Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Shop Inspected

  • Location

Shop Inspection - AHI

Emergency & Fire

  • Are emergency phone numbers posted?

  • Is the Emergency Evacuation Route posted?

  • Employees know where to gather in case of evacuation?

  • Are EXIT signs illuminated and visible?

  • All exits and paths are free of obstacles?

  • Employees know how and where to get care for injury/illness?

  • First Aid kits are stocked (bandages, antibiotic ointment, burn cream)?

  • Signs are present for safety equipment?

  • Emergency eyewash/shower stations regularly inspected?

  • Is clear access (min 3 feet) maintained to emergency eyewash/shower station?

  • Fire extinguishers are mounted, readily accessible and not blocked?

  • Fire extinguishers inspected monthly?

  • Proper clearance of 18" is maintained below sprinkler heads?

  • Sprinkler heads are protected from potential physical damage?

General Work Environment

General Work Environment

  • Are all work areas adequately illuminated?

  • Are work surfaces kept dry and appropriate means take to assure surfaces are slip resistant?

  • Is the ventilation system adequate for the work being performed?

  • Are restrooms kept clean and sanitary?

  • Are food or beverages consumed only in areas where there is no exposure to toxic materials or hazardous chemicals?

Personal Protective Equipment

PPE

  • Are protective goggles or face shields worn when there is any danger of flying particles or chemical splashes?

  • Are approved safety glasses worn in areas where there is a risk of eye exposure to flying particles, burns, when working underneath aircraft?

  • Is hearing protection worn when and where required?

  • Are approved respirators used when needed?

  • Are gloves worn where needed for protection from chemicals, material handling, etc.?

  • Are safety toe shoes worn when and where required?

  • Is all PPE maintained in a sanitary condition and ready for use?

  • Is PPE signage adequate for jobs/tasks?

Walking Working Surfaces

Walking Working Surfaces

  • Are aisles and passageways kept clear and marked as appropriate?

  • Are wet surfaces covered with non-slip materials?

  • Are holes in the floor, sidewalk, or other walking surface repaired properly, covered or otherwise made safe?

  • Are floor openings guarded by a cover, a guardrail or equivalent on all sides (except stairways or ladder entrances)?

  • Are grates over floor openings (floor drains) designed to allow unimpeded foot traffic or rolling equipment?

  • Is there safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?

  • Are materials or equipment stored in such a way that sharp projections will not interfere with the walkway?

  • Are standard guardrails provided wherever aisle or walkway surfaces are elevated 4 feet or more above any adjacent floor or the ground?

  • Are all elevated surfaces beneath which people or machinery could be exposed to falling objects provided with standard 4-inch toe boards?

  • Is material on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading?

  • Do all stairways with at least four risers have standard stair rails or handrails?

  • Are all stairways at least 22 inches wide?

  • Are step risers uniform from top to bottom?

  • Are steps slip resistant?

  • Where doors or gates open directly on a stairway, is a platform provided so the swing of the door does not reduce the platform width to less than 21 inches?

Ladders & Work Stands

Ladders & Work Stands

  • Are ladders maintained in good condition? Not broken, missing rungs, steps or cleats, broken side rails, etc.?

  • Are all safety feet in good condition?

  • Are ladders in use tall enough for the job?

  • When portable ladders are used to gain access to elevated platforms, does the ladder extend at least 3 feet above the elevated surface?

  • Are portable metal ladders legibly marked with signs reading "CAUTION - Do Not Use Around Electrical Equipment" or equivalent wording?

  • Are work stands used where appropriate?

  • Are work stands being used properly (to prevent falls from occurring)?

Electrical

Electrical

  • Are all plugs, cords free from splices and insulation in good condition?

  • Do all extension cords have grounding conductors?

  • Are extension cords or power strips used only temporarily? No daisy chaining?

  • Are cords secured so they do not run across pathways, under doors or walls?

  • Is the breaker panel accessible with labels identifying the function of each switch?

  • Are all unused openings, including conduit knockouts in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?

  • Are electrical enclosures, such as switches, receptacles, junction boxes, etc. provided with tight-fitting covers or plates?

  • Are GFCIs available for use in wet areas?

Hangar

  • Are aircraft appropriately grounded?

Tools & Equipment

Tools & Equipment

  • Are tools and equipment in good condition?

  • Are appropriate safety glasses, face shields, etc., worn while using tools or equipment that might produce flying materials?

  • Are grinders, saws, similar equipment provided with appropriate safety guards?

  • Are power tools used with proper shields, guards or attachments as recommended by the manufacturer?

  • Are rotating or moving parts of equipment guarded to prevent physical contact?

  • Where required, are emergency stop buttons accessible and clearly marked?

  • Are all cord connected, electrically operated tools and equipment effectively grounded or of the double insulated type?

  • Are portable fans provided with full guards or screens having openings 1/2 inch or less?

  • When used for cleaning, are compressed air nozzles reduced to below 30 psi?

Abrasive Wheels

  • Is the work rest used and kept adjusted to within 1/8 inch of the wheel?

  • Is the adjustable tongue on the top side of the grinder used and kept adjusted to within 1/4 inch of the wheel?

  • Do the side guards cover the spindle, nut and flange and 75% of the wheel diameter?

  • Are bench and pedestal grinders permanently mounted?

  • Is cleanliness maintained around grinders?

Material Handling & Storage

Material Handling & Storage

  • Is there safe clearance for equipment through aisles and/or doorways as needed?

  • Are motorized vehicles and mechanized equipment inspected daily or prior to use?

  • Are dock boards used when loading/unloading operations are taking place between vehicles and docks?

  • Are trucks and trailer secured from movement during loading and unloading operations?

  • Are securing chains, ropes, or slings adequate for the job?

  • Are chains, ropes, or slings inspected before use?

  • No one is allowed to stand underneath the load when hoisting material or equipment?

  • Are materials stored to prevent falls and spills?

  • Are storage containers labeled with contents?

  • Racking and shelving systems have no damage that could impact the structural integrity?

  • Are storage racks secure from movement/shifting?

  • Where applicable, are storage racks protected from being struck by lift trucks and/or order pickers?

Hazardous Chemicals

Hazardous Chemicals

  • Are chemical containers properly labeled, including secondary containers?

  • Are approved containers and tanks used to store and handle flammable and combustible liquids?

  • Are flammable liquids kept in closed containers when not in use?

  • Are flammable cabinets used properly? No cardboard, stored quantity matches cabinet size, no open containers, etc.).

  • Are all connections on drums vapor and liquid tight?

  • Are chemicals separated by hazard class (acids, bases, flammables, etc.)?

LPG Tanks

  • Is liquid petroleum gas (LPG) stored, handled and used in accordance with safe practice standards?

  • When stored inside, LPG containers are not located near exits or stairways or in areas normally used for the safe exit of people?

  • Are LPG containers stored so as to minimize exposure to excessive temperature rise, physical damage or tampering by unauthorized persons?

  • Are "NO SMOKING" signs posted on LPG gas tanks and in areas where flammable or combustible materials are stored or used?

Compressed Gas Cylinders

  • Are compressed gas cylinders properly stored, kept from falling? (Use of chains is acceptable).

  • Are compressed gas cylinders properly segregated? (i.e., Oxygen separate from Acetylene)

  • Are all cylinders properly labeled with contents?

Spray Operations

Spray Operations

  • Is a clear space of not less than 3 feet on all sides of the spray paint booth kept free from storage or combustible construction?

  • Is adequate ventilation provided before spraying operations are started?

  • If used to illuminate spray areas, are portable lamps suitable for use in a hazardous location?

  • Is approved respiratory equipment provided and used when appropriate, during spraying operations?

  • Is respiratory equipment used properly? For example, if an employee is wearing a half facepiece respirator, is the employee clean shaven to ensure a proper face seal?

  • Are "NO SMOKING" signs posted in spray areas, paint rooms, paint booths and paint storage areas?

  • Is the spray area kept clean of combustible residue?

  • Are fire control sprinkler heads kept clean?

  • When used, is infrared drying apparatus kept out of the spray area during spraying operations?

  • Is the booth completely ventilated before using the infrared drying apparatus?

Fueling

Fueling

  • Are fueling operations performed to minimize spilling?

  • When spillage occurs during fueling operations, is the spilled fuel cleaned or evaporated completely, or are other measures taken to control vapors before starting the engine?

  • Are open lights, open flames, sparking or arcing equipment prohibited near fueling operations?

  • Is smoking prohibited in the vicinity of fueling operations?

  • Are aircraft properly grounded during fueling operations?

Covid-19 Response

Covid-19 Response

  • Do shared spaces (conference rooms, meeting rooms, break rooms, etc.) have cleaning supplies available for use?

  • Are these areas cleaned after use by the employees who used the shared space?

  • Do shared spaces have chairs spaced 6ft. apart to maintain physical distancing or barriers in place to separate each person?

  • Are capacity limits being abided by for conference rooms and meeting rooms?

  • Does everyone wear proper face coverings while not in their work station?

  • Is hand sanitizer, disinfecting wipes, cleaning spray, etc. available in common spaces?

  • Do restrooms have physical distancing measures in place such as utilizing every other sink or urinal, etc.?

  • Do employees have the proper temperature check sticker on their badge (not covering their face or name)?

  • Are shared tools adequately cleaned between uses?

  • Are floor signs in place at high traffic areas such as time clocks and break room amenities to show where 6ft. is for physical distancing?

  • Are people following these 6ft. physical distancing floor markers?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.