Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Fall Protection

  • Are fall protection devices or fall protection areas going to be inspected?

  • Scaffolding not properly adjusted sides to ends of unit to prevent falls (i.e. bridges more than 6" from unit

  • Fall protection harness not being worn, or proper fall protection device not in place, while working more than 4 feet above the floor

  • Protective chains/gates are not in place at mezzanine/scaffolding loading areas and other access points. All other handrails meet requirements.

  • Employees working below an object that could fall/employees operating a hoist or scaffolding without clearing the area

  • Scaffolding and hoist controls not functioning properly

  • Items set on scaffold or on top of units that are heavy and not secured (i.e. air conditioners, saws, and drills)

  • Were repeat violations observed?

Powered Equipment

  • Was powered equipment inspected during this audit?

  • Powered industrial equipment guard defective

  • Powered industrial equipment guard missing or not in use

  • Powered industrial equipment left running unattended

  • Powered industrial equipment being serviced without being locked out

  • Unsafe work practices while operating saw/power equipment

  • Power equipment brake failure on saw motor

  • Power equipment failure to return to home position

  • Saw/machinery not properly secured/anchored

  • No push stick evident

  • Poor housekeeping at/or around and saw/machinery area

  • Failure to use a staple gun in the correct manner

  • Staple gun safety defeated

  • Are Saw Safety Checklists present

  • Are Saw Safety Checklists completed

  • Were repeat violations observed?

Material Handling and Storage

  • Will material handling and storage elements be inspected in this audit?

  • Daily forklift inspections complete

  • Pallets/materials/misc. items not being stored safely

  • Hopper safety latches not being utilized

  • Items stored on racks not secure

  • Items stored on racks protruding into aisle/walkway

  • Items stored on mezzanines not secure

  • Pole stops or other devices used to secure material not in place

  • Were repeat violations observed?

Personal Protective Equipment (PPE)

  • Will PPE compliance be inspected during this audit?

  • Is all other task specific PPE being worn?

  • Is hearing protection being used as required?

  • Employees/vendors not wearing eye protection when in the plant

  • Employees are using more than one ear bud or headphones

  • Overall rating of PPE use

  • Were repeat violations observed?

Work Practices

  • Are improper work practices to be evaluated for this inspection?

  • Employees running in the facility

  • Employees jumping from unit to floor

  • Employees throwing scrap into hoppers more than 6 feet away

  • Failure to use utility knives correctly

  • Employees carrying items 25 pounds on or over their head

  • Non-compliant air blowers being used

  • Music levels at 80 Dba or less

  • Were repeat violations observed?

Cranes and Hoists

  • Were safety elements of cranes and hoists inspected during this audit?

  • Hoists being used beyond capacity limits

  • Crane pendant damaged

  • Crane controller functions illegible

  • Crane pendant missing warning tag

  • Employees walking/working under a suspended load

  • Crane hook safety latch present and functional

  • Were repeat violations observed?

Electrical

  • Was electrical safety done during this audit?

  • Employee use appliances such microwaves and refrigerators plugged directly into an outlet

  • Employee use appliances being stored in metal or wooden boxes

  • Electrical cabinet doors open

  • Electrical cabinet obstructed

  • Items being stored in electrical area

  • Missing knockout on or inside electrical panel/receptacle

  • Damaged electrical cabinet/receptacle

  • Extension cords daisy chained together

  • Frayed, cut or damaged electrical cords being used

  • RPT (power strip) daisy chained to another RPT or extension cord

  • Electrical cords being used as permanent wiring

  • Improper use or RPT (power strip)

  • Electrical cords run through wall holes/doorways

  • Exposed battery terminals

  • Broken strain relief

  • Breaker boxes/transformers in defective condition

  • Improper storage in/on electrical equipment

  • Were repeat violations observed?

Fire Protection

  • Was fire protection inspected during this audit?

  • Fire extinguisher obstructed

  • Fire extinguisher not properly mounted

  • Fire extinguisher sign not present

  • Fire extinguisher sign obscured

  • Fire extinguisher missing

  • Were repeat violations observed?

Exit Routes/Emergency Planning

  • Were exit routes and emergency planning components inspected?

  • Obstructed exit door, interior/exterior

  • Emergency exit light not illuminated

  • Emergency exit light damaged

  • Were repeat violations observed?

Hazcom/Chemical Storage

  • Was Hazcom/chemical storage inspected?

  • Improper storage on flammable cabinet

  • Improper storage of flammable liquids

  • Unmarked/illegible chemical container

  • Chemicals and food being stored together

  • Flammable cabinet door(s) left open and unattended

  • Were repeat violations observed?

Walking/Working Surfaces

  • Were walking/working surfaces inspected during this audit

  • Housekeeping - General

  • Excessive water on floor

  • Ladder damaged

  • Excessive combustible debris or dust accumulation

  • Improper use of a ladder

  • Air hoses or cords entering through coach door

  • Ladder not secured properly

  • Were repeat violations observed?

Compressed Gases

  • Was compressed gas storage inspected during this audit?

  • LP tank/cylinder not properly secured

  • Gas cylinders improperly stored without protective caps

  • Were repeat violations observed?

First Aid

  • Are first aid supplies readily available?

  • Are first aid areas blocked by materials and/or debris?

  • Are AED(s) available?

  • Is AED blocked by materials and/or debris?

  • Are eye wash stations readily available?

  • Are eye wash stations blocked by materials and/or debris?

  • Were repeat violations observed?

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.