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
GENERAL
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1. EMERGENCY NUMBERS POSTED<br><br>
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2. EMERGENCY EVACUATION PLAN IN PLACE
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3. WEEKLY SAFETY MEETINGS COMPLETED
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4. MSHA OPENING DIRECTIONS/INFORMATION CORRECT
HOUSEKEEPING AND SANITATION
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5. WORK AREA CLEAR OF HAZARDS, CLEAN AND ORGANIZED
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6. TRASH RECEPTACLE COVERED AND EMPTIED REGULARLY
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7. SANITARY FACILITIES CLEAN AND MAINTAINED
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8. STORAGE AREAS HAVE A CLEAR ORGANIZED PATH
FIRE PREVENTION
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9. EXTINGUISHERS CHECKED MONTHLY
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10. EXTINGUISHERS CURRENT ANNUAL INSPECTIONS
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11. FLAMMABLE/COMBUSTABLE LIQUIDS STORED PROPERLY
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12. NO SMOKING SIGNS POSTED WHERE REQUIRED
LADDERS/PLATFORMS/FALL PROTECTION PPE
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13. LADDERS PROPERLY SECURED AND ON A STABLE BASE
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14. ALL PLATFORMS HAVE PROPER HAND RAIL PROTECTION
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15. DOUBLE CHAINS AT ALL LADDER OPENINGS
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16. FALL PROTECTION EQUIPMENT UTILIZED WHEN REQUIRED
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17. FALL PROTECTION EQUIPMENT MAINTAINED AND STORED PROPERLY
ELECTRICAL
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18. ALL EQUIPMENT CORDS INSPECTED AND IN GOOD CONDITION
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19. 110 CORDS MARKED FOR ANNUAL CONTINUITY CHECK
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20. CORDS ON TRAVEL WAYS ADEQUATELY PROTECTED OR AWAY FROM TRAFFIC
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21. PANELS AND SWITCHES-SECURE AND LABELED
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22. STRAIN RELIEF FOR ALL CORDS INTACT
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23. EQUIPMENT CONTINUITY AND GROUND RESISTANCE COMPLETED AND DOCUMENTED
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24. 36" CLEARANCE IN FRONT OF ALL ELECTRICAL PANELS
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25. GUARDS ON ALL LIGHTING
MOBILE EQUIPMENT
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26. INSPECTED PRIOR TO USE AND ANY DEFECTS NOTED/CORRECTED
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27. BACK UP ALARM AUDIBLE OVER SURROUNDING AREA
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28. FIRE EXTINGUISHER AVAILABLE AND INSPECTED
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29. WHEELS CHOCKED/BRAKE SET WHEN PARKED OR FUELING
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30. SOUND HORN/WARNING DEVICE BEFORE MOVING MOBILE EQUIPMENT
WELDING AND CUTTING EQUIPMENT
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31. SCREEN OR SHIELDS IN USE
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32. WORK AREA CLEAR
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33. CABLES/HOSES/CONNECTIONS/GUAGES/TOOLS INSPECTED
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34. GAS CYLINDERS PROPERLY STORED AND SECURED
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35. GUARDS ON GUAGES WHERE APPLICABLE
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36. FIRE EXTINGUISHER AVAILABLE
EMPLOYEE VEHICLES
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37. PARKED IN A DESIGNATED AREA AWAY FROM TRAFFIC FLOW
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38. WHEELS CHOCKED OR PARKED IN A DITCH-PARK BRAKE SET
MATERIALS AND STORAGE
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39. STORAGE AREAS KEPT CLEAN AND FREE OF HAZARDS
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40. SPILL PREVENTION AND CONTROL IN PLACE
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41. FIRE EXTINGUISHER AVAILABLE AND INSPECTED
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42. PROPER LABELING OF CONTENTS OF ALL CONTAINERS
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43. FLAMMABLE MATERIALS CABINET AVAILABLE AND IN USE.
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44. IGNITION SOURCES KEPT CLEAR OF COMBUSTIBLES
PERSONAL PROTECTIVE EQUIPMENT
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45. HARD HATS/SAFETY BOOTS/SAFETY GLASSES/GLOVES
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46. HEARING PROTECTION DEVICES AVAILABLE AND IN USE WHERE REQUIRED
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47. PERSONNEL WEARING PROPER PROTECTIVE CLOTHING
OVERALL SITE
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48. SAFE/EFFICIENT TRAFFIC PATTERS FOR MOBILE EQUIPMENT
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49. SUFFICIENT BERMS AT ALL LOCATIONS WHERE REQUIRED
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50. GUARDING-MOVING MACHINE PARTS SUFFICIENTLY GUARDED<br>
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51. CONVEYORS/EQUIPMENT SUPPORTED/SECURED PROPERLY
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52. WARNING/DANGER SIGNS POSTED WHERE REQUIRED
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53. FIRST AID/EYE WASH/BACKBOARD/BLANKET AVAILABLE
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54. SOUND WARNING/ACCOUNT FOR EMPLOYEES PRIOR TO STARTUP
PAPERWORK
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55. LEGAL ID AND QUARTERLY REPORTS-LAST 4 QUARTERS
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56. TRAINING RECORDS-NEWLY HIRED MINER/ANNUAL REFRESHER LAST 2 YEARS/TASK TRAINING RECORDS
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57. DAILY WORKPLACE EXAMS AVAILABLE FROM THE LAST YEAR
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58. EQUIPMENT PRE-USE INSPECTIONS COMPLETED/KEPT FOR 1 WEEK UNLESS DEFICIENCIES NOTED
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59. REVIEW RECENT ACCIDENTS/INCIDENTS
