Facility Safety Audit Example

Facility Jeffersonville

Safety Audit Form

1 Walkways, Stairs and Exits

1 Are aisles and passageways free of obstructions and kept clear. 2 Is there safe walking clearance in aisles where equipment is operated. 3 Floors are even, no holes, no cracks, and no tripping hazards are present. 4 Floors are kept as dry & non-slippery as practical, spills cleaned up immediately. 5 Walk-off mats are available for wet weather 6 Exits properly marked illuminated and unobstructed. 7 Emergency lighting available in hallways and stairwells. 8 Are aisles and routes to exits clearly marked and kept clear of obstructions. 9 Are exit doors clearly marked and kept clear at all times. 2 General Work Environment & Indoor Air Quality 1 All areas properly illuminated. 2 Noise levels are within acceptable limits or engineering controls established. 3 Work areas are clean, and good Housekeeping practices are in place 4 Work area properly ventilated. 5 Walls, ceilings, floors are clean and free of damage. 6 Air intake areas free of odor causing materials or hazardous chemicals. 3 Fire Prevention And Protection 1 Fire extinguishers properly mounted, located, and identified. 2 Fire extinguishers adequate in number and type. 3 Fire extinguishers inspected, recharged, and maintained as required. 4 Fire aisles, exit ways, stairways, and fire equipment kept unobstructed. 5 Exit lights properly illuminated and emergency lighting operable. 6 Fire doors not blocked open or on magnets connected to fire alarm system. 7 Proper storage of flammable/combustible materials to reduce risk of fire. 8 No penetrations through walls or ceilings and all ceiling tiles are in place. 9 Sprinkler heads clean and no storage within 18 inches. 4 Electrical Safety 1 Extension cords are not used as permanent wiring. 2 Extension cords and power strips are plugged directly into wall outlets. 3 Electrical cords not under carpets/rugs, through doorways, or high traffic areas. 4 Power cords are in good condition with no splices or broken insulation. 5 Grounding prongs not removed from 3-way plugs. 6 Outlet, switch and junction box covers are in place and in good repair. 7 Electrical panels and emergency shut offs are unobstructed and labeled. 5 Personal Protective Equipment (PPE) 1 Appropriate eye protection is available and used if hazard present. 2 Appropriate hand protection is available and used if hazard present. 3 Appropriate hearing protection is available and used if hazard present. 4 Safety Shoes are required, and being worn by employees Form No. TMSi-0116-New

Insp. By Yes

Sonya Staten/ Beverly Lewis

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Comments and or Action

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Comments and or Action

01/22/09

x x x x x x x x x Yes

x x x x x x Yes

x x x x x x x x x Yes

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Safety Inspection Form 6 Material Handling 1 Is there safe clearance for equipment through aisles and doorways. 2 Are containers stored, stacked, secured, and of limited height for stability. 3 Forklifts and motorized pallet jacks operators have been properly trained. 4 Forklift and motorized pallet jacks are inspected each shift prior to use. 5 Are storage racks maintained in a safe condition. 6 Manual pallet jacks, hand-trucks and dollies are in good condition. 7 Forklift operators are wearing seat belts & sounding horn while operating the vehicle 8 Employees are instructed in proper manner of lifting heavy objects. 7 Hazard Communication 1 Material Safety Data Sheets (MSDS) readily available for employee review. 2 Employees know what MSDS is and how to obtain one. 3 Employees aware of hazards associated with chemicals used in their area. 8 Ladders 1 Fixed ladder accessible to the public secured from unauthorized use. 2 Fixed ladders over 20 ft. from landing have cages, wells or fall arrest systems. 3 Fixed ladders extend 3 ft. beyond roof top. 4 All ladders are free of sharp edges, splinters, or cracks. 5 Ladders do not have any loose rungs or steps. 6 Portable ladders have safety feet. 7 Step ladders are less than 20 feet in length. 9 Computer workstation Ergonomics Guidelines (non-mandatory) 1 Monitor directly in front, top of screen at or slightly below eye level. 2 Monitor approximately 18 to 24 inches away, positioned to avoid glare. 3 Anti-glare screen and/or wrist pad used, if needed. 4 Chair/footrest heights adjusted to keep thighs parallel with the floor. 5 Chair/keyboard heights adjusted properly for hands, wrists, and arms. 6 Documents held next to and at the same level as the monitor screen. 10 Bloodborne Pathogens 1 Biohazardous waste bags (red bags) provided for solid BBP waste. 2 Employees regularly exposed to BBP have been offered HBV vaccine. 3 Employees regularly exposed to BBP have been properly trained. 4 All broken glass disposed of properly. 5 All sharps injuries reported and logged. 11 General & Safety Concerns 1 First aid kit is available and adequately supplied. 2 Batteries are charged in a properly ventilated room. 3 Open flames and sparks prevented in battery charging areas. 4 Conveyors equipped with proper safety guards 6 Appropriate spill control kits are available and properly stocked. Form No. TMSi-0116-New

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Comments and or Action

x x x x x x x x Yes

x x x Yes

x x x x x x x Yes

x x x x x x Yes

x x x x x Yes

x x x x

Safety grd missing from chain, replaced the safety grd

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Safety Inspection Form 12 Office Equipment and Break room Appliances 1 Chairs in good condition and adjustable (if appropriate).

Yes

No

2 Paper cutter has guard, blade spring functional, and locked when not in use. 3 Portable fans are equipped with appropriate guards. 4 Bookcases, shelves, cabinets are not overloaded. 5 Space heaters UL listed with tip switches and working temperature controls. 6 Toaster, toaster ovens, etc. used away from combustible materials. 7 Coffeemakers, microwaves, etc. in good operating condition. 8 Electrical plugs not overloaded. 9 Drinking fountains are clean and operate properly. 13 POSTERS AND SIGNAGE 1 Federal And State Law Posters are Current and Posted 2 OSHA Poster is Current and Posted

Form No. TMSi-0116-New

N/R

Comments and or Action

x x

Paper cutter was left in unlock position

x x x x x x x Yes

No

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Comments and or Action

x x

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