1-General & Mgr Support

Audit started on
Audit completed on:

Auditors summary

1.0 Previous Inspection

Items from previous audit have been corrected

Great job. This shows that safety is a priority.

Items from previous audit were observed and have NOT been fully corrected

ATTENTION: Items observed on this audit were repeat observances or uncorrected issues. It is imperative that all items be corrected to insure the safety of your staff and reduce risk of accidents or violation. If you need assistance or would like to discuss any item please call 877-354-5434.

Risk rating of this facility observed from this audit 1=Best 10=Worst score

This facility scored a low risk of injuries, accidents or safety violations based on the observations at the time of this audit

This facility scored a moderate risk of accidents, injuries or violations based on the observations at the time of the audit.

This facility scored an above average risk of accidents, injuries or violations based on the observations at the time of this audit. Any serious items should be corrected immediately.

ATTENTION: The facility scored an extremely high risk score which will likely result in accidents, injuries or violations based on the observations at the time of this audit. Any serious items should be corrected immediately.

Manager Safety Awareness

OSHA general duty clause hazards observed

All managers have received formal training in safety and health management responsibilities?

Managers verify employees are applying their safety training and following procedures?

Management follows the rules and addresses the safety behavior of others?

Employees feel they have a positive impact on identifying and resolving safety and health issues?

General Duty Safety Clause 5(a)(1) (GDC)

OSHA general duty clause hazards observed

General hazards observed that could cause injury

General hazards observed that could cause injury

General hazards observed that could cause injury

General hazards observed that could cause injury

General hazards observed that could cause injury

2-Chemical Safety

Chemical - RTK and GHS compliance - MSDS 1910.1200

Chemical Hazards Observed

Are open drums and containers stored on spill containment pallets or pans?

Are secondary bottles labeled to meet HMIS or GHS compliance? Do they contain HMIS information or pictograms to indicate hazards along with first aid and specific hazard warning instructions.

Is there an SDS binder available where chemicals are used and has it been updated in the last 12 months?

Is there an updated chemical inventory available with maximum quantity on hand and location?

Chemical Handling and Storage 1910.120

Chemical hazards observed

Are open drums and containers stored on spill containment pallets or pans?

Are quantities of more than a quart of flammable liquid stored in an approved flammable cabinet?

Are metal flammable storage drums grounded properly to prevent sparks and fire?

Are approved secondary containers utilized, are they labeled properly and are they compatible with its contents?

Are any chemicals stored or being handled in an unsafe manner?

Compressed Gasses 1910 Subpart M

Do you have compressed gas cylinders stored at your facility?

Do empty cylinders have their valves closed? 1910.253(b)(2)(iii)

Are compressed gas cylinders stored to prevent tipping or falling?

Are compressed gas cylinders capped with a metal protective cover when not in use?

3-Confined Space

Confined Space 1910.146

Do you have confined spaces that have potentially hazardous conditions?

Are only trained personnel permitted to enter confined spaces? Do they have the appropriate equipment to enter the space safely?

Do you have permit required or non permit required confined space posted properly?

4-Electrical Safety

Electrical Safety 1910 Subpart S

Electrical hazards observed

Do electrical panels and disconnects have 36" radial clearance for emergency access?

Are there any electrical cords that are supplying equipment not considered temporary that should be hard wired?

Were there excessive extension cords, surge protectors or overloaded circuits observed?

Are electrical panels, disconnects and breakers labeled as to what they control?

Observed electrical panels and disconnects or junction boxes with open slots, uncapped conduit holes, discontinued circuits or uncovered wiring.

Are electrical panels and disconnects labeled with amperage and voltage?

Are the facilities maintenance employees trained and using safe Arc Flash 70E and electrical safety procedures when working on HOT circuits?

5-Emergency & Fire

Emergency Equipment 1910.157 and 120

Emergency equipment issues

Spill kits available where required, inspected and adequate for amount and type of chemicals on site?

Are eyewash stations, showers and fire blankets available, inspected and working properly?

Are first aid kits available, applicable for the facility, stocked and readily available?

Emergency Preparedness 1910.38

Emergency preparedness issues observed

Evacuation plan displayed and understood by all employees?

Are there equipment specific energy control procedures in place and utilized?

Evacuation plan and maps displayed and understood by all employees?

Do employees know where to go (a safe zone) and do you have roll call procedures in place?

Do you conduct mock drills annually to prepare workers and staff for an emergency?

Are emergency numbers posted and up to date in a conspicuous location?

Do you have spill kit or emergency supply's stored in a location that is safely accessible in an emergency evacuation?

Fire Prevention 29 CFR 1910.39

Fire prevention hazards observed

Oily rags and combustible refuse stored in covered metal containers?

Fire alarm system functioning correctly?

Are Fire Extinguishers inspected monthly, documented and clear of obstructions?

Have automated sprinkler systems and risers been certified within the last 5 years and are they clear of materials?

Is paper, trash and flammable material stored away from potential fire or combustion hazards?

6-Environmental

Environmental Hazards

Environmental issues were observed!

Do you conduct weekly documented hazardous waste area inspections?

Is hazardous waste labeled legibly and properly with contents, accumulation start date and EPA I.D.?

Observed potential sewer or storm drain pollution.

Have employees that handle hazardous waste been trained on spill and leak procedures?

7-Ergonomics

Ergonomics: Title 8 section 5110 and 5(a)(1) (GDC)

Ergonomic hazards observed

Can work be done without repetitive twisting, bending or lifting? Is the work area above shoulder level?

Can employees keep their hands or wrists in a neutral position when they are working?

Where workers are exposed to strains and sprains do you conduct warmup exercises or rotate workers to prevent repetitive motion injuries?

If workers have to push or pull objects using great amounts of force, are mechanical aids provided?

Are there sufficient rest breaks, in addition to scheduled rest breaks, to relieve stress from repetitive-motion tasks?

Is work arranged so that workers are not required to lift and carry too much weight?

Are pressure points on body parts such as wrists, forearms and backs of thighs avoided?

Are workers exposed to excessive vibration from tools or equipment?

Are chairs and work benches adjusted, positioned, and arranged to minimize strain on the body?

Are tools, instruments, and machinery shaped, positioned, and handled so that tasks can be performed comfortably?

Are mechanical assists available to the worker performing materials-handling tasks?

8-Exits

Exits 1910 Subpart E

Means of egress deficiencies observed

Exits clear of obstructions?

Are doors on cold-storage rooms provided with inside release mechanisms that release the latches and open the doors?

Where exit doors open directly onto a street, alley, or other area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping directly into traffic?

Emergency exit lighting and illuminated exits in place and operable?

Where exits are not visible are directional signs provided?

Are exit doors able to open from the direction of exit travel without the use of a key or special knowledge or effort?

9-Guarding & LOTO

Machine Guarding 1910 Subpart O

Machine Guarding Hazards Observed

Guards firmly secured and not easily removable?

Observed removed or damaged machine guards. SERIOUS HAZARDObserved removed or damaged machine guards. SERIOUS HAZARD

Guards prevent workers from reaching under, around or behind guarded area?

Foot trundle or foot pedal safety guards are in place?

Point-of-operation guards provided and in place?

Observed bypassed safety switches or interlocks. SERIOUS HAZARD

Pinch points and inward running rollers are properly guarded?

Belts, chains, gears, sprockets, pulleys and flywheels guarded?

Machine controls within easy reach of the operator?

Guards provided for any other hazardous moving part of the machine?

Lockout Tagout (Control of Hazardous Energy) 29CFR 1910.147

Control of hazardous energy (LOTO) issues observed

Have written Lockout/Tagout procedures been developed for all hazardous equipment?

Have the required periodic audits of energy control procedures been performed and documented? 1910.147(c)(6)(ii)

Is Lockout/Tagout equipment available? Are all lockouts documented?

Have employees performing lockout tagout been effectively trained?

10-Housekeeping & Inspections

Housekeeping 1910.22

Housekeeping hazards observed

Entry and walkways kept clear of materials and blockage?

Walkways adequately and clearly marked?

Floor surfaces even and uncluttered?

Are footpaths in good condition?

Are railings in good condition?

Are fall preventive measures in place and used where gaps occur in railings?

Stairs and risers kept clear?

Are liquid spills removed quickly?

Intersections kept clear of boxes, pallets, etc?

Inspections and Procedures 5(a)(1) (GDC)

Control of hazardous energy (LOTO) or Inspection issues observed

Are weekly hazardous waste inspections performed if applicable?

Are you conducting monthly period safety inspections to document a safe work environment?

Do you inspect eyewash stations, emergency lighting, fire extinguishers and any other emergency equipment regularly?

11-Machine Shop

Machine Shop and Maintenance Areas 1910.215, Subpart P,Q,O

Machine shop was inspected

When welding is the proper ventilation in place, is there a shield to protect other workers and are employees trained on safe welding and hot work procedures?

Are maintenance records kept to show PM or other regular maintenance on equipment and to verify equipment in facility is kept in safe working condition?

Bench Grinders - Shields in place, tool rest adjusted within 1/16", grinder securely mounted, no non-ferrous material in wheel? 1910.215(b)(1)(iii)

Table Saws - Are table saw and portable saw blades properly guarded to prevent injury?

Are ladders over 6' and other equipment safely secured to prevent falling?

Are hand tools in safe working order? Are electrical cords in good condition?

12-Noise Exposure

Noise Exposure 1910.95

Noise from equipment or process was found to exceed safe Decibel levels of 85 DB

Are noise levels in any areas at or above 90 decibels for an 8 hour period?

If yes are employees required to wear hearing protection and is it well stocked and readily available?

Do you have a written Hearing Conservation Program?

Do you conduct annual audiometric testing for workers exposed to excessive noise?

Are areas posted where hearing protection is required?

13-Training & PPE

Personal Protective Equipment -PPE 1910.132

PPE hazards

Personal protective equipment is well stocked and available for the hazards present at this facility?

Fall protection PPE is available where applicable and areas where required are posted to restrict access to trained personnel only?

Are respirators or dust masks being utilized properly where applicable?

Do you have a written Respiratory Program if respirator use is required? Are all employees using respirators trained?

Have all workers using PPE been trained on the proper use, fit and limitations of the PPE?

Are engineering controls in place to protect workers before PPE is utilized?

Employee Training 29CFR part 128

Employee training issues observed

Blood Borne Pathogens - Does the employer have documentation of training, including the contents of the training sessions, names and qualifications of trainers, names and job titles of those trained? (Note: Documentation must be kept for three years.) 1910.1030(h)(2)(ii)

Confined Space - Does the employer have documentation of each employee’s name, the signatures or initials of trainers and the dates of the train- ing? 1910.146(g)(4)

Facility conducts comprehensive employee hazard training and ensures all participate; in addition, employees can demonstrate proficiency in, and support of areas covered by training?

Hazard Communication - Does the employer maintain documentation of the employee name and contents of haz- ardous communication training? 1910.1200(h)(3)

Lockout Tagout - Does the employer have certification that training has been accomplished and kept up to date including each employees name and training dates? 1910. 147(c)(7)(iv)

New Employee Training: are all employees being trained properly before beginning work for specific hazards associated with their task and general hazards in the facility. Additionally are they trained where emergency equipment and supplies are located and what to do in an emergency or spill of a chemical?

Other training deficiencies noted where applicable

Personal Protective Equipment - Does the employer have certification with employee’s name, date and subject for personal protective equipment training? 1910.132(f)(4)

Respirator training, fit testing and medical evaluations are completed when required?

14-Office

Office Areas

Office areas were inspected and hazards were found.

Exit paths are free of boxes/materials at all times?

Aisles, walkways, and work areas are free of trip and fall hazards (i.e. torn carpets, turned up edges of door mats, boxes etc.)

Illuminated exit and emergency lighting working properly?

First aid kits and fire extinguishers available and inspected regularly?

36” clearance is maintained in front of all electrical panels and fire extinguishers?

Electrical cords and plugs are in good condition: not frayed, taped, spliced, covered with carpet or the ground prong missing?

Work and storage areas are free of improper storage (e.g., heavy, high and/or unstable storage)

Shelf and wall units over 6' or by exit aisles are secured to prevent tip over?

Computer work stations and work areas are ergonomically correct and workers are working safely?

The use of space heaters is kept to a minimum and the area around them kept clear of combustible materials?

15-Plan Postings and Signage

Postings: State and Federal - Department of Labor and State required.

State and federal required posting

State and federal posters are current and the information that is required to be filled out by the employer is up to date?

Warning Signs and Labels 1910.16

Warning signs, labels and postings

Warning signs, stickers or labels were placed in areas or on equipment to notify or warn employees of specific hazards.

Are areas where PPE is critical and hazards are prevalent posted to remind workers to wear their assigned PPE?

Written Plans and Procedures. Title 8 3203 and OSH act

Written plans and procedures were checked.

Is your company's General Safety or IIPP written program up to date and being applied? Has it been reviewed and signed by an officer of the company in the last year?

Do you have required written plans such as a respiratory protection program , a chemical hygiene plan, a lockout tagout program or noise exposure program in place and being applied per the plan?

Do you have a written emergency preparedness program or fire safety program and is it complied with?

Do you have documented employee accountability program in place with progressive discipline for safety violations?

16-Warehouse & Forklifts

Dock and Warehouse Safety 1910 Subpart N

Dock and warehouse hazards observed

Loading area is clean and uncluttered to prevent falling objects, slips, trips or fall hazards?

Are heavy or bulky objects stored on lower shelves?

Pallets must be in good condition. Empty pallets must be stored flat or in a contained area to prevent injury. No broken or protruding wood or nails. No pallets on edge. Avoid storing empty pallets in quantities or densities in excess of O.H. fire sprinkler combustible load ratings.

Are rack uprights and beams in good condition? Bent racks and beams must be repaired or replaced.

All rack uprights over 6' should be bolted down to prevent tipping or falling?

Guardrails and/or covers are provided to protect personnel from the hazards of open sides of stairs, platforms, floor openings, floor holes, mezzanines, equipment pits, and other possible fall hazards.

Aisles and forklift zones are indicated to protect pedestrians?

Fall hazards are protected with restraint and signage?

Wheel chock required and utilized when loading or unloading trailers with forklifts?

Are open docks with a fall hazard that exceeds 36" protected with a restraint and warning signage?

Forklifts and Pallet Jacks 1910.178

Forklift hazards observed

Do forklift and lift operators have current training certifications and are they operating the trucks safely?

Have electric pallet jack operators been trained and certified on their use?

Forklifts - Are daily or pre-shift industrial truck inspections being done and documented? 1910.178(g)(7)

Are forklifts in safe working condition? Tires good, horn works, backup alarm operational, no cracks in hoses, chains even and greased, etc.

Are current forklift safety rules posted in areas where forklifts are used?

17-Unsafe acts or conditions

Unsafe or Unsafe condition observed

An unsafe act was observed by the auditor

Element

Was an employee or manager involved?

Description of unsafe act

Department or Area

Equipment or machine involved

Spoke with employee and reported to manager

Had to stop employee and council on safe procedures

Photo of issue

Name

Description of unsafe act

Spoke with manager involved

Add media

A contractor or visitor was involved

Name if possible

Company

Description of unsafe act

Add media

An unsafe condition was observed

Element

Describe the unsafe condition

Drawings
Photo

Reported to manager

A plan was made to correct the item/s

18-Signature

Reviewed audit items with staff

Reviewed with:

Safety Manager Signature
Supervisor Or Manager Signature

I have received and acknowledged the attached safety audit.

Select date
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.