Title Page

  • Document No.

  • Audit Title

  • NCI facility location

  • Conducted on

  • Prepared by

  • Location
  • Key Plant Management team members

Machine Guarding Program

  • Is a Guarding process in place for all department?

  • Are regular Guarding audits conducted?

  • Has a Guarding emphasis committee been established for the facility?

  • Does the audit process include a method for prioritizing Guarding hazards?

  • Are maintenance work orders utilized to correct Guarding deficiencies in a timely manner?

Material Storage

  • Are standardized coil storage procedures established and utilized in the facility?

  • Are there no discrepancies in coil storage application?

  • Warehouse materials are stored in an orderly manner?

  • Rack systems are in good condition, secured to the floor, and have posted weight capacity ratings.

  • Finished materials are stored in an organized and safe manner.

  • Material handling systems, being utilized to transfer or move material, have established procedures and employees are trained on these procedures?

Cranes and lifting devices

  • Daily pre-shift inspections are completed by plant personnel?

  • Comprehensive monthly inspections are completed and documented?

  • Lifting device (lifting belts, coil hooks, coil caddies, spreader bars, and chains) monthly inspections are documented in detail and filed for reference as needed.

  • Bi-annual die penetrant or magna flux inspections of critical welds are completed, documented, and filed for reference.

Electrical Safety

  • The facility has competent, qualified electricians on staff.

  • Electrical Arc Flash PPE, rated voltage tools, and rescue equipment is available and in good condition.

  • Electrical panels are labeled with current Program Arc Flash labels.

  • Electrical panel has identification labels for panel or breaker function and voltage rating.

  • There is adequate clearance in front of electrical panel or breaker disconnects.

Confined Space

  • Facility confined space areas are identified and have specific identification labeling.

  • A confined space listing has been completed and documented on the NCI confined space register.

  • All confined space areas identified on the register have an individual documented hazard analysis completed and on file.

  • Confined space training is current?

  • Confined space entry, rescue, and monitoring equipment is available and utilized a required by the hazard assessment?

  • Management oversight is provided for the confined space program.

Hand and finger safety

  • The correct PPE is being utilized to help prevent hand and finger injuries?

  • Employees are aware of the "Line of Fire" safety concept to prevent injuries?

  • Production processes are designed in a manner where there are no exposure to employees from Line of Fire. (If no, please list in notes)

Reporting of incidents and injuries

  • Employees understand their responsibility of reporting all near hits, injuries, and property damage events?

  • Reported incidents are investigated timely and completed within 5 working days of the event occurrence?

  • The are no open incident reports for the facility as of this date?

  • The first aid area has a log for employees to input data entries on any first aid supplies which are use?

  • First responders are in place and training is current?

BBS/Safety Conversation Program

  • The facility has an active BBS program?

  • Employees conduct and document Safety Conversations?

  • A BBS coordinator has been established at the facility?

  • Training on BBS has been conducted for team leaders?

  • Training on BBS has been conducted for departmental employees?

NCI Fleet Safety Program

  • NCI Fleet drivers are home based and utilized from the facility?

  • The NCI Fleet safety program is utilized for the Fleet drivers?

  • Monthly safety topics are provided for the Fleet drivers and signed acknowledgment forms are turned in as proof of review?

  • Quarterly Fleet driver meetings are held at the plant?

Trailer fall prevention

  • Fall prevention methods are provided to team members who work on trailer elevated surfaces?

  • Has a Hazard analysis been completed on trailer fall procedures to determine risk?

  • Methods to prevent falls from trailers are in process.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.