Title Page

  • Conducted on

  • Prepared by

  • Location

  • OSHA 1903.2 Are notices posted informing employees of protections and obligations provided for in the Osh Act? Are notices current?

  • OSHA 1903.19 Is there a plan to conform to an OSHA Inspection?

  • OSHA 1904.1-16 Is the OSHA Log up to date?

  • OSHA 1904.1-16 Is the OSHA Log certified and posted February 1 through May 1?

  • OSHA 1904.1-16 Are there supplemental records of each recordable injury or illness? (OSHA 300A, investigation file, case file)

  • OSHA 1904.1-16 Is the previous years’ OSHA log updated on the OSHA website?

  • OSHA 1904.1-16 Have employees been informed of the process for reporting injuries and illnesses?

  • OSHA 1910 Subpart J Do accident prevention signs meet required standards?

  • OSHA 1910 Subpart J Does physical hazard marking meet required standards?

  • Notes/observations:

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