Information

  • Audit Title

  • Client / Site

  • Document No.

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Safety and Health

  • 1.0 - Have current Injury and Illness Prevention Program (IIPP)?

  • 1.1 - All new employees complete IIPP training and documentation has been verified?

  • 1.2 - Have current Hazard Communication program that includes current GHS changes?

  • 1.3 - All new employees complete HAZCOM/GHS training and documentation has been verified?

  • 1.4 - Have monthly safety meetings that all employees must attend?

  • 1.5 - Monthly safety meeting documentation verified?

  • 1.6 - Have current Personal Protection Equipment (PPE) hazard assessment?

  • Select all required and optional PPE

  • All required PPE use observed?

  • 1.7 - Have hearing conservation program?

  • 1.8 - Do all affected employees receive hearing conservation training and testing, and documentation has been verified?

  • 1.9 - All employees complete PPE training that is specific to the task they will perform on the job and documentation has been verified?

  • 1.10 - Have current Fall Protection Program?

  • 1.11- All affected employees complete Fall Protection training and documentation has been verified?

  • 1.12 - Have Emergency Evacuation Program and maps are posted?

  • 1.13 - Emergency Evacuation training is completed by all employees and documentation has been verified?

  • 1.14 - Have Lock Out Tag Out (LOTO)Program?

  • 1.15 - All employees complete basic LOTO training and documentation has been verified?

  • 1.16 - Specific employees that perform maintenance, service or equipment repairs complete comprehensive LOTO training and documentation has been verified?

  • 1.17 - Have accident/incident reporting procedures and training is conducted with all employees?

  • 1.18 - Is Material Handling Equipment (MHE) in use?

  • Types of Material Handling Equipment (MHE)?

  • 1.18 (a) - Are Load Weight Capacity Tags Legible?

  • 1.18 (b) - Have Material Handling Equipment (MHE) training and safety program?

  • 1.18 (c) - Are MHE operators trained specifically for the equipment they will be operating and training documentation has been verified?

  • 1.19 - Is Heat Illness Awareness/Prevention Program Required?<br>

  • 1.19 (a) - Has Training been conducted and Documentation Verified?

2.0 - Fire Prevention

  • 2.1 - Evacuation plan displayed and understood by all employees?

  • 2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)

  • 2.3 - Extinguishers in place, clearly marked for type of fire?

  • 2.4 - Extinguishers serviced/documented annually?

  • 2.5 Extinguishers inspected/documented monthly?<br>

  • 2.6 - Extinguishers clear of obstructions?

  • 2.7 - Adequate direction notices for fire exits?

  • 2.8 - Exit doors easily opened from inside?

  • 2.9 - Exits clear of obstructions?

3.0 - General Lighting

  • 3.1 - Good natural lighting?

  • 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  • 3.3 - Light fittings clean and in good condition?

  • 3.4 - Emergency exit lighting operable?

4.0 - Building Safety

  • 4.1 - Uneven Floor Surfaces Identified and Marked?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.4 - Intersections kept clear of boxes etc?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are liquid spills removed quickly?

  • 4.7 - Are railings in good condition?

  • 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  • 4.9 - Are footpaths in good condition?

  • 4.10 - Loading area clean and tidy?

5.0 - Work Benches

  • 5.1 - Clear of debris?

  • 5.2 - Tools not in use kept in place?

  • 5.3 - Damaged hand tools taken out of service?

  • 5.4 - Damaged power tools taken out of service?

  • 5.5 - Work height correct for the type of work and the employee?

  • 5.6 - Sharp edges protected or eliminated?

6.0 - Trash Removal

  • 6.1 - Bins located at suitable points around site?

  • 6.2 - Bins emptied regularly?

  • 6.3 - Oily rags and combustible refuse in covered metal containers?

7.0 - Storage Design and Use

  • 7.1 - Materials stored in racks and bins wherever possible?

  • 7.2 - Racks load bearing weight rated and visible?

  • 7.3 - Floors around racking clear of debris?

  • 7.4 - General condition of racks and pallets?

8.0 - Machines

  • 8.1 - Are they kept clean?

  • 8.2 - Are the floors around the machines kept clean?

  • 8.3 - Guards in place and in good condition?

  • 8.4 - Machinery equipped with emergency shut-off and within reach of operator?

  • 8.5 - Waste/off cuts removed and stored safely?

  • 8.6 - Drip pans on floor to prevent spillage?

  • 8.7 - Adequate work space?

  • 8.8 - Is lighting adequate?

  • 8.9 - Noise levels controlled?

  • 8.10 - No bending or stooping required?

  • 8.11 - Operators trained on the specific operation of the machines?

  • 8.12 - Is the training recorded?

  • 8.13 - Do operators comply with the training?

9.0 - Electrical Safety

  • 9.1 - Safety switches installed?

  • 9.2 - Safety switches tested every 6 months and tests documented?

  • 9.3 - Are double adapters present (Daisy chain, Piggy backing, etc.)

  • 9.4 - Portable equipment tested and tagged?

  • 9.5 - No broken plugs, sockets or switches?

  • 9.6 - No flexible cords across walkways?

  • 9.7 - No frayed or damaged flexible cords?

  • 9.8 - No strained cords?

  • 9.9 -Temporary flexible power cords used for intended purpose and in good condition?

  • 9.10 - Are all electrical cabinets, junction, switch boxes properly covered and protected?

10.0 - Chemical Safety

  • 10.1 - Hazardous Substance Inventory complete and available?

  • 10.2 - Safety Data Sheets (SDS) available for all chemicals?

  • 10.3 - All containers labelled correctly?

  • 10.4 - Unused substances disposed of?

  • 10.5 - Do special storage conditions apply?

  • 10.5 (a) - Are special storage conditions followed?

  • 10.6 - Workers trained in the use of hazardous substances?

  • 10.7 - If required is PPE available?

  • 10.8 - Is adequate ventilation provided?

  • 10.9 - Are eye washes and showers easily accessed?

  • 10.10 - Are Eye Was Stations and/or Showers Inspected Tagged & Serviced Accordingly

11.0 Ladders

  • 11.1 - Ladder Use or Ladders Present?

  • 11.2 - Have Ladder Safety Program and Documented?

  • 11.3 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 11.4 - Are ladders in good condition?

  • 11.5 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  • 11.6 - Used according to instructions?

  • 11.7 - For extension ladders are ropes, pulleys and treads in a good state of repair?

  • 11.8 - Is comprehensive safe ladder use training documented with all employees required to use ladders?

  • 11.9 - Employees that have not completed ladder training are restricted from ladder use?

12.0 - First Aid Facilities

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.3 - Contents past their expiration date discarded?

  • 12.4 - Cabinets clearly labelled?

  • 12.5 - Is there easy access to cabinets?

  • 12.6 - Employees aware of location of first aid cabinet?

  • 12.7 - Are emergency numbers displayed?

  • 12.8 - Is injury reporting contact personnel available?

13.0 Height Exposures

  • Height Exposure Category

  • 13.1 Is there scaffolding?

  • 13.2 Scaffolding training for affected employees training conducted & documentation verified?

  • 13.3 Is a designated competent person onsite?

  • 13.4 Are Scissor lifts used by Employees?

  • 13.4 (a) Has the operator been trained and documentation verified?

  • 13.5 Are Articulating Booms used by Employees?

  • 13.5 (a) Has the operator been trained and documentation verified?

  • 13.5 (b) Have affected employees been trained on the proper use of personal fall arrest systems

  • 13.6 Any Catwalk Exposures ?

  • 13.6 (a) Are required fall prevention measures in place?

14.0 Additional Hazards/Concerns or Safe Behaviors

    Hazard/Concern or Safe Behavior
  • Hazard/Concern or Safe Behavior:

  • Drawing of Hazard/Concern or Safe Behavior, if applicable:

Sign Off

  • Marsh & McLennan Loss Control Representative's Signature:

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