Information
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Audit Title
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Document No.
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Conducted on
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Prepared by
1.0 - House Keeping and General
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1.1 - Are areas free of tripping hazards?
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1.2 - Are aisles free from obstructions such as pallets, equipment, shelves?
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1.3 - Are floors clean and free from slippery substances such as water, oil, etc?
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1.4 - Are scrap metal, glass, knife blades deposited in the proper containers?
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1.5 - Are overhead hazards secured properly?
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1.6 - Are exits clearly marked?
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1.7 - Do employees promptly secure first aid for all injuries?
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1.8 - Are heavy items stored on lower shelves?
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1.9 - Have items been properly secured to prevent tipping/falling?
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1.10 - Are materials stored or stacked in a safe manner?
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1.11 - Is Hi Viz clothing being worn?
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1.12 - Are chairs, benches, shelves in safe condition?
2.0 - Electrical
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2.1 - Inspect extension cords for frayed wire and loose ends.
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2.2 - Inspect all electrical cords for frayed, broken insulation, etc.
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2.3 - Check that electric fans have protective covering.<br>
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2.4 - Is PAT Test in date?
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Next due date of PAT Test
3.0 - Fire Prevention
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3.1 - Are fire extinguishers available, not blocked and in good condition?
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3.2 - Is extinguisher inspection in date?
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Select date
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3.3 - Are packing material, cardboard and paper properly and promptly disposed of?
4.0 - Ask 2 people these questions
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Person 1
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4.1- Do you know where the Defibrillator/ AED is located?
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Person 1 signature
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Person 2
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4.2 - Do you know where the Defibrillator / AED is located?
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Person 2 signature
5.0 - Material Handling
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5.1 - Are all containers, pallets, materials and equipment arranged neatly and orderly in assigned areas?
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5.2 - Are only certified personnel operating fork lift trucks?
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5.3 - Are safety type knives being used?
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5.4 - Are pallets properly banded or secured for shipment?
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5.5 - Are the forklift trucks and pallet trucks in good condition?
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5.6 - Is material stored so it does not block electrical panels, or access to fire extinguishers? (A minimum clearance of 3 feet )
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5.7 - Is there adequate clearance from overhead light fixtures when placing material overhead?
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5.8 - Do operators perform safety inspections on the fork lift?
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5.9 - Are associates using proper lifting techniques?
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5.10 - Are pallet trucks stored in a manner that would minimise the possibility of tripping?
Sign Off
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Auditor's signature