• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PPE & Safe Work Practices

  • PPE correctly worn per posting and task

  • Safety shoes (Required unless doctors note on file)

  • Hearing protection (if required)

  • Gloves (if required)

  • Other required PPE?

Lifting Devices

  • Rail, Hoist, and lifting devices have rated capacity

  • Inspection tag located on hoist pendant

  • Can operator explain daily inspection performed as listed on inspection tag?

  • Inspect chain slings for wear and damage.

  • Do fiber slings have capacity and inspection tags

  • Do below the hook devices (furnace lifting trees, furnace baskets etc.) have capacity and inspection tags

  • Suspended loads must be attended

  • Suspended loads must never be lifted over employees

Safety Shower / Eye Wash Station

  • Located where acids / bases (corrosives) used.

  • Inspected weekly, not blocked

Emergency Exits

  • Aisles and emergency exits not blocked


  • Voltage indicated on electrical control enclosures, power cabinets,, junction boxes etc.

  • Arc Flash label present on electrical control enclosures, power cabinets, junction boxes etc.

  • Clearance in front of electrical enclosures36" (0-150v) and 42" (151-600v)

  • Chords are free from frays and damage

  • Electrical enclosures are secured with wire, mechanical interlock, sealed, bolted, screwed, tie wrapped or padlocked requireing the use of a key or tool to gain entry

  • Extension cords only allowed for temporary situations <90 days. must be inspected annually

  • GFCI's required on portable electric tools and in areas where wetness or damage to cord is possible

  • Are knockout plugs present on all electrical enclosures


  • Daily walk around being completed prior to each shift used.

  • PIV Badge - Training & Medical Exam current

  • Seatbelt used whenever forklift operated

Flammable Cabinets

  • Only flammable liquids in cabinet (no paper, wood or plastic stored in cabinet)

  • Cabinets undamaged

  • No more than 3 cabinets within 100 square feet


  • Stacks and drains labeled

  • POG - Clean & labeled correctly

  • POG lid latched

  • POG sign form e507 posted

  • No more than 55 gallons of hazardous waste stored at POG

  • Are day cans emptied one daily

Machine Guarding

  • Machines anchored (if machine can walk or move)

  • Is point of operation (grinding wheel, etc.) protected such that inadvertent contact is prevented?

  • Flywheels, gears, shafts, pulleys, belts, gears, sprockets, chains and couplings guarded to protect employees

  • E-stop button present

Walking / Working surfaces

  • Abrupt changes in elevation shall not exceed 1/4 inch

  • Free from nails and gaps

Fire Extinguishers

  • Monthly Inspection completed / Verify completely charged

Confined space

  • Marked with proper signage (permit required sign or non permit required sign


  • All containers labeled. (Original container with Manufacturers Label or secondary container with HMIS label)

  • Does employee know how to access an MSDS for a chemical used?

Lockout / Tagout

  • Is machine specific energy control procedure present (owner M. Cline)

  • Are LOTO labels present

Blending Tools

  • Are safety latches present on all compressed air powered grinding tools

Compressed Air Nozzles

  • Are nozzles labeled as OSHA compliant. (regulate air pressure to 30psi or less)

Compressed Gas Cylinder Storage

  • Are cylinders identified with a durable label that clearly identifies the cylinder contents and gives a brief description of the potential hazard?

  • Cylinders secured with chain, lab strap or hard stock device located on the upper one third of the cylinder

  • Nesting methods for storage are prohibited. Acceptable means of storage include individual chains or straps, holding racks, cylinder carts etc.

  • Flammable gasses shall be stored at least 20 feet from oxidizers and any other source of ignition or separated by an approved firewall


  • Monitor turned on?

  • Linearity chart current?

  • And on light on at gateway

  • Waterfall chart on schedule or up to day

  • Takt time posted / understood?

  • Daily walk around signed off?

  • 6s audits & newspaper are current

  • Observe if standard work is being followed

  • Area clean & organized (less than 1 day of dirt)?

  • Aisles and emergency exits not blocked?

Do the employees know: (Interview a few people)

  • Takt time?

  • Which processes are certified?

  • Where the skilled matrix is located?

  • When is thier ACE meeting or QCPC meeting?

  • Who enters the TB's

  • Where their Value Stream Map is located

  • Machine class (A, B, or C)

  • What do they do if they find a problem (QCPC ticket and notify lead)

  • How do they know what to work on next? (FIFO and or waterfall chart)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.