Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 Employer Posting

  • 1.1 Is the required OSHA Job Safety and Health Protection Poster displayed in a prominent location where all employees are likely to see it?<br>

  • 1.2 Are emergency telephone numbers posted where they can be readily found in case of emergency?<br>

  • 1.3 Where employees may be exposed to toxic substances or harmful physical agents, has appropriate information concerning employee access to medical and exposure records and Material Safety Data Sheets (MSDSs) been posted or otherwise made readily available to affected employees?<br>

  • 1.4 Are signs concerning exit routes, room capacities, floor loading, biohazards, exposures to x-ray, microwave, or other harmful radiation or substances posted where appropriate?<br>

  • 1.5 Is the Summary of Work-Related Injuries and Illnesses (OSHA Form 300A) posted during the months of February, March and April?<br>

2.0 Recordkeeping

  • 2.1 Are occupational injuries or illnesses, except minor injuries requiring only first aid, recorded as required on the OSHA 300 log?<br>

  • 2.2 Are employee medical records and records of employee exposure to hazardous substances or harmful physical agents up-to-date and in compliance with current OSHA standards?<br>

  • 2.3 Are employee training records kept and accessible for review by employees, as required by OSHA standards?<br>

  • 2.4 Have arrangements been made to retain records for the time period required for each specific type of record? (Some records must be maintained for at least 40 years.)<br>

3.0 Safety and Health Program

  • 3.1 Do you have an active safety and health program in operation that includes general safety and health program elements as well as the management of hazards specific to your work-site?

  • 3.2 Is one person clearly responsible for the safety and health program?

  • 3.3 Do you have a safety committee or group made up of management and labor representatives that meets regularly and reports in writing on its activities?

  • 3.4 Do you have a working procedure to handle in-house employee complaints regarding safety and health?<br>

  • 3.5 Are your employees advised of efforts and accomplishments of the safety and health program made to ensure they will have a workplace that is safe and healthful?

  • 3.6 Have you considered incentives for employees or workgroups who excel in reducing workplace injury/illnesses?

4.0 Medical Services and First Aid

  • 4.1 Is there a hospital, clinic, or infirmary for medical care near your workplace or is at least one employee on each shift currently qualified to render first aid?<br>

  • 4.2 Have all employees who are expected to respond to medical emergencies as part of their job responsibilities received first aid training; had hepatitis B vaccination made available to them; had appropriate training on procedures to protect them from bloodborne pathogens, including universal precautions; and have available and understand how to use appropriate PPE to protect against exposure to bloodborne diseases?*<br>

  • 4.3 If employees have had an exposure incident involving bloodborne pathogens, was an immediate post-exposure medical evaluation and follow-up provided?<br>

  • 4.4 Are medical personnel readily available for advice and consultation on matters of employees' health?<br>

  • 4.5 Are emergency phone numbers posted?<br>

  • 4.6 Are fully supplied first aid kits easily accessible to each work area, periodically inspected and replenished as needed?<br>

  • 4.7 Have first aid kits and supplies been approved by a physician, indicating that they are adequate for a particular area or operation?<br>

  • 4.8 Is there an eye-wash station or sink available for quick drenching or flushing of the eyes and body in areas where corrosive liquids or materials are handled?<br><br>

5.0 Fire Protection

  • 5.1 Is your local fire department familiar with your facility, its location and specific hazards?<br>

  • 5.2 If you have a fire alarm system, is it certified as required and tested annually?<br>

  • 5.3 If you have interior standpipes and valves, are they inspected regularly?<br>

  • 5.4 If you have outside private fire hydrants, are they flushed at least once a year and on a routine preventive maintenance schedule?<br>

  • 5.6 Are fire doors and shutters unobstructed and protected against obstructions, including their counterweights?<br>

  • 5.8 Are automatic sprinkler system water control valves, air and water pressure checked periodically as required?<br>

  • 5.9 Is the maintenance of automatic sprinkler systems assigned to responsible persons or to a sprinkler contractor?<br>

  • 5.11 Is proper clearance maintained below sprinkler heads?<br>

  • 5.12 Are portable fire extinguishers provided in adequate number and type and mounted in readily accessible locations?<br>

  • 5.13 Are fire extinguishers recharged regularly with this noted on the inspection tag?<br>

  • 5.14 Are employees periodically instructed in the use of fire extinguishers and fire protection procedures?<br>

6.0 Personal Protective Equipment and Clothing

  • 6.1 Has the employer determined whether hazards that require the use of PPE (e.g., head, eye, face, hand, or foot protection) are present or are likely to be present?<br><br>

  • 6.2 If hazards or the likelihood of hazards are found, are employers selecting appropriate and properly fitted PPE suitable for protection from these hazards and ensuring that affected employees use it?<br><br>

  • 6.3 Have both the employer and the employees been trained on PPE procedures, i.e., what PPE is necessary for job tasks, when workers need it, and how to properly wear and adjust it?<br><br>

  • 6.4 Are protective goggles or face shields provided and worn where there is any danger of flying particles or corrosive materials?<br><br>

  • 6.5 Are approved safety glasses required to be worn at all times in areas where there is a risk of eye injuries such as punctures, abrasions, contusions, or burns?<br><br>

  • 6.6 Are employees who wear corrective lenses (glasses or contacts) in workplaces with harmful exposures required to wear only approved safety glasses, protective goggles, or use other medically approved precautionary procedures?<br><br>

  • 6.7 Are protective gloves, aprons, shields, or other means provided and required where employees could be cut or where there is reasonably anticipated exposure to corrosive liquids, chemicals, blood, or other potentially infectious materials? See the OSHA Bloodborne Pathogens standard, 29 CFR 1910.1030(b), for the definition of "other potentially infectious materials."<br><br>

  • 6.11 Are approved respirators provided when needed? (See 29 CFR 1910.134 for detailed information on respirators or check OSHA's website).<br><br>

  • 6.12 Is all PPE maintained in a sanitary condition and ready for use?<br><br>

  • 6.13 Are food or beverages consumed only in areas where there is no exposure to toxic material, blood, or other potentially infectious materials?<br><br>

  • 6.14 Is protection against the effects of occupational noise provided when sound levels exceed those of the OSHA Noise standard?<br><br>

  • 6.15 Are adequate work procedures, PPE and other equipment provided and used when cleaning up spilled hazardous materials?<br>

  • 6.16 Are appropriate procedures in place to dispose of or decontaminate PPE contaminated with, or reasonably anticipated to be contaminated with, blood or other potentially infectious materials?<br>

7.0 General Work Environment

  • 7.1 Are all worksites clean, sanitary and orderly?<br>

  • 7.2 Are work surfaces kept dry and appropriate means taken to assure the surfaces are slip-resistant?<br>

  • 7.3 Are all spilled hazardous materials or liquids, including blood and other potentially infectious materials, cleaned up immediately and according to proper procedures?<br>

  • 7.5 Is all regulated waste, as defined in the OSHA Bloodborne Pathogens standard (29 CFR 1910.1030), discarded according to Federal, state and local regulations?<br>

  • 7.13 Are all work areas adequately illuminated?<br>

  • 7.15 Have all confined spaces been evaluated for compliance with 29 CFR 1910.146? (Permit required confined spaces.)<br>

  • 8.1 Are aisles and passageways kept clear and marked as appropriate?<br>

  • 8.2 Are wet surfaces covered with non-slip materials?<br>

  • 8.3 Are holes in the floor, sidewalk, or other walking surface repaired properly, covered, or otherwise made safe?<br>

  • 8.5 Are materials or equipment stored in such a way that sharp projections will not interfere with the walkway?<br>

  • 8.6 Are aisles or walkways that pass near moving or operating machinery, welding operations, or similar operations arranged so employees will not be subjected to potential hazards?<br>

  • 8.7 Are changes of direction or elevations readily identifiable?<br>

  • 8.8 Are aisles or walkways that pass near moving or operating machinery, welding operations, or similar operations arranged so employees will not be subjected to potential hazards?<br>

10.0 Stairs and Stairways

  • 10.1 Do standard stair rails or handrails on all stairways have at least four risers?<br>

  • 10.6 Are step risers on stairs uniform from top to bottom?<br>

  • 10.7 Are steps slip-resistant?<br>

12.0 Exiting or Egress-Evacuation

  • 12.1 Are all exits marked with an exit sign and illuminated by a reliable light source?<br>

  • 12.2 Are the directions to exits, when not immediately apparent, marked with visible signs?<br>

  • 12.3 Are doors, passageways or stairways that are neither exits nor access to exits, but could be mistaken for exits, appropriately marked "NOT AN EXIT," "TO BASEMENT," "STOREROOM," etc.?<br>

  • 12.4 Are exit signs labeled with the word "EXIT" in lettering at least 5 inches (12.70 centimeters) high and the stroke of the lettering at least l/2inch (1.2700 centimeters) wide?<br>

  • 12.6 Are all exits kept free of obstructions?<br>

  • 12.7 Are at least two means of egress provided from elevated platforms, pits, or rooms where the absence of a second exit would increase the risk of injury from hot, poisonous, corrosive, suffocating, flammable, or explosive substances?<br>

  • 12.8 Are there sufficient exits to permit prompt escape in case of emergency?<br>

  • 12.9 Are special precautions taken to protect employees during construction and repair operations?<br>

  • 12.10 Is the number of exits from each floor of a building and the number of exits from the building itself appropriate for the building occupancy load?<br>

  • 12.11 Are exit stairways that are required to be separated from other parts of a building enclosed by at least 2-hour fire-resistive construction in buildings more than four stories in height, and not less than 1-hour fire-resistive construction elsewhere?<br>

  • 12.12 Where ramps are used as part of required exiting from a building, is the ramp slope limited to 1 foot (0.3048 meter) vertical and 12 feet (3.6576 meters) horizontal?<br>

  • 12.13 Where exiting will be through frameless glass doors, glass exit doors, storm doors, etc., are the doors fully tempered and meet the safety requirements for human impact?<br>

19.0 Machine Guarding

  • 19.1 Is there a training program to instruct employees on safe methods of machine operation?<br>

  • 19.2 Is there adequate supervision to ensure that employees are following safe machine operating procedures?<br>

  • 19.3 Is there a regular program of safety inspection of machinery and equipment?<br>

  • 19.4 Is all machinery and equipment kept clean and properly maintained?<br>

  • 19.5 Is sufficient clearance provided around and between machines to allow for safe operations, set up and servicing, material handling and waste removal?<br>

  • 19.6 Is equipment and machinery securely placed and anchored to prevent tipping or other movement that could result in personal injury?<br>

  • 19.7 Is there a power shut-off switch within reach of the operator's position at each machine?<br>

  • 19.11 Are manually operated valves and switches controlling the operation of equipment and machines clearly identified and readily accessible?<br>

  • 19.21 Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown?<br>

28.0 Entering Confined Spaces

  • 28.1 Are confined spaces thoroughly emptied of any corrosive or hazardous substances, such as acids or caustics, before entry?<br>

  • 28.6 Is adequate illumination provided for the work to be performed in the confined space?<br>

29.0 Environmental Controls

  • 29.1 Are all work areas properly illuminated?<br>

  • 29.2 Are employees instructed in proper first aid and other emergency procedures?<br>

  • 29.3 Are hazardous substances, blood and other potentially infectious materials, which may cause harm by inhalation, ingestion, or skin absorption or contact, identified?<br>

  • 29.4 Are employees aware of the hazards involved with the various chemicals they may be exposed to in their work environment, such as ammonia, chlorine, epoxies, caustics, etc.?<br>

  • 29.5 Is employee exposure to chemicals in the workplace kept within acceptable levels?<br>

  • 29.7 Is the work area ventilation system appropriate for the work performed?<br>

  • 29.15 Are caution labels and signs used to warn of hazardous substances (e.g., asbestos) and biohazards (e.g., bloodborne pathogens)?<br>

  • 29.19 Are cast saws and other machines that produce respirable dusts vented to an industrial collector or central exhaust system?<br>

  • 29.21 Is PPE provided, used and maintained wherever required?<br>

  • 29.22 Are there written standard operating procedures for the selection and use of respirators where needed?<br>

  • 29.23 Are restrooms and washrooms kept clean and sanitary?<br>

  • 29.24 Is all water provided for drinking, washing and cooking potable?<br>

  • 29.26 Are employees' physical capacities assessed before they are assigned to jobs requiring heavy work?<br>

  • 29.27 Are employees instructed in the proper manner for lifting heavy objects?<br>

  • 29.32 Is equipment producing ultraviolet radiation properly shielded?<br>

  • 29.33 Are universal precautions observed where occupational exposure to blood or other potentially infectious materials can occur and in all instances where differentiation of types of body fluids or potentially infectious materials is difficult or impossible?<br>

30.0 Flammable and Combustible Materials

  • 30.2 Is proper storage practiced to minimize the risk of fire, including spontaneous combustion?<br>

  • 30.3 Are approved containers and tanks used to store and handle flammable and combustible liquids?<br>

  • 30.15 Are fire extinguishers selected and provided for the types of materials in the areas where they are to be used?<br>

  • Class A - Ordinary combustible material fires.

  • Class B - Flammable liquid, gas or grease fires.

  • Class C - Energized-electrical equipment fires.

  • 30.16 Are appropriate fire extinguishers mounted within 75 feet (22.86 meters) of outside areas containing flammable liquids and within 10 feet (3.048 meters) of any inside storage area for such materials?<br>

  • 30.17 Are extinguishers free from obstructions or blockage?<br>

  • 30.18 Are extinguishers free from obstructions or blockage?<br>

  • 30.19 Are all extinguishers serviced, maintained and tagged at intervals not to exceed one year?<br>

  • 30.20 Are all extinguishers fully charged and in their designated places?<br>

  • 30.21 Where sprinkler systems are permanently installed, are the nozzle heads so directed or arranged that water will not be sprayed into operating electrical switchboards and equipment?<br>

  • 30.23 Are all spills of flammable or combustible liquids cleaned up promptly?<br>

  • 30.25 Are rules enforced in areas involving storage and use of hazardous materials?<br>

31.0 Hazardous Chemical Exposure

  • 31.1 Are employees aware of the potential hazards and trained in safe handling practices for situations involving various chemicals stored or used in the workplace such as acids, bases, caustics, epoxies, phenols, etc.?<br>

  • 31.2 Are employees aware of the potential hazards and trained in safe handling practices for situations involving various chemicals stored or used in the workplace such as acids, bases, caustics, epoxies, phenols, etc.?<br>

  • 31.3 Are eye-wash fountains and safety showers provided in areas where corrosive chemicals are handled?<br>

  • 31.4 Are all containers, such as vats, storage tanks, etc., labeled as to their contents, e.g., "CAUSTICS"?<br>

  • 31.5 Are all employees required to use personal protective clothing and equipment when handling chemicals (gloves, eye protection, respirators, etc.)?<br>

  • 31.6 Are flammable or toxic chemicals kept in closed containers when not in use?<br>

  • 31.8 Where corrosive liquids are frequently handled in open containers or drawn from storage vessels or pipelines, are adequate means readily available for neutralizing or disposing of spills or overflows and performed properly and safely?<br>

  • 31.9 Are standard operating procedures established and are they being followed when cleaning up chemical spills?<br>

  • 31.11 Are employees prohibited from eating in areas where hazardous chemicals are present?<br>

  • 31.12 Is PPE used and maintained whenever necessary?<br>

  • 31.13 Are there written standard operating procedures for the selection and use of respirators where needed?<br>

  • 31.14 If you have a respirator protection program, are your employees instructed on the correct usage and limitations of the respirators?<br>

  • 31.17 If hazardous substances are used in your processes, do you have a medical or biological monitoring system in operation?<br>

  • 31.18 Are you familiar with the threshold limit values or permissible exposure limits of airborne contaminants and physical agents used in your workplace?<br>

  • 31.19 Have appropriate control procedures been instituted for hazardous materials, including safe handling practices and the use of respirators and ventilation systems?<br>

  • 31.20 Whenever possible, are hazardous substances handled in properly designed and exhausted booths or similar locations?<br>

  • 31.23 Do employees complain about dizziness, headaches, nausea, irritation, or other factors of discomfort when they use solvents or other chemicals?<br>

  • 31.24 Is there a dermatitis problem? Do employees complain about dryness, irritation, or sensitization of the skin?<br>

  • 31.25 Have you considered having an industrial hygienist or environmental health specialist evaluate your operation?<br>

  • 31.28 Are materials that give off toxic, asphyxiant, suffocating, or anesthetic fumes stored in remote or isolated locations when not in use?<br>

32.0 Hazardous Substances Communication

  • 32.1 Is there a list of hazardous substances used in your workplace and an MSDS readily available for each hazardous substance used?<br>

  • 32.2 Is there a current written exposure control plan for occupational exposure to bloodborne pathogens and other potentially infectious materials, where applicable?<br>

  • 32.3 Is there a written hazard communication program dealing with MSDSs, labeling and employee training?<br>

  • 32.4 Is each container for a hazardous substance (i.e., vats, bottles, storage tanks, etc.) labeled with product identity and a hazard warning (communication of the specific health hazards and physical hazards)?<br>

  • 32.5 Is there an employee training program for hazardous substances that includes:

  • an explanation of what an MSDS is and how to use and obtain one;

  • MSDS contents for each hazardous substance or class of substances;

  • explanation of "A Right to Know";

  • identification of where an employee can see the written hazard communication program;

  • location of physical and health hazards in particular work areas and the specific protective measures to be used; and

  • details of the hazard communication program, including how to use the labeling system and MSDSs.

  • 32.6 Does the employee training program on the bloodborne pathogens standard contain the following elements:

  • an accessible copy of the standard and an explanation of its contents;

  • a general explanation of the epidemiology and symptoms of bloodborne diseases

  • an explanation of the modes of transmission of Bloodborne Pathogens;

  • an explanation of the employer's exposure control plan and the means by which employees can obtain a copy of the written plan;

  • an explanation of the appropriate methods for recognizing tasks and the other activities that may involve exposure to blood and other potentially infectious materials;

  • an explanation of the use and limitations of methods that will prevent or reduce exposure, including appropriate engineering controls, work practices and PPE;

  • information on the types, proper use, location, removal, handling, decontamination and disposal of PPE;

  • an explanation of the basis for selection of PPE;

  • information on the hepatitis B vaccine;

  • information on the appropriate actions to take and persons to contact in an emergency involving blood or other potentially infectious materials;

  • an explanation of the procedure to follow if an exposure incident occurs, including the methods of reporting the incident and the medical follow-up that will be made available;

  • information on post-exposure evaluations and follow-up; and

  • an explanation of signs, labels and color coding.

  • 32.7 Are employees trained in:<br><br>

  • how to recognize tasks that might result in occupational exposure;

  • how to use work practice, engineering controls and PPE, and their limitations;

  • how to obtain information on the types, selection, proper use, location, removal, handling, decontamination and disposal of PPE; and

  • who to contact and what to do in an emergency.

33.0 Electrical

  • 33.1 Do you require compliance with OSHA standards for all contract electrical work?<br>

  • 33.2 Are all employees required to report any obvious hazard to life or property in connection with electrical equipment or lines as soon as possible?<br>

  • 33.3 Are employees instructed to make preliminary inspections and/or appropriate tests to determine conditions before starting work on electrical equipment or lines?<br>

  • 33.4 When electrical equipment or lines are to be serviced, maintained, or adjusted, are necessary switches opened, locked out or tagged, whenever possible?<br>

  • 33.5 Are portable electrical tools and equipment grounded or of the double insulated type?<br>

  • 33.6 Are electrical appliances such as vacuum cleaners, polishers, vending machines, etc., grounded?<br>

  • 33.7 Do extension cords have a grounding conductor?<br>

  • 33.8 Are multiple plug adaptors prohibited?<br>

  • 33.11 Do you have electrical installations in hazardous dust or vapor areas? If so, do they meet the National Electrical Code (NEC) for hazardous locations?<br>

  • 33.12 Are exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly?<br>

  • 33.13 Are flexible cords and cables free of splices or taps?<br>

  • 33.14 Are clamps or other securing means provided on flexible cords or cables at plugs, receptacles, tools, equipment, etc., and is the cord jacket securely held in place?<br>

  • 33.15 Are all cord, cable and raceway connections intact and secure?<br>

  • 33.16 In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected?<br>

  • 33.17 Is the location of electrical power lines and cables (overhead, underground, under floor, other side of walls, etc.) determined before digging, drilling, or similar work is begun?<br>

  • 33.25 Is sufficient access and working space provided and maintained around all electrical equipment to permit ready and safe operations and maintenance?<br>

  • 33.26 Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?<br>

  • 33.27 Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?<br>

  • 33.33 Are employees who regularly work on or around energized electrical equipment or lines instructed in cardiopulmonary resuscitation (CPR)?<br>

37.0 Materials Handling

  • 37.1 Is there safe clearance for equipment through aisles and doorways?<br>

  • 37.2 Are aisleways permanently marked and kept clear to allow unhindered passage?<br>

  • 37.5 Are containers of liquid combustibles or flammables, when stacked while being moved, always protected by dunnage (packing material) sufficient to provide stability?<br>

  • 37.16 Are provisions made to ensure that no one is below when hoisting material or equipment?<br>

  • 37.17 Are MSDSs available to employees handling hazardous substances?<br>

Sign Off

  • Auditor

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.