Information
-
Inspection Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel observed during this inspection
Previous Inspections
-
Date of Last Inspection
-
Has the last inspection been reviewed?
-
Are there any outstanding Actions from the last inspection?
Program Administration
-
Canada Labour Code (Part 11) regulations up to date and available?
-
Tidy Trucking Safety Manual present?
-
Emergency Action Plan posted and up to date?
-
SOP's on site and being used?
Hazard Communication
-
Employees know how to find MSDS and understand the hazards of the chemicals they work with. (Interview >=2 employees)
-
Bulletin Board conspicuous and of suitable size?
-
Bulletin Board information is up to date?
-
Procedure in case of fire?
-
Monthly safety/tail box meeting minutes posted?
-
First Aiders names posted?
-
Emergency Numbers and Contacts up to date and available?
Emergency Response/Fire Protection
-
Employees aware of emergency procedures and where assembly areas are? (Interview >=2 employees)
-
Eyewash stations clean, inspected and unblocked?
-
First aid kit present, clean and fully stocked?
-
Fire extinguishers inspected monthly and unblocked?
-
Signs indicating the type of fire extinguisher?
-
Fire extinguisher location accessible and signs visible?
-
Spill kits are available where needed and are equipped/inspected as required?
Building and Structures
-
Any visible building damage
-
Any visible damage to floors
-
Aisles good width, safe and clear of obstructions
-
Chemicals are stored in proper containers and labeled properly?<br> -Secondary containers that are not in control of current shift labeled with HMIS label or equivalent?<br> -Labels legible and accurately indicates the chemical that is inside the container?
-
Chemicals stored properly?<br> -Flammable materials not in use stored in proper cabinet/safety container?<br> -Incompatible materials stored away from each other?
-
Incidental spills cleaned up immediately?<br> -No evidence of spills being left?<br> -Chemicals being tracked on employees' shoes and/or mobile equipment?
-
Ventilation adequate
-
Natural air flow and air extraction?
-
Windows clean and unbroken?
-
Sufficient lighting?
-
Lights out or broken?
-
Exits Identified and unobstructed
-
Emergency lighting tested and working?
Waste/Scrap Removal System
-
Sufficient Bins with no overflow?
-
Empty pails and barrels disposed of?
-
Old Batteries disposed of?
PPE
-
Are approved hard hats being worn where required?
-
Is approved foot wear being worn?
-
Is hearing protection available?
-
Is eye protection being worn and adequate for the work activity?
-
Are high visibility vests being used, when required?
-
Harnesses, lanyards, SRL, and lifelines maintained in good condition and inspected properly?<br> -Inspection labels present and legible?<br> -Webbing free of frayed, cut or broken fibers?<br> -Quick connect buckles working properly?
-
Is welding PPE provided and being used?
-
Are welding hoods being worn in conjunction with safety glasses?
-
Is PPE being worn properly? <br> -Ear plugs completely inserted into ears<br> -Safety glasses fit properly and pass fit test (gaps no larger than width of finger)<br> -Gloves being worn when handling materials that are sharp, hot, etc.
-
PPE supplies readily available to operators (Interview >= 2 employees.)
-
PPE supplies readily available to Visitors?
-
Is PPE supplied adequate for the task?<br> -Previous injuries when using current PPE? Why?<br> -PPE being replaced excessively? (e.g. Burn holes, soaked with liquid chemicals, etc.)
Walking/Working Surfaces
-
Proper labels in place and legible?<br> -Portable ladders and stairways require labeling indicating weight limits.
-
Floors and work platforms free of excessive debris and clutter?<br> -Excessive oil, trash, manufacturing byproducts, etc. in the work are?<br> -No items stored on stairs?
-
Handrails secure and free of excessive defects?<br> -Heavily damaged handrails that require replacement? Loose? Broken welds? Bent handrails and/or toe boards?<br> -Handrails do not contain excessive oil/grease?
-
Handrails installed where a fall from a height of four feet or greater exists?
Tools/Machinery/Equipment
-
Are all tools in good working condition?<br> -Held together with tape?<br> -Excessive noise/vibration?<br> -Requires excessive manual manipulation?
-
All existing guarding in place?<br> -Guards laying on the floor?<br> -Bolts/Screws missing from fixed guarding?<br> -Guards shifted causing open point of operation?
-
Existing guarding sufficient in preventing access to the point of operation?<br> -Gaps in guarding too large?<br> -Use of chains as barrier guarding?<br> -Interlocked/Presence sensing devices not working properly?<br> -No guard installed where it should exist?
-
Machinery working properly and not causing regular manual manipulation?<br> -Frequent breakdowns causing manual work?<br> -Machinery producing excessive noise/vibration due to disrepair?
-
Machinery design/layout inherently hazardous?<br> -Congestion created in design?<br> -Equipment no longer safest design for the process?<br> -Can a hazardous piece of equipment be eliminated from the process/work area?
Gas Cylinders and Pressure Tanks
-
Pressure tank maintained?
-
Pressure tank drained?
-
Gas cylinders correctly stored vertically, secured and out of direct sunlight?
-
Correct flashback arresters used on cutting torch and valves?
-
Propane tanks stored properly and out of direct sunlight?
-
Stored out of direct sunlight?
Compressed Air
-
Air hoses undamaged?
-
Air outlets face sideways.
Mobile Equipment
-
Equipment inspected per inspection frequency requirements?
-
Operators using horns and warning devices where required?
-
No passengers on equipment designed for operators only?
Electrical Hazards/Arc Flash
-
High voltage signs in place and visible?
-
Debris/Tools stored on top of electrical cabinets?
-
Electrical cabinets closed and in good repair?<br> -Do the cabinets close securely?<br> -Knock-outs all in place?<br> -Large dents in the housing/door?
-
Electrical cabinets not blocked?<br> -Nothing within 36 inches of the front of the cabinet?<br> -Clear access/pathway to electrical cabinets?
Hazardous Energy Control (Lockout/Tagout)
-
Employees expected to conduct lockout trained and equipped properly?<br> -Employees understand their role and requirements?<br> -Employees have locks available if needed?
-
Employees locked out during a change over and/or other tasks that require lockout?<br> -All employees who are working on the equipment have their own lock affixed to the proper energy source(s)?<br> -Lockout was verified, stored energy was dissipated and equipment will not operate?
-
Energy control procedures exist for all equipment in the area and employees know where to find them?
-
Lockout exceptions have been adequately evaluated and determined safe?<br> -Do regular tool/machine adjustments introduce hazards with unacceptable risk?<br> -Other exceptions?
Crane/Hoist Safety
-
Inspections completed as per requirements?<br> -Operator inspections completed?<br> -PM's completed as per the schedule?
-
Are employees working under suspended loads?
-
Are cranes working within their operating limits?<br> -Capacity not exceeded?<br> -Upper limit switch not used as a stop?
General Safety and Housekeeping
-
Trash, debris, and equipment not left laying around?
-
Equipment free of excessive dust, oil and/or soot?
-
Floor surfaces covered in oil/dust covering the painted surface?
-
Parts Room clean and organized?
-
General tripping hazards due to housekeeping, equipment layout, and/or workstation design?
-
Used oil storage container clean and free of leaks?
Signature and Finalization
-
I have completed this assessment to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify all visible/known hazards as of the date printed on the completed assessment. assessment.
-
Select date
-
General Comments
