Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Compliance Check
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#1
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An object not in use is projecting from the wall
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#2
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No exits signs or non-exits not marked
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#3
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Minimum number of fire extinguishers
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#4
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Fire extinguishers were not being inspected monthly as required
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#5
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Combustible were within 36” of the electrical Panel
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#6
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Compressed gas cylinders were not secured
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#7
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Pedestal and benchtop tools were not secured as required
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#8
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No air pressure vessel permit required by the state of Oklahoma
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#9
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Cutting torches did not have flashback arresters on set-up
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#10
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PIT backrest was damaged
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#11
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Storage racks in warehouse were not secured as required
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#12
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Fall arrest harness were improperly stored
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#13
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Safety clip on rigging equipment needs replacement
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#14
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Warehouse exit and emergency lighting was not functional
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#15
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Flammables are not stored in flammable storage cabinet
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#16
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No secondary container label required GHS label
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#17
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No emergency action plan / no evacuation maps in place
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#18
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First aid kits do not meet the minimum . Class 1/ 2
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#19
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Noise evaluated exposure reports
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#20
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No heat illness prevention plan
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#21
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No injury reporting plan in place
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#22
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No confine space awareness training in place
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#23
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Overhead electrical and overhead power lines program in place
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#24
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No policy on walking / working surfaces
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#25
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No wind speeds specific on mobile platforms
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#26
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No PPE risk assessments
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#27
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No forklift training records available
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#28
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No Lock-out / Tag-out policy in place
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#29
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No GCFI in break room near ice marker
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#30
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No eye wash in warehouse
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#31
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No near - miss reporting
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#32
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No Bloodborne pathogens for company vehicles of office
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#33
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No policy on working near energized parts
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#34
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No drug / alcohol policy in place or detailed
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#35
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#36
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#37
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#39
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#40
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Future Action Required?
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What needs to be corrected?
Name Of Inspector
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Name:
Name of Safety Leader
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Name:
Name of President of the Company
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Name:
Safety Audit Grade:
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Final Grade:
- Pass
- Fail
- N/A
Facility Safety :
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Is the facility safe to continue operations :
