American Contractors Insurance Group

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Worksite Questions

• Are occupational safety and health administration (OSHA)and state required posters displayed in a prominent place?

  Yes

  No

  N/A

• Are safety signs/warnings posted where appropriate?

  Yes

  No

  N/A

• Are emergency telephone numbers posted where they can be found readily?

  Yes

  No

  N/A

• Is a first aid kit available and adequately stocked?

  Yes

  No

  N/A

• Is the summary of occupational injury illnesses posted?

  Yes

  No

  N/A

• Are emergency evacuation routes identified?

  Yes

  No

  N/A

• Are all work areas clean and orderly?

  Yes

  No

  N/A

• Are combustible scrap, debris and waste stored safely and removed from the work areas promptly?

  Yes

  No

  N/A

• Are adequate toilets and washing facilities provided?

  Yes

  No

  N/A

Medical Services and First Aid

• Is a blood borne pathogens plan in place?

  Yes

  No

  N/A

• Are medically approved first aid kits and sharps containers adequately supplied?

  Yes

  No

  N/A

• If medical/first aid facilities are not in proximity is at least one employee on each shift qualified to render first aid?

  Yes

  No

  N/A

• Are quick drenching showers and eye flushing stations available where corrosive liquids or materials are handled?

  Yes

  No

  N/A

Health and Safety Training

• Have all new employees received safety orientation training?

  Yes

  No

  N/A

• Do employees participate in regularly scheduled safety meetings?

  Yes

  No

  N/A

• Are adequate training resources available and management committed to employee training?

  Yes

  No

  N/A

• It is documented that all employees have received required training?

  Yes

  No

  N/A

• a. Work area hazards

  Yes

  No

  N/A

• b. Emergency action plan

  Yes

  No

  N/A

• c. Equipment operation

  Yes

  No

  N/A

• d. Personal protective equipment

  Yes

  No

  N/A

• e. Location and use of emergency equipment

  Yes

  No

  N/A

• f. Hazard communication/Safety Data Sheet (SDS)

  Yes

  No

  N/A

• g. Hearing conservation

  Yes

  No

  N/A

• Do all employees receive refresher training at least annually?

  Yes

  No

  N/A

• Have employees received instruction on procedures to report unsafe conditions, defective equipment, and unsafe acts?

  Yes

  No

  N/A

Fire Protection

• Is the local fire department acquainted with the facility and its specific hazards?

  Yes

  No

  N/A

• Is the fire suppression equipment inspection current?

  Yes

  No

  N/A

• Are fire alarm systems tested at least annually?

  Yes

  No

  N/A

• Are automatic sprinkler system water control valves, air and water pressure checked as required?

  Yes

  No

  N/A

• Are fire extinguishers provided in adequate number, type and are they in readily accessible locations?

  Yes

  No

  N/A

• Are employees periodically trained in use of fire suppression and protection procedures?

  Yes

  No

  N/A

Exit Routes

• Are all exit routes marked and illuminated by reliable light sources?

  Yes

  No

  N/A

• Are doors, passageways, or stairways that are not exits, or accessible to exits; appropriately marked as "Not an Exit" or with an indication of actual use?

  Yes

  No

  N/A

• Are all exits free from obstructions?

  Yes

  No

  N/A

• Do all exit doors open from the inside without the use of a key, tool, or any special knowledge?

  Yes

  No

  N/A

• Where panic hardware is installed on exit door, will it allow the door to open with 15 pounds or less force in the direction of the exit traffic?

  Yes

  No

  N/A

• Are exit doors that open onto a street, alley, or vehicle parking area provided with adequate barriers and warnings to prevent employees from stepping into traffic or vehicles blocking the exit?

  Yes

  No

  N/A

Walkways

• Are aisles and passageways kept clear and clear?

  Yes

  No

  N/A

• Are wet surfaces covered with non-slip materials?

  Yes

  No

  N/A

• Are pits and floor openings covered or guarded?

  Yes

  No

  N/A

• Is aisle clearance provided for motorized or mechanical handling equipment operation?

  Yes

  No

  N/A

• Are walkways properly marked?

  Yes

  No

  N/A

• Are aisles and walkways passing near moving or operating machinery, welding operations, or similar operations arranged to minimize potential hazard exposure?

  Yes

  No

  N/A

Floor and Wall Openings

• Are floor openings guarded by a cover, guardrail, or equivalent on all sides?

  Yes

  No

  N/A

• Are toe boards installed around the edges of permanent floor openings?

  Yes

  No

  N/A

• Are skylight screens capable of supporting at least 200 pounds?

  Yes

  No

  N/A

• Are grates or similar type floor covers designed so that foot traffic or rolling equipment will not be affected by their placement?

  Yes

  No

  N/A

• Are portions of pits not actually in use either covered or protected by guardrails or equialent?

  Yes

  No

  N/A

• Are manhole covers, trench covers and similar covers, plus their supports, designed to carry a truck rear axle load of at least 20,000 pounds?

  Yes

  No

  N/A

Stairs and Stairways

• Are standard stair rails or handrails on all stairways with four or more risers?

  Yes

  No

  N/A

• Are stairways at least 22 inches wide?

  Yes

  No

  N/A

• Are stairs of hollow-pan type treads and landings filled to the top edge of the pan with solid material?

  Yes

  No

  N/A

• Are step risers on stairs uniform from top to bottom?

  Yes

  No

  N/A

• Are steps designed or provided with a slip resistant surface?

  Yes

  No

  N/A

• Are handrails located between 30 and 34 inches above stair treads?

  Yes

  No

  N/A

• Do handrails have at least 3 inches of clearance between the handrail and the wall surface they are mounted on?

  Yes

  No

  N/A

• Are handrails capable of withstanding a load of 200 pounds applied within 2 inches of the top edge?

  Yes

  No

  N/A

Elevated Surfaces

• Are signs posted showing the surface load capacity?

  Yes

  No

  N/A

• Are surfaces elevated more than 30 inches above the floor or ground provided with standard guardrails?

  Yes

  No

  N/A

• Are elevated surfaces that expose people or machinery to falling objects provided with standard 4-inch toe boards?

  Yes

  No

  N/A

• Is permanent means of access and egress provided to elevated storage and work surfaces?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are dock boards or bridge plates used when transferring materials between docks and trucks or railcars?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Are protective goggles or face shields provided and worn where there is danger of flying particles or corrosive materials?

  Yes

  No

  N/A

• Are approved safety glasses worn at all times in areas where there is risk of eye injuries?

  Yes

  No

  N/A

• Are protective gloves, aprons, shields, or other means provided where employees could be cut or where there is reasonably anticipated exposure to: corrosive liquids, chemicals, blood, or other potentially infectious materials?

  Yes

  No

  N/A

• Are hard hats provided and worn where danger of falling objects exists?

  Yes

  No

  N/A

• Are approved respirators provided for regular and emergency use as needed?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is a hearing conservation program established for noise levels exceeding 85 decibels?

  Yes

  No

  N/A

• Is hearing protection required when noise levels are exceeded?

  Yes

  No

  N/A

• Are adequate work procedures and PPE provided and used when cleaning up spilled toxic or hazardous materials or liquids?

  Yes

  No

  N/A

• Are employees trained in use, limitations, maintenance, storage and inspection requirements of PPE?

  Yes

  No

  N/A

Ladders

• Are ladders inspected and maintained in good condition?

  Yes

  No

  N/A

• Are non-slip feet provided on each ladder?

  Yes

  No

  N/A

• Are ladder rungs and steps free from grease and oil?

  Yes

  No

  N/A

• Are employees trained in the proper use and operation of ladders?

  Yes

  No

  N/A

• Are employees instructed to face ladders when climbing and descending?

  Yes

  No

  N/A

• Are employees instructed not to use the top two steps of stepladders as steps?

  Yes

  No

  N/A

• When is use, do ladders extend a least 3 feet above elevated surfaces?

  Yes

  No

  N/A

• Are metal ladders legibly marked with signs cautioning against using them around electrical power sources?

  Yes

  No

  N/A

Welding, Cutting, and Brazing

• Are only authorized and trained personnel permitted to use welding, cutting, or brazing equipment?

  Yes

  No

  N/A

• Are cylinders kept away from sources of heat?

  Yes

  No

  N/A

• Are cylinders kept away from elevators, stairs, or gangways?

  Yes

  No

  N/A

• Are hot work permits required?

  Yes

  No

  N/A

• Are used drums, barrels, tanks and other containers thoroughly cleaned so that no explosive or hazardous chemical substances remain?

  Yes

  No

  N/A

• Is required PPE used properly and inspected periodically?

  Yes

  No

  N/A

• Is an inspection made to ensure adequate ventilation where welding or cutting is conducted?

  Yes

  No

  N/A

• When working in a confined space, are environmental monitoring tests made and means provided for quick egress in case of emergency?

  Yes

  No

  N/A

Compressors and Compressed Air

• Are all compressors equipped with pressure relief valves, and pressure gauges?

  Yes

  No

  N/A

• Are compressor air intakes installed and equipped to ensure only clean uncontaminated air enters?

  Yes

  No

  N/A

• Are air filters installed and regularly inspected?

  Yes

  No

  N/A

• Are compressor safety devices checked frequently?

  Yes

  No

  N/A

• Before repair work is done on the pressure system, is all pressure bled off and the system locked out?

  Yes

  No

  N/A

• Are signs posted warning of the automatic starting feature of the compressors?

  Yes

  No

  N/A

• Are all belt drive systems totally enclosed?

  Yes

  No

  N/A

• Is it strictly prohibited to direct compressed air toward a person?

  Yes

  No

  N/A

• Are safety chains or other suitable locking devices used at coupling of high pressure hose lines where a connection failure could create a hazard?

  Yes

  No

  N/A

• When compressed air is used with abrasive blast cleaning equipment, is the opening valve a type that must be held open manually?

  Yes

  No

  N/A

• Are compressed air receivers periodically drained of moisture and oil?

  Yes

  No

  N/A

• Are all safety valves tested frequently and at regular intervals to determine whether they are in good operating condition?

  Yes

  No

  N/A

Compressed Gas Cylinders

• Are cylinders legibly marked to clearly identify the gas contained?

  Yes

  No

  N/A

• Are compressed gas cylinders stored in areas that are protected from external heat sources?

  Yes

  No

  N/A

• Are cylinders located or stored in areas where they will not be damaged by passing or falling objects or tampered with by unauthorized persons?

  Yes

  No

  N/A

• Are cylinders stored or transported in a manner to prevent them from creating a hazard by slipping, falling, or rolling?

  Yes

  No

  N/A

• Are valve protectors/caps always placed on cylinders when cylinders are not in use or connected for use?

  Yes

  No

  N/A

• Are cylinders stored at least 20 feet away from highly combustible materials?

  Yes

  No

  N/A

• Are fuel gas and oxygen cylinders stored a minimum of 20 feet apart or separated by a 1 hour firewall?

  Yes

  No

  N/A

• Are in-service cylinders adequately supported to prevent them from falling over?

  Yes

  No

  N/A

Lockout/Tagout Procedures

• Are all hazardous energy sources required to be de-energized, disengaged, blocked, or locked-out during cleaning, servicing, adjusting, settting-up operations, or as required?

  Yes

  No

  N/A

• Are all equipment control valve handles provided with a means for lockout?

  Yes

  No

  N/A

• Do lockout procedures require stored energy be released or blocked?

  Yes

  No

  N/A

• Are appropriate employees provided with individually keyed safety locks?

  Yes

  No

  N/A

• Are employees required to keep personal control of their key while they have safety locks in use?

  Yes

  No

  N/A

• Is it required that only the employee exposed to the hazard, place or remove the safety lock?

  Yes

  No

  N/A

• Do you require employees to verify equipment lockout by attempting a start-up after making sure no one is exposed to the hazard?

  Yes

  No

  N/A

• Are means established to identify all employees who are working on locked-out equipment by their locks or accompanying tags?

  Yes

  No

  N/A

• In the event that equipment or lines cannot be shut down, locked and tagged out, is a safe job procedure established and rigidly followed?

  Yes

  No

  N/A

Confined Spaces

• Are confined spaces thoroughly emptied and rinsed of corrosive or hazardous substances before entry?

  Yes

  No

  N/A

• Are all lines to a confined space containing hazardous substances locked and tagged out before entry?

  Yes

  No

  N/A

• Is adequate ventilation provided prior to and during confined space entry?

  Yes

  No

  N/A

• Are appropriate atmospheric tests performed prior to confined space entry?

  Yes

  No

  N/A

• Is the atmosphere inside the confined space frequently tested or continuously monitored during work?

  Yes

  No

  N/A

• Are atmospheric tests done on all levels, from bottom to top?

  Yes

  No

  N/A

• Is adequate illumination provided in confined spaces?

  Yes

  No

  N/A

• Are assigned attendants outside of the confined spaces?

  Yes

  No

  N/A

• Are attendants appropriately trained and equipped to handle an emergency?

  Yes

  No

  N/A

• Is approved respiratory equipment required if the atmosphere inside the confined space cannot be made acceptable?

  Yes

  No

  N/A

• Is portable electrical equipment used inside confined spaces either grounded or insulated, or equipped with ground fault circuit interrupter protection?

  Yes

  No

  N/A

• Are hot work permits required before welding and other oxygen-consuming equipment is used?

  Yes

  No

  N/A

• Does the attendant have authorization to shut down the job if needed?

  Yes

  No

  N/A

Environmental Conditions

• Are all work areas properly illuminated?

  Yes

  No

  N/A

• Are workers aware of the hazards involved with the various chemicals they may be exposed to in their work environment?

  Yes

  No

  N/A

• Is the work area's ventilation system appropriate for the work being done?

  Yes

  No

  N/A

• Are spray painting operations done in spray rooms or booths equipped with an appropriate exhaust system?

  Yes

  No

  N/A

• Are noise levels in work areas within acceptable levels?

  Yes

  No

  N/A

• Are proper precautions being taken when handling asbestos and other fibrous materials?

  Yes

  No

  N/A

• Are caution labels and signs used to warn of hazardous substances and biohazards?

  Yes

  No

  N/A

• Are wet methods used to prevent the emission of hazardous airborne fibers?

  Yes

  No

  N/A

• Are grinders, saws, and other machines that produce respirable dusts vented to an industrial collector or central exhaust system?

  Yes

  No

  N/A

• Is potable water provided for drinking, washing, and cooking?

  Yes

  No

  N/A

• Are water outlets not suitable for drinking clearly identified?

  Yes

  No

  N/A

Flammable and Combustible Materials

• Are combustible materials stored in covered metal receptacles and removed from work areas properly?

  Yes

  No

  N/A

• Are approved containers and tanks used for the storage and handling of flammable and combustible liquids?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are bulk drums of flammable liquids grounded and bonded to containers during dispensing?

  Yes

  No

  N/A

• Do storage rooms have explosion-proof lights and adequate ventilation?

  Yes

  No

  N/A

• Are "no smoking" signs posted on liquefied petroleum gas tanks and in areas where flammable or combustible materials are used and stored?

  Yes

  No

  N/A

• Are spills of flammable or combustible liquids cleaned up promptly?

  Yes

  No

  N/A

• Are storage tanks adequately vented to prevent the development of excessive vacuum or pressure?

  Yes

  No

  N/A

Fueling

• Is it prohibited to conduct fueling operations while the engine is running?

  Yes

  No

  N/A

• Are fuel tank caps replaced and secured before starting an engine?

  Yes

  No

  N/A

• In fueling operations, is there always metal contact between the container and the fuel tank?

  Yes

  No

  N/A

• Are the fueling hoses designed to handle the specific type of fuel?

  Yes

  No

  N/A

• Are fueling operations prohibited in buildings or other enclosed areas not specifically ventilated for this purpose?

  Yes

  No

  N/A

• Where fueling or transfer of fuel is done through a gravity flow system, are the nozzles of the self-closing type?

  Yes

  No

  N/A

Hazardous Chemical Exposure

• Are employee trained in the safe use of hazardous chemicals and materials?

  Yes

  No

  N/A

• Are employees knowledgeable of potential workplace chemical hazards?

  Yes

  No

  N/A

• Are eye wash fountains and safety showers provided in areas where corrosive chemicals are handled?

  Yes

  No

  N/A

• Are chemical containers labeled?

  Yes

  No

  N/A

• Are employees required to use personal protective clothing and equipment when handling chemicals?

  Yes

  No

  N/A

• Are chemical piping systems clearly marked as to their content?

  Yes

  No

  N/A

• Are adequate means readily available for containing spills or overflows properly and safely?

  Yes

  No

  N/A

• Are standard operating procedures established and being followed when cleaning up chemical spills?

  Yes

  No

  N/A

• Are employees prohibited from eating in areas where hazardous chemicals are present?

  Yes

  No

  N/A

• Is personal protective equipment provided, used, and maintained where needed?

  Yes

  No

  N/A

• Are there written standard operating procedures for the selection and use of equipment?

  Yes

  No

  N/A

• If you have respirator protection program, are your employees instructed on the correct usage and limitations of the respirators?

  Yes

  No

  N/A

• Are respirators regularly inspected, cleaned, sanitized, and maintained?

  Yes

  No

  N/A

• If internal combustion engines are used, is carbon monoxide kept within acceptable levels?

  Yes

  No

  N/A

• Are annual spirometry and medical examinations maintained for personnel using respirators?

  Yes

  No

  N/A

Hazardous Substances Communication

• Is there a list of hazardous substances that are used in your workplace?

  Yes

  No

  N/A

• Is there a current written exposure control plan for occupational exposure to bloodborne pathogens and other potentially infectious materials?

  Yes

  No

  N/A

• Do you have a written hazard communication program dealing with Safety Data Sheets (SDS), labeling, employee training, etc., that meets the OSHA standard?

  Yes

  No

  N/A

• Are all containers for a hazardous substance (i.e., vats, bottles, storage tanks, etc.) labeled with product identity and a hazard warning (communication of the specific health hazards and physical hazards)?

  Yes

  No

  N/A

• Are all SDS's readily available for each hazardous substance used?

  Yes

  No

  N/A

• Is there an employee training program for hazardous substances used?

  Yes

  No

  N/A

• Are employees trained in the following:

  Yes

  No

  N/A

• How to recognize tasks that might result in occupational exposure?

  Yes

  No

  N/A

• How to use work practice, engineering controls, and personal protective equipment and to know their limitations?

  Yes

  No

  N/A

• How to obtain information on the types, selection, proper use, location, removal, handling, decontamination and disposal of personal protective equipment?

  Yes

  No

  N/A

• Who to contact and what to do in an emergency?

  Yes

  No

  N/A

Electrical

• When electrical equipment or lines are to be serviced, maintained, or adjusted: are necessary switches open, locked-out, and tagged whenever possible?

  Yes

  No

  N/A

• Are portable electrical tools and equipment grounded or have double insulation?

  Yes

  No

  N/A

• Do all extension cords on site have a grounding conductor?

  Yes

  No

  N/A

• Are multiple plug adaptors prohibited?

  Yes

  No

  N/A

• Are ground-fault circuit interrupters installed on each temporary 15 or 20 ampere, 120 volt, AC circuit locations where construction, demolition, modifications, alterations, or excavations are being performed?.

  Yes

  No

  N/A

• Do electrical installations in hazardous dust or vapor areas meet the National Electrical Code (NEC) for hazardous locations?

  Yes

  No

  N/A

• Are exposed wiring and cords with frayed or deteriorated insulation repaired/replaced promptly?

  Yes

  No

  N/A

• Are all flexible cords and cables free of splice and taps?

  Yes

  No

  N/A

• Are cord, cable and raceway connections intact and secure?

  Yes

  No

  N/A

• Are locations of electrical power lines and cables (overheads, underground, underfloor, other side of walls, etc.) determined before digging, drilling, or similar work is begun?

  Yes

  No

  N/A

• Are disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

  Yes

  No

  N/A

• Is sufficient access and working space provided and maintained around all electrical equipment to permit safe operation and maintenance?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is each motor disconnecting switch or circuit breaker located within sight of the motor control device?

  Yes

  No

  N/A

• Is each motor located within sight of its controller or the controller disconnecting means capable of being locked in the open position, or is a separate disconnecting means installed in the circuit within sight of the motor?

  Yes

  No

  N/A

• Are electrical systems and breakers analyzed and marked per NFPA 70E?

  Yes

  No

  N/A

• Is arc flash rated clothing and PPE worn while working in arc flash zone?

  Yes

  No

  N/A

Noise

• Are there areas in the workplace where continuous noise levels exceed 85 dBA?

  Yes

  No

  N/A

• Have work areas where noise levels make communication between employees difficult been identified and posted?

  Yes

  No

  N/A

• Are noise levels being measured and records being kept?

  Yes

  No

  N/A

• Are engineering controls being used to reduce excessive noise levels?

  Yes

  No

  N/A

• Where engineering controls are determined to be not feasible, are administrative controls (i.e., worker rotation) being used to minimize individual employee exposure to noise?

  Yes

  No

  N/A

• Is approved hearing protection equipment (noise attenuating devices) available to every employee working in noisy areas?

  Yes

  No

  N/A

• Are employees properly fitted and instructed in the use of hearing protectors?

  Yes

  No

  N/A

• Are employees in high noise areas given periodic audiometric testing to ensure effective hearing protections systems are in place?

  Yes

  No

  N/A

Identification of Piping Systems

• When hazardous substances are transported through above ground piping, is piping identified at points where confusion could introduce hazards to employees?

  Yes

  No

  N/A

• When pipelines are heated by electricity, steam, or other external source, are suitable warning signs or tags placed at unions, valves, or other serviceable parts of the system?

  Yes

  No

  N/A

Material Handling

• Are aisles properly marked and kept clear?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are vehicles shut off and their brakes set prior to loading or unloading?

  Yes

  No

  N/A

• Are dock boards (bridge plates) used when loading or unloading operations are taking place between vehicles and docks?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are all hand trucks maintained in safe operating condition?

  Yes

  No

  N/A

• Are all pallets inspected before being loaded or moved?

  Yes

  No

  N/A

• Are hooks with safety latches or other arrangements used when hoisting materials so that slings or load attachments will not accidentally slip off the hoist hooks?

  Yes

  No

  N/A

• Are securing chains, ropes, chokers, or slings adequate for the job to be performed?

  Yes

  No

  N/A

• When hoisting material or equipment, are provisions made to ensure that no one will be passing under the suspended loads?

  Yes

  No

  N/A

• Are shelves secured and constructed to withstand the maximum designated storage weight?

  Yes

  No

  N/A

• Are shelves secured to prevent tipping or falling?

  Yes

  No

  N/A

Transporting Employees and Materials

• Do all employees who operate vehicles on public thoroughfares have valid operator's licenses?

  Yes

  No

  N/A

• When seven or more employees are regularly transported in a van, bus, or truck, is the operator's license appropriate for the class of vehicle being driven?

  Yes

  No

  N/A

• Is each van, bus, or truck used regularly to transport employees equipped with an adequate number of seats and seat belts?

  Yes

  No

  N/A

• Are vehicles used to transport employees equipped with lamps, brakes, horns, mirrors, windshields, and turn signals in good repair?

  Yes

  No

  N/A

• Are transport vehicles provided with handrails, steps, stirrups, or similar devices so placed and arranged that employees can safely mount and dismount?

  Yes

  No

  N/A

• Are fully charged fire extinguishers, in good condition, with at least a 4 B-C rating maintained in each employee transport vehicle?

  Yes

  No

  N/A

Hoist and Auxiliary Equipment

• Is each overhead electrical hoist equipped with a limit device to stop the hook travel at its highest and lowest point of safe operation?

  Yes

  No

  N/A

• Will each hoist automatically stop and hold any load up to 125 percent of its rated load if its actuating force is removed?

  Yes

  No

  N/A

• Is the rated load of each hoist legibly marked and visible to the operator?

  Yes

  No

  N/A

• Are stops provided at the safe limits of travel for hoists?

  Yes

  No

  N/A

• Are controls of the hoists plainly marked to indicate the direction of travel or motion?

  Yes

  No

  N/A

• Is each cage-controlled hoist equipped with an effective warning device?

  Yes

  No

  N/A

• Are all hoist chains or ropes of sufficient length to handle the full range of movement of the application while still maintaining two full wraps on the drum at all times?

  Yes

  No

  N/A

• Are nip points or contact points between hoist ropes and sheaves that are permanently located within seven feet of the floor, ground, or working platform guarded?

  Yes

  No

  N/A

• Is it prohibited to use chains or rope slings that are kinked or twisted?

  Yes

  No

  N/A

• Is it prohibited to use the hoist rope or chain wrapped around the load as a substitute for a sling?

  Yes

  No

  N/A

• Are operators instructed to avoid carrying loads over people?

  Yes

  No

  N/A

• Are hoists and load bearing structures load tested and annually certified?

  Yes

  No

  N/A

• Are all hooks equipped with spring-loaded safety clips to prevent accidental load release?

  Yes

  No

  N/A

• Are only employees who have been trained in the proper use of hoists allowed to use them?

  Yes

  No

  N/A

Industrial Trucks/Forklifts

• Are only trained personnel allowed to operate industrial trucks?

  Yes

  No

  N/A

• Is substantial overhead protective equipment provided on high lift rider equipment?

  Yes

  No

  N/A

• Are required lift truck operating rules posted and enforced?

  Yes

  No

  N/A

• Is directional lighting provided on each industrial truck that operates in an area with less than 2 foot candles per square foot of general lighting?

  Yes

  No

  N/A

• Do industrial trucks have warning horns or other devices that can be clearly heard above normal noise in the areas where they are operated?

  Yes

  No

  N/A

• Are brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded?

  Yes

  No

  N/A

• Does the industrial truck's parking brake effectively prevent the vehicle from moving when unattended?

  Yes

  No

  N/A

• Are the drive motors shut off and brakes applied when any motorized hand and hand/rider truck's control grip is released?

  Yes

  No

  N/A

• Are seat belts worn during operation?

  Yes

  No

  N/A

Spraying Operations

• Is adequate ventilation assured before spray operations are started?

  Yes

  No

  N/A

• Is mechanical ventilation provided when spraying operations are done in enclosed areas?

  Yes

  No

  N/A

• When mechanical ventilation is provided during spraying operations, does it properly vent contaminated air?

  Yes

  No

  N/A

• Are spray areas free of hot surfaces?

  Yes

  No

  N/A

• Is the spray area at least 20 feet from flames, sparks, operating electrical motors, and other ignitions sources?

  Yes

  No

  N/A

• Are portable lamps used to illuminate spray areas suitable for use in hazardous locations?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are fire control sprinkler heads kept clean?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is the spray area kept clean of combustible residue?

  Yes

  No

  N/A

• Are spray booths constructed of metal, masonry, or other substantial noncombustible material?

  Yes

  No

  N/A

• Are spray booth floors and baffles noncombustible and easily cleaned?

  Yes

  No

  N/A

• Is infrared drying apparatus kept out of the spray area during spraying operations?

  Yes

  No

  N/A

• Are spray booths completely ventilated before using drying apparatus?

  Yes

  No

  N/A

• Is electric drying equipment properly grounded?

  Yes

  No

  N/A

Hand Tools and Equipment

• Are all tools and equipment maintained in good condition?

  Yes

  No

  N/A

• Are employees made aware of the hazards caused by faulty or improperly used hand tools?

  Yes

  No

  N/A

• Are safety glasses, face shields, etc. used while using hand tools or equipment that might produce flying materials or be subject to breakage?

  Yes

  No

  N/A

• Are jacks checked periodically to ensure they are in good operating condition?

  Yes

  No

  N/A

• Are tools stored in dry, secure location?

  Yes

  No

  N/A

Portable Power Tools and Equipment

• Are grinders, saws and similar equipment provided with appropriate safety guards and are they used as recommended by the manufacturer?

  Yes

  No

  N/A

• Are portable electric tools and extension cords inspected regularly

  Yes

  No

  N/A

• Are portable circular saws equipped with guards above and below the base shoe?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are effective guards in place over bets, pulleys, chains, and sprockets?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is hoisting equipment available and used for lifting heavy objects, and are hoist ratings and characteristics appropriate for the task?

  Yes

  No

  N/A

• Are ground-fault circuit interrupters provided on all temporary electrical 15 and 20 amp circuits, used during periods of construction?

  Yes

  No

  N/A

• Are pneumatic and hydraulic hoses on power-operated tools regularly checked for deterioration or damage?

  Yes

  No

  N/A

Abrasive Wheel Equipment - Grinders

• Are work rests installed and kept adjusted to within 1/8 inch of the wheel?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are bench and pedestal grinders permanently mounted?

  Yes

  No

  N/A

• Are goggles or face shields always worn when grinding?

  Yes

  No

  N/A

• Is the maximum RPM rating on each abrasive wheel compatible with the RPM rating of the grinder motor?

  Yes

  No

  N/A

• Does each grinder have an individual on/off control switch?

  Yes

  No

  N/A

• Before new abrasive wheels are mounted, are they visually inspected and ring tested?

  Yes

  No

  N/A

• Are dust collectors and powered exhaust provided on grinders used in operations that produce large amounts of dust?

  Yes

  No

  N/A

Powder-Actuated Tools

• Are employees who operate powder-actuated tools trained in their use and do they carry a valid operator card?

  Yes

  No

  N/A

• Is each powder-actuated tool stored in its own locked container when not being used?

  Yes

  No

  N/A

• Is a sign at least 7 inches by 10 inches with bold face type reading "POWDER-ACTUATED TOOL IN USE" conspicuously posted when tools are being used?

  Yes

  No

  N/A

• Are powder-actuated tools left unloaded until they are actually ready to be used?

  Yes

  No

  N/A

• Are powder-actuated tools inspected for obstructions or defects each day before use?

  Yes

  No

  N/A

• Do powder-actuated tool operators have and use appropriate personal protective equipment such as hard hats, safety goggles, safety shoes, and ear protection?

  Yes

  No

  N/A

Machine Guarding

• Is there a training program to instruct employees on safe methods of machine operation?

  Yes

  No

  N/A

• Is there adequate supervision to ensure that employees are following safe machine operating procedures?

  Yes

  No

  N/A

• Is there a regular program of safety inspections of machinery and equipment?

  Yes

  No

  N/A

• Is all machinery and equipment kept clean and properly maintained?

  Yes

  No

  N/A

• Is sufficient clearance provided around and between machines to allow for safe operations, servicing, material handling, and waste removal?

  Yes

  No

  N/A

• Is equipment and machinery securely placed and anchored when necessary to prevent tipping or other movement that could result in personal injury?

  Yes

  No

  N/A

• Is the power shut-off switch within reach of the operator's position at each machine?

  Yes

  No

  N/A

• Can electric power to each machine be locked-out for maintenance, repair, or security?

  Yes

  No

  N/A

• Are foot-operated switches guarded or arranged to prevent accidental actuation be personnel or falling objects?

  Yes

  No

  N/A

• Are manually operated valves and switches controlling the operation of equipment and machines clearly identified and readily accessible?

  Yes

  No

  N/A

• Are all emergency stop buttons brightly colored or placarded?

  Yes

  No

  N/A

• Are all pulleys and belts that are within 7 feet of the floor or working level properly guarded?

  Yes

  No

  N/A

• Are all moving chains and gears properly guarded?

  Yes

  No

  N/A

• Are splash guards mounted on the machines that use coolant to prevent the coolant from reaching the employees?

  Yes

  No

  N/A

• Are methods provided to protect the operator and other employees in the machine areas from hazards created at the point of operation, nip points, rotating parts, flying chips, and sparks?

  Yes

  No

  N/A

• If special hand tools are used for placing and removing material, do they protect the operator's hands?

  Yes

  No

  N/A

• Are revolving drums, barrels, and containers guarded by an enclosure that is interlocked with the drive mechanism, so that revolution cannot occur unless the guard enclosures are in place?

  Yes

  No

  N/A

• Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown?

  Yes

  No

  N/A

• If machinery is cleaned with compressed air, is air pressure controlled and personal protective equipment or other safeguards utilized to protect operators and other workers from eye and body injury?

  Yes

  No

  N/A

• Are saws used for ripping equipped with anti-kickback devices and spreaders?

  Yes

  No

  N/A

• Are radial arm saws so arranged that the cutting head will gently return to the back of the table when released?

  Yes

  No

  N/A

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