Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by Bejoy

  • Location
  • Personnel

  • Items marked as "Blue Book" are checks that are included in the Environmental Binder, which is held in the shipping Foreman's office. If an item is marked as Blue Book Only, please make any CAR notations in that binder.

1. Area is neat, orderly, and free of minor spills. SPPM 51.3

  • Spill Kit available?

  • Is the area free of debris, trash, and minor spills; pallets stacked neatly (Blue Book, daily #2).

  • Check trash cans/dumpsters for improper disposal of flammable or hazardous materials, visual inspection. Check that trash cans/cumpsters are not full and are covered if located outside (Blue Book, daily #1).

  • Oily rag disposal cans free of damage, lid closes tightly, disposal proper (Blue Book, daily #5).

  • Check all Pallets (remove any unserviceable or broken pallets).

  • Check department vehcile/equipment storage areas (inside and outside) for leaky vehicles/equipment, oil/grease on ground and general condition (Blue Book Only, daily #3). (EPM 3/01, 4.06.02, 4.08.32)

  • Verify "in process" activities involving discharges to a drain are utilizing Batch Tank Discharge Procedures. Floor scrubber water must go down Industrial Drain. Follow procedures for testing wastes when uncertain on appropriate waste stream (Blue Book Only, daily #9). EPM 4.09.03.150

2. Exit toures are clear and properly marked. SPPM 40.3

  • Accessible, clear of debris and trash.

  • Proper markings, (Fire, Exit, or Not an Exit) clearly marked.

3. Eyewash stations. SPPM 41.4

  • Sealed - expiration date.

  • Accessible

4. Fire Extinguishers. SPPM 42.3

  • Easily accessible.

  • Expiration date and Inspection tages and dates.

  • Charge/safety pin/seal

5. Circuit Panels and emergency cut offs. SPPM 51.3, 51.4

  • Accessible

  • Proper cover.

  • Marked.

6. PPE located in required areas. SPPM 74

  • PPE in required areas?

7. Equipment Checklists. SPPM64

  • Completed every day for all equipment and filed.

Discrepancies

  • Enter Discrepancies Here:

  • Corrective Action Report (C.A.R.)#

Daily Checklist Completed By:

  • Employee #

  • Shift / Dept / Loc

  • Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.