Information
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Audit Title
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Conducted on
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Prepared by
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Location
Section 1.0 PPE
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1.1 - PPE available and used before entering the work area
Section 2.0 Vehicles / Equipment
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2.1 - Walk around inspection performed on carts, vehicles, and mobile equipment
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2.2 - Horn and headlights are operational
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Note: Take pictures of mobile equipment hazards
Section 3.0 - Overhead Work
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3.1 - Communicated with impacted process leaders
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3.2 Safety cones, barricades, warning tape, and spotter used to communicate hazard zones
Section 4.0 - Fire Prevention
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4.1 - ABC Fire extinguisher within 25 - 50 ft of work.
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4.2 How Work Permit obtained prior to beginning work
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Note: Take pictures of any Fire hazard
Section 5.0 - Fall Protection
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5.1 - Task performed greater that 15 feet from an edge, hole, or opening
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5.2 - Harness, anchor, lanyard (retractable), and lifeline used to prevent 6 ft free fall
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Note: Take pictures of any Fall hazard
Section 6.0 - Communication
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6.1 - Communicated work and location prior to beginning task
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6.2 Communicated unsafe task(s) or behavior(s) to responsible parties
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6.3 - Broken and defective equipment reported to maintenance.
Section 7.0 - Housekeeping
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7.1 - Trash and debris removed from work site daily
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7.2 - Trash and debris not blocking aisles, access, or doorways
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Note: Take pictures of any Housekeeping hazard
Section 8.0 - Stairs and Ladders
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8.1 - Stairs and ladders are clear of obstructions
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8.2 - Ladder is 3 ft above landing and secured at top and bottom
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8.3 - Greases and slippery chemicals are removed from stairs, ladders, and work surfaces
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Note: Take pictures of any Housekeeping hazards