VTR Location Audit

• Document No.

• Audit Title

• Client / Site

• Add location
  Address

• Conducted on

  Date

• Prepared by

• Personnel

Personal Protective Equipment

• Safety Glasses

  Safe

  At Risk

  N/A

• High Visibility Clothing

  Safe

  At Risk

  N/A

• Gloves

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Warehouse Operations

• Walking & Working Surfaces

  Safe

  At Risk

  N/A

• Material Storage

  Safe

  At Risk

  N/A

• Compressed Gas Storage

  Safe

  At Risk

  N/A

• Pallet Storage

  Safe

  At Risk

  N/A

• Fall Protection

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Tools & Equipment

• Good Working Condition

  Yes

  No

  N/A

• Guards Properly Adjusted

  Yes

  No

  N/A

• Documented Inspection When Required

  Yes

  No

  N/A

Fire Safety

• Adequate Egress Aisles Maintained

  Yes

  No

  N/A

• Proper Clearance Under Sprinkler Heads (minimum 18 inches)

  Yes

  No

  N/A

• Fire Extinguisher Access & Maintenance

  Safe

  At Risk

  N/A

• Flammable Gas & Liquid Storage

  Safe

  At Risk

  N/A

• Combustible Loads Managed

  Safe

  At Risk

  N/A

Forklift Operations

• Pre-Shift Inspection Completed

  Yes

  No

  N/A

• Operator Safe Work Practices

  Safe

  At Risk

  N/A

• Seat Belt Use

  Yes

  No

  N/A

• Forklift Operator Trained?

  Yes

  No

  N/A

Electrical Safety

• Panel Clearances Maintained

  Yes

  No

  N/A

• Cord & Cable Condition

  Safe

  At Risk

  N/A

• Strain Relief

  Safe

  At Risk

  N/A

• GFCI Use

  Safe

  At Risk

  N/A

• Electrical Safe Work Practices

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

Hazard Communication

• Unlabeled chemicals present in work areas

  Yes

  No

  N/A

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Compresses Gas Cylinders

• Caps on bottles

  Yes

  No

  N/A

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• Bottles stored properly

  Yes

  No

  N/A

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• Fuel and oxidizer stored separately or with blast wall

  Yes

  No

  N/A

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• Issue #1

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• Issue #2

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• Issue #3

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• Issue #4

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• Issue #5

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• Additional Issues

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• Additional Issues

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