Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Confined Space (Cardinal Safety Rule)

  • Spaces labeled and uniquely identified?

  • Are space entrances secured?

Contractor Safety Program

  • Contractor is qualified to work on-site?

  • Equipment and tools being used are in good condition?

Emergency Response and Action Plan

  • External and Internal location posted?

  • Emergency exit signs and lights working?

  • Is each exit route provided with sufficient emergency illumination? (1910.37)

  • Is each door to, through, and away from the path of exit travel properly labeled? (1910.37)

  • Is each route to, through, and away from the exit at least 7 feet, 6 inches high with any overhead projection no less than 6 feet, 8 inches from the floor? (1910.37)

  • Are egress routes and exit doors unobstructed? (1910.37)

  • Are all doors along the path of travel to, through, and away from the exit side hinged and designed to open in the direction of exit travel? (1910.36)

  • Are all exit doors able to be opened without special knowledge, tool, or key?

  • Are there any additional hazards identified related to exit routes not otherwise listed above?

Electrical Safety

  • Any exposed wiring?

  • Improper use of SO cords (wrapped cords, door ways, walls, etc.)?

  • 110 panel labeling current and correct (including revision date) (NEC 110-22)

  • Fire extinguisher (immediately inside or outside door) of electrical rooms?

  • Emergency lighting in panel rooms?

  • 3 foot clearance in front of electrical panels?

  • Sub stations over 600 volts locked?

  • No storage of non essential electrical equipment in MCC panel rooms?

  • At a minimum, are all panels in MCCs labeled with appropriate arc flash hazard ratings? (NFPA 70E and JBS Policy)

  • Does each panel have both a latching exterior cover and an intact inner cover such that all live electrical components are properly protected from inadvertent contact? (NEC 110-17)

  • Is each means of disconnect labeled with its purpose? (i.e. name of equipment controlled by disconnect device) (1910.303)

  • Are all open blanks and knockouts filled with appropriate materials on electrical cabinets, boxes, and fittings? (1910.305)

  • Are all pull boxes, junction boxes, and fittings provided with covers? (1910.305)

  • Is all conduit observed to be connected with no breaks or significant damage? (1910.305)

  • Is each run of flexible cord or cable provided with an adequate strain relief at the device serviced to prevent pull from being directly transmitted to joints or terminal screws? (1910.305)

  • Are MCCs properly maintained, sufficiently lit, and labeled as required by the standard and access controlled?

  • Are all electrical raceways observed to be in good condition with all covers in place, no exposed wiring, and no visible breaks? (1910.305)

  • Are all electrical outlets and plug heads in wash down areas designed for use in wet environments and in good repair with no indication of arcing?

  • Are there any additional hazards identified related to electrical safety not otherwise listed above?

Fall Prevention and Protection Program

  • Are harness and lanyards in good condition and properly stored?

  • Safety swing gates in place and in use?

  • Are all portable ladders and rolling work platforms observed to be in safe operating condition and properly stored? (1910.26)

  • Are fixed industrial ladders designed so that the distance between rungs, cleats, and steps does not exceed 12 inches and are they uniform in spacing throughout the length of the ladder? (1910.27)

  • Are fixed industrial ladders mounted so that the clearance between the back of the ladder and the nearest permanent object in back of the ladder in not less than 7 inches? (1910.27)

Fire Prevention

  • No smoking signs in applicable places?

  • Flammable cabinets in good shape and orderly (i.e. nothing stored except flammable liquids)

  • Are flammable liquids (including aerosols) properly stored in fire proof cabinets? (1910.106)

  • Is each fire extinguisher observed to be in good repair, unobstructed, and fully charged?

  • Are fire extinguishers checked monthly by JBS employees and annually by 3rd part inspector?

Chemical Handling and Storage

  • SDS - Updated and available at all times?

  • Are incompatible chemicals stored in such a manner as to prevent their coming into contact with one another in the event of a spill or release?

  • Are all chemical containers labeled?

  • Are compress gas cylinders properly stored and secured in vertical racks with all cylinder caps in place?

Machine Guarding

  • Shaft key ways smooth?

  • No set screws protruding above lock collar?

  • Fixed auger guarding in place?

  • Pulley belt drives totally enclosed?

  • Bench grinder safety shield in place, tongue guard (1/4") and tool rest (1/8") on grinders proper adjustment and mounted securely in place.

  • Are all guards observed to be in good condition with no rough/sharp edges or damage which may reduce the effectiveness of the guard?

  • Are all guards observed to be securely fastened and fully enclosing the hazard?

  • Are all shaft ends cut down to 1/2 the diameter of the shaft or protected by a non-rotating cap?

  • Are all fans within 7 ft. of a working/walking surface fully guarded?

  • Are all in-going nip points and points of operation properly guarded?

  • Other?

PPE

  • Are employees and visitors wearing the correct PPE?

  • Is only authorized PPE being used?

  • Is the PPE observed in good condition?

Walking Surfaces / Fixed Stairs / Stairways

  • Floors clean and without obstructions?

  • Fixed stairs a minimum of 22 inches wide unless egress?

  • Fixed stair angle between 30-50 degrees?

  • Stair railing between 30-34 inches?

  • Stair treads slip resistance and uniform in height and tread?

  • Railings 42" with 21" mid-rail and 4" toeboard?

  • Are all floor openings or holes greater than 2"x 2" guarded?

  • Are all open-sided floors and platforms 4 feet or more above adjacent floor, equipment or ground guarded?

  • Other?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.