Safety Audit Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Safety Audit Checklist

• Date:

  Date

• Auditor Name:

• Signature:

  Sign

Walking, Working Surfaces

Stairs and Stairways

• Are handrails, stair rail systems, or guard rail systems on all stairways having four or more risers?

  Yes

  No

  N/A

• Are all stairways at least 22 inches wide?

  Yes

  No

  N/A

• Are risers on stair steps uniform in size, with no riser higher than 9.5 inches?

  Yes

  No

  N/A

• Are stair treads uniform in size, with tread depth no less than 9.5 inches?

  Yes

  No

  N/A

• Are steps slip-resistant?

  Yes

  No

  N/A

• Are stairway handrails located between 30 inches and 38 inches above the leading edge of stair treads?

  Yes

  No

  N/A

• Is the distance of stair rail systems above the leading edge of stair treads at least 30 inches (if installed before 10/1/20) or 42 inches (if installed after 10/1/20)?

  Yes

  No

  N/A

• Are stairway handrails capable of withstanding a load of 200 pounds, applied in any direction?

  Yes

  No

  N/A

• Where stairs or stairways exit directly into any area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into traffic?

  Yes

  No

  N/A

• Audit Area Notes:

General Conditions-Floors

• Are all walking/working areas free of slipping/tripping /fall hazards?

  Yes

  No

  N/A

• Apertures or openings enclosed or covered?

  Yes

  No

  N/A

• Clean, orderly, and free of oil or grease hazards?

  Yes

  No

  N/A

• No standing water on floors?

  Yes

  No

  N/A

• Grates over floor drains?

  Yes

  No

  N/A

• Nonslip surfaces wherever possible?

  Yes

  No

  N/A

• Audit Area Notes:

Walkways

• Aisles are clearly marked?

  Yes

  No

  N/A

• Aisles are unobstructed?

  Yes

  No

  N/A

• Corners unobstructed to offer clear view?

  Yes

  No

  N/A

• Sufficiently wide for material handling?

  Yes

  No

  N/A

• Audit Area Notes:

Floor and Wall Openings

• Are floor openings guarded by a cover, a guardrail, or equivalent on all sides (except at stairways or ladder entrances)?

  Yes

  No

  N/A

• Are toeboards (minimum vertical 3.5” height) installed around the edges of permanent floor openings where persons may pass below the opening?

  Yes

  No

  N/A

• Are skylight screens able to withstand a load of at least 200 pounds?

  Yes

  No

  N/A

• Are grates or similar type covers over floor openings such as floor drains designed to allow unimpeded foot traffic or rolling equipment?

  Yes

  No

  N/A

• Are unused portions of service pits and pits not in use either covered or protected by guardrails or equivalent?

  Yes

  No

  N/A

• Are floor or wall openings in fire-resistant construction provided with doors or covers compatible with the fire rating of the structure and provided with a self-closing feature when appropriate?

  Yes

  No

  N/A

• Audit Area Notes:

Elevated Surfaces

• Are signs posted, when appropriate, showing the elevated surface load capacity?

  Yes

  No

  N/A

• Are surfaces that are elevated more than 30 inches provided with standard guardrails?

  Yes

  No

  N/A

• Are all elevated surfaces beneath which people or machinery could be exposed to falling objects provided with toeboards (minimum 3.5” vertical height)?

  Yes

  No

  N/A

• Is a permanent means of access and egress provided to elevated storage and work surfaces?

  Yes

  No

  N/A

• Is required headroom provided where necessary?

  Yes

  No

  N/A

• Is material on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?

  Yes

  No

  N/A

• Where railings are installed is the top rail between 39-42 inches and a mid rail installed?

  Yes

  No

  N/A

• Audit Area Notes:

Fall Protection

• All fall protection equipment is inspected before each use?

  Yes

  No

  N/A

• Records of annual inspections for all fall protection equipment

  Yes

  No

  N/A

• Signage in place to designate fall protection areas?

  Yes

  No

  N/A

• All walking/working surfaces protected by guardrails or fall protection requirements?

  Yes

  No

  N/A

• Audit Area Notes:

Loading Docks

• Are dock boards or bridge plates used when transferring materials between docks and trucks?

  Yes

  No

  N/A

• If loading dock height is 48 inches or higher, are there fall protection measures in place?

  Yes

  No

  N/A

• If activities bring high traffic close to a hazard (e.g. an edge), are the floors marked or guards in place?

  Yes

  No

  N/A

• Has the dock area been periodically cleaned to remove accumulated debris?

  Yes

  No

  N/A

• If present, is emergency equipment blocked or damaged (e.g., fire extinguisher)?

  Yes

  No

  N/A

• Are dock plates and boards designed for the loads, and are lift trucks being used properly and in good repair?

  Yes

  No

  N/A

• Audit Area Notes:

  Yes

  No

  N/A

LADDERS

• All labels are legible on each ladder?

  Yes

  No

  N/A

• Safety feet in good operable condition?

  Yes

  No

  N/A

• Clean rungs, unpainted?

  Yes

  No

  N/A

• No splinters on wood ladders?

  Yes

  No

  N/A

• No metal or aluminum ladders in electrical areas?

  Yes

  No

  N/A

• If used above roof, 3-foot extension above roof level?

  Yes

  No

  N/A

• Danger tags available for defective ladders?

  Yes

  No

  N/A

• Ladders not in use are properly stored and secured?

  Yes

  No

  N/A

• All open ladders are protected by a self-closing gate?

  Yes

  No

  N/A

• Any unsafe practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

Permit Required Confined Spaces & Confined Spaces

• Are all confined spaces labeled?

  Yes

  No

  N/A

• Comprehensive list of all confined and permit required confined spaces in the facility?

  Yes

  No

  N/A

• Personal protective equipment listed for each space ?

  Yes

  No

  N/A

• Lockout and tagout procedures listed for each space?

  Yes

  No

  N/A

• Entry procedures clearly defined?

  Yes

  No

  N/A

• Rescue plan in place for each confined space?

  Yes

  No

  N/A

• Proper rescue equipment inventory for all confined spaces?

  Yes

  No

  N/A

• Audit Area Notes:

LIGHTING

• Illumination level sufficient for work performed?

  Yes

  No

  N/A

• Emergency lighting adequate and operating?

  Yes

  No

  N/A

• Task lighting on close-vision jobs?

  Yes

  No

  N/A

• Emergency lighting of all exit routes?

  Yes

  No

  N/A

• Any unsafe practices observed?

  Yes

  No

  N/A

• Audit Area Notes :

VENTILATION

• Adequate ventilation within the specific work area?

  Yes

  No

  N/A

• Hoods properly connected to exhaust system?

  Yes

  No

  N/A

• Hoods draw air away from people?

  Yes

  No

  N/A

• Clean-out ports for ducts provided?

  Yes

  No

  N/A

• Maintenance clean-out schedule observed and recorded?

  Yes

  No

  N/A

• Fans properly guarded?

  Yes

  No

  N/A

• Audit Area Notes

NOISE CONTROL

• Engineering controls applied where feasible?

  Yes

  No

  N/A

• Engineering controls in operation?

  Yes

  No

  N/A

• Administrative controls applied where feasible?

  Yes

  No

  N/A

• Administrative controls and regulations observed?

  Yes

  No

  N/A

• Hearing protection provided where sound levels exceed standard?

  Yes

  No

  N/A

• Employees wearing approved hearing protection?

  Yes

  No

  N/A

• Employees wearing approved hearing protection properly inserted in the ear canal

  Yes

  No

  N/A

• Any unsafe practices observed?

  Yes

  No

  N/A

• Audit Area Notes :

PERSONAL PROTECTIVE EQUIPMENT

• Gloves or palm guards properly chosen for each job?

  Yes

  No

  N/A

• Eye or face protection properly selected for each job?

  Yes

  No

  N/A

• Head protection properly selected for each job?

  Yes

  No

  N/A

• Foot protection properly selected for each job?

  Yes

  No

  N/A

• Apron or protective clothing properly selected for each job?

  Yes

  No

  N/A

• Respiratory protection properly selected if necessary, for the job?

  Yes

  No

  N/A

• Hearing protection selected for areas above noise standard?

  Yes

  No

  N/A

• Adequate emergency rescue equipment available

  Yes

  No

  N/A

• Signage in place for required PPE in each area?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

HAND and PORTABLE TOOLS AND EQUIPMENT

• All tools electrically grounded?

  Yes

  No

  N/A

• Tools in good condition of connecting cords, tools, and air hoses?

  Yes

  No

  N/A

• Guards and safety fixtures safe and operable?

  Yes

  No

  N/A

• Correct load rating for work performed?

  Yes

  No

  N/A

• Constant pressure switches on power tools? Safety switches?

  Yes

  No

  N/A

• Employees properly trained in operation of equipment?

  Yes

  No

  N/A

• Electrical extension cords in good condition?

  Yes

  No

  N/A

• Any unsafe working practices observed?

  Yes

  No

  N/A

• Audit Area Notes

MACHINE TOOLS

• Guarding of power transmission equipment?

  Yes

  No

  N/A

• Guarding of pinch points, in-running points, and points of operation?

  Yes

  No

  N/A

• Interlock guards in operation?

  Yes

  No

  N/A

• Eye and face shields for protection are available where needed?

  Yes

  No

  N/A

• Operating controls locked when not in use?

  Yes

  No

  N/A

• Emergency stop buttons readily accessible and operable?

  Yes

  No

  N/A

• Guards or deflect devices provided for chips/sparks from rotating equipment where appropriate?

  Yes

  No

  N/A

• Machine tool operators properly trained in operation of equipment?

  Yes

  No

  N/A

• Tools (i.e. drill press, lathe, etc) properly anchored to the floor?

  Yes

  No

  N/A

• Audit Area Notes :

Material Handling

Hoisting and Lifting Equipment

• Load capacity identified clearly?

  Yes

  No

  N/A

• Upper and lower stop limit working effectively?

  Yes

  No

  N/A

• Wireless and/or wired pendants clearly marked and working effectively?

  Yes

  No

  N/A

• Full, unrestricted view for operators?

  Yes

  No

  N/A

• Web slings, wire rope, and/or chains and other devices in good condition and free of defects?

  Yes

  No

  N/A

• Record of periodic inspection exits for web slings, wire rope, and/or chains and other devices?

  Yes

  No

  N/A

• Operators properly trained in the use of the equipment? Training records?

  Yes

  No

  N/A

• Daily inspections are being completed?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

Powered Industrial Trucks

• All operators trained and licensed and records are up to date?

  Date

• Daily checklists are completed? Annual review documented?

  Yes

  No

  N/A

• Load capacity labeled?

  Yes

  No

  N/A

• Overhead guards in place and load backrest extension in place?

  Yes

  No

  N/A

• Travel areas have adequate signage and mirrors?

  Yes

  No

  N/A

• Operators are traveling with fork or load at the appropriate height?

  Yes

  No

  N/A

• Vehicle driven backward with awkward or bulky loads?

  Yes

  No

  N/A

• Operators moving slow down ramps?

  Yes

  No

  N/A

• Forks placed evenly across load?

  Yes

  No

  N/A

• Railroad tracks crossed diagonally where appropriate?

  Yes

  No

  N/A

• Pedestrians given the right of way?

  Yes

  No

  N/A

• Duckboards properly secured?

  Yes

  No

  N/A

• Trailer truck or boxcar floors checked for safety of load?

  Yes

  No

  N/A

• Key from industrial truck is removed when out of operation?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

RECEIVING AND IN-PLANT MATERIALS HANDLING

• Dock boards available?

  Yes

  No

  N/A

• Trailer truck wheel chocks available in receiving/shipping areas?

  Yes

  No

  N/A

• Pallets and skids in good repair?

  Yes

  No

  N/A

• Special storage area for unused skids and pallets?

  Yes

  No

  N/A

• Procedure to set aside broken skids and pallets?

  Yes

  No

  N/A

• Paths, aisleways, and stairways clear of obstructions?

  Yes

  No

  N/A

• Proper drainage to prevent accumulation of water or solvents?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

Conveyors

• Power transmission on the conveyor guarded?

  Yes

  No

  N/A

• Any confined areas pose a risk to workers?

  Yes

  No

  N/A

• Risk of electrocution?

  Yes

  No

  N/A

• Belts and/or Chains in good condition?

  Yes

  No

  N/A

• Are emergency stop devices in close proximity to the worker/task?

  Yes

  No

  N/A

• Are unguarded moving parts at least 8 ft. above the walking working surface?

  Yes

  No

  N/A

• Audit Area Notes:

POWER SYSTEMS - MECHANICAL

• Proper guarding of any nip points, rotating collars, cams, chucks, couplings, clutches, shafts, flywheels, spindles, bolt ends, key ends?

  Yes

  No

  N/A

• Emergency stops fully operational?

  Yes

  No

  N/A

• Adequate arrangements for oiling and greasing?

  Yes

  No

  N/A

• Correct adjustment of work rest device on grinding wheels?

  Yes

  No

  N/A

• Vent hood in place and ventilation operational for grinding wheels?

  Yes

  No

  N/A

• Employees trained in correct grinding methods?

  Yes

  No

  N/A

• Grinding wheel surface not damaged or worn?

  Yes

  No

  N/A

• Any unsafe practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

POWER SYSTEMS - ELECTRICAL

• Electrical control panels clearly identified and secured?

  Yes

  No

  N/A

• Only certified electrical specialists to have access to panels?

  Yes

  No

  N/A

• Grounding tested?

  Yes

  No

  N/A

• Flexible extension cords fray-free and absence of splices?

  Yes

  No

  N/A

• Electrical specialists trained in the operation/maintenance of this equipment?

  Yes

  No

  N/A

• Is there an assured grounding program?

  Yes

  No

  N/A

• Extension cords not being used in place of permanent electrical supplies?

  Yes

  No

  N/A

• Audit Area Notes:

COMPRESSED GASES

• Special storage area away from heat sources?

  Yes

  No

  N/A

• Stored upright and chained to prevent falling over?

  Yes

  No

  N/A

• Contents legibly marked and segregated by item?

  Yes

  No

  N/A

• Caps hand-tight?

  Yes

  No

  N/A

• Mechanics and tradespeople properly trained in operation of equipment?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

POTENTIALLY HAZARDOUS CHEMICALS

• Up-to-date chemical inventory completed and available for review?

  Yes

  No

  N/A

• SDS available for all chemicals or federally listed hazardous chemicals?

  Yes

  No

  N/A

• Written plant hazard communication program prepared and available?

  Yes

  No

  N/A

• Employees trained in proper handling of each chemical?

  Yes

  No

  N/A

• Labels on all supplier drums and chemicals?

  Yes

  No

  N/A

• Labels on in-plant transfer containers?

  Yes

  No

  N/A

• Adequate storage cabinets provided with proper venting?

  Yes

  No

  N/A

• Proper absorbent materials on hand for spills?

  Yes

  No

  N/A

• Drums or tanks properly bonded and grounded?

  Yes

  No

  N/A

• Containers inspected for corrosion?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

MACHINE GUARDING

• Guard or safety device at each point of operation?

  Yes

  No

  N/A

• Guard fully prevents operator from reaching around guard?

  Yes

  No

  N/A

• Guards are totally effective and unable to be bypassed?

  Yes

  No

  N/A

• Trained employees are the only persons authorized to remove guards?

  Yes

  No

  N/A

• Employee removing the guard is held responsible to replace guards after completing repairs?

  Yes

  No

  N/A

• START and STOP controls within easy reach of operator?

  Yes

  No

  N/A

• Operators can see entire operation?

  Yes

  No

  N/A

• Controls clearly labeled?

  Yes

  No

  N/A

• Two-hand trips on hand-fed power presses where appropriate?

  Yes

  No

  N/A

• Machinery can be oiled and greased without removing guards?

  Yes

  No

  N/A

• All controls, including foot controls, guarded against accidental start-up?

  Yes

  No

  N/A

• Emergency stop controls clearly identified and readily accessible?

  Yes

  No

  N/A

• Adjusting or oiling procedures of moving machinery followed?

  Yes

  No

  N/A

• No bypassing or removing guards?

  Yes

  No

  N/A

• No operating equipment at unsafe speed?

  Yes

  No

  N/A

• Lockout and tagout procedures implemented and posted on each machine?

  Yes

  No

  N/A

• Personal protective equipment is used?

  Yes

  No

  N/A

• Mechanics or adjusters properly trained?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

LOCKOUT, TAGOUT SYSTEMS

• Positive lockout systems provided for all power equipment?

  Yes

  No

  N/A

• Written local policy signed by each person so trained?

  Yes

  No

  N/A

• Locks with individual keys given to each trained employee where appropriate?

  Yes

  No

  N/A

• Danger tags provided and available for each trained person?

  Yes

  No

  N/A

• Only authorized persons allowed to perform this procedure

  Yes

  No

  N/A

• Prominent tags indicate use of the lockout system

  Yes

  No

  N/A

• Lockout system will reduce power to zero energy state

  Yes

  No

  N/A

• Lock out tagout boxes contain all necessary equipment and are accessible?

  Yes

  No

  N/A

• Lockout/tagout instructions posted on all equipment or accessible?

  Yes

  No

  N/A

• Evidence of lockout and tag out periodic audits?

  Yes

  No

  N/A

• Audit Area Notes:

Mobile Elevated Work Platforms

• Pre-use inspection checklist completed?

  Yes

  No

  N/A

• Inspection record-keeping adequate?

  Yes

  No

  N/A

• All operator training up to date?

  Yes

  No

  N/A

• Operators follow safe use practice (Warning lines, CAZ, spotter when needed, working distance from power lines, etc.)?

  Yes

  No

  N/A

• Operators use proper fall protection equipment?

  Yes

  No

  N/A

• Audit Area Notes:

EMPLOYEE WORK PRACTICES

• Loose hair or employee clothing acceptable for the work area?

  Yes

  No

  N/A

• Employee overexertion or exposure to cold or heat?

  Yes

  No

  N/A

• Potential for repetitive-motion injury?

  Yes

  No

  N/A

• Sturdy shoes suitable for the work environment?

  Yes

  No

  N/A

• Housekeeping in the work areas being observed throughout the shift?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

FIRST AID and MEDICAL SERVICES

• Adequate materials and equipment available?

  Yes

  No

  N/A

• First aid cabinets clean and stocked?

  Yes

  No

  N/A

• Clear instructions on contacting outside medical resources?

  Yes

  No

  N/A

• Provisions for transportation to outside medical services?

  Yes

  No

  N/A

• Trained first-aiders with recent recertification

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• WASTE DISPOSAL

  Yes

  No

  N/A

• Special containers provided for different types of waste—oily rags, chemicals, scrap paper and corrugated, garbage, medical waste, bloodborne pathogens waste, etc.?

  Yes

  No

  N/A

• Food waste handled separately?

  Yes

  No

  N/A

• Where required, waste properly labeled?

  Yes

  No

  N/A

• Satisfactory external cartage and disposal arrangements?

  Yes

  No

  N/A

• Approved disposal arrangements for hazardous waste?

  Yes

  No

  N/A

• Audit Area Notes:

BLOODBORNE PATHOGENS

• A BBP coordinator designated?

  Yes

  No

  N/A

• Written exposure control plan prepared?

  Yes

  No

  N/A

• Employee training program developed?

  Yes

  No

  N/A

• Information available on the types, use, location, removal and handling of personal protective equipment?

  Yes

  No

  N/A

• Emergency contact person designated?

  Yes

  No

  N/A

• Information available on post-exposure follow-up following an accident?

  Yes

  No

  N/A

• Training records retained?

  Yes

  No

  N/A

• Hand-washing facilities available?

  Yes

  No

  N/A

• Work practices reviewed to reduce exposures?

  Yes

  No

  N/A

• Disposable and reusable sharps placed in a puncture-resistant, leak-proof container with BIOHAZARD label?

  Yes

  No

  N/A

• Arrangements made to clean and launder non-disposable items?

  Yes

  No

  N/A

• Disposal containers available for disposable PPE?

  Yes

  No

  N/A

• Employees instructed in proper way to remove gloves to minimize contamination?

  Yes

  No

  N/A

• Bins, pails, cans and other receptacles intended for reuse decontaminated on a regular schedule

  Yes

  No

  N/A

• Audit Area Notes:

Emergency Equipment & Preparedness

• Date of last fire drill?

  Date

• Fire equipment of proper type and size

  Yes

  No

  N/A

• Fire equipment clearly marked?

  Yes

  No

  N/A

• Sprinkler heads have adequate clearance from stacked materials or equipment?

  Yes

  No

  N/A

• Master control valves for sprinklers locked open and easily accessible?

  Yes

  No

  N/A

• Exits clearly marked, accessible and not blocked?

  Yes

  No

  N/A

• Is emergency equipment (alarm pull boxes, eyewashes, fire extinguishers, first aid kits, etc

  Yes

  No

  N/A

• Eyewash station clean, working and correct water temperature (60-100 Deg. F 16-38 Deg. C)? Eyewash bottles NOT expired?

  Yes

  No

  N/A

• Proper signs and instructions at eye baths?

  Yes

  No

  N/A

• Regular fire drills held—date of most recent:

  Yes

  No

  N/A

• AED units functional in good working order?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

EXITS and EMERGENCY PREPAREDNESS

• No locked or barred exits restricting escape?

  Yes

  No

  N/A

• Emergency exits adequately illuminated?

  Yes

  No

  N/A

• Exterior exit surfaces clear for prompt exit?

  Yes

  No

  N/A

• Flammable materials removed from exit areas?

  Yes

  No

  N/A

• Exterior exit doors open outward to flat surface?

  Yes

  No

  N/A

• Written and posted emergency evacuation plan with exit map for all areas?

  Yes

  No

  N/A

• Audit Area Notes:

BUILDING EXTERIOR

• No defective overhanging cornices, parapets, gutters, or tiling?

  Yes

  No

  N/A

• No loose bricks on chimneys or stacks?

  Yes

  No

  N/A

• All signage in place and readable?

  Yes

  No

  N/A

• All exits clear, free of debris, snow and ice?

  Yes

  No

  N/A

• Audit Area Notes:

YARD and ROADS

• No obstructions or broken surfaces on roads?

  Yes

  No

  N/A

• Good housekeeping in yard areas?

  Yes

  No

  N/A

• No uneven or broken sidewalk surfaces?

  Yes

  No

  N/A

• Appropriate traffic signs and markers?

  Yes

  No

  N/A

• Rail siding beds in good repair and free of obstruction?

  Yes

  No

  N/A

• Areas of dry grass kept in check so they aren't a safety hazard?

  Yes

  No

  N/A

• Audit Area Notes:

OFFICES

• Floors have no slippery surfaces due to excessive polish or wax?

  Yes

  No

  N/A

• No holes or depressions in floors?

  Yes

  No

  N/A

• Rugs in hallways or offices are free from holes, tears?

  Yes

  No

  N/A

• Aisles free of obstructions, including electric cords and outlets?

  Yes

  No

  N/A

• Stairwells and exits properly lighted?

  Yes

  No

  N/A

• No unsafe ladders or trolleys?

  Yes

  No

  N/A

• General housekeeping is good?

  Yes

  No

  N/A

• No top-heavy filing cabinets (either by loading or drawer opening)?

  Yes

  No

  N/A

• Fire escape doors unlocked and unobstructed for exit?

  Yes

  No

  N/A

• Switch and cover plates in place?

  Yes

  No

  N/A

• No fire hazards from cigarette butts?

  Yes

  No

  N/A

• Safe storage of flammables?

  Yes

  No

  N/A

• Persons trained in requirements of Hazard Communication Standard?

  Yes

  No

  N/A

• Correct type and placement of fire extinguishers?

  Yes

  No

  N/A

• First-aid facilities available?

  Yes

  No

  N/A

• Electric fans properly guarded?

  Yes

  No

  N/A

• Adequate ventilation?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Evacuation routes posted?

  Yes

  No

  N/A

• Audit Area Notes:

EMPLOYEE TRAINING

• New employee basic safety orientation being completed?

  Yes

  No

  N/A

• New employees trained in safe work practices of their jobs?

  Yes

  No

  N/A

• Transferred employees trained in the safe work practices of their jobs?

  Yes

  No

  N/A

• Checklist completion on safety orientation of new and transferred employees?

  Yes

  No

  N/A

• All training documents filed by employee for ease of access?

  Yes

  No

  N/A

• Any unsafe work practices observed?

  Yes

  No

  N/A

• Audit Area Notes:

PROCESS SAFETY MANAGEMENT

• Chemicals used in the process and their maximum inventory listed?

  Yes

  No

  N/A

• SDS readily available on all chemicals?

  Yes

  No

  N/A

• Operating practices reviewed, consistent with known hazards of the chemicals in the process

  Yes

  No

  N/A

• Goals for training sessions detailed in writing in clear terms?

  Yes

  No

  N/A

• Training sessions documented?

  Yes

  No

  N/A

• Screening process developed to hire safe-operating contractors?

  Yes

  No

  N/A

• Contractor and personnel advised of known hazards at facility?

  Yes

  No

  N/A

• Emergency action plan reviewed with contractor personnel?

  Yes

  No

  N/A

• Hazards involved in nonroutine work communicated to operators and to maintenance personnel?

  Yes

  No

  N/A

• Work authorization permit system in effect outlining approvals required to do the job?

  Yes

  No

  N/A

• Management policy prepared and communicated that all incidents will be formally investigated?

  Yes

  No

  N/A

• Written instructions and training developed for emergency evacuation plans?

  Yes

  No

  N/A

• Disabled employees identified; they will receive assistance to evacuate to a safe zone?

  Yes

  No

  N/A

• Facility emergency control center established in a safe zone at the facility?

  Yes

  No

  N/A

• Compliance with the OSHA standard audited by a trained team?

  Yes

  No

  N/A

• Audit Area Notes: