Information

  • Document No.

  • Audit Title

  • Site

  • Conducted on

  • Prepared by

  • Location
  • Safety Associate

  • Second Auditor/ If Applicable

  • Primary/Department Contact

Personal Protective Equipment

  • Are the employee(s) wearing the minimum required PPE ? (e.g safety glasses, hearing protection)<br><br>

  • Do the employee(s) wear the respirator correctly? (e.g., tight‐fitting respirators' head straps correctly positioned, PAPR faceshield kept closed, etc.)<br>

  • Is all PPE available within the area or zone, ie. Hearing protection, respirators?

  • Are employees wearing harnesses and lanyards for task requiring fall protection?

  • Are contractors wearing the appropriate PPE when required?

Equipment Safety

  • Where applicable Is the equipment/room properly locked out and tagged out? <br><br><br>

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

  • Operating equipment/tools have all machine guards in place.

  • Are plug locks being used when necessary?

  • Are all LOTO tags filled out correctly? (e.g information legible, no tape, contains name, date and reason for LOTO)

  • Has all equipment been properly grounded or bonded?

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

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>

Housekeeping & Walking/Working Surfaces

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

  • Are ladders in good working order, no noticeable damage?

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

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

  • Are pallets stored appropriately in the area or zone?

  • n Construction or Maintenance areas, is the work area clean and orderly.

  • Are wet floor areas appropriately marked?

Emergency Equipment & Evacuation

  • Are emergency equipment and exits in the area free from obstructions and available for use?<br>

  • Do the employee(s) know their evacuation routes and evacuation assembly areas? <br><br>

  • Are Emergency supplies and Maps in-date or need updated?

  • Does emergency equipment (e.g eyewash, fire extinguisher) have inspection tag in place?

Flammable/Combustible Material Handling

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

  • Are chemicals stored in their appropriate location? (e.g flammable cabinets)

  • Are appropriate labels for flammable and combustible liquids present?

Environmental Compliance

  • Are appropriate GHS labels present?

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

  • Storm water drains are clean and clear of sediment or debris?

  • Metal stored outside is covered?

  • Containment dike drain valves are locked in a closed position?

  • Are spill kits appropriately stocked?

Permits

  • Are Hot Work permits being utilized, and filled out correctly?

  • Are Red Tag Permits being utilized and filled out correctly?

Documentation

  • Photos

  • Corrective Action Plan

Validation

  • Safety Rep Signature

  • Second Auditor Signature

Communication

  • Forward to

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