Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

General

  • Do all machines have guards to protect against flying objects and moving parts

  • Are machines regularly clean and maintain

  • Do only authorize employees perform repairs

  • Is defective equipment promptly reported,labeled, and rapaired

  • Are combustible scrap,debris, and oily rags stored in proper containers

  • Are NO SMOKING signs posted combustible materials

Housekeeping

  • Are all work areas clean and orderly

  • Are waste containers emptied daily

  • Are floors and walk paths kept clear of slip and trip hazards

  • Are tools and equipment store in such of way that sharp edges do not interfere with walkway areas

Electrical

  • Are all plugs, cords, free from splices and insulation in good condition

  • Do all extension cords have grounding conductors

  • Are GFCI in use

  • Are all electrical tools in good working conditions

Tools/welding equipment

  • Are tools free from cracks and broken parts

  • Are all jacks and lifts inspected daily

  • Are safety devices such as jack stands and safety locks inspected and use correctly

  • Are only approve welding equipment used

  • Are hoses properly inspected gas, oxygen and inert gas

  • Are cylinders legibly marked

  • Are cylinders secure upright and valve protector caps on

  • Are all Gage's flash arrest working properly

Hazard Communication

  • Are safety data sheets accessible

  • Are labels on containers visible and in good condition

  • Are eye wash stations near work area

  • Is there a spill plan

  • Are combustibles and chemicals kept in close containers when not in use

Power Industrial Trucks / Manual Material Handling

  • Is there adequate equipment to minimize employee lifting of heavy or awkward objects

  • Do operators have current license to operate trucks,fork lifts, boom lift

  • Are horns used during backing

  • Are seat belts worn by operators

  • Are keys remove and forks lowered when forklifts are parked

  • Are the brakes on each industrial truck or equipment capable to stop safely when fully loaded

  • Will emergency brakes work to effectively prevent vehicle or equipment from moving when unattended

Personal Protective Equipment (PPE)

  • Is personal protective equipment available

  • Do employees know when to wear PPE

  • Do employees have proper safety foot wear

  • Are face shields worn when required

  • Are employees assessing the work place to determine if hazards that required the use of PPE (head, eye, hand, foot protection)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.