Information
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Document No.
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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
Ergonomy
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Manual labor:
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Seating:
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Excessive physical stress:
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Machinery Operation and controls:
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Back Safe practices:
Forklift
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Safe Speed:
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Seat belt used consistently:
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Safe load handling:
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Daily safety inspection documented:
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FA trained and certified:
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Pedestrian/Forklift traffic control:
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Direction of travel with load:
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Operator physical range of motion when traveling in reverse:
Work at Heights
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Task Description:<br><br><br>
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Precautions appropriate to the task:<br>
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Pre-Work safety inspecction:
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Work area safe:
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Adequate PPE provided and used correctly:
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Training verified and docunmented:
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EWP: appropriate devices-
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EWP: Permit-
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EWP: Unguarded hazard-
Chemical Management
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Storage (placement & security);
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Usage per MSDS observed:
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Labeling in general:
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MSDS availability:
Personal Protective Equipment:
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Appropriate for applications observed:
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Correctly used;
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Availability:
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Employer provided:
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Storage and maintenance;
Confined Space Entry
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Entry permit used for classified entry;
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Entry log used for re-classified entries:
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Air monitoring meters used:
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Calibration of meters;
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Area ventilation and lighting:
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Appropriate PPE, used correctly:
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Required signage:
Poorly Ventilated Space:
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Mitigation control:
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Air monitoring meters used:
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Calibration of meters:
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PVS signage:
Contractors & Vendors
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Names of and type of vendors present during observation:
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Activities being conducted:
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PPE:
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HSE compliant:
Lock Tag Clear Try
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HSE policy and procedures followed:
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Locks used per HSE:
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Tags/signage used per HSE:
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Permit required during process:
Standard Operating Procedures
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SOP documentation available for tasks observed:
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Employee knowledge of SOP including safety precautions:
Site Tours
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Procedures for guest safety exist and are followed:
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restricted areas adequately marked and blocked:
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Guest induction required and documented consistently:
Hot Work
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Permit properly executed if required;
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Permit posted as required:
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Protective barriers utilized where necessary:
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PPE maintenance and use:
Fire Extinguishers
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Inspected monthly:
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Recharged annually:
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Employee training verified and documented:
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Emergency exit signage posted:
House Keeping
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Clear pathways - ingress & egress:
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Walkways free of obstacles:
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Proper storage practices within production areas:
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Trip hazards observed:
Pressurized Gas Cylinders
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Stored per regulation:
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Valve capped when not in use:
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Cylinder condition:
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Regulator used on cylinders in all applications:
Machine Guarding
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Appropriate for the potential hazard:
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Properly mounted and maintained in effective condition:
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Un-guarded potential hazards observed:
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Documented cleaning & clearing guarded equipment SOP:
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Documented removal/disable guarded equipment SOP:
Emergency Eye Wash & Shower station
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Readily accessible per regulation:
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Condition maintained per regulation:
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Flow rate compliant to regulation:
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Inspected periodically:
Material Storage & Handling
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Safely stored from damage or from hazard to pedestrians:
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Within HSE weigh limitation if manually handled:
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If stacked, kept at least 18" from fire sprinkler heads:
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If manually stacked, kept within HSE manual height stack limits:
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If stacked or stored at height, adequately secure:
