Steffes Workplace Inspection Revision 4

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Supervisor involvement

• Does the supervisor know and understand what the number one near miss type is in their area of responsibility?

  Safe

  At Risk

  N/A

• How often do you conduct safety audits in your area of responsibility?

  Safe

  At Risk

  N/A

• Does the supervisor promote safety and team work in the workplace in an effort to reduce risk?

  Safe

  At Risk

  N/A

• Does the supervisor conduct near miss investigations and take corrective actions?

  Yes

  No

  N/A

• Does the supervisor use standard work and does the standard work address safety?

  Safe

  At Risk

  N/A

• What changes to safety in the workplace would the supervisor make if applicable?

  Safe

  At Risk

  N/A

• Does the supervisor take corrective actions to correct potential hazards?

  Safe

  At Risk

  N/A

• Does the supervisor know what type of incidents are occurring in their area of responsibility?

  Safe

  At Risk

  N/A

• Are safety metrics posted at the cell level?

  Yes

  No

  N/A

Respiratory Protection

• Are cartridge respirators cleaned and stored in protective covers<br>

  Yes

  No

  N/A

• Are there respirators filter change schedule available?

  Yes

  No

  N/A

• Is the employee's health questionnaire current?

  Yes

  No

  N/A

• Are employees clean shaven who wear tight fitting respirators?

  Yes

  No

  N/A

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed?

  Safe

  At Risk

  N/A

• 1.2 - Are there no outstanding actions?

  Safe

  At Risk

  N/A

2.0 - Fire Prevention

• 2.1 - Evacuation plan displayed and understood by all employees?

  Safe

  At Risk

  N/A

• 2.2 - Extinguishers in place, clearly marked for type of fire? Knowledge of pull stations?

  Safe

  At Risk

  N/A

• 2.3 - Extinguishers recently serviced? (Check monthly, annually)

  Safe

  At Risk

  N/A

• 2.4 - Extinguishers clear of obstructions?

  Safe

  At Risk

  N/A

• 2.5 - Extinguisher no more than 4 feet max height and base not lower than 4 inches?

  Safe

  At Risk

  N/A

• 2.6 - Indicator signs 6 feet above floor level?

  Safe

  At Risk

  N/A

• 2.7 - Adequate direction notices for fire exits? ( exit signs illuminated)

  Safe

  At Risk

  N/A

• 2.8 - Exit doors easily opened from inside?

  Safe

  At Risk

  N/A

• 2.9 - Exits clear of obstructions?

  Safe

  At Risk

  N/A

• 2.10 - Fire alarm system functioning correctly?(status panel)

  Safe

  At Risk

  N/A

• 2.11 - What is the emergency services phone number?

  Safe

  At Risk

  N/A

3.0 - General Lighting

• 3.1 - Good natural lighting?

  Yes

  No

  N/A

• 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  Yes

  No

  N/A

• 3.3 - Light fittings clean and in good condition?

  Yes

  No

  N/A

• 3.4 - Emergency exit lighting operable?

  Yes

  No

  N/A

• 3.5 - Are light bulbs under 7 feet or near a work area properly protected!

  Yes

  No

  N/A

4.0 - Building Safety

• 4.1 - Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 4.2 - Entry and walkways kept clear?

  Yes

  No

  N/A

• 4.3 - Walkways adequately and clearly marked?

  Yes

  No

  N/A

• 4.4 - Intersections kept clear of boxes etc?

  Yes

  No

  N/A

• 4.5 - Stair and risers kept clear and meet OSHA (1910.24) safe design and construction requirements?

  Yes

  No

  N/A

• 4.6 - Are liquid spills removed quickly?

  Yes

  No

  N/A

• 4.7 - Are railings in good condition?

  Yes

  No

  N/A

• 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

• 4.9 - Are footpaths in good condition?

  Yes

  No

  N/A

• 4.10 - Furniture in sound condition?

  Yes

  No

  N/A

• 4.11 - Loading area clean and tidy?

  Yes

  No

  N/A

• 4.12 - Has daily overhead crane per-use inspection been performed and stored properly?

  Yes

  No

  N/A

• 4.13 - Do lifting straps, chains and below the hook lifting devices have rating tags and are in good condition?

  Yes

  No

  N/A

• 4.14 - Has employee received adequate crane training?

  Yes

  No

  N/A

• 4.15 - Does all measurement equipment have current calibration decal?

  Yes

  No

  N/A

• 4.16 - Is safe signage on display( if applicable: pinch points, confined space, permit required confined space)?

  Yes

  No

  N/A

• 4.17 - Do air hoses have the correct crimp ring installed?

  Yes

  No

  N/A

5.0 - Work Benches

• 5.1 - Clear of rubbish?

  Yes

  No

  N/A

• 5.2 - Tools not in use de- energized and kept in place?

  Yes

  No

  N/A

• 5.3 - No damaged hand tools in use?

  Yes

  No

  N/A

• 5.4 - No damaged power tools in use?

  Yes

  No

  N/A

• 5.5 - Work height correct for the type of work and the employee?

  Yes

  No

  N/A

• 5.6 - No sharp edges?

  Yes

  No

  N/A

6.0 - Rubbish Removal

• 6.1 - Bins located at suitable points around site?

  Yes

  No

  N/A

• 6.2 - Bins emptied regularly?

  Yes

  No

  N/A

• 6.3 - Oily rags and combustible refuse in covered metal containers?

  Yes

  No

  N/A

• 6.4 - Are trash bins at least 35 feet from a welding operation, if not are they covered?

  Yes

  No

  N/A

7.0 - Storage Design and Use

• 7.1 - Materials stored in racks and bins wherever possible?

  Yes

  No

  N/A

• 7.2 - Storage designed to minimise lifting problems?

  Yes

  No

  N/A

• 7.3 - Floors around racking clear of rubbish?

  Yes

  No

  N/A

• 7.4 - General condition of racks and pallets?

  Yes

  No

  N/A

• 7.5 - Are pallet racks anchored at each foot support and guarded in high traffic area's?

  Yes

  No

  N/A

• 7.6 - Are cross bar locking clips installed?

  Yes

  No

  N/A

• 7.7 - Has daily forklift inspections been performed?

  Yes

  No

  N/A

8.0 - Machines

• 8.1 - Are they kept clean?

  Yes

  No

  N/A

• 8.2 - Are the floors around the machines kept clean?

  Yes

  No

  N/A

• 8.3 - Guards in good condition?

  Yes

  No

  N/A

• 8.4 - Starting and stopping devices within easy reach of operator?

  Yes

  No

  N/A

• 8.5 - Waste/off cuts removed and stored safely?

  Yes

  No

  N/A

• 8.6 - Drip pans on floor to prevent spillage?

  Yes

  No

  N/A

• 8.7 - Adequate work space?

  Yes

  No

  N/A

• 8.8 - Is lighting adequate?

  Yes

  No

  N/A

• 8.9 - Noise levels controlled?

  Yes

  No

  N/A

• 8.10 - No bending or stooping required?

  Yes

  No

  N/A

• 8.11 - Operators trained/inducted into the operation of the machines?

  Yes

  No

  N/A

• 8.12 - Is standard work or training guide available and is qualification training recorded?

  Yes

  No

  N/A

• 8.13 - Do operators comply with the training?

  Yes

  No

  N/A

• 8.14 - Are lockout procedures implemented and followed?

  Yes

  No

  N/A

• 8.15 - Are gas bottles secured?

  Yes

  No

  N/A

• 8.16 - Are potential hazards marked with paint or markings?

  Yes

  No

  N/A

• 8.17 - Are interlocks and or safety devices in use? Light curtain, drill press guards, limit switches, etc...

  Yes

  No

  N/A

• 8.18 - Is press break mute point set to .025 above material?

  Yes

  No

  N/A

9.0 - Electrical Safety

• 9.1 - Safety switches installed?

  Yes

  No

  N/A

• 9.3 - No double adapters in use?

  Yes

  No

  N/A

• 9.4 - No broken plugs, sockets or switches?

  Yes

  No

  N/A

• 9.5 - No power leads across walkways?

  Yes

  No

  N/A

• 9.6 - No frayed or damaged leads?

  Yes

  No

  N/A

• 9.7 - No strained leads?

  Yes

  No

  N/A

• 9.8 - Portable power tools in good condition?

  Yes

  No

  N/A

• 9.9 - Are all electrical box knockouts in place?

  Yes

  No

  N/A

• 9.9.1 - Verify surge protectors are not used in conjunction with extension power cords.

  Yes

  No

  N/A

10.0 - Chemical Safety

• 10.1 - Hazardous Substance Register complete and available?

  Yes

  No

  N/A

• 10.2 - Material Safety Data Sheets available for all chemicals and have been reviewed prior to use? ( have employee demonstrate how to locate MSDS for chemical used)

  Yes

  No

  N/A

• 10.3 - Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• 10.4 - All containers labelled correctly?

  Yes

  No

  N/A

• 10.5 - Unused substances disposed of?

  Yes

  No

  N/A

• 10.6 - Do special storage conditions apply?

  Yes

  No

  N/A

• 10.7 - If applicable are special storage conditions followed?

  Yes

  No

  N/A

• 10.8 - Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• 10.9 - If required is PPE available?

  Yes

  No

  N/A

• 10.10 - Is adequate ventilation provided?

  Yes

  No

  N/A

• 10.11 - Are eye washes and showers easily accessed?

  Yes

  No

  N/A

• 10.12 - Are unused chemicals properly stored in flammable storage cabinets?

  Yes

  No

  N/A

11.0 Ladders

• 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• 11.2 - Are ladders in good condition?

  Yes

  No

  N/A

• 11.3 - If used for electrical work are they non conductive? (Wood or fiber glass.)

  Yes

  No

  N/A

• 11.4 - Used according to instructions?

  Yes

  No

  N/A

• 11.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

• 11.6 - Do fixed ladders meet OSHA design requirements (1910.27)

  Yes

  No

  N/A

12.0 - First Aid Facilities

• 12.1 - Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• 12.2 - Are contents regularly checked?

  Yes

  No

  N/A

• 12.3 - No contents past their expiration date?

  Yes

  No

  N/A

• 12.4 - Cabinets clearly labelled?

  Yes

  No

  N/A

• 12.5 - Is there easy access to cabinets?

  Yes

  No

  N/A

• 12.6 - Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

• 12.7 - Are emergency numbers displayed?

  Yes

  No

  N/A

13.0 - Office Hazards

• 13.1 - Condition of filing cabinets?

  Yes

  No

  N/A

• 13.2 - Condition of chairs? (Five star bases.)

  Yes

  No

  N/A

• 13.3 - Desks in good condition? (No damage.)

  Yes

  No

  N/A

• 13.4 - Screen Based Equipment positioned to reduce glare from windows etc?

  Yes

  No

  N/A

• 13.5 - Photocopiers positioned to avoid fumes?

  Yes

  No

  N/A

• 13.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)

  Yes

  No

  N/A

• 13.7 - Air conditioning systems regularly maintained?

  Yes

  No

  N/A

• 13.8 - Stable non-slip floor coverings in good condition?

  Yes

  No

  N/A

14.0 - Vehicle Condition

• 14.1 - Schedule maintenance performed?

  Yes

  No

  N/A

• 14.2 - Condition of tires?

  Yes

  No

  N/A

• 14.3 - Brake performance?

  Yes

  No

  N/A

• 14.4 - Lights? (Check operation of brake, indicator and reversing lights)

  Yes

  No

  N/A

• 14.5 - Condition of drivers seat?

  Yes

  No

  N/A

• 14.6 - Condition of other seats?

  Yes

  No

  N/A

• 14.7 - First aid kit supplied and adequate?

  Yes

  No

  N/A

• 14.8 - Storage provisions?

  Yes

  No

  N/A

Employee Safety Culture and Mentorship

• Employee interviewed (photo)

  Yes

  No

  N/A

• Does the employee understand what safety metric's are for and where they are posted?

  Yes

  No

  N/A

• Does the employee know what the quarterly safety focus is?

  Yes

  No

  N/A

• Does the employee know what the top near miss in their work are is?

  Yes

  No

  N/A

• What is the employee doing to help reduce the top near miss?

  Yes

  No

  N/A

• Does the employee understand near-miss reporting procedure?

  Yes

  No

  N/A

• Does the employee know how to either access the near-miss form electronically or know where they are kept in paper form?

  Yes

  No

  N/A

• Has the employee been involved in a peer to peer observation?

  Yes

  No

  N/A

• Does the employee know who the company safety committee members are?

  Yes

  No

  N/A

• Does the employee understand the purpose of the safety committee?

  Yes

  No

  N/A

• Does the employee know where PPE is stored and is it used properly for the task they are performing? ( safety glasses, hearing protection, safety toed boots)

  Yes

  No

  N/A

• What other PPE might be required when grinding, wire brushing, chiseling or sanding?

  Yes

  No

  N/A

• Do you feel you have the authority to stop an unsafe operation?

  Yes

  No

  N/A

• Does employee understand fire evacuation procedure and is it discussed 3-4 times per year?

  Yes

  No

  N/A

• Does the employee know where the nearest fire extinguisher and fire alarm pull handle is located?

  Yes

  No

  N/A

• Does the employee know the emergency services phone number?

  Yes

  No

  N/A

• Does employee know where to assemble during emergency evacuation?

  Yes

  No

  N/A

• Does the employee have the necessary tools?

  Yes

  No

  N/A

• Is your standard work/training guide accessible?

  Yes

  No

  N/A

• What PPE is required for the task you are performing?

  Yes

  No

  N/A

• Does the employee understand the TPM program?

  Yes

  No

  N/A

• Does the employee understand the job hazard analysis process?

  Yes

  No

  N/A

• What could you do to make your job safer?

  Yes

  No

  N/A

• How would you rate the safety program (1 being the worst10 being the best). Also how would you rate our compliance on the production work floor?

  Yes

  No

  N/A

• Do you feel your mentor/trainer has the desire, a patient disposition and is willing to devote the necessary time?

  Yes

  No

  N/A

• Does your mentor/trainer provide a positive safety attitude, avoid criticism, and strive to build confidence and self-esteem?

  Yes

  No

  N/A

• Is your mentor/trainer willing and able to effectively listen to determine if you are learning and retaining the knowledge being shared?

  Yes

  No

  N/A

• Does your mentor/trainer observe you performing a task without interfering as long as you are not in a position to injure yourself, others, or damage equipment?

  Yes

  No

  N/A

• Does your mentor/trainer refrain from taking short cuts and anything hazardous to health or safety, demonstrate a positive work ethic at all times?

  Yes

  No

  N/A

Additional Information (if required)

• Note 1

  Safe

  At Risk

  N/A

• Note 2

  Safe

  At Risk

  N/A

• Note 3

  Safe

  At Risk

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign

REV: 4 Date: 1/20/2014 Location: J:Company Data/Forms & Logos/Safety Approved: Dean Riley