R-06 Monthly Safety Audit Checklist

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Format.

No : AE/HSM/R-06
AMIT ENTERPRISES Rev. No./Date:00/10.01.2017
MONTHLY SAFETY AUDIT CHECKLIST Issue No./Date:01/10.01.2017

Area(s) Inspected: _____________________________Inspected by: ________________________________

Auditee:______________________________________Date:______________________Time:____________

CORRECTIVE
ITEM YES NO
ACTION – DATE
1. Is there litter or spilled liquid on the floor?
2. Are floor surfaces even and free from ditches?
3. Are warning signs posted to make aware about hazards?
4. Are aisles free from obstacles that impede movement?
5. Do cords present a tripping hazard?
6. Do cords look frayed?
7. Are all appliances connected with three-pronged plugs?
Are electrical outlet boxes or bonnets exposed so that they
8.
present a hazard?
Do employees stand on chairs, desks, boxes, or other
9.
improvised ladders?
10. Do employees run in the office?
11. Are stairwells well lit?
Are stairway handrails, treads and/or risers in good
12.
condition?
13. Are stairs free of litter, spills or clutter?
14. Are desk or file drawers left open?
Are files, lockers, cabinets, and bookcases bolted
15.
securely?
16. Is more than one file drawer open at once?
Are files top-heavy with empty drawers at the bottom and
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full drawers on top?
18. Are transparent glass doors marked so they can be seen?
Must employees step up or down to go through a
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doorway? If so, is a warning sign posted?
20. Do self-closing doors have too much spring tension?
21. Is machinery turned off when not in use?
Do employees wear dangling jewelry or clothing, such as
22.
a men’s necktie, around machinery?
Are employees using spike files (a piece of metal about
four (4) to six (6) inches in length that is attached to a
23.
small board and is designed to hold papers, especially
receipts)?
24. Are fire exits clearly marked?
25. Are fire extinguisher locations marked in such a way that
Format. No : AE/HSM/R-06
AMIT ENTERPRISES Rev. No./Date:00/10.01.2017
MONTHLY SAFETY AUDIT CHECKLIST Issue No./Date:01/10.01.2017

CORRECTIVE
ITEM YES NO
ACTION – DATE
they are visible from a distance?
26. Are fire extinguishers inspected on time?
27. Are fire extinguishers readily available?
Do all employees know the locations of the exits, alarms,
28.
and extinguishers?
29. Are nonflammable fluids used whenever possible?
Are flammable liquids/fluids stored in approved
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containers?
Are emergency numbers for medical, fire, security and
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ambulance posted?
32. Are combustible materials stored near heat sources?
Are fire protection systems and equipment kept clean and
33.
in good working order?
34. Is medical help readily available?
35. Are adequate first-aid supplies available?
Are all incidents/accidents properly reported, investigated
36.
and documented?
MISCELLANEOUS:
Are Safety Inspections conducted in accordance with the
37.
time frame?
Are Safety Meetings conducted in accordance with the
38.
plan?
Are SWP/Hazard Control Statement posted throughout the
39.
workplace?
40. Are the Worker’s Welfare facilities complied?
41. Is the safety dash board current?
42. Do drivers use safety belts?

OVERALL EVALUATION:

EXCELLENT
SATISFACTORY
UNSATISFACTORY

Auditee Signature & Date Auditor Signature & Date

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