annual inventory of chemicals), accessible, and well organized?

6.0 Compressed gas 1910 Subpart M

  • Are compressed gas cylinders stored in a secure manner to prevent them from tipping?

  • Are combustible gas cylinders stored outdoors?

  • Are compressed gas cylinders properly separated according to their contents (Oxygen and combustible gases separated by 20’ or by appropriate firewall)?

  • Are there appropriate type / size fire extinguishers adjacent to the compressed gas storage areas?

7.0 Employee training 29CFR part 128

  • Does the employer have certification with employee’s name, date and subject of personal protective equipment training? 1910.132(f)(4)?

  • Are employees properly trained and outfitted for weather / temperature extremes (i.e. heat stress, cold weather, etc.)?

  • Do newly-hired employees receive documented general material handling and task specific ergonomics training?

8.0 Dock and warehouse safety 1910 Subpart N

  • Are loading areas clean and tidy to prevent falling objects, slips trips or fall hazards?

  • Do employees use proper lifting techniques for the materials being handled?

  • Are employees properly trained and outfitted for weather / temperature extremes (i.e. heat stress, cold weather, etc.)?

  • Are propane tanks stored correctly and are the tank exchange and/or tank filling areas properly maintained with appropriate signage and area is free of trash?

  • Is there adequate natural or mechanical ventilation to control any potential atmospheric hazards and is the atmosphere being tested for CO?

  • Are dock doors closed when not in use (closed doors should seal well with the floor and dock leveling plate)?

  • Are pallets in good condition (no broken or protruding wood or nails), empties stored properly (not on edge and stacked in quantities or densities in compliance with fire sprinkler combustible load ratings)?

  • Are battery charging/changing areas designated for that purpose and contain appropriate emergency flushing facilities (i.e. eyewash and shower)?

  • Are wheel chocks and/or trailer restraint systems working properly?

  • Are compliant eye wash station available for employees where chemical hazards are present (within 10 seconds)?

  • Are visitors and drivers remaining in designated safe areas and walkways?

  • Are original capacity, operation and maintenance instruction plates, tags or decals on powered industrial trucks in place and legible?

  • Have employees been properly trained and outfitted for weather / temperature extremes. (i.e. heat stress, cold weather, etc.)

  • Are products and containers that are heavy or most frequently moved by hand stored at rack heights that minimize bending / stooping or excess reach to pick up or place?

  • Are pallets in good condition (no broken or protruding wood or nails), empties stored properly and not stored on edge?

  • Are overhead lighting, skylights and roofs in good condition? Check for leaks, broken panels / light bulbs and missing bulb shields.

  • Are guardrails and/or covers provided to protect personnel from the hazards of open sides of stairs, platforms, floor openings, floor holes, mezzanines, equipment pits, and other possible fall hazards?

  • Are aisles and forklift zones demarcated to protect pedestrians?

  • Are open docks with a fall hazard that exceeds 48" protected with a restraint and warning signage?

9.0 Ergonomics Title 8 section 5110 and 5(a)(1) (GDC)

  • Can work be done without repetitive twisting, bending or lifting of the arms above the shoulder level?

  • Can employees keep their hands or wrists in a neutral position when they are working?

  • Where workers are exposed to strains and sprains are warmup exercises conducted or rotation of workers required to prevent repetitive motion injuries?

  • If workers have to push or pull objects using great amounts of force, are mechanical aids provided?

  • Are there sufficient rest breaks, in addition to scheduled rest breaks, to relieve stress from repetitive-motion tasks?

  • Is work arranged so that workers are not required to lift and carry too much weight?

  • Are pressure points on body parts such as wrists, forearms, backs of thighs avoided?

  • Are chairs and work benches adjusted, positioned, and arranged to minimize strain on the body?

  • Are mechanical assists available to the worker performing materials-handling tasks?

10.0 Housekeeping 1910.22

  • Are walkways adequately and clearly marked?

  • Are floor surfaces even and uncluttered?

  • Are footpaths in good condition?

  • Are railings in good condition?

  • Are liquid spills removed quickly?

  • Are stairs and risers kept clear?

  • Are intersections kept clear of boxes, etc?

11.0 Emergency preparedness 1910.38

  • Are evacuation plan and maps displayed and understood by all employees?

  • Do employees know where to go (a safe zone) and are roll-call procedures in place?

  • Are mock drills to prepare workers and staff for an emergency conducted?

  • Are emergency numbers posted and up to date in a conspicuous location?

12.0 Electrical safety 1910 Subpart S

  • Do electrical panels and disconnects have 36" radial clearance for emergency access?

  • Are electrical panels, disconnects and breakers labeled as to what they control?

  • Are electrical panels and disconnects labeled with amperage and voltage?

  • Are electrical outlets, junction boxes and other electrical components properly covered?

  • Are extension cords in good repair, properly grounded, etc.?

13.0 Emergency equipment 1910.157 and 120

  • Are first aid kits available, applicable for the facility, stocked and readily accessible?

  • Are spill kits available where required, inspected and adequate for amount and type of chemicals on site?

  • Are appropriate type and size fire extinguishers and fire equipment inspected and unblocked with 36" of minimum clearance?

14.0 Exits 1910 Subpart E

  • Are exits clearly marked and clear of obstructions?<br>

  • Are locked emergency exit doors provided with inside release mechanisms that release the latches and open the doors?

  • Are adequate direction notices for routes of emergency exits displayed?

  • Where exit doors open directly onto a street, alley, or other area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping directly into traffic?

  • Are emergency exit lights operable?

15.0 - Fire Prevention 29 CFR 1910.39

  • Is storage a minimum of 18” below sprinkler heads?

  • Is fire alarm system functioning correctly?

  • Have fire extinguishers been annually hydrostatically tested and tagged and monthly inspection completed?

  • Are extinguishers clear of obstructions and raised from the ground?

16.0 Forklifts and pallet jacks 1910.178

  • Do operators have current licenses to operate? 1910.178(1)(6)

  • Do forklifts have functioning warning devices such as back-up alarms, strobes, or horns?

  • Are horns used during backing, entering blind corners and other potentially dangerous situations?

  • Are seat belts worn by operators?

  • Do forklifts travel at safe speeds?

  • Are daily or pre-shift industrial truck inspections conducted? 1910.178(g)(7)

17.0 Overhead Cranes

  • Are overhead cranes, supporting structures, electrical and control systems appear to be in good condition / working properly / undamaged?

  • Are overhead cranes subject to annual periodic inspections and daily / pre-use frequent inspections? 1910.179(j)(1)

  • Are load ratings marked for each crane?

  • Are operators and signal persons trained in safe use and operating capacities / limitations?

  • Are drop zones barricaded / workers warned of overhead crane operations in their work area?

  • Have hooks, attachments, slings, etc. been chosen for proper capacity / application by a qualified person and inspected prior to use?

18.0 General conditions

  • Are pallets, racks and shelving in good condition / undamaged?

  • Are guardrails present in areas of overhead storage above offices or platforms?

  • Are materials stacked properly and not leaning?

  • Are materials secure and not leaning off the edges of the racks?

  • Are empty wood pallets stack heights limited to 12 feet and plastic limited to 6 feet unless building is permitted for high pile storage and sprinklered accordingly?

  • Are pallet racks weight limit plate located in a visible area? These plates should indicate load size, weight limits and configuration information for the rack. 1910.250<br><br>

  • Are items that are stacked over 12’ wrapped or banded to prevent falling or shifting?

  • Is there any lifting above shoulder height being observed?

  • Are employees using ladders properly?

  • Are the correct type, size, duty, material ladders chosen for the task?

  • Are ladders in good repair with all required decals legible?

19.0 General Duty Safety Clause 5(a)(1) (GDC)

  • The employer must provide a safe and healthy workplace for all workers. Were unsafe or unhealthy general conditions observed?

20.0 Inspections and procedures 5(a)(1) (GDC)

  • Are monthly Safety and Health inspections conducted to document a safe work environment?

21.0 Machine guarding 1910 Subpart O

  • Do guards provide protection from hazardous moving parts of the machines?

  • Are belts and chain drives guarded?

  • Do guards prevent workers’ hands or body parts from making contact with moving parts?

  • Are gears, sprockets, pulleys, and flywheels guarded?

  • Have pinch points and inward running rollers been properly guarded?

22.0 Machine shop and maintenance area 1910.215, Subpart P,Q,O

  • When welding, is proper ventilation in place and is there a shield to protect other workers from UV light?

  • Have employees been trained on safe welding and hot work procedures?

  • Is there clearance between the wheel side and the guard of not more than 1/16 inch on bench grinders? 1910.215(b)(1)(iii)

23.0 Personal protective equipment -PPE 1910.132

  • Are workers using PPE properly and have they been appropriately trained?

  • Is safety footwear such as steel-toed work boots worn where applicable?

  • Are gloves worn where applicable and in good condition?

  • Are high-visibility vests, etc. worn in areas where applicable?

24.0 State and federal postings. DOL and State req.

  • Are state and federal postings current and the information that is required to be filled out by the employer up to date.

  • Are forklift safety rules posted in areas where forklifts are present?

25.0 Unsafe acts and conditions 5(a)(1) (GDC)

  • Were unsafe acts observed and either the employee told to stop the act immediately or the supervisor notified?

  • Were unsafe conditions not captured by this inspection checklist observed and serious conditions brought to the attention of the supervisor to be corrected immediately?

26.0 Written plans and procedures. Title 8 3203 and OSH act

  • Is the Health and Safety Program up to date and being applied?

  • Is there a written emergency preparedness program and/or fire safety program and is it being followed?

  • Is there a documented employee accountability program in place with progressive discipline for safety violations?

  • Is there a substance abuse program in place and enforced?

27.0 Environmental

  • If applicable, is there a Hazardous Waste Plan which addresses handling, storage, labeling, disposal, etc. considerations?

  • Have employees that handle hazardous waste been trained for spill or leak procedures?

  • On site representative

  • Date and time complete.

28.0 Personnel / Signatures

  • Facility Representative

  • Brandywine Safety Solutions, LLC Representative

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