Safety Compliance Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General questions

• OSHA postings

  Off

  On

• OSHA 300 logs

  Off

  On

• OSHA 300A logs

  Off

  On

• Safety meeting minutes

  Off

  On

• Hazard tracking log

  Off

  On

• Evacuation routes

  Off

  On

• Monthly facility inspections

  Off

  On

Emergency action plan

• Annual Review of the emergency Action Plan - 29 CFR 1910.38(e), GSM 03 Section 08 Fire Prevention - 5.12

  Safe

  At Risk

  N/A

• EAP containing emergency reporting, evacuation, and accounting for all employees following an evacuation. 29 CFR 1910.37 GSM 03 Section 08 Fire Prevention - 5.6

  Safe

  At Risk

  N/A

• Exit routes not maintained free and unobstructed. 29 CFR 1910.36

  Safe

  At Risk

  N/A

• Each exit not clearly visible and marked by a sign reading "exit". 1910.37(b)(2)

  Safe

  At Risk

  N/A

• Each exit route not adequately illuminated. Each exit sign must be illuminated. 29 CFR 1910.37(b)(2)

  Safe

  At Risk

  N/A

• Persons unaware what is expected in emergency situations to provide for their safety during fire or other emergencies. 29 CFR 1910.38 and 1910.39 (Appendix to Subpart E)

  Safe

  At Risk

  N/A

• Signs must not posted indicating the direction of travel to the nearest exit and exit discharge. Line-of-sight to an exit sign must clearly be visible at all times. 29 CFR 1910.37(b)(4)

  Safe

  At Risk

  N/A

• Aisles and passageways not kept clear and in good repair, with no obstruction across or in aisles that could create a hazard. Permanent aisles and passageways shall be appropriately marked. 29 CFR 1910.176(a)

  Yes

  No

  N/A

Fire prevention

• Portable fire extinguishers must be visually inspected monthly. An annual, documented, maintenance check is required and documented (1 year). 29 CFR 1910.157(e) GSM 03 Section 27 Fire Extinguishers - 7.1

  Safe

  At Risk

  N/A

• Fire extinguishers must be located, mounted, and identified so that they are readily accessible. 29 CFR 1910.157(c)(1)

  Safe

  At Risk

  N/A

• Personal, portable space heaters present a significant fire risk and are not permitted - Corporate policy

  Safe

  At Risk

  N/A

• Storage areas not kept free from accumulation of materials that constitute a fire hazard. 29 CFR 1910.176(c)

  Safe

  At Risk

  N/A

• Persons must be informed of the fire hazards to which they are exposed. 29 CFR 1910.39(d)

  Safe

  At Risk

  N/A

• Safety instruction signs are to be used where there is a need for general instructions and suggestions relative to safety measures. 29 CFR 1910.145(c)

  Safe

  At Risk

  N/A

• Compressed gas cylinders not restrained to prevent rolling or tipping. Stored cylinders (not in use) require a protective valve cover. 29 CFR 1910.253(2)

  Safe

  At Risk

  N/A

• Chemicals not separated by hazard class to prevent mixing of incompatible materials in the event of a fire or accidental release. 29 CFR 1910.253(4)(iii)

  Safe

  At Risk

  N/A

• Cylinders not kept away from sources of heat. Cylinders must be stored away from areas such as elevators, stairs, or exits. 29 CFR 1910.253 (b)

  Safe

  At Risk

  N/A

• Where flammable or combustible materials are transferred from one container to another, both containers must be bonded and grounded to prevent discharge of sparks of static electricity. 29 CFR 1910.107(e)(9)

  Safe

  At Risk

  N/A

• A minimum of 18" vertical clearance between the sprinklers and the materials stored below must be maintained. 29 CFR 1910.159(c)(10)

  Safe

  At Risk

  N/A

• Welding - All combustibles shall be at least 35 feet from the work site. Where relocation is impracticable, combustibles shall be protected with flame-proofed covers. 29 CFR 1910.252(a)(2)(vii)

  Safe

  At Risk

  N/A

• LP Gas Containers - Containers shall be in a suitable enclosure or otherwise protected against tampering. 29 CFR 1910.110(f)(6)(ii)

  Safe

  At Risk

  N/A

• Cabinets shall be labeled in conspicuous lettering, "Flammable - Keep Fire Away." 29 CFR 1910.106(d)(3)(ii)

  Safe

  At Risk

  N/A

Housekeeping and passageways

• Where mechanical handling equipment is operated, sufficient, safe clearance must be provided for aisles, at loading docks, through doorways, and wherever turns or passage must be made. 29 CFR 1910.22(b)

  Safe

  At Risk

  N/A

• Storage of materials may not create a hazard. Materials must be stacked, blocked, interlocked, and limited in height so that they are stable and secure against sliding or collapse. 29 CFR 1910.176(b)

  Safe

  At Risk

  N/A

• Walking and working surfaces must be maintained in a clean and safe condition to prevent slip and trip hazards. 29 CFR 1910.22

  Safe

  At Risk

  N/A

• All places of employment, passageways, storerooms, and service rooms must be kept clean, orderly, and in a sanitary condition. 29 CFR 1910.176(c)

  Safe

  At Risk

  N/A

• Mold - Employers must protect employees from serious and recognized hazards. Section 5(a)(1) of the Occupational Safety and Health Act (OSH Act)

  Safe

  At Risk

  N/A

Hazard communication

• MSDSs must be available for all chemicals and they must be readily available at all times. 29 CFR 1910.1200(g)(10)

  Safe

  At Risk

  N/A

• Chemical containers must be labeled with the name of the material contained within and the appropriate hazard warnings. This includes secondary containers such as cups and bottles. 29 CFR 1910.1200(f)(5)(i) & (ii)

  Safe

  At Risk

  N/A

• Employees must be informed of the hazardous chemicals in their work areas, the physical and health hazards, and the steps necessary to protect themselves. 29 CFR 1910.1200(h)(2)(ii) and 1910.1200(3)(ii)

  Safe

  At Risk

  N/A

• Safety instruction signs are to be used when there is the need for general instructions and suggestions relative to safety measures. 29 CFR 1910.145

  Safe

  At Risk

  N/A

• Eyewashes should be checked weekly to ensure they are clean and sanitary, an adequate supply of solution is available, and to monitor the expiration date of the solution. ANSI 358.1 (2004)

  Safe

  At Risk

  N/A

• Plumbed eyewashes shall have a monthly and annual inspection. These inspections should be documented. ANSI 358.1 (2004)

  Safe

  At Risk

  N/A

• Cabinets shall be labeled in conspicuous lettering, "Flammable - Keep Fire Away." 29 CFR 1910.106(d)(3)(ii)

  Safe

  At Risk

  N/A

Electrical safety

• Electrical panels must have 36" of clearance to provide access to the electrical equipment. 29 CFR 1910.303(g)(1)(ii) GSM 03 Section 06 General Electrical Safety-5.6

  Safe

  At Risk

  N/A

• Temporary wiring must be removed immediately upon completion of the project for which the temporary wiring was used. 29 CFR 1910.305(a)(2)(ii) GSM 03 Section 06 General Electrical Safety-5.5.

  Safe

  At Risk

  N/A

• Flexible cords and cables shall be protected from accidental damage, as might be caused, for example, by sharp corners, projections, and doorways or other pinch points. 29 CFR 1910.305(a)(2)(ii)

  Safe

  At Risk

  N/A

• If there is damage to electrical cords that may exposed a person to electrical injury, the exposed/damaged wiring must be removed from service. 29 CFR 1910.334 GSM 03 Section 06 General Electrical Safety-5.5

  Safe

  At Risk

  N/A

• All lighting fixtures less than 7 feet from the floor or working surfaces must be covered or guarded. 29 CFR 1910.303

  Safe

  At Risk

  N/A

• Coffee makers, toasters, microwave ovens and/or refrigerators must be plugged directly into a wall outlet. Company Policy

  Safe

  At Risk

  N/A

• Safety signs and symbols must be used to warn persons about electrical hazards to which they may be exposed. 29 CFR 1910.335(b)(1), NFPA 70E, GSM 03 Section 06-6 Safe Electrical Work Practices -14.0

  Safe

  At Risk

  N/A

• Electric equipment shall be free from recognized hazards that are likely to cause death or serious physical harm to employees. 29 CFR 1910.303(b)(1)

  Safe

  At Risk

  N/A

• In locations where electric equipment is likely to be exposed to physical damage, enclosures or guards shall be so arranged and of such strength as to prevent such damage. 29 CFR 1910.303(g)(2)(ii)

  Safe

  At Risk

  N/A

• All pull boxes, junction boxes, and fittings shall be provided with covers identified for the purpose. 29 CFR 1910.305(b)(2)(i)

  Safe

  At Risk

  N/A

• Employees shall be trained in and familiar with the electrical safety-related work practices. 29 CFR 1910.332(b)(1) GSM 03 Section 06-6 Safe Electrical Work Practices -7.0

  Safe

  At Risk

  N/A

• Employees working in areas where there are potential electrical hazards shall be provided with, and shall use, electrical protective equipment 29 CFR 1910.335(a)(1)(ii)

  Safe

  At Risk

  N/A

• Protective equipment shall be maintained in a safe, reliable condition and shall be periodically inspected or tested. 29 CFR 1910.335(a)(1)(i)

  Safe

  At Risk

  N/A

• When working near exposed energized conductors or circuit parts, employees shall use insulated tools or handling equipment 29 CFR 1910.335(a)(2)(i) GSM 03 Section 06-6 Safe Electrical Work Practices -13.0

  Safe

  At Risk

  N/A

• Daisy Chaining - Listed or labeled equipment shall be installed and used in accordance with any instructions included in the listing or labeling. 29 CFR 1910.303(b)(2) GSM 03 Section 06 General Electrical Safety-5.6

  Safe

  At Risk

  N/A

• Each service, feeder, and branch circuit, at its disconnecting means or overcurrent device, shall be legibly marked to indicate its purpose, unless located and arranged so the purpose is evident. 29 CFR 1910.303(f)(2)

  Safe

  At Risk

  N/A

• Flexible cords and cables may not be used as a substitute for the fixed wiring of a structure. 29 CFR 1910.305(g)(1)(iv)(A) GSM 03 Section 06 General Electrical Safety-5.5

  Safe

  At Risk

  N/A

• Unused openings in cabinets, boxes, and fittings shall be effectively closed. 29 CFR 1910.305(b)(1)(ii)

  Safe

  At Risk

  N/A

Lock out, tag out

• Equipment specific lockout/tagout procedures must be developed which identify the specific procedural steps that need to be followed when performing lockout/tagout. 29 CFR 1910.147(c)(4)(ii) GSM 03 Section 18 Lockout Tagout - 7.1

  Safe

  At Risk

  N/A

• Persons authorized to perform lockout/tagout must be trained. 29 CFR 1910.147(7)(i)(A) GSM 03 Section 18 Lockout Tagout - 14.1

  Safe

  At Risk

  N/A

• An inspection of the lockout/tagout procedures must be performed annually to ensure that the procedure is up-to-date and is being followed. 29 CFR 1910.147(c)(6)(i) GSM 03 Section 18 Lockout Tagout - 13.1

  Safe

  At Risk

  N/A

• Persons who work in areas where lockout procedures are used must be informed of the lockout procedures. 29 CFR 1910.147(c)(7)(i)(B) GSM 03 Section 18 Lockout Tagout - 14.4

  Safe

  At Risk

  N/A

• Lockout and tagout devices must be standardized and must not be used for any other purpose. Each employee performing lockout/tagout must apply their own lock. 29 CFR 1910.147(c)(5)(ii) GSM 03 Section 18 Lockout Tagout - 8.0

  Safe

  At Risk

  N/A

• The employer shall maintain a written copy of the procedures and shall make it available for inspection by employees. 29 CFR 1910.333(b)(2)(i)

  Safe

  At Risk

  N/A

Hand and power tools

• Tools and equipment must be maintained in a safe condition. 29 CFR 1910.242(a)

  Safe

  At Risk

  N/A

• Compressed air must not be used for cleaning purposes except where reduced to less than 30 p.s.i. and then only with effective chip guarding and personal protective equipment. 29 CFR 1910.242(b)

  Safe

  At Risk

  N/A

Machine guarding

• Machine guarding must be provided to protect the operator and other persons from hazards. 29 CFR 1910.212(a) GSM 03 Section 19 Machine Guarding - 5.1

  Safe

  At Risk

  N/A

• Grinding wheels must have tool rests to support the work. The work rests must be within 1/8 inch of the wheel. The top tongue may not exceed 1/4 inch. CFR 1910.215(a) and (b) and (d) GSM Section 19 Machine Guarding - 6.9

  Safe

  At Risk

  N/A

• Machines designed for a fixed location shall be securely anchored to prevent walking or moving. 29 CFR 1910.212(b) GSM 03 Section 19 Machine Guarding - 6.6

  Safe

  At Risk

  N/A

• All exposed parts of horizontal shafting seven (7) feet or less from floor or working platforms shall be protected by a stationary casing. 29 CFR 1910.219(c)(2)(i)

  Safe

  At Risk

  N/A

Walking working surfaces and fall protection

• Open-sided floors or platforms 4 feet or more above the floor or ground level must be guarded by a standard railing. 29 CFR 1910.23(c)(1) GSM 03 Section 7 Fall Protection and Walking Working Surfaces - 5.3.1

  Safe

  At Risk

  N/A

• A standard 4 inch toeboard must be securely fastened in place. 29 CFR 1910.23(e)(4) GSM 03 Section 7 Fall Protection and Walking Working Surfaces - 5.5.2

  Safe

  At Risk

  N/A

• Persons working at heights more than 4 feet must use fall protection. Holes, openings and unprotected edges must be protected by covers or guardrail systems. 29 CFR 1926.501(b)(4)(i)

  Safe

  At Risk

  N/A

• Catwalk - An exit access must be at least 28 inches wide at all points. 29 CFR 1910.36(g)(2)

  Safe

  At Risk

  N/A

• All places of employment, passageways, storerooms, and service rooms shall be kept clean and orderly and in a sanitary condition. 29 CFR 1910.22(a)(1)

  Safe

  At Risk

  N/A

• The floor of every workroom shall be maintained in a clean and, so far as possible, a dry condition. 29 CFR 1910.22(a)(2)

  Safe

  At Risk

  N/A

• Where wet processes are used, drainage shall be maintained, and false floors, platforms, mats, or other dry standing places should be provided where practicable. 29 CFR 1910.22(a)(2)

  Safe

  At Risk

  N/A

• Covers and/or guardrails shall be provided to protect personnel from open pits, tanks, vats, ditches, etc. 29 CFR 1910.22(c) GSM 03 Section 7 Fall Protection and Walking Working Surfaces - 5.1.3

  Safe

  At Risk

  N/A

• The loads approved by the building official shall be marked on plates of approved design which shall be supplied and securely affixed by the owner of the building. 29 CFR 1910.22(d)(1)

  Safe

  At Risk

  N/A

• Storage of materials may not create a hazard. Materials must be stacked, blocked, interlocked, and limited in height so that they are stable and secure against sliding or collapse. 29 CFR 1910.176(b)

  Safe

  At Risk

  N/A

Ladders

• Ladders must be maintained in good condition at all times29 CFR 1910.25 and 1910.26 GSM 03 Corporate Policies _Section 7 Fall Protection and Walking Working Surfaces - 6.1

  Safe

  At Risk

  N/A

• Ladders must be inspected frequently. 29 CFR 1910.25 and 1910.26 GSM 03 Corporate Policies _Section 7 Fall Protection and Walking Working Surfaces - 6.1.3

  Safe

  At Risk

  N/A

Ground service equipment

• Modifications and additions shall not be performed by the customer or user without manufacturers prior written approval. 29 CFR 1910.178(a)(4) GSM 03 Section 12 Ground Service Equipment - 6.1

  Safe

  At Risk

  N/A

• The employer shall ensure that each operator has successfully completed the training. This training must be documented. 29 CFR 1910.178(I)(1)(ii) GSM 03 Section 12 Ground Service Equipment - 5.2

  Safe

  At Risk

  N/A

• Trainer must have the knowledge, training, and experience to train operators and evaluate their competence. 29 CFR 1910.178(l)(2)(i)(A) GSM 03 Section 12 Ground Service Equipment - 5.3

  Safe

  At Risk

  N/A

• Refresher is observed operating a vehicle in an unsafe manner; involved in an accident or near-miss incident. 29 CFR 1910.178(l)(4)(i) & (ii)A,B,C,D,E GSM 03 Section 12 Ground Service Equipment - 5.2.4

  Safe

  At Risk

  N/A

• Training is required when the operator is assigned to drive a different type of truck or a condition in the workplace changes that could affect safe operation of the truck. 29 CFR 1910.178(l)(4)

  Safe

  At Risk

  N/A

• Vehicle inspections must be performed each day at the beginning of each shift. 29 CFR 1910.178(I)(3)(i) GSM 03 Section 12 Ground Service Equipment - 5.4.2

  Safe

  At Risk

  N/A

• A powered industrial vehicle that is not in safe operating condition must be removed from service. 29 CFR 1910.178(p) and (q) GSM 03 Section 12 Ground Service Equipment - 5.4.6

  Safe

  At Risk

  N/A

Confined space entry

• The employer shall evaluate the workplace to determine if any spaces are permit-required confined spaces. 29 CFR 1910.146(c)(1) GSM 03 Section 5 Confined Space Entry - 5.1

  Safe

  At Risk

  N/A

• The employer must post danger signs of the existence and location of and the danger posed by permit spaces. 29 CFR 1910.146(c)(1) GSM 03 Section 5 Confined Space Entry - 5.2

  Safe

  At Risk

  N/A

• Confined spaces must be identified as which are permit required? The list must be updated annually or as conditions change. GSM 03 Section 5 Confined Space Entry - 5.1.1-5.1.5

  Safe

  At Risk

  N/A

• Employees who work in areas where confined spaces are present must be trained to the "awareness" level. This training must be documented. 29 CFR 1910.146(g) GSM 03 Section 5 Confined Space Entry - 4.1.

  Safe

  At Risk

  N/A

• An appropriate level of training is required for persons who perform confined space entry. 29 CFR 1910.146(g) GSM 03 Section 5 Confined Space Entry - 4.1.

  Yes

  No

  N/A

Personal protective equipment

• Personal protective equipment that is damaged or defective must not be used or worn. 29 CFR 1910.132(e)and(f)

  Safe

  At Risk

  N/A

• Persons must be trained on the limitations of the equipment and well as how to use and maintain it. 29 CFR 1910.132(e)and(f)

  Safe

  At Risk

  N/A

• Training is required for each person who is required to use PPE. 29 CFR 1910.132(f)

  Safe

  At Risk

  N/A

• The employer shall assess the workplace to determine if hazards are present which necessitate the use of personal protective equipment (PPE). 29 CFR 1910.132(d) GSM 03 Section 23-4 PPE Hazard Assessment Form

  Safe

  At Risk

  N/A

• The employer shall enforce the use of PPE if required. 29 CFR 1910.132(d) GSM 03 Section 23-4 PPE Hazard Assessment Form

  Safe

  At Risk

  N/A

Asbestos control

• Building and facility owners shall determine the presence, location, and quantity of ACM and/or PACM at the work site. 29 CFR 1910.1001(j)(2)(i) GSM 03 Section 3 Asbestos Exposure Control - 4.2

  Safe

  At Risk

  N/A

• Employers and building and facility owners shall inform employees about the presence and location of ACM and PACM. 29 CFR 1910.1001(j)(2)(i) GSM 03 Section 3 Asbestos Exposure Control - 4.2

  Safe

  At Risk

  N/A

• Building and facility owners shall inform service providers and employees who will perform housekeeping of areas which contain ACM and/or PACM 29 CFR 1910.1001(j)(2)(iii) GSM 03 Section 3 Asbestos Exposure Control - 4.8

  Safe

  At Risk

  N/A

• Signage is required at the entrance to mechanical rooms/areas in which employees reasonably can be expected to enter and which contain ACM and/or PACM 29 CFR 1910.1001(j)(3)(v) GSM 03 Section 3 Asbestos Exposure Control - 4.9

  Safe

  At Risk

  N/A

• All surfaces shall be maintained as free as practicable of ACM waste and debris and accompanying dust. 29 CFR 1910.1001(k)(1)

  Safe

  At Risk

  N/A

• Waste, debris and dust in an areas containing accessible ACM and/or PACM or visibly deteriorated ACM, shall not be dusted or swept dry, or vacuumed without using a HEPA filter. 29 CFR 1910.1001(k)(1) and 29 CFR 1910.1001(k)(8)

  Safe

  At Risk

  N/A

• Annual asbestos awareness training shall be provided to all employees who perform housekeeping work in areas where ACM and/or PACM is present. 29 CFR 1910.1001(j)(vii)(4) GSM 03 Section 3 Asbestos Exposure Control - 4.9

  Safe

  At Risk

  N/A

Flammable and combustible material control

• The door shall be provided with a three-point lock, and the door sill shall be raised at least 2 inches above the bottom of the cabinet. 29 CFR 1910.106(d)(3)(ii)

  Safe

  At Risk

  N/A

• The door shall be provided with a three-point lock, and the door sill shall be raised at least 2 inches above the bottom of the cabinet. 29 CFR 1910.106(d)(3)(ii)

  Safe

  At Risk

  N/A

• Flammable storage cabinets have missing bungs. 29 CFR 1910.106(d)(3)(ii)

  Safe

  At Risk

  N/A

• Where the eyes or body of any person may be exposed to injurious corrosive materials, facilities for quick drenching or flushing of the eyes and body shall be provided. 29 CFR 1910.151(c)

  Safe

  At Risk

  N/A

• "No smoking" signs in large letters on contrasting color background shall be conspicuously posted at all spraying areas and paint storage rooms. 29 CFR 1910.107(g)(7)

  Safe

  At Risk

  N/A

Respiratory protection

• A designated program administrator who is qualified by appropriate training or shall manage the respiratory protection program. 29 CFR 1910.134(c)(3) GSM 03 Section 23-4 Respiratory Protection - 4.6

  Safe

  At Risk

  N/A

• The employer shall select a NIOSH-certified respirator. The respirator shall be used in compliance with the conditions of its certification. 29 CFR 1910.134(d)(1)(ii) GSM 03 Section 23-4 Respiratory Protection - 3.2

  Safe

  At Risk

  N/A

• All respirators shall be stored to protect them from damage, contamination, dust, sunlight, extreme temperatures, excessive moisture, and chemicals. 29 CFR 1910.134(h)(2(i)) GSM 03 Section 23-4 Respiratory Protection - 3.5

  Safe

  At Risk

  N/A

• Annual and documented training must be provided to all respirator users. 29 CFR 1910.134(k)(1)(iv) 29 CFR 1910.134(k)(5) GSM 03 Section 23-4 Respiratory Protection - 3.6.2

  Safe

  At Risk

  N/A

• Procedures to ensure adequate air quality, quantity, and flow of breathing air for atmosphere-supplying respirators. 29 CFR 1910.134(c)(1)(vi)

  Safe

  At Risk

  N/A

Eyelashes and showers

• Plumbed or self-contained eyewashes must be provided in all work areas where an employee's eyes may come into contact with materials that are corrosive, irritating or damaging to the eye. ANSI 358.1 (2004)

  Safe

  At Risk

  N/A

• An emergency shower must be provided in work areas where an employee's body may come into contact with materials that are corrosive, irritating or damaging to the body. ANSI 358.1 (2004)

  Safe

  At Risk

  N/A

• Eyewash and shower temperature range is 60 degrees Fahrenheit to 100 degrees Fahrenheit. ANSI 358.1 (2004)

  Yes

  No

  N/A

• Emergency eyewash and/or shower fixtures must take no more than 10 seconds (50 feet) to reach and the path to the fixture must not be hindered with obstructions. ANSI 358.1 (2004)

  Safe

  At Risk

  N/A

• The location must be identified with a "highly visible sign". ANSI 358.1 (2004)

  Safe

  At Risk

  N/A

• Each month, emergency products must be inspected and activated to ensure they still meet the ANSI Standard compliance requirements and are operational. ANSI 358.1 (2004)

  Safe

  At Risk

  N/A

Sign off of receipt

• Signature of corporate safety

  Sign

• Signature of site manager

  Sign