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Safety compliance inspection template

Safety compliance inspection template

Use this template to carry out an inspection in which you check to what extent the safety regulations are observed in all areas.

Use this template
or download pdf
Safety compliance inspection template

Use this template to carry out an inspection in which you check to what extent the safety regulations are observed in all areas.

Use this template
or download pdf

About the Safety compliance inspection template

Use this template to carry out an inspection in which you check to what extent the safety regulations are observed in all areas.

Related categories

  • Maintenance templates
  • Safety templates
  • Workplace safety templates
Preview of the template
Audit
1.0 Main Office
Select date
1.1 Emergency Equipment
1.1.1 Are emergency exit signs installed and functioning correctly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.1.2 Are emergency exit doors working correctly and free of obstructions?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.1.3 Are fire extinguishers in place accessible and in good working order?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.1.4 Is first aid kit in the lunch room stocked up, accessible and in good working order?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.1.5 Is a list of First Aid Attendants posted by the first aid station?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.1.6 Is emergency lighting system installed and functioning correctly? Test each light for operation by flicking the switch located on the side of the box.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.2 Safety postings
1.2.1 Are current OHS Committee minutes posted and available?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.2.2 Are photographs of current members of the OHS Committee posted in the lunch room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.2.3 Is a current copy of the Health & Safety Policy posted ?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.2.4 Is a current copy of the Harassment Policy posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.2.5 Are the Hazard Reporting & Incident Reporting procedures posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.2.6 Are the core safety rules posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.2.7 Is a copy of the PMP Safety Manual available for employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.3 General Facility
1.3.1 Are guest passes and PPE available and in good condition? Check with Reception.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.3.2 Are hallways & walkways clear of obstructions and debris?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.3.3 Are stairwells, stair treads, hand rails & landings in good condition and clear of obstructions and debris?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.3.4 Does the ventilation seem adequate?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.3.5 Is lighting adequate for the area? Are any bulbs burnt out?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.3.6 Is break room clean?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
1.3.7 Are restrooms clean and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
Inspector signature to verify audit complete
Health & Safety Manager signature.
2.0 Engineering Office
Select date
2.1 Emergency Equipment
2.1.1 Are emergency exit signs installed and functioning correctly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.1.2 Are emergency exit doors operating correctly and free of obstructions?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.1.3 Is the AED in proper location, unobstructed and functioning?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.1.4 is the first aid station clearly marked, unobstructed & stocked up?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.1.5 Are fire extinguishers in place, unobstructed and in good working order?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.1.6 Is emergency lighting system installed and functioning correctly? Test each light for operation by flicking the switch located on the side of the box.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.1.7 Is a list of First Aid Attendants posted by the first aid station?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
2.2 Safety Postings
2.2.1 Are current OHS Committee minutes posted and available?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.2.2 Are photographs of current members of the OHS Committee posted in the lunch room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.2.3 Is a current copy of the Health & Safety Policy posted ?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.2.4 Is a current copy of the Harassment Policy posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.2.5 Are the Hazard Reporting & Incident Reporting procedures posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.2.6 Are the core safety rules posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.2.7 Is a copy of the PMP Safety Manual available for employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.3 General Facilities
2.3.1 Are guest passes and PPE available and in good condition? Check with Reception.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.3.2 Are hallways & walkways clear of obstructions and debris?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.3.3 Are stairwells, stair treads, hand rails & landings in good condition and clear of obstructions and debris?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.3.4 Does the ventilation seem adequate?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.3.5 Is lighting adequate for the area? Are any bulbs burnt out?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.3.6 Is break room clean?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
2.3.7 Are restrooms clean and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
Inspector signature to verify audit complete
Area Supervisor/ Manager Signature of acknowledgment.
3.0 Planning Offices
Select date
3.1 Emergency Equipment
3.1.1 Are emergency exit signs installed and functioning correctly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.1.2 Are emergency exit doors operating correctly and free of obstructions?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.1.3 Is the first aid station clearly marked, unobstructed & stocked up?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.1.4 Are fire extinguishers in place, unobstructed and in good working order?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.1.5 Is emergency lighting system installed and functioning correctly? Test each light for operation by flicking the switch located on the side of the box.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.1.6 Is a list of First Aid Attendants posted by the first aid station?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.2 Safety Posting
3.2.1 Are current OHS Committee minutes posted and available?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.2.2 Are photographs of current members of the OHS Committee posted in the lunch room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.2.3 Is a current copy of the Health & Safety Policy posted ?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.2.4 Is a current copy of the Harassment Policy posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.2.5 Are the Hazard Reporting & Incident Reporting procedures posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.2.6 Are the core safety rules posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.2.7 Is a copy of the PMP Safety Manual available for employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.3 General Facilities
3.3.1 Are guest passes and PPE available and in good condition?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.3.2 Are hallways & walkways clear of obstructions and debris?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.3.3 Are stairwells, stair treads, hand rails & landings in good condition and clear of obstructions and debris?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.3.4 Does the ventilation seem adequate?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.3.5 Is lighting adequate for the area? Are any bulbs burnt out?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.3.6 Is break room clean?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
3.3.7 Are restrooms clean and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
Inspector signature to verify audit complete
Operations Manager Signature of acknowledgment.
4.0 Machine Shop East
Select date
4.1 Emergency Equipment
4.1.1 Are emergency exit signs installed and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.1.2 Are emergency exit doors clear of obstructions and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.1.3 is the first Aid station clearly marked, stocked with supplies and accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.1.4 Is there a list of first aid attendants posted near the first aid station?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.1.5 Are emergency lights installed and functioning properly? Test each light by flicking the switch on the side.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.1.6 are fire extinguishers in their proper locations, unobstructed and in good working order?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.1.7 Are emergency contact cards placed at each public employee phone?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.1.8 Is the MSDS book in its proper location?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.2 Inspections
4.2.1 Are overhead crane inspections being completed once per shift? Check logbooks to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.2.2 If forklift is being used in this department is it being inspected each morning? Check logbook to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3 General facility
4.3.1 Are painted walkways clear of obstructions and in good condition?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.2 Does ventilation seem adequate in this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.3 Is overhead lighting adequate? Are there any burnt out bulbs?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.4 Is task lighting adequate at work stations? Are any bulbs burnt out?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.5 Are electrical panels & disconnects accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.6 Is good housekeeping being practiced in the break room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.7 Are restroom facilities clean?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.8 Are stairs to planning office clear of obstructions?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.9 Decibel levels marked on all entrances to this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.10 do all machines in this department have an easily accessible and functioning E Stop button?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.11 Is lockout tag out station accessible? Are there adequate amount of locks & tags?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.3.12 Are controlled products ( chemicals ) being stored appropriately?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.4 Safety Posting
4.4.1 Are current OHS Committee minutes posted and available?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.4.2 Are photographs of current members of the OHS Committee posted in the lunch room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.4.3 Is the Health & Safety Policy up to date and posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.4.4 Is a current copy of the Harassment Policy posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.4.5 Are the Hazard Reporting & Incident Reporting procedures posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.4.6 Are the core safety rules posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.4.7 Is a copy of the PMP Safety Manual available for employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.5 Safe Work Practices
4.5.1 Is required PPE being used by all employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.5.2 Are all machine guards being used as intended?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.5.3 Are forklifts being operated safely and being parked in a safe location when not in use?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.5.4 Are overhead cranes being operated safely and being parked in the designated crane park locations?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.5.5 Is all rigging being stored in an acceptable manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
4.5.6 Are hand tools and power tools being operated in a safe manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
Inspector signature to verify audit complete
Department Supervisor signature of acknowledgment.
5.0 Welding
Select date
5.1 Emergency Equipment
5.1.1 Are emergency exit signs installed and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.1.2 Are emergency exit doors clear of obstructions and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.1.3 is the first Aid station clearly marked, stocked with supplies and accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.1.4 Is there a list of first aid attendants posted near the first aid station?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.1.5 Are emergency lights installed and functioning properly? Test each light by flicking the switch on the side.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.1.6 are fire extinguishers in their proper locations, unobstructed and in good working order?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.1.7 Are emergency contact cards placed at each public employee phone?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.1.8 Is the MSDS book in its proper location?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.2 Inspections
5.2.1 Are overhead crane inspections being completed once per shift? Check logbooks to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.2.2 If forklift is being used in this department is it being inspected each morning? Check logbook to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3 General facility
5.3.1 Are painted walkways clear of obstructions and in good condition?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.2 Does ventilation seem adequate in this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.3 Is overhead lighting adequate? Are there any burnt out bulbs?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.4 Is task lighting adequate at work stations? Are any bulbs burnt out?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.5 Are electrical panels & disconnects accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.6 Is good housekeeping being practiced in the break room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.7 Are restroom facilities clean?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.8 Are stairs to planning office clear of obstructions?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.9 Decibel levels marked on all entrances to this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.10 do all machines in this department have an easily accessible and functioning E Stop button?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.11 Is lockout tag out station accessible? Are there adequate amount of locks & tags?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.3.12 Are controlled products ( chemicals ) being stored appropriately?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.4 Safety Posting
5.4.1 Are current OHS Committee minutes posted and available?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.4.2 Are photographs of current members of the OHS Committee posted in the lunch room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.4.3 Is the Health & Safety Policy up to date and posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.4.4 Is a current copy of the Harassment Policy posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.4.5 Are the Hazard Reporting & Incident Reporting procedures posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5..4.6 Are the core safety rules posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.4.7 Is a copy of the PMP Safety Manual available for employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.5 Safe Work Practices
5.5.1 Is required PPE being used by all employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.5.2 Are all machine guards being used as intended?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.5.3 Are forklifts being operated safely and being parked in a safe location when not in use?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.5.4 Are overhead cranes being operated safely and being parked in the designated crane park locations?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.5.5 Is all rigging being stored in an acceptable manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
5.5.6 Are hand tools and power tools being operated in a safe manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
Inspector signature to verify audit complete
Department Supervisor signature of acknowledgment.
6.0 Machine Shop West
Select date
6.1 Emergency Equipment
6.1.1 Are emergency exit signs installed and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.1.2 Are emergency exit doors clear of obstructions and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.1.3 is the first Aid station clearly marked, stocked with supplies and accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.1.4 Is there a list of first aid attendants posted near the first aid station?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.1.5 Are emergency lights installed and functioning properly? Test each light by flicking the switch on the side.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.1.6 are fire extinguishers in their proper locations, unobstructed and in good working order?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.1.7 Are emergency contact cards placed at each public employee phone?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.1.8 Is the MSDS book in its proper location?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.2 Inspections
6.2.1 Are overhead crane inspections being completed once per shift? Check logbooks to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.2.2 If forklift is being used in this department is it being inspected each morning? Check logbook to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3 General facility
6.3.1 Are painted walkways clear of obstructions and in good condition?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.2 Does ventilation seem adequate in this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.3 Is overhead lighting adequate? Are there any burnt out bulbs?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.4 Is task lighting adequate at work stations? Are any bulbs burnt out?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.5 Are electrical panels & disconnects accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.6 Is good housekeeping being practiced in the break room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.7 Are restroom facilities clean?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.8 Are stairs to planning office clear of obstructions?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.9 Decibel levels marked on all entrances to this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.10 Do all machines in this department have an easily accessible and functioning E Stop button?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.11 Is lockout tag out station accessible? Are there adequate amount of locks & tags?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.3.12 Are controlled products ( chemicals ) being stored appropriately?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.4 Safety Posting
6.4.1 Are current OHS Committee minutes posted and available?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.4.2 Are photographs of current members of the OHS Committee posted in the lunch room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.4.3 Is the Health & Safety Policy up to date and posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.4.4 Is a current copy of the Harassment Policy posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.4.5 Are the Hazard Reporting & Incident Reporting procedures posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.4.6 Are the core safety rules posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.4.7 Is a copy of the PMP Safety Manual available for employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.5 Safe Work Practices
6.5.1 Is required PPE being used by all employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.5.2 Are all machine guards being used as intended?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.5.3 Are forklifts being operated safely and being parked in a safe location when not in use?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.5.4 Are overhead cranes being operated safely and being parked in the designated crane park locations?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.5.5 Is all rigging being stored in an acceptable manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
6.5.6 Are hand tools and power tools being operated in a safe manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
Inspector signature to verify audit complete
Department Supervisor signature of acknowledgment.
7.0 Assemmbly
Select date
7.1 Emergency Equipment
7.1.1 Are emergency exit signs installed and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.1.2 Are emergency exit doors clear of obstructions and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.1.3 is the first Aid station clearly marked, stocked with supplies and accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.1.4 Is there a list of first aid attendants posted near the first aid station?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.1.5 Are emergency lights installed and functioning properly? Test each light by flicking the switch on the side.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.1.6 are fire extinguishers in their proper locations, unobstructed and in good working order?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.1.7 Are emergency contact cards placed at each public employee phone?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.1.8 Is the MSDS book in its proper location?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.2 Inspections
7.2.1 Are overhead crane inspections being completed once per shift? Check logbooks to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.2.2 If forklift is being used in this department is it being inspected each morning? Check logbook to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3 General facility
7.3.1 Are painted walkways clear of obstructions and in good condition?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.2 Does ventilation seem adequate in this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.3 Is overhead lighting adequate? Are there any burnt out bulbs?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.4 Is task lighting adequate at work stations? Are any bulbs burnt out?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.5 Are electrical panels & disconnects accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.6 Is good housekeeping being practiced in the break room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.7 Are restroom facilities clean?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.8 Are stairs to planning office clear of obstructions?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.9 Decibel levels marked on all entrances to this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.10 do all machines in this department have an easily accessible and functioning E Stop button?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.11 Is lockout tag out station accessible? Are there adequate amount of locks & tags?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.3.12 Are controlled products ( chemicals ) being stored appropriately?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.4 Safety Posting
7.4.1 Are current OHS Committee minutes posted and available?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.4.2 Are photographs of current members of the OHS Committee posted in the lunch room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.4.3 Is the Health & Safety Policy up to date and posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.4.4 Is a current copy of the Harassment Policy posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.4.5 Are the Hazard Reporting & Incident Reporting procedures posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.4.6 Are the core safety rules posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.4.7 Is a copy of the PMP Safety Manual available for employees
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.5 Safe Work Practices
7.5.1 Is required PPE being used by all employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.5.2 Are all machine guards being used as intended?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.5.3 Are forklifts being operated safely and being parked in a safe location when not in use?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.5.4 Are overhead cranes being operated safely and being parked in the designated crane park locations?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.5.5 Is all rigging being stored in an acceptable manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
7.5.6 Are hand tools and power tools being operated in a safe manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
Inspector signature to verify audit complete
Department Supervisor signature of acknowledgment.
8.0 Production Shop
Select date
8.1 Emergency Equipment
8.1.1 Are emergency exit signs installed and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.1.2 Are emergency exit doors clear of obstructions and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.1.3 is the first Aid station clearly marked, stocked with supplies and accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.1.4 Is there a list of first aid attendants posted near the first aid station?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.1.5 Are emergency lights installed and functioning properly? Test each light by flicking the switch on the side.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.1.6 are fire extinguishers in their proper locations, unobstructed and in good working order?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.1.7 Are emergency contact cards placed at each public employee phone?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.1.8 Is the MSDS book in its proper location?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.2 Inspections
8.2.1 Are overhead crane inspections being completed once per shift? Check logbooks to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.2.2 If forklift is being used in this department is it being inspected each morning? Check logbook to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3 General facility
8.3.1 Are painted walkways clear of obstructions and in good condition?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.2 Does ventilation seem adequate in this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.3 Is overhead lighting adequate? Are there any burnt out bulbs?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.4 Is task lighting adequate at work stations? Are any bulbs burnt out?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.5 Are electrical panels & disconnects accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.6 Is good housekeeping being practiced in the break room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.7 Are restroom facilities clean?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.8 Are stairs to planning office clear of obstructions?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.9 Decibel levels marked on all entrances to this department?
8.3.9 Decibel levels marked on all entrances to this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.10 do all machines in this department have an easily accessible and functioning E Stop button?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.11 Is lockout tag out station accessible? Are there adequate amount of locks & tags?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.3.12 Are controlled products ( chemicals ) being stored appropriately?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.4 Safety Posting
8.4.1 Are current OHS Committee minutes posted and available?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.4.2 Are photographs of current members of the OHS Committee posted in the lunch room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.4.3 Is the Health & Safety Policy up to date and posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.4.4 Is a current copy of the Harassment Policy posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.4.5 Are the Hazard Reporting & Incident Reporting procedures posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.4.6 Are the core safety rules posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.4.7 Is a copy of the PMP Safety Manual available for employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.5 Safe Work Practices
8.5.1 Is required PPE being used by all employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.5.2 Are all machine guards being used as intended?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.5.3 Are forklifts being operated safely and being parked in a safe location when not in use?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.5.4 Are overhead cranes being operated safely and being parked in the designated crane park locations?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.5.5 Is all rigging being stored in an acceptable manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
8.5.6 Are hand tools and power tools being operated in a safe manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
Inspector signature to verify audit complete
Department Supervisor signature of acknowledgment.
9.0 Molaro
Select date
9.1 Emergency Equipment
9.1.1 Are emergency exit signs installed and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.1.2 Are emergency exit doors clear of obstructions and functioning properly?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.1.3 is the first Aid station clearly marked, stocked with supplies and accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.1.4 Is there a list of first aid attendants posted near the first aid station?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.1.5 Are emergency lights installed and functioning properly? Test each light by flicking the switch on the side.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.1.6 are fire extinguishers in their proper locations, unobstructed and in good working order?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.1.7 Are emergency contact cards placed at each public employee phone?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.1.8 Is the MSDS book in its proper location?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.2 Inspections
9.2.1 Are overhead crane inspections being completed once per shift? Check logbooks to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.2.2 If forklift is being used in this department is it being inspected each morning? Check logbook to confirm.
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3 General facility
9.3.1 Are painted walkways clear of obstructions and in good condition?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.2 Does ventilation seem adequate in this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.3 Is overhead lighting adequate? Are there any burnt out bulbs?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.4 Is task lighting adequate at work stations? Are any bulbs burnt out?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.5 Are electrical panels & disconnects accessible?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.6 Is good housekeeping being practiced in the break room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.7 Are restroom facilities clean?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.8 Are stairs to planning office clear of obstructions?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.9 Decibel levels marked on all entrances to this department?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.10 do all machines in this department have an easily accessible and functioning E Stop button?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.11 Is lockout tag out station accessible? Are there adequate amount of locks & tags?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.3.12 Are controlled products ( chemicals ) being stored appropriately?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.4 Safety Posting
9.4.1 Are current OHS Committee minutes posted and available?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.4.2 Are photographs of current members of the OHS Committee posted in the lunch room?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.4.3 Is the Health & Safety Policy up to date and posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.4.4 Is a current copy of the Harassment Policy posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.4.5 Are the Hazard Reporting & Incident Reporting procedures posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.4.6 Are the core safety rules posted?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.4.7 Is a copy of the PMP Safety Manual available for employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.5 Safe Work Practices
9.5.1 Is required PPE being used by all employees?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.5.2 Are all machine guards being used as intended?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.5.3 Are forklifts being operated safely and being parked in a safe location when not in use?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.5.4 Are overhead cranes being operated safely and being parked in the designated crane park locations?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.5.5 Is all rigging being stored in an acceptable manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
9.5.6 Are hand tools and power tools being operated in a safe manner?
What immediate corrective action was done to reduce risk or eliminate the hazard?
Who is responsible for corrective action if required?
Input target date for completion if known.
Inspector signature to verify audit complete
Department Supervisor signature of acknowledgment.

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This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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