Safety and Compliance Binder Checklist

• Document No.

• Audit Title

• Area Audited

• Conducted on

  Date

• Prepared by

• Employee #

• Dept / Location / Shift
  Address

• Personnel

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

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

• Is/Are the spill kit(s) available?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are the oily rag disposal cans free of damage, lid closed tightly, with proper disposal (Blue Book, daily #5)?

  Yes

  No

  N/A

• Check the pallets. Have all the unserviceable and broken pallets been removed?

  Yes

  No

  N/A

• Check the department vehicle/equipment sotorage areas (inside and outside) for leaky vehicles/equipment, oil/grease on the ground and general condition (Blue Book only, daily 3). (EPM 3/01, 4.06.02, 4.08.32)

  Yes

  No

  N/A

• 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 the appropriate waste stream (Blue Book Only, daily #9). EPM 4.09.03.150

  Yes

  No

  N/A

2. Exit Routes - Clear and Properly Marked SPPM 40.3

• Are the exit routes clear and properly marked?

  Yes

  No

  N/A

• Are exits accessible, and clear of debris and trash?

  Yes

  No

  N/A

• Do the exits have proper markings and are they clearly marked (Fire, Exit, and Not an Exit)?

  Yes

  No

  N/A

3. Eyewash Stations SPPM 41.4

• Are they sealed with an expiration date?

  Yes

  No

  N/A

• Are they accessible?

  Yes

  No

  N/A

4. Fire Extinguishers SPPM 42.3

• Are fire extinguishers easliy accessible?

  Yes

  No

  N/A

• Do the Expiration date and Inspection tags have proper dates?

  Yes

  No

  N/A

• Do the extinguishers have proper charge and is the safety pin and seal in place?

  Yes

  No

  N/A

• Are they accessible?

  Yes

  No

  N/A

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

• Do they have the proper cover?

  Yes

  No

  N/A

• Are they marked appropriately?

  Yes

  No

  N/A

• Is PPE located in the required areas?

  Yes

  No

  N/A

PPE. - SPPM 74

Equipment Checklists. SPPM 64

• Are the equipment checklists completed every day for all equipment and filed?

  Yes

  No

  N/A

• List any additional discrepancy information and CAR's here.

• Tap to enter information

  Sign