Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Confined Spaces

  • 1.1 - Is this a confined space?

  • 1.2 - Is permit completed correctly?<br>

  • 1.3 - Was gas monitor calibrated by a qualified individual?

  • 1.4 - Are employees knowledgeable about confined space entry procedures?

  • 1.5 - Is the OPP confined space program being followed?

2.0 - Designated Work Space

  • 2.1 - Is the area clearly defined and identified as a work space?

  • 2.2 - Is the area clear of debris and any unnecessary materials?

  • 2.3 - If areas are restricted, are correct procedures being followed to restrict access?

3.0 - Electrical Safety

  • 3.1 - Are extension cords being used in lieu of permanent wiring?

  • 3.2 - Are extension cords and power strips plugged directly into a wall outlet?

  • 3.3 - Are extension cords being run under carpet or through doorways?

  • 3.4 - Are extension cords daisy chained together?

  • 3.5 - Are power strips UL rated?

  • 3.6 - Are power cords in good condition and free of splices?

  • 3.7 - Are grounding prongs being removed from extension cords?

  • 3.8 - Are outlet, switch and junction box covers in place and in good repair?

  • 3.9 - Are circuit breaker panels and emergency shut offs unobstructed and labeled?

  • 3.10 - Are electrical outlets overloaded with appliances, etc.?

  • 3.11 - Are ground fault interrupters installed, labeled and operating correctly?

  • 3.12 - Are energized parts, circuits, and equipment guarded against accidental contact?

4.0 - Elevated Work Surfaces - Ladders (Non -Fixed)

  • 4.1 - Are ladders in good condition?

  • 4.2 - Do portable ladders have the anti slip feet?

5.0 - Elevated Work Surfaces - Motorized

  • 5.1 - Are operators licensed in the safe operation of powered industrial trucks, and lifts?

  • 5.2 - Has equipment been inspected?

  • 5.3 - Is equipment in good working order?

  • 5.4 - Is personal fall arrest system being used for all aerial lifts?

6.0 - Elevator Work Surfaces - Scaffolding

  • 6.1 - Is scaffolding in good condition?

  • 6.2 - Has scaffolding been erected properly?

  • 6.3 - Are rails or personal fall arrest system in place?

  • 6.4 - Are pics approved for such use?

  • 6.5 - Has area been properly secured and barricaded around scaffolding?

7.0 - Floor and Wall Openings and Runways / Catwalks ( with 4 ft. or more to next level)

  • 7.1 - Are floors openings properly guarded (railings, toe boards) or covered?

  • 7.2 - Are skylights guarded?

  • 7.3 - re wall openings ( including chutes and chases) properly guarded?

  • 7.4 - Are catwalks equipped with railings and toe boards?

8.0 - Hazardous Materials

  • 8.1 - Have all hazardous materials been identified?

  • 8.2 - All hazardous materials have been abated or controlled?

9.0 - Lock Out / Tag Out

  • 9.1 - Is LOTO required?

  • 9.2 - Do employees understand LOTO program and its requirements?

  • 9.3 - Are proper devices being locked and tagged?

  • 9.4 - Are only the approved LOTO locks being used?

10.0 - Material Handling and Storage

  • 10.1 - Is there safe clearance for equipment through aisles and doorways?

  • 10.2 - Are containers stored, stacked and secured, and of limited height for stability?

  • 10.3 - Are properly rated dock boards used while loading and unloading trailers?

  • 10.4 - Are shelving and mezzanine a properly rated ( and marked) for loads?

  • 10.5 - Are trucks and trailers secured from movement during loading and unloading?

  • 10.6 - Are manual pallet jacks, hand trucks and dollies in good condition?

  • 10.7 - Are forklifts and motorized pallet jacks inspected each shift or prior to use?

  • 10.8 - Are forklift and motorized pallet jack operators licensed?

  • 10.9 - Are proper lifting techniques being used while lifting or moving loads?

11.0 Mechanical Room Safety

  • 11.1 - Are Mechanical rooms properly illuminated?

  • 11.2 - Are noise levels within acceptable limits or marked as hearing protection required?

  • 11.3 - Are hearing protective devices readily available in mechanical rooms?

  • 11.4 - Are work areas clean, organized, and kept orderly?

  • 11.5 - Is work area properly ventilated for type of equipment or chemicals in use?

  • 11.6 - Are vacuum systems used when possible instead of blowing or sweeping dust?

  • 11.7 - Do temperature and humidity seem to be within acceptable ranges?

  • 11.8 - Is the area free of visible fungal/mold growth and associated odors?

  • 11.9. - Are walls, ceilings, floors free of signs of mold or moisture damage?

  • 11.10 - Are air intake areas free of odor-causing materials or hazardous chemicals?

  • 11.11 - Is area free from tripping hazards?

  • 11.12 - Are identified tripping hazards clearly marked?

  • 11.13 - Are low clearance areas clearly marked?

12.0 - Personal Protective Equipment

  • 12.1 - Is appropriate head protection available?

  • 12.2 - Is protective clothing available?

  • 12.3 - Are safety glasses being utilized?

  • 12.4 - Is appropriate hand protection available and used if hazard present?

  • 12.5 - Is appropriate hearing protection available and used if hazard present?

  • 12.6 - Is appropriate footwear being utilized?

  • 12.7 - Is protective clothing ( coveralls, aprons etc.) available and used if needed?

  • 12.8 - Is respiratory protection required for the job?

  • 12.9 - Is PPE being properly stored, kept clean, and in good condition?

13.0 - Shop Tools ( Hand and Power, Actuated)

  • 13.1 -Do employees understand safe operation of power tools they are using?

  • 13.2 - Are tools in good working condition?

  • 13.3 - Are power tools grounded or double insulated?

  • 13.4 - Are rotating or moving parts ( chains, gears, belts.) properly guarded?

  • 13.5 - Are machine guards secure and don't present a hazard to their use?

  • 13.6 - Is fixed machinery guarded to prevent splash, spark, and flying chip injuries?

  • 13.7 - Is equipment and machinery securely in place and anchored to prevent movement?

  • 13.8 - Are guards and safety interlocks in working condition on the equipment in which it is installed?

  • 13.9 - is equipment and machinery kept clean and properly maintained?

  • 13.10 - Is there sufficient clearance around machines for safe operating and services?

  • 13.11 - Are power shut off switches within reach of operator's position at each machine?

  • 13.12 - Do machine operators understand the safe operation of the machine that they are using?

  • 13.13 - Are manually operated control switches and valves clearly identified and accessible?

  • 13.14 - Are emergency stop buttons available and colored red?

14.0 - Trenching and Shoring

  • 14.1 - Are employees following trenching and shoring guidelines?

  • 14.2 - Has PA 1 Call been notified and the one call up to date for the particular dig?

  • 14.3 - Has a "competent" person been identified for this job?

15.0 - Tunnel Work Areas

  • 15.1 - Are employees following OPP tunnel entry procedures?

  • 15.2 - Are employees following OPP restricted entry guidelines?

Sign Off

  • Inspector's signature

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