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>
-
Do the employee(s) wear the respirator correctly if applicable? (e.g., tightâfitting 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 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 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>
-
Are employees using mechanical lift assist devices (drum dumpers, inverters, hoists, etc.) properly?
Housekeeping & Walking/Working Surfaces
-
Are materials staged/stored in stable, neat and orderly fashion?
-
Are ladders in good working order, no noticeable damage?
-
Are ladders stored and keep in an orderly fashion?
-
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?
-
In Construction or Maintenance areas, is the work area, ladder, lift, etc., appropriately marked, attended, or barricaded?
-
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>
-
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?
-
Is bonding and grounding equipment being used properly? Is the equipment in good condition? (Such as no fraying or broken connections)
-
Is LEL detection present and working appropriately?
-
Are appropriate GHS labels present?
Environmental Compliance
-
Waste drums are closed, grounded (flammable only), properly labeled and in good condition/clean?
-
Sanitary drains are plugged during all acetone processing and/or washing?
-
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?
PIT/Scissor lift
-
PIT/Scissor lift log books filled out correctly and up to date.
-
PIT/Scissor lift charging stations are in good conditions.
-
Are the Scissor lift correctly equipped with a fire extinguisher?
Documentation
-
Photos
-
Corrective Action Plan
Validation
-
Safety Rep Signature
-
Second Auditor Signature
Communication
-
Forward to
- EHS Committee
- Quality Compliance
- Security
- Manufacturing
- Quality Operations
- Facilities
- HR