Safetynet eh&s facility audit ver 5
General industry safety audit
What does this form include?
This form contains 42 sections:
Audit completed on: Date
Auditor
Recommended ways to improve your Safety Program and Eliminate Accidents! Multiple Choice:
Auditors Comments
Disclaimer: While the SafetyNet auditor makes every attempt to observe and locate hazards at the time
1.0 Previous Inspection
- Was there a previous Audit complete by SafetyNet at this location?
Manager Safety Awareness
- Manager - Supervisor - Worker safety awareness and involvement.
General Duty Safety Clause 5(a)(1) (GDC)
- OSHA general duty clause hazards observed
Chemical - RTK and GHS compliance - MSDS 1910.1200
- Chemical Hazards Were Observed by the Auditor (You Must Correct Severe Issues immediately)
Chemical Handling and Storage 1910.120
- Chemical hazards observed
Compressed Gasses 1910 Subpart M
- Do you have compressed gas cylinders stored or used onsite?
Confined Space 1910.146
- Do you have confined spaces that have potentially hazardous conditions? Confined Space (Has limited or restricted means of entry or exit (Tanks, vessels, silos, storage bins, hoppers, vaults, pits, and space with limited means of entry)
Electrical Safety 1910 Subpart S
- Electrical hazards observed
Emergency Equipment 1910.157 and 120
- Emergency equipment issues
Emergency Preparedness 1910.38
- Emergency preparedness issues observed
Fire Prevention 29 CFR 1910.39
- Fire prevention hazards observed
Environmental Hazards
- Environmental issues were observed!
Ergonomics: Title 8 section 5110 and 5(a)(1) (GDC)
- Ergonomic hazards observed
Exits 1910 Subpart E
- Means of egress deficiencies observed
Machine Guarding 1910 Subpart O
- Machine Guarding Hazards Observed
Lockout Tagout (Control of Hazardous Energy) 29CFR 1910.147
- Control of hazardous energy (LOTO) issues observed
Housekeeping 1910.22
- Housekeeping hazards observed
Inspections and Procedures 5(a)(1) (GDC)
- Control of hazardous energy (LOTO) or Inspection issues observed
Machine Shop and Maintenance Areas 1910.215, Subpart P,Q,O
- Machine shop was inspected
Noise Exposure 1910.95
- Noise from equipment or process was found to exceed safe Decibel levels of 85 DB
Personal Protective Equipment -PPE 1910.132
Employee Training 29CFR part 128
- Employee training issues observed
Office Areas
- Office areas were inspected and hazards were found.
Postings: State and Federal - Department of Labor and State required.
- State and federal required posting
Warning Signs and Labels 1910.16
- Warning signs, labels and postings
Dock and Warehouse Safety 1910 Subpart N
- Dock and warehouse hazards observed
Forklifts and Pallet Jacks 1910.178
- Forklift hazards observed
Written Plans and Procedures. Title 8 3203 and OSH act
- Written plans and procedures were checked.
Walking Work Surfaces and stairs 1910.22
- Walking work surface hazards observed.
Ladders, step stools and platforms. 1926.1053
- Ladders safety violations observed.
Reviewed audit items with staff
- 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 Date
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