NSG Store Backroom Monthy Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SAFE PRACTICES

• Proper bending ,Lifting, & Twisting (nothing over 50lbs)<br>

  Safe

  At Risk

  N/A

• Nothing over 40 lbs stored higher than 5'<br>

  Safe

  At Risk

  N/A

• No product stacked directly onto floor ( at least 4" off ground)<br>

  Safe

  At Risk

  N/A

• Heavier items stored low, lighter items above<br>

  Safe

  At Risk

  N/A

• Pallets stacked no higher than 6 high<br>

  Safe

  At Risk

  N/A

• Employees following all safety precautions<br>

  Safe

  At Risk

  N/A

• All unsafe conditions reported immediately to Manager<br>

  Safe

  At Risk

  N/A

SAFE WORKPLACE

• NO storage above walk-ins<br>

  Safe

  At Risk

  N/A

• Refer strips in place and being used properly<br>

  Safe

  At Risk

  N/A

• Dock chain in place with caution sign<br>

  Safe

  At Risk

  N/A

• All lights and switches working properly<br>

  Safe

  At Risk

  N/A

• Ax in freezer/ Panic lever working properly<br>

  Safe

  At Risk

  N/A

• All protective light covers in place<br>

  Safe

  At Risk

  N/A

• No water leaks in restroom / hot water heater not leaking<br>

  Safe

  At Risk

  N/A

• Drain covers in place and drains working properly<br>

  Safe

  At Risk

  N/A

• Floors cleaned daily and kept dry at ALL TIMES<br>

  Safe

  At Risk

  N/A

• Path to restroom clearly marked and 36" clearance<br>

  Safe

  At Risk

  N/A

• Emergency exit alarms checked and seals replaced<br>

  Safe

  At Risk

  N/A

• Emergency exits marked, unlocked, clear 36" clearance<br>

  Safe

  At Risk

  N/A

• Fire extinguishers clearly marked, charged & accessible<br>

  Safe

  At Risk

  N/A

• Overhead sprinkler clearance of 36" at all times<br>

  Safe

  At Risk

  N/A

• Electrical panels marked and access of 36" <br>

  Safe

  At Risk

  N/A

• Electric Panels in good condition with proper switches/breaker blanks<br>

  Safe

  At Risk

  N/A

• All electrical outlets in good condition<br>

  Safe

  At Risk

  N/A

• Floor chemicals stored properly <br>

  Safe

  At Risk

  N/A

• All freezers and coolers are running properly <br>

  Safe

  At Risk

  N/A

• Rollup doors working properly<br>

  Safe

  At Risk

  N/A

SAFE EQUIPMENT

• Proper cutting tools being utilized (klever cutter)<br>

  Safe

  At Risk

  N/A

• Carts and pallet jacks working properly<br>

  Safe

  At Risk

  N/A

• Baler operating properly/ no one under 18 sign posted<br>

  Safe

  At Risk

  N/A

• No ladder higher than 6' in store (fall protection program)<br>

  Safe

  At Risk

  N/A

• Inspection logs on powered pallet jacks up to date<br>

  Safe

  At Risk

  N/A

• Eye Wash Station Fluid Remains in date <br>

  Safe

  At Risk

  N/A

HAZARDOUS WASTE PLAN

• Spill kit has absorbents, gloves and goggles<br>

  Safe

  At Risk

  N/A

• Store has two empty bins in event of hazardous waste<br>

  Safe

  At Risk

  N/A

• Store has blank hazardous waste labels in event bins are used<br>

  Safe

  At Risk

  N/A

OTHER CONCERNS

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