Information
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AUDIT TITLE
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SITE LOCATION WHERE AUDIT IS CONDUCTED
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AUDIT CONDUCTED ON
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AUDIT TEAM MEMBERS
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SITE PERSONNEL MET DURING THE AUDIT
General Chemical Queries
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What work is being performed that involves the use of chemicals
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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What chemicals are being used? Is the chemical inventory up to date?
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What are the quantities of each chemical being used?
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How are chemicals being delivered to the worksite?
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Are the chemicals correctly labelled (full name, hazardous nature, concentration, etc)?
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Is there an SDS available for every chemical?
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Has a chemical risk assessment been performed for every task that involves using chemicals?
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Action Required to correct issue:
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Is there a spill kit available?
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Does the staff know how to clean spills?
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Are those employees who work with chemicals properly trained to do so?
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Action Required to correct issue:
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SUMMARY
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Remarks:
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Add media
Chemical Storage and Safety
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Are the chemical containers properly stored (avoiding sunlight, bunded, damage, free and not leaking) and closed when not in use?
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Action Required to correct issue:
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Are the chemicals segregated and stored by compatibility?
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Is secondary containment used where appropriate?
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Are the chemical storage areas free of ignition sources?
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Are corrosive storage cabinet(s) used if required?
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Are chemicals purchased in amounts that can be used within a reasonable time?
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Are chemical stocks purged of old, out-dated, and unusable chemicals?
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Action Required to correct issue:
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Are gas cylinders properly secured?
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Are flammables kept away from sources of heat, ignition, flames, etc?
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Are corrosive materials stored low to the ground?
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Are carcinogen storage area(s) labelled?
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Are chemicals in the open kept to a minimum?
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SUMMARY
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Remarks:
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Add media
Compress Air and Compressed Gases
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Are air compressors equipped with pressure gauges and pressure relief valves?
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Action Required to correct issue:
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Are compressed air piping, hoses and fittings in good condition?
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Is compressed air 30 psi or less used for machine/parts cleaning?
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Do the compressed air cleaning nozzles have a chip/particle deflection device?
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Are gas cylinders legibly marked as their contents?
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Are gas cylinders stored away from high heat, flames, etc?
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Are gas cylinders stored in secure area and secured from tipping or falling?
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Are gas cylinders transported on cylinder carts?
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When in use, are gas cylinders kept away from elevators, stairs, and ramps?
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Are liquefied gases cylinders (acetylene) always shipped and stored value-end up?
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Are the proper types of regulators used for the type of gas cylinders in use?
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Are gas cylinders, valves, couplings, regulators kept free of oil and grease?
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Are gas cylinders lacking obvious defects, leaks, damage, etc?
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Are empty gas cylinders labelled "empty" , have their valves closed, and caps on?
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Action Required to correct issue:
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Are oxygen and acetylene in storage separated by 5'' non-combustible barrier?
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Have operatives received gas handling safety training?
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SUMMARY
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Remarks
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Add media
Manuals, Training, SOP's, MSDS's, WTI's, Occ. Health
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Are appropriate safety manual(s) available?
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Action Required to correct issue:
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Are Standard Operating Procedures & Material Safety Data and Work Task Instructions readily available?
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Is applicable hazardous substances initial/refresher training completed?
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SUMMARY
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Remarks
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Add media
Safety Equipment and Emergency Preparedness
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Is there a safety shower nearby? (Is it within 100ft and 10 second travel time of chemical usage?)
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Action Required to correct issue:
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Are the eyewash and safety shower unit inspection/ functional test logbooks available?
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Is the appropriate spill control kit available and stocked?
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Are the spill and accident reporting procedures understood by personnel?
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Is the appropriate first aid kit available and stocked?
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Is the emergency contact information posted by entrance (and by phone if present) ?
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Action Required to correct issue:
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Action by Whom:
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SUMMARY
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Remarks:
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Add media
Fire Prevention and Inspection
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Are the fire extinguishers properly mounted, located, and identified?
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Action Required to correct issue:
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Are the fire extinguishers adequate in number and type?
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Are the fire extinguishers inspected, recharged, and maintained as required?
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Are the flammable liquids stored in approved safety cans?
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Have the operatives received training in the use of fire extinguishers?
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Are the flammable liquid containers kept close when not in use?
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Are the flammable liquids of 10 gallons or more stored in flammable storage cabinet?
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Are the flammable storage cabinets labelled " Flammable" ?
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Action Required to correct issue:
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Are the connections on drums and combustible liquid piping leak free?
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Are the flammable liquid drums grounded and bonded to containers when dispensing?
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Is there proper storage of flammable/combustible materials to reduce risk of fire?
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Action Required to correct issue:
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Are oily/greasy rags placed in proper self-closing oily rag containers?
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Action Required to correct issue:
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Action by Whom:
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SUMMARY
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Remarks:
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Add media
Chemical Relevant PPE
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Is the PPE/RPE being used in agreement with the SDS PPE/RPE specifications?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Have the personnel been trained in the correct use of the PPE/RPE?
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Action Required to correct issue:
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Action by Whom:
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Is the certification on the PPE/RPE in date?
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Action Required to correct issue:
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Action by Whom:
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Is the PPE/RPE stored as per the instructions set out by the manufacture?
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Action Required to correct issue:
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SUMMARY
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Remarks:
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Add media
Sign off
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Remarks
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Supplementary Photos
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Site Manager
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Inspection Auditor 1
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Inspection Auditor 2
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Date/Time
