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Title Page
Site conducted
Conducted on
Prepared by
Location
Safety Inspection
Inspected by who:
Site:
Date:
GENERAL Audit Records
Job safety/health poster, and communications/ emergency numbers posted
OSHA 300 Summery posted from FEB-MAY
Records of Weekly tool box talks up to date on file
Fork lift training records are complete and up to date on file
MEWP training records are complete and up to date on file
Fall Protection Required Staff are up to date on trainings
Annual Hazcom Training are complete and up to date on file
MSHA Required Staff are up to date on the the 5000.23 on file
All trucks and trailers have DOT annual inspection on unit and on file
Recent AHJ (Authority Having Jurisdiction) Fire Inspection on file?
3rd party annual fire (Sprinkler, Fire Extinguishers, Alarm System) on file
Any other non compliance issues in this section
Facilities Parts Warehouse
Adequate provisions for first aid and/or medical attention.
Freight being stored properly:
Are racks bolted to the ground or per Manufactures' recommendations
Do high risk racks have bump guards
Rack Shelves display load ratings per manufacture
Are materials stored properly, Oil, Gas -Secondary containment?
Are indoor walkways to the facility clear and safe of hazards?
Are stairways, aisles and access ways kept clear?
Are passthrough clearly marked and safe?
House keeping, lighting, Signs posted, Doorways not blocked
Eye wash station available by the battery charging station?
Tool safety rules being followed?
Loading Docks: proper railing, gates/chains when trailer is not present, wheel chocks are used while loading/unloading, Dock ramps are in good condition.
Are chemicals properly labeled and do they have appropriate warning labels?
Ladder Safety rules being followed/ Condition, rungs, weathering.
Are electrical panels/circuits labeled and free of storage in front of panels?
Are electrical extension cords in good repair, grounded and not used as permanent wiring?
Are energized electrical parts protected from contact with other hazards?
Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?
Are flammable/combustible liquids stored in approved storage cabinets?
Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?
Do sprinklers have 18 inches of vertical clearance from stored materials?
Are area evacuation maps posted?
Are fire extinguishers available and properly placed?
Are emergency lighting fixtures inspected, working and properly placed?
Are doors/ passages unobstructed?
Other comments or recommendations:
Fork Lift / Telehandler Inspection
FORK LIFT LOCATION AND MODEL
Are daily for lift inspections being completed
Speed limits rules being followed
Horns on blind corners
Seat belt in good working condition and in use
Load does not have obstructed views
SAFETY-Shop
Is PPE provided appropriately: Glasses, Boots, Face Shields, Gloves, Hearing Protection.
Eye wash station in close proximity to hazards (tool washing)
Adequate provisions for first aid and/or medical attention
Are indoor walkways to the facility clear and safe of hazards?
Ladder safety rules being followed
General Housekeeping
Lighting, Signs posted, Doorways not blocked
Are passthrough clearly marked and safe?
Daily Fork lift Inspections log up to date.
Are stairways, aisles and access ways kept clear?
Sledge Hammer soft face only?
Tool safety rules being followed
Tool storage room House keeping and safe tools
Annual overhead Crane inspection on file?
All lifting devices in use and are in good working order with current load ratings visable
Have all chains and wire rope had and annual inspection per OSHA 1910.184, ASME B30. 9, B30. 20, B30. 26, & ANSI Z359
Webbed Slings are in good working condition with no excessive wear
Cribbing/ Blocking: 6"X6" or larger , If Wood- Any Rounded edges or Splits? Oak or other Hard wood being used?
O2 / Fuel Cylinders stored 25' apart or 30 min fire wall between.
Are chemicals properly labeled and do they have appropriate warning labels?
Are electrical panels/circuits labeled and free of storage in front of panels?
Are electrical extension cords in good repair, grounded and not used as permanent wiring?
Are energized electrical parts protected from contact with other hazards?
Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?
Are flammable/combustible liquids stored in approved storage cabinets?
Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?
Are area evacuation maps posted?
Are fire extinguishers available and properly placed?
Are emergency lighting fixtures inspected, working and properly placed?
Are doors/ passages unobstructed?
Other comments or recommendations:
Facilities- Wash Bay
Lighting at acceptable lumens
Safety Glasses in use
Water filtration / Pump Oil water separator in place per EPA Guidlines
House keeping
Are chemicals properly labeled and do they have appropriate warning labels?
Tool safety rules being followed?
Are chemicals properly labeled and do they have appropriate warning labels?
Ladder safety rules being followed
Are electrical panels/circuits labeled and free of storage in front of panels?
Are electrical extension cords in good repair, grounded and not used as permanent wiring?
Are energized electrical parts protected from contact with other hazards?
Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?
Is all electrical water rated? - Lights, Outlets, Exit Signs.
Are flammable/combustible liquids stored in approved storage cabinets?
Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?
Do sprinklers have 18 inches of vertical clearance from stored materials?
Are area evacuation maps posted?
Are fire extinguishers available and properly placed?
Are emergency lighting fixtures inspected, working and properly placed?
Are doors/ passages unobstructed?
Other comments or recommendations:
Service Truck Inspection
Fall protection on truck, inspected and cared for?
Fire Extinguisher mounted and inspected
Gas cylinders capped and stored properly
House Keeping Exterior
House Keeping Interior
Cargo Securement
First aid kit adequate and up to date
Black Binder up to date with all documentation
Annual crane and truck inspection up to date?
Safety stickers clean and legible
Safety Whip on truck and in good condition
Soft Face Bash hammer
Approved lifting devices only and are in good working order.
Tool storage boxes clean and organized
Have all chains and/or slings been inspected for defects, and labeled or taken out of service if inadequate?
Other comments or recommendations:
Safety- Exterior and Yard
Fencing in good condition as well as access gates.
Is the exterior of the building(s) safe and in order
Are equipment and materials being stored properly?
Is there appropriate traffic signage in the equipment yard and surrounding vehicle travel ways
Are the gutters/down spouts adequate to draw water/ice away from walkways?
Are open-sided edges longer than 4 feet protected by guardrails or covers?
General House keeping
Daily Fork lift Inspections log up to date Skids and tellahanders
The Yard is clean and organized without excess clutter, trash or weeds
Overhead powerlines are safely marked and traffic control is in place to mitigate all hazards
Diesel and fuel areas are labeled, in secondary containment, and have fire extinguishers
Are electrical panels/circuits labeled and free of storage in front of panels?
Are electrical extension cords in good repair, grounded and not used as permanent wiring?
Are energized electrical parts protected from contact with other hazards?
Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?
Are all fire extinguishers available and properly placed?
Other comments or recommendations:
Alternate Work Operation (carbide, welding, components, second shop)
What is the operation
Are safety glasses and steel toed shoes being worn in the operation?
Face shields in use with safety glasses when appropriate
Ladder safety rules being followed
Are indoor walkways to the facility clear and safe of hazards?
Are passthrough clearly marked and safe?
Tool safety rules being followed
Are stairways, aisles and access ways kept clear?
Sledge Hammer soft face only?
Daily Fork lift Inspections log up to date.
Approved lifting devices only and are in good working order.
Tool storage room House keeping and safe tools
Have all chains and/or slings been inspected for defects, and labeled or taken out of service if inadequate?
O2 / Fuel Cylinders stored 25' apart or 30 min fire wall between.
House Keeping
Eye wash station in close proximity
Are chemicals properly labeled and do they have appropriate warning labels?
Are electrical panels/circuits labeled and free of storage in front of panels?
Are electrical extension cords in good repair, grounded and not used as permanent wiring?
Are energized electrical parts protected from contact with other hazards?
Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?
Adequate provisions for first aid and/or medical attention
Are flammable/combustible liquids stored in approved storage cabinets?
Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?
Do sprinklers have 18 inches of vertical clearance from stored materials?
Are area evacuation maps posted?
Are fire extinguishers available and properly placed?
Are emergency lighting fixtures inspected, working and properly placed?
Are doors/ passages unobstructed?
Other comments or recommendations:
Facilities Section Exterior Front Entrance and Parking lot
Windows clean and free of damage
Lighting
Landscaping meets PMC standards
Equipment Display meets PMC standards
Exterior entrance and doors in good working condition
Parking lot is safe and striped with ADA access
Facilities Section Interior -Offices/ Break room
Clean and professional
Lights appropriate lumens and temperature
Doors functional and clean
Updated to PMC Standards
Area is functional for its intended purpose
other comments or concerns
Facilities Section Interior - Customer Reception/ Parts Display
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