Audit Date
Date
Auditees
Sign
GENERAL WORK ENVIRONMENT
ARE ALL WORKSITES CLEAN, SANITARY, AND ORDERLY?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE APPROPIATE TRASH CONTAINERS USED AND EMPTIED?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE AISLES AND EXITS KEPT CLEAR AND EXIT SIGNS LIT?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE FLOORS, SIDEWALK OR OTHER SURFACES REPAIRED PROPERLY, COVERED OR OTHERWISE MADE SAFE?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE FIRE EXTINUISHERS SERVICED, MAINTAINED AND TAGGED AT INTERVALS NOT TO EXCEED 1 YEAR?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
IS ALL OTHER EQUIPMENT PROPERLY STORED AND TAGGED?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE EXTENSION CORDS OR OTHER WIRING IN GOOD CONDITION?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE ALL LIGHTS IN AREA WORKING?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE STAIRS AND STEPS MARKED FOR ELEVATION CHANGE?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE ADT ALARM PANELS IN AREA WORKING PROPERLY?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE FIRE ALARM PULL STATIONS ACCESSIBLE?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE SECURITY PRECAUTIONS IN AREA IN GOOD CONDITION?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
STORAGE AREAS / ENVIRONMENTIAL
ARE ALL CONTAINERS PROPERLY LABELED AND STORED PROPERLY?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE PRODUCTS STORED AND SEPARATED PROPERLY FOR HAZ CLASS?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE CONTAINERS KEPT CLOSED WHEN NOT IN USE AND PROPERLY GROUNDED WHEN IN USE?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE EYE WASH AND SAFETY SHOWERS IN AREA, COVERED PROPERLY, CLEAR OF OBSTRUCTIONS AND IN WORKING ORDER?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
IS ALL REQUIRED P.P.E. BEING WORN BY EMPLOYEES IN AREA?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
IS ALL PIPING PROPERLY LABELED AND HAVE DIRECTION ARROWS?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE LADDERS IN GOOD CONDITION AND STORED PROPERLY?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE CONTAINMENT APPLICATIONS IN PLACE?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE DRAINS AND /OR DRAIN PLUGS OK?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
ARE THERMOMETERS IN AREA WITHIN CALIBRATION RETEST DATE?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
IS TEMPERATURE WITHIN RANGE STATED FOR AREA?
YES
CREATE WO
SUPERVISOR ACTION
IMMEDIATE ACTION
NA
DEFECT #1
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #2
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #3
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #4
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #5
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #6
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #7
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #8
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #9
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #10
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #11
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #12
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #13
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #14
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
DEFECT #15
WORK ORDER
SUPERVISOR ACTION
IMMEDIATE ACTION
link copied
Tom Finkler
Webb’s EH&S Audit Checklist - Building 2
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