Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PREVIOUS INSPECTION

  • HAS THE LAST INSPECTION BEEN REVIEWED

  • ANY OUTSTANDING ACTIONS FROM PREVIOUS AUDIT

PERSONAL PROTECTIVE EQUIPMENT

  • EMPLOYEES ARE PROPERLY MAINTAINING PPE

  • EMPLOYEES PROVIDED WITH AND USING SAFETY GOGGLES/FACE SHIELDS WHEN NECESSARY

  • EMPLOYEES PROVIDED WITH AND USING HEARING PROTECTION

  • EMPLOYEES PROVIDED WITH AND USING HARD HATS WHEN NECESSARY

  • BODY BELTS, HARNESSES, AND LANYARDS ARE CLEAN AND AVAILABLE WHEN NECESSARY

  • STEEL-TOED BOOTS ARE BEING WORN IN THE SHOP AREA

  • EMPLOYEES ARE PROVIDED WITH AND USING PROTECTIVE CLOTHING (GLOVES, COATS, APRONS, COVERALLS) WHEN NECESSARY

HAZARDOUS MATERIALS

  • HAZARDOUS MATERIALS PROPERLY MARKED

  • FLAMMABLE MATERIALS ARE STORED PROPERLY

  • SDS SHEETS READILY AVAILABLE

  • SECONDARY CONTAINERS CORRECTLY LABELED FOR HAZARDOUS MATERIALS

  • SUITABLE WARNING SIGNS AND TAGS UTILIZED

AUDITOR COMMENTS

  • AUDITOR COMMENTS

AUDITOR SIGNATURE

  • Add signature

FACILITY SIGNATURE

  • Add signature

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