Information
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Name of division that shop is located:
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Employee(s) assign to this shop
Employee
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Employee Name:
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Conducted on
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Audit Prepared by:
- Mike O'Neil
- John Bartkowski
- Rob Carrington
- Cal Beyer
- Risty Van Ogle
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Location
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SHOP SAFETY OBSERVATIONS:
Safety Observation
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NOTES:
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SHOP AUDIT:
Are Shop signage in place (Vest, Safety Glasses Required, Ect.) at all entry points?
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Are required PPE signage in place at all entry points to shop? (Hi- Vis Vest and safety glasses required before entry)
Entry signage
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Hi- Vis Vest and safety glasses required before entrying:
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Safety glasses
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Composite toed boots
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Proper gloves
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Does coveralls have Hi-Vis bands on them
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Hearing Protection
Type of device
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Type of Device
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Respiratory Protection ( Are They Clean and Stored Properly)
Respiratory device
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Respiratory Protection ( Are They Clean and Stored Properly)
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Mask
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Is there an area designated that when you cross that line PPE is required?
GENERAL TRAINING QUESTION
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Does shop foreman have a first-aid / CPR cards that is up to date?<br><br><br>
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Lock-out/Tag-out Policy (WAC 296-803)
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Respiratory Protection Policy (WAC 296-842)
HAZ-COM
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Chemical Hazard Communication Policy (WAC 296-800-170)
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Heat Stress Program (WAC 296-62-095)
General safety practices
1
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Good House Keeping
House Keeping Area
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Is the shop personnel using good house keeping practice?
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House Keeping
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2
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Are garbage cans that may contain flammables covered with an approved lid?<br>
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3
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Are extra hard hats, safety glasses and vests available for everybody making a shop visit
PPE For Shop Visitors
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Are extra hard hats, safety glasses and vests available for everybody making a shop visit?
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Extra safety glasses and vest
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4
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Waste solvent tank needs to be labeled and a service record posted on the tank.
Paperwork
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Are Waste solvent tank labeled and a service record posted on the tank?<br>
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Service record posted on the tank.
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5
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Does shop have an emergency evacuation plan in place?
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6
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Are all shop personnel familiar with emergency procedures?
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7
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Are First-Aid Kit Fully Stock & Available?
First-Aid Kit
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First Aid kit
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First Aid Kit
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8
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Pressure Vessels Inspection Certification
Pressurized Vessel
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Is the Pressure Vessels Inspected Certification Up To Date?<br><br><br><br><br><br><br>
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Pressure Vessel
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9
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Are Compressed gas bottles separated by type, flammables, and non-flammables? And are they separated by a minimum of 20 feet or a 30 minute flame barrier?
Compressed Gas bottles
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Are all compressed gas bottles separated
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Bottles
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10
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Are all Oxy-Acetylene bottles stored properly?
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11
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Is a back flash arrester in place on all Oxy-acetylene tanks?
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12
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Are the valve protection caps covering the valve stems of tanks?
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13
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Are flammable and combustible liquids separated and stored in a fireproof cabinet?
Flammables & Combustibles
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Are flammable and combustible liquids separated and stored in a fireproof cabinet:
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Flammables and Combustible liquids
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14
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Do Air compressors have service record?
Air Compressor
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Do all Air compressors have service record
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Air compressor
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15
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Is compressed air used for cleaning purposes? If yes, it must have an OSHA presssure relief tip if p.s.i. is over 30.<br>
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16
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Are all secondary container (Oil, kerosene , diesel , release agent, etc.) labeled indicating the contents and hazard associated with the material?
Container
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All secondary container (Oil, kerosene , diesel , release agent, etc.) labeled indicating the contents and hazard associated with the material
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Secondary Container
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17
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Are All hand tools, compressors and any other moving parts such as drive motors guards in place?
Guards
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Guarding in place
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Guards
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18
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Are hand and power tools in good working condition?
Tools
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Are hand and power tools in good working condition
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Hand or Power Tool
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19
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Are guards on bench grinders adjusted to within 1/8th of an inch from the grinding wheel or brush? If this is not possible the wheel/brush or tool rest may need to be replaced?
bench grinder
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Are guards on bench grinders adjusted to within 1/8th of an inch from the grinding wheel or brush? If this is not possible the wheel/brush or tool rest may need to be replaced.
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20
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Are spark arrestor and tool rest in place and properly adjusted and the grinder properly secured.
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21
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Is a Face shields available and in good condition by bench grinder? (whenever chipping or grinding is being done the employee must be protected)
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22
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Has all extension cords been inspected? Then replace when pins, cut or damaged?
Extension Cords
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Are the extension cords that are being used in good condition
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Extension Cord
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23
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Is there a GFCI power strips used whenever an extension cord is used to supply power to more then one item (tool, light etc.)?
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24
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Are all ladders that are being used in good working condition with readable label and a means to tie them up when in use?
Ladder
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Ladders in good working condition, readable label, means to tie them up when in use:
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Ladder
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25
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Has fire extinguisher been inspected and signed off on a monthly basis?
Fire Extinguisher
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Has fire extinguisher been inspected and signed off on a monthly basis:
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Fire Extinguisher
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26
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If employee(s) has a Fall Protection harness have they been inspected on a regular basis and replaced when needed?
Fall Protection Device
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Fall Protection Inspection ( is there an in-service day, has it been inspected on a yearly basis and signed off by A competant person)
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Does Fall Protection have an in service date?
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27
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Are all walking / working area free of slips, trips and fall hazard?
Walking & Working Surfaces
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Are walking and working area free of slips, trips and fall hazards
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Surfaces
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28
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Does the diesel storage tank have a Diesel sticker installed on it as well as a “No Open Flame" sticker?
Storage Tanks
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Diesel storage have a Diesel sticker installed on it as well as “No Open Flame<br><br><br><br><br><br><br>
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Type of Storage Tank
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29
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Are Waste oil station container(s) labeled “Used Oil”?<br>
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30
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Are emergency eye wash station(s) functional and signed properly?
Eye wash
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Are eye wash station(s) functional and signed properly:
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Eye Wash
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31
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Has the Electrical Control Panel been inspected (Can not have any missing panels, every breaker labeled & if it's in active it must be label)?
Electrical Panel
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Control Panel
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Panel
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32
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Has all electrical outlets with GFCI been tested and passed?
GFCI
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Has all electrical outlets with GFCI been tested and passed?
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GFCI OUTLETS
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33
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Is Service Pit protected to prevent someone from falling into it? This can be accomplished by covering the pit when not in use, or by placing handrailing around the pit opening?
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34
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If there is a hoist in the shop does it have its capacity posted on the main beam? If the rating is unknown, an engineer should determine what it rated for.
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35
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Is Lifting Hardware Inspection and in good working order?
Lifting Devices
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Has all lifting hardware been inspected:
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Lifting Hardware:
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36
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Has Shop vehicle inspected report been done daily?
Pre & Post Trip Inspection Report
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Has Vehicle been documented on a daily basic:
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Vehicle
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37
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Are fleet daily inspected sheets organize by need repair & vehicle OK?
Pre & Post Trip Inspection Report
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38
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Has fleet trucks daily inspection reports been received on a daily basic?
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Truck / Equipment number (If not receive on a daily basis)
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39
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Is Man Lift / All terrain reach truck clean and free of debris?
Man lift / Reach Truck / Forklift
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Are Man Lift / Forklift /All terrain reach truck been Inspected on a daily basic:
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Lifting Equipment
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40
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Are all employees in the shop certified / trained to run a forklift?<br>
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41
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Is Arc Flash Protection need in any part of shop?
Labels, Rubber Gloves, Clothing
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Is Arc flash protection in place:
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Labels, Rubber gloves, Fire retardant clothing, Ect.
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42
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Shop Vacuum
Shop Vacuum
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Are all shop Vac's in working order
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43 - OTHER MISC SHOP ITEM(S)
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Other shop items?
Misc item
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Is item in compliance or noncompliance?
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Description
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SHOP AUDIT COMMENT(S)
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Shop audit comment
Comment
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Shop audit comment
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Is a follow-up shop visited needed with the next 30 days?
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Is a follow-up shop visited needed with the next 30 days?
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If Yes; Describe why visited is needed: