Site Safety Audit

• Document No.

• Name of Facility - Site Safety Audit

• Conducted on

  Date

• Prepared by

• Location (Drop pin for GPS and street address):
  Address

General Safety

• Facility Name:

• All required Posters, Paperwork, posted in a visible location, and up to date? OSHA It's The Law Posted?

  Yes

  No

  N/A

• Has the previous Inspection Report been distributed through Lotus or Industry Safe?

  Yes

  No

  N/A

• Are there any outstanding issues which have not been addressed?

  Yes

  No

  N/A

• Has the (JHA) Job Hazard Analysis been updated?

  Yes

  No

  N/A

• Are Safety Briefs being performed? Occasional safety training.

  Yes

  No

  N/A

• Last verifiable covered?

• When?

  Date

• Employees wearing all required PPE (gloves, hi-viz, glasses, etc)?

  Yes

  No

  N/A

• Signage & Barricades in place where required?

  Yes

  No

  N/A

• All employees wearing appropriate rated footwear for tasks today?

  Yes

  No

  N/A

• Are employees wearing hearing protection when noise levels are in excess of 85 dBa?

  Yes

  No

  N/A

• dBa Measurement during Visit:

• Is a spill kit available and fully stocked?

  Yes

  No

  N/A

• What is the condition of the restrooms?

  Acceptable

  Unacceptable

• Condition of restroom

  Media

• Is there a designated smoking area?

  Yes

  No

  N/A

• Is smoking debris properly disposed of?

  Yes

  No

  N/A

• Interior door pressure, less than 5lbs of force to open?

  Yes

  No

  N/A

• Slip resistance value of flooring, sample cold and ambient areas?

  Yes

  No

  N/A

Exterior & Grounds

• Are all interior doors set at 5lbs of tension to open? (ADA)

  Yes

  No

  N/A

• Photo of test results

  Media

• Are all signs in place, legible and free from damage?

  Yes

  No

  N/A

• Is the property free from trash and debris?

  Yes

  No

  N/A

• Are the entrance and exit doors functioning and free from damage?

  Yes

  No

  N/A

• Is the surrounding landscaping (greenery) well maintained and free from standing water, mud and depressions?

  Yes

  No

  N/A

• Are loading docks clean and free from damage?

  Yes

  No

  N/A

Chemical Safety

• Is the SDS Pro system accessible in the facility (Test)?

  Yes

  No

  N/A

• Have safety data sheets been updated for new products in use? (This is for chemicals used by employees Spot check (3):

  Yes

  No

  N/A

• Is the Hazardous Waste Area established, signed with a NFPA 704 placard and posters from Stericycle?

  Yes

  No

  N/A

• Photo of HAZMAT area:

  Media

Safety Tools and Sundries

• Picture of Safety Center

  Media

• Is the eyewash station available within the manufacturers expiration date?

  Yes

  No

  N/A

• Is the first aid kit available and stocked?

  Yes

  No

  N/A

• Is the blood borne pathogen kit available and stocked?

  Yes

  No

  N/A

• Lockout Tagout Kit?

  Yes

  No

  N/A

• Is all spare PPE available and fully stocked?

  Yes

  No

  N/A

• Is the general spill kit available and stocked?

  Yes

  No

  N/A

Clean-up & Housekeeping

• Are entries walkways and drive lanes kept clear?

  Yes

  No

  N/A

• Emergency exit signs clear, legible and pointing the correct direction?

  Yes

  No

  N/A

• Emergency exits are clear on both sides of the door?

  Yes

  No

  N/A

• Oily rags and combustible refuse stored in covered metal containers?

  Yes

  No

  N/A

• Bins or Dumpsters located at suitable points around the facility?

  Yes

  No

  N/A

• Are the Bins of Dumpsters secured?

  Yes

  No

  N/A

• Are the pest issues in the facility such as rodents or flies?

  Yes

  No

  N/A

• Air monitoring for all areas of work which are considered confined spaces, or areas containing airborne contaminants?

  Yes

  No

  N/A

• Have all openings, holes, etc been covered & marked as necessary?

  Yes

  No

  N/A

Fall Protection

• Working at height?

  Off

  On

• Is perimeter protection in place where necessary?

  Yes

  No

  N/A

• Personal Fall Arrest systems in use where required (all work over 6ft)?

  Yes

  No

  N/A

• Are Harnesses in good condition, and recently inspected?

  Yes

  No

  N/A

• Are all Lanyards, Retractables, etc clearly marked with weight limits and other required info?

  Yes

  No

  N/A

• Are PFAs being correctly fitted, attached, and used?

  Yes

  No

  N/A

• Personal Fall Arrest anchor points adequate?

  Yes

  No

  N/A

• Load calculations clearly posted in each piece of equipment?

  Yes

  No

  N/A

Equipment & Machinery

• Is there any equipment out of service ?

  Yes

  No

• All Equipment inspections completed & filed?

  Yes

  No

  N/A

• Are powered industrial vehicles charged and stored properly? Are authorized people using this equipment only (ask two random employees who is allowed to use).?

  Yes

  No

Fire Prevention & Protection

• Air Quality CO2 Levels Sample - Within Acceptable Level (800 ppm)?

  Yes

  No

  N/A

• Evacuation Plans displayed & visible at front of the store?

  Yes

  No

  N/A

• Emergency contact list posted outside cash office or job boards?

  Yes

  No

  N/A

• Employees know where to gather in an emergency? Spot Check two employees:

  Yes

  No

  N/A

• Emergency exit signs are posted and in the correct position?

  Yes

  No

• Fire extinguishers of the correct type in place?

  Yes

  No

• Fire Extinguishers located throughout areas of work, and freely accessible? Nothing blocking access, 3ft of clearance in front of unit?

  Yes

  No

  N/A

• Fire Extinguishers fully charged, and recently certified? (Within the last calendar year)

  Yes

  No

  N/A

• Fire extinguishers are being checked monthly and noted on the tag?

  Yes

  No

  N/A

• Bottles/Cylinders properly stored for LPG and Carbonated beverages? (CO2 cylinders, etc)

  Yes

  No

  N/A

Electrical

• Electrical work being performed?

  Off

  On

• Temp or Permanent Lighting adequate (meets OSHA standards, at a minimum)?

  Yes

  No

  N/A

• Temp Lighting connections secure, and covered?

  Yes

  No

  N/A

• Electrical Cords in good condition?

  Yes

  No

  N/A

• All tools & equipment powered via GFCI Protected circuits?

  Yes

  No

  N/A

• All Panels, Boxes, etc secured and covered? Are flash warning stickers on all panel doors?

  Yes

  No

  N/A

Power Tools

• Power tools being used?

  Off

  On

• Power Tools in good working order?

  Yes

  No

  N/A

• Guards/Shields functional?

  Yes

  No

  N/A

Welding & Cutting?

• Welding & Cutting?

  Off

  On

• Cylinders stored properly?

  Yes

  No

  N/A

• Regulator fixed propery and recently certified? (Within last 12 months)

  Yes

  No

• Hoses in good condition?

  Yes

  No

  N/A

• Adequate shielding provided?

  Yes

  No

  N/A

• Fire Blankets used where necessary?

  Yes

  No

  N/A

Ladders & Scaffold

• Ladders & Scaffold?

  Off

  On

• Ladders tied-off?

  Yes

  No

  N/A

• All Ladders adequately rated for use?

  Yes

  No

  N/A

• Ladders used correctly (not standing on top rung, leaning against walls, etc)?

  Yes

  No

  N/A

• Fall Protection in use for all Aerial Lifts?

  Yes

  No

  N/A

Stairways (Permanent or Temporary)

• Stairways (Permanent or Temporary)?

  Off

  On

• Pans filled?

  Yes

  No

  N/A

• Stairs free and clear of debris?

  Yes

  No

  N/A

• Handrail/Guardrail in place?

  Yes

  No

  N/A

Roof Operations:

• Roof Operations?

  Off

  On

• Perimeter Protection in place?

  Yes

  No

  N/A

• Rooftop access points are secured?

  Yes

  No

  N/A

• Adequate anchor points provided?

  Yes

  No

  N/A

Observations and notes:

Observations

• Add media

  Media

Corrective Actions:

• Return date agreed to view the corrected items:

  Date

Signature:

Inspector Signature:

• Inspector:

  Sign