Shop / General Industry

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

EGRESS (OR EVACUATION)

• Has AC Corp reviewed the plan with each employee?

  Yes

  No

  N/A

• Are exits markings and lighting adequate and appropriate?

  Yes

  No

  N/A

• Are means of egress continually maintained free of all obstructions or impediments?

  Yes

  No

  N/A

FIRE PROTECTION AND PREVENTION

• Are portable fire extinguishers provided, mounted, located and identified so that they are readily accessible to employees?

  Yes

  No

  N/A

• Where portable fire extinguishers are provided for employee use, is there an educational training program to familiarize employees with principles of use and hazards involved with incipient stage firefighting?

  Yes

  No

  N/A

• Are portable fire extinguishers visually inspected each month?

  Yes

  No

  N/A

• Are annual maintenance checks of portable fire extinguishers completed and records maintained of the date completed?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Has the employee completed a hazard assessment for the machine or equipment they are operating? If yes is it on file?

  Yes

  No

  N/A

• Are affected employees using appropriate eye or face protection when exposed to eye or face hazards from flying particles?

  Yes

  No

  N/A

• Are protective helmets used in areas where there is a potential for injury to the head from falling objects?

  Yes

  No

  N/A

• Where an employee’s hands are exposed to hazards such as those from skin absorption of harmful substances, severe cuts or lacerations, severe abrasions, punctures, chemical burns, thermal burns, and harmful temperature extremes, are employees using appropriate hand protection?

  Yes

  No

  N/A

RESPIRATORY PROTECTION

• Can employees demonstrate a knowledge of why the respirator is necessary, the importance of proper fit, proper maintenance and the limitations and capabilities of the respirator?

  Yes

  No

  N/A

• Is training provided at least annually and when changes are made in the work area or if employees appear to need retraining?

  Yes

  No

  N/A

MATERIALS HANDLING AND STORAGE

• Is good housekeeping maintained?

  Yes

  No

  N/A

• Are slings and all fastenings and attachments inspected for damage or defects by a competent person each day before being used?

  Yes

  No

  N/A

MACHINERY, MACHINE, AND POWER TRANSMISSION GUARDING

• Where employees are exposed, is one or more methods of machine guarding provided to protect them from hazards of ingoing nip points, rotating parts, flying chips, and sparks?

  Yes

  No

  N/A

• Is the point of operation of machines whose point of operation exposes an employee to injury properly guarded?

  Yes

  No

  N/A

• Are grinding wheels properly guarded?

  Yes

  No

  N/A

• Are tool rests on grinders properly set? Work rests shall be kept adjusted closely to the wheel with a maximum opening of one-eighth inch

  Yes

  No

  N/A

• Are all gears properly guarded?

  Yes

  No

  N/A

• Is a written die setting procedure available for all presses?

  Yes

  No

  N/A

• Are safety blocks used when dies in the press are repaired or adjusted?

  Yes

  No

  N/A

• Are all fan blades guarded with guard openings of one-half inch or less?

  Yes

  No

  N/A

PORTABLE POWER TOOLS

• Are all portable power tools properly grounded?

  Yes

  No

  N/A

• Are portable power tools equipped with appropriate guards?

  Yes

  No

  N/A

• Do air cleaning nozzles emit not more than 30 psi pressure?

  Yes

  No

  N/A

• Are portable grinders completely and adequately guarded?

  Yes

  No

  N/A

ELECTRICAL

• Is each disconnecting means for motors and appliances, each service, feeder, and branch circuit legibly marked to identify its purpose?

  Yes

  No

  N/A

• Are exposed live electrical parts operating at 50 volts or more guarded against accidental contact by approved cabinets or enclosures, by location, or by limiting access to qualified persons?

  Yes

  No

  N/A

• Are exposed metal parts of cord- and plug-connected hand-held motor-operated tools, other than double insulated tools, grounded?

  Yes

  No

  N/A

• Are all pull boxes, junction boxes, and fittings provided with covers approved for the purpose?

  Yes

  No

  N/A

HAZARD COMMUNICATION

• Are all containers properly labeled?

  Yes

  No

  N/A

• Are material safety data sheets current, accurate, and available on all hazardous materials at the workplace?

  Yes

  No

  N/A

• Are employees informed and trained on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard is introduced into their work area?

  Yes

  No

  N/A

CONTROL OF HAZARDOUS EMERGENCY (LOCKOUT/TAGOUT)

• Are all employees trained in lockout tagout program?

  Yes

  No

  N/A

• Are periodic reviews to assure compliance with program conducted and certified?

  Yes

  No

  N/A

WELDING, CUTTING AND BRAZING

• Have all fire hazards in the vicinity of welding or cutting been removed or guarded?

  Yes

  No

  N/A

• Are the welder and any helpers or attendants using properly selected helmets, goggles, or face shields during any welding, cutting, or brazing operation?

  Yes

  No

  N/A

• Are workers in areas adjacent to welding areas protected by shields or screens or required to wear goggles?

  Yes

  No

  N/A

• Is mechanical ventilation provided as required in welding or cutting areas?

  Yes

  No

  N/A

• Are all compressed gas cylinders legibly marked to indicate their contents?

  Yes

  No

  N/A

• Are cylinders stored where they will not be knocked over, damaged, or subject to tampering?

  Yes

  No

  N/A

• If cylinders are designed to accept valve protection caps, are caps in place when cylinders are not in use?

  Yes

  No

  N/A

• Are oxygen cylinders separated from fuel-gas cylinders or combustible materials by at least 20 feet or a non-combustible barrier at least 5 feet high and having a one-half hour fire resistance rating?

  Yes

  No

  N/A

• Are cylinder valves closed when work is finished?

  Yes

  No

  N/A

• Are cylinder valves closed when cylinders are empty?

  Yes

  No

  N/A

• Are acetylene cylinder valves opened no more than one and one-half turns of the spindle?

  Yes

  No

  N/A

• Are cables replaced when the insulation is damaged or conductors bare?

  Yes

  No

  N/A

• Are floors clean and dry?

  Yes

  No

  N/A

• Are permanent aisles and passageways appropriately marked and kept clear?

  Yes

  No

  N/A

• Is an eyewash station blocked?

  Yes

  No

  N/A

• Are eyewash inspection stickers current?

  Yes

  No

  N/A

• Are eyewash stations clean?

  Yes

  No

  N/A

ADDITIONAL FINDINGS / COMMENTS

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A