Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Entrance to facility
-
Is facility in good appearance?
-
Are areas clean of trash and debris?
-
Are there any tripping hazards?
-
Is there any environmental hazards?
Office Areas
-
Are exit signs visible?
-
Is there an emergency evaluation diagram and assembly area?
-
Is there a fire extinguisher in place and current inspection?
-
Are work areas adequately illuminated and are free of slip/trip and falls?
-
No frayed/ exposed electrical wiring/ proper operation?
-
Extension cords not used as permanent wiring?
-
Power strips are only used for computer equipment?
-
Restrooms kept clean with adequate supply of hand soap and other sundries?
Shop Area
-
Is the floor area clear of material/ debris?
-
Are emergency signs illuminated and exits free of obstructions/equipment?
-
Is a 36" wide clear space maintained around electrical panels?
-
Extension cords are not being used as perm inmate wiring?
-
Extension cords are free from duck tape, electrical tape, etc. and ground pins are in place?
-
Are areas such as the top of cabinets, lockers and underneath desk and clear of stored materials to reduce the potential for fire?
-
Areas that are present specific hazards to employees (i.e High Voltage, noise, chemical storage) posted signs identifying the hazard and access requirements?
-
Are ground pins in place on electrical equipment ?
-
No evidence of smoking in unauthorized locations?
-
Trash not allowed to overfill in waste containers?
Storeroom Area
-
No heavy items stored on top racks in storerooms?
Eye Wash Stations
-
Are eye wash stations free of obstructions that restrict their use?
-
Are eye wash bottles free from dust, safety seal intact and not past expiration?
Chemical Storage
-
Are flammable storage cabinets maintained and free of other combustible materials?
-
Are chemical containers (including temporary or small quantity containers for employee use) properly labeled with the name of material of hazard information? <br>Containers must be clearly labeled, tagged or marked with the identity of the hazardous chemical.
-
Are spill carts properly maintained with supplies?<br>
Hazards Waste
-
Are all chemical waste products contained and marked?
Gas Cylinders
-
Are valves closed and cap protection devices installed?
-
Are gas cylinders stored upright with proper securement (i.e. Chain, Strap, or cable ) to a stationary building support?
-
Are cylinders stored in a well ventilated area and at least 20' from combustibles?
-
Is there proper signage (i.e. Flammable, oxidizer or toxic)?
-
Keep oxygen cylinders 20 feet away from fuel gas cylinders, such as acetylene?
-
Are empty cylinder separated from full ones?
Drill Press
-
Is waste containerized and free from any leaking onto ground?
-
Does drill have proper bit guarding? Also face shielding?
Grinders
-
Do side guards cover the spindle, nut and flange and 75% of the wheel diameter?
-
Is the work rest used and kept adjusted to within 1/8-inch of the wheel?
-
Are grinding wheels the appropriate RPM rating to the Grinding motor?
-
Before grinding wheels are mounted, are they ring tested
-
Is grinder properly mounted?
-
Is proper PPE being used when grinding? (Face shields - goggles)
-
Does grinder have an individual on off switch?
Ladders
-
Ensure all ladders have proper signage and that steps/rungs/braces/pivot points/ side-rails/ safety feet/ wheel axles/ and nonskid services are intact?
Break room areas
-
Break area maintained and kept clean?
-
Appliances kept clean and in good condition?
-
Restrooms kept clean with adequate supply of hand soap and other sundries?
Fire Extinguishers
-
Are appropriate fire extinguishers available in all work area?
-
Are fire extinguisher locations properly marked? (Red dot or white sign with red printing pointing to extinguisher)
-
Are fire extinguishers in a "Keep Clear Area" away from obstructions?