SafetyNet EH&S Facility Audit Ver 3

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Audit started on

  Date

• Audit completed on:

  Date

• 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 Chemical - RTK and GHS compliance - MSDS 1910.1200

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

  Acceptable

  Unsafe

• 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

  Acceptable

  Unsafe

3.0 Chemical handling and storage 1910.120

• Chemical hazards observed

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Are chemicals storage cabinets self closing, grounded, placarded for the hazards, placed in a safe location away from primary exits and in good working order?

  Acceptable

  Unsafe

• Are chemicals spill kits available, inspected regularly, well sticked and placed in the appropriate area

  Acceptable

  Unsafe

• Are NFPA and chemical hazard placards posted with the correct ratings where chemicals are stored?

  Acceptable

  Unsafe

4.0 Compressed gas 1910 Subpart M

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

  Yes

  No

  N/A

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

  Acceptable

  Unsafe

• Are compressed gas cylinders stored to prevent tipping or falling

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

5.0 Confined space 1910.146

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

  Yes

  No

  N/A

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

6.0 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?

  Acceptable

  Unsafe

• Heavy objects are stored on lower shelves

  Acceptable

  Unsafe

• 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.

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• 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.

  Acceptable

  Unsafe

• Aisles and forklift zones are indicated to protect pedestrians

  Acceptable

  Unsafe

• Fall hazards are protected with restraint and signage

  Acceptable

  Unsafe

• In battery charging areas are eyewash, showers and proper PPE available and being utilized?

  Acceptable

  Unsafe

• If scissor lifts are utilized are employees trained to operate safely?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

7.0 Electrical safety 1910 Subpart S

• Electrical hazards observed

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

8.0 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)

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• 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?

  Acceptable

  Unsafe

• 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)

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• 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)

  Acceptable

  Unsafe

• 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)

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Other training deficiencies noted where applicable

  Acceptable

  Unsafe

9.0 Emergency preparedness 1910.38

• Emergency preparedness issues observed

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

10.0 Emergency equipment 1910.157 and 120

• Emergency equipment issues

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

11.0 Environmental

• Environmental issues were observed!

• Do you conduct weekly documented hazardous waste area inspections?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Observed potential sewer or storm drain pollution. SWPPP Violation

  Acceptable

  Unsafe

• Are internal floor drains protected to prevent unauthorized sewer spills?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Have employees that handle hazardous waste been trained for spill or leak procedures? HAZWOPER Training. CUPA regulation.

  Acceptable

  Unsafe

12.0 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?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

13.0 Exits 1910 Subpart E

• Means of egress deficiencies observed

• Exits clear of obstructions?

  Acceptable

  Unsafe

• Exits routes are unlocked or can be easily unlocked from the inside?

  Acceptable

  Unsafe

• Are Non Exits that may be mistaken for exit routes clearly marked as "Not An Exit"?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Adequate direction notices for routes of emergency exits?

  Acceptable

  Unsafe

• 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?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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?

  Acceptable

  Unsafe

• Oily rags and combustible refuse in covered metal containers?

  Acceptable

  Unsafe

• Fire alarm system functioning correctly?

  Acceptable

  Unsafe

• Evacuation plan displayed and understood by all employees?

  Acceptable

  Unsafe

• Are Fire Extinguishers inspected monthly, fully charged and clear of obstructions?

  Acceptable

  Unsafe

• Are Fire Hoses inspected annually, in good working order and clear of obstructions?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Are forklifts being in safe working condition?

  Acceptable

  Unsafe

16.0 General Duty Clause violations

• We're there any unsafe act or unsafe conditions observed?

• Serious unsafe act/s observed!

  Acceptable

  Unsafe

• Observed unsafe act/s or work practice/s that could result in injury!

  Acceptable

  Unsafe

• Observed Unsafe condition/s<br>

  Acceptable

  Unsafe

• Observed unsafe procedure/s

  Acceptable

  Unsafe

• Reported any Serious acts or conditions to manager or stopped any unsafe acts immediately and spoke with employee.

• Comments:

• Add drawing

  Drawing

17.0 Housekeeping 1910.22

• House-keeping hazards observed

• Entry and walkways kept clear?

  Acceptable

  Unsafe

• Walkways adequately and clearly marked?

  Acceptable

  Unsafe

• Floor surfaces even and uncluttered?

  Acceptable

  Unsafe

• Are footpaths in good condition?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Are railings in good condition?

  Acceptable

  Unsafe

• Are liquid spills removed quickly?

  Acceptable

  Unsafe

• Stair and risers kept clear?

  Acceptable

  Unsafe

• Intersections kept clear of boxes etc?

  Acceptable

  Unsafe

18.0 Lockout Tagout 1910.147

• Control of hazardous energy LOTO issues observed

• Is lockout Tagout equipment available and being used properly?

  Acceptable

  Unsafe

• Is lockout Tagout being utilized when conducting major service and maintenance on equipment?

  Acceptable

  Unsafe

• Are periodic audits of energy control procedures have been performed? 1910.147(c)(6)(ii)

  Acceptable

  Unsafe

• Is lockout Tagout equipment available and being used properly?

  Acceptable

  Unsafe

• Are lockout logs being kept to verify compliance?

  Acceptable

  Unsafe

• Are authorized employees and contractors using lockout Tagout properly and safely? Locks, tags, device, verifying Zero energy, All energy sources locked out?

  Acceptable

  Unsafe

• Are minor servicing and adjustment exceptions understood and are there extension tools, training, procedures or engineering controls in place to protect the worker from injury?

  Acceptable

  Unsafe

• Are equipment specific procedures written to identify hazardous energy point on equipment?

  Acceptable

  Unsafe

• Are alternate procedures such as ESTOPS, light barriers or keyed interlocks used to protect workers when lockout is not used?

  Acceptable

  Unsafe

19.0 Machine guarding 1910 Subpart O

• Machine guarding deficiencies observed

• Guards firmly secured and not easily removable?

  Acceptable

  Unsafe

• Observed removed or damaged machine guards. SERIOUS HAZARD

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Foot trundle or foot pedal safety guards are in place

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Machine controls within easy reach of the operator?

  Acceptable

  Unsafe

• Belts and chain drives guarded?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Gears, sprockets, pulleys, and flywheels guarded?

  Acceptable

  Unsafe

• Pinch points and inward running rollers are properly guarded?

  Acceptable

  Unsafe

20.0 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?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Are compressed gas cylinders stored safely to prevent tipping or falling.

  Acceptable

  Unsafe

• Are hand tools n safe working order?

  Acceptable

  Unsafe

• Are flammable and combustible materials stored safely?

  Acceptable

  Unsafe

21.0 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?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

22.0 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?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• Are areas posted where hearing protection is required?

  Acceptable

  Unsafe

23.0 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.)

  Acceptable

  Unsafe

• Illuminated exit and emergency lighting working properly?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

24.0 Personal protective equipment -PPE 1910.132

• PPE hazards

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

25.0 State and federal postings. DOL and State/ Local required Permits

• 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.

  Acceptable

  Unsafe

• Pressure vessel permits are posted and current on all compressor ranks?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

26.0 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?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

• 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?

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

27.0 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.

  Acceptable

  Unsafe

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

  Acceptable

  Unsafe

Unsafe or Unsafe condition observed

• An unsafe act was observed by the auditor

Element

• Was an employee or manager involved?

  Employee

  Manager

  Temp employee

• 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

  Media

• Name

• Description of unsafe act

• Spoke with manager involved

• Add media

  Media

• A contractor or visitor was involved

• Name if possible

• Company

• Description of unsafe act

• Add media

  Media

• An unsafe condition was observed

Element

• Select Equipment Hazard Environmental Ergonomic Noise Chemical Slip trip or fall Guarding Design Cut or scrape Pinch or crush

  • Equipment
  • Hazard
  • Environmental
  • Ergonomic
  • Noise
  • Chemical
  • Slip trip or fall
  • Guarding
  • Design
  • Cut or scrape
  • Pinch or crush

• Describe the unsafe condition

• Drawings

  Drawing

• Photo

  Media

• Reported to manager

• A plan was made to correct the item/s

• Reviewed audit items with staff

• Reviewed with:

• Signature of responsible official

  Sign

• I have received and agreed with the attached safety audit

• Select date

  Date

• Comments