Title Page

  • Conducted on

  • Prepared by

  • Signature

  • Location
  • Area

SQS Inspection

Facilities/Housekeeping

  • Hallways and transit areas are free of obstacles and unnecessary items, (i.e pallets, buckets, hoses, old equipment (anything that could cause an accident)).

  • Wet or waxed floor provided with warning sign.

  • Ladders are in good physical condition (i.e, there is no corrosion).

  • Railings are provided on the opposite side of the stairs where required.

  • Ladders free of obstruction.

  • Outside stairs have grating.

  • Ladder steps are found without oil or grease stains.

  • If there are stairs or other defective equipment (without shoes covers, without rungs and / or modifications), they are identified with DANGER or OUT OF USE signs.

  • Exterior trash cans with lids on and not overfilled

  • Vegetation is isolated from manufacturing areas at least 18 "away from walls and ceilings.

  • Areas protected with UV lights and mouse traps and are in good condition

  • The walls, ceilings and floors are in good condition: no holes, cracks or unevenness that accumulate possible contamination

  • There are adequate drains to prevent water from accumulating and they are clean (free of glass accumulation, dirty, etc.).

Electrical Safety

  • The cables and electrical equipment have their complete isolation and do not have joints

  • Electrical connections comply with the electrical classification of the area

  • Receptacles are in good condition

  • Portable electrical equipment is grounded

  • The electrical panels are identified, covered, secured and free of obstruction

  • The lamps are shater proof and are in good condition (where there is industrial material, production material and finished product exposed)

  • The lighting of the area is adequate and there are no lamps damaged

Work Area: Safety/GMP/5S

  • There is free and safe space for the handling and movement of equipment in the work area

  • Work area has ONLY the necessary (materials and equipment) to perform the task (s). Work tables are clear and free of oil (i.e, no cell phones, personal items, etc.)

  • All locations of materials, equipment, work instruments, cabinets, drawers, rooms, areas, pipes, confined spaces, etc. are properly identified

  • The required equipment (reagents, cleaning equipment, sanitizers, materials) are organized: in the demarcated area (designated area)

  • Floor demarcations are in good condition and identified

  • The equipment, walls, ceilings, surroundings, pipes, etc. are clean

  • Shelves, cabinets, racks, etc. taller than 4 "are anchored to the wall or floor.

  • Racks have the maximum capacity labeled.

  • Bench equipment are anchored to the floor

  • Heavy and large equipment is secured to the wall or floor

  • Areas are checked to avoid damage by sharp and / or sharp objects

  • The operation points, pinch points and rotating parts of each equipment have been covered with guards that do not allow accidental contact with them while they are in movement

  • Compressed air used for cleaning does not exceed 30 psi

  • Hydraulic and / or pneumatic hoses of the equipment are in good condition

  • Materials are stored in such a way that they are stable and safe (chemical classification, separate cleaning products); heavy material is stored close to the floor

  • Flammable products are stored only inside cabinets approved for such use or areas designed for this purpose

  • The sensors of the machine guarding of the equipment are working.

  • The daily inspection of the forklift and aerial platforms had been completed

  • The work in progress has complied with the Lockout / Tagout (LOTO) procedures.

  • Hazardous works on the area had been covered by a Permit to Work.

  • The pallets are in good condition, they are not wet or broken.

  • Stacking of the pallets no more than 4 pallets per line.

  • The equipment (when applicable) is calibrated and has its calibration stamp updated.

Waste Management

  • Hazardous waste are located in a properly identified satellite area

  • Limits of quantity of storage of dangerous waste in satellite areas are in compliance

  • The oil disposition is adequate; the containers of oil (waste) are labeled and there is no trace of spillage in the area

  • Spill kits are available in the area

  • Recyclable materials are been accumulating properly for recovery

Spill Prevention

  • The containers of dangerous material or oil are properly closed, labeled and have secondary containment

  • There are no leaks of any equipment / components (e.g. tanks, pipes, pumps, etc.).

  • There is no visible contamination or obstruction in drainage ditches or storm trenches (oils, chemicals, garbage, debris, etc.).

  • Measures are being taken to protect the pluvial systems from pollution coming from nearby works (washing, painting, solvent).

  • The necessary control measures are being taken during product / material transfers; The area staff is monitoring them.

  • The spill kit have evidence are sealed. (i.e. zip tie or tamper seal). If spill kit has been opened, verify missing contents and report to EHS.

Hazardous Communication

  • Area personnel knows where to find the SDS.

  • The area is labeled with the necessary personal protective equipment.

  • Areas, utilities stations and containers are properly labeled.

  • Materials identified with their traceability code, product, expiration date, status (approved, conforming, non-conforming, COA attached)

  • The lubricants used are food grade (green label)

Personal Protection Equipment

  • The employees are using personal protective equipment correctly

  • Visitors wear appropriate protective clothing as required by the area (closed shoes, glasses, ear plugs, etc.)

  • No use of jewelry in manufacturing areas

  • Personnel eating chewing gum or food in non-designated areas.

  • Designated areas for smoking, eating and resting existing and identified.

  • Personnel of the manufacturing area is using hairnets or caps.

  • Eye wash station and safety showers are kept clear of obstruction and are inspected.

Fire Protection

  • Fire extinguishers are inspected and recharged

  • The extinguisher areas are demarcated and free of obstacles

  • Personnel list for evacuation is updated and available

  • Evacuation diagram is visible in the areas.

  • The materials are stored at a minimum distance of 18 inches from the ceiling so as not to affect the operation of fire sprinklers

  • The cloth storage containers contaminated with oil or alcohol are labeled "Contaminated solvent wipes" and container is closed

Emergency Exits

  • Emergency exits are properly identified; signs visible and in good condition

  • Emergency exits are free of obstruction

Good Documentation Practices

  • Over-writings duly corrected with signature and date. (Document what records and / or forms were verified)

  • Comments made have signature and date

  • Spaces and / or blank sections duly canceled with a crossed line, signature and date

  • Documents duly completed (no missing data: Ex: temp., Pressure, signatures, dates, etc.)

Document Control

  • Controlled documents have the red stamp that identifies it as: "Controlled Document".

  • Verify if the form, checklist, etc used is the current one in One QEHS

  • The records are identified and in good condition

  • Records and documentation completed duly filed

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.