Housekeeping Audit Inspection Form

*This Checklist should be used as a guideline in the shop. All shops are unique with different hazards. Supervisors are encouraged to identify hazards that are not included and supplement the list to ensure utmost worker safety.

"*" indicates required fields

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Audit Information

Inspector*
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Emergency and Fires

1. Are emergency phone numbers (including EH&S injury hotline) posted near a phone?*
Corrected at time of inspection
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2. Do employees know where to gather in case of an evacuation? MUSTER AREA.*
Corrected at time of inspection
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3. Do employees know where and how to receive care for an injury?*
Corrected at time of inspection
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4. Are signs present for emergency safety equipment (eyewash, exits etc.)?*
Corrected at time of inspection
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5. Are emergency evacuation drills regularly conducted?*
Corrected at time of inspection
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6. Are all exits and paths free of obstruction?*
Corrected at time of inspection
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7. Are first aid kits fully stocked and inspected monthly?*
Corrected at time of inspection
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8. Are fire extinguishers present and inspected within the past year?*
Corrected at time of inspection
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9. Is there a clear 3 ft. path to the fire extinguishers, with no obstructions?*
Corrected at time of inspection
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10. Are oily rags kept in a metal bin and removed from the shop daily?*
Corrected at time of inspection
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11. Are flammable materials in excess of 10 gallons stored in appropriate containers and storage cabinets?*
Corrected at time of inspection
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Safety Administration

1. Have all employees received general safety training: SDS, Personal Protective Equipment (PPE), fire and back safety, etc.?*
Corrected at time of inspection
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2. Have all employees been trained on the equipment that they operate?*
Corrected at time of inspection
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3. Are all employees current on specialized training:*
• Ladders
• Fall Protection
• First Aid
• Lockout/Tagout
• Forklift
• Materials Handling
• Respirators
• Injury and Illness Prevention
Corrected at time of inspection
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4. Are all safety trainings documented and filed?*
Corrected at time of inspection
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5. Are regularly scheduled safety meetings conducted in the shop?*
Corrected at time of inspection
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6. Are safety meeting minutes posted and implemented?*
Corrected at time of inspection
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7. Do all employees have access to the shop safety guide?*
Corrected at time of inspection
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8. Is PPE provided and used whenever necessary?*
Corrected at time of inspection
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9. Are filters changed routinely?*
Corrected at time of inspection
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Housekeeping and Ventilation

1. Are all worksites clean and orderly?*
Corrected at time of inspection
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2. Are waste containers kept clean and emptied daily?*
Corrected at time of inspection
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3. Is food kept in the designated area at all times?*
Corrected at time of inspection
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4. Are all cabinets and shelves secured or anchored?*
Corrected at time of inspection
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5. Are all machines secured or anchored?*
Corrected at time of inspection
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6. Are floors in good condition and kept dry?*
Corrected at time of inspection
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7. Are all light fixtures adequate and functioning properly?*
Corrected at time of inspection
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8. Is the ventilation system adequate for the work being performed?*
Corrected at time of inspection
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9. Are filters changed routinely?*
Corrected at time of inspection
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Electrical Safety

1. Are all plugs, cords, and panels enclosed, free from splices with insulation in good condition?*
Corrected at time of inspection
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2. Do all extension cords have grounding conductors?*
Corrected at time of inspection
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3. Are extension cords used only temporarily? Never link cords together!*
Corrected at time of inspection
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4. Are cords secured so they do not run across pathways, under doors or the walls?*
Corrected at time of inspection
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5. Is the breaker panel accessible with labels identifying the function of each switch?*
Corrected at time of inspection
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6. Are ground fault circuit interrupters available for use in wet areas?*
Corrected at time of inspection
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7. Are hand-tools effectively grounded or an approved double insulated type?*
Corrected at time of inspection
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Mechanical Safety

1. Is defective equipment promptly reported, labeled, and repaired?*
Corrected at time of inspection
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2. Do all machines have guards to protect against points of operation, nip points, rotating parts, moving parts, flying chips, sparks, etc.?*
Corrected at time of inspection
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3. Are start, stop, emergency and other operating controls within the operator’s reach?*
Corrected at time of inspection
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4. Are written standard operating procedures (SOPs) for each machine available and executed by all employees?*
Corrected at time of inspection
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5. Are machines regularly cleaned and maintained?*
Corrected at time of inspection
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6. Are maintenance records, calibrations, certifications of each machine kept on file?*
Corrected at time of inspection
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7. Do only authorized employees perform repairs?*
Corrected at time of inspection
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Portable Tools

1. Are all electrical hand tools in good operating condition?*
Corrected at time of inspection
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2. Are tools free from cracks and broken parts?*
Corrected at time of inspection
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3. Are ladders free from dents, splinters, grease, dirt etc.?*
Corrected at time of inspection
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4. Do the spreaders lock in place?*
Corrected at time of inspection
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5. Are all safety feet on the ladder in good condition?*
Corrected at time of inspection
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6. Are only approved welding equipment used?*
Corrected at time of inspection
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7. Are all welding equipment properly insulated?*
Corrected at time of inspection
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8. Are fuel gas hoses red, oxygen green, and inert gas black?*
Corrected at time of inspection
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9. Are cylinders legibly marked?*
Corrected at time of inspection
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10. Are cylinders and hoses free from cracks or dents?*
Corrected at time of inspection
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11. Are cylinders secured upright with a double chain and valve protector caps?*
Corrected at time of inspection
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12. Are welding screens / curtains in place to prevent sparks from flying around ?*
Corrected at time of inspection
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Storage, Hazardous Materials and Waste

1. Are materials stored to prevent falls and spills?*
Corrected at time of inspection
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2. Do signs designate storage areas?*
Corrected at time of inspection
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3. Are all storage containers labeled with their contents?*
Corrected at time of inspection
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4. Are storage racks free from sagging?*
Corrected at time of inspection
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5. Are employees taught how to stock and unstock shelves safely?*
Corrected at time of inspection
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6. Are combustibles and chemicals kept in closed containers when not in use?*
Corrected at time of inspection
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7. Do workers use the appropriate PPE when handling materials?*
Corrected at time of inspection
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8. Has a current chemical inventory list been provided to EH&S?*
Corrected at time of inspection
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9. Are chemicals separated by hazard class (acids, bases, etc.)?*
Corrected at time of inspection
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10. Is chemical waste properly separated and stored with EH&S?*
Corrected at time of inspection
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11. Hazardous Waste Tags?*
Corrected at time of inspection
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12. Does EH&S pick up the hazardous waste at least 9 months from generation?*
Corrected at time of inspection
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This field is for validation purposes and should be left unchanged.

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