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
Emergency Preparedness
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First aid kits are well stocked?
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Eye wash stations are assessable, clean, and inspected?
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Sufficient fire extinguishers are available,inspected, assessable,with signage?
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Evacuation maps are posted throughout the facility?
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Sufficient emergency lighting is available and in working condition?
Fire Prevention
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Flammable liquids are stored in appropriate cabinets?
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18 inch clearance is maintained under sprinkler heads?
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Scrap material is placed in waste containers and emptied regularly?
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Hot work is performed in designated areas or with use of a hot work permit?
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Compressed gas cylinders are secured and properly stored?
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Welding and cutting equipment is maintained in good repair?
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Dust build up is limited to no more than 1/32 of an inch?
Walking / Working Surfaces / Housekeeping
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Office & lunch rooms are clean and floors are free from hazards?
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Stairs are clean and dry?
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Standing water is not allowed to accumulate in wet process areas?
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Wet areas utilize non-slip flooring or mats?
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Ladders are properly stored and put away after use?
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Industrial stairs with hand rails are used for areas requiring regular access?
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Walk ways around the facility are adequately maintained during winter conditions?
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Wet floor signs are utilized when conditions require?
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Production floors are free from hazards?
Machine & Electrical Safety
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LOTO is followed for machine service?
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LOTO procedures are available and in good condition?
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Employees are wearing appropriate clothing and no hazardous jewelry?
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Power tools are in good condition with all guards properly affixed?
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Adequate machine warning label are affixed where hazards exist?
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Cords and wiring are in good condition with no damaged insulation, exposed wires, or missing grounds?
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Circuit panels are unobstructed for 36 inches?
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Extension cords are used only for temp power ? (90 days or less)
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Electrical boxes and switches are in good condition?
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Machine interlocks and safety switches are in functioning condition and not bypassed?
Hazard Communication
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Chemical containers are labeled with the manufacturers label or appropriate secondary label?
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MSDS books are available and in good condition?
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Empoyees are aware of where to find chemical hazard information?
Personal Protective Equipment
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Hearing protection is available?
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Hearing protection is utilized by all employees?
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Empoyees are wearing required foot wear?
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Eye protection is used in required positions?
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PPE is maintained in good condition?
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Respirator users are clean shaven?
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Employees know how to obtain new PPE?
Material Handling & Storage
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Lift trucks are inspected by each operator at the start of the shift?
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Lift trucks are operated and parked appropriately?
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Trailers are chocked prior to entering?
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Pallets are stored on the lower levels of the racking and not stacked greater than 6 feet?
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Materials are stored safely in racks?
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Dock ramps are maintained in good condition?
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Trailer lighting is available and in working condition?
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Lift trucks are maintained in good operating condition?
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Product pans are palletize no higher than 4 feet?
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Carts are stacked only to their capacity?
Ergonomics
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Organized stretching is implemented?
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Ergo mats are used at all stationary positions?
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Employees are rotated at least hourly?
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Employees are aware of how to address damaged racks and carts?
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Racks and carts are pulled only when pushing is not feasible?
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Hands are placed in a manner to limit crush injuries?
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Trash containers are emptied regularly to limit weight?
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Correct lifting procedured are followed?
Other
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Other
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Other
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Signature
