Caldwell Safety Audit Form
Are aisles kept clean, dry and free of pot-holes, uneven surfaces or obstructions?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are exit doors unlocked and free of obstructions that could hinder egress in the event of an emergency evacuation?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Do employees know what a SDS is and where they are located? (Randomly Ask)
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are all containers legibly labeled with the chemical name, hazard ratings and the necessary PPE required when using that chemical?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are compressed gas cylinders secured to prevent them from tipping, falling, rolling or being damaged from passing objects?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Is there at least a 36 inch clearance in front of all electrical panels?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are extension cords used only as temporary power means for items such as electrical tools or fans and located and arranged so as to prevent tripping or pulling on the cord?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are areas around fire extinguishers kept unobstructed to provide easy access?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are portable fire extinguishers in a charged and ready condition?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Verify and inspect all fire extinguishers.
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are operators of sit down powered industrial trucks wearing seatbelts while in operation?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are unattended forklifts powered off, forks lowered and emergency break set?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are tools not in use stored in the appropriate locations such as tool boxes, benches and peg boards?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are work areas clean, orderly and free of compiled combustibles?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are eyewash stations unobstructed, in working order and kept free of dirt, dust and other debris?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are pallets leaning up against something?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are bins stacked or piled on top of each other full of parts where they could fall?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are ladders free of oil, grease and/or defects that may compromise the safe use of the ladder?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are ladders that are not being used stored and secured so as to prevent tipping of the ladder?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are rotating, reciprocating and other moving parts of equipment guarded to prevent physical contact?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are machinery guards electrically interlocked or secured so that an employee can not remove a guard without the use of a tool to remove the securing hardware. (i.e. nuts, bolts, screws etc. wing nuts are not acceptable)
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are die-blocks required and being utilized when press guards are open and being serviced?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are all guards in place and secured while the machine is in operation?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are employees, supervisors, managers and visitors wearing safety glasses or prescription safety glasses with side shields where required?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Is hearing protection properly worn at all times by employees, supervisors, managers and visitors where hearing protection is required?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are protective splash goggles or face shields being utilized where there is any potential of spraying, splashing or dripping of hazardous chemicals?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are cut resistant gloves such as Kevlar or leather, which also protect the employee’s wrists and forearms, worn when handling metal coils?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are employees using proper lifting techniques by lifting with the legs and holding objects as close to the body as possible?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are employees using a solid stance, controlled movements and proper tools for removing jams, loosening or tightening fasteners and adjusting equipment?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Are awkward postures or positions (e.g. excessive reaching in front of or overhead, bending, twisting, stooping, squatting or combination of) necessary to perform a job task?
Yes
No
N/A
Comments / Concerns
Browse Files
Cancel
of
Submit
Should be Empty: