MCC, INC. - BB SHOP

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• 4875 West Prospect Ave. Appleton, WI 54914
  Address

BUILDING AND GROUNDS

• Are the grounds clean and organized

  Yes

  No

  N/A

• Is there adequate outdoor lighting

  Yes

  No

  N/A

• Are there security devices in place and functioning (cameras)

  Yes

  No

  N/A

• Are then any leaking drums stored outside that need to be disposed of properly

  Yes

  No

  N/A

WORKPLACE POSTINGS AND PAPERWORK

• Workplace poster in place and up to date (OSHA, Labor, FMLA, etc...)

  Yes

  No

  N/A

• Are emergency numbers posted and current for your location

  Yes

  No

  N/A

• Is there a compliance binder on site containing all the appropriate forms

  Yes

  No

  N/A

• Is the current OSHA 300A posted

  Yes

  No

  N/A

FIRE PROTECTION

• Are fire extinguishers inspected and tagged yearly (Vans)

  Yes

  No

  N/A

• Are fire extinguishers being inspected monthly and recorded on the tag

  Yes

  No

  N/A

• Are all flammable liquids stored properly (fire cabinets, fire safety cans)

  Yes

  No

  N/A

• Are all exits clear and functional

  Yes

  No

  N/A

• Are exit signs in place and well lit

  Yes

  No

  N/A

• Is there an evacuation plan in place

  Yes

  No

  N/A

FIRST AID

• Is the first aid station equipped with all the required supplies

  Yes

  No

  N/A

• Are there any expired first aid items

  Yes

  No

  N/A

• Is there a blood spill kit on site and up to date

  Yes

  No

  N/A

• Are there eye wash stations available and in working order

  Yes

  No

  N/A

• Has any of the eye wash expired

  Yes

  No

  N/A

• Is there personnel on site trained in first aid

  Yes

  No

  N/A

• Is there an AED on site and if so, is it inspected regularly for functionality

  Yes

  No

  N/A

SHOP AREA

• Is there proper lighting to complete tasks safely

  Yes

  No

  N/A

• Is there emergency lighting present and operational

  Yes

  No

  N/A

• Are good housekeeping practices in place (look for clutter and basic messy items)

  Yes

  No

  N/A

• Are bathrooms clean and orderly

  Yes

  No

  N/A

• Are electrical panels marked and free of storage 36 inches all around panel

  Yes

  No

  N/A

• Are all breakers marked as to their purpose

  Yes

  No

  N/A

• Is there a MSDS book or electrical copy accessible to all personnel

  Yes

  No

  N/A

• Are all power tools checked for proper grounding plugs and damage

  Yes

  No

  N/A

• Are all chemicals labeled properly per OSHA requirements

  Yes

  No

  N/A

• Is all lifting rigging inspected and in good shape (chains, slings, etc...)

  Yes

  No

  N/A

• Is waste oil being disposed of properly

  Yes

  No

  N/A

• Are all air lines free of damage and do they have deflector nozzles attached

  Yes

  No

  N/A

• Are forklifts inspected daily or before each use (documentation)

  Yes

  No

  N/A

• Is overhead storage used properly and in good shape (check horizontal and vertical supports)

  Yes

  No

  N/A

• Are there any items that are not listed above that need to be addressed

  Safe

  At Risk

  N/A

• Are spill kits on site and accessible to all personnel

  Yes

  No

  N/A

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  Date

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