American Fence & Security Company

• Annual Branch Safety Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

HEALTH EMERGENCY PREPARATION

• Workers have been trained to respond to health emergencies and/or instructions are posted.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Employees have been trained in emergency evacuation procedures.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Emergency telephone numbers (9-1-1 or separate numbers for fire, ambulance, etc.) are posted.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• First aid supplies are fully stocked and workers know where to find them.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• First aid supplies are suitable for the type of injuries likely to occur in this workplace.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Workers have received "Right-to-Know" training on hazardous materials they are likely to encounter in their workplace and the use of and location of Safety Data Sheets.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Workers know where Safety Data Sheets are located.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

HOUSEKEEPING

• Work areas are clean and organized to prevent hidden hazards.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

FIRE PREVENTION

• Fire extinguishers are easily accessible and have been checked and serviced as necessary and are the appropriate type for the predominant fire hazard.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Fire exits are accessible and unlocked from the inside.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• The path to fire exits is clear and clear of obstacles.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• There is access to two fire exits from every point in the building.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Emergency exits are prominently posted.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Smoke alarms are installed and batteries were tested during this Inspection.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Sprinkler systems have been tested.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Flammable materials are safely stored in proper containers away from heat and sparks.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Anything that makes flames or sparks is shielded and the area is kept clear of trash, papers and other potential fuel.

  Yes

  No

  N/A

FLOORS, ASILES, STAIRS AND ENTRYWAYS

• Floors provide good traction and are free of cracks, bumps and other hazards that could cause slip, trips, or falls.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Workers are trained to clean up spills promptly with provided materials.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Aisles are well lighted and kept clear and free of tripping hazards.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Stairs are in good condition with no loose steps, provided with handrails and are well lighted.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Areas under stairs are clear and not used for storage.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

LADDERS

• Ladders are provided were needed.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Ladders meet construction standards and are in good condition.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Sturdy step ladders are provided if necessary.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

MATERIAL STORAGE

• Stored materials, products, and supplies are set in stable, balanced piles to a reachable height.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

MACHINES AND EQUIPMENT

• Machines and equipment are in safe operating condition.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Machines and equipment safety guards in place.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Workers are trained in the proper use and maintenance of each piece of equipment they use.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Machine and equipment leaks have been or are scheduled for repair.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

HAND AND POWER TOOLS

• Appropriate tools are provided.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Tools are in proper working condition.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Workers are trained in the proper use of and maintenance of tools they are using.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Electrical grounds are provided on power tools.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

ELECTRICAL

• Electrical cords and wiring are in proper condition (no cuts or frays).

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Electrical cords are disconnected from power source at the end of each day.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Wires and cords are not routed over metal objects, through doorways or window openings.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Circuits are not loaded beyond their capacity.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• There are no openings in electrical panels.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

LIGHTING

• Light is sufficient for each work area.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Emergency lighting for power outages is installed or supplied.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Emergency lighting was tested during this Inspection.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

BACK INJURY PREVENTION

• Workers are trained in back injury prevention.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Workers are trained to stretch and warm up to prevent sudden exertion of cold muscles.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Workers who request back supports are trained in the proper use of the back support prior to it's issue.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Workers are trained to use equipment for lifting or to ask for help when lifting heavy loads.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

REPETITIVE MOTION INJURY PREVENTION

• Workers who repeat the same movements throughout the day are instructed to take stretch and exercise breaks several times a day or when appropriate.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• When possible, workers are given varied job assignments so they can avoid excessive stress on particular body parts while still remaining productive.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

NEW EMPLOYEE SAFETY ORIENTATION

• New employees have been given basic safety training as a part of new employee orientation.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

COMPANY OWNED MOTOR EQUIPMENT AND VEHICLES

• Each motor equipment and vehicle is provided with a daily vehicle inspection report to be completed by operator.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Each motor equipment and vehicle has a file for recording regular professional servicing and repairs.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Responsibility for regular inspection and servicing has been assigned to specific employees.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Employees are trained to report any safety or mechanical problems to the proper person.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Every motor equipment and vehicle receives regular professional servicing per manufacturers recommendations.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Vehicles used in long-distant trips are provided with safety equipment, including cell phone, flashlight, triangles, cones, and first aid kit.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• If employees are required to change tires on equipment or vehicles, the following tools are required to be on vehicle; properly inflated spare tire, jack, lug wrench,

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

CRIME AND VIOLENCE PREVENTION

• All out door lighting is operating properly (observed at night during inspection)

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Operating telephones re accessible to all work stations.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Building space is arranged so visitors can be observed.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Buddy system or other method is in place for early and late night working hours.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Employees have received training on response to threats and violence.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Those employees that handle cash in the workplace and transit have received training.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

• Discreet storage is provided for employee's purses and other personal items.

  Yes

  No

  N/A

• Select YES NO

  • YES
  • NO

SAFETY POSTERS AND REQUIRED NOTIFICATIONS

• Are required safety posters and notices easily accessible to all employees.

  Yes

  No

  N/A