Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Office and Lab

  • 1. OSHA labor posters and the "notice" regarding work-related injuries and illnesses (all provided by HR) are current and posted?

  • 2. First aid kits available, properly stocked, and expired items removed?

  • 3. Evacuation prints current and posted?

  • 4. Ergonomic issues addressed?

  • 5. Aisles and walkways unobstructed?

  • 6. Exits marked and exit corridors unobstructed?

  • 7. Emergency exit lights and back up batteries tested (exit light remains illuminated after pushing test button)?

  • 8. Doors or stairways that are neither exits nor access to exits, and which could be mistaken for exits, appropriately marked "not an exit," "storeroom," etc?

  • 9. A. Annual evacuation drill completed on:<br>9. B. Annual review of the emergency action plan completed on:

  • 10. New hire orientation training conducted for all new hires and all applicable training records (e.g., orientation, HAZWOPER, respirator fit test, medical clearance, etc.) sent to the HRIS administrator in Menlo Park?

  • 11. Fire extinguishers securely mounted and readily accessible (travel distance to a fire extinguisher in a typical office should be no more than 75 feet)?

  • 12. Monthly fire extinguisher inspection completed and documented on the back of the extinguisher's service tag?

  • 13. Annual fire extinguisher service and maintenance conducted?

  • 14. Proper clearance maintained below automatic fire sprinklers (minimum of at least 18 inches in all directions)?

  • 15. Ceiling tiles in place and in good condition?

  • 16. Electrical panels unobstructed (36 inch clearance required)?

  • 17. Power taps (surge protectors or power strips) plugged directly into electrical outlets, not plugged into another power tap or extension cord?

  • 18. Extension cords being used for temporary purposes only (less then 90 days) and not as a substitute for permanent wiring?

  • 19. Handcart available and functional for moving heavy objects?

  • 20. Chairs in good working condition?

  • 21. Portable floor heaters:<br> A. Located away from electrical wires and combustibles?<br> B. Acceptable per the building lease?<br> C. Not plugged into power strips?<br> D. Have automatic shut off switch in case they tip over?

  • 22. All consumer products are in their original containers and have a consumer product warning label (e.g., flammable warning, first aid instructions)?

Lab only

  • 23. Secondary containers appropriately labeled:<br> A. Chemical contained?<br> B. Appropriate hazard warning, e.g., "corrosive?"<br> C. Name of the employee?<br> D. Date container filled?

  • 24. Refrigerators used for storing samples, chemicals, or other lab items are labeled "no food or beverage," or similar?

  • 25. Chemicals are properly stored, SDSs available (for all non-consumer products) in the company database, and annual inventory conducted?

  • 26. Fume hood performance tested at least annually?

  • 27. Compressed gas cylinders legibly marked to clearly identify the gas contained?

  • 28. Compressed gas cylinders located or stored in a manner to prevent from tipping or falling over (e.g., secured at 1/3 and 2/3 the length) with a noncombustible restraint, such as a chain?

  • 29. Industrial trucks equipped with a horn, an overhead guard, a seat belt, and a capacity plate; shift inspection log complete?

  • 30. Eye wash flushed at least monthly (and documented), or, portable eyewash solutions not expired?

  • 31. Emergency shower flushed at least monthly (and documented)?

  • 32. Hazardous waste labeled and stored appropriately?

  • 33. Hazardous waste manifests signed by a trained haz mat employee and maintained for at least three years?

  • 34. Annual respirator fit tests conducted and documented, and medical clearances granted and documented?

  • 35. Cords on electrically powered equipment are in good working condition?

  • 36. Chemical containers are capped/sealed and in good condition, i.e., no leaks?

  • 37. Chemical spill kits are available for the chemicals stored in the lab?

  • 38. Chairs used in the laboratory are resistant to chemical spills and can be easily cleaned (i.e., not made of cloth)?

  • 39. Personal protective equipment such as safety glasses and gloves are readily available?

  • 40. Issues for labs with biological hazards:<br> A. Biohazard materials properly labeled?<br> B. Proper waste containers used?<br> C. Proper decontamination procedures practiced?<br> D. Appropriate warning signs posted?<br> E. Exposure control plan current and available?

  • 41. General housekeeping issues addressed?

  • 42. For facilities with vehicle lifts, has the annual maintenance been conducted and documented by a professional service provider?

  • 43. For facilities with an aboveground storage tank with a capacity of more than 60 gallons, is the tank labeled as to its contents, include an appropriately completed NFPA diamond, are there no visual indication of leaks, and is the tank provided with secondary containment?

  • 44. Hazardous materials shipping log being maintained according to policy?

  • 45. Miscellaneous item(s):

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.