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
I. GENERAL HOUSE KEEPING
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A.) Floors, walls, windows, clean and in good repair.
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B.) Break rooms cleaned/disinfected daily.
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C.) Trash containers sufficient to prevent overflow and emptied and cleaned daily.
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D.) All required posters and company policies in place and completed with current information.
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E.) Aisles and hallways clearly marked and kept clear of obstacles. (1910.22)
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F.) Cleaning supplies readily available. MSDS's and CIL on file electronically and in binder.
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G.) a.) Equipment properly stored in designated areas.<br> b.) Unused & broken equipment properly stored and tagged "out of service" as appropriate.
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H.) Products/supplies stored in designated areas. Inventory performed and maintained.
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I.) Outside area around building(s) clean and neat. Landscaping maintained, Building in good repair.
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J.) Proper signs posted at entrances, doorways, storage areas, maximum floor loading, etc..
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K.) Lighting in good repair and sufficient. Bulbs replaced as needed. Light bulbs and tubes shielded as required to prevent shattering.
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L.) Doors and locks functional and in good repair. Fencing & gates working.
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M.) Locker rooms and showers clean and in good repair. Uniforms, towels, & PPE properly stored. Lockers provided and utilized.
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N.) Smoking prohibited within building and smoking area designated.
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O.) Cargo areas cleaned and disinfected as needed; spills cleaned immediately. Truck cabs clean and orderly.
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P.) Secondary containment/spill control pallets utilized to control releases of bulk chemicals.
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Q.) Floors drains are clean and free of debris. Floor grates/screen netting in place.
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R.) Equipment wash water properly disposed. No mixing of industrial process water and rainwater.
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S.) Operational and customer records purged/shredded such that only 3 years of records are retained onsite. Review records retention policy as needed.
II. EMERGENCY RESPONSE/FIRE CONTROL & PREVENTION
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A.) Fire Extinguishers - Inspect all extinguishers and initial tags monthly. Check that all unit are properly hung, clean, and accessible. Place "out of service" tags o n units needing repair.
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B.) Review Emergency Contacts List and update as needed. Insure that modified list is provided to appropriate agencies. Provide emergency numbers by each phone.
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C.) Check sprinklers system valves and sprinkler heads/pipes for damage. Inspected annually? 18" clearance for heads.
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D.) Check all exits/non-exits for proper signage and access.
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E.) Spill kits available and stocked with proper equipment.
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F.) Emergency Evacuation Plan posted at required locations throughout facility.
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G.) Fire hose connections not obstructed.
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H.) All flammables stored in approved containers and cabinets. MSDS's & CIL available electronically and in binder.
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I.) Compressed gas cylinders stored & secured. Oxygen/acetylene separated by 20 ft or solid wall.
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J.) Emergency eyewash and shower units provided, accessible, and checked/activated weekly.
III. BASIC HELATH & SAFETY
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A.) New employees properly trained for specific duties.
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B.) PPE designated, provided and utilized.
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C.) Employee work places clean and orderly - free of spills, oil, grease, and other hazards.
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D.) Hand sinks available, accessible, maintained, and used.
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E.) First Aid Kit available, stocked, no outdated items in cabinet.
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F.) Chemical containers properly marked/labeled & stored. MSDS & CIL updated as needed.
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G.) Engulfment hazards identified and protective measures in place.
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H.) All piping properly labeled for contents.
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I.) Trained First-Aid/CPR Employee on duty each shift if required.
IV. ELECTRICAL SAFETY
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A.) Permanent wiring, boxes, switches, outlets, and lights secure, properly mounted, and free of defects. No exposed wiring.
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B.) Wiring for extension cords, portable lighting, power tools free of kinks, cuts, other damage.
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C.) Extension cords not utilized for permanently mounted equipment.
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D.) Portable tools and machinery properly grounded and/or double insulated.
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E.) LOTO Program in place and updated as needed. All locks and marking equipment provided.
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F.) GFI receptacles present in wet/damp locations.
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G.) Breaker and fuse boxes clean, accessible, and all breakers identified
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H.) Portable tools and machinery properly grounded and or double insulated. Grounding prong on plugs not removed or converted.
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I.) Has a documented Arc Flash Analysis been conducted?
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J.) Are all switchboards, panel boards, industrial control panels, meter socket enclosures, and motor control centers labeled with appropriate Arc Flash Warning?
V. MACHINES, EQUIPMENT, & TOOLS (OPERATIONS/SHOP)
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A.) Employees properly trained to utilize equipment.
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B.) Tool rests on grinders within 1/8 of wheel & 1/4 of tongue guard.
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C.) Appropriate warning signs posted on or near equipment as needed (i.e. automatic start, etc.).
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D.) Confined space program in place and current. All required signage posted.
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E.) Forklift operated by trained authorized employees only. Warning signs posted as needed.
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F.) Ladders & Stairways in good repair.
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G.) All needed hand tools provided and in good repair.
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H.) Freezer and refrigerated trailer maintaining required temperatures.
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I.) Jack & hoist load capacities clearly marked any good repair.
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J.) Secondary storage level - load rating posted.
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K.) All moving parts within 7 feet of floor enclosed (fans, pulleys, etc.).
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L.) Boiler inspection certificate up-to-date? Boilore operator certifications up-to-date?
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M.) Is boiler maintenance log up-to-date and boiler being blown down daily?
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N.) Is Boiler room neat and orderly – no leaks present?
VI. MONITORING, REPORTING & TRACKING DOCUMENTS
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A.) OSHA 300 & 301 Log - Review. Ensure both are current.
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B.) DOT Incidents Reports- use Form 5800.1. Affected facilities notified. Copied to corporate, sales and on file for 2 years.
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C.) Training/Medical Monitors Log. Review True North Compliance Reports. Notify employees or required training, license renewals, physicals & vaccinations, etc.
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D.) Shipping Documents. Review for proper completion.
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E.) Forklift Inspections. Monitor for daily/shift change inspections.
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F.) Weekly Inspections. Weekly inspections are being performed and filed for 1 year.
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G.) BioSystems Cart Log. Review paperwork on carts for completeness.
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Are rack rows full with bar in place?
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Does each rack have the inspection log completed and completed properly?
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Do all containers containing waste have caps?
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Are all containers labeled properly?
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H.) Forklift training provided. Operated by certified employees only. Warning signs posted as needed. Inspections completed each shift.
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I.) Are the autoclave records maintained as required by the State and/or policy; time, temperature recording charts; accurate daily operating reports indicating weight/volume processed; maintenance records/logs; completed inspection logs; etc. and available for review?
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J.) Are the incinerator records maintained as required by the State and/or policy; time, temperature records charts; accurate daily operating reports indicating weight/volume processed; maintenance records/logs; completed inspection logs; etc. and available for review?
VII. RADIATION
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A.) Storage area marked as required.
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B.) Radiation monitors in place, calibrated, and functional.
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C.) Storage location marked appropriately.
VIII. VEHICLES
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A.) Required Safety decals on vehicles - wide right turn, 3 point dismount, height markings, GOAL.
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B.) Conspicuity tape on all vehicles correct?
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C.) Bulk Markings on vehicles if applicable - 6" Biohazard and 3291 Identification Markings.
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D.) Review spill kit contents.
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E.) Review proper load securement.
IX. DRIVER SPECIFIC ISSUES
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A.) MVR's - Review current listing of drivers and modify to obtain MVR's for drivers operating company vehicles.
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B.) Hours of Service - Determine compliance with 10 hour off duty, 11-hr driving/14-hr on-duty, and 60/70 hr 7/8 day limitations. Compare DMO with log books/time records.
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C.) DVCR's. Review to insure corrections have been made as needed.
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D.) Driver Spill Kit Checklists - Review & replenish as needed. Perform inspections monthly.
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E.) Vehicle Emergency Response Manuals. Check for completeness & update as needed.
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F.) Print and review Driver Management (JJ Keller) reports regarding violations. Disciplinary action documented for non-compliant individuals.
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G.) Ensure vehicle are labeled correctly for each State the vehicle is operated in.
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H.) Vehicle Maintenance Files - review minimum 10% of files.
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Location CSA current point total:
X. DOT PACKAGING
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A.) Bulk Containers >119 gal labeled with Large 3291, 6" Biohazard symbol, stack weight rating.
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B.) Tubs/boxes properly labeled with Regulated Medical Waste, n.o.s.; the work "Biohazard", Biohazard symbol, UN 3291.
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C.) All non-gasketed sharps containers packaged in secondary containers, [excluding Biosystems].
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D.) Tubs/boxes are in good repair. No damaged containers shipped to customers for use.
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Date Inspection Completed:
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Supervisor/ Facility Manager Signature:
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Area Safety Manager Signature:
