Safety Risk Assessment - ZONE #1

• Document No.

• Audit Title

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Safety Associate

• Second Auditor/ If Applicable

• Primary/Department Contact

Equipment Safety

• Are all electrical cords in good condition? Do all electrical cord plugs in the room have their grounding prongs intact?<br>

  Yes

  No

  N/A

• Has equipment been modified in any way that jeopardizes the safety of the process or operator?

  Safe

  At Risk

  Non-Compliant

  N/A

• Are all required warning tags on equipment accounted for, visible, and identifiable?

  Yes

  No

  N/A

Ergonomics

• Are the following basic lifting techniques being followed? Back straight, knees bent, load close to body, lifts with legs, does not twist at the waist.<br>

  Yes

  No

  N/A

• Are employees using mechanical lift assist devices (carts,foot pump lifts , etc.) properly?

  Yes

  No

  N/A

Housekeeping & Walking/Working Surfaces

• Are materials that are staged/stored stable, neat and orderly?

  Yes

  No

  N/A

• Are all egress and exit areas clear of obstruction? <br>

  Safe

  At Risk

  Non-Compliant

  N/A

• Are all area walking surfaces, platforms free of clutter and debris?

  Yes

  No

  N/A

• Are wet floor areas appropriately marked?

  Yes

  No

  N/A

• Area construction areas appropriately marked, attended, or barricaded?

  Yes

  No

  N/A

Emergency Equipment & Evacuation

• Do the employee(s) know their primary and secondary evacuation routes from their current location?<br>

  Yes

  No

  N/A

• Do the employees know where their designated outside evacuation assembly area is located?

  Yes

  No

  N/A

• Are area Maps (Evacuation, Safety Equipment) up to date?

  Yes

  No

  N/A

• Does emergency equipment require maintenance or replacement?

  Yes

  No

  N/A

• Has emergency equipment (eye wash/shower) been appropriately PM'd (check inspection tag) ?

  Yes

  No

  N/A

Flammable/Combustible Material Handling

• Flammable/combustible liquids are being stored in proper containers and in designated storage areas?<br>

  Yes

  No

  N/A

• Are the waste disposal Earthrite systems working appropriately?

  Yes

  No

  N/A

• Are appropriate labels for flammable and combustible liquids present?

  Yes

  No

  N/A

Environmental Compliance

• Waste drums are closed, grounded (flammable only), properly labeled and in good clean condition?

  Yes

  No

  N/A

Laboratory

• Are chemicals stored in their appropriate location (i.e. not in fume hood) ?

  Yes

  No

  N/A

• Are chemicals appropriately capped ?

  Yes

  No

  N/A

• Are all container nozzles appropriately turned to eliminate the chance of spills by kicking ?

  Yes

  No

  N/A

• Are Fume Hood Sashes at appropriate heights?

  Yes

  No

  N/A

• Are Fume Hoods free from clutter ?

  Yes

  No

  N/A

• Is the air flow indicator operating correctly?

  Yes

  No

  N/A

• Have Hoods been tested appropriately (see label for test dates) ?

  Yes

  No

  N/A

• Are stir plates and other corded equipment appropriately stored?

  Yes

  No

  N/A

• Is glassware in good condition?

  Yes

  No

  N/A

• Are aisle-ways free of clutter and debris?

  Yes

  No

  N/A

• Are dump stations clean and uncluttered ?

  Safe

  At Risk

  Non-Compliant

  N/A

• Is waste appropriately labeled?

  Yes

  No

  N/A

• Are laboratory employees wearing appropriate PPE (i.e. shoes, safety glasses, and laboratory coats)?

  Yes

  No

  N/A

• Are electrical panels and emergency equipment unblocked and accessible?

  Yes

  No

  N/A

• Are gas cylinders appropriately chained and stored?

  Yes

  No

  N/A

Documentation

• Photos

  Media

• Corrective Action Plan

Validation

• Safety Rep Signature

  Sign

• Second Auditor Signature

  Sign

Communication

• Forward to

  Select EHS Committee Quality Compliance Quality Operations Facilities

  • EHS Committee
  • Quality Compliance
  • Quality Operations
  • Facilities