SafetyNet EH&S Warehouse Audit -

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Audit start time

  Date

• Audit completion time

  Date

• Auditors summary

• Program rating 10 being best (little or no risk) and1 being worst (high risk for injury or fines)

A - Previous inspection

• Has the last inspection been reviewed, items corrected and documented?

  Safe

  At Risk

  N/A

Office area

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Illuminated exit and emergency lighting working properly?

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

1.0 Control of hazardous energy - Lockout Tagout 1910.147

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

• Are the proper LOTO devices available for all energy sources available?

  Safe

  At Risk

  N/A

• Do you have an authorized person perform a periodic inspection of your energy control procedures at least annually?

  Safe

  At Risk

  N/A

• Is there a written LOTO program of procedures, training, and periodic inspections

  Safe

  At Risk

  N/A

2.0 Chemical handling and storage 1910.120

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

• Are employees using the proper PPE for the chemicals they are handling such as Nitrile gloves, goggles, safety glasses or face shields??

  Safe

  At Risk

  N/A

• If applicable Is there a spill plan in place with sufficient spill response supplies?

  Safe

  At Risk

  N/A

3.0 Chemical - RTK and GHS compliance - MSDS 1910.1200

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

• MSDS / SDS book is up to date (annual inventory of chemicals), accessible, and well organized.

  Safe

  At Risk

  N/A

4.0 Compressed gas 1910 Subpart M

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

• Are propane tanks stored in a secure manner to prevent them from tipping?

  Safe

  At Risk

  N/A

6.0 Employee training 29CFR part 128

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

• Employees are properly trained and outfitted for weather / temperature extremes. (i.e. heat stress, cold weather, refrigerated storage areas, etc.)

  Safe

  At Risk

  N/A

• Newly-hired employees receive documented general material handling and task specific ergonomics training.

  Safe

  At Risk

  N/A

7.0 Dock and warehouse safety 1910 Subpart N

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

• Employees use proper lifting technique for the materials being handled

  Safe

  At Risk

  N/A

• Employees are properly trained and outfitted for weather / temperature extremes. (i.e. heat stress, cold weather, refrigerated storage areas, etc.)

  Safe

  At Risk

  N/A

• Are propane tanks stored correctly and are the tank exchange and/or tank filling areas properly maintained? Appropriate signs are in place and area is free of trash.

  Safe

  At Risk

  N/A

• Is there adequate natural or mechanical ventilation to control any potential atmospheric hazards? Where propane powered equipment is in use the ventilation must be tested to rule out excess carbon dioxide/monoxide An Industrial Hygienist may need to do testing.

  Safe

  At Risk

  N/A

• Are dock doors closed when not in use? Closed doors should seal well with the floor and dock leveling plate.

  Safe

  At Risk

  N/A

• 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.

  Safe

  At Risk

  N/A

• Are battery charging/changing areas designated for that purpose and contain appropriate emergency flushing facilities(i.e. eyewash and shower)?

  Safe

  At Risk

  N/A

• Are wheel chocks and/or trailer restraint systems working properly?

  Safe

  At Risk

  N/A

• Are compliant eye wash station available for employees where chemical hazards are present. (within 10 seconds)

  Safe

  At Risk

  N/A

• Are visitors and drivers remaining in designated safe areas and walkways?

  Safe

  At Risk

  N/A

• The original capacity, operation and maintenance instruction plates, tags or decals on powered industrial trucks are in place and legible.

  Safe

  At Risk

  N/A

• Employees are properly trained and outfitted for weather / temperature extremes. (i.e. heat stress, cold weather, refrigerated storage areas, etc.)

  Safe

  At Risk

  N/A

• Products and containers that are heavy or most frequently moved by hand are stored at rack heights that minimize bending / stooping or excess reach to pick up or place?

  Safe

  At Risk

  N/A

• Pallets must be in good condition. Empties must be stored properly. No broken or protruding wood or nails. No pallets on edge.

  Safe

  At Risk

  N/A

• Are overhead lighting, skylights and roofs in good condition? Check for leaks, broken panels / light bulbs and missing bulb shields.

  Safe

  At Risk

  N/A

• 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.

  Safe

  At Risk

  N/A

• Aisles and forklift zones are indicated to protect pedestrians

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

9.0 Housekeeping 1910.22

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

• Walkways adequately and clearly marked?

  Safe

  At Risk

  N/A

• Floor surfaces even and uncluttered?

  Safe

  At Risk

  N/A

• Are footpaths in good condition?

  Safe

  At Risk

  N/A

• Are railings in good condition?

  Safe

  At Risk

  N/A

• Are liquid spills removed quickly?

  Safe

  At Risk

  N/A

• Stair and risers kept clear?

  Safe

  At Risk

  N/A

• Intersections kept clear of boxes etc?

  Safe

  At Risk

  N/A

10.0 Emergency preparedness 1910.38

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

11.0 Electrical safety 1910 Subpart S

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Are electrical outlets, junction boxes and other electrical components properly covered?

  Safe

  At Risk

  N/A

• Are extension cords in good repair, properly grounded, etc.?

  Safe

  At Risk

  N/A

12.0 Emergency equipment 1910.157 and 120

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Fire extinguishers and fire equipment inspected and unblocked? 36" clearance?

  Safe

  At Risk

  N/A

13.0 Exits 1910 Subpart E

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

• Are exits clearly marked and clear of obstructions?<br>

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Adequate direction notices for routes of emergency exits?

  Safe

  At Risk

  N/A

• 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?

  Safe

  At Risk

  N/A

• Emergency exit lighting operable?

  Safe

  At Risk

  N/A

14.0 - Fire Prevention 29 CFR 1910.39

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

• Is storage a minimum of 18” below sprinkler heads?

  Yes

  No

  N/A

• Fire alarm system functioning correctly?

  Safe

  At Risk

  N/A

• Have fire extinguishers been checked monthly?

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Safe

  At Risk

  N/A

15.0 Forklifts and pallet jacks 1910.178

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

• Do operators have current license to operate?1910.178(1)(6)

  Safe

  At Risk

  N/A

• Do forklifts have functioning warning devices such as back-up alarms, strobes, or horns?

  Safe

  At Risk

  N/A

• Are horns used during backing, blind corners other potentially dangerous situations?

  Yes

  No

  N/A

• Are seat belts worn by operators?

  Yes

  No

  N/A

• Do forklifts travel at safe speeds?

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

General conditions

• Are pallets, racks and shelving in good condition, undamaged?

  Safe

  At Risk

  N/A

• Are guardrails present in areas of overhead storage above offices or platforms?

  Safe

  At Risk

  N/A

• Are materials stacked properly, not leaning?

  Safe

  At Risk

  N/A

• Are materials secure and not leaning off the edges of the racks?

  Safe

  At Risk

  N/A

• Are empty wood pallets stack heights limited to 12 feet and plastic limited to 6 feet unless building is permitted for high pile storage and sprinklered accordingly.

  Safe

  At Risk

  N/A

• Required in a visible area, a pallet rack's weight limit plate. These plates should indicate load size, weight limits and configuration information for the rack. 1910.250<br><br>

  Safe

  At Risk

  N/A

• Are items that are stacked over 12 feet wrapped or banded to prevent falling or shifting?

  Yes

  No

  N/A

• Is there any lifting above shoulder height being observed?

  Safe

  At Risk

  N/A

• Do employees use ladders properly? (do not stand on top, face ladder when using and climbing, use proper ladder for activity)

  Safe

  At Risk

  N/A

• Are ladders in good repair?

  Safe

  At Risk

  N/A

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

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

• The employer must provide a safe and healthy workplace for all workers. Unclassified general conditions were observed?

  Safe

  At Risk

  N/A

• The employer must provide a safe and healthy workplace for all workers. Unclassified general conditions were observed?

  Safe

  At Risk

  N/A

• The employer must provide a safe and healthy workplace for all workers. Unclassified general conditions were observed?

  Safe

  At Risk

  N/A

• The employer must provide a safe and healthy workplace for all workers. Unclassified general conditions were observed?

  Safe

  At Risk

  N/A

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

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

18.0 Machine guarding 1910 Subpart O

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

• Belts and chain drives guarded?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Gears, sprockets, pulleys, and flywheels guarded?

  Safe

  At Risk

  N/A

• Pinch points and inward running rollers are properly guarded?

  Safe

  At Risk

  N/A

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

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

• 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?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

22.0 Personal protective equipment -PPE 1910.132

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

• Is safety footwear such as steel tied shoes worn where applicable?

  Safe

  At Risk

  N/A

• Are gloves worn where applicable and in good condition?

  Yes

  No

  N/A

• Are hi visibility vest worn in areas where applicable?

  Safe

  At Risk

  N/A

23.0 State and federal postings. DOL and State req.

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

24.0 Unsafe acts and conditions 5(a)(1) (GDC)

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

• Unsafe acts were observed on this inspection and either the employee was told to stop the act immediately or the supervisor was notified.

  Safe

  At Risk

  N/A

• Unsafe conditions not listed were observed on this inspection and serious conditions were brought to the attention of the supervisor to be corrected immedialty.

  Safe

  At Risk

  N/A

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

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

27.0 Environmental

• Issues observed in this section were:

  Unsafe conditions

  Unsafe acts

  Both unsafe acts and unsafe conditions, No unsafe conditions observed in this category

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

  Safe

  At Risk

  N/A

• On site representative

  Sign

• Date and time complete.

  Date