Perma-Pipe Canada Plant Safety Inspection Guide

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Walkways

• Walkways clear and clean

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Floor Opening

• Drain and ditch grating in place

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Drain and ditch grating in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Temporary holes protected

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Area free of tripping hazards

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Portable Ladders

• All ladders in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Ladders properly stored

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Safety feet in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Personnel using ladders safely

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Fire Protection

• Fire extinguisher in readily accessible location

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Employees familiar with extinguisher type and location

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Fire watch in place for welding

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Life Safety

• Fire exit doors easily accessible

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Emergency plan and Muster point identified

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• System for accounting for employees

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Are fire drills conducted

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• MSDS in operations area

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Personal Protective Equipment

• Hard hats and CSA safety glasses with side shields

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Goggles on hard hat where required

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Ear plugs/double worn where required

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Work shoes or boots meet CSA standard (no exposed caps)

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Fall protection equip and plan where required

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Goggles, face shields clean and available/in use

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Material Handling

• Manual lifting is being done correctly (50lbs max)

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Housekeeping acceptable

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Hazardous Material

• Proper storage

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Chemical classification displayed

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Proper handling (specialized PPE as per MSDS)

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Proper labelling

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Acid booth lockers stocked and PPE clean

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Industrial Hygiene

• Hearing conservation program followed

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Respiratory protection in use

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Food consumed in lunch room only

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Sanitation

• Cleanliness meets requirements

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Water tie-ins are correct

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Area is free of rodents/insects

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Drinking water containers are sanitary

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Abrasive Wheel

• Safety guard in place and in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Tool rest 1/8" spacing. Top guard 1/4" spacing

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Eye protection signs in place

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Machinery General

• Guards in place

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Guards in good condition

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Conveyor guards in place and personnel clear of conveyors

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Are "E" stops in place and functional

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Are guards adequately in place

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Are guards properly secured

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Are guards made of durable material

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Welding Cutting

• Proper eye protection

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Proper compressed gas cylinder storage

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Double eye protection for all grinding activities

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

National Electrical Code

• Explosion proof fixtures in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Electrical equipment grounded

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Wiring to machines in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Temporary electrical service proper

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Electrical cabinets closed

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Knockout plugs missing

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Electrical cords in good condition

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

General Safety

• All employees trained and signed off for task at hand

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• First aid equipment available

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Safety meetings held pre-shift and for change to work scope

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Safety suggestions followed up

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

Mobile Equipment

• Equipment certification correct

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Operator properly trained/certified

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Back up alarm operable and audible (if required)

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Tires (tracks if applicable) in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Boom and hoist lines in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Slings and other rigging equipment in good repair

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Fire extinguisher available and inspected

  Yes

  No

  N/A

• Action Item Description

• Person Responsible

• Due Date

  Date

• Auditor signature

  Sign

• On site representative signature

  Sign