Information
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Document No.
I. GENERAL HOUSE KEEPING?
-
A.) Floors, walls, windows, clean and in good repair.
-
B.) Break rooms cleaned/ disinfected daily.
-
C.) Trash containers sufficient to prevent overflow and emptied and cleaned periodically.
-
D.) All required posters and company policies in place with completed & current information.
-
E.) Aisles and hallways clearly marked and kept clear of obstacles. (1910.22)
-
F.) Cleaning supplies readily available. MSDS and CIL file electronically and in binder.
-
G.) a) Equipment properly stored and designated areas.<br> b) Unused & broken equipment properly stored and tagged "out of service" as appropriate.
-
H.) Products / supplies stored in designated areas. <br>Inventory performed and maintained.
-
I.) Outside area around building(s) clean and neat.<br>Landscaping maintained. Building in good repair.
-
J.) Proper signs posted at entrances, doorways, storage areas, maximum floor loading, etc..
-
K.) Lighting in good repair and sufficient. Bulbs replaced as needed. Light bulbs and tubes shielded as required to prevent shattering.
-
L.) Doors and locks functional and in good repair.<br>
-
N.) Smoking prohibited within building and smoking area designated.
-
O.) Work areas properly and sufficiently ventilated.
-
R.) Operational and customer records purged/shredded such that only 3 years records are retained. Review records retention policy as needed.
-
Bathrooms clean and stocked.
II. EMERGENCY RESPONSE/FIRE CONTROL & PREVENTION
-
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.
-
B.) Review Emergency Contacts List and update as needed. Insure that modified list is provided to appropriate agencies. Provide emergency numbers by each phone.
-
C.) Check sprinkler system valves and sprinkler heads/pipes for damage. Inspected annually? 12" clearance for heads.
-
D.) Check all exits/non-exits for proper signage and access.
-
F.) Emergency Evacuation Plan current and available.
-
G.) Emergency evacuation maps posted.
-
H.) Trained First-Aid/CPR employee on duty if shift if required.
-
I.) Fire hose connections not obstructed.
III. BASIC HEALTH & SAFETY
-
D.) Employee work places clean and orderly.
-
E.) Hand sinks available, accessible, maintained and used.
-
F.) First Aid Kit available, stocked, no outdated items in cabinet.
IV. ELECTRICAL SAFETY
-
A.) Permanent wiring, boxes, switches, outlets, and lights secure, properly mounted, and free of defects. No exposed wiring
-
B.) Wiring for extension cords, portable lighting, power tools free of kinks, cuts, other damage.
-
D.) Breaker and fuse boxes clean, accessible, and all breakers identified.
Complete audit
-
Add any photos that would be beneficial to this audit.
-
Please add any information that is prudent to this audit.
-
Safety manager signature
-
Manager/supervisor signature