Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Scoring System:
Anything that is not green or blue, requires a corrective action.
GENERAL REQUIREMENTS
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Are safety meetings being held in a weekly basis?
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Are MSDS trainings being held on a weekly basis?
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Are departmental procedures being trained to on a weekly basis?
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Is the Emergency Contact Sign posted in the department?
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Area is free of trip hazards. (Cords, hoses,open pits, etc.)
GENERAL WORK AREA AND WALKWAYS
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Aisles kept clear and pallets properly stored?
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Cylinders are secured.
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Work surfaces are free of slip hazards.
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Adequate lighting and ventilation?
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Prompt disposal of combustible waste?
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Window and doors operate properly?
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Cleanliness ( safety related)
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Condition of floors. (Free from trip hazards, slip hazards, water hazards, etc.)
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
FIRE EXTINGUISHERS
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Properly mapped on ERP map?
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Have an assigned station and labeled?
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Readily visible-located in designated place?
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Accessible, not obstructed?
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Operating instructions legible, facing outward?
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Hung correctly and poses no hazards?
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Pressure gage in operating range?
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Annual inspection up-to-date?
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All LOTO authorized employees been trained?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
HAZARDOUS ENERGY CONTROL
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All authorized employees have been issued the necessary equipment to comply with the program?
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Area Supervisor has been trained to LOTO?
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Supervisor's have reviewed LOTO applications to ensure their accuracy?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
CONFINED SPACE
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All confined spaces that might contain serious hazards have been evaluated and posted with appropriate "permit required" signs?
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Persons who are required to Supervise employees who may have to enter a Permit Confined space have been trained?
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If a permit required confined space has been entered, has a permit been issued and followed?
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Has the supervisor reviewed the confined space to ensure it was applied properly?
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Is rescue/ retrieval equipment available to enter the space?
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Is proper PPE available to enter the space?
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Have all employees in the department, who may be involved in Permit Confined Space, been properly trained?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
ELECTRICAL
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Electrical panels and disconnect boxes are clear from obstructions. ( 3 ft)
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Electrical cords are protected from chaffing and abrasion.
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Emergency lighting?
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Circuit breakers labeled correctly?
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Extension cords and wires in traffic areas covered?
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Dust proof outlets where required?
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Disconnects labeled?
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Outlets, electrical switches, junction boxes have covers and are secure. (No exposed wires)
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Strain reliefs on electrical cords are intact?
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All open holes or knockouts on electrical boxes are properly covered and closed?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
STAIRS, PLATFORMS, AND LADDERS
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Railing and toe boards in place?
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Employees inspect ladders prior to use? (Ask at least two employees in the area)
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Ladder is in good condition?
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Platform is slip resistant?
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Ladder is free of build-up? (i.e. Wax)
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All damaged ladders are discarded or tagged out-of-service for repair?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
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Comments:
SAFETY DEVICES
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All safety devices are in place and adequate?
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Are safety devices functioning properly? (Test alarms, emergency switches,etc.)
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Is lockout tagout being used where required? (Verify with employees... Locks available, tags available, and employee seems knowledgable about the program)
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Lockout tagout equipment available?
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All machines have specific lockout tagout procedures near the point of use?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
EMERGENCY AND FIRST AID
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Are spill kids and first aid kids located in their designated locations?
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Are the spill kits and first aid kits accessible? (Not obstructed)
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Are all the used material replaced?
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Are all exits clearly marked?
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Is the Evacuation map posted?
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Are all emergency exits free of obstruction?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
OVERHEAD CRANES AND HOISTS
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Capacity marked?
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No damaged to the lifting straps.
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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)
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Inspection tag on crane/hoist?
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Safety latches on lifting hooks?
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Control pendants are labeled with directional controls?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
MISCELLANEOUS
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All obsolete labels removed?
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MSDS easily accessible?
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MSDS book is up-to-date?
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Obsolete equipment removed?
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Spill kits in place?
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Corrective actions to be taken for this section,
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Comments:
STORAGE AREA
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Material properly stored?
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All containers labeled?
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Secondary containment in place?
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Ventilation ducts are clear of obstruction?
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Loads are properly distributed on storage medium?
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Load capacity labeled on each shelf?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
TOOLS
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Tools are in good condition? ( no mushroomed tools or cracks)
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Employees are using the right tool for the job? ( audit two employees)
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Safety devices are not being by-passed?
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Air valves are free of obstruction? ( i.e. Valve is not used as a hook)
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How many hand trucks audited?
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How many hand trucks audited, needs some kind of repair?
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How many carts audited?
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How many carts audited , needs some type of repair?
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Hand trucks/ carts are in good condition? (Wheels, handles, screws, rivets, welds, etc.)
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
SIGNAGE/ LABELS
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Are proper warning signs posted?
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Are lockout Tagout signs posted where required?
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Do all pinch points have proper warning signs or labels?
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Welding arc warning signs posted?
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Are confined space warning signs posted where required?
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Are PPE signs posted and accurate?
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Exit signs clear, visible, and accurate?
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Slip hazards marked and identified with proper warning signs?
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Are all secondary containers labeled properly?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
FURNITURE
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Chairs in proper working condition?
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Desks and work stations in safe condition?
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Tables and desks are not overloaded?
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Items are not stacked too high? ( risk of falling over, causes employee to stretch into extreme red zone)
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Shelves in good condition? (Stable, no risk of collapsing, properly constructed)
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
GUARDS
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Rotating shafts properly guarded?
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No missing guards? ( belts, gears, shafts, pulleys, sprockets, spindles, drums, flywheels, chains, or other reciprocating, rotating, or moving parts.)
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Sight glass on all gauges are intact and damage free?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
COMPRESSED GAS
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All cylinders are chained and properly stored?
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Compressed gas cylinders systems are turned off and regulator/line bled when not in use?
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Caps are on bottles when not in use?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
PERSONAL PROTECTIVE EQUIPMENT
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Is the department PPE sign posted and current?
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Are the process specific signs posted and current?
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Number of employees audited? (Audit employees to the department PPE requirements as well as the process specific requirements)
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Are the employees wearing the required PPE?
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Photos of issues
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Corrective actions to be taken for this section,
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Comments:
EYE WASH STATIONS
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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.)
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Plumbed- flushed weekly until water runs clear?
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Bottled eye wash stations- within expiration date?
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Inspection card posted and current?
FIRE HAZARDS
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Are all heat producing apparatuses have a shut-down procedure?
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Is the Hot Work procedure being followed?
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Are all equipment free of debris like wax, oil and other fire hazards?
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Flammable materials are properly stored? (Flammable cabinet when required)
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Flammable materials are properly stored? (Flammable cabinet when required)
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Photos of issues
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Corrective actions to be taken for this section,
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Comments: