close
lumiform
Lumiform Mobile audits & inspections
Get App Get App

Corporate Safety Compliance Audit Template

With this audit template you're corporate safety compliance is fast and complete as never before! It interrogates different categories like OSHA, accident investigation files and more!

Downloaded 6 times

Rated 5/5 stars on Capterra

Say goodbye to paper checklists!

Lumiform enables you to conduct digital inspections via app easier than ever before
  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 5,000 expert-proofed templates

Digitalize this paper form now

Register for free on lumiformapp.com and conduct inspections via our mobile app

  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 4000 expert-proofed templates
Rated 5/5 stars on Capterra

Corporate Safety Compliance Audit Template

Bulletin Board

OSHA poster displayed

Verify OSHA poster
Corrective Actions
Assigned to:

State and Federal Posters Displayed

Verify State and Federal posters
Corrective Actions
Assigned to:

Minimum Wage Poster

OSHA 300 Logs

Verify OSHA 300-A displayed (Feb 1 to Apr 30 only)
Corrective Actions
Assigned to:
Verify OSHA 300 Log current
Corrective Actions
Assigned to:

Record Keeping / Safety Records

OSHA 300 Log (Previous and current-to-date)

Is the previous year’s log available
Corrective Actions
Assigned to:
Is this year's log up to date
Corrective Actions
Assigned to:

Accident Investigation Files

Are files current
Corrective Actions
Assigned to:
Are they maintained
Corrective Actions
Assigned to:
Verify Incident log current
Corrective Actions
Assigned to:
Are FROI reports submit in a timely manner
Corrective Actions
Assigned to:
Are Incident Investigation Reports completed in a timely manner
Corrective Actions
Assigned to:
Are Safety flashes completed and issued for all incident reports in a timely manner
Corrective Actions
Assigned to:

Monthly Facility Branch Safety Audit Records

Have branch audits been conducted at least monthly
Corrective Actions
Assigned to:
Have deficiencies been addressed
Corrective Actions
Assigned to:

Monthly Field Supervisor Site Hazard Audit Records

Have Supervisor Hazard audits been conducted at least monthly
Corrective Actions
Assigned to:
Have deficiencies been addressed
Corrective Actions
Assigned to:

Job Safety Analysis Forms

Are they completed properly
Corrective Actions
Assigned to:
Are they audited regularly
Corrective Actions
Assigned to:
Verify JSA's are retained for at least 1 year
Corrective Actions
Assigned to:

H&S Manual Available & up-to-date

Verify safety manual is available and updated as appropriate
Corrective Actions
Assigned to:

Safety Meeting Records

Weekly topics and attendance records are maintained
Corrective Actions
Assigned to:
Monthly branch Safety meetings recorded and maintained
Corrective Actions
Assigned to:
Monthly supervisor safety meeting recorded and maintained
Corrective Actions
Assigned to:

Variance Files

Variance files maintained and up-to-date
Corrective Actions
Assigned to:

Corporate Safety Reporting

Do Monthly Safety reports get submit on time
Corrective Actions
Assigned to:
Does the branch meet monthly safety goals
Corrective Actions
Assigned to:
Does the Branch Conduct Monthly Supervisor Safety Meetings
Corrective Actions
Assigned to:
Does the Branch Conduct Monthly Branch Safety Meetings
Corrective Actions
Assigned to:
Does the Branch conduct Weekly Safety Meetings (nested sited)
Corrective Actions
Assigned to:

Safety Incentive

Does the branch maintain a Safety bucks log
Corrective Actions
Assigned to:
Does the branch offer any other safety incentives
Corrective Actions
Assigned to:

Employee Safety Evaluation Cards

Does the branch maintain a record of card completion
Corrective Actions
Assigned to:
Is the branch higher than 50% completion of cards
Corrective Actions
Assigned to:

Behavior Based Safety

Job Safety Observations

Verify JSO's are completed by (Managers)
Corrective Actions
Assigned to:
Verify JSO's are completed by (Supervisors)
Corrective Actions
Assigned to:
Verify JSO's are completed by (Safety)
Corrective Actions
Assigned to:
Verify JSO's are completed by (Employees)
Corrective Actions
Assigned to:

Job Safety Observation Log

Verify JSO log's are maintained (Monthly)
Corrective Actions
Assigned to:

Training Records

Training Files

Is there a training file for all active employees
Corrective Actions
Assigned to:
Verify copies of training certificates filed with employee training records
Corrective Actions
Assigned to:

Completed training records up-to-date

Verify new-hire training
Verify hands on training (if applicable)
Verify craft training (if applicable)

Employee Required training Complete

Verify required training by training matrix
Verify required safety refresher training
Verify required craft refresher training (if applicable)
Verify Shop Mechanics are Confined Space Trained
Verify Shop Mechanics are LOTO Trained (Authorized)
Verify all field employees are LOTO Trained (Affected)
Verify all field employees have current Pulmonary Function Test
Verify all field employees have current Fit Test (Scott AV-2000)
Verify all field employees have current Fit Test (3M 7800)
Verify all field employees have current Fit Test (3M 5K/6K)
Verify all field employees have current Audiogram (Annually)
Verify all field employees have current Supplied Air Training
Verify all field employees have current Basic Plus
Verify all field employees have current Evergreen New Employee Orientation
Verify all field employees have current Evergreen Hydro blast & Vacuum Training
Verify all field employees have current Hazwoper Training
Verify all field employee have fire protection training
Verify all field employees have been trained on safe use of fire extinguishers
Verify office personnel have fire protection training
Verify office personnel have been trained of safe use of fire extinguishers

Training File by Topic Maintained

(check name not set)
Corrective Actions
Assigned to:
Are training files kept with original attendance sheets filed by topic
Corrective Actions
Assigned to:

Corporate Training Programs Implemented

(check name not set)
Corrective Actions
Assigned to:
Are corporate training programs being used
Corrective Actions
Assigned to:
Does the Branch have a Certified New Hire Trainer
Does the Branch have a Certified Hydro Blast Trainer
Does the Branch have a Certified Driver Trainer
Does the Branch have a Certified Hazwoper Trainer
Does the Branch have a Certified Forklift Trainer

Department of Transportation

Driver Fatigue

Verify drivers log Hours of Service
Corrective Actions
Assigned to:
Verify drivers logs audited
Corrective Actions
Assigned to:

Driver Qualifications

Verify all drivers of CMV's have current Driver Qualification files
Corrective Actions
Assigned to:
Verify DQ files current
Corrective Actions
Assigned to:
Verify all drivers of CMV's have current D.O.T Physical Card
Corrective Actions
Assigned to:
Verify all drivers of CMV's have current Driver Test
Corrective Actions
Assigned to:
Verify all drivers of CMV's have current Smith Driver Training
Corrective Actions
Assigned to:

Equipment Files

Does each piece of Equipment assigned to the Branch have an equipment file
Corrective Actions
Assigned to:
Are files formatted properly
Corrective Actions
Assigned to:
Are equipment info sheets completed on all equipment
Corrective Actions
Assigned to:
Verify all equipment has Gross Vehicle Weight (GVW)
Corrective Actions
Assigned to:

Pre-Trip/DVIR's

Are pre trips maintained for previous 90 days
Corrective Actions
Assigned to:
Are work orders completed for pre-trips discrepancies
Corrective Actions
Assigned to:
Verify pre-trips and Work Orders filed in Equipment Files
Corrective Actions
Assigned to:

Equipment Inspections

Have 25% of Branch assets been inspected
Corrective Actions
Assigned to:

Equipment Maintenance

Verify maintenance records backed up on Fleet Mentor
Corrective Actions
Assigned to:
Verify equipment maintenance schedule in place and records current
Corrective Actions
Assigned to:

Emergency Egress

Site Emergency Action Plan Complete

Verify off site muster locations identified
Corrective Actions
Assigned to:
Verify on site muster locations identified
Corrective Actions
Assigned to:
Are quarterly drills conducted and documented
Corrective Actions
Assigned to:
Emergency Action Plan in place and employees trained
Corrective Actions
Assigned to:

Evacuation Routes Posted

Verify evacuation routes are visibly posted
Corrective Actions
Assigned to:

Exits

Verify exit signs are visible all lighted exit signs are lit
Corrective Actions
Assigned to:
Verify interior of exits are not blocked
Corrective Actions
Assigned to:
Verify exterior of exits are not blocked
Corrective Actions
Assigned to:
Verify exit doors are not locked
Corrective Actions
Assigned to:
Doors that are not exits marked "Not A Exit"
Corrective Actions
Assigned to:

Isles not cluttered

Verify that isle ways do not have boxes and other clutter impeding walkways
Corrective Actions
Assigned to:

Lighting adequate

Verify interior lighting is ok in offices and shop areas
Corrective Actions
Assigned to:
Emergency lighting provided if employees work at night or in a windowless building
Corrective Actions
Assigned to:

Hazard Communication

Site Hazard Communication Plan

Verify the site specific information in the Hazard Communication Program is complete
Corrective Actions
Assigned to:

Containers/labels/tags

Verify original containers and labels are marked with name of contents, hazard and manufacturer
Corrective Actions
Assigned to:
Verify secondary containers are marked with contents of container
Corrective Actions
Assigned to:
Verify containers are in good condition
Corrective Actions
Assigned to:

Chemicals and Waste Properly Stored

Verify chemicals, diesel fuel, oils and hydraulic fluids are properly stored
Corrective Actions
Assigned to:
Verify wastes are marked and stored properly
Corrective Actions
Assigned to:
Verify proper containment area is used
Corrective Actions
Assigned to:
Verify area is not cluttered with trash or items not belonging in area
Corrective Actions
Assigned to:

Combustible materials properly stored

Verify combustibles such as oily rags, flammable chemicals, diesel fuel and other materials are not being left sitting around or being stored improperly
Corrective Actions
Assigned to:
Verify area is not cluttered with trash or items not belonging in area
Corrective Actions
Assigned to:

Spill Kits Available for Clean-up

Verify spill kits are available for clean-up
Corrective Actions
Assigned to:

Fire Protection and Prevention

Fire Extinguisher Locations Marked

Verify fire extinguisher locations are properly marked and visible
Corrective Actions
Assigned to:
Verify fire extinguishers are charged and have current fire Marshall annual inspections
Corrective Actions
Assigned to:

Fire Extinguisher Inspections up-to-date

Verify extinguishers are being inspected regularly (monthly)
Corrective Actions
Assigned to:

Fire Extinguishers Stored in Proper Locations

Verify are in correct locations and accessible
Corrective Actions
Assigned to:

No Smoking Signs Posted

Verify “No Smoking Signs” are posted in all applicable areas
Corrective Actions
Assigned to:

All Areas Free From Fire Hazards

Verify fire hazards are not present
Corrective Actions
Assigned to:

General Shop Area

Housekeeping

Corrective Actions
Assigned to:
General area is free from clutter
Corrective Actions
Assigned to:
Trash cans not overflowing
Corrective Actions
Assigned to:
Workstations clean
Corrective Actions
Assigned to:
Unused tools in their proper place
Corrective Actions
Assigned to:

Floor free from spills and trip hazards

Verify shop floor is free from chemical, oil, diesel or transmission fluid spills
Corrective Actions
Assigned to:
Verify there are no trip hazards caused by extension cords, wiring, flooring, boxes, parts or other material
Corrective Actions
Assigned to:

Lighting and ventilation adequate

Verify lighting in office area is adequate
Corrective Actions
Assigned to:
Verify lighting in shop area is adequate
Corrective Actions
Assigned to:
Verify lighting in storage area is adequate
Corrective Actions
Assigned to:
Verify ventilation in chemical storage area is adequate
Corrective Actions
Assigned to:
Verify ventilation in welding area is adequate
Corrective Actions
Assigned to:

Machine guards in place and operable

All machine guards are in place and being used
Corrective Actions
Assigned to:

All Applicable Warning Signs in Place

Verify hearing protection, goggles required, safety glasses required and other warning signs are in place as appropriate
Corrective Actions
Assigned to:

Bathroom, kitchen and break areas clean

Verify bathrooms are clean and not being used for chemical storage
Corrective Actions
Assigned to:
Verify kitchens are clean and not being used to store chemicals or lab samples
Corrective Actions
Assigned to:
Verify refrigerators are being used for Food Only.
Corrective Actions
Assigned to:
Verify break areas are clean
Corrective Actions
Assigned to:

Stairways and/or landings properly guarded

Verify steps and stairway have hand rails
Corrective Actions
Assigned to:
Verify landings have hand rails, mid-rails and toe-boards as appropriate
Corrective Actions
Assigned to:

GFCI's

GFCI’s are available and being used
Corrective Actions
Assigned to:

Forklifts

Operator certified

Verify forklift operators have a valid certification and is not expired
Corrective Actions
Assigned to:
Equipment is being used as designed.
Corrective Actions
Assigned to:
Deficiencies noted during inspections are being corrected when noted.
Corrective Actions
Assigned to:
Equipment is in good condition.
Corrective Actions
Assigned to:

Seat belts available and used

Verify forklifts are equipped with seatbelts and they are being used
Corrective Actions
Assigned to:

Fire extinguisher

Verify a fire extinguisher is on-board fork lift
Corrective Actions
Assigned to:

Daily checklist completed

Verify the daily check is complete and safety items addressed
Corrective Actions
Assigned to:
Files maintained and up-to-date
Corrective Actions
Assigned to:

Warning signs posted

Verify Forklift warning signs are posted in activity areas
Corrective Actions
Assigned to:
Back-up alarms are operable.
Corrective Actions
Assigned to:

Yard and Parking Areas

Perimeter fence in good condition

Verify fence is in good condition
Corrective Actions
Assigned to:

Gate in good condition

Verify gate is in good condition
Corrective Actions
Assigned to:

Area free from trip hazards

Verify parking areas are free from trip hazards
Corrective Actions
Assigned to:

No unmarked containers in area

Verify there are no unknown packages or containers in area
Corrective Actions
Assigned to:
Verify there are no chemical drums in area
Corrective Actions
Assigned to:

Equipment parked in orderly manner

Verify equipment and vehicles are parked in designated areas
Corrective Actions
Assigned to:
Verify parking areas are free from trip hazards
Corrective Actions
Assigned to:

QAQC

HOSE TESTING

Hose testing done quarterly
Corrective Actions
Assigned to:
Hoses marked with color codes
Corrective Actions
Assigned to:
Hose testing done monthly
Corrective Actions
Assigned to:
Quarterly files being kept
Corrective Actions
Assigned to:
Are high pressure fittings marked correctly
Corrective Actions
Assigned to:

Fall Protection

Does the Branch maintain fall protection properly
Corrective Actions
Assigned to:
Verify fall protection not soiled or damaged
Corrective Actions
Assigned to:
Are harness's and Lanyards of the same manufacturer
Corrective Actions
Assigned to:
Are harness and lanyards inspected quarterly (Competent Person)
Corrective Actions
Assigned to:
Are harness and Lanyards inspected monthly (Visual)
Corrective Actions
Assigned to:
Verify fall protection within life cycle
Corrective Actions
Assigned to:

PPE

Verify employees PPE in good overall condition
Corrective Actions
Assigned to:
Verify employees wearing Z87 eyewear
Corrective Actions
Assigned to:
Verify hardhat are within life cycle
Corrective Actions
Assigned to:

Body Protection

FRC clothing in good overall condition.
Corrective Actions
Assigned to:
Holes in FRC clothing is not larger that a quarter.
Corrective Actions
Assigned to:
FRC Clothing is not excessively soiled w/ oils or paint
Corrective Actions
Assigned to:
FRC Clothing is worn with the zipper up.
Corrective Actions
Assigned to:
Do uniforms have proper Company Logo
Corrective Actions
Assigned to:
Verify employees in compliance with company uniform policy
Corrective Actions
Assigned to:

Ladder Condition is Ok

Verify the ladder is in good condition. No missing or damage wrung's, steps or feet.
Corrective Actions
Assigned to:

Extension Cords

Used properly
Corrective Actions
Assigned to:
In good condition
Corrective Actions
Assigned to:
Verify extension cords are inspected and tested quarterly
Corrective Actions
Assigned to:

Power Tools

Verify power tools are inspected monthly
Corrective Actions
Assigned to:
Verify that all hand power tools are in compliance with the Hand & Power Tool Safety Program
Corrective Actions
Assigned to:
Verify Bench grinders not to exceed 1/4" gap from wheel to adjustable tongue
Corrective Actions
Assigned to:

Storage

Appropriate PPE Storage Area

Verify storage of PPE is acceptable
Corrective Actions
Assigned to:
Verify access to PPE is controlled
Corrective Actions
Assigned to:

Respiratory Protection

Are respirator stored properly
Corrective Actions
Assigned to:
Are respirators maintained by qualified individual
Corrective Actions
Assigned to:
Evidence on respirators being used that employees are not fit tested for
Corrective Actions
Assigned to:

Storage Rooms (office)

Are supplies stored and maintained in an orderly condition
Corrective Actions
Assigned to:
Do employees use material handling devices or get help to move heavy objects
Corrective Actions
Assigned to:
Is a step stool or ladder available to reach high places
Corrective Actions
Assigned to:

Office

Office Furniture

Are desk, chairs, file cabinets, etc., in good condition?
Corrective Actions
Assigned to:
File drawers do not open into hallway or walkway?
Corrective Actions
Assigned to:
File cabinet drawers kept closed when not in use?
Corrective Actions
Assigned to:
File cabinets secured to prevent tip-over when the two upper drawers are open?
Corrective Actions
Assigned to:
Proper stepping stools provided?
Corrective Actions
Assigned to:
Employees trained not to use chairs for stepping stool?
Corrective Actions
Assigned to:
Are desk chairs ergonomically sound & roll smoothly?
Corrective Actions
Assigned to:
Are sharp objects stored where they can’t fall or be handled accidentally?
Corrective Actions
Assigned to:
Employees instructed to call maintenance when file cabinets, heavy objects moved?
Corrective Actions
Assigned to:

Electrical

Electrical power cords in good condition?
Corrective Actions
Assigned to:
Three-prong grounded type plugs on power cords to office equipment where required?
Corrective Actions
Assigned to:
Electrical wall receptacles properly covered?
Corrective Actions
Assigned to:
Are office employees instructed not to make electrical repairs on office equipment?
Corrective Actions
Assigned to:
Identification/marking of circuit breakers noted in circuit breaker panels?
Corrective Actions
Assigned to:

Aisles, Floors & Stairs

Is there a clear aisle way of four feet for two-way traffic within a room or hallway?
Corrective Actions
Assigned to:
Are floors, aisle ways, stairways, and hallways adequately lighted.
Corrective Actions
Assigned to:
Are electrical or telephone outlets in the floor protected by arrangement of furniture of other means to minimize the tripping hazard?
Corrective Actions
Assigned to:
Are carpet edges secure? Curled carpet edges or tears repaired so as to eliminate the tripping hazard?
Corrective Actions
Assigned to:
Do ramps or inclines have non-slip surfaces?
Corrective Actions
Assigned to:
Unusual changes in the walking surface are marked?
Corrective Actions
Assigned to:
Are spills cleaned up as soon as possible? Wet floor signs provided for custodial staff?
Corrective Actions
Assigned to:
Handrails provided on stairways?
Corrective Actions
Assigned to:
Stair treads in good condition?
Corrective Actions
Assigned to:

Ergonomics

Were workstations observed ergonomically correct?
Corrective Actions
Assigned to:
Share this template:

Similiar templates