Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Electrical
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Intrusion alarms operable?
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Employees provided with electrical lock outs?
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Dielectric ladders provided equipped with safety feet?
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Barricades used to mark dangerous areas?
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Red tags or warning labels available?
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Are non-conductive shoes worn?
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Watch chains, wrist band, neck chains, key chains, the chains wrong?
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Portable GFI's used if appropriate?
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BC extinguisher used on electrical fires only?
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HVAC Department
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Periodic respiratory exams given?
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Asbestos exposures noted?
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Adequate hoists, lifts provided?
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Compressed gas cylinders secured?
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Hand held power tools grounded or double insulated?
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Good housekeeping practiced?
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Adequate eye, face respiratory protection provided?
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ABC extinguisher available?
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Proper lifting techniques explained to staff?
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Toxic gas decomposition from Freon noted (results from exposure to open flame, hot surfaces)?
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Grounds Department - Pesticide, Herbicide, Fertilizer Application
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Proper respiratory, eye, face, hand protection available (Physical signs of overexposure noted)?
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Pesticide, herbicides storage secured?
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Proper disposal of containers?
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Proper hygiene procedures explained, clothing changes, washing, showering, etc?
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Pesticide storage properly labeled?
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Eye wash available in trucks?
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Weather conditions considered prior to application?
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Licensed applicator employed?
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Direction grass spray considered if near public streets with passing vehicles?
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Mowers equipped with proper shields?
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Good housekeeping practiced?
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Safety Glasses Provided?
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Chain saws equipped with blade guards, and shields?
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Refueling of gasoline powered equipment done with motor off?
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Power take-off shafts on tractor guarded?
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Eye protection provided, dust mask, hearing protection?
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Mower or Tractor exposed to rollover?
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Tree trimmers alert to falling hazards, branches, etc.?
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Material Safety Data Sheets Binders
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Material Safety Data Sheets available to all employees?
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Material Safety Data binder updated?
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Carpentry Shop
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Power tools in good condition, grounded or double insulated?
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Hand tools in good condition?
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Flammable and paints in approved storage cabinet?
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Good housekeeping practiced?
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Push blocks used on saws?
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Machine guards in place?
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Sawdust accumulations removed regularly?
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Sawdust portable vacuum used, or centralized removal system?
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Explosion proof lighting provided if applicable?
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Adequate portable extinguishers, charged?
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Adequate eye, ear and respirator protection provided?
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Anti kick back dogs and spreader units provided on saws?
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Grounded power equipment?
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Unapproved electrical wiring, extension cords?
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Missing electrical covers?
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Charred outlet plates?
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Stock properly organized, stored?
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Proper storage of flammable glues?
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Outlet box or breaker boxes filled with sawdust accumulations?
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Vehicle Repair
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Grinder equipped with eye shields?
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Tools rest properly adjusted?
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Good housekeeping practiced?
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Compressed air used for cleaning reduced to 30 PSI?
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Lifting Equipment in good condition?
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Safety glasses provided?
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Electrical Hazards?
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Oily rags stored in proper receptacles and emptied daily?
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Plumbers
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Adequate material handling devices?
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Proper lifting techniques provided?
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ABC fire extinguisher available when sweating joints with torch?
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Good housekeeping practiced?
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Hand held power tools grounded or double insulated?
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Methane gas exposures noted from sewers?
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Eye protection provided (flux, solder splatter)?
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Electrical shock hazards prevalent at wet locations?
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Fire Extinguishers/Alarms
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Extinguishers hung properly (5" or lower)?
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Extinguishers fully charged, pin secured?
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Extinguishers accessible?
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Extinguishers inspection current?
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Glaziers
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Proper lifting techniques illustrated?
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Cut resistant gloves provided?
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Safety glasses provided?
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Good housekeeping practiced?
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Compressed air using for cleaning reduced to 30 PSI?
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Scaffolds in good condition, secured?
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Metal Shop
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Welding cable inspected and replaced if frayed, no splices within 10 feet of electrical holder?
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Adequate hoisting apparatus in good condition?
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Adequate ventilation provided?
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Adequate material handling equipment?
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Paint Department
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Approved safety containers?
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Grounding and bonding provided?
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Approved electrical in paint storage area?
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Paint storage isolated from combustible storage?
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Scaffolding in good condition, secured, guard rails?
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AS system properly tested, heads clear?
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OSY valve chained open?
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Tools inspected, cleaned?
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Proper disposal of used thinner?
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Adequate portable extinguishers?
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Good housekeeping practiced?
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Metal Shop
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Good housekeeping practiced?
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Parts vats equipped with self closing lid?
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Welding rod stubs properly stored and disposed?
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Machine guards in place, disc grinders, metal shears, saws?
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Power tools in good condition grounded, or double insulated?
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Oxygen and acetylene cylinders properly separated?
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Compressed gas cylinders secured properly?
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Frayed electrical wiring or drop cords?
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Flammable and paints in approved cabinet?
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Adequate extinguishers, proper class?