Safety Inspection BR Maintenance

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Exterior

• Propane cylinders are stored in a cage

  Safe

  At Risk

  N/A

• Oxy / acetylene cylinders secured properly

  Safe

  At Risk

  N/A

• Safety barriers are in good condition around fire hydrants and PIV's where necessary

  Safe

  At Risk

  N/A

• Exterior doors are in good condition and secure, strip curtains in place at dry dock delivery door

  Safe

  At Risk

  N/A

• Adequate quantity of wheel chocks are available

  Safe

  At Risk

  N/A

• Security cameras are all functional

  Safe

  At Risk

  N/A

• Wheel chocks are being used as intended

  Safe

  At Risk

  N/A

• Egress doors are not obstructed

  Safe

  At Risk

  N/A

• Security fencing is in good condition

  Safe

  At Risk

  N/A

• Security gates are in good condition

  Safe

  At Risk

  N/A

• PIV ramp to shipping door 31 is in good repair, ramp surface, railing, strip curtains

  Safe

  At Risk

  N/A

• Exterior lighting is all working properly

  Safe

  At Risk

  N/A

• Traffic signs are in good condition and in proper locations

  Safe

  At Risk

  N/A

• Dock door Red / Green safety lights are working properly

  Safe

  At Risk

  N/A

• Fire hydrants, PIV's are protected, fire department hook up is labeled, accessible, pavement is clearly painted and marked

  Safe

  At Risk

  N/A

• Generators appear to be in good condition, access doors are locked, no visible leaks of fuel

  Safe

  At Risk

  N/A

• Fire pump house is secured, all panel indicator lights are in working order, free of debris, is clean, no exposed wires, lighting inside and out is on working order, confined space signage is in place

  Safe

  At Risk

  N/A

• Other items that were found but not included in this report

  Safe

  At Risk

  N/A

Roof

• Doors and hatches operate properly

  Safe

  At Risk

  N/A

• Hand rails along condenser area is in place and secure

  Safe

  At Risk

  N/A

• Ladders and ladder cage in place and secure on condensers

  Safe

  At Risk

  N/A

• Ventilation exhaust fans secure

  Safe

  At Risk

  N/A

• No storage of supplies on roof unless in secure cabinet

  Safe

  At Risk

  N/A

• No debris on roof

  Safe

  At Risk

  N/A

• Piping appears to be in good condition

  Safe

  At Risk

  N/A

• Piping appears to be well supported

  Safe

  At Risk

  N/A

• No signs of ammonia leaks are noticed

  Safe

  At Risk

  N/A

• Roof drainage is unrestricted

  Safe

  At Risk

  N/A

Building Maintenance

• All PIV operators have completed a pre shift inspection, information is legible

  Safe

  At Risk

  N/A

• Hot work permits are accessible, audit process is in place and is being utilized

  Safe

  At Risk

  N/A

• Eye wash station is clean and accessible. Bump test during audit completed

  Safe

  At Risk

  N/A

• Parts cleaner lid is closed

  Safe

  At Risk

  N/A

• Fire protection panel is free from alarms, fire protection system is in "ready" mode and operational. Weekly / monthly inspections are on file and up to date.

  Safe

  At Risk

  N/A

• All combustibles stored properly

  Safe

  At Risk

  N/A

• Housekeeping completed in a manner that doesn't create any safety hazards or, food safety concerns

  Safe

  At Risk

  N/A

• No loose propane tanks in or around shop

  Safe

  At Risk

  N/A

• No loose oxy / acetylene tanks in or around shop

  Safe

  At Risk

  N/A

• Grinder guards in place and adjusted properly

  Safe

  At Risk

  N/A

• Electrical extension cords in good condition. Verify cord and plug ends

  Safe

  At Risk

  N/A

• Shop hand tools in good condition and all guards in place

  Safe

  At Risk

  N/A

• Safety glasses available at shop entrance

  Safe

  At Risk

  N/A

• Ladders are stored properly. Hung up or secured with c

  Safe

  At Risk

  N/A

• Hot work area sign in place

  Safe

  At Risk

  N/A

• Safe days posted and, is maintained with accurate information

  Safe

  At Risk

  N/A