Information

  • Audit Title

  • Conducted on

  • Document No.

  • Client / Site

  • Location
  • Personnel

  • Prepared by

  • Overview Shop Pictures

  • Overview Shop Pictures

  • Summary of general audit observations:

  • Performance rating. 10 being best (little or no risk) and 1 being worst (high risk for injury or fines)

Explanation of audit scoring

  • All of the following audit questions will be answered in one of three ways:

    "Yes" (The jobsite performance met or exceeded expectations for this specific audit question.)
    "Improve"(The performance generally met expectations, but some specific improvements are needed.)
    "No" (The performance failed to meet expectations, or a serious violation was identified.)

    If an audit question does not apply to the jobsite's activities, the auditor will select N/A for "not applicable"

Previous inspection

  • Has the last inspection been reviewed, items corrected and results documented?

Housekeeping

  • Are walkways and working surfaces clearly marked or communicated?

  • Are the floor surfaces free of clutter, debris, or waste products?

  • Are the walking and working surfaces maintained in good condition (no slick surfaces, uneven surfaces, etc.)?

  • Are spilled liquids cleaned up promptly, and are the spilled materials properly reclaimed or discarded?

  • Are stairways (including stair treads, landing areas, and railings) kept clear of materials, clutter, or debris?

Material Storage

  • Are storage racks assembled in accordance with manufacturer recommendations and maintained in good repair?

  • Are the maximum weight ratings posted for all storage shelves, and are the loads kept within the safe load limits?

  • Are heavy objects stored on the lower shelves for better weight distribution (and ergonomic safety)?

  • Are pallets in good condition, without broken or protruding wood or nails?

  • Are empty pallets properly stored (not stored on edge, and no large stacks or quantities of combustible pallets)?

Exits and Loading Docks

Emergency Exits and Entrances

  • Are the exit and entry routes kept clear of clutter, debris, or materials (minimum 28" wide continuous path)?<br>1910.36(g)(2)

  • Is at least one illuminated EXIT signs clearly visible from any location in the building?

  • Are all illuminated emergency exit signs operable?

  • Are exit doors able to open from the direction of exit travel without the use of a key, special knowledge, or effort?

  • (For exits near vehicle traffic) Are adequate barriers and warnings provided to prevent employees from stepping directly into traffic?

Loading Docks and Receiving Areas

  • Are wheel chocks required and used when employees are loading or unloading trucks or trailers with a forklift?

Chemical Storage

Flammable Chemicals

  • Are flammable cabinets being used for their intended purpose (no tools, PPE, food, corrosive chemicals, etc.)?

  • Is at least one fire extinguishers located within a 50' radius of the flammable storage areas?

Personal Protective Equipment

  • Do employees have personal protective equipment available for the recognized hazards in their work area?

  • Are employees using personal protective equipment that is in good working order?

  • Are employees storing their personal protective equipment properly?

  • Have employees received documented training on personal protective equipment (when it's required, proper selection, use, maintenance, storage, operational limitations, disposal, etc.)?

Emergency First Aid Equipment

  • Are first aid kits available, applicable for the facility, stocked and readily available?

  • Is an emergency eye wash readily available for employees who are handling corrosive or hazardous chemicals (and within a 50' clear walking path)?

  • Is the path to the emergency eye wash unobstructed?

  • (If the emergency eye wash unit is self-contained) Is the solution full and within it's expiration date?

  • Have at least one of the employees received documented first aid training within the past 2 years?

Fire Prevention and Response

  • Are the fire alarm systems functioning correctly, and have they been inspected at least annually?

Fire Extinguishers

  • Are fire extinguishers inspected regularly, and unobstructed (minimum 36" clearance)?

  • Are all fire extinguishers in good working order (fully charged, pin and tamper seal in place, etc.)?

  • Do all fire extinguishers have a tag demonstrating they have received a documented annual inspection by a qualified individual?

  • Have the employees been trained how to use a fire extinguisher?

Emergency Action Plan

  • Is the evacuation plan and map prominently displayed and understood by all employees?

  • Do employees know where to go (a safe zone) in an emergency, and is a "roll call" procedure in place?

  • Are documented emergency action plan drills (fire, tornado, etc.) conducted on a periodic basis (3 - 4 times a year)?

  • Are emergency numbers posted in a conspicuous location and kept up to date?

  • Are emergency supplies (chemical spill kit, etc.) stored in a location that is safely accessible during an emergency?

Material Handling

FLT safety

  • Are the TMD forklift safety rules posted in areas where forklifts are being used?

  • Do all FLT operators have current training certifications?

  • Are documented FLT equipment safety and maintenance inspections being filled out prior to each day's use?

  • Are the FLTs free from obvious deficiencies (leaks, missing equipment, physical damage)?

  • Are all FLTs being operated safely?

  • Are operators yielding to pedestrians and giving audible warnings (sounding horn or alarm) prior to backing up or entering blind intersections?

  • Are all loads within the manufacturer's recommendations for the powered industrial equipment?

  • Are employees following lockout / tagout procedures for FLTs

Electrical Safety

  • Are electrical panels and disconnects clear of obstruction and easily accessible (36" radial clearance minimum)?

  • Do all electrical panels or junction boxes have "knockouts" covered, conduit holes capped, wiring covered, etc.?

  • Are electrical panels and disconnects labeled with their available amperage and voltage?

Machine Guarding

  • Are machine guards firmly secured and not easily removable?

  • Are all point-of-operation guards provided, in place, and properly adjusted?

  • Are belts and chain drives guarded?

  • Have pinch points and inward-running rollers been properly guarded?

  • Do the guards prevent worker’s hands (or other body parts) from making contact with other moving parts of the machine?

Ergonomics

  • Can work be done without repetitive twisting, bending or lifting of the arms above the shoulder level?

  • Can employees keep their hands or wrists in a neutral position when they are working?

  • If workers have to push or pull objects using great amounts of force, are mechanical aids provided?

  • Is work arranged so that workers are not required to lift and carry too much weight (no more than 50 lbs / employee)?

  • Are pressure points on body parts (such as wrists, forearms, backs of thighs) avoided?

  • Are chairs and work benches adjusted, positioned, and arranged to minimize strain on the body?

  • Are tools, instruments, and machinery shaped, positioned, and handled so that tasks can be performed comfortably?

  • Are mechanical assists available to the worker performing material handling tasks?

Industrial Hygiene -

  • Are welfare facilities to a good standard

Noise

  • Have noise levels in all areas been evaluated to determine if they are below 85 decibels for an 8 hour time-weighted average?

  • Have all employees exposed to over 85 dB TWA been included in a hearing conservation program?

  • (Areas above 90 decibels 8hr TWA) Are employees required to wear hearing protection, and is it well stock and readily available?

Administrative

Required Postings - H&S policy

  • Are the relevant HSE posters/policies in sight?

Morning meeting and Near Miss Incident Reporting

  • Are employees having a morning meeting process and filling out the documentation correctly?

  • Are employees able to explain the definition of a Near Miss incident?

  • Are employees actively reporting and documenting Near Miss incidents and their corrective actions?

Management Engagement and Employee Involvement

  • Have all the managers received formal training in safety and health management responsibilities?

  • Do management personnel consistently enforce and reinforce safe work practices through their words and actions?

  • Do employees feel they have a positive impact on identifying and resolving safety and health issues?

Office Areas

  • Are the office aisles, walkways, and work areas free of trip and fall hazards (i.e. torn carpets, flipped door mats, boxes etc.)?

  • Are electrical cords, plugs, and power strips in good condition (not frayed, taped, spliced, or ground prong missing)?

  • Are computer work stations and work area ergonomically correct, and are workers following safe work practices?

  • Have possible struck-by hazards been identified and resolved (closed cabinet doors, file drawers, etc)?

Outdoor storage / Yard

  • Are items stored neatly in a logical fashion (accessible, accounted for, assigned to specific jobs, etc.)?

  • Are all other recognized hazards resolved in an appropriate manner?

Unsafe acts and conditions

  • Are all employees following safe work practices for all items not specifically identified in this audit?

  • Have employees been receptive and responsive to any issues identified during the audit?

Auditor Signature

  • Auditor

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