Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Chase 253

  • Is the chase floor dry and are there no leaks present?

  • Are all electrical panels free of obstructions?

  • Is the are free of any trip hazards?

  • Is the area clean?

  • Are all gas connections secure and leak tight? (no obvious leaks, hissing, etc.)

  • Is it free of any other hazards or problems?

Chase 254

  • Is the chase floor dry and are there no leaks present?

  • Are all electrical panels free of obstructions?

  • Is the are free of any trip hazards?

  • Is the area clean?

  • Are all gas connections secure and leak tight? (no obvious leaks, hissing, etc.)

  • Is it free of any other hazards or problems?

Chase 158

  • Is the chase floor dry and are there no leaks present?

  • Are all electrical panels free of obstructions?

  • Is the are free of any trip hazards?

  • Is the area clean?

  • Are all gas connections secure and leak tight? (no obvious leaks, hissing, etc.)

  • Is it free of any other hazards or problems?

Chase 166

  • Is the chase floor dry and are there no leaks present?

  • Are all electrical panels free of obstructions?

  • Is the are free of any trip hazards?

  • Is the area clean?

  • Are all gas connections secure and leak tight? (no obvious leaks, hissing, etc.)

  • Is it free of any other hazards or problems?

Loading Dock

  • Is the emergency shower free of obstructions?

  • Are the doors working properly and free of obstructions?

  • Is the area clear of any hazards? Hazards are defined by spills, improperly stored materials, trip hazards, or other unsafe conditions. When in doubt, answer no.

  • Is it free of any other hazards or problems?

Base/Solvent Storage

  • Are materials properly stored? Only bases and solvents should be stored in this area.

  • Is the room free of any spills or unusual odors?

  • Is the fan running?

  • Is it free of any other hazards or problems?

Acid Storage

  • Are materials properly stored? Only acids should be in this room.

  • Is the room free of any spills or unusual odors?

  • Is the fan running?

  • Is it free of any other hazards or problems?

Flammable/Corrosive/Toxic Gas Storage

  • Are all gas cylinders properly chained/strapped to the racks?

  • Do all of the gas cylinders have caps?

  • Is the room free of non-compatible gases? Non-compatible gases are oxidizers or pyrophorics.

  • Are corrosive or toxic gases stored in the gas cabinets?

  • Is it free of any other hazards or problems?

Oxidizer/Inert Gas Storage (under cooling tower)

  • Are all gas cylinders properly chained/strapped to the racks?

  • Do all of the gas cylinders have caps?

  • Is the area free of non-compatible gases? Non-compatible gases are flammables, pyrophorics, corrosives, or pyrophorics.

  • Is it free of any other hazards or problems?

6,000 Gallon LN2 Tank

  • Is the tank free of excessive icing around the valves, concrete pad, or surrounding area? When in doubt, answer no.

  • Does the vaporizer in use have more then 50% ice build-up?

  • Is there any unusual hissing that might indicate a leak?

  • Is it free of any other hazards or problems?

Silane Storage

  • Is the Silane cylinder, if present, properly secured inside the gas cabinet?

  • Is it free of any other hazards or problems?

3,000 Gallon LN2 Tank

  • Is the tank free of excessive icing around the valves, concrete pad, or surrounding area? When in doubt, answer no.

  • Is there any unusual hissing that might indicate a leak?

  • Is the rolling gate free of any obstructions?

  • Is the stainless steel supply line going into the building free of any ice build-up?

  • Is it free of any other hazards or problems?

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.