Safety Committee Audit

• Location

  Select

• Conducted on

  Date

• What area is being inspected

  Select

• Prepared by

  Select

• Department

  Select

• Are oxygen valve caps in place?

  Yes

  No

  N/A

• Are oxygen tanks away from heat or source of ignition or damage?

  Yes

  No

  N/A

• Is PPE being used as required - gloves, helmets, aprons, capes, etc?

  Yes

  No

  N/A

• Are weld curtains in good working condition?

  Yes

  No

  N/A

• Are measuring equipment regularly inspected for accuracy and safe working condition?

  Yes

  No

  N/A

• Are measuring equipment regularly inspected for accuracy and safe working condition?

  Yes

  No

  N/A

• Are workplace injury and illness records being kept as required by OSHA?

  Yes

  No

  N/A

• Are all workplace fatalities and serious accidents reported to MIOSHA within 8 hours?

  Yes

  No

  N/A

• Did you post the OSHA annual summary of workplace injuries and illnesses between February 1st and April 30th?

  Yes

  No

  N/A

Instructions

• Progress through the following sections, answering each question. When an item is non-compliant, be sure to add notes and photos as evidence.

Training, Certifications and Publishing(s)

• Are employees being trained on proper use of PPE?

  Yes

  No

  N/A

• Are HILO drivers properly certified and up to date?

  Yes

  No

  N/A

• Are DOT drivers properly certified and up to date?

  Yes

  No

  N/A

• Are crane certifications current?

  Yes

  No

  N/A

• Do we have a published lockout / tagout procedure?

  Yes

  No

  N/A

• Is training provided for AED, CPR, First Aid and Bloodborne pathogens?

  Yes

  No

  N/A

• Is the list of First Responders available and accessible to all employees?

  Yes

  No

  N/A

• Has a fire drill been scheduled and executed?

  Yes

  No

  N/A

• Has a tornado drill been scheduled and executed?

  Yes

  No

  N/A

• Has a fire extinguisher training been offered?

  Yes

  No

  N/A

• Do we have a published PPE procedure?

  Yes

  No

  N/A

• Is there a copy of the MIOSHA Occupational Safety and Health Act in a place accessible to all employees?

  Yes

  No

  N/A

• Is the copy of the MIOSHA Workplace Poster displayed in a location accessible to all employees?

  Yes

  No

  N/A

• Are the OSHA annual summary of workplace injuries and illnesses posted between February 1st and April 30th yearly?

  Yes

  No

  N/A

Housekeeping

• Are operator work stations clear of clutter and other hazards

  Yes

  No

  N/A

• Work stations are well organized and no trip hazards are present?

  Yes

  No

  N/A

• Circulation paths are kept clear of any items?

  Yes

  No

  N/A

• Are all electrical cords strung so they do not hang on pipes, nails, hooks, etc?

  Yes

  No

  N/A

• Is there no evidence of fraying on any electrical cords?

  Yes

  No

  N/A

Safety Signage, Barricades and Warning(s)

• Are NO SMOKING signs prominently posted for areas containing combustibles and flammables?

  Yes

  No

  N/A

• Signs indicating required Personal Protective Equipments are in place.

  Yes

  No

  N/A

• Signs indicating eyewash/safety shower, emergency exits, fire extinguishers, etc. are in place?

  Yes

  No

  N/A

• Emergency routes and emergency doors are kept clear of any item and fully accessible. Emergency doors are not locked.

  Yes

  No

  N/A

• Pits, overhead work, maintenance activities are properly as CONFINED SPACES?

  Yes

  No

  N/A

Exits and Access

• Are all exits visible and unobstructed?

  Yes

  No

  N/A

• Are all exits marked with a readily visible sign that is properly illuminated?

  Yes

  No

  N/A

• Are there sufficient exits to ensure prompt escape in case of emergency?

  Yes

  No

  N/A

• Are doors easy to open or have panic hardware?

  Yes

  No

  N/A

• Are exit routes clearly displayed?

  Yes

  No

  N/A

• Are non-exit doors marked properly?

  Yes

  No

  N/A

Fire Protection

• Are fire extinguishers provided in adequate number and type?

  Yes

  No

  N/A

• Are fire extinguishers recharged regularly and properly noted on inspection tag?

  Yes

  No

  N/A

• Are fire extinguishers mounted in readily accessible locations?

  Yes

  No

  N/A

• Are the locations marked properly and in view?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Steel-toed safety shoes are used as required?

  Yes

  No

  N/A

• Safety glasses (side shields) being used as required?

  Yes

  No

  N/A

• Gloves are used as required?

  Yes

  No

  N/A

• Ear protections is used in identified high noise areas?

  Yes

  No

  N/A

• Are aprons being used in identified skin irritant areas?

  Yes

  No

  N/A

• Are full body protection used in identified skin irritant areas?

  Yes

  No

  N/A

Environment

• Are all flammable liquids that are kept inside the building store in proper storage?

  Yes

  No

  N/A

• Are outside containers covered for collection of waste?

  Yes

  No

  N/A

• Are combustible scrap and debris removed from work areas at regular intervals?

  Yes

  No

  N/A

• Do you see any areas of pooled water or debris on the floor?

  Yes

  No

  N/A

Maintenance

• Equipments (lighting fixtures, machine guarding, barriers, etc.) are maintained in good working condition and in place.

  Yes

  No

  N/A

• Is conduit, BX cable, tec. connected to junction and outlet boxes?

  Yes

  No

  N/A

• Are metallic cable and conduit systems properly grounded?

  Yes

  No

  N/A

• Are portable electric tools and appliances grounded or of the double insulation type?

  Yes

  No

  N/A

• Are all electrical installations in hazardous dust or vapor areas allowed?

  Yes

  No

  N/A

Ergonomics

• Workers avoid encounter repetitive awkward positioning, excessive or overhead reaching, or continuous bending and twisting?<br>

  Yes

  No

  N/A

• Are mats in good condition?

  Yes

  No

  N/A

• Are employees encouraged to use back braces for lifting?

  Yes

  No

  N/A

• Are employees trained on proper lifting techniques?

  Yes

  No

  N/A

Tools, Equipment and Machines

• Tools, equipment and machines are operating properly?

  Yes

  No

  N/A

• Is visible electrical wiring and cabling in good condition?

  Yes

  No

  N/A

• Are machines or operations that expose operators or other employees to rotating parts?

  Yes

  No

  N/A

• Are the guards securely fastened?

  Yes

  No

  N/A

• Are machines or operations that expose operators or other employees to pinch points or particles?

  Yes

  No

  N/A

• Are machines or operations that expose operators or other employees to sparks adequately guarded?

  Yes

  No

  N/A

• Is there sufficient clearance from stoves, furnaces, etc. or other combustible materials?

  Yes

  No

  N/A

• Are provisions made to prevent unintentional start up upon restoration of lost power?

  Yes

  No

  N/A

• Are emergency stopping devices or controls within reach of operator's designated position?

  Yes

  No

  N/A

• Does each machine and equipment provided with own means of power, disconnect, and capable of being locked out?

  Yes

  No

  N/A

• Is exposed power shafting less than 7 feet from the floor guarded?

  Yes

  No

  N/A

Overall Notes

• What is the overall condition of the workplace?

  Exceptional

  Exceeds Standards

  Meets Standards

  Needs Improvement

  Needs Significant Improvement

• Enter any general findings or comments

• Are any safety concerns present that require immediate attention?

  Safe

  At Risk

  N/A

• Ensure all safety issues are noted in the audit above, with associated corrective actions created

Accomplishments

• Log below any examples of excellent work practices that were noted on this safety walk.

Good Work Practice

• Team Member Name

• Good work practice:

Sign Off

• Have you demonstrated an active interest in safety and health matters by defining the policy of the business and communicating this to all employees?

  Yes

  No

  N/A

• Do you have a safety committee that allows participation of employees in safety and health activites?

  Yes

  No

  N/A

• I declare that the audit above was conducted and completed accurate.

• Full name and signature of auditor

  Sign