Title Page
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Location:
- Cassville
- Clarksville
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Department Audited:
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Conducted On - Date and Time:
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Prepared By - Name of Auditor:
Housekeeping
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Are work areas clean and orderly?
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Are employee food, drinks, cups, etc. properly stored and not left randomly laying around?
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Are all materials and equipment stored in a way that prevents a hazard to employees as they work or walk by?
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Are materials properly stored with no leaning items and not stacks greater than 4' tall?
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Are floors absent of slip/trip/fall hazards (oil, water, grease, cords, hoses, debris)?
Personal Protective Equipment (PPE)
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Is proper eye protection being used?
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Is proper hearing protection being used when and where needed?
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Are eyewash stations available and are they accessible, clean, and in-date?
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Are employees that paint using respirators and have they been medically evaluated and fit tested?
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Are respirators clean and stored properly to prevent contamination to the user?
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Are employees wearing gloves when handling metal and/or hot items?
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Are employees wearing proper protective footwear (toe protection)?
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Is PPE readily available for all personnel including visitors?
Postings/Administrative/Training
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Are OSHA 300 Logs posted (between Feb. 1 thru April 30 each year?
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Have employees been trained on emergency and evacuation procedures?
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Are fully supplied first aid kits readily available, easily accessible, and stocked with in-date supplies?
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Are PPE Required reminder signs posted at all shop entrances?
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Are there safety signs posted in the area?
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Are the safety requirements posted on each machine?
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Are Lockout/Tagout procedures posted on each machine?
Walkways, Aisles, and Exits
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Are all exits and passage ways kept clear?
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Are all exits marked with an illuminated exit sign?
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Are all non-exit doors marked accordingly?
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Are holes or damaged walkways properly covered, marked, or otherwise made safe?
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Are exit doors left unlocked during operational hours?
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Are exit doors designed to be opened in the direction of travel?
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Are standard guardrails provided wherever aisles or walkway surfaces are elevated more than 48" above any adjacent floor or the ground?
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Are standard 4" high toeboards installed around the edges of permanent floor openings where persons may pass below the opening?
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Are all steps slip resistant?
Portable Ladders
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Are all unused ladders secured to a wall by a hook or other means of securement?
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Are ladders maintained in good condition?
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Are ladders free of unauthorized repairs or modifications?
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If the ladder is used in front of a door or exit, is the exit blocked from use while the ladder is being used?
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Are ladders inspected prior to each use and are monthly inspections documented?
- Pass
- Fail
- N/A
Lockout/Tagout (LOTO)
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Is all equipment capable of being locked out as needed?
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Are all affected employees trained on LOTO?
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Are all authorized employees properly trained on LOTO?
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Does the authorized employee check the safety of the lockout by attempting a startup after making sure no one is exposed?
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Are all authorized employees that are exposed to dangers properly locking out with each of their own locks?
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Are authorized employees required to keep personal control of their key to their personal lock?
Fire Protection
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Are fire extinguisher monthly inspection dates current?
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Are fire extinguishers mounted within 75 feet of each other and stored in their designated places?
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Are fire extinguishers serviced on an annual basis?
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Are fire extinguishers readily accessible and not blocked?
Emergency/Evacuation Plans
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Do employees know what to do in the event of a fire or tornado?
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Are signs and maps posted for designated evacuation routes, areas, and are evacuation routes kept clear?
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Are annual plant evacuation drills conducted and documented?
Hand Tools, Power Tools, and Equipment
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Do tools such as grinders, saws, and similar equipment have proper guards and shields in place?
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Are power tools properly grounded or double insulated?
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Are chisels and punches free of mushroomed heads?
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Are there effective guards in place over belts, pulleys, chains, and sprockets on all equipment within 7' of the floor or working level?
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Are portable or stationary fans provided with full guards or screens having openings of 1/2" or less?
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Is the bench grinder tool rest and tongue guards adjusted properly (work rest 1/8" from wheel, tongue guard 1/4" from wheel)?
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Are all tools and machines kept clean and properly maintained?
Welding/Compressed Gases
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Are welding gas cylinders properly secured?
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Are compressed gas cylinders stored in areas protected from external heat sources?
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Are fuel gas cylinders and oxygen cylinders separated by at least 20' or fire resistant barriers at least 5' high while in storage?
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Are empty and full cylinders identified accordingly?
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Are cylinders marked to identify the type of gas?
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Are dollies being used to move cylinders greater than 10'?
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Are all valves closed and capped before a cylinder is moved?
Compressed Air
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Are compressors and storage tanks equipped with functioning pressure relieve valves and pressure gauges?
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Are monthly pressure relief valve inspections documented?
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Are employees using compressed air properly?
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Are air nozzles free of damage or unauthorized modifications?
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Are air nozzles equipped with a means of pressure relief so that no more than 30 psi can be achieved at the tip?
Powered Industrial Trucks (PIT)
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Are employees properly trained in the use of the type of industrial truck they operate?
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Does each PIT have a warning horn, whistle, or other device that can be clearly heard above normal noise in the areas where it is operated?
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Do all employees where seatbelts when operating the PIT?
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Are all daily inspections being conducted and recorded?
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Are dock plates and loading ramps in good repair?
Hazard Communication (HAZCOM)
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Are SDS books readily available to employees?
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Have employees been trained on HAZCOM and the locations for the SDS books?
Flammable Materials
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Are all flammable liquids kept in closed containers when not in use?
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Are all flammable/combustible liquids returned to approved flammable liquid storage cabinets at the end of work operations?
Electrical
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Do all extension cords have a grounding plug?
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Are exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly (not with electrical tape)?
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Are flexible cords or cables free of splices and electrical tape?
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Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?
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Are electrical enclosures such as switches, receptacles, junction boxes, etc. provided with tight fitting covers or plates?
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Is all electrical wiring protected with conduit and free from exposed wires?
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Are all unused openings in electrical enclosures and fittings closed wit appropriate covers, plugs, or plates?
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Are all breaker panels and disconnects free from obstruction and easily accessible?
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Are transformers and electrical panels not being used as storage tables?
General
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Are restrooms kept clean and sanitary (SMS and Kiosk)?
