• Document No.

  • NAC Safety Audit

  • Location Visited

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 PPE

  • Eyes: protected from flying debris, chemicals and radiant light. Safety glasses worn in mandatory areas?

  • Hearing: protection used in mandatory areas and during short exposures to high decibel noise?

  • Body, Arms, and Hands: protected from resins, adhesives, sealants, chemicals and composite dust

  • Hands: protected when handling sharp objects/tools, severely hot or cold items

  • Head: protected from impact from above and at same height objects?

  • Respiratory: protected for vapors, dust, misc. debris. Clean shaven, mask stored in sealed container

2.0 Ergonomics

  • Lifting/Lowering: weights not above 25# at/above shoulder height. Lift is not awkward or repetitive?

  • Pushing: vs. pulling?

  • Reach: not overextended for long periods of time or during lifting?

  • Grip/force: not excessive when combined with high frequency?

  • Repetition: is not excessive not excessive when combined with high force and frequency?

  • Vibration: long exposures reduced by PPE, tape or tool design?

  • Body Posture: wrist, neck back in neutral position, elbows 90, close to body?

3.0 Machine Safety

  • Cleaning, Clearing, Adjustments made while machine is off? LOTO procedures followed?<br>This includes <br>-Adjusting cutter heads, saw blade, nailers, conveyor belts, <br>

  • Workers not involved in machine operation kept safe distance kept from machine ?

  • Are all guards & POIs protected? (Point of operation)

  • Machine shut down when unattended? <br>

  • Are warning decals present near hazardous points of operations?

  • Did operator insure access panels are in place prior to starting machine/equipment?

4.0 Forklift Safety

  • Seat belts worn?

  • Are safe load levels not exceeded?

  • Safe Speeds followed?

  • Horn or Warning device used when approach personnel?<br>

  • Are views obstructed when transporting Material?<br>

  • No "Riders" allowed?<br>

5.0 Safety Behaviors

  • Unsafe behaviors observed - Actions taken to correct & prevent reoccurrence

  • Safe behaviors observed - Actions taken to encourage safe behavior

6.0 Employee Suggestions and Comments

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.