Information
-
Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
1.0 - Previous Assessment
-
Has the previous assessment been reviewed in preparation for this assessment?
-
Are there any outstanding corrective actions to be taken?
2.0 - General Work Place
-
Are walkway working surfaces even, uncluttered and free from slip & trip hazards?
-
Are all loading docks free of recognized hazards?
-
Are workplace load/unload procedures being observed?
-
Are trailer wheels secured with chocks or dock locks?
-
Are spill kits readily available for clearing spills?
-
Are work stations organized that allows user to operate safely?
-
Bins located at suitable points around site?
-
Are bins overflowing to the extent that slip risks are present?
-
Bins emptied regularly?
3.0 - Fire & Emergency Provisions
-
Evacuation plan displayed and understood by all employees?
-
Evacuation procedures discussed regularly? (3 to 4 times a year)
-
Are fire exits clear of obstructions?
-
Adequate direction notices for fire exits?
-
Are combustible materials properly stored?
-
Are fire extinguishers kept clear of obstruction, in their correct storage location, undamaged, filled and inspections up to date?
-
Are emergency spill kits present and suitably stocked for hazardous material clean up?
-
Are fire alarm activation points easily identifiable and free from obstructions?
4.0 - PPE
-
Are high visibility vests worn by employees when required?
-
Is proper footwear being worn and in good condition?
-
Are safety gloves being worn and in good condition, I.e. fingers not cut off?
-
Are their mandatory hearing protection areas, if yes is hearing protection being worn?
5.0 - Manual & Mechanical Handling
-
Are good manual handling techniques being observed?
-
Are manual handling aids being used in a safe manner?
-
Are wheels free from debris and free moving?
-
Is there any lifting above shoulder height being observed?
6.0 - Equipment & Machinery
-
Have all pre-start checks been completed?
-
Is all equipment maintained and in good working condition?
-
Is the area around machinery, clean, clear and in good order?
-
Are all fixed guards secured with only approved means, such as, nuts & bolts, Allen nuts - there should be no screws?
-
Are all interlocks system functioning and not tampered with as per manufactured specifications?
-
Are all electrical sockets in good order?
-
Cables or equipment power connections in good condition?
-
Are there any unprotected sharp edges on equipment?
-
All emergency stop buttons are working properly, in safe working order and clearly identifiable?
-
Isolation switches are identified and in proper working order?
-
Compressed air levels set for its intended use?
-
Are there any ladders/step ladders inspected before use and ladder tags legible?
-
All machinery isolated & locked out prior to performing any maintenance?
7.0 - Hazardous substances
-
Are substances stored per manufacturer requirements?
-
Are large quantity containers contents transferred to portable secondary containers displaying the same label as original container?
8.0 - Facilities
-
All housekeeping standards being maintained?
-
Is there good general illumination?
9.0 - Industrial Truck Operations
-
Are daily shift checks performed before and after each work shift?
-
Is damaged or defective equipment removed from service and properly labeled out of service?
-
Is charging station area clean and well organized?
-
Eye wash station within 25 feet of charging area?
-
Are eye protection, gloves and aprons provided in charging areas
-
Are all operators trained and certified to operate equipment?
-
Are all operaters using proper restraining devices?
10.0 - Designated Pathways
-
Are designated pathways free of obstructions/debris?
-
Are pedestrians observed walking in to designated industrial truck pathways?
-
Are employees observed working in designated industrial truck pathways?
11.0 - Warehouse Storage Racks
-
Warehouse rack weight capacity rating easily identifiable?
-
Racking system anchored securely to floor?
-
Racking system support legging free of recognized damage?
-
Loading signs in place and being observed?
-
Pallets stable and secure?
-
Empty pallets stacked securely and stable?
-
Damaged racking identified and removed from service?<br>
12.0 - Additional Hazards or Concerns
-
Hazard or Concern
-
Hazard or Concern<br>
-
Hazard or Concern<br>
-
Add signature