Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Employer postings
Republic Plastics Health and Safety Program/Conformance to OSHA Standards
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed by all shifts?
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1.2 - Are there outstanding issues to be corrected?
2.0 - Fire Prevention, Protection, and Emergency Action Plan
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2.1 - Evacuation plan displayed and understood by all employees?
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2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)
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2.3 - Extinguishers in place, clearly marked for type of fire?
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2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
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2.5 - Extinguishers clear of obstructions?
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2.6 - Extinguisher no more than 1200 mm max height & base not lower that 100 mm?
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2.7 - Indicator signs 2.1 m above floor level?
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2.8 - Adequate direction notices for fire exits?
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2.9 - Exit doors easily opened from inside?
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2.10 - Exits clear of obstructions?
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2.11 - Fire alarm system functioning correctly?
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2.12 - Local Fire Department visits (2 per year)
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2.13- Standpipes inspected.
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2.14 - Sprinkler systems inspected.
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 - Reflected light from walls & ceilings not causing glare to employees?
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3.3 - Light fittings clean and in good condition?
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3.4 - Emergency exit lighting operable?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately and clearly marked?
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4.4 - Intersections kept clear of boxes etc?
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4.5 - Stair and risers kept clear?
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4.6 - Are liquid spills removed quickly?
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4.7 - Are railings in good condition?
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4.8 - Are fall preventive measures in place and used where gaps occur in railings?
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4.9 - Are footpaths in good condition?
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4.10 Equipment in sound condition.
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4.11 - Loading area clean and tidy?
5.0 - Work Areas
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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 - Work height correct for the type of work and the employee?
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5.6 - No sharp edges?
6.0 - Reclamation and Rubbish Removal
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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 - Oily rags and combustible refuse in covered metal containers?
7.0 - Storage Design and Use
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7.1 - Materials stored in racks and bins wherever possible?
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7.2 - Storage designed to minimize lifting problems?
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7.3 - Floors around racking clear of rubbish?
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7.4 - General condition of racks and pallets? Suitable space requirements for sprinklers.
8.0 - Machines/Sort Initiative
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8.1 - Are they kept clean? Identify unneeded items stored on or near equipment.
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8.2 - Are the floors around the machines kept clean, and free of trip hazards?
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8.3 - Guards in good condition?
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8.4 - Starting and stopping devices within easy reach of operator?
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8.5 - Waste/off cuts removed and stored safely?
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8.6 - Drip pans on floor to prevent spillage?
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8.7 - Adequate work space?
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8.8 - Is lighting adequate?
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8.9 - Noise levels controlled?
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8.10 - No bending or stooping required?
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8.11 - Fire extinguishers stored in proper place and readlily available.
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8.12 - Operators trained/inducted into the operation of the machines?
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8.13 - Is the training recorded?
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8.14 - Do operators comply with the training?
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8.15 - Are lockout procedures implemented and followed?
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8.16 - Are gas bottles stored and secured properly?
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Are static electricity indicators effective
9.0 - Electrical Safety
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9.1 - Safety switches installed?
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9.2 - Safety switches tested every month and tests recorded?
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9.3 - No double adapters in use?
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9.4 - Portable equipment tested and tagged?
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9.5 - No broken plugs, sockets or switches?
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9.6 - No power leads across walkways?
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9.7 - No frayed, strained, damaged, or taped leads?
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9.8 - Cords and equipment that do not meet requirements immediately tagged and removed from service until repairs have been made.
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9.9 - Portable power tools and cords in good condition, properly grounded?
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9.10 - Where required are emergency shut-down (LOTO) procedures in place?
10.0 - Chemical Safety
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10.1 - Hazardous Substance Register complete and available?
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10.2 - Safety Data Sheets available for all chemicals? GHS knowledgable?
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10.3 - Risk assessments completed for hazardous substances?
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10.4 - All containers labelled correctly?
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10.5 - Unused substances disposed of?
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10.6 - Do special storage conditions apply?
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10.7 - If applicable are special storage conditions followed?
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10.8 - Workers trained and knowledable in the use of hazardous substances?
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10.9 - If required is PPE available?
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10.10 - Is adequate ventilation provided?
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10.11 - Are eye washes and showers easily accessed, and regularly maintained?
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 - If used for electrical work are they non conductive? (Wood or fibre glass.)
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11.4 - Used according to instructions?
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11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?
12.0 - Medical Services and First Aid
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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 expire date?
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12.4 - Cabinets clearly labelled?
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12.5 - Is there easy access to cabinets?
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12.6 - Employees aware of location of first aid cabinet?
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12.7 - Are AED devices available and checked regularly?
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12.8 - Are emergency numbers displayed?
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12.9 - Employees qualified to render first aid and CPR
13.0 - Office Hazards
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13.1 - Condition of filing cabinets?
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13.2 - Condition of chairs? (Five star bases.)
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13.3 - Desks in good condition? (No damage.)
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13.4 - Screen Based Equipment positioned to reduce glare from windows etc?
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13.5 - Photocopiers positioned to avoid fumes?
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13.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)
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13.7 - Air conditioning systems regularly maintained?
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13.8 - Stable non-slip floor coverings in good condition?
14.0 - Vehicles and Forklifts?
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14.1 - Schedule maintenance performed?
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14.2 - Condition of tires?
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14.3 - Brake performance?
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14.4 - Lights? (Check operation of brake, indicator and reversing lights)
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14.5 - Condition of drivers seat?
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14.6 - Condition of other seats?
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14.7 - First aid kit supplied and adequate?
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14.8 - Storage provisions?
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14.9 - Use specific; Thermoforming, Extrusion, Maintenance, and Warehouse
15.0 - Exterior Survey
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15.1 - Building security concerns
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15.2- Safety and housecleaning visul check
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15.3 - Railway safety and visual check
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15.4 - Loading dock and DOT concerns
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15.5 - Isobutane tank and piping visual/sniffer inspections
16.0 - Hazard Assessment/Forecasting
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16.1 - Impacts/collisions with stationary items
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16.2 - Sources of high temperatures
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16.3 - Harmful chemicals, dusts, and mists
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16.4 - Potential for falling objects
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16.5 - Sharp objects
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16.6 - Rolling/pinching points
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16.7 - Hazards relating to workplace layout
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16.8 - Hazards identified by reviewing accident/injury reports
17.0 - PPE/Clothing
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17.1 - Compliance and training
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17.2 - Head, eye, face, hand, and foot protection
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17.3 - Noise protection provided. Testing gauges utilized.
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17.4 - Safety glasses, ear protection, and hair nets
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17.5 - Decontaminated PPE disposal
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17.6 - Is proper emergency PPE being used when flash fires occur.
18.0 - Walkways
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18.1- Guardrails for elevated walkways.
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18.2 - Are spilled materials cleaned up immediately.
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18.3 - Adequate headroom.
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18.5 - Are aisles clear and marked
Floor and Wall Openings
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19.1 - Are there holes or openings in floors and walls.
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19.2 - Are floor openings covered.
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19.3 - Are floor openings guarded.
20.0 - Stairs and stairways
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20.1 - Standard stair rails and handrails.
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20.2 - Do stairs have landing platforms.
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20.3 - Are steps slip-resistant.
21.0 - Lockout/tagout procedures
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21.1 - Do all machines have laminated copies of the procedure.
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22.2 - Safety locks for employees.
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22.3 - Equipment that can't be shut down, is there a procedure to follow.
23.0 - Compressors
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23.1 - Equiped with pressure relief valves and pressure guages.
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23.1 - Kept clean and uncontaminated.
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23.3 - Are safety devices checked regularly
24.0 - Elevated Surfaces
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24.1 - Signs posted.
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24.2 - Is there a permanent means of access and egress.
25.0 - Hotwork safety procedures
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25.1 - Authorized and trained employees permitted
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25.2 - Precautions taken to prevent catastrophic events
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25.3 - Are cylinders kept away from sources of heat
26.0 - Machine guarding
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26.1 - Safety inspection of all machinery and equipment
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26.2 - SOPs in place and followed
27.0 - Hazcom
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27.1 - Potential hazards recognized by all employees
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27.2 - Chemicals stored in acceptable containers and cabinets
28.0 - Flammable and combustables
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28.1 - Proper storage away from ignition sources
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28.2 - Are approved containers being utilized
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28.3 - Appropriate fire extinguishers being used
29.0 - Environmental controls
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29.1 - Bloodborne pathagen concerns
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29.2 - Ventilation systems functioning
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29.3 - Noise levels and PPE
30.0 - Vendors and visitors aware of RP Health & Safety Policies
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30.1 - Signed in
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30.2 - Identification checked
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30.3 - Limited access to warehouse
31.0 - Confined space procedures
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30.1 - Authorized personnel only
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30.2 - LOTO followed at all times
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30.3 - Emergency standby provisions being utilized/secondary rescue team in place.
31.0 - Grinders
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31.1 - PPE precautions
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31.2 - SOPs
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31.3 - Work area free from hazards
32.0 - Exit doors
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32.1 - Do doors open without the use of keys.
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32.2 - Are door pathways clear.
33.0 - Hoist equipment
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33.1 - Safety/ limiting device
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33.2 - Load capacity
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33.3 - Safety stops in good working condition
34.0 - Hand tools and equipment
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34.1 - Are all tools in good condition
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34.2 - Proper PPE being uitilized
35.0 - PPE Sanitization
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35.1 - Vendor being used
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35.2 - Visual check of all employees wearing clean attire
5S Audit Checklist Score
Sign Off
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On site representative
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Auditor's signature