Information

  • Site conducted

  • Document No.

  • Facility

  • Date

  • Auditor

  • Facility Representative

Walking and Working Surfaces

  • Are floors clean and dry? 1910.22(a)(1) & (2)

  • Are permanent aisles and passageways appropriately marked and kept clear? 1910.22(b) & 1910.176(a)

  • Are load limit weights posted in the storage areas? 1910.22(d)(1)

  • Is every open-sided floor, platform or runway four feet or more above adjacent floor or ground level guarded by a standard guardrail or the equivalent? 1910.23(c)

  • Are all fixed industrial stairways provided with a stair railing on all open sides? 1910.24(h)

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Means of Egress

  • Are exits markings and lighting adequate and appropriate? 1910.37(b)

  • Are the number of exit routes adequate? 1910.36(b)

  • Are devices or alarms installed to restrict the improper use of an exit, designed and installed so that they cannot impede emergency use of such exit? 1910.37(a)(3)

  • Are means of egress continually maintained free of all obstructions or impediments? 1910.37(k)(2)

  • Do all exit routes meet the minimum height and width requirements at all times? 1910.36(g)

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Fire Protection and Prevention

  • Are portable fire extinguishers provided, mounted, located and identified so that they are readily accessible to employees? 1910.157(c)(1)

  • Are portable fire extinguishers visually inspected each month? 1910.157(e)(2)

  • Are annual maintenance checks of portable fire extinguishers completed and records maintained of the date completed? 1910.157(e)(3)

  • When portable fire extinguishers are removed from service for maintenance or recharging is alternate equivalent protection provided? 1910.157(e)(5)

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Medical Services and First Aid

  • Are medically approved first-aid kit(s) and sharps container adequately supplied?

  • Are quick drenching showers and eye flushing stations available where corrosive liquids or materials are handled?

  • AED - Is the "ready" light blinking green?

  • AED - Supplies - AED Pads in date?

  • AED - Spare Battery within "install before" date?

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Hazardous Materials

  • Are compressed gas cylinders given a safety visual inspection? 1910.101(a)

  • Are flammable and combustible liquids stored in tanks or closed containers? 1910.106(e)(2)(ii)

  • Are signs posted to prohibit smoking in fueling areas or where flammable or combustible liquids are received, dispensed, or stored? 1910.106(g)(8)

  • Are “No Smoking” signs conspicuously posted? 1910.107(g)(7)

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Compressed Gas Cylinders (CO2)

  • Are cylinders stored in upright positions and immobilized by chains/racks or other means to prevent them from being knocked over?

  • Are cylinders always maintained at temperatures below 125ºF? Note: A flame should never come in contact with any part of a compressed gas cylinder.

  • Do all compressed gas cylinders have their contents and precautionary labeling clearly marked on their exteriors?

  • Are all compressed gas cylinders subject to periodic hydrostatic testing and interior inspection? Note: This is normally performed by an outside vendor.

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Personal Protective Equipment

  • Does protective eye equipment used in areas, where hazards from flying objects occur, have side shields? (clip on, affixed or slide on side shields) 1910.133(a)(2)

  • Is training provided to employees who are required to wear personal protective equipment? 1910.132(f)(1)

  • Have affected employees demonstrated their understanding of personal protective equipment training? 1910.132(f)(2)

  • Where an employee’s hands are exposed to hazards such as those from skin absorption of harmful substances, severe cuts or lacerations, severe abrasions, punctures, chemical burns, thermal burns, and harmful temperature extremes, has the employer selected and required employees to use appropriate hand protection? 1910.138(a)

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Material Handling and Storage

  • Are aisles and passageways in good repair, kept clear and properly marked? 1910.176(a) & 1910.22(b)

  • Are materials securely stacked when stored? 1910.176(b)

  • Are all forklifts and other powered industrial trucks removed from service when not in safe operating condition? 1910.178(q)(1)

  • Are only trained and certified drivers permitted to operate powered industrial trucks? Has training and evaluation been conducted by a person with the training knowledge and experience to evaluate the operators' competence? 1910.178(l)

  • While operating forklifts, are the operators wearing seatbelts?

  • Are wheel chocks in use at the loading docks?

  • Are forklifts properly left "unattended" (key out of the ignition, brake set, fork tips flush with the floor & controls neutralized)

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Machine Guarding

  • Where employees are exposed, is one or more methods of machine guarding provided to protect them from hazards of ingoing nip points, rotating parts, flying chips, and sparks? 1910.212(a)(1)

  • Is the point of operation of machines whose point of operation exposes an employee to injury properly guarded? 1910.212(a)(3)(ii)

  • Are grinding wheels properly guarded? 1910.215(a)(2) & (4) or 1910.215(b)

  • Are tool rests and tongue guards on grinders properly set? 1910.215(a)(4)

  • Are all fan blades guarded with guard openings of one-half inch or less? 1910.212(a)(5)

  • Are gears, sprockets, pulleys, shafts and flywheels properly guarded?

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Portable Power Tools

  • Are all portable power tools properly grounded? 1910.243(a)(5)

  • Do air cleaning nozzles emit not more than 30 psi pressure? 1910.242(b)

  • Are portable power tools equipped with appropriate guards? 1910.243

  • Are portable grinders completely and adequately guarded? 1910.243(c)

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Electrical

  • Is each disconnecting means for motors and appliances, each service, feeder, and branch circuit legibly marked to identify its purpose? 1910.303(f)(1-3)

  • Is the path to ground from circuits, equipment, and enclosures permanent, continuous and effective?<br>1910.304(g)(5)

  • Are exposed metal parts of cord- and plug-connected hand-held motor-operated tools, other than double insulated tools, grounded? 1910.304(g)(6)(vi)

  • Are flexible electrical cords and cables being used properly? 1910.305(g)(1)(iv)

  • Are unused openings in cabinets, boxes and fittings effectively closed (no missing knockouts)?<br>

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Hazard Communication

  • Is there a written hazard communication program and list of chemicals available at the workplace?<br>1910.1200(e)(l) - (e)(3)

  • Are all containers properly labeled? 1910.1200(f)(l) - (f)(9)

  • Are material safety data sheets current, accurate, and available on all hazardous materials at the workplace?

  • Are employees informed and trained on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard is introduced into their work area?

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Other Items:

  • Items listed in this section don't fit in any other category. Such items may include: Battery Powered Lighting, Parking Lot Condition, Maintaining an 18" perimeter for an effective pest control program, Propane handling & storage, any other items that doesn't fit in any of the above categories.

Security

  • Does lighting meet the current PBV lighting standards?

  • Does the condition of the perimeter fence meet the current PBV security standards?

  • Are there adequate security signs (No Trespassing, No Weapons, Authorized Personnel Only etc...) in place the facility?

  • Is vegetation adequately "limbed up" and underbrush as per the most current PBV standards?

  • Are doors properly secured (not propped open)?

  • Any items not captured in the categories above, please use the text field below to describe the items in detail (attach photos if necessary)

Summary

  • Brief description of Audit findings:

  • Name/Signature of Auditor

  • Name/Signature of Facility Representative

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