Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

POSTING RECORD KEEPING AND PROGRAMS

  • Is the required OSHA Job Safety and Health Protection Poster displayed in a prominent location where all employees are likely to see it?

  • Are emergency telephone numbers posted where they can be readily found in case of emergency?

  • Do you have an active safety and health program in operation that includes general safety and health program elements as well as the management of hazards specific to your work-site?

  • Is there a written hazard communication program dealing with SDSs, labeling and employee training?

  • Is there a list of hazardous substances used in your workplace and an SDS readily available for each hazardous substance used?

FIRST AID AND MEDICAL SERVICES

  • Is there a hospital, clinic, or infirmary for medical care near your workplace or is at least one employee on each shift currently qualified to render first aid?

  • Enter Address
  • Are fully supplied first aid kits easily accessible to each work area, periodically inspected and replenished as needed?

  • Take a picture of the first aid kit

  • Is there an eye-wash station or sink available for quick drenching or flushing of the eyes and body in areas where corrosive liquids or materials are handled and does it have regular inspections?

  • Take a picture of the eye wash

  • Have employees been trained in First Aid CPR AED?

  • Have all employees who are expected to respond to medical emergencies as part of their job responsibilities received first aid training; had hepatitis B vaccination made available to them; had appropriate training on procedures to protect them from bloodborne pathogens, including universal precautions; and have available and understand how to use appropriate PPE to protect against exposure to bloodborne diseases?

FIRE PROTECTION

  • Are portable fire extinguishers provided in adequate number (1 per 3000 sq. ft and type and mounted in readily accessible locations?

  • Are fire extinguishers recharged regularly with this noted on the inspection tag or inspection log?

  • Are employees periodically instructed in the use of fire extinguishers and fire protection procedures?

  • Are flammable liquid containers clearly identified?

  • Are all flamable containers UL or FM listed?

GENERAL WORKING CONDITIONS

  • Are all work areas clean, sanitary and orderly?

  • Is combustible scrap, debris and waste stored safely and removed from the worksite promptly?

  • Are the minimum number of toilets and washing facilities provided and maintained in a clean and sanitary fashion?

  • Are all work areas adequately illuminated?

  • Are pits, floor openings and wall openings covered or otherwise guarded?

PERSONAL PROTECTIVE EQUIPMENT

  • Can any use of PPE be eliminated by engineered precautions?

  • Is the appropriate hand protection being worn?

  • Is the approriate eye protection being worn when needed?

  • Are protective goggles or face shields provided and worn where there is any danger of flying particles or corrosive materials?

  • Is the approriate hearing protection being worn when needed?

  • Is the approriate footwear being worn?

ELECTRICAL

  • Are ground-fault circuit interrupters installed on each temporary 15 or 20 ampere, 120 volt alternating current (AC) circuit at locations where construction, demolition, modifications, alterations, or excavations are being performed?

  • Do extension cords have a grounding conductor?

  • Are extension cords at least 12 gauge?

  • Are flexible cords and cables free of splices or taps?

  • Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?

  • Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?

  • Are extension cords being used in the place of permanent wiring?

HAND TOOLS AND EQUIPMENT

  • Are all tools and equipment (both company and employee-owned) used at the workplace in good condition?

  • Are hand tools, such as chisels, punches, etc., which develop mushroomed heads during use, reconditioned or replaced as necessary?

  • Are appropriate handles used on files and similar tools?

  • Are appropriate safety glasses, face shields, etc., used while using hand tools or equipment that might produce flying materials or be subject to breakage?

  • Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping?

POWER TOOLS AND EQUIPMENT

  • Are grinders, saws and similar equipment provided with and used appropriate safety guards?

  • Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?

  • Are pneumatic and hydraulic hoses checked regularly for deterioration or damage?

  • Have all operators been task trained on the machine they are operating?

  • Are all machines guarded and protecting the operator from pinch points, nip points, blades, gears, and belts?

  • Are all guards functioning and in good condition?

  • Are all machines up to date with maintenance (oiling, greasing, fluid levels, cleanliness)?

  • Are emergency stops working properly?

  • Are operating procedures posted at each machine?

  • Is there adequate work space around the machines?

  • Is there a clear travel path around machines big enough for carts and materials to travel?

MATERIAL HANDLING

  • Are carts and other material handling equipment in good condition?

  • Check for Forklift

  • Are loads limited to 50 pounds? If not, are two or more people making the lift or equipment when possible?

  • Forklift Checklist
  • Make Model and Serial NumberC

  • Check alll that apply

WELDING CUTTING AND BRAZING

  • Area inspected for fire hazards?

  • Screens and shields in place?

  • Proper ventilation?

  • Are oxygen and acetylene stored properly

  • Are bottles not in use secured with caps in place?

  • Are valves shut-off and regulators backed off each night?

  • Flashback arresters placed on hoses (O2 and fuel gas)?

  • Are welding leads in good repair?

CRANES

  • Competent person inspecting crane?

  • Alarms working and audible?

  • Is the crane main disconnect operational?

  • Are daily inspections completed by operators?

  • Is the hook bent, spreading, cracked?

  • Is the safety Latch on the hook in good shape?

  • Are the rails and bridge in good repair?

SIGNATURES

  • Shop Representative

  • Inspector

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.