zTrip Facility Audit. Rev 1

• Document No.

• zTrip Facility Audited:

  Yes

  No

  N/A

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel Present:

Office Area

• Is the OSHA 300/300A log posted in a conspicuous location for all employees (note: will only be displayed from February 1 thru April 30th of the following year)?

  Yes

  No

  N/A

• Are the required Federal Posters posted in a conspicuous location for employees?

  Yes

  No

  N/A

• Is there a First Aid Kit available and is it stocked?

  Yes

  No

  N/A

• Are Evacuation Diagrams posted by each exit? EAP

  Yes

  No

  N/A

• Is the Refrigerator clean and are all items easily identifiable?

  Yes

  No

  N/A

• Are all Fire Extinguishers accessible and in clearly marked locations? 29 CFR 1910.157 (c)(1) SAF 6014-1

  Yes

  No

  N/A

• Are Fire Extinguisher Inspections current, both annual and monthly? 29 CFR 1910.157 (e)(1), SAF 6014-1

  Yes

  No

  N/A

• Are Smoke Detectors installed and operational?

  Yes

  No

  N/A

• Are the Exits clearly marked, illuminated and operational? 29 CFR 1910.37 (b)(2) & (6)

  Yes

  No

  N/A

• Are all Exits unobstructed? 29 CFR 1910.37 (a)(3)

  Yes

  No

  N/A

• Can Exit Doors be opened in the direction of travel without the use of a key or other means when the building is occupied? 29 CFR 1910.36 (d)(1)

  Yes

  No

  N/A

• Are all Non Exits clearly marked to prevent confusion? 29 CFR 1910.37 (b)(5)

  Yes

  No

  N/A

• Do all Stairways have Hand Rails? 29 CFR 1910.23 (d)

  Yes

  No

  N/A

• Is there a Visitor Sign in Sheet and is it being used?

  Yes

  No

  N/A

• Is the Emergency Response Plan current and kept at the entrance or in the dispatch area? 29 CFR 1910.38 ERP (Needs to be present in each building in the district which has offices and personnel present on a daily basis)

  Yes

  No

  N/A

• Are Good House Keeping proceedures being followed? 29 CFR 1910.22 (a), SAF 6027

  Yes

  No

  N/A

• Are walkways and work areas cleared to prevent trip hazards?

  Yes

  No

  N/A

• Are electrical circuits located around water protected by GFCI components?

  Yes

  No

  N/A

• Are electrical circuits (outlets, switches) protected by cover plates?

  Yes

  No

  N/A

• Are all Circuit Breaker Boxes closed and clear from obstructions atleast 36"? 29 CFR 1910.303 (g) SAF 6012-1

  Yes

  No

  N/A

• Are all Circuit Breakers Labled to indicate use or equipment served? 29 CFR 1910.303 (e), SAF 6012-1

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

Shop Area

• Are all Exits clearly marked, illumimated and operational? 29 CFR 1910.37 (b)(2) &(6)

  Yes

  No

  N/A

• Are all Exits unobstructed around the shop buildings? 29 CFR 1910.37 (a)(3)

  Yes

  No

  N/A

• Is there a First Aid Kit and is it stocked?

  Yes

  No

  N/A

• Are Good House Keeping proceedures being followed? 29 CFR 1910.22 (a), SAF 6027

  Yes

  No

  N/A

• Are walkways and work areas cleared to prevent trip hazards?

  Yes

  No

  N/A

• Is the Daily Fork Lift Checklist properly completed? 29 CFR 1910.178

  Yes

  No

  N/A

• Are there Records of When and Who is picking up the waste oil, and other waste products?

  Yes

  No

  N/A

• Are all Fire Extinguishers accessible and in clearly marked locations? 29 CFR 1910.157 (c)(1) SAF 6014-1

  Yes

  No

  N/A

• Is there a Designated Area for Fire Extinguishers requiring service? 29 CFR 1910.157

  Yes

  No

  N/A

• Are Fire Extinguisher Inspections current, both annual and monthly? 29 CFR 1910.157 (e)(1) SAF 6014-1

  Yes

  No

  N/A

• If there are Office Areas in the shop, are there Fire Extinguishers in them?

  Yes

  No

  N/A

• Are the Employees who are exposed to the Hazards of Welding or Cutting Operations protected by the proper PPE?

  Yes

  No

  N/A

• Are Welding Shields in place to to prevent exposure of arc flash to other employees? 29 CFR 1910.252 (b)(2)(iii)

  Yes

  No

  N/A

• Are the Welding Leads intact with no bare areas or taped repairs? 29 CFR 1910.254 (d)(9)(iii)

  Yes

  No

  N/A

• Are the Valves Shut Off on the Oxygen and Acetylene bottles while not in use? 29 CFR 1910.253

  Yes

  No

  N/A

• Are the Torch Hoses in good working condition with no cuts, cracks or burns? Hoses are not to be taped together 29 CFR 1910.253 (e)(5)(v)

  Yes

  No

  N/A

• Are there back flow preventers installed on the torches?

  Yes

  No

  N/A

• Are the Oxygen and Acetylene Bottles stored properly to prevent tipping, falling or rolling? 29 CFR 1910.253 (b)(2)(ii) & (b)(4)

  Yes

  No

  N/A

• Are Oxygen and Acetylene Bottles stored 20 feet apart with caps installed? 29 CFR 1910.253 (b)(2)(iv) & (b)(4)(iii)

  Yes

  No

  N/A

• Are Oxygen and Acetylene Bottle storage areas labled "Full" and "Empty"? 29 CFR 1910.253

  Yes

  No

  N/A

• Are Flammable Liquids stored inside a Fire Resistant Cabinet and labled "Flammable"? 29 CFR 1910.106 (d)(3)(ii)

  Yes

  No

  N/A

• Is the Universal Waste separated from the oily rags, filters? EMS WI 451-4

  Yes

  No

  N/A

• Are all Petroleum Soaked Materials kept in fire resistant, covered containers and labeled accordingly? SAF 6014-1

  Yes

  No

  N/A

• Are all containers that are holding Liquids properly Marked with contents? 29 CFR 1910.106 (f)(6) &(g)(8)

  Yes

  No

  N/A

• Are "No Smoking" signs posted in areas that store flamable materials?

  Yes

  No

  N/A

• Are all Drums and Storage Containers stored on secondary containment, with all being properly labeled? SAF 6002-2

  Yes

  No

  N/A

• Are SDS (MSDS) Documents available in a central location for all affected employees and do they know how to use them in relation to the chemicals they are using? SAF 6002-2

  Yes

  No

  N/A

• Are all Circuit Breaker Boxes closed and clear from obstructions at least 36"? 29 CFR 1910.303 (g) SAF 6012-1

  Yes

  No

  N/A

• Are all Circuit Breakers Labled to indicate use or equipment served? 29 CFR 1910.303 (e), SAF 6012-1

  Yes

  No

  N/A

• Are all Electrical Outlets Labeled with available voltage? (best practice, not required)

  Yes

  No

  N/A

• Is Lock Out/Tag Out being used? If so, are tags properly filled out ? (Date and name of person locking equipment out) 29 CFR 1910.147 SAF WI 6003-1 and WI 6003-2

  Yes

  No

  N/A

• Are the Air Hoses in good operating condition?

  Yes

  No

  N/A

• Is there a monthly check off list indicating that the Pop off pressure relief valve has been checked?

  Yes

  No

  N/A

• Are all manufacturer guards in place on the compressor preventing contact with moving motor parts?

  Yes

  No

  N/A

• Is the air compressor anchored to the floor?

  Yes

  No

  N/A

• Are all Gas Lines in the shop area labeled? ANSI A13.1 2007

  Yes

  No

  N/A

• Are all Air Lines in the shop area labeled? ANSI A13.1-2007

  Yes

  No

  N/A

• Are all Water Lines in the shop area labeled? ANSI A13.1-2007

  Yes

  No

  N/A

• Are Batteries stored in a designated area and on secondary containment?

  Yes

  No

  N/A

• Are Electrical Cords in good condition on the equipment/tools, without cuts, tape or missing ground plugs? 29 CFR 1910.334 (a)(2)(I)

  Yes

  No

  N/A

• If extension cords are being used in damp locations are they protected by GFCI components?

  Yes

  No

  N/A

• Are there Eye Wash Stations and are they checked monthly? Is the station clean? (Bottle types check expiration date and reolace if needed) ANSI Z358.1

  Yes

  No

  N/A

• Is the access to the Eye Wash Stations clear from obstructions? ANSI Z358.1

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

Personal Protective Equipment

• Is there Signage indicating what PPE is required and the areas for which it is required?

  Yes

  No

  N/A

• Are Safety Glasses provided and being worn where required? 29 CFR 1910.132, 1910.133, SAF 6021-1

  Yes

  No

  N/A

• Are Face Shields being used in required areas? 20 CFR 1910.132, 1910.133, SAF 6021-1

  Yes

  No

  N/A

• Is appropriate Hand Protection being used where required? 29 CFR 1910.132, 1910.138, SAF6021-1

  Yes

  No

  N/A

• Are all employees wearing Steeled Toe boots in areas requiring them? 29 CFR 1910.132, 1910.136, SAF 6021-1

  Yes

  No

  N/A

• Is Hearing Protection being used in areas requiring its use? 29 CFR 1910.95, 1910.132, SAF 6021-1

  Yes

  No

  N/A

• Are Respirators cleaned and stored properly?

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

Bench and Pedestal Grinder

• If a bench grinder is present is there signage indicating proper PPE required; I.E face shields and glasses?

  Yes

  No

  N/A

• Are the side wheel guards present and in good condition?

  Yes

  No

  N/A

• Is the tool rest adjusted to within 1/8" from the grinding wheel?

  Yes

  No

  N/A

• Is the tongue guard adjusted to within 1/4" from the top of the wheel?

  Yes

  No

  N/A

• Are there signs that the sides of the grinding wheel are being used for grinding operations?

  Yes

  No

  N/A

• If a new wheel has been installed did the employees ring test the wheel for fractures and inspect for damage?

  Yes

  No

  N/A

• Are there signs that the sides of the grinding wheel are being used for grinding operations?

  Yes

  No

  N/A

• If it is a bench top grinder, is it anchored to the table top? If a pedestal model, is it anchored to the floor?

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiences

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

Facility Grounds

• Is there a Sign located at the Emergency Muster Point at the location designated on the ERP? ERP

  Yes

  No

  N/A

• Is Good House Keeping being practiced in and about the grounds? 29 CFR 1910.22 (a), DAF 6027

  Yes

  No

  N/A

• Are the Grounds free of unwanted Weeds and Overgrowth? 29 CFR 1910.176 (a)

  Yes

  No

  N/A

• Is the Exterior Lighting functional and does it meet the needs of the area?

  Yes

  No

  N/A

• Is the Facility equipped with Gates and are they secured at the end of the work day to prevent unwanted visitors from entering the premises?

  Yes

  No

  N/A

• Are there Designated Parking Areas and are all of the vehicles backed into those parking areas?

  Yes

  No

  N/A

• Is there a Handicap Parking area designated?

  Yes

  No

  N/A

• Is the Facility Properly Marked indicating all Visitors Must Sign in at the Office, Required PPE?

  Yes

  No

  N/A

• Are the Containment Areas free from standing water / fluids? EMS Form 0015

  Yes

  No

  N/A

• Are Containment Areas free from debris? EMS Form 0015

  Yes

  No

  N/A

• Are the Bulk Storage Containers properly marked? SAF WI 6002-2

  Yes

  No

  N/A

• Are there any signs of Soil / Gravel Contamination?

  Safe

  At Risk

  N/A

• Are there Fire Extinguishers located near all stored Flammable Liquids?

  Yes

  No

  N/A

• Other Discrepancies

  Yes

  No

  N/A

• Other Discrepancies

  Yes

  No

  N/A

• Other Discrepiences

  Yes

  No

  N/A

Audit Certfication

• Auditor signature

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