Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • 2600 N. Roemer Road Appleton, WI 54911

BUILDING AND GROUNDS

  • Is there adequate outside lighting

  • Is the building in good shape with no repairs needed at this time

  • Are the grounds free of clutter and are all spills cleaned up

  • Are proper security measures in place and operational

FRONT ENTRANCE (NW)

  • Is the entrance free and clear of all obstructions<br>

  • Is the entrance well lit for security purposes

  • Is there an exit sign and is it working

  • Are door entrances free of trip hazards and level for walking purposes

  • Are doors in good working order and are able to be opened in both directions

GENERAL

  • Are emergency numbers posted and readily available to ALL personnel

  • Is there a compliance binder on site and does in contain all the proper forms<br>

  • Is the current OSHA 300A posted in plain site

  • Are spill kits on site and accessible to all personnel

MIXER BAY (NW) POD 1

  • Is there a first aid kit on site and up to date

  • Is there a blood borne spill kit on site

  • Are the fire extinguishers in place and up to date

  • Are the extinguishers inspected monthly and noted on the tag

  • Are the locations of the fire extinguishers properly marked

  • Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)

  • Is all machinery properly guarded to prevent injuries....(attach photos of unguarded machines)

  • Are all exits unblocked and free of clutter

  • Are all the exits properly marked and well lit

  • Is all emergency lighting in place and operational

  • Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag

  • Are the overhead cranes in good working order (if applicable). This would include JIBS and any other lifting equipment

  • Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks

  • Are there adequate eye wash stations and is the eye wash up to date

  • Is storage racking in good shape and adequate

  • Are all fluids stored properly per hazard requirments

  • Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)

  • Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)

  • Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>

  • Are all power tool cords in good shape and properly grounded (double insulated)

  • Are extension cords in good shape and grounded properly

  • Do all employees working in the area have access to proper PPE

  • Are gas cylinders properly stored when not in use (chained mid cylinder)

  • Are stairs, railings and ladders in good shape (if applicable)

  • Is welding and torching equipment in good working order (hose lines, valves, etc...)

  • Add signature

DUMP TRUCK BAY (POD 2)

  • Is there a first aid kit on site and up to date

  • Is there a blood borne spill kit on site

  • Are the fire extinguishers in place and up to date

  • Are the extinguishers inspected monthly and noted on the tag

  • Are the locations of the fire extinguishers properly marked

  • Is all emergency lighting in place and operational

  • Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)

  • Is all machinery properly guarded to prevent injuries....(attach photos of unguarded machines)

  • Are all exits unblocked and free of clutter

  • Are all the exits properly marked and well lit

  • Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag

  • Are the overhead cranes in good working order (if applicable). This would include JIBS and any other lifting equipment

  • Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks

  • Are there adequate eye wash stations and is the eye wash up to date

  • Are all fluids stored properly per HAZCOM requirments

  • Is waste oil disposed of properly

  • Is storage racking in good shape and adequate

  • Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)

  • Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>

  • Are all power tool cords in good shape and properly grounded (double insulated)

  • Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)

  • Do all employees working in the area have access to proper PPE

  • Are gas cylinders properly stored when not in use (chained mid cylinder)

  • Is welding and torching equipment in good working order (hose lines, valves, etc...)

  • Are stairs, railings and ladders in good shape (if applicable)

  • Add signature

PARTS ROOM

  • Are the fire extinguishers in place and up to date

  • Are the extinguishers inspected monthly and noted on the tag

  • Is there a first aid kit on site and up to date

  • Is there a blood borne spill kit on site

  • Is the AED in good working order and inspected monthly

  • Are stairs, railings and ladders in good shape (if applicable)

  • Are all power tool cords in good shape and properly grounded (double insulated)

  • Do all employees working in the area have access to proper PPE

  • Is adequate lighting in place

  • Is storage racking in good shape and adequate

  • Are all fluids stored properly per HAZCOM requirments

  • Are there adequate eye wash stations and is the eye wash up to date

  • Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)

  • Are all exits unblocked and well lit

  • Is all emergency lighting in place and operational

  • Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)

  • Is lifting equipment inspected regularly and noted on the inspection tag

  • Add signature

Machinery (POD 3)

  • Are the fire extinguishers in place and up to date

  • Are the extinguishers inspected monthly and noted on the tag

  • Is there a first aid kit on site and up to date

  • Is there a blood borne spill kit on site

  • Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)

  • Is all the machinery properly guarded

  • Is all emergency lighting in place and operational

  • Is adequate lighting in place

  • Is lifting equipment inspected regularly and noted on the inspection tag

  • Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks

  • Are there adequate eye wash stations and is the eye wash up to date

  • Are all exits unblocked and well lit

  • Is storage racking in good shape and adequate

  • Do all employees working in the area have access to proper PPE

  • Are all power tool cords in good shape and properly grounded (double insulated)

  • Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)

  • Are gas cylinders properly stored when not in use (chained mid cylinder)

  • Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag

  • Are all fluids stored properly per HAZCOM requirments

  • Is waste oil disposed of properly

  • Is welding and torching equipment in good working order (hose lines, valves, etc...)

  • Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)

  • Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>

  • Add signature

LOADER BAY ( POD 4)

  • Are the fire extinguishers in place and up to date

  • Are the extinguishers inspected monthly and noted on the tag

  • Is there a first aid kit on site and up to date

  • Is there a blood borne spill kit on site

  • Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)

  • Is all the machinery properly guarded

  • Is all emergency lighting in place and operational

  • Is adequate lighting in place

  • Is lifting equipment inspected regularly and noted on the inspection tag

  • Are all exits unblocked and well lit

  • Are there adequate eye wash stations and is the eye wash up to date

  • Is storage racking in good shape and adequate

  • Do all employees working in the area have access to proper PPE

  • Are all power tool cords in good shape and properly grounded (double insulated)

  • Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)

  • Are gas cylinders properly stored when not in use (chained mid cylinder)

  • Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag

  • Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks

  • Are all fluids stored properly per HAZCOM requirments

  • Is waste oil disposed of properly

  • Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>

  • Is welding and torching equipment in good working order (hose lines, valves, etc...)

  • Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)

  • Add signature

WELDER BAY ( POD 5)

  • Are the fire extinguishers in place and up to date

  • Are the extinguishers inspected monthly and noted on the tag

  • Is there a first aid kit on site and up to date

  • Is there a blood borne spill kit on site

  • Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)

  • Is all the machinery properly guarded

  • Is all emergency lighting in place and operational

  • Is adequate lighting in place

  • Is lifting equipment inspected regularly and noted on the inspection tag

  • Are all exits unblocked and well lit

  • Is storage racking in good shape and adequate

  • Do all employees working in the area have access to proper PPE

  • Are all power tool cords in good shape and properly grounded (double insulated)

  • Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)

  • Are gas cylinders properly stored when not in use (chained mid cylinder)

  • Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag

  • Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks

  • Are all fluids stored properly per HAZCOM requirments

  • Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>

  • Is welding and torching equipment in good working order (hose lines, valves, etc...)

  • Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)

  • Add signature

AGG BAY (POD 6)

  • Are the fire extinguishers in place and up to date

  • Are the extinguishers inspected monthly and noted on the tag

  • Is there a blood borne spill kit on site

  • Are there any housekeeping issues: Clutter, spills, trip hazards.......(attach photos)

  • Is all the machinery properly guarded

  • Is all emergency lighting in place and operational

  • Is adequate lighting in place

  • Is lifting equipment inspected regularly and noted on the inspection tag

  • Are all exits unblocked and well lit

  • Is storage racking in good shape and adequate

  • Do all employees working in the area have access to proper PPE

  • Are all power tool cords in good shape and properly grounded (double insulated)

  • Is all the grinding equipment in good working order and properly guarded (1\8" tool rest gapping for pedestal grinders)

  • Are gas cylinders properly stored when not in use (chained mid cylinder)

  • Are the overhead cranes, JIBS and other lifting equipment inspected and noted on the yellow tag

  • Is rigging equipment up to OSHA and ANSI standards (chains, slings, straps)<br>* Check for stretching, cracking, wear, rips, tears, twisting, welding marks

  • Are all fluids stored properly per HAZCOM requirments

  • Are all air hoses and attachments in good working order per OSHA standards ( deflector nozzles , hose damage)<br><br><br><br><br>

  • Is there a centralized MSDS or online service that's accessible to all employees (posting of MSDS online service)

  • Is welding and torching equipment in good working order (hose lines, valves, etc...)

  • Select date

  • Add signature

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