Information
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Audit Title
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Document No.
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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
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there no outstanding actions?
2.0 - Fire Prevention
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2.1 - Evacuation plan displayed and understood by all employees?
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2.2 - Evacuation procedures discussed annually?
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2.3 - Extinguishers in place, clearly marked for type of fire?
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2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
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2.5 - Extinguishers clear of obstructions?
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2.6 - Extinguishers inspected monthly and tag initialed?
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2.7 - Combustible material at least 2 feet from heat sources?
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2.8 - Adequate direction notices for fire exits?
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2.9 - Exit doors easily opened from inside?
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2.10 - Exits clear of obstructions?
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2.11 - Fire alarm and sprinkler head systems checked by contractor once a quarter? Documentation of these checks are being maintained by Facilities?
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2.12 - Fire Drills conducted every 6 months? Last drill on ___________________________.
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2.13 - Do employees know where they must assemble in case of fire?
3.0 - General Lighting
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3.1 - Good natural lighting?
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3.2 - Reflected light from walls & ceilings not causing glare to employees?
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3.3 - Light fittings clean and in good condition?
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3.4 - Backup lights in place and operable?
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3.5 - Emergency exit lights in place and operable?
4.0 - Building & Office Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately and clearly marked?
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4.4 - Intersections kept clear of boxes etc?
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4.5 - Stair and risers kept clear?
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4.6 - Are liquid spills removed quickly?
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4.7 - Are railings in good condition?
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4.8 - Are fall preventive measures in place and used where gaps occur in railings?
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4.9 - Are footpaths in good condition?
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4.10 - Observe electrical cords not draped around hooks or sharp objects?
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4.11 - Observe electrical power cords are not frayed or broken, plugs inspected and have three prongs?
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4.13 - No surge protectors were observed linked togeather?
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4.12 - No permanent extension cords observed through walls, doors, ceiling, windows or under mats or rugs?
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4.14 - Panel boxes have 3 foot clearance in all directions?
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4.15 - Breakers are marked??
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14.16 - Signs were observed on every floor warning not to use Elevator in event of fire?
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14.17 - Drain covers & grates are in good repair?
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14.18 - No floor surface chipped or uneven?
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14.19 - Carpeting does not show holes or tears or other tripping hazard?
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14.20 - Are aisles sufficiently wide to provide easy side to side movement for two persons?
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14.21 - Employees were not observed standing on chairs, desk, or other improvised ladder?
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14.22 - Outside areas are kept clear and/or shoveled?
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14.23 - No more than one file drawer open at one time was observed?
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14.24 - Doors to enclosed stairwells were observed to be closed?
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14.25 - Good ergonomic body mechanics are being used as observed?
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14.26 - No sharps like scissors, pins, razor blades, etc. observed in improper storage?
5.0 - Work Benches. - For Public Works departments only
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5.1 - Clear of rubbish?
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5.2 - Tools not in use kept in place?
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5.3 - No damaged hand tools in use?
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5.4 - No damaged power tools in use?
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5.5 - Work height correct for the type of work and the employee?
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5.6 - No sharp edges?
6.0 - Rubbish Removal
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6.1 - Bins located at suitable points around site?
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6.2 - Bins emptied regularly?
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6.3 - Oily rags and combustible refuse in covered metal containers?
7.0 - Storage Design and Use
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7.1 - Materials stored in racks and bins wherever possible?
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7.2 - Storage designed to minimize lifting problems?
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7.3 - Floors around racking clear of rubbish?
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7.4 - General condition of racks and pallets?
8.0 - Machines - For Public Works departments
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8.1 - Are they kept clean?
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8.2 - Are the floors around the machines kept clean?
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8.3 - Guards in good condition?
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8.4 - Starting and stopping devices within easy reach of operator?
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8.5 - Waste/off cuts removed and stored safely?
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8.6 - Drip pans on floor to prevent spillage?
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8.7 - Adequate work space?
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8.8 - Is lighting adequate?
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8.9 - Noise levels controlled?
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8.10 - No bending or stooping required?
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8.11 - Duck-boards in good repair?
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8.12 - Operators trained on the safe operation of the machines?
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8.13 - Is the training recorded?
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8.14 - Do operators comply with the training?
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8.15 - Are lockout procedures implemented and followed?
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8.16 - Are gas bottles secured?
9.0 - Electrical Safety
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9.1 - LOTO audits are being done?
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9.2 - LOTO procedures are done for complicated systems?
10.0 - Chemical Safety
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10.1 - Are all containers labeled properly?
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10.2 - Material Safety Data Sheets available for all chemicals?
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10.3 - Supplies on hand to control and clean up small chemical spills?
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10.4 - Least toxic chemicals are being used?
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10.5 - Unused substances disposed of?
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10.6 - Do special storage conditions apply?
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10.7 - If applicable are special storage conditions followed?
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10.8 - Workers trained in the use of hazardous substances?
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10.9 - If required is PPE available?
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10.10 - Is adequate ventilation provided?
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10.11 - Are eye washes and showers easily accessed?
11.0 - Ladders
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11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
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11.2 - Are ladders in good condition?
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11.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)
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11.4 - Used according to instructions?
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11.5 - For extension ladders - are ropes, pulleys and treads in a good state of repair?
12.0 - First Aid Facilities
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12.1 - Are cabinets and contents clean and orderly?
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12.2 - Are contents regularly checked?
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12.3 - No contents past their expiry date?
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12.4 - Cabinets clearly labelled?
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12.5 - Is there easy access to cabinets?
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12.6 - Employees aware of location of first aid cabinet?
13.0 - Other Building or Office Hazards
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13.2 - Condition of chairs? (Five star bases.)
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13.3 - Desks in good condition? (No damage.)
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13.4 - Screen Based Equipment positioned to reduce glare from windows etc?
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13.5 - Photocopiers positioned to avoid fumes?
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13.6 - Tasks designed to prevent Occupational Ergonomic injuries? (Breaks included.)
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13.7 - Air conditioning systems regularly maintained?
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13.8 - Stable non-slip floor coverings in good condition?
14,0 - Training & Medical Records (To be done only during Jan audit)
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RTK training for. 2012<br> <br>Eligible #. Trained #
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14.1 - Employees know how to obtain MSDS?
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14.2 - Employees know about their NY State rights?
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14.3 - Employees know about exposure record tests and medical records and know how to obtain copies of them?
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14.4 - Employees know about annual chemical exposure records and who to contact for a copy?
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14.5 - All at risk employees have met HEP B vaccination or signed declination form?
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14.6 - All required employees have had TB screening? Records maintained at department for 3 years?
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14.7 - All required employees were trained on BBP for 2012?
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14.8 - All required employees were trained on TB for 2012?
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14.9 - All required employees were trained on CRR/FIRST AID for 2012?
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14.10 - All required employees were trained on LOTO ?
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14.11 - All required employees were trained on Electrical safety?
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14.12 - All required employees were trained on Ground Fault Protection?
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14.13 - All required employees were trained on Hearing Protection for 2012?
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14.14 - All required employees were trained on PPE for 2012?
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14.15 - All required employees were trained on Asbestos Awareness for 2012?
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14.16 - RTK Annual training records are easily located at the department and are being kept for the duration of an employee employment with the county?
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14.17 - All other training records are being kept for last three training sessions?
15.0 - Other Violations
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15.1
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15.2
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15.3
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15.4
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15.5
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15.6
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15.7
