Information
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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 - Are there no outstanding actions?
2.0 - Employee Training
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2.2 - Monthly Safety Meetings should be held using the procedures as specified in LiveSafe Chapter 01 using the Monthly Safety Meeting form in the forms repository on Source?
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2.1 - Quarterly Safety Self-Inspection form completed and reviewed?
3.0 - Work Related Accidents, Illnesses, and Injuries
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3.1 - All work related accidents, illnesses and injuries have been reported to Cleveland (800-543-1463) within 24 hours of seeing the doctor?
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3.2 - LOI's completed and filed for audit review?
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3.3 - Annual 2013 OSHA 300 Summary Log should be signed, date and posted.
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3.4 - Safety knives (spring loaded or blade protected) should be available and used? Orange from Grainger Part # 3Q021
4.0 - First Aid Facilities
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4.1 - Are all first aid kits clean and orderly?
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4.2 - Are contents regularly checked?
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4.3 - No contents past their expiration date?
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4.4 - Employees aware of location of first aid kits?
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4.5 - Are emergency numbers displayed?
5.0 - Fire Prevention
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5.1 - Evacuation plan displayed and understood by all employees?
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5.2 - Extinguishers in place, clearly marked for type of fire?
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5.3 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
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5.4 - Extinguishers clear of obstructions?
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5.5 - Extinguisher no more than 50 feet away to retrieve?
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5.6 - Adequate direction notices for fire exits?
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5.7 - Exit doors easily opened from inside?
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5.8 - Exits clear of obstructions?
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5.9 - Fire alarm system functioning correctly if applicable?
6.0 - General Lighting
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6.1 - All lights in working order?
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6.2 - Expired light bulbs stored in lamp recycling box and marked as universal waste?
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6.3 - Emergency exit lighting operable?
7.0 - Building Safety
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7.1 - Floor surfaces even and uncluttered?
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7.2 - Entry and walkways (3 foot clearance) kept clear?
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7.3 - Intersections kept clear of boxes etc?
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7.4 - Stair and risers kept clear?
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7.5 - Are railings in good condition?
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7.6 - Furniture in sound condition?
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7.7 - Loading area clean and tidy?
8.0 - Trash Removal
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8.1 - Dumpsters secured and locked?
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8.2 - Trash Cans located at suitable points around site?
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8.3 - Trash Cans emptied regularly?
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8.4 - Oily rags and combustible refuse in covered metal containers?
9.0 - Storage of Materials
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9.1 - Materials stored in racks and bins wherever possible (gallon cans stacked no more than 2 high)?
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9.2 - Storage designed to minimize lifting problems (fives stacked no more than 3 high if applicable due to warehouse space)?
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9.3 - Floors around shelves clear of trash?
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9.4 - General condition of racks and pallets?
10.0 - Equipment
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10.1 - Are shakers and tint machines kept clean?
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10.2 - Are the floors around the shakers and tinters kept clean?
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10.3 - Starting and stopping devices within easy reach of operator and in working order?
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10.4 - Battery recharging unit is 48 inches off the floor and 36 inches from flammable material storage (where applicable)?
11.0 - Electrical Safety
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11.1 - No broken plugs, sockets or switches?
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11.2 - Are surge protectors being used for store computers and/or other devices?
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11.3 - No frayed or damaged cords?
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11.4 - No strained or stretched cords?
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11.5 - Electrical boxes have at least 3 feet of clearance?
12.0 - Chemical Safety
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12.1 - Material Safety Data Sheets available for all chemicals?
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12.2 - Risk assessments completed for hazardous substances?
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12.3 - All containers labelled correctly?
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12.4 - Unused substances disposed of properly and marked (purge bucket, hazardous and non-hazardous waste)?
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12.5 - Do special storage conditions apply? (Large generator)
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12.6 - If applicable are special storage conditions followed (hazardous and non-hazardous segregated)?
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12.7 - Workers trained in the use of hazardous substances?
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12.8 - Is adequate ventilation provided where applicable (spray shops)?
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12.9 - Are eye wash stations easily accessed?
13.0 - Hazardous Waste
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13.1 - Every container of hazardous waste is marked "HAZARDOUS WASTE" ?<br>
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13.2 - Hazardous waste storage area is designated with area marked off and sign posted, with at least 36 inches between rows?
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13.3 - All flammable and combustible liquids are at least 36 inches from an ignition source?
14.0 Ladders
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14.1 - No unapproved ladders being used in the warehouse?
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14.2 - Are ladders in good condition?
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14.3 - Used according to instructions?
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14.4 - Are all ladders secured?
15.0 - Office Hazards
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15.1 - Condition of filing cabinets?
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15.2 - Condition of chairs?
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15.3 - Desks in good condition? (No damage.)
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15.4 - Stable non-slip floor coverings in good condition?
16.0 - Vehicle Inspection
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16.1 - Schedule maintenance performed?
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16.2 - Condition of tires (tread wear and tire pressure)?
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16.3 - Lights? (Check operation of brake, indicator and reversing lights)
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16.4 - Condition of drivers seat?
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16.5 - Condition of other seats?
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16.6 - First aid kit supplied and adequate?
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16.7 - Current DOT inspection copy in store and in vehicle?
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16.8 - Proper load securement and straps in good working order?
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16.9 - Proper safety equipment located in vehicle (hard hats, spill kit, road side kit, eye protection, safety vest)?
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16.10 - Fire extinguisher located in van and inspected?
Sign Off
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On site representative
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Auditor's signature
