Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

General

  • Are hazard signs used to warn and identify hazards?

  • Is the OSHA 300a signed and posted between 1 Feb and the end of April?

  • Are Emergency numbers posted by phones?

  • Are workplace injuries and illnesses being recorded on the OSHA log?<br>

  • Is the Department of Labor poster posted (OSHA Poster)?

Hazardous Communication

  • Are chemical containers closed and stored properly?

  • Are all chemical containers labeled with the contents?

  • SDS sheets available for all chemicals?

  • Is chemical inventory up to date?

  • Are incompatible chemicals stored separately (eg., acids stored separately from bases, oxidizes separate from flammable)?

Fire Protection and Prevention

  • Are exit lights properly illuminated and emergency lighting operable?

  • Are fire aisles, exit ways, stairways, and fire equipment kept unobstructed?<br>

  • Are all fire extinguishers and/or hose stations clearly identified?

  • Are all fire extinguisher fully charged, tagged and are tags up to date?

  • Are fire extinguishers adequate in number and type?

  • Are flammable chemicals stored in approved containers?

  • Are fire proof safety cabinets used for storing of flammable and combustible chemicals?<br>

  • Are flammable storage cabinets labeled with " Flammable-Keep Fire Away"?

  • Are sprinkler heads protected by metal guards?

  • Are sprinkler heads clean and no storage within 18 inches?

  • Are combustible metals kept at least 35 feet away from welding operations or open flames?

  • Are flammable gas cylinders and oxygen cylinders separated by 20 ft, or by a 5 foot barrier that provides for 30 minutes of burn time?<br>

  • Are covered metal containers used for oily rags and paint soaked waste?<br>

Hazardous Waste

  • Are waste storage areas (bins and totes) designated?

  • Are waste containers properly labeled(chemical components)?

  • Are waste containers compatible with waste to be stored?

  • Are only compatible chemical waste stored in the same container?

  • Are waste containers kept closed except when adding waste?

Fall Protection

  • Are employees working 4 ft (general industry) and 6 ft (construction) off the ground?

  • Are employees protected from falls by the us of a guard rail system, safety net system, or personal fall arrest system?

  • Are tools and material protected from falling down to lower levels?

  • Are employees trained in fall protection?

  • Are harnesses inspected by a competent person before each use?

  • Are harness being worn properly?

  • Are lanyards in good condition and have been inspected?

  • Are employees tied off to proper anchor points?

  • Are guard rails and toe boards properly constructed?

Compressed Air and Compressed Gases

  • Are air compressors equipped with pressure gauges and pressure relief valves?

  • Are compressed air piping, hoses and fittings in good condition?

  • Are all compressed gas cylinders adequately secured with non-combustible restraints to the cylinders to prevent them from falling, and are they being capped when not in use?

  • Are Gas Cylinders legibly marked as to their contents and stored away from high heat? Flames, etc.?

  • Are Gas Cylinders transported on cylinder carts?

  • Are empty gas cylinders labeled "empty," valves closed, and caps on?

  • Are the proper type of regulator used for the type of gas cylinder in use?

  • Are Oxygen and Acetylene in storage separated by 5' noncombustible barrier?

  • Are cylinders capped when not in use?

Confined Space

  • Are all confined spaces and permit required confined spaces identified?

  • Are all confined spaces properly labeled " Danger Confined Space- Do Not Enter"?

  • Is there a written confined space program?

  • Are permits provided and filled out for Permit Required Confined Space Entry?

  • Have confined space entrants and attendants been properly trained?

Electrical Safety

  • Are all electrical panels labeled with the appropriate voltages?

  • Is a 3 foot area around all electrical panels kept free of obstructions?

  • Are all electrical equipment and power tools properly grounded or double insulated? (Ensure founding pins have not been removed and 3- pin to 2-pin adapters are not used)

  • Are electrical tools and equipment used near wet areas protected with GFCI?

  • Are portable GFCI used when electric power tools are used outdoors?

  • Are all extension cords and power strips in good condition (no breaks or exposed wires), used only as temporary wiring(<30 days), and not connected in series, plugged directly into wall outlet?

  • Are electrical cords prevented form running under carpets, through doorways, stairways, and high traffic areas?

  • Are outlets, switches and junction box covers in place and good repair?

  • Are outlets overloaded?

  • Are energized parts, circuits, and equipment guarded against accidental contact?

  • Are electrical tools and equipment used in or near wet areas (such as sinks) protected with a GFCI (Ground Fault Circuit Interrupter)?

Forklifts and other equipment

  • Are forklift drivers, aerial lift operators certified and trained?

  • Are documented daily (before use) inspections of forklifts, aerial lifts, etc. kept on file?

  • Are only trained and authorized personnel permitted to operate forklifts and/or aerial lifts?

Floor & Wall Openings and Runways/Catwalks (with 4 ft or more to next level)

  • Are Floor openings properly guarded, (railings, toe boards) or covered?

  • Are Skylight floor openings guarded with screen or guardrails?

  • Are Wall openings (including chutes and chases) properly guarded?

  • Are Toe boards on wall holes if wall hole less than 4 inches above floor?

  • Are Runways guarded by standard railings on all open sides?

  • Are Toe boards on runways when tools, materials, or parts will be used?

Hoists, Cranes & Slings

  • Overhead hoists/cranes with limit stop for safe highest and lowest travel?

  • Is Hoist/crane's rated load legibly marked and visible to operator?

  • Hoist/crane drum has minimum of 2 wraps at lowest range of motion?

  • Are Hoist/crane chains, ropes (cables), and hooks in good condition?

  • Does Competent person inspects slings for damage/defects each day before use?

  • Are Damaged/defective slings immediately removed from service?

  • Are Slings permanently marked or coded to indicate rated capacity?

  • Are Slings not used in excess of rated capacities?

  • Are Loads not allowed to be carried over people?

  • Are Operators trained in the proper operation of hoists/cranes?

  • Are crane and hoist operators, and riggers certified and trained?

  • Are documented daily (before use) inspections of cranes, hoists and rigging (including nylon & wire slings) kept on file?

Ladders & Scaffolding

  • Are fixed ladders that are accessible to the public secured from unauthorized use?

  • Are ladders free of sharp edges, splinters, cracks, with no loose rungs or steps? Properly stored?

  • Do fixed ladders over 20 ft from landing have cages, wells or fall arrest systems?

  • Do fixed ladders extend 3 ft beyond roof top?

  • Do Portable ladders have safety feet?

  • Are step ladders less than 20 feet in length?

  • Is certified scaffolding used and rated for intended loads?

  • Are toe boards installed on scaffolding when tools, parts etc. will be used?

  • Is there a Scaffold Competent Person?

Machine Guarding and Lock Out-Tag Out (LOTO)

  • Are Rotating or moving parts (chains, gears, belts, etc) properly guarded?

  • Are Machinery guards secure and don't present a hazard in their use?

  • Are Fixed machinery guarded to prevent splash, spark, and flying chip injuries?

  • Is Equipment and machines securely placed and anchored to prevent moving?

  • Are Guards and safety interlocks not removed or defeated?

  • Is Equipment and machinery kept clean and properly maintained?

  • Does Equipment and machinery have safety inspections completed regularly?

  • Is there Sufficient clearance around machines for safe operating and servicing?

  • Is Power shut-off switch within reach of operator's position at each machine?

  • Are Users adequately trained to operate equipment or machines safely?

  • Is there Adequate supervision to ensure users are following safe procedures?

  • Are Manually operated control switches and valves clearly identified & accessible?

  • Are Emergency stop buttons available and colored red?

  • Are Machines de-energized and locked out for maintenance and repair as required?

  • Is Auto-startup after power failure or shut-down is prevented? <br>

  • Is there a Written LOTO program available & have employees been properly trained?

  • Are Proper LOTO locks and devices available, which identify employees?

  • Are Correct LOTO procedures are in use?

  • Are there written LO/TO procedures specific for each machine?

Material Handeling

  • Is there Safe clearance for equipment through aisles and doorways?

  • Are Containers stored, stacked, secured, and of limited height for stability?

  • Are Properly rated dock boards used while loading and unloading trailers?

  • Are Trucks and trailers secured from movement during loading and unloading?

  • Is Shelving and mezzanines properly rated (and marked) for loads?

  • Are Manual pallet jacks, hand-trucks and dollies in good condition?

  • Is equipment unsafe to operate tagged and removed from service until properly repaired?

  • Are Employees trained in proper manner of lifting heavy objects?

Office Equipment & Break Room Appliances

  • Are Chairs in good condition and adjustable (if appropriate)?

  • Does Paper cutter has guard, blade spring functional, and locked when not in use?

  • Are Portable fans are equipped with appropriate guards?

  • Are Bookcases, shelves, cabinets are not overloaded?

  • Are Bookcases and file cabinets are secured from tipping over?

  • Are Space heaters UL listed with tip switches and working temperature controls?

  • Are Toasters, toaster ovens, etc. used away from combustible materials? GFCIs used around wet areas?

  • Are Coffeemakers, microwaves, etc. in good operating condition?

  • Are Electrical Outlets not overloaded, with cords not in walking areas?

Personal Protective Equipment (PPE)

  • Is Appropriate eye protection is available and used if hazard present?

  • Is Appropriate hand protection is available and used if hazard present?

  • Is Appropriate hearing protection available and used if hazard present?

  • Is Appropriate foot protection available and used if hazard present?

  • Is Protective clothing (coveralls, aprons, etc.) available and used if needed?

  • Are Approved respirators available and used if needed?

  • Are Respirator users medically certified, properly trained and fit tested?

  • Are PPE is properly stored, clean, inspected regularly and in good condition?

Portable Power Tools & Equipment

  • Are All tools and equipment used in the workplace in good condition?

  • Is there a procedure for removing dangerous (damages, broken) tools or equipment from service for repair?

  • Are employees provided with eye and face protection such as safety glasses and face shields where needed?

  • Are hand tools free of defects (such as cracked handles) that could make them unsafe?

  • Are Tools and equipment stored in secure, dry location to prevent tampering?

  • Are Tools, grinders, saws, etc. provided with appropriate guards?

  • Are Circular saws with guard above and below the base shoe, and not wedged up?

  • Are Constant pressure switches on tools, which will shut off power when released?

  • Are All electrical tools/equipment grounded or of double insulated construction?

  • Are Electrical cords and pneumatic/hydraulic hoses in good condition?

Safety Equipment & Emergency Preparedness

  • Are first aid kits available, stocked and up to date?

  • Emergency Contact information posted by phone (and by entrance if needed?)

  • Are there appropriate spill control kits available and stocked?

  • Are there emergency eyewash stations and/or emergency showers?

  • Are the emergency eyewash/showers tested (flushed) monthly, with the tests documented?

  • Are the eyewash and emergency shower stations free of obstructions that would prevent quick access by someone temporarily blinded?

Closing

  • Signature of Auditor:

  • Received By:

  • Signature:

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.