Store audit

• Document No.

• Location EHS Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Location EHS Audit

First Aid Kits 29 CFR1910.152 and 120

• Does the location have a first aid kit

  Yes

  No

  N/A

• Is there a restocking plan for the first aid kit

  Yes

  No

  N/A

• Does the kit meet ANSI 308.1 requirements

  Yes

  No

  N/A

Forklift Safety 29 CFR 1910.178

• Are spare LPG tanks stored safely

  Yes

  No

  N/A

• Are all operators trained and licensed

  Yes

  No

  N/A

• Are daily inspections performed

  Yes

  No

  N/A

• Are forklift skills tests kept on file at the branch

  Yes

  No

  N/A

Electrical safety 29 CFR 1910 subpart S

• Are extension cords used as permanent wiring

  Yes

  No

  N/A

• Are junction boxes clearly labeled and free of obstructions for 36"

  Yes

  No

  N/A

• Is there evidence of "daisy chaining" extension cords

  Yes

  No

  N/A

• Is equipment properly grounded and free of defects

  Yes

  No

  N/A

• Are cords and outlets in good working condition

  Yes

  No

  N/A

Personal protective equipment 29 CFR 1910.132

• Is proper PPE available to employees

  Yes

  No

  N/A

• Do employees use PPE when handling bulk items, sharp objects, etc

  Yes

  No

  N/A

• Are employees utilizing approved knives

  Yes

  No

  N/A

• PPE(gloves and face shield) is available by the forklift charger

  Yes

  No

  N/A

Emergency action plan 29 CFR 1910.38

• Are written evacuation plans present

  Yes

  No

  N/A

• Are employees aware of designated meeting areas

  Yes

  No

  N/A

• Are all emergency exit paths clear

  Yes

  No

  N/A

• Are emergency exit signs present and correct

  Yes

  No

  N/A

• Are emergency contact numbers posted at all phones

  Yes

  No

  N/A

• Are all exits and non-exits properly posted

  Yes

  No

  N/A

• Is emergency lighting working properly

  Yes

  No

  N/A

Housekeeping 29 CFR1910.22

• Is the front room clean, clear of obstructions, inviting to customers

  Yes

  No

  N/A

• Are pallets in good condition

  Yes

  No

  N/A

• Is the back room clean, organized, and free of trip hazards

  Yes

  No

  N/A

• Is adequate lighting present

  Yes

  No

  N/A

Fire Extinguishers 29 CFR1910.39

• Are fire extinguishers located every 50' walking distance

  Yes

  No

  N/A

• Are there signs above each fire extinguisher (8-10')

  Yes

  No

  N/A

• Are monthly and annual inspections being performed

  Yes

  No

  N/A

• Are fire extinguishers mounted to the wall and easily accessible

  Yes

  No

  N/A

• Does the location have a fire suppression system

  Yes

  No

  N/A

• Is the fire suppression system serviced annually

  Yes

  No

  N/A

Required safety items title 8 and OSHA act

• Are required safety items present and accessible

  Yes

  No

  N/A

• Are load limit signs posted properly

  Yes

  No

  N/A

• Right to know station includes SDS sheets for all used items

  Yes

  No

  N/A

• Fastenal safety manual is available to all employees.

  Yes

  No

  N/A

• Blood borne pathogens kit is available

  Yes

  No

  N/A

• Chemical spill kit is available

  Yes

  No

  N/A

Ladders OSHA 5(a)(1)1(GDC)

• Are ladders inspected before use

  Yes

  No

  N/A

• Are ladders stored properly

  Yes

  No

  N/A

Power tools and bandsaw 29 CFR 1910.215

• What it the condition of the machine(blades, guards, power cords, cleanliness

  Safe

  At Risk

  N/A

Employee Training 29 CFR PART 128

• Is all employee training up to date

  Yes

  No

  N/A

• Are job hazard analysis signs posted near work areas

  Yes

  No

  N/A

• Have employees reviewed and signed off on JHA's

  Yes

  No

  N/A

• Have employees been participating in monthly meeting/audits

  Yes

  No

  N/A

Dock/Receiving area 1910 Subpart N

• Dock/Receiving area clean and clear of obstructions

  Yes

  No

  N/A

• Is the pre blue global checklist posted near the dock

  Yes

  No

  N/A

• Snow is cleared and a good removal plan is in place

  Yes

  No

  N/A

• Adequate lighting inside for the drivers

  Yes

  No

  N/A

• Adequate lighting outside for the drivers

  Yes

  No

  N/A

Injury Prevention and Resolution

• Have previously identified deficiencies been corrected

  Yes

  No

  N/A

• Are labor law and OSHA Laws posted

  Yes

  No

  N/A

Fleet safety

• Do vehicles have operational exterior lights

  Yes

  No

  N/A

• Is the vehicle free of damages

  Yes

  No

  N/A

• Are the tires in good condition

  Yes

  No

  N/A

• Is the ERG book present in each vehicle

  Yes

  No

  N/A

Environmental Waste Management

• Is training completed for all employees

  Yes

  No

  N/A

• Are waste manifests being retained for three years

  Yes

  No

  N/A

• Have waste profiles been completed

  Yes

  No

  N/A

Environmental waste storage area

• Are proper spill kits accessible

  Yes

  No

  N/A

• Is PPE readily accessible

  Yes

  No

  N/A

• Are fire extinguishers accessible in waste storage area

  Yes

  No

  N/A

• Is emergency response phone number posted in storage area

  Yes

  No

  N/A

• Is waste storage area marked and labeled

  Yes

  No

  N/A

• Is storage are free of leaks and spills

  Yes

  No

  N/A

• Are incompatible wastes seperated

  Yes

  No

  N/A

• Is accumulation amount within limits

  Yes

  No

  N/A

Environmental waste container management

• Are containers closed and funnel lids latched

  Yes

  No

  N/A

• Are containers properly marked and labeled

  Yes

  No

  N/A

• Are container tops free of spillage

  Yes

  No

  N/A

• Are flammable waste containers properly grounded and bonded

  Yes

  No

  N/A

Universal Waste batteries/lamps/used oil

• Are batteries properly stored to prevent terminal connection

  Yes

  No

  N/A

• Are lamps and bulbs properly stored and labeled

  Yes

  No

  N/A

• Is universal waste accumulation within one year of start date

  Yes

  No

  N/A

Additional items

• Please include additional notes, comments or concerns here.

• Please review all items with site supervisor prior to saving and submitting

• Auditor Name

  Sign

• Audit Date

  Date

• Branch personnel

  Sign