MONTHLY DEPARTMENTAL SAFETY INSPECTION

• Audit Title

• CONDUCTED ON

  Date

• LOCATION

• PREPARED BY

Training

• Have employees received proper training instructions of their job responsibilities?

  yes

  no

• When the employee transfer, is the employee reviewed on the new Safety Requirements?

  Yes

  No

  N/A

• Are employees trained and using good judgement on the job being performed?

  Yes

  No

  N/A

Human Elements and PPE

• Are employees using assistance (people/equipment) for the job tasks that require pulling/pushing, or lifting heavy or awkward objects?

  Yes

  No

  N/A

• Are employees following standard practices, rules and/or procedures for the job being done?

  Yes

  No

  N/A

• Are employees using the correct tools for the job. Is tool in good condition and used properly?

  Yes

  No

  N/A

• Are employees free from wearing loose clothing, watches, rings, chains, loose shoelaces, etc. in work areas where these items will create a hazard?

  Yes

  No

  N/A

• Are employees using required PPE properly?

  Yes

  No

  N/A

Fire Protection and Exit Doors

• Are fire extinguishers inspected monthly, fully charged, conspicuously marked and accessible?

  Yes

  No

  N/A

• Are drills conducted periodically, employees aware of evacuation routes and shelters?

  Yes

  No

  N/A

• Is adequate fire and emergency equipment available and in operable condition?

  Yes

  No

  N/A

• Are exit routes clear of obstruction and doors unlocked?

  Yes

  No

  N/A

• Are fire doors in need of any repairs?

  no

  yes

• Are first aid supplies readily available?

  Yes

  No

  N/A

• Are emergency phone numbers posted and visible?

  Yes

  No

  N/A

• Are eye wash/shower areas kept clear and inspected monthly?

  Yes

  No

  N/A

Machine Guarding and Lock Out Tag Out

• Are all dangerous machine parts adequately guarded to prevent access to hazards?

  Yes

  No

  N/A

• Are lockouts in place and procedures followed when performing tasks/maintenance with guards removed?

  Yes

  No

  N/A

Tools and Equipment

• Are tools and other portable equipment returned to proper storage place after use?

  Yes

  No

  N/A

• Is proper training given in the safe use of tools and machinery?

  Yes

  No

  N/A

• Are tools regularly inspected and unsafe tools removed from use?

  Yes

  No

  N/A

• Are there any oil leaks in the area?

  no

  yes

• Are there dust and powder leaks in the area?

  no

  yes

• Are there air leaks in the area?

  no

  yes

• Are approved safety nozzles used on air hoses?

  Yes

  No

  N/A

• Are grinding wheels on bench grinders smooth?

  Yes

  No

  N/A

Material Handling and Storage

• Are chain hoists, cranes and slings adequate for loads and labeled for capacity?

  Yes

  No

  N/A

• Are materials stored in a manner as to not create trip, bump or other hazardous situations; or block, impede any walkways or egress routes?

  Yes

  No

  N/A

• Are loading dock platforms, bumpers and lights in good working order and checked periodically?

  Yes

  No

  N/A

• Are wheel chocks in place and being used properly?

  Yes

  No

  N/A

• Are forklift operators using seat belts, driving at safe speed and using their horns at intersections?

  Yes

  No

  N/A

• Are forklifts inspected on each shift and checklist complete?

  Yes

  No

  N/A

• Are MSDS sheets available on chemicals in the area?

  Yes

  No

  N/A

Work Area and Equipment

• Ventilation-Are fans working effectively?

  Yes

  No

  N/A

• Visibility-Is lighting adequate?

  Yes

  No

  N/A

• Is area clear of unsecured items/material over workers heads?

  Yes

  No

  N/A

• Work area clear of hazards from nearby operations?

  Yes

  No

  N/A

• No loose debris or materials on top of machines?

  Yes

  No

  N/A

• Are all hazardous materials and containers identified?

  Yes

  No

  N/A

• Are guardrails, steps and railing in good shape and in place?

  Yes

  No

  N/A

• Is absorbent available for immediate cleanup of spills and leaks?

  Yes

  No

  N/A

• Is equipment anchored down?

  Yes

  No

  N/A

• Work area clear of equipment/materials with exposed sharp edges?

  Yes

  No

  N/A

Electrical

• Are junction boxes, outlets and switches covered?

  Yes

  No

  N/A

• Are extension cords used as permanent wiring?

  no

  yes

• Are extension cords frayed or taped?

  no

  yes

• Are there any exposed wires?

  no

  yes

• Are all machines properly grounded or insulated?

  Yes

  No

  N/A

• Are high voltage signs displayed where needed?

  Yes

  No

  N/A

• Are electrical panels clear of obstructions?

  Yes

  No

  N/A

Housekeeping

• Area miscellaneous materials (skids, pallets, or totes) stored In a dedicated accumulation area?

  Yes

  No

  N/A

• Are aisles and passageways kept clear of obstructions?

  Yes

  No

  N/A

• Are floors clean and free from anything that may cause someone to slip, trip, or fall. Oil, grease, fluids, water or other slippery substances that are spilled on the floor or work area are cleaned up immediately?

  Yes

  No

  N/A

• Signature

  Sign