Risk Management Audit v2

• Document No.

• Audit Title

• Department(s)

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Using the slider, if there were no non-conformances, slide to the right to score 4 points. For each non-conformance, slide to the left for each non-conformance. The number will appear below the slider.
  Each heading has a score of 4 points. Each non-conformance deducts 1 point. At 0 we stop counting.
  The auditor is required to discuss this report with department Manager, Supervisor, or IFR team member prior to leaving the area.
  

Waste & Recycling

• Containers labeled

• Findings

• Contents of container match label

• Findings

• Are containers emptied regularly? (Not overflowing)

• Findings

• Are all team members aware &involved in recycling efforts?

• Findings

• Are floors free of waste & recycleables?

• Findings

Housekeeping

• Slip / trip /fall hazards not present

• Findings

• All areas are neat & organized / there are no open containers on equipment

• Findings

• Aisles & exits are marked and not blocked

• Findings

• Tobacco free environment is being sustained

• Findings

• No oil on the floor

• Findings

Electrical Safety & Condition of Equipment

• Electrical panels / power cabinets are closed & unobstructed

• Findings

• Pinch points are marked & guarded

• Findings

• Extension cords are not being used as permanent wiring

• Findings

• Guards are in place

• Findings

• No exposed or loose wires, or missing knockouts

• Findings

General Safety

• E-stops are clearly marked & in proper working order.

• Findings

• Proper use of lock out tag out

• Findings

• Fire extinguishers present, in working order, ¬ obstructed

• Findings

• Eye wash & safety showers in proper condition, caps on, proper flow, & inspected regularly

• Findings

• Scissors & small hand tools being used properly & in good condition

• Findings

BLAST Based Safety

• Observations completed weekly by all shifts & on all work days

• Findings

• Current BBS results posted & communicated

• Findings

• Observation cards readily available in department

• Findings

• Department meets th required percentage of weekly observations

• Findings

• Discuss BBS & give positive reenforcement to at least 2 team members while in the area

• Findings

Other Concerns - please note items outside the scope of this audit that were observed and require corrective action.

• Other concerns

  Yes

  No

  N/A

• Report was discussed with department manager, supervisor, or IFR team member prior to leaving the area. Note: this is a requirement for the auditor to complete.

  Yes

  No

  N/A

• Department Manager, Supervisor, or IFR Team Member name (s)

• My Initials indicate that the report was reviewed with me.

  Sign