Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Inspected by who:
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Site:
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Date:
GENERAL Audit Records
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Job safety/health poster, and communications/ emergency numbers posted
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OSHA 300 Summery posted from FEB-MAY
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Records of Weekly tool box talks up to date on file
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Fork lift training records are complete and up to date on file
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Fall Protection Required Staff are up to date on trainings
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MSHA Required Staff are up to date on the the 5000.23 on file
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All trucks and trailers have DOT annual inspection on unit and on file
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Any other non compliance issues in this section
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Recent Fire Inspection on file?
Facilities Parts Warehouse
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Adequate provisions for first aid and/or medical attention.
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Freight being stored properly:
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Are racks bolted to the ground or per Manufactures' recommendations
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Do racks need bump guards
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Are materials stored properly, Oil, Gas -Secondary containment?
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Are indoor walkways to the facility clear and safe of hazards?
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Are stairways, aisles and access ways kept clear?
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Are passthrough clearly marked and safe?
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House keeping, lighting, Signs posted, Doorways not blocked
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Eye wash station available by the battery charging station?
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All lifting devices in use and are in good working order with load tags?
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Chains and Wire Slings are inspected and tagged with capacity tags?
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Webbed Slings are in good working condition with no excessive wear and legible tags with loads
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Tool safety rules being followed?
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Loading Docks: proper railing, gates/chains when trailer is not present, wheel chocks are used while loading/unloading, Dock ramps are in good condition.
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Are chemicals properly labeled and do they have appropriate warning labels?
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Ladder Safety rules being followed/ Condition, rungs, weathering.
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Are electrical panels/circuits labeled and free of storage in front of panels?
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Are electrical extension cords in good repair, grounded and not used as permanent wiring?
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Are energized electrical parts protected from contact with other hazards?
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Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?
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Are flammable/combustible liquids stored in approved storage cabinets?
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Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?
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Do sprinklers have 18 inches of vertical clearance from stored materials?
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Are area evacuation maps posted?
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Are fire extinguishers available and properly placed?
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Are emergency lighting fixtures inspected, working and properly placed?
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Are doors/ passages unobstructed?
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Other comments or recommendations:
Fork Lift / Telehandler Inspection
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FORK LIFT LOCATION AND MODEL
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Are daily for lift inspections being completed
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Speed limits rules being followed
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Horns on blind corners
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Seat belt in good working condition and in use
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Load does not have obstructed views
FACILITIES -Shop
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Is PPE provided appropriately: Glasses, Boots, Face Shields, Gloves, Hearing Protection.
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Eye wash station in close proximity to hazards (tool washing)
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Adequate provisions for first aid and/or medical attention
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Are indoor walkways to the facility clear and safe of hazards?
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House Keeping: lighting, Signs posted, Doorways not blocked
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Are passthrough clearly marked and safe?
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Daily Fork lift Inspections log up to date.
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Are stairways, aisles and access ways kept clear?
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Sledge Hammer soft face only?
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Tool safety rules being followed
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Tool storage room House keeping and safe tools
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Overhead Crane inspection on file?
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All lifting devices in use and are in good working order with load tags?
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Chains and Wire Slings are inspected and tagged with capacity tags?
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Have all chains and/or slings been inspected for defects, and labeled or taken out of service if inadequate?
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Webbed Slings are in good working condition with no excessive wear and legible tags with loads
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Cribbing/ Blocking: 6"X6" or larger , If Wood- Any Rounded edges or Splits? Oak or other Hard wood being used?
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O2 / Fuel Cylinders stored 25' apart or 30 min fire wall between.
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Are chemicals properly labeled and do they have appropriate warning labels?
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Are electrical panels/circuits labeled and free of storage in front of panels?
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Are electrical extension cords in good repair, grounded and not used as permanent wiring?
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Are energized electrical parts protected from contact with other hazards?
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Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?
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Are flammable/combustible liquids stored in approved storage cabinets?
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Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?
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Are area evacuation maps posted?
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Are fire extinguishers available and properly placed?
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Are emergency lighting fixtures inspected, working and properly placed?
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Are doors/ passages unobstructed?
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Other comments or recommendations:
Facilities- Wash Bay
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Lighting at acceptable lumens
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Safety Glasses in use
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Daily inspction of PW and Hose
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Water filtration / Pump Oil water separator in place per EPA Guidlines
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House keeping
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Are chemicals properly labeled and do they have appropriate warning labels?
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Tool safety rules being followed?
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Are chemicals properly labeled and do they have appropriate warning labels?
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Ladder safety rules being followed
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Are electrical panels/circuits labeled and free of storage in front of panels?
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Are electrical extension cords in good repair, grounded and not used as permanent wiring?
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Are energized electrical parts protected from contact with other hazards?
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Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?
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Is all electrical water rated? - Lights, Outlets, Exit Signs.
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Are flammable/combustible liquids stored in approved storage cabinets?
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Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?
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Do sprinklers have 18 inches of vertical clearance from stored materials?
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Are area evacuation maps posted?
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Are fire extinguishers available and properly placed?
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Are emergency lighting fixtures inspected, working and properly placed?
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Are doors/ passages unobstructed?
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Other comments or recommendations:
Service Truck Inspection
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Fall protection on truck, inspected and cared for?
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Fire Extinguisher mounted and inspected
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Gas cylinders capped and stored properly
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House Keeping Exterior
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House Keeping Interior
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Cargo Securement
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First aid kit adequate and up to date
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Black Binder up to date with all documentation
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Annual crane and truck inspection up to date?
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Safety stickers clean and legible
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Safety Whip on truck and in good condition
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Soft Face Bash hammer
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Approved lifting devices only and are in good working order.
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Tool storage boxes clean and organized
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Have all chains and/or slings been inspected for defects, and labeled or taken out of service if inadequate?
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Other comments or recommendations:
FACILITIES - Exterior and Yard
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Fencing in good condition gates.
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Is the exterior of the building(s) safe and in order
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Are equipment and materials being stored properly?
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Is there appropriate traffic signage in the equipment yard and surrounding vehicle travel ways
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Are the gutters/down spouts adequate to draw water/ice away from walkways?
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Are open-sided edges longer than 4 feet protected by guardrails or covers?
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General House keeping
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Daily Fork lift Inspections log up to date Skids and tellahanders
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Are electrical panels/circuits labeled and free of storage in front of panels?
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Are electrical extension cords in good repair, grounded and not used as permanent wiring?
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Are energized electrical parts protected from contact with other hazards?
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Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?
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Are fire extinguishers available and properly placed?
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Other comments or recommendations:
Alternate Work Operation
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Are safety glasses and steel toed shoes being worn in the operation?
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Face shields in use with safety glasses when appropriate
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Are indoor walkways to the facility clear and safe of hazards?
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Are passthrough clearly marked and safe?
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Tool safety rules being followed
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Are stairways, aisles and access ways kept clear?
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Sledge Hammer soft face only?
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Daily Fork lift Inspections log up to date.
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Approved lifting devices only and are in good working order.
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Tool storage room House keeping and safe tools
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Have all chains and/or slings been inspected for defects, and labeled or taken out of service if inadequate?
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O2 / Fuel Cylinders stored 25' apart or 30 min fire wall between.
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House Keeping
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Eye wash station in close proximity
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Are chemicals properly labeled and do they have appropriate warning labels?
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Are electrical panels/circuits labeled and free of storage in front of panels?
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Are electrical extension cords in good repair, grounded and not used as permanent wiring?
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Are energized electrical parts protected from contact with other hazards?
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Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?
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Adequate provisions for first aid and/or medical attention
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Are flammable/combustible liquids stored in approved storage cabinets?
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Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?
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Do sprinklers have 18 inches of vertical clearance from stored materials?
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Are area evacuation maps posted?
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Are fire extinguishers available and properly placed?
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Are emergency lighting fixtures inspected, working and properly placed?
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Are doors/ passages unobstructed?
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Other comments or recommendations: