SAFE T FIRST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Showroom

• Exit Signs and Emergency Lights Luminated (test emergency lights

  Yes

  No

  N/A

• Fire Extinguishers (inspected and tags been initial )

  Yes

  No

  N/A

• Exit Route/Emergency Evacuation Plan Posted

  Yes

  No

  N/A

• Exits have a clear path way

  Yes

  No

  N/A

• Fire doors closed

  Yes

  No

  N/A

• Ask employee if they know where the meeting place is in a evacuation

Enter employees name and response

• Are there any electrical cord violation ( house hold cords, ext cords plugged into surge protectors)

  Yes

  No

  N/A

• General electrical condition ok ( electrical plugs broken, GFI, wires exposed)

  Yes

  No

  N/A

• Portable Heaters (do they have tip over protection

  Yes

  No

  N/A

• House keeping ok

  Yes

  No

  N/A

• Miscellaneous

  Yes

  No

  N/A

Office

• Exit Signs and Emergency Lights Luminated (test emergency lights

  Yes

  No

  N/A

• Fire Extinguishers (inspected and tags been initial )

  Yes

  No

  N/A

• Exit Route/Emergency Evacuation Plan Posted

  Yes

  No

  N/A

• Exits have a clear path way

  Yes

  No

  N/A

• Fire doors closed

  Yes

  No

  N/A

• Ask employee if they know where the meeting place is in a evacuation

Enter employees name and response

• Are there any electrical cord violation ( house hold cords, ext cords plugged into surge protectors)

  Yes

  No

  N/A

• Did employee know where the meeting place is

  Yes

  No

  N/A

• General electrical condition ok ( electrical plugs broken, GFI, wires exposed)

  Yes

  No

  N/A

• Portable Heaters (do they have tip over protection

  Yes

  No

  N/A

• House keeping ok

  Yes

  No

  N/A

• Miscellaneous

  Yes

  No

  N/A

Service Shop

• Exit Signs and Emergency Lights Luminated (test emergency lights

  Yes

  No

  N/A

• Fire Extinguishers (inspected and tags been initial )

  Yes

  No

  N/A

• Exit Route/Emergency Evacuation Plan Posted

  Yes

  No

  N/A

• Exits have a clear path way

  Yes

  No

  N/A

• Fire doors closed

  Yes

  No

  N/A

• Ask employee if they know where the meeting place is in a evacuation

Enter employees name and response

• Are there any electrical cord violation ( house hold cords, ext cords plugged into surge protectors drop lights)

  Yes

  No

  N/A

• General electrical condition ok ( electrical plugs broken, GFI, wires exposed)

  Yes

  No

  N/A

• First aid kit stocked( bandages, oneway valve,gloves)

  Yes

  No

  N/A

• Eyewash station

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

• Filled and up to date on fluid replacement ( every 90 days)

  Yes

  No

  N/A

• Clear pathway

  Yes

  No

  N/A

• Lifts,Cables,Safety Latches,Oil Levels,Motor good working conditions

  Yes

  No

  N/A

• Shop air hoses in good condition

  Yes

  No

  N/A

• Personal protective equipment ,supplies ok

  Yes

  No

  N/A

• Parts washers have emergency protection

  Yes

  No

  N/A

• Bench Grinder present

  Yes

  No

  N/A

• Is bench grinder secured to floor

  Yes

  No

  N/A

• Is bench grinder up to specification ( 1/4 for spark rest 1/8 for work rest)

  Yes

  No

  N/A

• Floor Jacks, Jack Stands labeled for capacity

  Yes

  No

  N/A

• Compressor present

  Yes

  No

  N/A

• Compressor have a pressure gauge and in good working condition

  Yes

  No

  N/A

• Compressor have a fan cage and is ok

  Yes

  No

  N/A

• Compressor have a pressure relief valve

  Yes

  No

  N/A

• Floor gates free from trip hazards and in good conditions

  Yes

  No

  N/A

• General house keeping

  Yes

  No

  N/A

• Chemical bottle labeled

  Yes

  No

  N/A

• Miscellaneous

  Yes

  No

  N/A

Parts Department

• Exit Signs and Emergency Lights Luminated (test emergency lights

  Yes

  No

  N/A

• Fire Extinguishers (inspected and tags been initial )

  Yes

  No

  N/A

• Exit Route/Emergency Evacuation Plan Posted

  Yes

  No

  N/A

• Exits have a clear path way

  Yes

  No

  N/A

• Fire doors closed

  Yes

  No

  N/A

• Ask employee if they know where the meeting place is in a evacuation

Enter employees name and response

• Are there any electrical cord violation ( house hold cords, ext cords plugged into surge protectors)

  Yes

  No

  N/A

• General electrical condition ok ( electrical plugs broken, GFI, wires exposed)

  Yes

  No

  N/A

• Parts aisles clear

  Yes

  No

  N/A

• Parts roller doors clear and up to date on fire drop test

  Yes

  No

  N/A

• General house keeping

  Yes

  No

  N/A

• Miscellaneous

  Yes

  No

  N/A

General

• Hot water tank present

  Yes

  No

  N/A

• Hot eater tank have 18" of clearance around tank

  Yes

  No

  N/A

• Hot water tank have overflow tube ( 6" from floor)

  Yes

  No

  N/A

• Miscellaneous

  Yes

  No

  N/A

Detail Department

• Exit Signs and Emergency Lights Luminated (test emergency lights

  Yes

  No

  N/A

• Fire Extinguishers (inspected and tags been initial )

  Yes

  No

  N/A

• Exit Route/Emergency Evacuation Plan Posted

  Yes

  No

  N/A

• Exits have a clear path way

  Yes

  No

  N/A

• Fire doors closed

  Yes

  No

  N/A

• Ask employee if they know where the meeting place is in a evacuation

Enter employees name and response

• Did employee know where the meeting place is

  Yes

  No

  N/A

• Are there any electrical cord violation ( house hold cords, ext cords plugged into surge protectors)

  Yes

  No

  N/A

• General electrical condition ok ( electrical plugs broken, GFI, wires exposed)

  Yes

  No

  N/A

• Chemical bottle labeled

  Yes

  No

  N/A

Aboveground Storage tank Inspection

Tank number

• Is tank free from any visible leaks from piping or dispenser

  Yes

  No

  N/A

• Is tank in good condition ( no rust,cracking,bulges)

  Yes

  No

  N/A

• Are NFADA provided label legible

  Yes

  No

  N/A

• Does tank have a gauge or high level alarm and is it functionally properly

  Yes

  No

  N/A

• If tank has a dike,is it clean and drain valve closed and locked

  Yes

  No

  N/A

MSD Book

• Is book present

  Yes

  No

  N/A

• Index in book

  Yes

  No

  N/A

• Ask employee where the MSD book is located

Enter employees name response

• Ask employee if given a chemical can they retrieve the safety data sheet for that chemical

Enter employee name and response

Audit is Complete

• Please Print Name and Title

  Sign