Safety Committee - Department Safety Audit

• Department Audited

  Select

• Conducted on

  Date

• Prepared by:

• Contact Person:

• Facility

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  • 15

• Inspection #

General Safety

• Are the tables, chairs, and other furniture in a state of operational integrity and compliance with safety standards?

  Yes

  No

• Are there areas within the department that may present potential hazards associated with cutting, puncturing, or causing lacerations?

  Yes

  No

• Materials are stored on racks securely?

  Good

  Fair

  Poor

  N/A

• Open containers and food are on not production floor?

  Compliant

  Non-Compliant

• Are the garbage cans over flowing?

  Yes

  No

Walk & Working Surfaces

• Ladders are clean, not damaged, and stored properly?

  Yes

  No

  N/A

• Work areas are neat and orderly?

  Good

  Fair

  Poor

  N/A

• Walkways are kept free of obstruction and trip hazards?

  Good

  Fair

  Poor

  N/A

• Portable stairs are in a safe working order and have safety lock in place?

  Yes

  No

  N/A

• Banding and dunnage not laying around in work / walking areas?

  Compliant

  Non-Compliant

Machine / Tool / Facility Safety

• All points of operation and points of contact are gaurded?

  Yes

  No

• Areas surrounding machines are free of hazards?

  Yes

  No

• Grinders and/or saws have guards in place and working?

  Yes

  No

• Air compressor lines, hoses and fittings in good condition?

  Yes

  No

• Are there any apparent safety concerns pertaining to the building or its surrounding grounds?

  Yes

  No

  N/A

Hazard Communication

• Containers are labeled according to the contents?

  Yes

  No

• Chemical containers are stored properly and sealed when not used

  Yes

  No

• Containers not leaking?

  Pass

  Fail

• Employees understand how to access Safety Data Sheets (SDS)?

  All Employees

  Some Employees

  No Employee

  Did not ask

• Spill Kits are clean, accessible, sealed and ready for use?

  Yes

  No

  No spill kits

• Compressed gas cylinders are secure and valves are closed?

  Yes

  No

  N/A

• Waste containers properly labeled (Chemical components)

  Yes

  No

  N/A

Emergency Response

• Eye wash stations are checked weekly; clean, accesible, working?

  Yes

  No

• Extinguishers are checked monthly; charged and operable?

  Yes

  No

• Extinguishers are easily accessible and hanging with proper signage

  Yes

  No

• Exits are marked and illuminated corretly?

  Yes

  No

• Non exit doors are marked "NOT AN EXIT"

  Yes

  No

  N/A

• Exits doors and aisles are clear for egress in case of emergency?

  Yes

  No

• Are the fire alarm horns properly installed and readily accessible in the event of an emergency situation?

  Yes

  No

• First Aid kits are ready for use? First Aid contact list posted?

  Yes

  No

Powered Industrial Equipment

• Forklift operators are wearing seatbelts?

  Yes

  No

  Did not witness

• Hoist safety latches intact and not bent?

  Yes

  No

  N/A

• Employees do not pass underneath loads of forklifts OR cranes?

  Compliant

  Non-Compliant

• Hoist straps have visible labels, no tears, snags, cuts or broken stitching?

  Yes

  No

  N/A

• Fire extinguisher on lift(s) inspected monthly?

  Yes

  No

  N/A

• Crane daily inspection completed?

  Yes

  No

  N/A

Personal Protective Equipment

• Employees are wearing required hearing protection?

  Yes

  No

• Employees are wearing safety glasses; side shields?

  Yes

  No

• Personal Protective Equipment (PPE) stored properly?

  Yes

  No

  N/A

• Respiratory Protection is worn in areas where required?

  Yes

  No

  N/A

• Respirators stored properly in respirator storage bags?

  Yes

  No

  N/A

• Other misc. PPE is worn according to the hazards? (Example: Sleeves, gloves, long pants, Etc.?)

  Yes

  No

  N/A

Electrical

• Extension cords not used as permanent wiring?

  Compliant

  Non-Compliant

• Extension cords are not daisy chained together?

  Compliant

  Non-Compliant

• Electrical plugs have grounding prongs? (fans, equipment, etc.)

  Compliant

  Non-Compliant

• Electrical componants are not near water unless GFCI is utilized?

  Compliant

  Non-Compliant

• Power strip are not overloaded?

  Compliant

  Non-Compliant

• Electrical panels have adequate clearance (36") and are closed?

  Compliant

  Non-Compliant

• Junction boxes are sealed/closed with no exposed wires?

  Compliant

  Non-Compliant

• Materials and containers are grounded near flammable contents?

  Yes

  No

  N/A

• Energized parts, circuits and equipment guarded against accidental contact?

  Yes

  No

Fire Prevention and Protection

• Flammable liquids stored in approved safety cans?

  Yes

  No

  N/A

• Flammable liquid containers kept closed when not in use?

  Yes

  No

  N/A

• Flammable liquids of 10 gallons or more stored in flammable storage cabinet?

  Yes

  No

  N/A

• Flammable liquid drums grounded and bonded?

  Yes

  No

  N/A

• Oily/greasy rags placed in proper self-closing oily rag containers or bags?

  Yes

  No

  N/A

• Sprinkler heads clean and unobstructed within 18" from sprinkler?

  Yes

  No

Additional Safety Concerns / Comments

• Concern / Comment #1

• Concern / Comment #2

• Concern / Comment #3

• Concern / Comment #4