Information
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Plant:
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Document No.
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Company
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Conducted on
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Prepared by
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Location
1.0 - Environmental
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1.1 - Air Pollution permit available for review?
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1.2 - Daily air records up to date?
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1.3 - PM10 records up to date?
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1.4 - In compliance with air permit conditions?
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1.5 - Stormwater Pollution permit available for review?
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1.6 - SWPPP records up to date?
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1.7 - In compliance with water permit conditions?
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1.8 - Outfalls are marked and sufficient?
2.0 - Fire Prevention
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2.1 - Evacuation plan posted in common areas?
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2.2 - Employees trained on evacuation procedures?
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2.3 - Extinguishers in place and clearly marked?
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2.4 - Extinguishers annual service complete?
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2.5 - Monthly extinguisher inspections complete?
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2.6 - Extinguishers clear of obstructions?
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2.7 - Adequate direction notices for fire exits?
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2.8 - Exit doors easily opened from inside?
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2.9 - Exits clear of obstructions?
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2.10 - Functional alarm/alert system in place?
3.0 - General Lighting
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3.1 - Light fixtures in good repair (not temporary)?
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3.2 - Emergency exit lighting operable?
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3.3 - Bulbs below 8' protected?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and egress paths kept clear?
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4.3 - Stair and risers kept clear?
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4.4 - Railings in place where required (48" elevation)
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4.5 - Are railings in good condition?
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4.6 - Are fall preventive measures in place and used where gaps occur in railings?
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4.7 - Are floor holes covered/protected?
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4.8 - Are footpaths in good condition?
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4.9 - Are harnesses in good condition?
5.0 - Work Benches
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5.1 - Clear of rubbish?
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5.2 - Tools not in use kept in place?
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5.3 - No damaged hand tools in use?
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5.4 - No damaged power tools in use?
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5.5 - Overhead light bulbs protected?
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5.6 - Are bottle jacks labeled with their capacity?
6.0 - Waste/Trash
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6.1 - Bins located at suitable points around site?
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6.2 - Bins emptied regularly?
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6.3 - Bins are covered and kept closed?
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6.4 - Oily rags kept in covered metal containers?
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6.5 - Steel drums stored elevated off of the ground?
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6.6 - Special waste disposed of properly?
7.0 - Plant and Machinery
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7.1 - Plant and machinery kept clean?
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7.2 - Guards installed where required?
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7.3 - Guards in good condition?
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7.4 - Starting and stopping devices within easy reach of operator?
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7.5 - Drip pans on floor where required?
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7.6 - Equipment specific lockout procedures available?
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7.7 - Are lockout procedures implemented and followed?
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7.8 - Adequate lockout equipment available?
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7.9 - Oxygen and Acetylene cylinders separated when not in use?
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7.10 - Stored cylinders are capped?
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7.11 - Are gas cylinders secured upright?
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7.12 - Gas torches are equipped with backflow and flash protection?
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7.13 - Cylinder valves are kept closed when not in use?
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7.14 - Personnel operating special equipment are properly trained?
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7.15 - PPE stored properly and clean?
8.0 - Signage
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8.1 - Confined space signs adequate?
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8.2 - Lockout signs adequate?
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8.3 - DOL postings are available and current?
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8.4 - Other required signage appropriate?
9.0 - Electrical Safety
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9.1 - Wiring is installed properly and in good condition?
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9.2 - GFCI protection used in wet locations?
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9.3 - No multi adapters in use?
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9.4 - No broken plugs, sockets or switches?
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9.5 - No power leads across walkways?
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9.6 - No frayed or damaged cords?
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9.7 - No strained leads?
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9.8 - No exposed electrical components?
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9.9 - Breakers and disconnects are labeled
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9.10 - Electrical panels compliant and accessible?
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9.11 - Portable power tools in good condition?
10.0 - Chemical Safety
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10.1 - MSDS available for all chemicals?
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10.2 - All containers labelled correctly?
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10.3 - Unused substances disposed of?
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10.4 - Storage tanks properly labeled?
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10.5 - Fuel tanks have proper containment?
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10.6 - If applicable are special storage conditions followed?
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10.7 - Where required is PPE available?
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10.8 - Spills are immediately cleaned up?
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10.9 - Eyewash stations easily accessed?
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10.10 - Eyewash stations maintained and compliant?
11.0 Ladders
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11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
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11.2 - Are ladders in good condition?
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11.3 - Used according to instructions?
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11.4 - For extension ladders are ropes, pulleys and treads in a good state of repair?
12.0 - First Aid Facilities
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12.1 - Are cabinets and contents clean and orderly?
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12.2 - Are contents regularly checked?
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12.3 - No contents past their expiry date?
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12.4 - Cabinets clearly labelled?
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12.5 - Is there easy access to cabinets?
13.0 - Miscellaneous
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13.1 - General Duty Clause
Sign Off
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On site representative
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Auditor's signature
