Wal-Mark Contracting Group

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed?

  Yes

  No

  N/A

• 1.2 - Are there no outstanding actions?

  Yes

  No

  N/A

2.0 - Fire Prevention

• 2.1 - Evacuation plan displayed and understood by all employees?

  Yes

  No

  N/A

• 2.2 - Evacuation procedures discussed regularly? (3 to 4 times a year)

  Yes

  No

  N/A

• 2.3 - Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• 2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  Yes

  No

  N/A

• 2.5 - Extinguishers clear of obstructions?

  Yes

  No

  N/A

• 2.6 - Exits clear of obstructions?

  Yes

  No

  N/A

3.0 - General Lighting

• 3.1 - Good natural lighting?

  Yes

  No

  N/A

• 3.2 - Light stands provided and in good condition?

  Yes

  No

  N/A

• 3.3 - Emergency exit lighting operable?

  Yes

  No

  N/A

4.0 - Building Safety

• 4.1 - Passageways, clear of obstructions?

  Yes

  No

  N/A

• 4.2 - Are liquid spills removed quickly?

  Yes

  No

  N/A

• 4.3 - Are railings in good condition?

  Yes

  No

  N/A

• 4.4 - Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

• 4.5 - Loading area organized?

  Yes

  No

  N/A

5.0 - Hand Tools

• 5.1 - Employees adequately trained for the tool?

  Yes

  No

  N/A

• 5.2 - Tools not in use kept in place?

  Yes

  No

  N/A

• 5.3 - No damaged hand tools in use?

  Yes

  No

  N/A

• 5.4 - No damaged power tools in use?

  Yes

  No

  N/A

• 5.5 - Work height correct for the type of work and the employee?

  Yes

  No

  N/A

• 5.6 - No sharp edges?

  Yes

  No

  N/A

6.0 - Trash disposal

• 6.1 - Bins located at suitable points around site?

  Yes

  No

  N/A

• 6.2 - Bins emptied regularly?

  Yes

  No

  N/A

• 6.3 - Oily rags and combustible refuse in covered metal containers?

  Yes

  No

  N/A

7.0 - Storage Design and Use

• 7.1 - Storage designed to minimize lifting problems?

  Yes

  No

  N/A

• 7.2 - General condition of racks and pallets?

  Yes

  No

  N/A

8.0 - Chop Saws or Cutting Saws

• 8.1 - Are they kept clean?

  Yes

  No

  N/A

• 8.2 - Are the work areas kept clean?

  Yes

  No

  N/A

• 8.3 - Guards in good condition?

  Yes

  No

  N/A

• 8.4 - Waste off removed and stored properly?

  Safe

  At Risk

  N/A

• 8.5 - Noise controlled?

  Yes

  No

  N/A

• 8.6 - No excessive bending or stooping?

  Yes

  No

  N/A

9.0 Scissor Lift, Boom Lift, Mobile (Perry) Scaffold, Suspended Scaffold, Etc.

• 9.1 Terrain clear of obstructions?

  Yes

  No

  N/A

• 9.2 - Guards in good condition?

  Yes

  No

  N/A

• 9.3 - Equipment Inspected and in good condition?

  Yes

  No

  N/A

• 9.4 - Starting and stopping devices within easy reach of operator?

  Yes

  No

  N/A

• 9.5 - Operators trained/inducted into the operation of the machines?

  Yes

  No

  N/A

• 9.6 - Is the training recorded?

  Yes

  No

  N/A

• 9.7 - Do operators comply with the training?

  Yes

  No

  N/A

• 9.8 - Competent person on site?

  Yes

  No

  N/A

• 9.9 - Top rails, mid rails and toe boards in place?

  Yes

  No

  N/A

• 9.10 - Base plates, mud sills, screw jacks in good condition and properly mounted?

  Yes

  No

  N/A

• 9.11 - Gaps open no more than one inch on planks, and within 14 inches from wall?

  Yes

  No

  N/A

• 9.12 - No more than four times the base width without tie backs?

  Yes

  No

  N/A

• 9.13 - Incompatible parts?

  Yes

  No

  N/A

• 9.14 - Proper access and egress?

  Yes

  No

  N/A

• 9.15 - Pinned frames?

  Yes

  No

  N/A

• 9.16 - Other

  Yes

  No

  N/A

10 - Electrical Safety

• 10.1 - No broken plugs, frayed extension cords, or damaged equipment switches?

  Yes

  No

  N/A

• 10.2 - No power leads across walkways?

  Yes

  No

  N/A

• 10.3 - Where required are emergency shut-down procedures in place?

  Yes

  No

  N/A

11. Chemical Safety (HAZCOM)

• 11.1 - Material Safety Data Sheets available for all chemicals?

  Yes

  No

  N/A

• 11.2 - Risk assessments completed for hazardous substances?

  Yes

  No

  N/A

• 11.3 - All containers labelled correctly?

  Yes

  No

  N/A

• 11.4 - Unused substances disposed of?

  Yes

  No

  N/A

• 11.5 - Do special storage conditions apply?

  Yes

  No

  N/A

• 11.6 - If applicable are special storage conditions followed?

  Yes

  No

  N/A

• 11.7 - Workers trained in the use of hazardous substances?

  Yes

  No

  N/A

• 11.8 - If required is PPE available?

  Yes

  No

  N/A

• 11.9 - Is adequate ventilation provided?

  Yes

  No

  N/A

• 11.10 - Are eye washes easily accessible?

  Yes

  No

  N/A

12. Ladders

• 12.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• 12.2 - Are ladders in good condition?

  Yes

  No

  N/A

• 12.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  Yes

  No

  N/A

• 12.4 - Used according to instructions?

  Yes

  No

  N/A

• 12.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

13.0 - First Aid Facilities

• 13.1 - Are cabinets and contents clean and orderly?

  Yes

  No

  N/A

• 13.2 - Are contents regularly checked?

  Yes

  No

  N/A

• 13.3 - No contents past their expiry date?

  Yes

  No

  N/A

• 13.4 - Cabinets clearly labelled?

  Yes

  No

  N/A

• 13.5 - Is there easy access to cabinets?

  Yes

  No

  N/A

• 13.6 - Employees aware of location of first aid cabinet?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign

• Yes

  No

  N/A