Workplace Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Work Area

• 1) The area is neat, clean, and free from debris, dirt, or other materials.

• 2) There are no slip, trip, or fall hazards in the work area or otherwise slip-resistant.

• 3) Eating, Drinking, and smoking are prohibited in areas where chemicals are present.

• 4) Illumination is adequate for the tasks to be performed.

• 5) Ventilation fans are working correctly. There are no unusual odors or visible airborne contaminants in the work area.

• 6) Adequate signs and warning devices are provided to keep employees aware of area hazards.

• 7) Health and Safety documents (EHS policy, written programs and procedures, SRA, MSDSs,) are posted or available to employees.

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Aisles and Walkways

• 1) Aisles and walkways are clear and/or marked and open for use.

• 2) Holes, obstructions, or hazards are covered, marked off, or otherwise protected from creating a safety hazard.

• 3) Emergency egress routes are clearly marked and illuminated.

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Safety Equipment (eyewashes, showers, and fire extinguishers)

• 1) Fire extinguisher is available in the area and unobstructed.

• 2) Monthly inspection is up to date.

• 3) All safety equipment is labeled and readily accessible.

• 4) Emergency eyewashes and showers are located in areas where corrosive materials are use

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Chemical Storage

• 1) Adequate storage is provided for the chemicals used in the area.

• 2) Flammable liquids are stored in the designated flammable storage lockers.

• 3) All chemical containers are labeled with the name of the material and the immediate hazard. Warning and chemical labeling supplies are available.

• 4) MSDSs are readily available for the chemicals used in the work area.

• 5) Compressed gas cylinders are adequately secured to prevent them from falling over during storage or use.

• 6) Incompatible gases are stored in separate locations.

• 7) Secondary containers are labeled and leak free.

• 8) All containers are properly sealed (drums, bottles, etc.).

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Equipment

• 1) Adequate storage is provided for tools and equipment.

• 2) Portable tools are effectively grounded. (GFCIs as needed)

• 3) Adequate space is provided around and in between equipment to allow for safe passage, servicing, stocking, and waste removal.

• 4) All permanent equipment is bolted to the floor or otherwise secured to prevent movement.

• 5) Machine guards are provided for all potential nip/pinch points and cutting/rotating parts to protect the operators.

• 6) Ladders, stairways, and ramps are in good condition.

• 7) All equipment inspections completed (fork lift, hoist, etc.).

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Hazardous Material Storage

• 1) Adequate and appropriately rated space is provided for storage of materials.

• 2) Warehouse space is adequate for the materials being stored.

• 3) Storage of material shall not create a hazard. Bags, containers, bundles, etc., stored in tiers shall be stacked, blocked, interlocked and limited in height so that they are stable and secure against sliding or collapse.

• 4) Excessive amounts of materials are not stored in the work area.

• 5) Storage areas shall be kept free from accumulation of materials that constitute hazards from tripping, fire, explosion, or pest harborage. Vegetation control will be exercised as necessary.

• 6) Where mechanical handling equipment is used, safe clearances shall be allowed for aisles, at loading docks, through doorways and wherever turns or passage must be made. Aisles and passageways shall be kept clear and in good repair, with no obstruction across or in aisles that could create a hazard. Permanent aisles and passageways shall be appropriately marked.

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Trash and Pests

• 1) Appropriate receptacles are provided for the types(s) of trash generated in the area.

• 2) Receptacles are emptied daily or as necessary.

• 3) Self-closing or covered receptacles are provided for flammable or combustible waste.

• 4) No nesting of rodents or pests visible.

• 5) No cobwebs on walls or ceilings.

• 6) All holes have been covered in external walls to prevent pests from entering

• 7) Check all pest control traps for proper placement and pests.

• 8) 18” Standoff area between materials and exterior walls

• 9) All screen are in good repair and closed (if necessary).

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

PPE/Employee

• 1) The appropriate type and size of PPE is available for each job task.

• 2) Eye protection is provided to all employees subject to flying objects or other eye hazards.

• 3) PPE being used is clean and in good condition.

• 4) Adequate space is provided for the storage of PPE.

• 5) No loose clothing, necklaces, ear rings, etc.

• 6) Employees following safe practices.

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Electrical

• 1) The areas in front of electrical panels are maintained free of obstruction for at least 48 inches

• 2) Temporary wiring is not used for permanent installations. Extension cords are used only for temporary supply of power.

• 3) Extension cords or wires do not create trip hazards in the work area.

• 4) There are no frayed or broken cords.

• 5) There are no missing electrical covers, holes in electrical boxes/outlets.

• 6) All equipment is free from shock hazards.

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Fire Safety

• 1) Approved containers are used for storage and handling of flammable and combustible liquid

• 2) Safety cans are available and in use for dispensing flammable liquids.

• 3) Adequate clearance is maintained below sprinkler heads to allow their effective operation.

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Emergency Preparedness

• 1) Means are available to report or clean up material spills in the work area.

• 2) First Aid kit is adequately stocked and within expiration dates.

• 3) Weekly inspection is signed and posted in a common area. Weekly inspection has been sent to corporate.

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Quality

• 1) Visually inspect at least 5 boxes. There will be no damage in accordance with procedure QA-1

• 2) Daily/shiftly quality checks (ice and liquid) have been completed.

• 3) Proper handling of dry ice.

• 4) Check sanitizer logs and proper measurement of chemicals.

• 5) Check for water and debris on pellet machines and presses.

• 6) Verify shovel and rake sanitized daily.

• 7) Verify general food defense plan steps are being followed.

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A

Distribution

• 1) Check for vehicle damage on any vehicles on the property.

• 2) Check all trailers are chocked that are in the loading docks.

• 3) Check vehicle documents (insurance and registration, etc.)

• 4) Check vehicles for deer whistles.

• 5) Pre/Post driver inspections completed.

• Pekin Skid

  Yes

  No

  N/A

• Decatur Skid

  Yes

  No

  N/A

• Box Storage

  Yes

  No

  N/A

• Maintenance Cage

  Yes

  No

  N/A

• North Maintenance

  Yes

  No

  N/A

• Cut Block

  Yes

  No

  N/A

• Bagged Ice

  Yes

  No

  N/A

• Box Repair

  Yes

  No

  N/A

• Loading

  Yes

  No

  N/A

• Box Wash

  Yes

  No

  N/A

• Offices

  Yes

  No

  N/A

• Outside

  Yes

  No

  N/A