Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Scoring System:
    Anything that is not green or blue, requires a corrective action.

GENERAL REQUIREMENTS

  • Are safety meetings being held in a weekly basis?

  • Are MSDS trainings being held on a weekly basis?

  • Are departmental procedures being trained to on a weekly basis?

  • Is the Emergency Contact Sign posted in the department?

  • Area is free of trip hazards. (Cords, hoses,open pits, etc.)

GENERAL WORK AREA AND WALKWAYS

  • Aisles kept clear and pallets properly stored?

  • Cylinders are secured.

  • Work surfaces are free of slip hazards.

  • Adequate lighting and ventilation?

  • Prompt disposal of combustible waste?

  • Window and doors operate properly?

  • Cleanliness ( safety related)

  • Condition of floors. (Free from trip hazards, slip hazards, water hazards, etc.)

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

FIRE EXTINGUISHERS

  • Properly mapped on ERP map?

  • Have an assigned station and labeled?

  • Readily visible-located in designated place?

  • Accessible, not obstructed?

  • Operating instructions legible, facing outward?

  • Hung correctly and poses no hazards?

  • Pressure gage in operating range?

  • Annual inspection up-to-date?

  • All LOTO authorized employees been trained?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

HAZARDOUS ENERGY CONTROL

  • All authorized employees have been issued the necessary equipment to comply with the program?

  • Area Supervisor has been trained to LOTO?

  • Supervisor's have reviewed LOTO applications to ensure their accuracy?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

CONFINED SPACE

  • All confined spaces that might contain serious hazards have been evaluated and posted with appropriate "permit required" signs?

  • Persons who are required to Supervise employees who may have to enter a Permit Confined space have been trained?

  • If a permit required confined space has been entered, has a permit been issued and followed?

  • Has the supervisor reviewed the confined space to ensure it was applied properly?

  • Is rescue/ retrieval equipment available to enter the space?

  • Is proper PPE available to enter the space?

  • Have all employees in the department, who may be involved in Permit Confined Space, been properly trained?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

ELECTRICAL

  • Electrical panels and disconnect boxes are clear from obstructions. ( 3 ft)

  • Electrical cords are protected from chaffing and abrasion.

  • Emergency lighting?

  • Circuit breakers labeled correctly?

  • Extension cords and wires in traffic areas covered?

  • Dust proof outlets where required?

  • Disconnects labeled?

  • Outlets, electrical switches, junction boxes have covers and are secure. (No exposed wires)

  • Strain reliefs on electrical cords are intact?

  • All open holes or knockouts on electrical boxes are properly covered and closed?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

STAIRS, PLATFORMS, AND LADDERS

  • Railing and toe boards in place?

  • Employees inspect ladders prior to use? (Ask at least two employees in the area)

  • Ladder is in good condition?

  • Platform is slip resistant?

  • Ladder is free of build-up? (i.e. Wax)

  • All damaged ladders are discarded or tagged out-of-service for repair?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

  • Comments:

SAFETY DEVICES

  • All safety devices are in place and adequate?

  • Are safety devices functioning properly? (Test alarms, emergency switches,etc.)

  • Is lockout tagout being used where required? (Verify with employees... Locks available, tags available, and employee seems knowledgable about the program)

  • Lockout tagout equipment available?

  • All machines have specific lockout tagout procedures near the point of use?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

EMERGENCY AND FIRST AID

  • Are spill kids and first aid kids located in their designated locations?

  • Are the spill kits and first aid kits accessible? (Not obstructed)

  • Are all the used material replaced?

  • Are all exits clearly marked?

  • Is the Evacuation map posted?

  • Are all emergency exits free of obstruction?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

OVERHEAD CRANES AND HOISTS

  • Capacity marked?

  • No damaged to the lifting straps.

  • Do the operators conduct a daily inspection prior to using the crane or hoist? (Ask two employees what do they check on a daily basis and if they conducted a check today)

  • Inspection tag on crane/hoist?

  • Safety latches on lifting hooks?

  • Control pendants are labeled with directional controls?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

MISCELLANEOUS

  • All obsolete labels removed?

  • MSDS easily accessible?

  • MSDS book is up-to-date?

  • Obsolete equipment removed?

  • Spill kits in place?

  • Corrective actions to be taken for this section,

  • Comments:

STORAGE AREA

  • Material properly stored?

  • All containers labeled?

  • Secondary containment in place?

  • Ventilation ducts are clear of obstruction?

  • Loads are properly distributed on storage medium?

  • Load capacity labeled on each shelf?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

TOOLS

  • Tools are in good condition? ( no mushroomed tools or cracks)

  • Employees are using the right tool for the job? ( audit two employees)

  • Safety devices are not being by-passed?

  • Air valves are free of obstruction? ( i.e. Valve is not used as a hook)

  • How many hand trucks audited?

  • How many hand trucks audited, needs some kind of repair?

  • How many carts audited?

  • How many carts audited , needs some type of repair?

  • Hand trucks/ carts are in good condition? (Wheels, handles, screws, rivets, welds, etc.)

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

SIGNAGE/ LABELS

  • Are proper warning signs posted?

  • Are lockout Tagout signs posted where required?

  • Do all pinch points have proper warning signs or labels?

  • Welding arc warning signs posted?

  • Are confined space warning signs posted where required?

  • Are PPE signs posted and accurate?

  • Exit signs clear, visible, and accurate?

  • Slip hazards marked and identified with proper warning signs?

  • Are all secondary containers labeled properly?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

FURNITURE

  • Chairs in proper working condition?

  • Desks and work stations in safe condition?

  • Tables and desks are not overloaded?

  • Items are not stacked too high? ( risk of falling over, causes employee to stretch into extreme red zone)

  • Shelves in good condition? (Stable, no risk of collapsing, properly constructed)

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

GUARDS

  • Rotating shafts properly guarded?

  • No missing guards? ( belts, gears, shafts, pulleys, sprockets, spindles, drums, flywheels, chains, or other reciprocating, rotating, or moving parts.)

  • Sight glass on all gauges are intact and damage free?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

COMPRESSED GAS

  • All cylinders are chained and properly stored?

  • Compressed gas cylinders systems are turned off and regulator/line bled when not in use?

  • Caps are on bottles when not in use?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

PERSONAL PROTECTIVE EQUIPMENT

  • Is the department PPE sign posted and current?

  • Are the process specific signs posted and current?

  • Number of employees audited? (Audit employees to the department PPE requirements as well as the process specific requirements)

  • Are the employees wearing the required PPE?

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

EYE WASH STATIONS

  • Wiped clean and free of obstruction? ( if in an area with acidic or caustic material, it must be within 6 ft of chemical use and a clear shot. The employee must be able to walk to the eye wash and shower with both eyes closed.)

  • Plumbed- flushed weekly until water runs clear?

  • Bottled eye wash stations- within expiration date?

  • Inspection card posted and current?

FIRE HAZARDS

  • Are all heat producing apparatuses have a shut-down procedure?

  • Is the Hot Work procedure being followed?

  • Are all equipment free of debris like wax, oil and other fire hazards?

  • Flammable materials are properly stored? (Flammable cabinet when required)

  • Flammable materials are properly stored? (Flammable cabinet when required)

  • Photos of issues

  • Corrective actions to be taken for this section,

  • Comments:

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