Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Blood borne Pathogens

  • Can the Manager quote Company Policy? <br><br>

  • Are there adequate supplies in the first aid kit, and, does it contain latex gloves, a face mask and goggles?

California ONLY - the IIP ("the Book")

  • Is the first aid kit located on a wall in an unlocked, unblocked area?

  • Is the Book displayed in the Manager's office?

  • Can the Manager quote the notification chain?

  • What other names are used to describe "the Book"?

  • Can the manager quote their duties as described in the IIP?

Certified Driver

  • Is the current Certified Driver Report displayed on the poster?

  • Were any issues observed during the inspection?

Chain of Command / WC & GL Reporting

  • Can the Manager correctly list who MUST BE NOTIFIED when a government official arrives onto the property or when an emergency occurs?

  • Is a list of emergency contact information for hospitals or triage centers posted in the Manager's office?

  • Can the Manager correctly state the allowable time limit for reporting a Workers Compensation "WC" or General Liability "GL" incident?

  • Can the Manager correctly define a "Notice Only" claim?

Chemicals / Food - Eating & Drinking in Chemical Areas

  • Are "Chemical Area" warning posters displayed?

  • Is there a designated eating & drinking area with signage ("Designated Eating / Area")?

  • Is there any cross storage of food products/utensils and chemicals?

  • Is there evidence of eating or drinking in chemical use areas?

  • Are all secondary containers labeled?

Compressed Gases

  • Are all compressed gas tanks stored upright and chained?

Compliance

  • If applicable, are all pressure tanks tagged with current inspection tags?

  • If applicable, are all the boilers tagged with current inspection tags?

  • Are the glass covers in good condition on all pressure valves?

Confined Spaces

  • Can the Manager quote the confined space Hazards?

  • Can the manager define a confined space?

Electrical

  • Need any GFCI?

  • Are there any electrical plug(s) or box(es) not covered or are otherwise broken?

  • Are there any open / exposed wires on the property? (on equipment or building wiring)

  • Fuse box obstructions - Are there any items stored within 36" in front of any breaker box?

  • Do all breaker boxes have doors that are well fitted and shut properly? Are they shut when not being actively accessed?

  • Are all breakers individually labeled?

Emergency Action Plans

  • Is the diagram of the property displayed in an employee visible area(s)?

  • Does the diagram show the fire extinguishers?

  • Has the Emergency Action Plan been trained to all employees? (for example: designated meeting area, remain in safe area until dismissed, who can/can not use a fire extinguishers)

  • If the property has emergency lights, are the back-up batteries working? Test Each

Environmental

  • Are the areas around all hydraulic systems (power packs) clean and dry?

Eyewash Stations

  • Are the eyewash stations clean, unblocked and in good working order?

  • Are the caps/covers in place over the eye flushing spouts?

Extension Cords

  • Is there any fixed/unmovable equipment that is powered with the aid of an extension cord?

  • Do any extension cords have broken grounds, twists in the cord, exposed wires, or repairs covered with electrical tape?

  • Do you see 2 extension cords plugged together so to extend the cord?

Fire Extinguishers

  • Are all extinguishers baring current inspection tags?

  • Are they hung on the wall, accessible and unblocked?

  • Can the Manager demonstrate proper use?

  • Can the Manager quote Company policy regarding authorized users?

  • Can the manager define the "insipid stage"?

Flammable Storage

  • Are all paint cans located in one isolated area well away from combustible materials?

  • Are all gas cans metal and are they stored in an area that are isolated well away from combustible materials?

Handbooks

  • Do they have adequate stock of Safety Handbooks?

  • Do they have adequate stock of Employment Handbooks?

  • Have all employees been given both handbooks? Did the random employee file check include both sign-off pages?

Heat Illness Prevention

  • Can the Manager quote measures from our Heat Illness Prevention guidelines?

  • Can the manager name the 3 components of heat?

  • Can the manager name the 3 components of prevention?

  • Does the manager understand, "acclimation"?

  • Are Heat Illness poster posted?

Hot water

  • Is there hot water in all bathrooms?

Housekeeping - Are the following clean and in good order?

  • Lobby

  • Chemical Room(s)

  • Office(s)

  • Rest Rooms

  • Behind the building

  • Processing Areas

  • Detail Bays

  • Storage Room(s)

  • Employee Break Room(s)

Ladders

  • Are all Ladders in good condition? And only Fiberglass / rated 1A or 1AA?

Lighting

  • Are all the lights in working order, and using the same color-tone bulbs?

  • Is the outdoor lighting adequate for nighttime safety?

Lock Out / Tag Out

  • Does the Manager understand the use of the tunnel locks and keys?

  • Can the manager list at least 3 circumstances when the tunnel equipment should be locked out?

  • Are the tunnel keys in place?

  • If nonfunctioning equipment has exposed wires, covers removed, or guards removed then the equipment must be tagged out. Has this been done?

Machine Guarding

  • Are there any missing guards?

  • Is there a grinder located at the property? If so, is the guard in place and set within OSHA specs?

Material Safety Data Sheets ("MSDS")

  • Is the book well located in a visible and accessible area?

  • Is it up to date? Did it pass the random chemical check?

Noise Exposure and Personal Protective Equipment ("PPE")

  • Are ear plugs located near the blowers?

  • Are the exit-end employees using ear protection?

  • Are the Detail bays supplied with goggles, hearing protection, gloves, and masks?

Overhead Storage

  • Is the overhead storage excessive or bulky? Do any items exceed 20 pounds?

Signage

  • Is appropriate signage in place? Example: AUTHORIZED EMPLOYEES ONLY, PPE, NO EATING & DRINKING...

  • Are the employment posters and Wash Depot posters located in the break-room?

Training

  • Does the Manager's computer have a folder containing current safety training videos?

  • Have all non-management employees been shown the new hire safety non-management video?

  • Are all new employees given a safety walk-thru tour of the property?

Trench

  • Are the grates well fitted and safe?

Trip Hazards

  • Are the curbs painted?

  • Are the customer walkways clear and well defined?

  • Is there broken pavement that needs to be addressed?

  • Are the steps painted? Do they need a non-slip tape or treatment?

Unimac Lock

  • Are the Unimac locks in good working order?

Other

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.