Information
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Audit Title
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Conducted on
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Prepared by
Emergency Evacuation & Emergency Exits
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Are all exits and paths to/from exits free of obstructions?
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Do emergency lights work?
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Can all exits be opened from the inside without a key?
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Do all emergency alarms work?
Electrical
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Are extension cords only for temporary use?
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Are power cords free of splices, taps, and damaged insulation?
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Is the area free of electrical Daisy Chains
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Do all extension cords have ground pins in place?
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Are live electrical parts on tools, equipment, building wiring, and electrical panels enclosed to prevent contact?
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Do circuits become overloaded? If they are overloaded list why.
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Are breaker boxes clear and can they be accessed when needed?
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Are machines that have moisture (e.g.: refrigerators, air conditioners) or used outdoors or in industrial settings grounded?
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Do electrical cords and equipment used at wet locations have waterproof covers or seals to keep moisture out?
housekeeping
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Are scrap materials stored safely to prevent tripping, fire or pest hazards?
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Are spills cleaned up promptly?
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Is there effective drainage for wet areas?
walking Surfaces/Stairways
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Are aisles and passageways kept clear of tripping hazards (cords, pipes, hoses etc.) and at least 28” wide?
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Are floors still able to hold the intended load safely?
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Employees ARE NOT expected to work from heights? If no is selected describe how fall protection provided?
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Is there at least 7’ of head room in all aisles and on all stairs?
Lighting
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Is there sufficient lighting in work areas?
Chemical
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Do all chemical boxes, bottles, bags, tanks, etc. have a label that has the chemical name and appropriate hazard warning?
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MSDS has been read and understood for all chemicals that are used
Personal Protective Equipment (PPE)
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Confirm any combination door locks under your area of responsibility are working correctly
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Are there Jobs for which you feel a hazard assessment should be conducted? If there is it has been scheduled or done.
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Does the furnished PPE fit?
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Is the PPE in good condition?
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Is the PPE appropriate for the job?
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Do employees wear the PPE when required?
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Are safety glasses worn where there is a potential for flying particles or objects?
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Are goggles or face shield worn where there is a danger of corrosive material splash?
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Is safety-toed footwear worn where there is a potential for heavy objects to roll or fall on the feet?
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Is a hard hat worn where there is a potential for being struck by a falling or flying object?
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Are ear plugs or ear muffs available and used in areas where it is necessary to raise your voice to be heard by a co-worker?
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Are gloves, aprons, or shields worn when there is a danger of cuts or chemical contact?
Storage
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Are materials stored in a way that does not create a hazard (protected from slipping or collapse)?
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Are storage areas kept free of tripping and fire hazards?
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Are shelves capable of holding the intended load?
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Do employees have a safe way to stock and unstock the shelves?
Safe Machine and Tool Operation
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Any New Machines or Tools in area? (if yes, list new machines)
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Are Employees trained in the safe use machines where necessary?
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Are machines in good working order?
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Are moving parts of machines such as belts, pulleys, gears, cutters guarded to prevent accidental contact?
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Are all the safeguards adjusted properly before use?
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Are there any electrical hazards, if Yes list.
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Do employees get help when they need it?
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Are employees working next to machines safe?
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Do machines that require lockout/Tagout procedures have them created and Employees trained in them?
Other
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Please list anything that should be added to this checklist.
