Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

2.0 - Fire Prevention / Building Code

  • 2.1 - Evacuation plan displayed & understood by all employees (in area)

  • 2.2 - Evacuation procedures practised regularly? (2 times a year)

  • 2.3 - Fire alarm system functioning correctly? Can be heard from all area/s

  • 2.4 - Where required are emergency shutdown procedures in place.

  • 2.5 - Are all fire extinguishers inspected monthly and recharged within the last 12 months?

  • 2.6 - Are all fire extinguishers accessible, 36" or adequate clearance, mounted 3-5' above ground level and their locations clearly marked?

  • 2.7 - Is the proper clearance maintained below sprinkler heads?

  • 2.8 - Contingency plan contains emergency coordinators current names with current phone numbers

  • 2.9 - Hazardous materials are stored on concrete or other hard, solid, impervious surfaces; storage and containment areas in good repair AND free from debris.

  • 2.10 - Aisle clear and free of obstructions?

  • 2.11 - Electrical panels/transformers maintained clear of obstructions; 36' in each direction. Electrical panels labeled to identify power warning and arc flash hazards; panel doors are closed circuit breakers/switches labeled to identify corresponding equipment.

  • 2.12 - Extinguishers are mounted in the following locations; at the propane tank area; at the battery charging area.

  • 2. 13 - Fire sprinklers are apparently in good repair. Fire sprinklers are clear of obstructions - minimum distance from sprinkler deflectors to items beneath is 18 inches.

  • 2.14 - No other concerns found

3.0 Personal Protective Equipment

  • 3.1 - Is the required PPE being used? (Foot protection/Safety glasses/bump caps/vests)

  • 3.2 - Is the safety harness and lanyard for the forklift cage in good condition?

  • 3.3 - Is the PPE cleaned and maintained in proper sanitary conditions.

4.0 Hazardous Material

  • 4.1 - Eating and drinking are not permitted in areas where hazardous material is used or stored

  • 4.2 - Hazardous material storage containers labeled in accordance with hazardous communication standards: Manufacture name, chemical or product name as used on Safety Data Sheet and hazard warnings

  • 4.3 - SDSs available for all (non-consumer products) hazardous material present, and SDSs are less than 3 years old or the version from the manufacturer is the most recent version if older than 3 years.

  • 4.4 - Compressor condensate accumulated in a closed container. Container properly labeled (see Hazardous Waste Group).

  • 4.5 - No other concerns found

5.0 Universal Waste

  • 5.1 - Aerosol cans: drum, carbon or pail placed and labeled for accumulation of all used aerosol cans. No aerosol cans are being placed in the dumpster.

  • 5.2 - Fluorescent tubes: accumulated in boxes if not broken; broken tubes accumulated in drums or pails.

  • 5.3 - Batteries/capacitors/lighting ballasts: drum, carboy or pail placed and labeled for accumulation of all used batteries. No batteries, ballast, or capacitors are being placed in the dumpster.

6.0 Health, Safety

  • 6.1 - Locokout/tagout procedures being implemented

  • 6.2 - Hot Work permits are being implemented

  • 6.3 - Contractor safety program is being followed: are contractors informed of company safety policies and requirements?

  • 6.4 - Pressure vessel permits are posted near the air tanks/compressors?

  • 6.5 - Quarterly evacuation drills are being conducted and documented.

7.0 Office

  • 7.1 - All OSHA notices posted?

  • 7.2 - Emergency evacuation plan is posted in appropriate areas?

  • 7.5 - Are aisles, halls, exits and other traffic areas clear and unobstructed?

  • 7.3 - All work areas clean and uncluttered?

  • 7.4 - Are floors, carpets, and other walkways in good repair and free of tripping hazards?

  • 7.6 - Are appropriate first aid supplies available and readily accessible?

  • 7.8 - Is all wiring located overhead or under floor to eliminate the possibility of trips and falls?

8.0 Storage Racks

  • 8.1 - Any bent or damaged legs?

  • 8.2 - Any missing, bent or broken braces?

  • 8.3 - Any bowed / bent cross beams?

  • 8.4 - All retaining clips in place?

  • 8.5 - Any structural supports damaged or missing?

  • 8.6 - All legs bolted to floor?

  • 8.7 - Any broken / loose anchor bolts?

  • 8.8 - Back-to-back rack connectors in place (if required by design)?

  • 8.9 - Racks in proper alignment?

  • 8.10 - Any racks out of vertical plumb?

  • 8.11 - Are storage racks marked with load rating?

9.0 Exterior Perimeter

  • 9.1 - If pallets are stored outside are the stacks stable, no more than 6' high and 50 feet away from the building?

  • 9.2 - Are hydrants maintained and kept clear?

  • 9.3 - Are dock and grounds clean and free of debris?

10 - Environment

  • 10.1 - Empty chemical bottles / containers disposed of according to environmental requirements (eg prescribed waste)

  • 10.2 - All waste being separated

11 - Housekeeping

  • 11.1 - Are aisles marked?

  • 11.2 - Width of aisles are maintained?

  • 11.3 - Is housekeeping maintained?

12 - Exits

  • 12.1 - Are building exits adequate?

  • 12.2 - Are exits properly labeled and illuminated?

  • 12.3 - Are exits blocked?

  • 12.4 - Any emergency power supply?

  • 12.5 - Are exits clear; do they remain unlocked during business hours, are they equipped with single motion hardware?

13 - Ladders

  • 13.1 Are ladders free from sharp edges?

  • 13.2 - Are ladders in good condition and inspected monthly, and have inspection tags?

14 - Air Emissions

  • 14.1 If carbon monoxide is present due to forklifts, heaters, or idling vehicles, are signs posted warning of its presence / danger?

15 - Work Environment

  • 15.1 - Are all work areas properly illuminated?

16 - Material Handling

  • 16.1 - Is there safe clearance for equipment through aisle and doorways?

  • 16.2 - Are aisles designated, permanently marked, and kept clear?

  • 16.3 - Are industrial trucks inspected daily prior to use? (ask operator for daily inspection form)

  • 16.4 - Are seat-belts used with forklifts and harness and lanyards with order pickers or forklift cage?

  • 16.5 - Are trucks shut off and brakes set prior to loading or unloading?

  • 16.6 - Are dock boards in place when loading and unloading?

  • 16.7 - Are trucks and trailers secured from movement during loading and unloading operations? Trailer stands used?

  • 16.8 - Are elevated loading docks properly guarded with dock guardians, accordion gates, or doors kept closed when not in use?

  • 16.9 - Are hand trucks and pallet jacks maintained in safe operating condition?

  • 16.10 - Are containers stored, stacked, blocked and limited in height so they are stable and secure?

17 - Safety Communications

  • 17.1 - Has a designated Safety Communication Board been established for the facility?

  • 17.2 - Does the Safety Communication Board contain the most current Safety Huddle, and Safety Monday Report?

  • 17.3 - Does the Safety Communication Board displays all issued Safety Alerts?

  • 17.4 - Does the Safety Communication Board list members of the Safety Committee, as well as Site Emergency Response Team members?

  • 17.5 - Does the Safety Communication Board include the ORORA Injury and Illness and Prevention Plan. Does it also display the ORORA Safety and Health Policy Statement?

18 - Safety Awareness

  • 18.1 - Survey 3-5 coworkers and ask them to list one of the three most recent Safety Huddle Topics.

  • 18.2 - Ask one member of management or supervisor to tell you how many days the location has been accident free.

  • 18.3 - Survey 3-5 coworkers and ask them to list a member of the locations safety committee.

  • 18.4 - Survey 3-5 coworkers and ask them if they can tell you how long it has been that the Division Manager spoke to them about safety.

  • 18.5 - Ask the DM to tell you the date of the most recent accident / lost time incident and the name of the coworker.

Sign Off

  • On site representative

  • Auditor's signature

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.