MEUW Facility Inspection v1

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• An inspection was conducted at the above referenced location to ensure compliance with all applicable workplace and facility safety regulations. The following items listed below are recommendations for corrective action to achieve regulatory compliance or represent industry standards and/or best practices in loss prevention, safety, health, and security. WITHIN 30 DAYS OF RECEIPT OF THIS FORM please address the issues listed below. A written response confirming corrective action has been taken OR please specify a corrective plan of action with expected dates or timelines for completion.

Section 1 - General Safety

• Are all electrical cords in good repair, and properly used (i.e. no daisy chaining, permanent use, overloading, etc)?

  Yes

  No

  N/A

• Are all electrical panels kept closed, with no indications of tripped breakers or open cutouts?

  Yes

  No

  N/A

• Are changes in walking elevations clearly marked?

  Yes

  No

  N/A

• Are low hanging objects in walkways clearly marked?

  Yes

  No

  N/A

Section 2- Office Safety

Section 3 - Emergency Action Plans

• Is an evacuation plan clearly posted?

  Yes

  No

  N/A

• Is a NOAA Weather Radio or other alerting device being used to monitor severe weather?

  Yes

  No

  N/A

• Is the Tornado Shelter clearly marked?

  Yes

  No

  N/A

• Do customer service staff have a "Bomb Threat Checklist" readily available?

  Yes

  No

  N/A

• Are emergency exits clearly marked?

  Yes

  No

  N/A

Section 4 - Fire Prevention

• Have all fire extinguishers been inspected monthly (and documented)?

  Yes

  No

  N/A

• Are all fire extinguishers properly mounted, unobstructed, with a current annual inspection tag, tamper tag, and working pressure gauge?

  Yes

  No

  N/A

• Are the appropriate class fire extinguishers located every 50-75' based on hazards?

  Yes

  No

  N/A

• Are fire doors closed at all times or equipped with a fusible link actuated closing device?

  Yes

  No

  N/A

• If equipped with a sprinkler system, are all materials stored below the horizontal plane of the sprinkler head and no closer than 18" minimum?

  Yes

  No

  N/A

• If equipped, is the fire alarm tested and inspected annually?

  Yes

  No

  N/A

• If equipped, is the Supervisory Fire Panel free of trouble codes?

  Yes

  No

  N/A

• If equipped, is the fire sprinkler system tested and inspected at least annually?

  Yes

  No

  N/A

• Are rags used with solvent based chemicals properly stored and disposed of after use?

  Yes

  No

  N/A

• Are all gasoline cans UL-Listed Safety Cans?

  Yes

  No

  N/A

• Are Boiler rooms clear of all combustibles?

  Yes

  No

  N/A

Section 5 - Egronomics

• Do workstations appear to be properly arranged for employees?

  Yes

  No

  N/A

• Are materials stacked on shelving with heaviest items at waist level to reduce reaching/bending strains?

  Yes

  No

  N/A

Section 6 - Housekeeping

• Are aisles and areas around doorways kept free of storage or other trip hazards?

  Yes

  No

  N/A

• Are all boxes, equipment, and materials stored to prevent items from falling?

  Yes

  No

  N/A

• Are rafters, overhead piping, and shelving free from sawdust and/or other combustible accumulations?

  Yes

  No

  N/A

• Are woodworking areas free of sawdust accumulation?

  Yes

  No

  N/A

• Are all electrical panels easily accessible, with a minimum of 36" of clear space in front of the panel, and free of combustible storage?

  Yes

  No

  N/A

• Are all saws, blades, and other cutting devices properly sheathed or otherwise stored with the cutting edge guarded?

  Yes

  No

  N/A

• Are rafters clear of storage (unless properly load rated for use as storage)?

  Yes

  No

  N/A

• Are break rooms, kitchens, and other employee food prep areas clean and hygienic?

  Yes

  No

  N/A

Section 7 - Hazard Communication

• Is the MSDS book readily available?

  Yes

  No

  N/A

• Are an adequate number of flammable storage cabinets available, and are all combustible/flammable materials properly stored at the end of the shift?

  Yes

  No

  N/A

• Are pressurized tanks of flammable/combustible gases and liquids stored at floor level and properly secured?

  Yes

  No

  N/A

• Are all secondary containers properly labeled?

  Yes

  No

  N/A

• Are hazardous chemicals properly segregated?

  Yes

  No

  N/A

• Are all flammable storage areas properly equipped with Class 1 (Div 1 or 2) electrical appliances and wiring?

  Yes

  No

  N/A

• Are hazardous and/or flammable storage rooms properly ventilated?

  Yes

  No

  N/A

Section 8 - First Aid

• Is a First Aid kit readily available?

  Yes

  No

  N/A

• Is the First Aid kit stocked with the appropriate types of medical supplies needed for potential injuries that may be encountered in the workplace?

  Yes

  No

  N/A

• Are eyewash stations or bottles located within 25' of where chemicals are openly handled or mixed?

  Yes

  No

  N/A

• Are eyewash and deluge showers tested wee(and documented)?

  Yes

  No

  N/A

Section 9 - Exposure Control (Bloodbourne Pathogens)

• Is a Bloodbourne Pathogen cleanup kit readily available?

  Yes

  No

  N/A

Section 10 - Personal Protective Equipment

• Is all PPE properly stored when not in use?

  Yes

  No

  N/A

• Is the appropriate types of PPE available for the job hazards encountered by employees?

  Yes

  No

  N/A

• Is the appropriate PPE being utilized by employees during tasks?

  Yes

  No

  N/A

Section 11 - Hearing Conservation

• Is the appropriate hearing protection being utilized by employees during tasks?

  Yes

  No

  N/A

• Are the appropriate types of hearing protective devices available for the noise levels encountered by employees?

  Yes

  No

  N/A

• Is appropriate warnings signage present to warn employees of high noise areas? (generator, compressor, machinery rooms etc.)

  Yes

  No

  N/A

Section 12 - Respiratory Protection

Section 13 - Tools and Equipment

• Are all power cords in good condition?

  Yes

  No

  N/A

• Are all blades and cutting devices properly stored so that the cutting surface is not exposed?

  Yes

  No

  N/A

• Are all machines and equipment properly guarded?

  Yes

  No

  N/A

• Are tools/equipment properly plugged in (not plugged into an improperly rated extension cord or power strip, overloaded outlet, etc)

  Yes

  No

  N/A

• Are all safety features on power equipment and tools functioning properly?

  Yes

  No

  N/A

• All Emergency Stop buttons accessible and tested routinely?

  Yes

  No

  N/A

• Bench Grinders: is the gap between the stone wheel and the tool rest no greater than 1/8" and the gap between the stone wheel and the adjustable tongue no greater than 1/4"?

  Yes

  No

  N/A

• Are dust collection systems and duct properly grounded against static buildup?

  Yes

  No

  N/A

• Are open tub, solvent-based parts washers equipped with a fusible link actuated self closing lid?

  Yes

  No

  N/A

Section 14 - Vehicle Operation, Repair, and Maintenance

• Are fire extinguishers present (and in serviceable condition) on all vehicles and mobile equipment?

  Yes

  No

  N/A

• Is preventative maintenance and breakdown service records maintained for all vehicles?

  Yes

  No

  N/A

• Are DOT inspections conducted on vehicles meeting the definition of a Commercial Motor Vehicle?

  Yes

  No

  N/A

• Are daily pre-trip inspections conducted by the operator and appropriately documented?

  Yes

  No

  N/A

• For all vehicles used for maintenance in or near a roadway, are all vehicles and mobile equipment equipped with amber lighting that is visible 360 degrees?

  Yes

  No

  N/A

Section 17 - Confined Space

• Are all permit-required confined space entry points properly labeled and guarded?

  Yes

  No

  N/A

Section 18 - Material Handling

• Are conveyor systems properly guarded?

  Yes

  No

  N/A

• Are palletized loads properly stacked?

  Yes

  No

  N/A

• Are all materials properly stored to prevent materials from being knocked over or accidentally falling?

  Yes

  No

  N/A

Section 19 - Powered Industrial Truck

Section 20 - Cranes and Hoists

• Are all chain, belt, hydraulic, and wire components of hoist in good condition and free of defect?

  Yes

  No

  N/A

• Are cranes and hoists inspected and serviced at least annually?

  Yes

  No

  N/A

Section 21 - Slings, Ropes, and Chains

• Are all chains in good condition free from from damage, elongation, etc?

  Yes

  No

  N/A

• All all slings, ropes, and chains inspected routinely prior to use for defects?

  Yes

  No

  N/A

Section 22 - Ladders and Scaffolding

• Are all ladders free from damage?

  Yes

  No

  N/A

• Are ladders properly secured when in use?

  Yes

  No

  N/A

• Is the workplace free from "Homemade" portable ladders?

  Yes

  No

  N/A

Section 23 - Fall Protection

• Are all openings exposing a fall of 6' or greater properly guarded.

  Yes

  No

  N/A

Section 24 - Hazardous Energy Control (LOTO)

• Are all energy control points clearly marked?

  Yes

  No

  N/A

• Are an adequate number of personal locks available?

  Yes

  No

  N/A

• Are specialized lockout devices available to secure all energy control points?

  Yes

  No

  N/A

Section 25 - Welding

• Are Oxy-Acytlene torches equipped with a flashback suppressor?

  Yes

  No

  N/A

• Are all hoses, cables, and grounds in good condition free of damage or defect?

  Yes

  No

  N/A

• Is the pressure bleed off the lines when tanks are not in use?

  Yes

  No

  N/A

• Are regulator gauges in functional condition?

  Yes

  No

  N/A

• Is adequate ventilation present while welding?

  Yes

  No

  N/A

• Are Oxygen and Acetylene gases properly segregated when in storage?

  Yes

  No

  N/A

• Do all designated welding areas have a minimum of a 35' clear space, free from combustibles?

  Yes

  No

  N/A

Section 26 - Laboratory Safety

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