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 periodically.
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D.) All required posters and company policies in place with completed & 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 and CIL file electronically and in binder.
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G.) a) Equipment properly stored and 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. <br>Inventory performed and maintained.
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I.) Outside area around building(s) clean and neat.<br>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.<br>Fencing & gates working.
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M.) Locker rooms and showers clean and in good repair. Uniforms, towels, & PPE properly stored.<br>Lockers provided and utilized.
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N.) Smoking prohibited within building and smoking area designated.
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O.) Work areas properly and sufficiently ventilated.
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P.) Trucks and trailers cleaned and disinfected as needed.
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Q.) Secondary containment/spill control pallets utilized to prevent uncontrolled releases of bulk chemicals.
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R.) Operational and customer records purged/shredded such that only 3 years records are retained. Review records retention policy as needed.
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S.) Floor drains are clean and free of debris. Screen netting in place to prevent large items from drains.
II. EMERGENCY RESPONSE/FIRE CONTROL & PREVENTION
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A.) Fire extinguishers - Inspect all extinguishers and initial tags monthly. Check all units are properly hung, clean, and accessible. Place "out of service" tags on 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 sprinkler system valves and sprinkler heads/pipes for damage. Inspected annually? 12" clearance for heads.
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D.) Check all exits/non-exits for proper signage and access.
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E.) Spill kit available and stocked with proper equipment.
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F.) Emergency Evacuation Plan current and available.
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G.) Emergency evacuation maps posted.
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H.) Trained First-Aid/CPR employee on duty if shift if required.
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I.) Fire hose connections not obstructed.
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J.) All flammables stored in approved containers and cabinets. MSDS's & CIL available.
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K.) Flame and spark producing operations limited to appropriate areas away from flammables/combustibles, and shields/curtains utilized.
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L.) Emergency eyewash and shower units provided, accessible, and checked/activated weekly.
III. BASIC HEALTH & SAFETY
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A.) New employees properly trained for specific duties.
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B.) PPE designated, provided and utilized in accordance with completed Hazard Assessments.
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C.) Uniforms provided and utilized.
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D.) Employee work places clean and orderly - free of spills, oil, grease, and other hazards.
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E.) Hand sinks available, accessible, maintained and used.
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F.) First Aid Kit available, stocked, no outdated items in cabinet.
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G.) Equipment guarding provided and utilized.
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H.) All equipment working and properly maintained.
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I.) Safety devices(I.e. lights, alarms, other signals) working.
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.) Breaker and fuse boxes clean, accessible, and all breakers identified.
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H.) Portable tools and machinery properly grounded and/or double insulted. Grounding prong on plugs not removed or converted.
V. MACHINES, EQUIPMENT, & TOOLS (Operations/shop)
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A.) Employees properly trained to utilize equipment.
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B.) All moving parts within 7 feet of floor enclosed (fans, pulleys, etc.)
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C.) Ladders & stairways in good repair.
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D.) Appropriate warning signs posted on or near equipment as needed.
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E.) Confined space program in place and current. All required signage provided.
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F.) Necessary hand tools provided and maintained in good repair.
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G.) Forklift training provided. Operated by certified employees only. Warning signs posted as needed. Inspections completed each shift.
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H.) Tool rests on grinders within 1/8 of wheel & 1/4 of tongue guard.
VI. MONITORING, REPORTING & TRACKING DOCUMENTS
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A.) OSHA 300 & 301 Log - Review. Ensure both are current.
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B.) Training/Medical Monitoring Log. Review True North Compliance Reports. Notify employees of required training, license renewals, physicals & vaccinations, etc.
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C.) Driver Spill Kit Checklist - check completeness
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D.) DOT Incident reports - use Form 5800.1 . Affected facilities notified/copy to corporate.
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E.) Shipping Documents. Review for proper completion.
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F.) Forklift Inspections. Monitor for daily/shift change inspections.
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G.) Weekly Inspections. Weekly inspections are being performed and filed for 1year.
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H.) BioSystems Cart Log. Review paperwork on carts for completeness.
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I.) a) Are rack rows full with bar in place?
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I.) b) Does each rack have the inspection log completed and completed properly?
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I.) c) Do all containers containing waste have caps?
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I.) d) Are all containers labeled properly?
VII. PROGRAM SPECIFIC REVIEWS
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A. )Driver specific issues.
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B.) DQF completed for all drivers and signed off by SM and hiring manager.
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C.) MVR's Review current listing of drivers and modify to obtain MVR'S for drivers operating company vehicles.
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D.) 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.
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E.) Print and review Driver Management (JJ Keller) reports regarding violations. Disciplinary action documented for non-compliant individuals.
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F.) DVCR's. Review to insure corrections have been made as needed.
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G.) Driver Spill Kit Checklists - Review and replenish as needed. Perform inspections monthly.
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H.) Ensure vehicles are labeled correctly for each state the vehicle is operated in.
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I.) Vehicle Maintenance Files - review minimum 10% of files.
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J.) Vehicle Emergency Response Manuals. Check for completeness & update as needed.
VIII. RADIATION MONITORING
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A.) Review daily inspection logs to insure proper monitoring or radiation. Review policy as needed. Insure state and customer notifications are completed as required.
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B.) Test alarm system and document all needed repairs.
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C.) Calibrate monitors(s) annually (indicate next due date)
IX. PIT
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A. Forklift Inspections. Monitor for daily/shift change inspections.
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Time and date inspection completed
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Safety manager signature
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Manager/supervisor signature
