Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Employer Posting
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Is there a current location to post a Safety Board?
All Departments
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Ventilation and illumination adequate in all areas.
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Aisles and passageways clear and unobstructed.
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Electric cords and phone cables secured to prevent tripping hazards.
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Floors in good condition. Floors made slip resistant where necessary.
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Storage and equipment rooms clean and orderly.
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All waste materials deposited in proper containers.
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Compressed gas cylinders secured properly in vertical position?
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Mold, mildew, water issues observed?
Material Handling
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Is there a location to store dry goods?
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Is there safe clearance for equipment through aisles and doorways?
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Are carts used at this account?
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Are aisle ways designated, permanently marked, and kept clear to allow unhindered passage?
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Are dock boards (bridge plates) used when loading or unloading operations?
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Fall protection (visual or physical) used in dock areas
Slip/Trip/Fall Prevention
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No tripping hazards present, floors free of grease, wet spots, debris.?
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Holes in the floor, sidewalk or other walking surface in need of repair, covered or otherwise made safe?
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Floor mats used at this location?
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Handrail on stairs available?
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Are steps on stairs and stairways designed or provided with a surface that renders them slip resistant?
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Are changes of direction or elevations readily identifiable?
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Are all ladders maintained in good condition, joints between steps & side rails tight, hardware & fittings securely attached & movable parts operating freely without binding or undue play?
Storage Areas
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Shelves and racks are of adequate strength and are secured.
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Floors in walk-ins are clean, dry and not slippery, in good condition?
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Sharp edges are identified and eliminated.
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Bump hazards are eliminated
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Emergency releases in walk-in refrigerators and freezers in proper working order.
Kitchen
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Lighting adequate, fixtures shielded.
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Machines are suitably anchored to prevent creeping or tipping.
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No steam leaks on production equipment.
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Swinging doors have see through panels and are easy to open; overhead mirrors at doors with blind spots.
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Compactors are equipped with adequate guards and safety switches.
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Guards for equipment in good condition and in place.
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No sharp corners projecting on machines.
Dish Room
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Protective cover over disposal opening; no water leaks from hoses, valves, dish machine, etc.
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Guards on equipment in place?
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Ventilation in area is adequate.
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No standing water where people stand.
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Water hose used, is it coiled?
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Emergency shut-off accessible.
Energy Distribution
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Are electrical outlets in good working order and not overloaded?
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GFCI installed with in 36 inches of water source?
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Electrical panels in good physical condition or mechanical room secured?
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Gas shut offs for equipment available?
Lockout/Machine Guarding
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Is all equipment capable of movement, required to be disengaged, de-energized and blocked or locked-out during cleaning, servicing, adjusting or setting up operations, whenever possible?
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Broken and damaged tools & equipment are removed from service
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Extension cords are not used in place of permanently installed fixed wiring.
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Control panels have minimum 36” of unobstructed workspace in front and are closed.
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Is all machinery and equipment kept clean and properly maintained?
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Are all emergency stop buttons colored red?
Chemical Safety
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Are eyewash fountains and safety showers provided in areas where corrosive chemicals are handled?
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Chemical used from multi-vendors?
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Storage area for bulk chemicals available?
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Water for chemical dispenser available?
Exiting
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Are there sufficient exits to permit prompt escape in case of emergency?
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Emergency lighting, is it operational?
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Do the exit doors open from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?
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Where panic hardware is installed on exit door, will it allow the door to open by applying a force of 15 pounds or less in the direction of the exit traffic?
Fire Protection
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Fire extinguishers of proper size and type for each location properly charged?
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Does not block or obstruct fire exits, extinguishers or electrical panels?
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Minimum of 18” clearance under sprinkler heads?
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Exhaust filters clean?
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Are the fire suppression system, water control valves, air and water pressures checked periodically as required?
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Date the fire suppression was last checked, serviced, or is it red tagged?
Recommendations
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Recommendation 1
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Recommendation 2
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Recommendation 3
