Title Page
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District:
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Date:
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Department:
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Name of Auditor:
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Audit Completed By:
Personal Protective Equipment
Observe employees working and check for:
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Safety Glasses, Prescription Safety Glasses
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Hard Hat
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Safety Glasses, Face Shields, Welding Hoods
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Steel Toe Boots
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Respiratory Protection
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Hearing Protection
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Chemical PPE
AED
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Is the AED properly stored in an armed Cabinet?
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Is the green light flashing on the AED itself?
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Is the black bag containing BBP protection attached and fully stocked?
Fire Extinguishers and Fire Prevention:
Are all fire extinguishers?
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Fully Charged
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Inspected for the month
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Annually Inspected for current year
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Canisters in good condition
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Hose nozzle tight
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Pins with keepers present
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Marked with a Fire Extinguisher sign above mount
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Accessible and free of obstructions
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Within 75 feet from where employees are working
Fire Prevention:
Are the following fire prevention measures in place?
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Flammable fluids in authorized containers
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Flammable fluid containers equipped w/ lids or caps
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All containers w/ flammable fluids labeled
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Work area free of Flammable fluid spills
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Outlets around flammable fluids equipped w/ outlet covers
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Electrical Panels closed
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Propane Tanks stored in rack
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Acetylene and Oxygen tanks segregated at 10 ft.
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Pressurized gas canisters away from combustibles
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Pressurized gas canisters 25ft away from corrosives
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All pressurized gas canisters secure in racks
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Valve protection caps on all gas cylinders
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All valves on pressurized cylinders in off position when not in use
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Aerosol cans being stored in flammable cabinets
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All aerosol cans disposed of properly and off the ground
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Oxidizer materials segregated 10ft from flammable fluids
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Corrosives and Flammable fluids segregated and stored in separate areas
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Trash cans emptied on a regular basis
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Tender picked up off of the floors
Lock Out / Tag Out
Make sure all lock out / tag out procedures are in place and being followed.
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All units being repaired LOTO
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All units on the down line LOTO
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Are there written procedures for each LOTO unit
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LOTO devices readily available
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LOTO devices in good working order
Power Hand Tools and Extension Cords
Check all power and hand tools for the following:
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All power tools are properly mounted and used in a safe area
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Extra Extension Cords and Extension Cords on all power tools in good condition and not used as permanent wiring
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Guards in place on grinders, saws and drills
Platform Ladders and Step Ladders
Are all ladders inspected and compliant?
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Are ladders stored properly
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Maximum capacity indicated on all ladders
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Verify if ladder inspections are current and utilized
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Are all ladders in good working order
Forklifts and Aerial Lifts
Do all the forklifts and aerial lifts have the following?
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Inspections are current and present
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Last 90 days of inspection current in file
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Operators manual is on forklift
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All lights functional
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Back up alarms functional
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Seat belts functional
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Forklifts indicate load capacity
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Proof of preventative maintenance records
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Fire Extinguishers in place w/ current inspections
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Were discrepancies cleared
Lift Chains and Straps
Do all lift chains and straps have the following?
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Visible weight capacity
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Annual certifications for all lifting chains
SDS Sheets
Ensure all SDS books are?
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Up to date if new chemicals have been added
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Present in all areas where chemicals are stored
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Neat and organized
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Accessible and unobstructed
Chemical Storage Area's
Make sure that the following chemical storage areas are following these practices.
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Corrosives, Flammables and Oxidizers are properly segregated and stored correctly.
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All chemicals containers outside are over containment.
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Spill kits full and readily available
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Free of slip, trip and fall hazards
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Totes stacked safely
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All containers labeled
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NFPA Diamonds posted on chemical storage
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Chemical Inventory is available and current
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Hazard communication program is posted
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Storage is neat, clean and organized
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Chemical PPE is readily available
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No food in chemical areas
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Spills cleaned up immediately
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Flamable cabinets kept neat and orderly nothing stacked on top
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Waste profiled and picked up
Radiation Denso Meters and RAD Storage
Denso meters and RAD storage areas should have:
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Documentation current and available for all densos
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Denso Meters in the locked and closed positions
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Legible signage on denso meters connected to units.
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Denso Storage sign in sheet current and available
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Signage on RAD storage and locked
Shop Overhead Cranes
Verify that all overhead cranes have:
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Proof of preventative maintenance
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Daily, Monthly and Yearly inspections are current and available.
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Each crane is in good working order
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Tag lines available
House Keeping in the Shop and Yard.
Ensure that the shop is clean and free of hazards:
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Are fluids contained and cleaned up off of floors
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Have Slip Trip and fall hazards been addressed?
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Trash cans equipped w/ lids in shop to prevent attracting bees.
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All exits free of obstructions
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Are waste streams segregated (i.e. oil absorbent, trash, used hoses)?
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Metal cans for oily rags?
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No overhead falling or crushing hazards
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Is trash cleaned up in the yard and shop
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Excess iron in yard picked up and stored in appropriate area.
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Batteries stored over spill containment pallets
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Is all garbage and debris picked up from the yard
Safety Shower and Eye Wash Stations
All safety showers should be:
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Inspected for the month
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Ran 3 minutes to flush out bacteria
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Illuminated
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Free of hazardous water due to hot or cold temperatures.
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In good working order
Spill Prevention
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Are there any spills on the yard?
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Have these spills been documented and reported?
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Report to HSE and Facilities to facilitate clean up.
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Is the facility subject to the SPCC plan rule (aggregate oil storage > 1,320-gallons)?
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Are secondary containment's sufficient for storage
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Has an SPCC been prepared for the facility?
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Have fluids and trash been removed from containment?
Test Stand Area
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Are all valves associated with the test stand closed?
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Upon Visual Inspection are the valves sealing correctly?
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Is the main valve closed?
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Has someone from Facilities Been Notified?
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Name and Date of person notified.
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Are the Blast panels in place in case of parting Iron?
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Is the pressure area marked off with Red Chain during the test?
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Are Danger Signs in place around the testing area?
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Is Equipment rigged is as per the SOP?
Wash Bay Areas
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Are the Wash wands in good working order?
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Is the wash bay free of sand?
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Is the floor and walls cleaned after each use?
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Are the valves closed when not in use?
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Are Fittings free of leaks?
Comments
Completed By
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District manager
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HSE Rep
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Facilities Manager