Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Stretch & Flex

  • Is stretch and flex program completed?

Torches

  • Are hoses and crimps inspected for leaks?

  • Add media

  • Are torches in good working order?

  • Add media

Electrical

  • Are all cords inspected and in good repair?

  • Add media

  • Extension cords elevated and inspected?

  • Add media

  • GFCI used on permanent power outlets?

  • Add media

T-Drill

  • Is hearing protection available?

  • Add media

  • Is face shield or mono-goggle available?

  • Add media

  • Is cord in good repair?

  • Add media

Chop Saw

  • Is hearing protection available?

  • Add media

  • Is face shield or mono-goggle available?

  • Add media

  • Is cord in good repair?

  • Add media

  • Is guard in place?

  • Add media

Bench Grinder

  • Is the tongue guard on the top side of the grinder kept to within 1/4" of the wheel?

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  • Is the work rest adjusted to within 1/8" of the wheel?

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  • Is the max RPM rating of the wheel compatible with the RPM rating of the grinder motor?

  • Add media

Material Handling

  • Are carts being used to move material?

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  • Are materials being stored on carts?

  • Add media

  • Are forklifts inspected?

  • Add media

  • Are forklift operators trained by Southland?

  • Add media

  • Is material handling equipment inspected?

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  • Are team lifts used for loads >50lbs?

  • Add media

Fire Prevention

  • Is there an inspected fire extinguisher?

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  • Are gas cylinders secured from falling?

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Personal Protective Equipment

  • Are all required PPE available?

  • Add media

  • PPE worn at all times by employees?

  • Add media

Housekeeping

  • Is work area free of trip hazards & trash?

  • Add media

  • Are egress routes at least 32" wide?

  • Add media

  • Are egress routes free of obstacles?

  • Add media

  • Is gate to mezzanine secured?

  • Add media

Comments/Concerns

  • Comments/Concerns:

  • Add media

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.