Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Housekeeping Safety

  • The work area is clean and organized.

  • There are no trip hazards.

  • Material is not leaning against the wall.

  • There are no sharp edges that could cut employees.

  • There are warning signs to communicate safety equipment and potential hazards.

Evacuation

  • Emergency exit routes are clear.

  • Exit doors are clear.

  • Exit doors have signs.

  • Emergency lighting is working.

Fire Prevention

  • Fire extinguishers are not blocked.

  • Fire extinguishers are hanging on the wall.

  • Fire extinguishers have proper identification.

  • Fire extinguisher have been inspected by an outside company.

  • Fire hose is not damaged and is stored correctly.

Machine Guards

  • Warning decals and stickers are legible.

  • Rotating parts are guarded to prevent contact.

Lockout Tagout

  • Lockout Tagout equipment is available to authorized employees.

  • Equipment that was "Lockout" at the time of the audit was labeled correctly.

Personal Protective Equipment

  • Personal protective equipment is being provided by the company.

  • There are clear signs to indicate what type of PPE is required to be worn in the department.

Fall Protection

  • Work platform that are 4ft high have railings to provide fall protection.

  • Warning signs are positioned to alert employees of potential fall hazards.

  • Ladders are stored correctly.

Electrical

  • Flexible cords are not running through walls, windows, or doorways.

  • Electrical boxes are not blocked.

  • There are no missing knockouts or exposed electrical parts.

  • Flexible cords are not frayed or damaged.

  • There are no electrical cords run through water or across damp floors.

  • Electrical cords are not tied around metal supports.

Chemicals

  • Chemicals are labeled correctly.

  • There are no food or drinks near chemicals.

  • Chemicals are stored correctly.

Additional Information

  • There are no other safety issues that need to be address.

  • Were there positive safety items that need to be spotlighted.

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