Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Items

  • Current company safety policy statement is posted and signed by management.

  • Emergency phone numbers are visibly posted.

  • Incident reporting protocol is in place.

  • OSHA poster is displayed

  • Safety committee minutes are posted.

  • List of first aid responders is prominently posted.

  • Hazard reporting plan is kept current and posted

Electrical Hazards

  • Minimum three feet of clearance is maintained in front of electrical panels.

  • Explosion-proof wiring fixtures are provided where necessary (per NFPA). and are well maintained and covered.

  • No evidence of frayed electrical cords or exposed wiring.

  • Portable electric tools are grounded.

  • GFCIs are provided within 20 feet of water sources and on all temporary wiring.

  • Switches or fixtures show no signs of overheating.

  • Fuse/breaker/cord size is appropriate for use and amperage rating is checked.

  • Grounded connections are provided, well maintained, with three prongs intact.

  • Motors and compressors are kept free of excessive grease, oil or dust.

  • High voltage equipment (over 600 volts) is securely enclosed.

  • Warning signs are posted.

Fire Protection

  • Extinguishers are visible, unobstructed, inspected. tagged and charged.

  • Fire alarm is tested and drills performed regularly.

  • Exits are clear, visibly marked and unlocked

  • Panic hardware or door alarms are provided and in working order.

  • Emergency evacuation routes are posted with clear orientation and origin points identified.

  • Fire doors and aisles are maintained, well located and unobstructed.

  • Flammable liquids are stored, handled and dispensed in a safe manner.

  • Automatic sprinkler system is locked open, tested, with 18 inches minimum head clearance.

Heating/Ventilation

  • Units are checked annually by qualified contractor with certificates on file.

  • Gas or electric sources shut off when not in use

  • There is at least three feet clearance for combustibles from contact with HVAC units or fixtures

  • Pressure relief features function properly.

  • Compressors are drained regularly.

Housekeeping

  • Waste and refuse is isolated from ignition sources and regularly removed.

  • No combustibles or storage are located next to the building.

  • Smoking is controlled or eliminated.

  • Metal waste cans are provided for oil-soaked rags.

  • Shelving and stock storage areas are stabilized and interlocked when possible

  • Loading dock plates or levelers are maintained and used properly.

Machines/Equipment/Power Tools

  • E-stops are red with yellow background, mushroom shaped, and easily accessible.

  • ON switches/controls are protected from unintended actuation.

  • Bystander/operator protection is provided on all moving parts of machines/equipment at least seven feet above the floor or work platform.

  • Employees are protected from contact with additional moving parts.

  • All electrical equipment is recorded on inspection schedule. Problems are promptly identified and corrected.

  • Safety glasses and face shields are both worn while working on grinders.

  • Safety distance is maintained and verified for each die/operation where applicable.

  • Safety features are in place for operators and set-up persons. Tool rest % inch.

  • Lockout/tag out procedures are utilized for equipment setup and equipment repair.

  • Disabled equipment is locked/tagged to avoid unauthorized use.

  • Machines are anchored to the floor and electrically grounded where appropriate.

  • Push sticks, plungers or similar tools are used to remove jams or feed parts.

Material Handling

  • Only certified and trained operators use lift trucks or PITs.

  • Mechanical lifting devices are used instead of manual handling.

  • Storage and workstation layout system reduces need for manual handling.

  • Mechanical assistance is provided for picking materials

  • Awkward physical movements with high manual force or repetitive tasks are controlled.

Motor Vehicle Safety

  • Vehicles are well maintained.

  • Inspection and preventive maintenance program is followed and documented.

  • Emergency kits, fire extinguishers and accident reporting forms are stored in all vehicles.

  • Trailer chocks or trailer restraint systems are provided and used.

Security Protection

  • All building openings are protected from access.

  • Parking lot and sidewalks are well maintained with no potholes, ice or tripping hazards.

  • Parking lot and building exterior is well lit.

  • Effective night lighting (interior/exterior) is provided over inventory/high value items.

  • Closing/lockup protocol is observed. Keys are controlled by management,

  • Visitors are not allowed in building without management approval.

Walking Surfaces/Stairways/Ladders

  • Floor and aisles are well marked and clear of waste, debris, scrap, spills and obstructions.

  • Walkways and surfaces are free of holes, imperfections and slipping hazards.

  • Stairway treads and railings are secured and clear of obstructions.

  • Stairways and walkways are well lit (interior and exterior) and emergency lighting is maintained for exits and paths in emergencies.

  • Ladders appropriate for use are in good condition and inspected on a regular basis. Safety feet are provided where needed.

  • Fixed ladders are equipped with side cages, rails. landings or special fall protection

  • Elevator doors and gates work properly, shafts are enclosed.

Welding Operations

  • Compressed oxygen/acetylene cylinders are safely stored, handled, labeled and dispensed.

  • Fuel lines/torches are protected with anti-flashback and/or back flow protection.

  • The appropriate class extinguisher is located nearby for emergency use.

  • Welding helmets are equipped with tinted lenses.

  • Safety glasses are worn.

  • Protective flame-retardant clothing and PPE used during welding.

  • Hot work permits and/or fire watch is used when welding occurs outside of booth confines.

  • Operations Manager's Signature

  • Agreed upon timeline to fixed defects.

  • Tentative date of Re-inspection

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.