Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Section 1 Previous Inspections

  • 1.1- Has the previous inspection been reviewed with location management?

  • 1.2- Have corrective action been completed?

Section 2 - General Housekeeping

  • 2.1- Area is free of spills or scattered material?

  • 2.2- Safety demarcation lines present and visible where necessary?

  • 2.3- Ventilation system operating appropriately?

  • 2.4- Floor ventilation unobstructed?

Section 3 - Labeling & Warning Signs

  • 3.1- Are labels present?

  • 3.2- Are the appropriate labels being used? Waste vs. Virgin Material?

  • 3.3- Are waste labels filled out correctly? Accumulation start dates?

  • 3.4- Hazardous placards appropriately posted?

Section 4 - Containers & Storage

  • 4.1- Are drums/containers in satisfactory condition?

  • 4.2- Is there appropriate secondary containment being utilized?

  • 4.3- Flammable storage cabinets self closing?

  • 4.4- Are drums sealed with caps/lids tight when not in use?

  • 4.5- Incompatibles stored separately?

  • 4.5- Dispensing equipment grounded and bonded appropriately?

Section 5 - Compressed Gas Cylinders

  • 5.1- All compressed gas cylinders/cylinder trollies secured with two chains?

  • 5.2- Cylinders labeled clearly identifying contents?

Section 6 - Emergency Response

  • 6.1- Emergency Action Pamphlet posted?

  • 6.2- Eye wash/shower station functioning correctly?

  • 6.3- Department personnel trained on Emergency Response procedures?

  • 6.4- Spill control equipment posted in a readily accessible location near the site?

Section 7 - Fire Safety

  • 7.1- Fire extinguishers present, accessible, and serviced appropriately?

  • 7.2- Emergency shut off clear of obstructions and clearly marked?

Section 8 - Administrative

  • 8.1- Has applicable personnel been briefed on emergency procedures?

  • 8.2- MSDS readily available in binders?

  • 8.3- Hazardous Communication Program training records current?

SIGN OFF

  • Inspector Conducting Audit

  • Site Representative- Please print a copy of this inspection and send a signed copy to Safety when all deficiencies have been corrected.

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