Title Page
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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
1.0-Previous Inspection
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1.1-Has the last inspection been reviewed?
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1.2-Have all outstanding actions been addressed?
2.0-Employee Training
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2.1-Have monthly Safety Meetings been held using the procedures as specified in the LiveSafe chapter 01, using the Monthly Safety Meeting form?
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2.2-Have employees with the company less than 3 months, completed the required safety courses according the SWU handbook?
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2.3-Have quarterly safety inspections been completed and reviewed?
3.0-Work Related Accidents, Illnesses and Injuries
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3.1-Have all worked related accidents, illnesses and injuries been reported to Cleveland (1-800-543--1463) within 24 hours of seeing a doctor?
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3.2-If any accidents, illnesses and injuries have occurred, has an investigation been completed by a Safety Committee member?
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3.3-Have LOI's been completed and filed for audit review?
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3.4-Is the OSHA 300 Summary Log posted, signed and dated?
4.0-Safety Center/Personal Safety Equipment
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4.1-Are Safety Knives (spring loaded) being used?
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4.2-Are safety back braces available to employees?
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4.3-Is the Safety Center stocked with the appropriate safety items?
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4.4-Does the Safety Center have updated LIVESAFE information posted?
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4.5-Has information on the Safety Center been reviewed with employees?
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4.6-Is the stores Spill Kit located near the Safety Center and is it complete?
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4.7-Are there at least 2 Wet Floor Signs located near the Safety Center?
5.0-First Aid
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5.1-Are First Aid Kits clean and orderly?
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5.2-Are the contents regularly checked?
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5.3-Are all contents within the expiration date?
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5.4-Are employees aware of its location in the store?
6.0-Fire Prevention
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6.1-Is the Fire Evacuation Plan displayed and understood by all employees?
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6.2-Are extinguishers in place, clearly marked for the type of fire?
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6.3-Have the extinguishers been recently serviced within the last 12 months?
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6.4-Are extinguishers clear of obstructions?
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6.5-Are extinguishers no more than 50 feet away to retrieve?
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6.6-Are there adequate direction notices for fire exits?
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6.7-Are exit doors easily opened from inside?
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6.8-Are exit doors clear of obstructions?
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6.9-Is the Fire Alarm System functioning correctly, if applicable?
7.0-General Lighting
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7.1-Are all lights working properly?
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7.2-Are expired light bulbs stored in a Lamp Recycling Box and marked as universal waste?
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7.2-Are Emergency exit lights operable?
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7.4-Are emergency lights working? (Wall mounted or ceiling mounted) They will have a test button on them
8.0-Building Safety
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8.1-Are floor services even and uncluttered?
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8.2-Are entry and walkways (3 foot clearance) kept clear?
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8.3-Are intersections kept clear of boxes, etc?
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8.4-Are stairs and risers kept clear, if applicable?
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8.5-Are railings in good condition?
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8.6-Is loading dock clear of debris and is clean?
9.0-Trash Removal
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9.1-Are dumpsters secured and locked?
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9.2-Are trash cans located at suitable points in the store?
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9.3-Are trash cans regularly emptied?
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9.4-Are oily rags and combustibles refuge in a covered metal red container?
10.0-Storage of Materials
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10.1-Are materials stored in racks and bins whenever possible (gallons stacked no more than 2 high)?
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10.2-Is storage designed to minimize lifting issues (fives no more than 3 high if applicable due to warehouse space)?
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10.3-Are floors around racking and shelves kept clear(shrink wrap removed from pallets)?
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10.4-Are racks and shelves in satisfactory condition?
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10.5-Are pallets stacked neatly for return to the DSC?
11.0-Equipment
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11.1-Are tinkers and shakers in working order and safe to use?
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11.2-Is area around the tinters and shakers kept clean and orderly?
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11.3-Are hand trucks in working order?
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11.4-Is a Rolling Ladder being used in the store(NO STEP LADDERS)?
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11.5-Is the battery recharger unit 4 ft off the ground and 36 inches from flammable material storage? (Where Applicable)
12.0-Electrical Safety
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12.1-Are there any broken outlets, sockets or switches?
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12.2-Are there any frayed or damaged cords?
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12.3-Are all cords kept from being strained or stretched?
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12.4-Are surge protectors being used for store computers and other equipment? (NO ELECTRICAL CORDS)
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12.5-Does the electrical panel have 3 feet of clearance?
13.0-Chemical Safety
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13.1-Are Material Safety Data Pages available for all chemicals?
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13.2-Have risk assessments been completed for hazard substances?
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13.3-Are all containers labeled correctly?
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13.4-Have unused substances been disposed of properly and marked (purge bucket, hazardous and non-hazardous waste)?
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13.5-Do special storage conditions apply (Large Generator)?
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13.6- Are special storage conditions followed (hazardous and non-hazardous segregated) if applicable?
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13.7-Have all employees been trained in the use hazardous substances?
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13.8-Is adequate ventilation provided where applicable (Spray Source Stores)?
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13.9-Are eye wash stations easily accessed (where applicable )?
14.0-Hazardous Waste
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14.1-Is every container of hazardous waste marked as "Hazardous Waste" ?
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14.2-Is the hazardous waste area designated and marked off, with at least 36" from an ignition source?
15.0-Ladders
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15.1-Are ladders in good condition?
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15.2-Are all ladders secured?
16.0-Office Hazards
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16.1-Are filing cabinets in good condition?
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16.2-Are chairs in good condition?
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16.3-Are desks in good conditions?
17.0-Vehicle Inspection (Where Applicable)
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17.1-Is scheduled maintenance performed according to Lease Plan recommendations?
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17.2-Are the vehicles tires in good condition according to the LiveSafe guidelines?
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17.3-Are all lights on vehicle in working order?
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17.4-Are brakes and the emergency brake in working order?<br><br><br>
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17.5-Are there any fluids leaking from underneath the vehicle?
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17.6-Are the vehicles seats in working order?
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17.7-Is the first aid kit stocked and in visible area?
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17.8-Is there a copy of the current DOT inspection in the vehicle and the store?
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17.9-Are load securement straps in working order?
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17.10-Is the proper safety equipment located in the vehicle (hard hat, safety glasses, road side kit, spill kit, safety vest, placards) ?
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17.11- Is there a fire extinguisher located in the vehicle and has been inspected in the last 6 months?
18.0-Sales Floor Safety
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18.1-Is furniture in the color area in good condition?
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18.2-Is all sales floor shelving and free standing displays in good condition?
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18.3-Are store displays for selling events ( When Applicable ) constructed in a safe manner?
