United Ag & Turf and Construction & Forestry Safety Audit

• Site conducted

  Select

• Date

  Date

undefined

• Inspected by

• Location
  Address

Walkways and Working Surfaces

• Are walkways and working surfaces clear of tripping hazards and debris?

  Yes

  No

  N/A

• Cleanliness of technicians work areas/Benches over and under?

  Yes

  No

  N/A

• Overall Shop Cleanliness is adequate?

  Yes

  No

  N/A

• Are working surfaces kept dry, or are other protective measures in place that include drainage, false floors, platforms, mats, and designated dry standing areas?

  Yes

  No

  N/A

• Are slippery conditions, such as snow and ice, eliminated in designated walkways and working surfaces?

  Yes

  No

  N/A

• Are tools, materials, equipment, and other objects used during servicing or maintenance kept clear of walkways to allow for adequate passage?

  Yes

  No

  N/A

• Are hoses and electrical service cords positioned to prevent injury to workers or damage to the hoses and cords themselves (e.g., crossover planks, beneath grating, stowed overhead)?

  Yes

  No

  N/A

• Are exit routes clearly marked “Exit,” as well as indicating the direction of travel to the exit, if not immediately apparent?

  Yes

  No

  N/A

• Are doorways, emergency exits, fire protection equipment, electrical panels, eyewash stations, and safety showers free from obstructions?

  Yes

  No

  N/A

• Are Fire Extinguishers, Electrical Panels, Eyewash and Safety Shower location marked with a 36" outlined area to keep clear at all times?

  Yes

  No

  N/A

Personal Protective/First Aid Equipment

• Employees always wearing appropriate required PPE?

  Yes

  No

  N/A

• Task specific PPE available at all times, such as Safety Glasses, Hearing Protection, Safety Footwear, and Appropriate Gloves?

  Yes

  No

  N/A

• Welding Station PPE available such as; Eye Protection, Helmets, Leathers, and Welding Screens?

  Yes

  No

  N/A

• First Aid Supplies inspected Monthly and kept up to date with no expired items?

  Yes

  No

  N/A

• Location of First Aid Supplies clearly marked and readily accessible?

  Yes

  No

  N/A

• Eye Wash Station available, not expired, kept clean, and inspected monthly?

  Yes

  No

  N/A

• Infectious Disease Covid 19 protective equipment available such as; barriers, hand sanitizers, cleaning supplies, and facemasks?

  Yes

  No

  N/A

• LOTO recourses available to isolate energy sources while servicing?

  Yes

  No

  N/A

Emergency Response Equipment

• Emergency Evacuation Plan and Evacuation Diagram posted?

  Yes

  No

  N/A

• Fire Extinguishers Yearly Service Inspection completed?

  Yes

  No

  N/A

• Fire Extinguishers Monthly in house Inspections completed?

  Yes

  No

  N/A

• First Responders/CPR Certified employees at this location? (NO FAILED RESPONSE)

  Yes

  No

  N/A

• Emergency Contact numbers posted?

  Yes

  No

  N/A

Safety Administration

• Safety Committee actively meeting with designated Chairperson , and all meeting notes recorded?

  Yes

  No

  N/A

• OSHA 300 Logs Posted where all employees can see through months February - April?

  Yes

  No

  N/A

• Medcor Triage Posters posted with the Response information needed after injury?

  Yes

  No

  N/A

• Safety Suggestion Poster posted with QR Code?

  Yes

  No

  N/A

• Appropriate Danger or Caution signs in place to notify workers of possible hazards?

  Yes

  No

  N/A

• Posted signs to keep out Unauthorized Personnel out of specific work areas?

  Yes

  No

  N/A

• SDS Safety Data sheets available and presentable at all times?

  Yes

  No

  N/A

Building Requirements

• Boiler Systems annually inspected and up to date?

  Yes

  No

  N/A

• Fire Suppression Systems annually inspected and up to date?

  Yes

  No

  N/A

• All Pressure Vessels inspected annually?

  Yes

  No

  N/A

• Waste Oil Separators pumped and cleaned annually?

  Yes

  No

  N/A

• Bulk Fuel tanks storage are present and registered to United?

  Yes

  No

  N/A

Electrical and Lighting Equipment

• Lighting fixtures in good working order?

  Yes

  No

  N/A

• Exit routes, accessways, gangways, stairs, work areas and walkways sufficiently lit in accord with 29 CFR 1915.82?

  Yes

  No

  N/A

• Power cords free from cuts and tears?

  Yes

  No

  N/A

• Electrical cords ground and continuity quarterly inspected with documentation?

  Yes

  No

  N/A

Dust and Fumes Removal

• Sufficient ventilation in place to (1) provide good operator visibility, (2) prevent dust from settling and accumulating in the room, (3) Prevent unwanted gasses and fumes, and (4) prevent the escape of contaminants into adjacent work areas or the environment?

  Yes

  No

  N/A

• Carbon Monoxide Detectors present and in good working order?

  Yes

  No

  N/A

Sanitation Facilities

• Toilets clean, serviceable, and adequate in number at the worksite?

  Yes

  No

  N/A

• Handwashing facilities adjacent to each toilet facility and do they contain: hot and cold or lukewarm running water and soap, or waterless skin-cleansing agents; clean, single-use hand towels stored in a sanitary container, clean individual sections of continuous cloth toweling, or air blowers; and a sanitary means for disposing of single-use hand towels?

  Yes

  No

  N/A

• Schedule for servicing, cleaning, and supplying each facility in place?

  Yes

  No

  N/A

• Servicing, cleaning and supplying schedule being followed

  Yes

  No

  N/A

Vermin Control

• Is there a Vermin control program in place that is maintained?

  Yes

  No

  N/A

• Is the work area constructed, equipped, and maintained to prevent the entrance or harborage of rodents, insects, and other vermin?

  Yes

  No

  N/A

Control of Spills

• Is machinery and equipment clean and maintained regularly?

  Yes

  No

  N/A

• Are drip pans and guards in place to catch possible spills?

  Yes

  No

  N/A

• Spill Kits or Floor Dry available for spills?

  Yes

  No

  N/A

Material Handling and Storage

• Large quantities of used/waste oil has been removed and not stored at the facility?

  Yes

  No

  N/A

• Waste Oil Fluids are labeled correctly, separated and stored less than 5 -55gal Drums

  Yes

  No

  N/A

• Are flammable and combustible substances, such as Fuel, paint thinners, solvents, aerosol cans, and waste, being disposed of or stored in covered, fire-resistant Cabinets at the end of each work shift, or when the job is completed, whichever occurs first?

  Yes

  No

  N/A

• Has gear and equipment, used for materials handling and rigging, been inspected for safety before each shift and at intervals throughout the shift? Is defective gear or equipment replaced or repaired?

  Yes

  No

  N/A

• Are materials stored in their designated place and stacked to avoid fall or collapse?

  Yes

  No

  N/A

• Oxygen and Acetylene cylinders properly stored separately and secured?

  Yes

  No

  N/A

Storage and Maintenance of Tools

• Are tools inspected, cleaned and repaired regularly?

  Yes

  No

  N/A

• Are damaged or worn tools removed from service?

  Yes

  No

  N/A

• All Power Tool Guards in place?

  Yes

  No

  N/A

• Bench Grinders secured from moving during operations with guards, and tool rests properly adjusted?

  Yes

  No

  N/A

• Overall Tool Room cleanliness and organization adequate?

  Yes

  No

  N/A

Equipment/Forklifts

• Pre-shift inspections done daily and record kept?

  Yes

  No

  N/A

• Seat belt check?

  Yes

  No

  N/A

• Using 3 points of contact?

  Yes

  No

  N/A

• Operating the equipment with NO maintenance issues?

  Yes

  No

  N/A

• Forklift Training Documents up to date and saved properly, recertification every three years?

  Yes

  No

  N/A

Work Area Conditions

• Employees are not working under suspended loads and using Jack stands and cribbing properly?

  Yes

  No

  N/A

• Employees not working above or below co-workers?

  Yes

  No

  N/A

• Working at height, ladders, or platforms correctly?

  Yes

  No

  N/A

Waste Disposal

• Are there enough garbage cans in designated break areas and other locations where trash may accumulate? Are they big enough for the volume of waste?

  Yes

  No

  N/A

• Are garbage cans constructed of noncorrosive, leak-proof, and easy to clean material, or are they disposable?

  Yes

  No

  N/A

• Is there a schedule in place and followed for emptying garbage cans to prevent overfilling?

  Yes

  No

  N/A

• Are garbage cans intended for disposing of food emptied daily and outfitted with solid tight-fitting covers?

  Yes

  No

  N/A

• Oily rags stored separately in a marked metal can with self closing tight fitting lid?

  Yes

  No

  N/A

Completion

• Recommendations

• Full Name and Signature of the Inspector

  Sign