• Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Administration & Record Keeping

DOT Compliance

  • Drivers work less than 60 hours in 7 consecutive days.

  • Drivers meet the 100 air mile radius record keeping exemption, if not logs are completed.

  • CDL holders drive less than 11 hours daily.

  • Drivers never drive after 14 hours of being on the clock.

  • Drivers are off-duty for a minimum of 10 hours.

  • Are VCRs completed on a daily basis for each vehicle?

  • Are VCRs filed be vehicle for prior 90 days?

  • Are defects noted on VCR and repaired before truck goes out?

  • Is there an adequate process in place for keeping driver DOT files up to date?

  • Are DOT files complete?

Other Record Keeping

  • Are certificates of insurance for all vendors and subcontractors kept up to date?

  • Are assigned employees offered the Hepatitis B vaccine within 10 days?

  • Have assigned employees who have refused vaccine signed a declination form?

  • General Facility

Prior Inspection

  • Has the last inspection been reviewed?

  • Are there any outstanding actions?


  • Is hand soap or other similar cleaning agents and warm water provided?

  • Are hand towels or some other means of drying the hands available?

  • Are waste disposal containers emptied as needed?

  • Are first aid kits available and maintained? Any items expired?

  • Are lunchrooms, rest rooms and break rooms kept clean?

  • Are eyewash stations (and safety showers) clean, operable and accessible?

  • Are toilets and washing facilities clean and sanitary?

Posters Logs and Data Sheets

  • Company rules and regulatory required postings up. Bulletin board kept current? (Job Safety and Health Protection, Employees Rights and Responsibilities, Employee’s Rights and Responsibilities, Hearing Conservation Standard)

  • Is the injury record (OSHA 300 log) maintained up to date? (Any new recordable injury must be recorded within 7 days of the injury date.)

  • Are Material Safety Data Sheets in MSDS binder up-to-date?

  • Is RRED ONE plan up to date in MSDS binder?

  • Is Hazard Communications plan in MSDS binder up to date?

  • Is there a Blood Borne Pathogens Exposure Control Plan in the MSDS binder?

  • Are hazard assessments on file in MSDS binder?

Fire Protection, Emergencies and Exits

  • Are exterior and interior lights adequate and all in working order?

  • Are exits and aisles leading to exits visible, clearly marked, kept clean and with a pathway at least 28 inches wide? Exit signs illuminated, if applicable?<br>

  • Are portable fire extinguishers kept at their designated places at all times (accessible, mounted, charged, pinned and sealed) except during use?<br>

  • Are reels properly rolled and stored?<br>

  • Is the minimum vertical clearance between automatic sprinklers and material below them at least 18 inches (36 inches for bales)?<br>

  • Are “No Smoking” signs posted in required areas: fuel area, painting department, battery charging and storage area, etc., with no sign of cigarette butts in the areas?

  • Test emergency lighting equipment as required.

Walking/Working Surfaces

  • Are floor openings and platforms or workstations 48” or higher guarded by a cover, a guardrail, or equivalent on all sides?<br>

  • Are grates or covers over floor openings such as floor drains, secured?

  • Are step risers on stairs uniform from top to bottom?

  • Are steps on stairs and stairways provided with a surface that renders them slip resistant? Handrails provided?<br>

  • Are aisles and passageways kept clear and marked as appropriate?

  • Are wet surfaces cleaned up or covered with non-slip materials?

  • Are changes of direction or elevations readily identifiable? (painted yellow)

  • Are aisles and walkways protected from potential hazards of adjacent work areas?


  • Are ladders numbered and in good condition with slip proof feet and no cracks, paint or splinters on the rungs?

  • Maintenance Areas

Lockout/Tag Out

  • Are assigned locks, wheel covers and tags available?

  • Are all energy isolating devices capable of being locked out?

  • Is an appropriate tag out system used if devices can’t be locked out?

  • When a tag out device is used it is equivalent to lockout program?

  • Are lockout devices substantial enough to prevent removal?

  • Are tag out devices, substantial enough to prevent inadvertent removal?

  • Does Lockout/Tag out devices indicate the identity of the employee?

  • Does tag out devices warn against hazardous conditions: Do Not Operate?

  • Are the authorized employees trained & certified?

Housekeeping and Personal Protection

  • Are closed containers provided for soiled rag disposal?

  • Are unused portions of service pits and pits not actually in use either covered or protected by guardrails or equivalent?

  • Are employees who are exposed to the hazards created by welding, cutting or brazing operations protected by appropriate personal protective equipment?

  • Are suitable gloves, hearing protection, and protective clothing worn as necessary?

  • Are appropriate safety glasses, face shields, etc. used while using hand tools or abrasive wheels or equipment which might produce flying materials or be subject to breakage?

  • Are respirators being used and if so were employees trained and fit using company programt?

Cranes, Hoists and Slings

  • Is the rated load of the crane, hoists and slings (for each type of hitch) plainly marked on each component?

  • Are all functional operating mechanisms checked on a daily basis for maladjustment that could interfere with proper operation?

  • Are lines, tanks, valves, drain pumps and other parts of the air or hydraulic systems inspected daily?

  • Is a Chain, Sling and Hoist Inspection program implemented?

  • Are cranes used only by designated personnel in accordance with their rated load and operation specifications with brakes tested each time a load approaching the rated limit is handled? Does the operator test them?

  • Is each sling in use free from excessive wear or defects and securely attached to their load when in use?

Electrical and Fire Safety

  • Are combustible liquids (fuel, lubes, solvents, paints, etc.) stored in a proper manner?

  • Are flammable liquids contained in approved safety cans and (except aerosol cans) stored in a fire resistant cabinet?

  • Are electrical circuit breakers (and fuel pump switches) identified and labeled and are outlet boxes in good condition?

  • Are electric cords, extension cords, and trouble lights are of approved 3-wire ground type and in good condition?

  • Is pressure washer in good working order? (hoses, vent, and fuel lines)

  • Are parts washer lid and fusible link in working order?

  • Are overhead doors and controls in good working order?

Welding, Burning and Brazing

  • Are welder cables, clamps and guards in good condition and are torch hoses, regulators and valves equipped with anti-flash back valves?

  • Is welding conducted in designated areas, at least 35 feet from combustible materials, spray painting, etc.?

Compressed Gas Cylinders

  • Are cylinders legibly marked and labeled to clearly identify the gas contained?

  • Are oxygen and acetylene (or other fuel) tanks properly stored and secured, separated by 20’ or with a 5’ high fire resistant wall between oxygen and fuels?

  • Are cylinders stored in areas that are protected from heat and flame, located at least 25 feet from electrical equipment and people and at least 20 feet from flammable liquids or combustible materials?

  • Are cylinders transported in a manner to prevent them from creating a hazard by, falling or rolling?

  • Are all valves closed off before a cylinder is moved, when the cylinder is empty, and at the completion of each job and are valve protectors used when cylinders are not in use?

Compressors and Compressed Air

  • Are compressors equipped with pressure relief valves, pressure gauge, and spring-loaded safety valves, a totally enclosed belt drive system, and are air filters installed and maintained on the compressor intake?

  • Are no valves of any type placed between the air receiver and its’ safety valve(s) and is safety valve in good condition? (test the valve’s operation)

  • Are all receivers periodically drained of moisture and oil and are they lubricated in accordance with the manufacturer’s recommendations?

  • Is the inlet of air receivers and piping systems kept free of accumulated oil and carbonaceous materials?

  • Are air guards used for cleaning equipped with chip guards and operable dead-end pressure regulators of 30 psi, and reduced to less than 10 psi, if used to clean off clothing?

  • When using compressed air for cleaning, do employees wear personal protective equipment?

Machine Guarding

  • Is tire repair equipment in good working order?

  • Do fixed grinders have side guards that cover the spindle, nut, and flange and 75% of the wheel diameter, a tool rest adjusted to within 1/8” and a tongue guard adjusted to within 1/4” of wheel?

  • Before new abrasive wheels are mounted, are they visually inspected and ring tested?

Hand Tools, Power Operated Tools and Equipment

  • Are all tools and equipment (both company and employee-owned) in good condition and used with the correct shield, guard, or attachment, recommended by the manufacturer?

  • Are hand tools such as chisels, punches, wrenches, etc. which are worn, bent or mushroomed during use, reconditioned or replaced as necessary?

  • Are appropriate handles used on files and similar tools?

  • Are jacks checked periodically to assure they are in good operating condition?

  • Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping?

  • Are rotating or moving parts of equipment guarded to prevent physical contact?

  • Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?

  • Are portable fans provided with full guards or screens having openings 1/2” or less?

  • Are ground-fault circuit interrupters provided on all temporary electrical 15 and 20-ampere circuits, used during periods of construction?

  • Are pneumatic and hydraulic hoses on power-operated tools checked regularly for deterioration or damage?

  • Operation Areas

Personal Protection

  • Is ventilation system functioning adequately? (Static pressure drop at the exhaust ducts leading from the equipment should be checked periodically to assure satisfactory operation)

  • Is protective eye and face equipment worn where required and are safety glasses worn over corrective lenses or do corrective lenses conform to ANSI Z-87.I-1968? (Shatter Proof Lenses)

  • Are hard-hats worn where there is risk of impact and penetration from falling and flying objects and are safety shoes or work boots worn as required?

  • Are appropriate gloves worn?

Materials Handling and Storage

  • Are aisleways and passageways kept clean and in good repair and are there no obstructions across aisleways that could create a hazard?

  • Does the storage of material not create a hazard - stacked, blocked, interlocked and limited in height to ensure they are stable and secured against sliding or collapse?

  • Are storage areas kept free from accumulation of materials that constitute hazards from tripping, fire, explosion or harborage of pests?

  • Where mechanical handling equipment is used, are there sufficient safe clearances allowed for aisles, at loading docks, through doorways and wherever a turn or passage must be made?

Powered Industrial Trucks - Maintenance and Fueling

  • Are all nameplates and markings in place and legible on powered industrial trucks?

  • Are industrial trucks kept in a clean condition, free of lint, excess oil and grease?

  • Is directional lighting provided on each industrial truck(s)?

  • Does each industrial truck(s) have a warning horn, or other device which can be clearly heard above the normal noise in the areas where operated?

  • Does each industrial truck have a reverse signal alarm audible above the surrounding noise level?

  • Are the brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded and does the parking brake effectively prevent the vehicle from moving when unattended?

  • Are industrial trucks when found to be in need of repair, defective, or in any way unsafe taken out of service and repaired by an authorized mechanic using replacement parts that are equal to the original in safety?

  • Are fuels storage and handling areas (gasoline, diesel or liquefied petroleum gas) clean, free from combustibles and cigarette butts, is there always metal contact between the container and the fuel tank and are fuel tank caps replaced and secured before starting the engine?

Powered Industrial Trucks - Operations

  • Are powered industrial trucks driven by authorized personnel only?

  • Is an examination of industrial trucks made at least daily and after each shift?

  • Are the brakes of highway trucks set and wheel chocks placed under the rear wheels (lock between dock and ICC bar) while trucks are boarded with powered industrial trucks?

  • Are fixed jacks used to support a semitrailer during loading and unloading when the trailer is not coupled to a tractor?

Electrical Safety

  • Is each disconnect legibly marked to indicate its purpose?

  • Is clear working space in front of an electrical panel maintained at no less than 36”?

  • Is illumination provided for all working spaces about service equipment, switchboards, panel-boards and motor control centers installed indoors?

  • Are all live parts of electrical equipment operating at 50 volts or more guarded against accidental contact?

Machine Guarding

  • Have all hazards from points of operation, ingoing nip points, rotating parts, flying chips, sparks, moving chains, gears, pulleys and belts (within 7 feet of the floor) been guarded?

  • Are guards securely affixed to the machine or secured elsewhere if attachment to the machine is not possible and is the guard designed so that it does not create an accident hazard in itself?

  • Are machines in fixed locations securely anchored and kept clean and properly maintained?

  • Are revolving drums, barrels and containers guarded by an enclosure that is interlocked with the drive mechanism, so that revolution cannot occur unless the guard enclosure is in place?

  • Yard/Property

Location Security

  • Is there an over-height chain, device, or sign indicating 13'6" at yard exit?

  • Is there standing water in the yard?

  • Is fence area in good condition?

  • Are unused gates locked?

  • Is there adequate lighting around the property?

  • Is proper signage for company standards located throughout the property?

Container Standards

  • Are containers marked indicating compliance with ANSI standards?

  • Are roll-off containers marked with appropriate signage warning of potential hazards?

Truck Standards

  • Are original manufacture labels as well as ANSI standard labels on trucks and visible?

  • If riding steps are provided, do they meet the following criteria:<br>1) Self-cleaning, slip resistant surface?<br>2) Capable of supporting 500 pounds?<br>3) No more than.(24 inch) above the road surface?<br>4) Hand-holds positioned correctly and a static load of 500 pounds?<br>5) Depth of at least 8 inch and provide 220 square Inches of surface area?<br>

  • Are back-up alarms functioning on all trucks?


  • Is secondary containment provided for all bulk tanks when total storage exceeds 1320 gallons?

  • No loose combustible material, drums or barrels stored within the containment wall?

  • Is containment area drainage closed and locked?

  • Are drainage reports maintained for containment areas?

  • Are tanks “fail safe”:<br>- Level gauges<br>- High level alarm with audible signal<br>- High liquid level pump cutoff device<br>- Remote Emergency shutoff switch<br>

  • Are tanks are labeled with content and maximum amount?

  • Is there a high volume spill response kit (55 gallon drum) available?

  • Empty chemical bottles / containers disposed of accordingly to environmental requirements?

  • Always being separated (examples: waste waters, oils, contaminants)?

Closing Comments

  • Summary:

  • On-site Representative

  • Auditor

  • Select date

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.