WMC HSE Monthly Audit

• District

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• Conducted on

  Date
• Location
  Address

HSE AUDIT

Section 1 - Hazard Communication

• Do all employee have complete and up to date GHS training?

  Yes

  No

  N/A

• Are SDS's readily accessible for all personnel?

  Yes

  No

  N/A

• Are all primary chemical containers properly labeled with GHS labels?

  Yes

  No

  N/A

• Are all secondary containers properly labeled with GHS labels?

  Yes

  No

  N/A

• Are all containment sealed, drains closed, and free of dirty and debris?

  Yes

  No

  N/A

• Is a chemical inventory list or index maintained and up to date?

  Yes

  No

  N/A

• Are all flammable liquids stored in approved containers?

  Yes

  No

  N/A

Section 2 - Machine Guarding

• Are all machine guards in good working condition?

  Yes

  No

  N/A

• Is appropriate machine guarding in place to prevent access to moving wire

  Yes

  No

  N/A

• Are all rotating parts guarded and shielding appropriately?

  Yes

  No

  N/A

• Are power saws, hand grinders, and other power tools equipped with the proper guarding?

  Yes

  No

  N/A

• Are all the tool rests (1/8 inch) and tongue guards (1/4 inch) are properly set for all bench grinders?

  Yes

  No

  N/A

Section 3 - Electrical Safety

• Are all electrical connections on light fixtures properly covered?

  Yes

  No

  N/A

• Are all breakers properly marked?

  Yes

  No

  N/A

• Are all unused openings blocked or blanks inserted in electrical panels?

  Yes

  No

  N/A

• Are all cables in good working condition, free of splices and exposed wires?

  Yes

  No

  N/A

• Are extension cords used for temporary use only?

  Yes

  No

  N/A

• Do all cords have the grounding pin secured?

  Yes

  No

  N/A

• Are cords and terminal ends protected with strain relief?

  Yes

  No

  N/A

• Are all electrical receptacles/outlets fitted with the approved tight-fitting covers?

  Yes

  No

  N/A

• Are all live parts of electrical equipment adequately protected again accidental contact?

  Yes

  No

  N/A

• Is access to breaker panels, disconnect unobstructed and kept clear?

  Yes

  No

  N/A

Section 4 - Walking-Working Surfaces

• Are all open pits and electrical trenches covered and warning signs in place?

  Yes

  No

  N/A

• Are all walking and working surfaces free of slip, trip, and fall hazards?

  Yes

  No

  N/A

Section 5 - Lock Out Tag Out

• Has annual LOTO training been completed for all affected employees?

  Yes

  No

  N/A

• Have all employees completed a LOTO competency evaluation in the past 365 days?

  Yes

  No

  N/A

• Has the annual review of all LOTO procedures (including AMs) been accomplished in the past 365 days?

  Yes

  No

  N/A

• Do all employees have personal locks with IDs?

  Yes

  No

  N/A

Section 6 - Permit- Required Confined Space

• Are all site permit required confined spaces listed and documented?

  Yes

  No

  N/A

• Are all employees current on their annual confined space training?

  Yes

  No

  N/A

• Are PRCS signs posted at or near entry to confined space?

  Yes

  No

  N/A

Section 7 - Fall Protection

• Are all employees current on their annual fall protection training?

  Yes

  No

  N/A

• Have all fall protection devices been inspected and logged by a competent person?

  Yes

  No

  N/A

• Are all ladderways protected with guardrails, gates, and toeboards?

  Yes

  No

  N/A

• Are all employee walking and working surfaces protected from fall above 4 feet?

  Yes

  No

  N/A

Section 8 - Exit Routes

• Are all exit routes clearly marked and unobstructed for exit?

  Yes

  No

  N/A

• Are all emergency exit light battery backup units operational?

  Yes

  No

  N/A

Section 9 - Fire Protection

• Are all fire extinguishers properly inspected on the monthly and annual inspection?

  Yes

  No

  N/A

• Are all fire extinguishers unobstructed?

  Yes

  No

  N/A

• Are sprinklers tested and inspected in accordance to NFPA standards?

  Yes

  No

  N/A

• Is a minimum clearance of 18 inches maintained below all sprinkler heads?

  Yes

  No

  N/A

Section 10 - PPE

• Are all employees observed using the correct PPE for the task and hazard?

  Yes

  No

  N/A

Section 11 - Emergency Response

• Has the site emergency plan been reviewed with all personnel in the last year?

  Yes

  No

  N/A

• Has the EAP been reviewed in the past 365 days?

  Yes

  No

  N/A

• Are employees designated by name or title and trained to assist in an evacuation?

  Yes

  No

  N/A

• Does the facility have a fire prevention plan that lists the major fire hazards and potential ignition sources?

  Yes

  No

  N/A

• Does the fire prevention plan list all of the fire protection equipment available to control the major fire hazards?

  Yes

  No

  N/A

Section 12 - Respiratory Protection

• Have all personnel completed their annual respiratory protection training?

  Yes

  No

  N/A

• Do all personnel have a current fit test if required for their job and the hazard?

  Yes

  No

  N/A

Section 13 - Fork Lifts

• Are all fork lifts in good working conditions without safety defects?

  Yes

  No

  N/A

• Are pre-use inspection complete for all operational fork lifts?

  Yes

  No

  N/A

• Are all personnel certified to use forklifts that are required for their jobs?

  Yes

  No

  N/A

• Are all operators observed wearing seat belts while in usage?

  Yes

  No

  N/A

Section 14 - Bloodborne Pathogens

• Has the annual Bloodborne pathogens train been complete by all personnel?

  Yes

  No

  N/A

• Are all personnel up to date on vaccinations that are required to respond to Bloodborne pathogen emergencies?

  Yes

  No

  N/A

• Is documented BBP Exposure Control Plan in Place?

  Yes

  No

  N/A

• Has the BBP Exposure Control Plan been reviewed in the past 365 days?

  Yes

  No

  N/A

• Is the appropriate PPE for a BBP emergency provided?

  Yes

  No

  N/A

Section 15 - Medical and First Aid

• Are medical and first aid kits inspected and stocked with non-expired materials?

  Yes

  No

  N/A

• Are all employee First Aid, CPR, and AED certificates up to date?

  Yes

  No

  N/A

• Are eye wash station operational and unblocked for operation?

  Yes

  No

  N/A

Section 16 - Occupational Noise Exposure

• Have annual hearing test been completed in the past 365 days for all employees?

  Yes

  No

  N/A

• Has a sound/noise survey been completed for the facility?

  Yes

  No

  N/A

Section 17 - Cranes and Hoists

• Has a annual 3rd party certification been completed on all cranes?

  Yes

  No

  N/A

• Has a pre-use inspection been completed on all operational cranes and rigging?

  Yes

  No

  N/A

• Are below the hook inspections being completed on a regular basis?

  Yes

  No

  N/A

• Are all employees trained on the operation of the crane to include a competency evaluation?

  Yes

  No

  N/A

• Are all lifting devices being inspected/certified and in good working order?

  Yes

  No

  N/A

• Is the pendant correctly labeled?

  Yes

  No

  N/A

• Is the rated load marked and visibly legible from the ground for all cranes and hoists?

  Yes

  No

  N/A

• Do all lifting hooks have functional safety latches?

  Yes

  No

  N/A

Section 18 - OSHA 300 Log Record keeping

• Is the OSHA 300 and 301 log up to date?

  Yes

  No

  N/A

Section 19 - Aerial Work Platforms

• Are employees adequately trained with aerial work platforms?

  Yes

  No

  N/A

• Are aerial work platforms inspected prior to use?

  Yes

  No

  N/A

Section 20 - Compressed Air

• Are all air nozzles equipped with relief ports and relief ports are unblocked?

  Yes

  No

  N/A

Section 21 - Compressed Gas Cylinders

• Are all compressed Gas Cylinders Secured?

  Yes

  No

  N/A

• Are all cylinders closed and regulator gauges relieved of pressure if not in use?

  Yes

  No

  N/A

Section 22- Portable Ladders

• Are all ladders in good working order with appropriate warning labels?

  Yes

  No

  N/A

• Are ladders that are stored upright, properly secured?

  Yes

  No

  N/A

Section 23 - Loading Docks

• Are dock locks in good working condition?

  Yes

  No

  N/A

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