Safetynet eh&s facility audit ver 2
General industry safety audit
What does this form include?
This form contains 43 sections:
Audit started on Date
Audit completed on: Date
Auditors summary
Disclaimer: While the SafetyNet auditor makes every attempt to observe and locate hazards at the time
1.0 Previous inspection
- Items from previous audit have been corrected
- Items from previous audit were observed and have NOT been fully corrected
2.0 Compressed gas 1910 Subpart M
- Do you have compressed gas cylinders stored at your facility?
3.0 Chemical - RTK and GHS compliance - MSDS 1910.1200
- Have employees been trained on hazard communication and the new GHS "employee right to understand" system
- Are secondary bottles labeled to meet HMIS OR GHS compliance with HMIS or pictogram to indicate hazards along with first aid and specific hazard warning instructions.Are
4.0 Chemical handling and storage 1910.120
- Chemical hazards observed
5.0 Confined space 1910.146
- Do you have confined spaces that have potentially hazardous conditions?
6.0 Employee training 29CFR part 128
- Employee training issues observed
7.0 Dock and warehouse safety 1910 Subpart N
- Dock and warehouse hazards observed
8.0 Ergonomics Title 8 section 5110 and 5(a)(1) (GDC)
- Ergonomic hazards observed
9.0 Housekeeping 1910.22
- House-keeping hazards observed
10.0 Emergency preparedness 1910.38
- Emergency preparedness issues observed
11.0 Electrical safety 1910 Subpart S
- Electrical hazards observed
12.0 Emergency equipment 1910.157 and 120
- Emergency equipment issues
13.0 Exits 1910 Subpart E
- Means of egress deficiencies observed
14.0 - Fire Prevention 29 CFR 1910.39
- Fire prevention hazards observed
15.0 Forklifts and pallet jacks 1910.178
- Forklift hazards observed
16.0 Inspections and procedures 5(a)(1) (GDC)
- Control of hazardous energy LOTO issues observed
17.0 Machine guarding 1910 Subpart O
- Machine guarding deficiencies observed
18.0 General Duty Safety Clause 5(a)(1) (GDC)
- OSHA general duty clause hazards observed
19.0 Machine shop and maintenance area 1910.215, Subpart P,Q,O
- Machine shop was inspected
20.0 Management and employee involvement 5(a)(1) (GDC)
- Management and employee involvement issues
21.0 Noise exposure 1910.95
- Noise from equipment or process was found to exceed safe Decibel levels of 85 DB
22.0 Personal protective equipment -PPE 1910.132
23.0 State and federal postings. DOL and State req.
- State and federal required posting
24.0 Written plans and procedures. Title 8 3203 and OSH act
- Written plans and procedures were checked.
25.0 Warning signs and labels 1910.16
- Warning signs, labels and postings
26.0 Office Area
- Office area was inspected
27.0 Environmental
- Environmental issues were observed!
An unsafe act was observed by the auditor
Unsafe or Unsafe condition observed
- Was an employee or manager involved?
An unsafe condition was observed
Describe the unsafe condition
Photo
Reviewed audit items with staff
- Reviewed audit items with staff
Reviewed with:
Signature of responsible official
I have received and agreed with the attached safety audit
Select date Date
Comments
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