Information

  • Audit Title

  • Document No.

  • Facility Name

  • Location
  • Conducted on

  • Prepared by

  • Site Personnel

Audit Overview

  • Overview Photo

  • Audit Summary:

Life Critical

  • Are all employees wearing appropriate personal protective equipment and following safe work practices?

  • Are all contractors (truck drivers, construction workers, craft employees, vendors, etc.) wearing appropriate personal protective equipment and following safe work practices?

  • Are permit programs being followed, and are the permit forms filled out properly?

  • Are all personnel on elevated work platforms (higher than 4') protected against fall hazards by guard rails, SafeRack systems, or personal fall arrest systems?

Process Area / Process Unit

Organization

  • Are all process pits, sumps, and containments pumped out or drained and free of oil or chemical residue?

  • Have hazard areas been properly identified with Caution or DANGER tape, and the nature of the hazard clearly communicated?

  • Have all buckets or totes been labeled in compliance with the facility HazCom program, and are lids in place (if they are holding product)?

  • Are all pieces of emergency equipment (showers, eye wash, extinguisher, etc.) in working order and unobstructed?

  • Have all ladders and hoses been cleaned and stored properly when they are no longer in use?

  • Are all tools, maintenance equipment, and supplies stored properly?

Cleanliness

  • Are the floor and all other working surfaces free of parts, debris, and discarded objects?

  • Are the floors and walkways free of spilled product and other slip hazards?

  • Are the floors and all hand-contact surfaces (railings, door knobs, etc.) free of product residue?

  • Have the stairways been kept clean and free of storage, clutter, or debris?

  • Is the area free of insects (bees, hornets, June bugs, etc.), birds, and vermin?<br>

Mechanical

  • Are all pumps operating without any visual signs of leaking or emissions?

  • Are all valves, equipment, pipes, and connection flanges free of any visual signs of leaking or emissions?

  • Are all the process gauges (flow meter, level indicators, temperature gauges, etc.) in good working order?

  • (If equipped) Are all methanol detectors calibrated and in good working order?

  • Are all the lights in good working order, including the lighted EXIT signs?

  • Were all machine guards in place and functioning properly?

  • Has the Management of Change (MOC) process been followed for all changes (INCLUDING any R&D or "temporary" changes)?

  • Were all other issues in the process area / process unit properly resolved?

Pre-Treat Area & Distillation Area

Organization

  • Are all pits, sumps, and containments pumped out or drained and free of oil or chemical residue?

  • Have hazard areas been properly identified with Caution or DANGER tape, and the nature of the hazard clearly communicated?

  • Have all buckets or totes been labeled in compliance with the facility HazCom program, and are lids in place (if they are holding product)?

  • Are all pieces of emergency equipment (showers, eye wash, extinguisher, etc.) in working order and unobstructed?

  • Have all ladders and hoses been cleaned and stored properly when they are no longer in use?

  • Are all tools, maintenance equipment, and supplies stored properly?

Cleanliness

  • Are the floor and all other working surfaces free of parts, debris, and discarded objects?

  • Are the floors and walkways free of spilled product and other slip hazards?

  • Are the floors and all hand-contact surfaces (railings, door knobs, etc.) free of oil and chemical residue?

  • Is the area free from visible dust or silica accumulations?

  • Have the stairways been kept clean and free of storage, clutter, or debris?

  • Is the area free of insects (bees, hornets, June bugs, etc.), birds, and vermin?<br>

Mechanical

  • Are all pumps operating without any visual signs of leaking or emissions?

  • Are all valves, equipment, pipes, and connection flanges free of any visual signs of leaking or emissions?

  • Are all the process gauges (flow meter, level indicators, temperature gauges, etc.) in good working order?

  • Are the filter areas free of any visual signs of leaking or emissions?

  • Are all the lights in good working order, including the lighted EXIT signs?

  • Were all machine guards in place and functioning properly?

  • Has the Management of Change (MOC) process been followed for all changes (INCLUDING any R&D or "temporary" changes)?

  • Were all other issues in the Pre-treat / Distillation Areas properly resolved?

Maintenance, Utility, and Storage Areas

Organization

  • Are all aisles and walkways kept clear and available for use?

  • Are the shelves neatly organized, with the load limits clearly posted?

  • Are tools and supplies properly stored in their identified storage areas?

Cleanliness

  • Are the areas clean and orderly?

  • Are all product and chemical storage containers (totes, drums, etc.) free from visual evidence of leaks or emissions?

  • Are the exit routes clear and unobstructed?

Mechanical

  • Are all boilers and thermal heaters in good working order with discernible signs of leaks or emissions?

  • Are all electrical panel doors closed and any safety interlocks in the secured position?

  • Are all emergency showers and eyewash stations in good working order and unobstructed?

  • Were all other issues in the maintenance, utility, and storage areas properly resolved?

Laboratory

Waste Management

  • Are the lab trash containers emptied regularly?

  • Have recycling bins been emptied on a regular basis?

  • Are lab waste containers properly secured?

Cleanliness

  • Are the countertops clean, free of chemical residue, and are all flammable containers properly stored (when not in current use)?

  • Have the emergency showers and eyewash areas kept clear of obstructions and electrically energized equipment?

  • Are the lab floors clean, free of oily residue, and trip or slip hazards?

  • Is the equipment clean and presentable?

Outdoor Lab Storage Area

  • Is the gas cylinder cage free from debris (in or on the cage)?

  • Is the gas cylinder cage door kept closed and locked?

  • Are all outdoor lab waste accumulation containers closed and locked?

Tank Farm, Logistics, and Grounds

Organization

  • Are all hoses, tools and personal protective equipment stored properly (if they are not in current use)?

  • Are all totes clearly labeled (in compliance with the facility's HazCom program), in their proper location, and emptied at regular intervals (not stored indefinitely)?

  • Are all buckets and similar temporary holding containers labeled, in their proper location, and emptied at regular intervals?

  • Have ladders been properly restrained if they are in use, and are they properly stored if they are no longer in use?

  • Are all flammable storage and handling areas clearly marked with "NO SMOKING" signs?

Cleanliness

  • Are the grounds free of debris, trash, and tall weeds?

  • (In cold weather) Are the walking areas free from icy areas and excessive snow accumulation?

  • Have all spills or leaks been cleaned up promptly?

  • Is the logistics / loadout building clean and organized?

Mechanical

  • Are all tanks, pumps, pipes, and hoses free from any visual signs of leaks or emissions?

  • Are the steam lines free from leaks, and are any sump areas kept empty?

  • Are all containment valves kept closed, and are the main containment valves properly secured?

  • Are all emergency eyewash and shower facilities immediately accessible, and are they working properly?

  • Are brakes properly set on rail cars, and have wheels been chocked prior to loading or unloading rail cars and trucks?

  • Are all SafeRack or similar fall protection access platforms properly placed or restrained and in good working order?

  • Were all other tank farm, grounds, and logistics / loadout issues properly resolved ?

Other Housekeeping

Waste Management

  • Have all process trash containers been emptied regularly?

  • Have locker room and break room waste containers been emptied regularly (daily, if containers contain food products)?

  • Have all administrative area waste containers been emptied on a regular basis?

Cleanliness

  • Are all bathroom areas clean and well stocked?

  • Are all tables, counters, and floors in the locker rooms and break rooms clean?

  • Are all administrative area desks and floors clean and orderly?

Dumpster and Bulk Waste Container

  • Are all filter media dumpsters ready to accept materials (or properly covered in compliance with our filter media handling procedures)?

  • Are all office waste dumpsters emptied on a regular basis (not overflowing), and free of oily waste materials?

  • Are waste dumpsters stored in the proper locations?

Outside Areas

  • Are the buildings and grounds properly secured, and are all security cameras in good working order?

  • Are all signs in place and legible?

  • Are protective devices ("Jersey rail", bollards, etc.) in place to guard sensitive equipment and buildings from damage by vehicle traffic?

Fire Suppression Equipment

  • Were all pieces of fire suppression equipment inspected monthly and in good working order?

Powered Industrial Equipment

  • Have inspection sheets been filled out completely prior to each shift?

  • Were employees operating powered industrial equipment in a safe manner?

Auditor's Signature

  • Add 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.