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Warehouse operators and facility managers use this warehouse audit template to perform periodic audits to ensure that the COVID-19 guidelines are followed in the workplace.

INSTRUCTIONS

1. Answer the following questions with ‘yes’ or ‘no’ or ‘N/A’ for each inspection.
2. Add photos and notes directly below the question to further reference your answer.
3. If an “action” is required, add a description, assign it to the person, set the priority and due date.

Entrance and Parking

Are the rules of social distance at the entrance and in the parking lot observed?

Yes | No | N/A

Are signs visible at the entrance of the facility?

Yes | No | N/A

Signs visible at the reception?

Yes | No | N/A

Office Areas

Are social distance rules observed in the office area?

Yes | No | N/A

Are the office areas free of waste and unnecessary objects?

Yes | No | N/A

Locker Area

Are social distance rules observed in the locker area?

Yes | No | N/A

Are signs visible in the locker area?

Yes | No | N/A

Is the changing area clean and tidy?

Yes | No | N/A

Are there any objects lying around in the changing room?

Yes | No | N/A

Are hand disinfectants available in the changing room?

Yes | No | N/A

Packaging Area

Are the rules on social distance observed in the packing room?

Yes | No | N/A

Is social dissociation handled in the packing area?

Yes | No | N/A

Is the packing area free of waste and unnecessary items?

Yes | No | N/A

Are hand disinfectants available in the packing area?

Yes | No | N/A

Outgoing goods

Are the provisions on social distance being observed?

Yes | No | N/A

Is it possible to negotiate social distance at any time when goods are issued?

Yes | No | N/A

Is the goods issue area free of waste and unnecessary items?

Yes | No | N/A

Goods Receipt

Are the rules of social distancing observed?

Yes | No | N/A

Are the goods administered under the rules of social distancing?

Yes | No | N/A

Is the goods receiving area free of waste and unnecessary items?

Yes | No | N/A

Is hand disinfectant available in the goods receiving area?

Yes | No | N/A

Picking lanes

Are the rules of social distance followed in the corridors?

Yes | No | N/A

Is the one-way system of picking in aisles in operation and working efficiently?

Yes | No | N/A

Is the waste in the picking area disposed of efficiently?

Yes | No | N/A

Points with high contact

As hand washing is one of the most effective defence measures, employers must ensure that workers have easy access to washing facilities and that these are well equipped with soap and (ideally) paper towels.

Workers should follow these five steps each time they wash their hands: 

1. Moisten their hands with clean, running water (hot or cold), turn off the tap and apply soap
2. Lather hands by rubbing them together with soap. Lather the back of the hand, between the fingers and under the nails.
3. Wash hands for at least 20 seconds. 
4. Rinse hands well under clean running water.
5. Dry hands with a clean towel or air dry.

Have you made all employees aware of the handwashing protocols at your workplace?

Yes | No | N/A

Toilets

Have all toilet inspections been completed according to schedule?

Yes | No | N/A

Are the soap dispensers refilled?

Yes | No | N/A

Are the dryer and flushing area clean and tidy?

Yes | No | N/A

Are the toilets clean, tidy and disinfected?

Yes | No | N/A

Are the cabin door handles disinfected?

Yes | No | N/A

Is hand disinfectant available?

Yes | No | N/A

Break Room/Canteen

Have the controls in the break room/canteen been completed according to the schedule?

Yes | No | N/A

Have the soap dispensers in the break room/canteen been refilled?

Yes | No | N/A

Are the surfaces clean, tidy and disinfected?

Yes | No | N/A

Have the door handles in the break room/canteen been disinfected?

Yes | No | N/A

Are hand disinfectants available in the break room/canteen?

Yes | No | N/A

Screens

Are hand disinfectants available for operating personnel for hand disinfection before and after touching controls?

Yes | No | N/A

Is the screen regularly disinfected by the responsible team?

Yes | No | N/A

Does the operating personnel maintain social distance while using the controls?

Yes | No | N/A

Are the controls not used by several users at the same time?

Yes | No | N/A

Doors & Shared Computers

Are the door handles disinfected?

Yes | No | N/A

Are the lift buttons disinfected?

Yes | No | N/A

Are the key code keys disinfected?

Yes | No | N/A

Are disinfectants available for employees on shared computers in the security center and security office

Yes | No | N/A

Are disinfectants available for employees to use on shared computers in the staff office?

Yes | No | N/A

Is disinfectant available for staff to use on the shared computer in the store manager’s office?

Yes | No | N/A

TV Screens

Are COVID-19 messages displayed on the screens around the warehouse?

Yes | No | N/A

Forklift Trucks and Company Vehicles

Is a hand disinfection spray available for all forklift trucks?

Yes | No | N/A

Is a hand disinfectant spray available for all company vehicles?

Yes | No | N/A

Offices

Do the employees sit and work at least 2 meters apart?

Yes | No | N/A

Are hand disinfectants available in the office?

Yes | No | N/A

Sign off

Signature of the supervisor

The post Checklist: COVID-19 Warehouse and Depot Template appeared first on Rever.

LIGHTING

• Inspect lighting on a regular schedule. Make sure your inspection list includes all the lighting in your facility:
• Check all exit lighting for proper installation and function
• Check all interior lighting for proper installation and function
• Check all exterior lighting for proper installation and function.
• Replace any nonfunctional lamps you encounter. When lamps begin to fail, consider relamping them as a group. You can create a schedule for relamping by estimating the average duration of lamp use in a week or a month and comparing that to the expected service life of the lamp.
• When replacing lamps, check that the color temperature to maintain consistency.
• Dust and clean dirty lamps, and check that they’re aimed as intended.
• Consider any luminaires that have transformers or control gear.
• For exterior lighting, check that hardware and cabling is intact.

SAFETY

• Check inventory and restock all first aid kits.
• Check eyewash bottles and stations.
• Ensure safety signs and equipment labels are in good condition.
• Inspect and clean respirators.
• Inspect fall protection harnesses and kits.
• Change batteries in smoke and carbon monoxide detectors, flashlights and test instruments.

HVAC/R and PNEUMATICS

• Clean the air intake if necessary.
• Change all air filters according to your schedule.
• Check blower motors in operation for excessive noise or vibration.
• Clean motors and ductwork if necessary.
• Check that the condensate drain pan is draining properly.
• Check the flexible duct connectors.
• Inspect and clean all exhaust fans.
• Secure loose guards and panels.
• Inspect all electrical connections and hardware.
• Test all safety controls.
• Check for proper operation of the interior unit.
• During the cooling season:
• Inspect the condenser motor bearings.
• Inspect the condenser coil, air intake and discharge.
• Check all refrigerant piping and insulation.
• Secure any loose guards or access panels.
• Check the operation of the exterior unit.
• Inspect compressed air lines regularly; investigate any leaks in piping, tubing or fittings.
• Replace or clean air filter elements at least quarterly, or as necessary depending on the application.
• Monitor oil levels on air compressor pumps and replace as necessary depending on usage.

BUILDING INTERIOR

• Examine the floors, ceilings and walls for evidence of deterioration.
• Check for evidence of leaks.
• Inspect for safety hazards, including electrical hazards, slipping and tripping hazards, and falling hazards.
• Check the condition and operation of toilets and showers.
• Test smoke and carbon monoxide detectors.
• Test the fire alarm system.
• Check fire extinguishers and any firefighting equipment.
• Check doors for proper operation and make sure that exits are not obstructed.
• Inspect door locks and closures.
• Ensure work areas and walkways are clearly and visibly marked.
• Check for garbage in storage areas.
• Check for evidence of insect or other pest infestation.
• Inspect cart casters for signs of wear.
• Make sure that shelving is secure, organized and labeled.
• Inspect electrical receptacle cover plates for tightness and damage.
• Confirm that controls such as timers and photocells are functioning.

BUILDING EXTERIOR

• Check the condition of the paint and walls.
• Check for plants on the building and its foundation.
• Look for broken windows, doors and railings.
• Inspect the roof, cleaning it if necessary. Use the appropriate fall protection or prevention measures when working in high places.
• Clean drains and gutters on the roof, testing downspouts and drains by flushing them with water.
• Make sure gutters are appropriately anchored.
• Inspect the stack and all roof penetrations.
• Remove any plant life growing on the roof.
• Clean up any broken glass or other debris.
• Examine the condition of the sidewalk, driveway and parking lot.
• Check the storm drains.
• Check trees to make sure that no branches are about to fall.
• Check that the area around the trash bins is clean.
• Examine the condition of any fencing.

PLUMBING

• Inspect plumbing according to a regular schedule, and investigate any leaks or unusual noises.
• Lubricate bearings in domestic water booster and circulation pump systems according to a regular schedule.
• Inspect couplings and check for any leaks.
• Fire-test domestic water heaters and boilers according to a regular schedule. Optimize efficiency using flue-gas analysis to adjust the flue draft and combustion air input.
• Lubricate condenser fan motor bearings on remote drinking water. Check contacts for wear, and run system control tests. Remove the refrigerant according to manufacturer instructions. Drain and replace oil in the compressor oil reservoir, including strainers, traps and filters.
• Check function of sump and sewage ejection pumps. Lubricate exposed pumps according to a regular schedule.

The post Checklist: Facility Preventive Maintenance Checklist Template appeared first on Rever.

Inspection

Product ID / SKU / Serial

Location on Production Line being inspected

Visual

Do you wish to visually inspect the product?

Yes | No | N/A

Is the product is free of damage?

Yes | No | N/A

Is the product free of water damage?

Yes | No | N/A

Is the product free of deterioration?

Yes | No | N/A

Is the product free of dirt / dust?

Yes | No | N/A

Add any additional non-compliant measures

Failed Measure

Size

Do you wish to inspect the size of the product?

Yes | No | N/A

Is the product over-sized?

Yes | No | N/A

Is the product under-sized?

Yes | No | N/A

Is the product free of deformities?

Yes | No | N/A

Add any additional non-compliant measures

Failed Measure

Color

Do you wish to inspect the color of the product?

Yes | No | N/A

Are the predominant colours acceptable?

Yes | No | N/A

Are the trim and minor colours acceptable?

Yes | No | N/A

Is the detailing appropriately clear?

Yes | No | N/A

Is the print free of smudges and defects?

Yes | No | N/A

Add any additional non-compliant measures

Failed Measure

Weight

Do you wish to inspect the weight of the product?

Yes | No | N/A

Is the product weight within the acceptable tolerance?

Yes | No | N/A

Is the products centre of mass within the acceptable tolerance?

Yes | No | N/A

Add any additional non-compliant measures

Failed Measure

Materials

Do you wish to materially inspect the product?

Yes | No | N/A

Is the product of acceptable strength (e.g. not brittle)?

Yes | No | N/A

Is the material free of deformities?

Yes | No | N/A

Is the material free from impurities?

Yes | No | N/A

Is the material appropriately sealed?

Yes | No | N/A

Does the material cover the area it is intended to?

Yes | No | N/A

Add any additional non-compliant measures

Failed Measure

Operation

Do you wish to operationally inspect the product?

Yes | No | N/A

Does the product function as expected?

Yes | No | N/A

Does the product rotate, move and adjust as expected?

Yes | No | N/A

Does the product move only within safe ranges?

Yes | No | N/A

Does the product make any unexpected or grinding noises?

Yes | No | N/A

Add any additional non-compliant measures

Failed Measure

Packaging

Do you wish to insect the packaging of the product?

Yes | No | N/A

Is the packaging free of deformities?

Yes | No | N/A

Is the packaging free of machine marks and scrapes?

Yes | No | N/A

Is the print on the packaging free from smudges?

Yes | No | N/A

Is the print on the packaging correctly coloured?

Yes | No | N/A

Is the print on the packaging clear?

Yes | No | N/A

Does the packaging close securely?

Yes | No | N/A

Is the padding free of defects and deformities?

Yes | No | N/A

Does the product fit securely into the packaging?

Yes | No | N/A

Add any additional non-compliant measures

Failed Measure

Defect Log

Do you wish to log defects with this product?

Yes | No | N/A

Add Defects

Description of the defect

Add a photo of the defect

ADD PHOTO

What is the severity of the defect?

TrivialMinorSevere

Sign Off

Is this product in an acceptable condition?

AcceptableUnacceptable

Auditor to sign here

The post Checklist: Manufacturing Quality Control Template appeared first on Rever.

Equipment Maintenance

Are switches, throttle control, zip starter, etc. in good condition and no leaks present?

Yes | No

Is the machinery clean and free of dust, filings, oil and other waste material?

Yes | No

Are lubrication labels, gauge limitations, bolt tighten-to-her marks and other visible indicators used?

Yes | No

Are all of the tools, materials, gauges and other things stored neatly and kept clean?

Yes | No

Are power lines, water lines, hydraulic lines and other lines neatly and properly handled?

Yes | No

Is the energy and other resource conservation practiced?

Yes | No

Are oils properly selected and properly replaced or filtered at the appropriate intervals?

Yes | No

Select cases when equipment diagnosis techniques are used

• Cracking
• Corrosion
• Loosening
• Abnormal vibration
• Abnormal heating
• Abnormal noise
• Water leakage
• Oil leakage
• Gas leakage
• Air leakage
• Other

Specify

Is the equipment control closely integrated with production volume and scheduling?

Yes | No

Is equipment control closely integrated with quality control?

Yes | No

Completion

Additional Observations

Manufacturing Technician Name & Signature

The post Checklist: Machine Maintenance Template appeared first on Rever.

Use this template to conduct more detailed hazard analysis in your workplace. Explore the features of Lumiform and modify the checklist based on your workplace needs. Start by listing the names of the people who develops JSA procedures, and select the work permits, authorizations and PPE required for the activity. Next enumerate applicable trainings to carry out individual tasks. 

Also, take note of the equipment checks conducted. Proceed with the job safety analysis and risk assessment by adding steps, selecting hazards and identifying controls. Conduct an initial risk assessment, add controls (if needed), then rate the residual/revised risk analysis. Confirm whether the process is completed or not. If not, conduct a task review to serve as a basis for the continuity of the process. Finally, acknowledge by getting all people involved to sign off.

WME JOB SAFETY ANALYSIS

JSA Details

• Full Name & Role

Work Permits / Authorizations Required

Select applicable work permit or authorization required

• Working at Heights
• High Voltage
• Confined Space
• Notifiable Work
• Crane Work
• Hot Work
• Isolation (Lock out)
• Hazardous Work
• Excavation & Trenching
• Traffic Management Plan
• Other

Enter other necessary work permit

Safety Equipment Required

Select applicable safety equipment required for the job

• Working at Heights
• High Voltage
• Confined Space
• Notifiable Work
• Crane Work
• Hot Work
• Isolation (Lock out)
• Hazardous Work
• Excavation & Trenching
• Traffic Management Plan
• Other

Competencies & Trainings

List any applicable competencies & training to carry out specific tasks.

Equipment Check & Special Considerations

List down checked equipment & special considerations

Job Safety Analysis & Risk Assessment

Job Step / Tasks and Risk Analysis

Enlist the job step tasks, hazards or controls etc.

• Step in Process / Task

• Hazards

People

• Working at Heights
• High Voltage
• Confined Space
• Notifiable Work
• Crane Work
• Hot Work
• Isolation (Lock out)
• Hazardous Work
• Excavation & Trenching
• Traffic Management Plan
• Other

Work Environment

• Working at Heights
• High Voltage
• Confined Space
• Notifiable Work
• Crane Work
• Hot Work
• Isolation (Lock out)
• Hazardous Work
• Excavation & Trenching
• Traffic Management Plan
• Other

Environmental

• Working at Heights
• High Voltage
• Confined Space
• Notifiable Work
• Crane Work
• Hot Work
• Isolation (Lock out)
• Hazardous Work
• Excavation & Trenching
• Traffic Management Plan
• Other

Equipment / Machinery

• Working at Heights
• High Voltage
• Confined Space
• Notifiable Work
• Crane Work
• Hot Work
• Isolation (Lock out)
• Hazardous Work
• Excavation & Trenching
• Traffic Management Plan
• Other

Consequence

• Rare
• Unlikely
• Possible
• Likely
• Almost Certain

Likelihood

• Insignificant
• Minor
• Moderate
• Major
• Catastrophic

Risk Rating

• Existing Controls

• Initial Risk Analysis

Additional Controls

• Revised Risk Analysis

Additional Control Measures

• Revised Risk Analysis

JSA Acknowledgement & Completion

Status of the JSA

Complete | Incomplete

Name and Signature of Conductor

If there are changes or if the JSA is incomplete, REVIEW the JSA and initiate the Review below.

Task Review

Were additional hazards identified when doing the task?

Yes | No

Were hazards and controls added to the JSA form?

Yes | No

• Has a copy been filed in the central filing system?

Yes | No

• Is a Work Permit required?

Yes | No

• Does a procedure need amending as a result of this JSA?

Yes | No

• Is there a training need because of the JSA?

Yes | No

Name and Signature of Reviewer

Name and Signature of Supervisor as Authorization

Click “Add Personnel” to enlist names & signatures of those who were involved with the JSA

Name and Signature

The post Checklist: Job Hazard Analysis Template appeared first on Rever.

A material inspection report form is used by material controllers to properly document the acceptance or rejection of purchased materials through defined characteristics such as nondestructive examination, functional test, and verification of source inspection result.

MATERIAL INSPECTION REPORT

General Information

Item Name

Quantity

Purchase Order Number

Supplier

Origin

Material Inspection

Conformity/nonconformity between purchase requirements and the quality record received

Accept | Reject | N/A

Whether the purchase order and the material are matched or not

Accept | Reject | N/A

Identification and mark of the material

Accept | Reject | N/A

Condition of protection packing and sealing

Accept | Reject | N/A

Filling up condition of inert gas and antiseptic

Accept | Reject | N/A

Painting condition

Accept | Reject | N/A

Whether there it chemical/physical damage or not

Accept | Reject | N/A

Nondestructive examination

Accept | Reject | N/A

Functional test

Accept | Reject | N/A

Verification of source inspection result

Accept | Reject | N/A

Should there be a non-conformance report for the material?

Yes | No

Report Number.

Completion

Additional Comments

Material Controller Name & Signature

Manufacturing Engineer Name & Signature

Supplier Representative Name & Signature

The post Checklist: Incoming Material Inspection Template appeared first on Rever.

INCIDENT DETAILS

Incident Summary

Collect information and evidence of the incident and report your findings here.

Item detail

Photo evidence

Timeline

List the activities and events leading up to the time of the incident, when the incident happened and what took place afterwards.

Date & Time

Activity

ANALYSIS OVERVIEW

The basic cause of an incident is the mechanism of failure.

What happened?

The ICAM model analyses the contributing factors to determine why the incident happened.

Why did the incident happen?

Actual Consequences

Potential Consequences

ICAM ANALYSIS

The contributing factors of this incident were analyzed using the Incident Cause Analysis Method (ICAM) process, an industrial safety initiative used to analyze serious incidents. ICAM is an analysis tool that sorts the findings of an investigation into a structural framework.

An ICAM analysis clarifies why the incident happened and identifies all the factors that contribute to the event. 

The contributing factors are classified into four categories of the ICAM model which are: Absent or Failed Defences; Individual or Team Actions; Task or Environmental Conditions; Organisational Factors.

Absent or Failed Defences

The situations, systems, conditions, equipment, measures or human factors which normally prevent this type of incident from happening.

Absent or Failed?

Organisational factor type

• Hardware
• Training
• Organisation
• Communication
• Incompatible goals
• Procedures
• Maintenance management
• DesignRisk management
• Management if change
• Contractor management
• Organisational culture
• Vehicle management
• Management systems

Details of defence

Individual or Team Actions

The errors or violations made by people directly involved in the event.

Individual or Team?

Organisational factor type

• Hardware
• Training
• Organisation
• Communication
• Incompatible goals
• Procedures
• Maintenance management
• DesignRisk management
• Management if change
• Contractor management
• Organisational culture
• Vehicle management
• Management systems

Details of Action

Task or Environment Conditions

The “situational characteristics” which existed immediately prior to the incident, including the work situation, physical or social environment, or a person’s mental, physical or emotional state.

Task or Environmental

Organisational factor type

• Hardware
• Training
• Organisation
• Communication
• Incompatible goals
• Procedures
• Maintenance management
• DesignRisk management
• Management if change
• Contractor management
• Organisational culture
• Vehicle management
• Management systems

Details of Condition

Organisational Factors

The latent system based factors present before the incident which may have contributed to the presence of specific adverse task or environmental conditions, individual or team actions, or absent or failed defences.

Organisational factor type

• Hardware
• Training
• Organisation
• Communication
• Incompatible goals
• Procedures
• Maintenance management
• DesignRisk management
• Management if change
• Contractor management
• Organisational culture
• Vehicle management
• Management systems

Details of Factor

CONCLUSION

Recommended Corrective Actions

What are we going to do about the incident? Use the Hierarchy of Control recommendations for corrective actions that will target prevention of recurrence and reduction of risk.The recommendations will address each identified absent or failed defence (risk controls) and Organisational factor (prevention and risk reduction strategies).

Enter recommended corrective actions here

CAR detail

Key Learnings

Enter Lessons Learned here

Lesson Learned

Sign off

Full name and signature of ICAM report author

The post Checklist: Incident Cause Analysis Method (ICAM) Template appeared first on Rever.

PPE

Are PPE requirements sufficient? -Should gloves be required? -Should a face shield be required?

Safe | At Risk | N/A

Is PPE supplied adequate for the task? -Previous injuries when using current PPE? Why? -PPE being replaced excessively? (e.g. Burn holes, soaked with liquid chemicals, etc.)

Safe | At Risk | N/A

Is PPE being worn properly? -Ear plugs completely inserted into ears -Safety glasses fit properly and pass fit test (gaps no larger than width of finger) -Gloves being worn when handling materials that are sharp, hot, etc.

Safe | At Risk | N/A

PPE supplies readily available to operators (Interview >= 2 employees.)

Safe | At Risk | N/A

Tools/Machinery/Equipment

Are all tools in good working condition? -Held together with tape? -Excessive noise/vibration? -Requires excessive manual manipulation?

Safe | At Risk | N/A

All existing guarding in place? -Guards laying on the floor? -Bolts/Screws missing from fixed guarding? -Guards shifted causing open point of operation?

Safe | At Risk | N/A

Existing guarding sufficient in preventing access to the point of operation? -Gaps in guarding too large? -Use of chains as barrier guarding? -Interlocked/Presence sensing devices not working properly? -No guard installed where it should exist?

Safe | At Risk | N/A

Machinery working properly and not causing regular manual manipulation? -Frequent breakdowns causing manual work? -Machinery producing excessive noise/vibration due to disrepair?

Safe | At Risk | N/A

Machinery design/layout inherently hazardous? -Congestion created in design? -Equipment no longer safest design for the process? -Can a hazardous piece of equipment be eliminated from the process/work area?

Safe | At Risk | N/A

Hazard Communication

Employees know how to find MSDS and understand the hazards of the chemicals they work with. (Interview >=2 employees)

Safe | At Risk | N/A

Ventilation adequate for the airborne health hazards? -Industrial hygiene sampling results on file? -Employee complaints about “fumes” or “nausea/dizziness”

Safe | At Risk | N/A

Chemicals are stored in proper containers and labeled properly? -Secondary containers that are not in control of current shift labeled with HMIS label or equivalent? -Labels legible and accurately indicates the chemical that is inside the container?

Safe | At Risk | N/A

Incidental spills cleaned up immediately? -No evidence of spills being left? -Chemicals being tracked on employees’ shoes and/or mobile equipment?

Safe | At Risk | N/A

Chemicals stored properly? -Flammable materials not in use stored in proper cabinet/safety container? -Incompatible materials stored away from each other?

Safe | At Risk | N/A

Walking/Working Surfaces and Fall Protection

Proper labels in place and legible? -Portable ladders and stairways require labeling indicating weight limits.

Safe | At Risk | N/A

Floors and work platforms free of excessive debris and clutter? -Excessive oil, trash, manufacturing byproducts, etc. in the work are? -No items stored on stairs?

Safe | At Risk | N/A

Handrails secure and free of excessive defects? -Heavily damaged handrails that require replacement? Loose? Broken welds? Bent handrails and/or toe boards? -Handrails do not contain excessive oil/grease?

Safe | At Risk | N/A

Handrails installed where a fall from a height of four feet or greater exists?

Safe | At Risk | N/A

Fall protection equipment available for working at heights greater than 4 feet from the working surface below it where fall prevention is not available?

Safe | At Risk | N/A

Harnesses, lanyards, SRL, and lifelines maintained in good condition and inspected properly? -Inspection labels present and legible? -Webbing free of frayed, cut or broken fibers? -Quick connect buckles working properly?

Safe | At Risk | N/A

Emergency Response/Fire Protection

Fire extinguishers inspected monthly and unblocked?

Safe | At Risk | N/A

Employees aware of emergency procedures and where assembly areas are? (Interview >=2 employees)

Safe | At Risk | N/A

Eyewash/Safety Shower stations inspected and unblocked?

Safe | At Risk | N/A

Spill kits are available where needed and are equipped/inspected as required?

Safe | At Risk | N/A

Sufficient emergency equipment installed in the area? -Fire extinguishers, eyewash, safety shower, spill kits, alarm pull stations, etc.

Safe | At Risk | N/A

Fire suppression systems not blocked/damaged?

Safe | At Risk | N/A

Mobile Equipment

Equipment inspected per inspection frequency requirements?

Safe | At Risk | N/A

Operators using horns and warning devices where required?

Safe | At Risk | N/A

No passengers on equipment designed for operators only?

Safe | At Risk | N/A

Electrical Hazards/Arc Flash

High voltage signs in place and visible?

Safe | At Risk | N/A

Debris/Tools stored on top of electrical cabinets?

Safe | At Risk | N/A

Electrical cabinets closed and in good repair? -Do the cabinets close securely? -Knock-outs all in place? -Large dents in the housing/door?

Safe | At Risk | N/A

Electrical cabinets not blocked? -Nothing within 36 inches of the front of the cabinet? -Clear access/pathway to electrical cabinets?

Safe | At Risk | N/A

Arc flash signage in place? -Indicates arc flash category?

Safe | At Risk | N/A

Proper arc flash PPE available and in use?

Safe | At Risk | N/A

Hazardous Energy Control (Lockout/Tagout)

Employees expected to conduct lockout trained and equipped properly? -Employees understand their role and requirements? -Employees have locks available if needed?

Safe | At Risk | N/A

Employees locked out during a change over and/or other tasks that require lockout? -All employees who are working on the equipment have their own lock affixed to the proper energy source(s)? -Lockout was verified, stored energy was dissipated and equipment will not operate?

Safe | At Risk | N/A

Energy control procedures exist for all equipment in the area and employees know where to find them?

Safe | At Risk | N/A

Lockout exceptions have been adequately evaluated and determined safe? -Do regular tool/machine adjustments introduce hazards with unacceptable risk? -Other exceptions?

Safe | At Risk | N/A

Crane/Hoist Safety

Inspections completed as per requirements? -Operator inspections completed? -PM’s completed as per the schedule?

Safe | At Risk | N/A

Are employees working under suspended loads?

Safe | At Risk | N/A

Are cranes working within their operating limits? -Capacity not exceeded? -Upper limit switch not used as a stop?

Safe | At Risk | N/A

General Safety and Housekeeping

Trash, debris, and equipment not left laying around?

Safe | At Risk | N/A

Equipment free of excessive dust, oil and/or soot?

Safe | At Risk | N/A

Floor surfaces covered in oil/dust covering the painted surface?

Safe | At Risk | N/A

General tripping hazards due to housekeeping, equipment layout, and/or workstation design?

Safe | At Risk | N/A

Signature and Finalization

I have completed this assessment to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify all visible/known hazards as of the date printed on the completed assessment. assessment.

Select date

General Comments

Overall Safety Score

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HazCom helps ensure that employees are made aware of the chemical hazards present in the workplace as well as the corresponding safety measures. This HazCom compliance checklist is used by safety managers to check if the HazCom being implemented is compliant with OSHA HCS.

HAZARD COMMUNICATION: 29 CFR 1910.1200

Employee Information and Training

Are employees provided with effective training and information on hazardous chemicals in their work area:

At the time of their initial assignment? [(h)(1)]

Yes | No | N/A

Whenever a new chemical hazard is introduced? [(h)(1)]

Yes | No | N/A

Is chemical-specific information always available throughlabels and safety data sheets (SDSs)? [(h)(1)]

Yes | No | N/A

Are employees always informed of:

The requirements of this section? [(h)(2)(i)]

Yes | No | N/A

Any operations in their work area that involve hazardous chemicals? [(h)(2)(ii)]

Yes | No | N/A

The location and availability of the written hazard communication program, including required list(s) of hazardous chemicals and SDSs? [(h)(2)(iii)]

Yes | No | N/A

Does employee training include at least the following elements?

Methods and observations that can help to detect the presence or release of a hazardous chemical in the work area? [(h)(3)(i)]

Yes | No | N/A

The physical, health, simple asphyxiation, combustible dust, and pyrophoric gas hazards, as well as hazards not otherwise classified of the chemicals in the work area? [(h)(3)(ii)]

Yes | No | N/A

The measures employees can take to protect themselves, including appropriate work practices, emergency procedures, and personal protective equipment (PPE) to be used? [(h)(3)(iii)]

Yes | No | N/A

The details of the HazCom program developed by the employer, including an explanation of the labels received on shipped containers and the workplace labeling system used by their employer and the SDS, including the order of information? [(h)(3)(iv)]

Yes | No | N/A

How employees can obtain and use the appropriate hazard information? [(h)(3)(iv)]

Yes | No | N/A

Labels

Are containers of hazardous chemicals in the workplace labeled, tagged, or marked? [(f)(6)]

Yes | No | N/A

Are containers of hazardous chemicals marked with product identifier and words, pictures, and symbols that provide specific information about the hazards of the particular chemical? [(f)(6)(ii)]

Yes | No | N/A

Are the labels or other warning forms legible, prominently displayed, and in English? [(f)(10)]

Yes | No | N/A

When significant new information regarding the hazards of a chemical becomes available, are labels on existing containers of the chemical revised within 6 months of your becoming aware of the information? [(f)(11)]

Yes | No | N/A

SDSs

Are SDSs available for each hazardous chemical that is used? [(g)]

Yes | No | N/A

Are SDSs readily accessible to employees during each work shift? [(g)(8)]

Yes | No | N/A

Do SDSs include at least the following:

Section 1, Identification? [(g)(2)(i)]

Yes | No | N/A

Section 2, Hazard(s) identification? [(g)(2)(ii)]

Yes | No | N/A

Section 3, Composition/information on ingredients? [(g)(2)(iii)]

Yes | No | N/A

Section 4, First-aid measures? [(g)(2)(iv)]

Yes | No | N/A

Section 5, Firefighting measures? [(g)(2)(v)]

Yes | No | N/A

Section 6, Accidental release measures? [(g)(2)(vi)]

Yes | No | N/A

Section 7, Handling and storage? [(g)(2)(vii)]

Yes | No | N/A

Section 8, Exposure controls/personal protection? [(g)(2)(viii)]

Yes | No | N/A

Section 9, Physical and chemical properties? [(g)(2)(ix)]

Yes | No | N/A

Section 10, Stability and reactivity? [(g)(2)(x)]

Yes | No | N/A

Section 11, Toxicological information? [(g)(2)(xi)]

Yes | No | N/A

Section 12, Ecological information? [(g)(2)(xii)]

Yes | No | N/A

Section 13, Disposal considerations? [(g)(2)(xiii)]

Yes | No | N/A

Section 14, Transport information? [(g)(2)(xiv)]

Yes | No | N/A

Section 15, Regulatory information? [(g)(2)(xv)]

Yes | No | N/A

Section 16, Other information, including date of preparation or last revision? [(g)(2)(xvi)]

Yes | No | N/A

Written HazCom Program

Does your written HazCom program explain how the standard’s requirements will be met? [(e)(1)]

Yes | No | N/A

Does it include a list of the hazardous chemicals used in the facility? [(e)(1)(i)]

Yes | No | N/A

Are the chemicals identified in a way that is referenced on the relevant SDS? [(e)(1)(i)]

Yes | No | N/A

Does the HazCom program explain how employees will be informed of the hazards of nonroutine tasks (for example, cleaning reactor vessels)? [(e)(1)(ii)]

Yes | No | N/A

Completion

Comments/Recommendations

Conducted by: Name and Signature

The post Checklist: Hazard Communication (HazCom) Compliance Checklist appeared first on Rever.