Information

  • Audit Title

  • Document No.

  • Conducted on

  • Prepared by

1.0 - House Keeping and General

  • 1.1 - Are areas free of tripping hazards?

  • 1.2 - Are aisles free from obstructions such as skids, equipment, shelves?

  • 1.3 - Are floors clean and free from slippery substances such as water, oil, etc?

  • 1.4 - Are scrap metal, glass, knife blades deposited in the proper containers?

  • 1.5 - Are overhead hazards secured properly?

  • 1.6 - Are exits clearly marked?

  • 1.7 - Do employees promptly secure first aid for all injuries?

  • 1.8 - Are heavy items stored on lower shelves?

  • 1.9 - Have items been properly secured to prevent tipping/falling?

  • 1.10 - Are materials stored or stacked in a safe manner?

  • 1.11 - Are smocks being worn?

  • 1.12 - Are chairs, benches, shelves in safe condition?

2.0 - Electrical

  • 2.1 - Inspect extension cords for frayed wire and loose ends.

  • 2.2 - Inspect all electrical cords for frayed, broken insulation, etc.

  • 2.3 - Check that electric fans have protective covering.<br>

  • 2.4 - Check that outlets are not damaged and do not show signs of burning.

  • 2.5 - Are all emergency lights / flashlights functioning? (Push test button to see if they turn on)

3.0 - Fire Prevention and ERT

  • 3.1 - Are fire extinguishers available, not blocked and in good condition?

  • Tap to enter information
  • Initial and date the inspection tag.

  • 3.2 - Are packing material, cardboard and paper properly and promptly disposed of?

4.0 - Ask 3 people these questions

  • Person 1

  • 4.1 - Do you know how to page the ERT Team?

  • 4.2 - Do you know where the Defibrillator / AED is located?

  • Person 1 signature

  • Person 2

  • 4.1 - Do you know how to page the ERT Team?

  • 4.2 - Do you know where the Defibrillator / AED is located?

  • Person 2 signature

  • Person 3

  • 4.1 - Do you know how to page the ERT Team?

  • 4.2 - Do you know where the Defibrillator / AED is located?

  • Person 3 signature

5.0 - Material Handling

  • 5.1 - Are all containers, skids, pallets, materials, and equipment arranged neatly and orderly in assigned areas?

  • 5.2 - Are certified personnel operating fork lifts?

  • 5.3 - Are safety type knives being used?

  • 5.4 - Are pallets properly banded or secured for shipment?

  • 5.5 - Is the forklift and pallet jacks in good condition?

  • 5.6 - Is material stored so it does not block sprinkler heads, alarm systems, electrical panels, or access to fire extinguishers? (A minimum clearance of 3 feet )

  • 5.7 - Is there adequate clearance from overhead light fixtures when placing material overhead?

  • 5.8 - Do operators perform safety inspections on the fork lift?

  • 5.9 - Are associates using proper lifting techniques?

  • 5.10 - Are pallet jacks stored in a manner that would minimize the possibility of tripping?

Sign Off

  • Auditor's signature

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