• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Audit started on

  • Audit completed on:

  • Auditors summary

  • Disclaimer: While the SafetyNet auditor makes every attempt to observe and locate hazards at the time of this inspection we do not warrant or guarantee that all hazards were discovered or observed during this inspection. We recommend and it is required to conduct ongoing periodic safety inspections on an ongoing basis as new or previously uncovered hazards can develop at any time. Additionally the recommendations and warnings listed are from the professional experience and knowledge of the auditor. Should you or your company seek further clarification please contact our office at 877-354-5434 or visit the state or federal OSHA web site for rules and regulations pertaining to the items on your audit.

1.0 Previous inspection

  • Items from previous audit have been corrected

  • Great job! The previous item were not observed at the time of this audit. Nevertheless please verify that all items issues, unsafe acts or unsafe condition have been corrected through engineering, administrative, PPE, training or other controls.

  • Items from previous audit were observed and have NOT been fully corrected

  • ATTENTION: Items observed on this audit were repeat observances or uncorrected issues. It is imperative that all items be corrected to insure the safety of your staff and reduce risk of accidents or violation. If you need assistance or would like to discuss any item please call 877-354-5434.

  • Risk rating of this facility observed from this audit 1=Best 10=Worst score

  • This facility scored a low risk of injuries, accidents or safety violations based on the observations at the time of this audit

  • This facility scored a moderate risk of accidents, injuries or violations based on the observations at the time of this audit

  • The facility scored an above average score which could result in accidents, injuries or violations based on the observations at the time of this audit. Any serious items should be prioritized and corrected immediately.

  • ATTENTION: The facility scored an extremely high Risk score which will result in accidents, injuries or violations based on the observations at the time of this audit. Any serious items should be corrected immediately.

2.0 Compressed gas 1910 Subpart M

  • Do you have compressed gas cylinders stored at your facility?

  • Do empty cylinders have their valves closed? 1910.253(b)(2)(iii)

  • Are compressed gas cylinders stored to prevent tipping or falling

  • Are compressed gas cylinders capped with a metal protecting cover when not in use?

3.0 Chemical - RTK and GHS compliance - MSDS 1910.1200

  • Have employees been trained on hazard communication and the new GHS "employee right to understand" system

  • Are secondary bottles labeled to meet HMIS OR GHS compliance with HMIS or pictogram to indicate hazards along with first aid and specific hazard warning instructions.Are

4.0 Chemical handling and storage 1910.120

  • Chemical hazards observed

  • Are open drums and containers stored on spill containment pallets or pans.

  • Are metal flammable storage drums grounded properly to prevent sparks and fire.

  • Are approved secondary containers utilized, are they labeled properly and are they compatible with its contents?

  • Are at chemical store or being handled in an unsafe manner?

5.0 Confined space 1910.146

  • Do you have confined spaces that have potentially hazardous conditions?

  • Are only trained staff permitted to enter confined space and have they been trained properly with the appropriate equipment to enter the space safely?

  • Do you have permit required or non permit required confined space posted properly?

6.0 Employee training 29CFR part 128

  • Employee training issues observed

  • Personal protective equipment -Does the employer have certification with employee’s name, date and subject of personal protective equipment training? 1910.132(f)(4)

  • Respirator or training, fit testing and medical evaluations are completed when applicable.

  • Are new employees being trained properly before beginning work for specific hazards associated with their task and general hazards in the facility. Additionally are they trained where emergency equipment and supplies are located and what to do in an emergency or spill of a chemical?

  • Lockout Tagout - Does the employer have certification that training has been accomplished and kept up to date including each employees name and training dates? 1910. 147(c)(7)(iv)

  • Hazard Communication - Does the employer maintain documentation of the employee name and contents of haz- ardous communication training? 1910.1200(h)(3)

  • Confined Space - Does the employer have documentation of each employee’s name, the signatures or initials of trainers and the dates of the train- ing? 1910.146(g)(4)

  • Blood borne pathogen - Does the employer have documentation of training, including the contents of the train- ing sessions, names and qualifications of trainers, names and job titles of those trained? (Note: Documentation must be kept for three years.) 1910.1030(h)(2)(ii)

  • Facility conducts comprehensive employee hazard training and ensures all participate; in addition, employees can demonstrate proficiency in, and support of areas covered by training?

  • Other training deficiencies noted where applicable

7.0 Dock and warehouse safety 1910 Subpart N

  • Dock and warehouse hazards observed

  • Loading area clean and tidy to prevent falling objects, slips trips or fall hazards?

  • Heavy objects are stored on lower shelves

  • Pallets must be in good condition. Empties must be stored properly. No broken or protruding wood or nails. No pallets on edge. Avoid storing empty pallets in quantities or densities in excess of O.H. fire sprinkler combustible load ratings.

  • Are rack uprights and beams in good condition? Bent racks and beams must be repaired or replaced.

  • Are rack uprights should be bolted to prevent tipping or falling?

  • Guardrails and/or covers are provided to protect personnel from the hazards of open sides of stairs, platforms, floor openings, floor holes, mezzanines, equipment pits, and other possible fall hazards.

  • Aisles and forklift zones are indicated to protect pedestrians

  • Fall hazards are protected with restraint and signage

  • Wheel chock required and utilized when loading or unloading trailers with forklifts?

  • Are open docks with a fall hazard that exceeds 36" protected with a restraint and warning signage?

8.0 Ergonomics Title 8 section 5110 and 5(a)(1) (GDC)

  • Ergonomic hazards observed

  • Can work be done without repetitive twisting, bending or lifting of the arms above the shoulder level?

  • Can employees keep their hands or wrists in a neutral position when they are working?

  • Where workers are exposed to strains and sprains do you conduct warmup exercises or rotate workers to prevent repetitive motion injuries?

  • If workers have to push or pull objects using great amounts of force, are mechanical aids provided?

  • Are there sufficient rest breaks, in addition to scheduled rest breaks, to relieve stress from repetitive-motion tasks?

  • Is work arranged so that workers are not required to lift and carry too much weight?

  • Are pressure points on body parts such as wrists, forearms, backs of thighs avoided?

  • Are workers exposed to excessive vibration from tools or equipment?

  • Are chairs and work benches adjusted, positioned, and arranged to minimize strain on the body?

  • Are tools, instruments, and machinery shaped, positioned, and handled so that tasks can be performed comfortably?

  • Are mechanical assists available to the worker performing materials-handling tasks?

9.0 Housekeeping 1910.22

  • House-keeping hazards observed

  • Entry and walkways kept clear?

  • Walkways adequately and clearly marked?

  • Floor surfaces even and uncluttered?

  • Are footpaths in good condition?

  • Are fall preventive measures in place and used where gaps occur in railings?

  • Are railings in good condition?

  • Are liquid spills removed quickly?

  • Stair and risers kept clear?

  • Intersections kept clear of boxes etc?

10.0 Emergency preparedness 1910.38

  • Emergency preparedness issues observed

  • Are there equipment specific energy control procedure in place and utilized?

  • Evacuation plan and maps displayed and understood by all employees?

  • Do employees know where to go (a safe zone) and do you have roll call procedures in place?

  • Do you conduct mock drills to prepare workers and staff for an emergency?

  • Are emergency numbers posted and up to date in a conspicuous location.

  • Do you have spill kit or emergency supply's stored in a location that is safely accessible in an emergency evacuation?

11.0 Electrical safety 1910 Subpart S

  • Electrical hazards observed

  • Do electrical panels and disconnects have 36" radial clearance for emergency access?

  • Are there any loose electrical cords that are not considered temporary and should be hard wired?

  • Are electrical panels, disconnects and breakers labeled as to what they control?

  • Observed electrical panels and disconnects or junction boxes with open slots, uncapped conduit holes, discontinued circuits or uncovered wiring

  • Are electrical panels and disconnects labeled with amperage and voltage?

  • Are the facilities maintenance employee trained and using safe (Arc Flash 70E and electrical safety procedures when working on HOT circuits)?

12.0 Emergency equipment 1910.157 and 120

  • Emergency equipment issues

  • Spill kits available where required, inspected and adequate for amount and type of chemicals on site?

  • Are eyewash stations, showers and fire blankets available,inspected and working properly?

  • Are first aid kits available, applicable for the facility, stocked and readily available?

13.0 Exits 1910 Subpart E

  • Means of egress deficiencies observed

  • Exits clear of obstructions?

  • Are doors on cold-storage rooms provided with inside release mechanisms that release the latches and open the doors?

  • Adequate direction notices for routes of emergency exits?

  • Where exit doors open directly onto a street, alley, or other area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping directly into traffic?

  • Emergency exit lighting and illuminated exits in place and operable?

14.0 - Fire Prevention 29 CFR 1910.39

  • Fire prevention hazards observed

  • Are exit doors able to open from the direction of exit travel without the use of a key or special knowledge or effort?

  • Oily rags and combustible refuse in covered metal containers?

  • Fire alarm system functioning correctly?

  • Evacuation plan displayed and understood by all employees?

  • Are Fire Extinguishers clear of obstructions?

15.0 Forklifts and pallet jacks 1910.178

  • Forklift hazards observed

  • Forklift and lift operators have current training certifications and are operating the trucks safely

  • Forklifts- Are daily or pre-shift industrial truck inspections kept? 1910.178(g)(7)

  • Are forklifts being in safe working condition?

16.0 Inspections and procedures 5(a)(1) (GDC)

  • Control of hazardous energy LOTO issues observed

  • Lockout Tagout - Are certifications kept that the required periodic audits of energy control procedures have been performed? 1910.147(c)(6)(ii)

  • Has the facility conducted an annual machine hazard assessment to verify all safety equipment is working properly?

  • Are weekly hazardous waste inspections performed if applicable?

  • Are you conducting monthly period safety inspections to document a safe work environment?

17.0 Machine guarding 1910 Subpart O

  • Machine guarding deficiencies observed

  • Guards firmly secured and not easily removable?

  • Observed removed or damaged machine guards. SERIOUS HAZARD

  • Observed bypassed safety switches or interlocks. SERIOUS HAZARD<br>

  • Foot trundle or foot pedal safety guards are in place

  • Point-of-operation guards provided and in place?

  • Guards provide for any other hazardous moving part of the machine?

  • Machine controls within easy reach of the operator?

  • Belts and chain drives guarded?

  • Guards prevent worker’s hands, or any parts from making contact with moving parts?

  • Gears, sprockets, pulleys, and flywheels guarded?

  • Pinch points and inward running rollers are properly guarded?

18.0 General Duty Safety Clause 5(a)(1) (GDC)

  • OSHA general duty clause hazards observed

  • General hazards observed that could cause injury

  • General hazards observed that could cause injury

  • General hazards observed that could cause injury

  • General hazards observed that could cause injury

  • General hazards observed that could cause injury

19.0 Machine shop and maintenance area 1910.215, Subpart P,Q,O

  • Machine shop was inspected

  • When welding is the proper ventilation in place, is there a shield to protect other workers and are employees trained on safe welding and hot work procedures?

  • Are maintenance records kept to show PM or other regular maintenance performed to verify equipment in facility is kept in safe working condition?

  • Bench Grinders - Is there clearance between the wheel side and the guard of not more than 1/16 inch? 1910.215(b)(1)(iii)

  • Table Saws - Are table saw and portable saw bladed properly guarded to prevent injury?

  • Are ladders and other equipment safely secured to prevent falling?

  • Are hand tools n safe working order?

20.0 Management and employee involvement 5(a)(1) (GDC)

  • Management and employee involvement issues

  • All managers have received formal training in safety and health management responsibilities?

  • Management follows the rules and usually addresses the safety behavior of others?

  • Employees feel they have a positive impact on identifying and resolving safety and health issues?

  • A majority of employees can give examples of management's active commitment to safety and health?

21.0 Noise exposure 1910.95

  • Noise from equipment or process was found to exceed safe Decibel levels of 85 DB

  • If yes are employees required to wear hearing protection and is it well stock and readily available?

  • Are noise levels in any areas above 85 decibels for an 8 hour period

  • Are noise levels in any areas above 85 decibels for an 8 hour period

  • Do you conduct annual audio metric testing for workers exposed to excessive noise?

  • Are areas posted where hearing protection is required?

22.0 Personal protective equipment -PPE 1910.132

  • PPE hazards

  • PPE - Personal protective equipment is well stocked and available for the hazards present at this facility

  • Fall protection PPE available where applicable and areas where required are posted to restrict access to trained personnel only

  • Are respirators or dust mask being utilized properly where applicable?

  • Are workers using the PPE properly and have they been trained?

  • Are engineering controls in place to protect workers before PPE is utilized?

23.0 State and federal postings. DOL and State req.

  • State and federal required posting

  • Sate and federal posters are current and the information that is required to be filled out by the employer is up to date.

  • Are forklift safety rules posted in areas where forklifts are present.

24.0 Written plans and procedures. Title 8 3203 and OSH act

  • Written plans and procedures were checked.

  • Is your company General Safety or IIPP written program up to date and being applied?

  • Do you have equipment specific Lockout Tagout procedures for each piece of equipment and are they being utilized?

  • Do you have required written plan such as a respiratory protection program , a chemical hygiene plan, a lockout tagout program or noise exposure program in place and being applied per the plan?

  • Do you have a written emergency preparedness program or fire safety program and is it complied with?

  • Do you have documented employee accountability program in place with progressive discipline for safety violations?

25.0 Warning signs and labels 1910.16

  • Warning signs, labels and postings

  • Warning signs, stickers or labels were placed in areas or on equipment to notify or warn employee of specific hazards.

  • Are areas where PPE is critical and hazards are prevalent posted to remind workers to wear their assigned PPE.

26.0 Office Area

  • Office area was inspected

  • Aisles, walkways, and work areas are free of trip and fall hazards (i.e. torn carpets, turned up edges of door mats, boxes etc.)

  • Illuminated exit and emergency lighting working properly?

  • First aid kits and fire extinguishers available and inspected regularly.

  • 36” clearance is maintained in front of all electrical panels and fire extinguishers

  • Electrical cords and plugs are in good condition (i.e., not frayed, taped, spliced, or ground prong missing)

  • Exit paths are free of boxes/materials at all times

  • Work and storage areas are free of improper storage (e.g., heavy, high and/or unstable storage)

  • Computer work stations and work area are ergonomically correct and workers are working safely

27.0 Environmental

  • Environmental issues were observed!

  • Do you conduct weekly documented hazardous waste area inspections?

  • Is hazardous waste labeled legibly and properly with contents, accumulation start date and EPA I.D.?

  • Observed potential sewer or storm drain pollution.

  • Is hazardous waste labeled legibly and properly with contents, accumulation start date and EPA I.D.?

  • Is hazardous waste labeled legibly and properly with contents, accumulation start date and EPA I.D.?

  • Have employees that handle hazardous waste been trained for spill or leak procedures?

Unsafe acts or conditions

Unsafe or Unsafe condition observed

  • An unsafe act was observed by the auditor

  • Element
  • Was an employee or manager involved?

  • Description of unsafe act

  • Department or Area

  • Equipment or machine involved

  • Spoke with employee and reported to manager

  • Had to stop employee and council on safe procedures

  • Photo of issue

  • Name

  • Description of unsafe act

  • Spoke with manager involved

  • Add media

  • A contractor or visitor was involved

  • Name if possible

  • Company

  • Description of unsafe act

  • Add media

  • An unsafe condition was observed

  • Element
  • Describe the unsafe condition

  • Drawings

  • Photo

  • Reported to manager

  • A plan was made to correct the item/s


  • Reviewed audit items with staff

  • Reviewed with:

  • Signature of responsible official

  • I have received and agreed with the attached safety audit

  • Select date

  • Comments

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