Predictability at work.

Health, Safety and Environment Audit Checklist

General Facility
Aisles/Exits/Egress Yes No N/A

All aisles leading to an exit are at least 112cm wide.

Are exits marked, free of debris and readily accessible at all times?

Is the emergency lighting operating?

Are the marked exits or exit signs visible from the aisles in your area?

Are aisles and doorways kept clear and free of obstructions to avoid trip hazards?

Are doors not used for egress (e.g. storage room, offices) that could incorrectly be
thought to be an exit labeled “NOT AN EXIT?”

Are floor surfaces clean, dry, level, not slippery or sticky and in good condition?

Compressed Gas Cylinders Yes No N/A

Can you clearly identify the gas contained on the cylinder’s label?
Are they stored away from heat source and with separation between flammables
and oxidizers?
Are they stored upright with measures to ensure they don’t fall or get knocked
over (e.g. racking system, non abrasive chain)

Are valve protector caps placed on cylinders when not in use?

Are flammables and combustibles stored properly?

Emergency, Health and Safety Information Yes No N/A

Are area hazard signs legible, visible, understandable and in compliance with
regulations?
Are there clear, established procedures for alerting employees of a workplace
emergency (e.g. fire and shelter)?

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 Yes No N/A

Is signage for emergency routes, numbers and evacuation plans posted?

Do fire alarm pull stations have locations marked and unobstructed?

Are your Evacuation Coordinators and PI/Safety Designates assigned?

Do your employees have a copy of the Emergency Action Plan (EAP)?

Do employees know and have been trained on emergency procedures?

Does the EAP illustrate the methods for alerting employees and how to report
emergencies?

Fire Emergency Yes No N/A

Are fire extinguishers and hoses visible, mounted and accessible?

Are all extinguisher inspection dates current with previous months signed off?

Are all fire extinguishers fully charged?

Has training and information been given to employees for how to use them?

Are all the fire doors and shutters in good operating condition?

Fire Prevention Yes No N/A

Do you enforce No Smoking Areas?

Are storage and sprinkler heads given clearance of a minimum of 60cm?

Are all sprinkler heads unobstructed and free of dirt and corrosion?
Are electrical outlets kept to only 4 pieces of equipment connected to a 4-way
outlet?

Flammables and Combustibles Yes No N/A

Are hazardous materials stored properly?

Do safety cans have a flame arrestor in place?

Are safety cans in good condition with no corrosion or damage?

Are flammable liquids stored in approved safety containers?

Are flammable cabinets grounded and containers bonded?

Do all red lidded cans have fusible links?

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 Yes No N/A

Are all flammable cabinets clear on the top?

Are materials that could burn kept away from ignition sources and free of
excessive trash or combustibles?

Are bottle tips for flammables unmodified and/or undamaged?

Do all flammable bottles’ backflow valves in working order?

When no one is present, is heat producing equipment turned off (e.g. at night)?

Housekeeping/Work Environment Yes No N/A

Are the desk/work and storage areas clean, sanitary and organised?

Do trash containers over 200L have coverage (e.g. a lid)?

Are drawers for desks and filing cabinets kept closed when not in use and
arranged so that they don’t open into aisles?

Are electrical cables organised to not cause trip hazards?

Are mezzanines labeled with capacity of floor load?

Is the knife blade on the paper cutter lowered and latched when not in use?

Is lighting adequate for the tasks performed?

Are spilled/dropped items cleaned up and put away?

Are floor openings covered and secure?

Are there guardrails where required (there is over 2m to the next lower level)?

Security Items Yes No N/A

Are the proper ID badges given to employees, contractors/vendors and visitors?

Are the ID badges being displayed above the waist on an outer garment?

Are doors that should be secure, not being propped open?

Structures Yes No N/A

There is no damaged, loose or missing ceiling tiles.

Have all over head hazards been identified?

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Environmental
Clean Air Act Compliance Yes No N/A

Are solvent contaminated rags properly disposed of, with none lying about in the
work area?

Have all open top solvent pump cans been removed from the work area?

Are containers, paint gun cleaning containers, solvent dispensing containers and
solvent dispensing bottles closed when not in use?

Clean Water Act Compliance Yes No N/A

Employees do not dump wastes into drains or sinks unless authorised (including
wash water and mop water)

There is no wastes dumped outside or in storm sewers/catch basins.

Are all pipes, pumps, hoses and valves free of leaks or defects?

Do station containment valves remain dry?

When a spill or leak happens, are they reported and attended to?

Hazardous/Non-Hazardous Waste Compliance Yes No N/A

Are hazardous waste containers identified properly and labeled “HAZARDOUS

WASTE”?

Are used oil containers identified properly and labeled “USED OIL”?

Are all containers properly identified and clearly labeled with contents?

Are controlled and non-hazardous wastes being collected and managed properly?

Are hazardous waste collection containers fully closed while not in use? (no
“spring up” lids)

While not in use, are all oil waste containers closed?

Are regular rubbish bins free of hazardous waste and scrap metal?

Are Satellite Accumulation Areas (SAA) signed?

Is there less than 200L per waste stream at the SAA?

Are employees familiar with the waste materials generated in the work area along
with their proper disposal method(s)?

Are proper absorbent materials quickly available for spills?

Is waste removed in a timely manner?

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Safety
Employee Work Practices Yes No N/A

Are risks such as long hair, apron strings and non-breakaway badge lanyards etc.
kept secure in some manner? (e.g. hair that touches shoulder must be tied back)

Is Job Safety Analysis (JSA) information available for employee reference for
high-value / high-risk tasks and infrequently performed tasks?

Electrical Equipment Markings Yes No N/A

Are switch panels clearly marked and circuit breaks clearly indicate whether they
are in the “ON” or “Off” position?

Is equipment that is used long-term hard wired into permanent facility wiring?

Is the electrical panel access clear? (1m clearance)

Electrical Grounding Yes No N/A

Are electrical appliances, portable electrical tools, and fixed electrical equipment
grounded or UL rated/double insulated and in good repair?

Do in use extension cords have a grounding conductor and are in good repair?

Is use of extension cords kept at a max of 60 days? (only a temporary solution for
wiring application)

Equipment Yes No N/A

Do all pinch points, rotating collars, cams, chucks, couplings, shafts flywheels,
spindles, bolt ends, rotating mechanisms, etc. have proper guarding?

Are all protective guards (including light curtains and interlocks), effective, in place
and checked daily or before use?

Are all controls and emergency stops within reach of operator and clearly
identified?

Are all emergency stops, safety devices and safety guards located on equipment
and tools working and properly adjusted?

Is the grinding wheel square with no damage, wear or grinding on the side of the
wheel?

Is there also no aluminum found in the surface of the grinding wheel?

Are damage inspections conducted annually for all fans?

Are work light and heat lamp bulbs guarded?

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 Yes No N/A

Are all fixed machines bolted to the floor?

Can the relief valves on air nozzles decrease pressure to 29 psi or lower?

Are the safety nozzles and air disconnects the correct type?

Are the hydraulic lines and air lines free of damage?

Ergonomics Yes No N/A

Are the workstations set up for appropriate ergonomics (e.g. keyboard, posture,
work habits)

Are employees advised on proper lifting techniques?

For heavy or awkward items, are mechanical lifting aids available?

Eyewash Station Yes No N/A

Is the eyewash station clean and tested?

Is the eyewash station located in a way that assures free and unimpeded access?

Forklift/Industrial Trucks - Daily Inspection Yes No N/A

Are daily inspections performed with log entry completed before first use?

Do all operators have current qualification?

On all propane equipment left inside overnight, are all the service valves closed?

Are harnesses and lanyards used at all times with scissor-lift/Hi-Bob, aerial
platform, etc.?

Are vehicles driven backwards with awkward or bulky loads?

Hazard Communication - Chemical Safety Yes No N/A

Are employees informed about Material Safety Data Sheets (MSDS) (what they are,
where to find them and how to use them?

Is every container of hazardous chemicals in the work area properly labeled by

identifying the chemical it contains and marked with health hazards?

Does the MSDS book list all chemicals that are used in the facility?

Are the work areas which contain chemicals separated from food areas?

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Hoist/Cranes/Lifting Devices Yes No N/A

Are all slings, chains, jacks, hoists and supports certified and tagged with load
limits and inspection dates?

Is the operator and crane inspected before use, with all weights of loads known?

Are all loads being lifted overhead secured?

When a load is suspended, is there no one beneath it?

Does the crane operator hold a current license or certificate?

Ladders/Scaffolding Yes No N/A

Are all step ladders shorter than 2m?

Are all ladders in good condition with no damage to the structure?

Are the rubber feet on the ladders in good repair?

In electrical areas, are there no metal or aluminum ladders?

Are ladders being properly used? (one person on the ladder at a time and no one
standing above the second step from the top?

Where regular travel is needed, are fixed stairs being used instead of ladders?

Personal Protection Equipment (PPE): Eye and Face/Respiratory/ Yes No N/A

Hearing

Are areas clearly marked as a “HEARING CONSERVATION” area, as needed?

Are approved safety glasses, gloves, face shields, palm guards, clothing, aprons
and hearing protection used in required areas?

Are employees using appropriate respirators for their particular operations?

Are these respirators clean and stored properly?

Are respirator masks sealed properly against user’s faces? (they are clean-shaven)
Are damage inspections conducted annually for all fans?

Are employees using paper respirators (paper masks) and trained on how to use
them properly?

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PPE: Fall Protection Yes No N/A

Are safety harnesses, lanyards and self-retracting lifelines provided and used
properly for the appropriate activities?

Is fall protection PPE stored properly, kept our of direct sunlight and kept clean?

Is fall protection PPE certified and inspected annually?

Walking Surfaces/Stairs Yes No N/A

Are all floor tracks covered or covered as much as possible when in use?

Are fixed stairs kept to an angle within 30 to 50 degrees?

Are non-slip surfaces on steps and platforms in good condition?

Are stairwells clear and handrails in good condition?

Are mobile work platforms available and used?

Unsatisfactory HSE Conditions For:

Representatives (signatures)

HSE Representative:

Lab Manager: PI/Safety Designate:

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