CH2M State & Local Governments - HSE Office Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Office Information

• Office

• Address
  Address

• Date & Time

  Date

• Observers

• Add media

  Media

Administrative

• Visitor Safety & Security Brochure current and available?

  Yes

  No

  N/A

• Receptionist cards are current and available?

  Yes

  No

  N/A

• Personnel wearing employee badges?

  Yes

  No

  N/A

• Files correctly managed, not creating clutter?

  Yes

  No

  N/A

• HR has current employee emergency contact information?

  Yes

  No

  N/A

• HSE Bulletin Board is current, including Occupational Health Nurse phone number?

  Yes

  No

  N/A

• Regulatory posters displayed?

  Yes

  No

  N/A

• Dangerous Goods training is current (mailroom staff)?

  Yes

  No

  N/A

Emergency Preparedness

• Emergency response action sheets current and posted?

  Yes

  No

  N/A

• Emergency evacuation route map posted?

  Yes

  No

  N/A

• Access and egress routes unobstructed?

  Yes

  No

  N/A

• Emergency lighting working properly?

  Yes

  No

  N/A

• Fire sprinklers, strobes and pull handles in working condition, undamaged and unobstructed?

  Yes

  No

  N/A

• Fire extinguishers properly mounted, fully charged, marked, accessible and inspected monthly?

  Yes

  No

  N/A

• All exit paths from employ work areas to evacuation route clear of all obstructions?

  Yes

  No

  N/A

• Floor Marshall list posted?

  Yes

  No

  N/A

• AEDs present, and inspected monthly?

  Yes

  No

  N/A

• List of Emergency Responders (FA/CPR/AED trained) posted close to the AED units?

  Yes

  No

  N/A

• First Aid Kits inspected monthly?

  Yes

  No

  N/A

• Bloodborne Pathogen kits inspected monthly?

  Yes

  No

  N/A

• Disaster Kits inspected monthly?

  Yes

  No

  N/A

• Emergency weather radio operational?

  Yes

  No

  N/A

Cubes and Offices

• Floors in individual cubes/offices are free of clutter and tripping hazards?

  Yes

  No

  N/A

• Electrical and phone cords are safely located and not creating a trip hazard?

  Yes

  No

  N/A

• All electrical cords are in good condition and outlets are not overloaded?

  Yes

  No

  N/A

• Stacks of work material are not excessively high and creating potential to fall over?

  Yes

  No

  N/A

• Files are in cabinets and not on floor?

  Yes

  No

  N/A

• Keys are removed from drawers to eliminate bump hazards?

  Yes

  No

  N/A

• Filing cabinets and desk drawers are closed when not in use?

  Yes

  No

  N/A

• Shelving is secured to prevent tip over?

  Yes

  No

  N/A

• Heavy objects are stored on lower shelves and not on top of cabinets where they may fall?

  Yes

  No

  N/A

• Tops of storage towers in cubes kept free of materials?

  Yes

  No

  N/A

• Personal appliances not in work space (heaters, coffee makers, refrigerators, etc.)?

  Yes

  No

  N/A

• Chemicals, compressed gas cylinders or chemical samples not stored in cubes or with field equipment?

  Yes

  No

  N/A

• Employees are practicing good ergonomics (equipment in easy reach, neutral positioning)?

  Yes

  No

  N/A

• All WBG staff have completed an Ergonomic Self-Evaluation within the past two years?

  Yes

  No

  N/A

General Office Areas

• Stairwells clear of materials, with adequate illumination?

  Yes

  No

  N/A

• Floors in the lobby, reception area, kitchen and bathrooms free of water and slippery conditions?

  Yes

  No

  N/A

• Refrigerators clean and sanitary (cleaned monthly)?

  Yes

  No

  N/A

• Conference rooms neatly maintained, with electrical cords controlled?

  Yes

  No

  N/A

• Window sills clear?

  Yes

  No

  N/A

• Ceilings free of hanging items?

  Yes

  No

  N/A

• Aisles, walkways and work areas are free of trip and fall hazards, with a clear path maintained?

  Yes

  No

  N/A

• Flooring material is in good condition without tears in carpet or uneven surfaces?

  Yes

  No

  N/A

• Floor mats placed where they are needed?

  Yes

  No

  N/A

• Floor mats are in good condition without curled edges?

  Yes

  No

  N/A

• Receptacles and covers in good condition?

  Yes

  No

  N/A

• Electrical panels accessible?

  Yes

  No

  N/A

• File cabinet drawers kept closed and not in walkways?

  Yes

  No

  N/A

• File cabinets stable and secure, with heavy files in bottom drawers?

  Yes

  No

  N/A

• All lights are working?

  Yes

  No

  N/A

• Sprinkler heads have 18" clearance?

  Yes

  No

  N/A

• Department storage areas neatly maintained?

  Yes

  No

  N/A

• Chemicals, compressed gas cylinders or chemical samples not kept in storage areas or with field equipment?

  Yes

  No

  N/A

• Chemical inventory been completed?

  Yes

  No

  N/A

• Chemicals not stored with food?

  Yes

  No

  N/A

• Signs and barriers are used when needed (wet floor, etc.)?

  Yes

  No

  N/A

• Spills are promptly wiped up (break rooms)?

  Yes

  No

  N/A

• Access to fire extinguishers and electrical panels is not blocked?

  Yes

  No

  N/A

• Employees are using hand rails when using stairs?

  Yes

  No

  N/A

• Employees pay attention to where they are walking?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

• Summary

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