Unusual Conditions Audit

• Date of Inspection

  Date

• Inspectors

• Location
  Address

• Revision date

  Date

• INSTRUCTIONS:
  -------------------------------------
  
  1. Answer "Yes", "No", "N/A" for the questions below.
  2. Please note that "Yes" is negative and "No" is positive answer.
  3. Add photos and notes by clicking on the paperclip icon.
  4. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  5. Complete audit by providing digital signature.
  6. Share your report by exporting as PDF, Word, Excel or Web Link.

• The listed questions are to be used as a guide for auditing areas not generally covered by our standard safety audits. If a discrepancy if found, specify the information using the paperclip icon.

Plant Exterior

• 1. Parking lot conditions (pot holes etc.)

  No

  Yes

  N/A

• 2. General exterior conditions (holes in walls/fences, rust, falling apart etc.)

  No

  Yes

  N/A

• 3. Rail site / Silo's conditions (rail track broken, exessive resin spill, holes in silo)

  No

  Yes

  N/A

• 4. Landscaping ( overgrowth, too close to building, grass kept up)

  No

  Yes

  N/A

• 5. Unusual fumes (gas, smoke, gassoline, general foul smell)

  No

  Yes

  N/A

• 6. Roof conditions (Leaks) - if access is available

  No

  Yes

  N/A

Plant Interior

• 1. Unusual fumes (gas, smoke, gasoline, general foul smell)

  No

  Yes

  N/A

• 2. Water leaks from ceiling (water pipes, AC units, holes etc.)

  No

  Yes

  N/A

• 3. General ceiling conditions (excessive rust, loose items etc.)

  No

  Yes

  N/A

• 4. Drainage - back ups

  No

  Yes

  N/A

• 5. Electrical (excessive noise from panels, sparks etc.)

  No

  Yes

  N/A

• 6. High ladders and elevated platforms (missing safeguards, not stable)

  No

  Yes

  N/A

• You are responsible to put in a work order when there is a discrepancy.

Completion

• Complete by

  Sign