Title Page
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Auditor Name
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Date
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Shift #
Safety LPA
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Select the note button to add a comment or a corrective action taken statement.
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For corrective actions:
Near Misses - Entries can be made in the Near Miss Log or through Gensuite - provide Work Order #
Work Orders are submitted through the Data System under Safety and Gensuite categories - provide Near Miss #
If unable to enter into Work Order Database or Near Miss Log/Gensuite contact Supervisor
Walking and Working Surfaces
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Floors clean, dry and free of damage
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No slip/trip hazards (elec. cords, air hoses, debris)
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Are aisles and walkways clear and free of obstacles?
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No protruding storage/clutter
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Are workstations cleaned infront of and behind? No trash cluttering station?
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Pallets and parts being stacked properly?<br>
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Are the materials on the pallets stacked properly?
Electrical
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Extension cords inspected for damage and a ground plug
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Covers in place on receptacles, boxes, switches
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Electrical panels closed and secured
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Lighting (blown bulbs, all working)
Machine Guarding
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Grinders (1/8" toolrest, 1/4" Tongue guard)
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Working Light curtains
Hazardous Material
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Dispensing containers labeled
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All non-manufacturer containers labeled
General Safety
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Has the Shift Attendence/ EAP checklist been Completed?
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First Aid Boxes stocked?
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All PPE worn and used correctly
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All exits clear of obstruction
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Al forklifts, manlifts checked out properly
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Any unsafe work conditions
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Any blocked fire extinguishers
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Are all pre startup check list being done
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Any damaged or missing safety latches on hoist hooks or on lifting devices
