Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Add location

Accident Prevention Program

  • Written Safety Policy?

  • Safety Health Manual?

  • Disciplinary Action Program?

  • Off-The-Job Injury Program set in place?

  • Safety Recognition Program?

  • OSHA 300 Log posted?

  • Emergency Plan in place?

Self-Audit Program

  • Written Plan or Procedure?

  • Documentation of Audits?

  • Documentation of Corrections?

  • Recorded Communication with employees?

  • Documented safe work practices training?

Confined Space Procedure

  • Written Program per standard?

  • Confined space awareness training, entrant, attendant, and entry Supervisor training completed?

  • Rescuer training annual drill and documented?

  • Retrieval system available? (harness, etc.)

  • Atmospheric monitoring up to date and calibrated up to date?

  • Ventilation available if needed per standard?

  • Permits adequate and filled out completely?

Safety Training and Education

  • Written New Hire Orientation and PowerPoint in place?

  • Safety Meeting set up for every week with team?

  • JSA forms available for Team Leaders?

  • Supervisor training available and documented?

  • OSHA classes given and documented?

  • Accident Investigation Training?

  • Media Release Policy?

RecordKeeping

  • OSHA Poster/Log?

  • First Aid Log?

  • Monthly Accident Summary?

  • Occupational Injury/Illness Report?

Medical Facilities

  • First Aid Kits, supplies, and disposal?

  • Medical Authorization

  • Injury Management setup?

  • Qualified First Aid attendant identified?

  • Bloodborne pathogens training and documented?

Accident Investigation

  • Near-Miss investigations conducted?

  • LTA Investigation Procedure?

  • Fatality/Catastrophe Procedure?

  • Third-Party liability investigation procedure?

Planned Safety Inspections

  • Inspection information competed in Job Safety Plan?

  • Inspection checklists in use?

  • Corrective actions documented?

Personal Protective Equipment

  • Head Protection use adequate?

  • Eye/Face Protection adequate?

  • Hearing Protection used when required?

  • Respiratory protection use adequate?

  • Fall Protection used?

  • Specialized PPE adequate for hazards?

Inspections

  • Portable Electrical Tools

  • Come-Alongs and Chainfalls?

  • Portable Welding Machine

  • Earth Moving Equipment

  • Crawler Cranes

  • Mobile Cranes

  • Overhead Hoists

  • Drum Hoists

  • Fall Protection Equipment

  • Suspension Scaffolds

  • Chokers, Slings, and Wire Rope

  • Ladders and Scaffolds

  • Cutting Rigs

  • Industrial Trucks

  • Aerial Lifts

  • Emergency Respirator Equipment

  • Fire Extinguishers

Work Permits

  • Safe Work/System Entry

  • Hot Work

  • Confined Space Entry

  • Lock-Out Tag Out

  • Excavation

Respiratory Protection Program

  • Written site-specific program in place?

  • Fit Testing?

  • Annual Training?

  • Maintenance and Storage Records?

  • Filter Cartridge Identification method?

  • Pulmonary function tests and Employee notification?

Emergency Evacuation and Response

  • Written plan identifying all elements?

  • Alarms and Signs/Signals posted?

  • Employee Training?

  • Media Release Policy training?

Hearing Conservation Program

  • Noise Survey of areas/operations?

  • Annual Training?

  • Hearing Protectors?

  • Audiometric test and employee notification

  • Warning signs and methods?

Fire Protection and Prevention

  • Written Program?

  • Fire Extinguisher adequate?

  • Fire Extinguishers inspected up to date?

  • Fire Extinguisher training completed and documented?

  • Warning Signs adequate?

  • Emergency Communication system adequate?

  • "EXIT" and "NOT AN EXIT" signs posted?

Signs, Signals, and Barricades

  • Warning Signs available and used?

  • Accident Prevention tags available and used?

  • Safety instruction signs posted?

  • Bulletin Board Maintained?

  • Adequate barricades used as needed?

Electrical Safety

  • Written Lock Out Tag Out Procedure/Program?

  • Annual Lock Out Tag Out Evaluation?

  • Lock Out Tag Out training completed and documented?

  • Written Assured Grounding Program?

  • Access to Electrical panels adequate?

  • Basic Electrical safety training and documented?

Hazard Communication Program

  • Written Program?

  • GHS for all Hazardous materials?

  • Chemical Specific training?

  • Container/Secondary container labeling?

  • Chemical inventory list and updates?

Asbestos Program

  • Written Program and Procedures?

  • Annual Awareness Training/Documented?

  • Competent Person assigned?

  • Protective Equipment?

  • Personal and Area monitoring?

  • Medical Surveillance records?

  • Signs and Labels?

  • Disposal responsibility?

  • EPA and State notification?

  • Decontamination facility?

  • RecordKeeping?

Powered Industrial Trucks

  • Operator training and authorization?

  • Inspections up to date and recorded?

  • Nameplates and Controls legible?

Aerial Lifts

  • Operator training and authorization?

  • Training Cards completed?

  • Inspections documented and completed?

  • Nameplates and Controls legible?

Mobile Cranes

  • Qualified/Competent Persons assigned?

  • Back alarms functioning?

  • Hand Signals posted?

  • Fire Extinguisher?

  • Inspections Completed and documented?

Power Actuated Tools

  • Operation Training and Authorization?

  • Proper Storage and Waste properly discarded?

  • Documentation of usage?

Abrasive Blasting

  • Protective Equipment?

  • Warning Signs and Barricades in place?

  • CO Monitoring and Records?

  • Air Purifying Filter and records?

  • Deadman release and Stand?

  • Personal and Area Monitoring and employee notification?

  • Safe Work Practices, PPE, and hazards training?

Flammable Liquids

  • Storage Available and adequate?

  • Warning Signs and Identification adequate?

  • Grounding and Bonding?

  • Drip Pans?

  • Auto Shut Valve and Drum Vent?

  • Spill Prevention Plan in place with Spill kits?

  • Fire Extinguishers available and at the correct distance away from flammables??

LPG/Compressed Gases

  • Storage racks?

  • Warning Signs in place with Identification?

  • Transporting and Field Use legal?

  • Flashback Arrestors attached?

  • Fire Extinguisher available?

Ventilation

  • Shops?

  • Paint Storage?

  • Welding Local Exhaust?

  • Paint Spraying area and booths?

Battery Charging

  • Warning Signs displayed?

  • Ventilation and Electrical?

  • Eyewash and safety shower in place?

  • Protective Clothing?

  • Fire Protection and Fire extinguishers

Excavation

  • Procedures?

  • Competent Person Inspection and Documented?

  • Employee Protection and Egress

  • Barricades set up?

  • Conditions?

Ladders

  • Safe Work Practices Training provided and documented?

  • Inspections up to date and documented?

Scaffolds

  • Safe Work Practices training?

  • Competent persons?

  • Qualified Builder?

  • Condition and Inspections documented?

Personnel Basket

  • Written Procedure in place?

  • Anti-Two Block System?

  • Training and Pre-Lift meeting?

  • Documented Load test and run?

  • Basket weight and capacity posted?

  • Engineering Design and stamp?

Housekeeping

  • Work areas, aisles and stairs free from clutter and debris (trash)?

  • Scrap and Debris removed regularly?

  • Trash and waster receptacles adequate?

Tools

  • Are they in a good safe working condition?

  • Supervisor Training on tools that require it and documented?

  • Stand Grinder Wheels, Rests and Guards in place?

  • Woodworking Tool guards in place?

  • Inspection and maintenance records up to date?

  • Documented tool box inspections?

Drug and Alcohol Program

  • Is there a Corporate manual?

  • Supervisor Training completed and documented?

  • Employee Training completed and documented?

  • Monthly report completed and documented?

  • Employee Asistance program?

Chemical-Specific Programs

  • Written Programs in place?

  • Benzene

  • Vinyl Chloride

  • Lead

  • Ethylene Oxide

  • Hazardous Waste

  • Other

  • Personal monitoring and notification in place?

  • Medical Suveillance and notification in place?

  • Training Offered and documented?

Safety and Health Committee

  • Written Charter and Procedure?

  • Responsibilities identified?

  • Documented Committee Inspections?

  • Documented Corrective actions?

  • Documented communication process?

Sanitation

  • Written Procedure for potable water cans?

  • Training on Procedure?

  • Non-Potable water labeled?

  • Vermin control?

  • Eating facilities in place?

  • Usable relief stations in place?

Transportation

  • Annual Vehicle inspection reports and decal in place?

  • Systematic vehicle Inspections completed and documented?

  • Cargo tank Inspections completed and documented?

  • Drivers log and Hours documented?

  • Pre Trip Logs and Post Trips Logs completed?

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