R&M Facility Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Record Review

• 1.1 Inspection records created since the last inspection have been reviewed for completeness and correction of issues.

  Yes

  No

  N/A

2. Housekeeping

• 2.1 All exits, passageways and corridors are clearly marked, illuminated and clear of obstructions and slip or trip hazards.

  Yes

  No

  N/A

• 2.2 All areas are clean, organized and uncluttered with waste stored in the appropriate bin.

  Yes

  No

  N/A

3. Working/Walking Surfaces

• 3.1 All pits, balconies and overhead areas are equipped with the proper guardrails and toe boards.

  Yes

  No

  N/A

• 3.2 All stairs supplied with required handrails.

  Yes

  No

  N/A

4. Emergency Equipment

• 4.1 The emergency Equipment Inspection Report (RM-OCC-004 F2) is completed and up to date.

  Yes

  No

  N/A

• 4.2 Clear and easy access to each fire extinguisher, fire hose, pull station and air horn exits.

  Yes

  No

  N/A

• 4.3 Location of emergency equipment is identified for quick access.

  Yes

  No

  N/A

• 4.4 Spill response equipment has been inventoried and checked within<br>the last month.

  Yes

  No

  N/A

5. First Aid Equipment

• 5.1 Required first aid supplies are stocked and readily available.

  Yes

  No

  N/A

• 5.2 Location of first aid and eye wash supplies is properly identified<br>with clear & easy access.

  Yes

  No

  N/A

• 5.3 Eyewash bottles are clean, full, and have not expired.

  Yes

  No

  N/A

• 5.4 Permanent emergency showers & eyewash stations are clean and have<br>been inspected weekly.

  Yes

  No

  N/A

• 5.5 Portable eyewash stations have been inspected monthly.

  Yes

  No

  N/A

6. Hazardous Materials Control

• 6.1 All propane (LPG) containers are properly stored & labeled.

  Yes

  No

  N/A

• 6.2 Approved flammable storage cabinets are used where required, with<br>no combustible material inside (no cardboard, boxes or paper).

  Yes

  No

  N/A

• 6.3 All compressed gas cylinders are chained in the upright position<br>with cap guards on when not in use.

  Yes

  No

  N/A

• 6.4 All hazardous materials are clearly labeled with the name, hazards<br>and precautions.

  Yes

  No

  N/A

7. Storage Racking

• 7.1 All racks are maintained in a safe & stable condition.

  Yes

  No

  N/A

• 7.2 The weight limits (max. load limits) are clearly stenciled on each<br>arm or shelf.

  Yes

  No

  N/A

• 7.3 All pallets located above 6 feet in height will have items<br>physically secured to the pallet.

  Yes

  No

  N/A

• 7.4 Racks have not exceeded the maximum load limits.

  Yes

  No

  N/A

8. Portable Ladders, Platforms & Personnel Baskets

• 8.1 All equipment shall be maintained in proper working order.

  Yes

  No

  N/A

• 8.2 Damaged or defective equipment shall be tagged and removed from<br>service.

  Yes

  No

  N/A

9. Powered Industrial Trucks

• 9.1 Daily inspections are completed and maintained properly with any<br>deficiencies noted.

  Yes

  No

  N/A

• 9.2 All operators are following the safe operating procedures (speed<br>limit, seat belt, etc.)

  Yes

  No

  N/A

10. Crane & Rigging

• 10.1 Inspections (weekly or monthly) are completed and up to date.

  Yes

  No

  N/A

• 10.2 Annual inspections are completed and up to date.

  Yes

  No

  N/A

• 10.3 All operators are following the safe operating procedures.

  Yes

  No

  N/A

• 10.4 The rated capacities of all cranes are clearly visible.

  Yes

  No

  N/A

11. Machine Guarding

• 11.1 Installed guards are being used properly.

  Yes

  No

  N/A

• 11.2 Guards have not been removed, tampered with or modified.

  Yes

  No

  N/A

• 11.3 Equipment door or access panel safety interlock switches are<br>functioning properly. (Check with the operator & have the switch<br>tested.)

  Yes

  No

  N/A

12. Lockout/Tagout (LOTO)

• 12.1 Are LOTO tags filled in correctly?

  Yes

  No

  N/A

• 12.2 Is there a proper locking device attached?

  Yes

  No

  N/A

13. Welding

• 13.1 Welding operations have the appropriate ventilation & welding<br>screens.

  Yes

  No

  N/A

• 13.2 Is the appropriate welding PPE being used?

  Yes

  No

  N/A

14. Personal Protective Equipment (PPE)

• 14.1 Is the correct PPE being worn by all personnel?

  Yes

  No

  N/A

• 14.2 If not wearing the correct PPE, is a supervisor or manager within<br>20' of the employee?

  Yes

  No

  N/A

• 14.3 Is the required PPE for visitors readily available?

  Yes

  No

  N/A

15. Tools (Power, Air or Hand)

• 15.1 Power cords are in good working order.

  Yes

  No

  N/A

• 15.2 Guards on grinders have not been removed, tampered with or modified.

  Yes

  No

  N/A

• 15.3 Defective tools are placed out of service.

  Yes

  No

  N/A

16. Electrical

• 16.1 Panels have clear access with a 3' exclusion zone & panel door<br>closed.

  Yes

  No

  N/A

• 16.2 Power strips/extension cords are not daisy chained.

  Yes

  No

  N/A

• 16.3 There are no exposed electrical leads/wires.

  Yes

  No

  N/A

• 16.4 Extension cords are not being used for permanent power.

  Yes

  No

  N/A