Annual Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Abrasive Blasting Operations

• Concentrations of respirable dust or fume from abrasive blasting operations is kept below the PEL (1910.94)

  Yes

  No

  N/A

• Ventilation system and wiring are intrinsically safe when exhausting flammable or explosive dust mixtures (1910.94)

  Yes

  No

  N/A

• Blast-cleaning enclosure is ventilated to maintain inward flow of air during operations (1910.94)

  Yes

  No

  N/A

• Blast-cleaning enclosure is properly enclosed and ventilated to minimize the amount of dust particles that escape (1910.94)

  Yes

  No

  N/A

• Exhaust is sufficient to promptly clear dust from enclosure after blasting stops (1910.94)

  Yes

  No

  N/A

• Blast is turned off and dust is exhausted prior to opening the enclosure (1910.94)

  Yes

  No

  N/A

• Observation window is protected with screening when deep-cutting abrasives are used (1910.94)

  Yes

  No

  N/A

• Baffles are installed at small access openings to minimize dust from escaping (1910.94)

  Yes

  No

  N/A

• Baffles are inspected regularly and maintained in good condition (1910.94)

  Yes

  No

  N/A

• Doors on abrasive blasting enclosures are flanged and tight when closed (1910.94)

  Yes

  No

  N/A

• Exhaust ventilation system appears to be constructed and installed to code (1910.94)

  Yes

  No

  N/A

• Exhaust ventilation system is inspected and maintained to code (1910.94)

  Yes

  No

  N/A

• Dust leaks are repaired in a timely manner (1910.94)

  Yes

  No

  N/A

• Pressure drops in exhaust ducts are monitored to ensure optimal air flow (1910.94)

  Yes

  No

  N/A

• Dust collectors are used and maintained to collect discharge (1910.94)

  Yes

  No

  N/A

• Good compliance with Abrasive Blasting requirements were observed (1910.94)

  Yes

  No

  N/A

Aerial Work Platforms

• Lift controls and components are tested prior to use (1910.67)

  Yes

  No

  N/A

• Workers are trained on safe lift operations and authorized by their employer to operate the lift (1910.67)

  Yes

  No

  N/A

• Workers keep both feet on floor of basket (1910.67)

  Yes

  No

  N/A

• Fall protection (PFAS, travel restraint, etc.) is utilized when working from lift (1910.67)

  Yes

  No

  N/A

• The lift appears to be operated within the rated load capacity (1910.67)

  Yes

  No

  N/A

• Stabilizers are used as needed/required per manufacturer instructions (1910.67)

  Yes

  No

  N/A

• Lift basket is lowered when being moved/relocated (1910.67)

  Yes

  No

  N/A

• Controls plainly are marked as to their function (1910.67)

  Yes

  No

  N/A

• Lift is operated on a smooth and level surface (ANSI/SIA A92)

  Yes

  No

  N/A

• Lifts are not operated near overhead hazards such as power lines, transformers, branches and overhangs (ANSI/SIA A92)

  Yes

  No

  N/A

• Lifts are operated in safe weather conditions (ANSI/SIA A92)

  Yes

  No

  N/A

• Lift basket is kept clean/relatively free of clutter (1910.22)

  Yes

  No

  N/A

• Top rail, mid-rail and toeboards are in place and at proper height (1910.29)

  Yes

  No

  N/A

• The access/opening to lift platform is closed and secured (ANSI/SIA A92)

  Yes

  No

  N/A

• Lift inspections are documented (Best Practice)

  Yes

  No

  N/A

• Lift is tagged and removed from service when defects are known (Best Practice)

  Yes

  No

  N/A

• Good compliance with Aerial Work Platform requirements

  Yes

  No

  N/A

Aisles/Walkways

• Aisles/walkways are kept clean and orderly (1910.22)

  Yes

  No

  N/A

• Aisles/walkways are kept dry (to extent feasible) / in wet operations, drainage or dry standing mats are provided (1910.22)

  Yes

  No

  N/A

• Aisles/walkways are kept in good repair/free of hazards (1910.22)

  Yes

  No

  N/A

• Permanent aisles/passageways are appropriately marked (1910.22)

  Yes

  No

  N/A

• There is sufficient aisle width for pedestrians and/or equipment in work areas where mechanical handling equipment is used (1910.22/Interpretation Letter)

  Yes

  No

  N/A

• Changes in elevation are marked/delineated to minimize trip hazards (Best Practice)

  Yes

  No

  N/A

• Good compliance with OSHA Aisleway requirements (1910.22)

  Yes

  No

  N/A

Behaviors

• Workers observed keeping eyes on path (i.e. looks in direction of travel)

  Yes

  No

  N/A

• Workers observed looking back prior to stepping backwards

  Yes

  No

  N/A

• Workers observed pushing (when possible) as opposed to pulling

  Yes

  No

  N/A

• Workers avoid overhead work when possible

  Yes

  No

  N/A

• Workers observed lifting with legs not back

  Yes

  No

  N/A

• Workers observed forming a bridge with free hand when lifting

  Yes

  No

  N/A

• Workers avoid lifting more than one can lift safely

  Yes

  No

  N/A

• Workers observed keeping load close to body when lifting

  Yes

  No

  N/A

• Workers observed using a lift assist device for heavy loads

  Yes

  No

  N/A

• Workers avoid lifting unstable loads

  Yes

  No

  N/A

• Workers observed working at safe pace/not rushed

  Yes

  No

  N/A

• Workers do not subject coworkers to injury

  Yes

  No

  N/A

Bloodborne Pathogens

• There is a written BBP Exposure Control Plan in place (1910.1030)

  Yes

  No

  N/A

• The Exposure Control Plan is reviewed and updated at least annually (1910.1030)

  Yes

  No

  N/A

• The BBP exposure determination has been documented (1910.1030)

  Yes

  No

  N/A

• Universal precautions are observed/all body fluids are considered potentially infectious materials (1910.1030)

  Yes

  No

  N/A

• Engineering and/or work practice controls are used to eliminate or minimize employee exposure (1910.1030)

  Yes

  No

  N/A

• Engineering and/or work practice controls are used to eliminate or minimize employee exposure (1910.1030)

  Yes

  No

  N/A

• Contaminated reusable sharps are placed in approved containers immediately or as soon as possible after use (1910.1030)

  Yes

  No

  N/A

• Appropriate PPE is provided at no cost to employees (1910.1030)

  Yes

  No

  N/A

• Employees use appropriate/required PPE as needed (1910.1030)

  Yes

  No

  N/A

• PPE is readily accessible and appropriate sizes are available as needed (1910.1030)

  Yes

  No

  N/A

• Cleaning/decontamination is provided per a written schedule (1910.1030)

  Yes

  No

  N/A

• Contaminated sharps are discarded in an approved container (1910.1030)

  Yes

  No

  N/A

• Sharps containers are readily accessible as needed (1910.1030)

  Yes

  No

  N/A

• Contaminated laundry is placed in approved bags or containers that are properly labeled (1910.1030)

  Yes

  No

  N/A

• The hepatitis B vaccine is made available to all employees who have occupational exposure to BBP and following post-exposure (1910.1030)

  Yes

  No

  N/A

• Employees are required to sign Appendix A if they decline to accept hepatitis B vaccination (1910.1030)

  Yes

  No

  N/A

• Post exposure medical evaluations ares completed as required (1910.1030)

  Yes

  No

  N/A

• Warning labels are affixed to containers used to store, transport or ship regulated waste (1910.1030)

  Yes

  No

  N/A

• Employees with occupation exposure to BBP have been properly trained at time of hire and annually thereafter (1910.1030)

  Yes

  No

  N/A

• Employee medical records are maintained as required (1910.1030)

  Yes

  No

  N/A

• Employee medical records are kept for the duration of employment plus 30 years (1910.1030)

  Yes

  No

  N/A

• A sharps injury log is maintained (1910.1030)

  Yes

  No

  N/A

• Good compliance with OSHA Bloodborne Pathogens requirements (1910.1030)

  Yes

  No

  N/A

Boilers

• The boiler(s) has a legible nameplate with the ASME stamp on it

  Yes

  No

  N/A

• Boilers are inspected as required (annually or per local jurisdiction) and a current Certificate of Inspection is available for review

  Yes

  No

  N/A

• Good housekeeping is maintained in the boiler room

  Yes

  No

  N/A

• All boilers have a properly installed and sized relief valve or safety valve

  Yes

  No

  N/A

• All boilers have a properly functioning Low Water Cut Off Switch or Flow Sensing Device

  Yes

  No

  N/A

• All boilers have a properly functioning Operating Switch

  Yes

  No

  N/A

• All boilers have a properly functioning High Temperature Limit Switch

  Yes

  No

  N/A

• All boilers have a properly functioning Pressure Control Device

  Yes

  No

  N/A

• All boilers have a properly functioning Fuel Train

  Yes

  No

  N/A

• All boilers have a properly functioning Emergency Shut Off Switch

  Yes

  No

  N/A

• Boiler Room piping is maintained and installed to code

  Yes

  No

  N/A

• Boilers have proper fuel-to-air ratio (i.e. sufficient fresh combustion air)

  Yes

  No

  N/A

• Flue Pipe connections are sufficient/properly installed and maintained

  Yes

  No

  N/A

• The boiler has an expansion tank that meets ASME construction guidelines

  Yes

  No

  N/A

Combustible Dust

• Preventative Maintenance controls are in place and adequate to minimize dust escaping from process equipment/ventilation systems (NFPA 654)

  Yes

  No

  N/A

• Dust collection systems and filters are being utilized to minimize dust hazard (NFPA 654)

  Yes

  No

  N/A

• Surfaces are designed to minimize dust accumulation to facilitate cleaning (NFPA 654)

  Yes

  No

  N/A

• Housekeeping Program ensures dust residues are inspected/cleaned at regular intervals (NFPA 654)

  Yes

  No

  N/A

• Proper cleaning methods are used to minimize dust clouds (NFPA 654)

  Yes

  No

  N/A

• Ignition sources are controlled or minimized in areas of combustible dust (NFPA 654)

  Yes

  No

  N/A

• Controls (i.e. isolation, barriers, etc.) are in place to minimize damage caused by an explosion (NFPA 654)

  Yes

  No

  N/A

• Employees who are affected by combustible dust hazards are properly trained (NFPA 654)

  Yes

  No

  N/A

• Managers who are affected by combustible dust hazards are properly trained (NFPA 654)

  Yes

  No

  N/A

Compressed Air

• Compressors are equipped with a safety relief valve (1910.169)

  Yes

  No

  N/A

• Compressors are equipped with working pressure gauges (1910.169)

  Yes

  No

  N/A

• Compressors are periodically drained of moisture/oil (1910.169)

  Yes

  No

  N/A

• Safety valves are tested regularly (1910.169)

  Yes

  No

  N/A

• Compressed air used for cleaning is kept under 30 psi at nozzle (1910.242)

  Yes

  No

  N/A

• Air nozzles are equipped with relief ports to discharge air when nozzle tip is obstructed (1910.242)

  Yes

  No

  N/A

• Safety cables are used on compressed air hose connections to prevent hose ends from whipping if the coupling blows out of the hose (Best Practice)

  Yes

  No

  N/A

• Good compliance with OSHA Compressed Air requirements (1910.169)

  Yes

  No

  N/A

Compressed Gas Cylinders

• Cylinders are legibly marked/clearly identified (1910.101)

  Yes

  No

  N/A

• Cylinders are protected from ignition sources (1910.101)

  Yes

  No

  N/A

• Cylinders are stored in vertical position (1910.101)

  Yes

  No

  N/A

• Cylinders are secured to prevent tipping (1910.101)

  Yes

  No

  N/A

• Cylinders are stored away from vehicular traffic (1910.101)

  Yes

  No

  N/A

• Valve caps are replaced when cylinders are not in use (1910.101)

  Yes

  No

  N/A

• Valves on gas cylinder are closed when work is finished (1910.253)

  Yes

  No

  N/A

• Good compliance with OSHA Compressed Gas Cylinders requirements (1910.101)

  Yes

  No

  N/A

Confined Spaces

• The employer has evaluated the workplace to determine if Permit Required Confined Spaces exist (1910.146)

  Yes

  No

  N/A

• Danger signs are posted at or near entry to permit spaces (1910.146)

  Yes

  No

  N/A

• There is a written program available for employees who enter permit spaces (1910.146)

  Yes

  No

  N/A

• Air monitoring is completed prior to entry (1910.146)

  Yes

  No

  N/A

• Periodic air sampling is completed as required (1910.146)

  Yes

  No

  N/A

• Forced air ventilation is used for duration of entry (1910.146)

  Yes

  No

  N/A

• Entrants are protected from external hazards by barricades as needed (1910.146)

  Yes

  No

  N/A

• Proper illumination is provided (1910.146)

  Yes

  No

  N/A

• Attendant is on duty outside the permit space (1910.146)

  Yes

  No

  N/A

• Rescue plan/procedures have been established (1910.146)

  Yes

  No

  N/A

• Entry permit is completed and signed (1910.146)

  Yes

  No

  N/A

• Employees with assigned PRCS duties are properly trained (1910.146)

  Yes

  No

  N/A

• Attendant only performs monitoring duties (1910.146)

  Yes

  No

  N/A

• Rescue team is trained and readily available (1910.146)

  Yes

  No

  N/A

• Retrieval system is available/utilized (1910.146)

  Yes

  No

  N/A

• Entrants are attached to retrieval line (1910.146)

  Yes

  No

  N/A

• Good compliance with OSHA Confined Spaces requirements (1910.146)

  Yes

  No

  N/A

Cranes/Rigging

• Frequent crane inspections occur (1910.179)

  Yes

  No

  N/A

• The rated load of each hoist is marked and clearly legible from the ground or floor (1910.179)

  Yes

  No

  N/A

• Pendants are clearly marked for identification of functions (1910.179)

  Yes

  No

  N/A

• Lifting hooks have functional safety latch (1910.179)

  Yes

  No

  N/A

• The crane and below-the-hook lifting devices are sufficiently rated for the load (1910.179)

  Yes

  No

  N/A

• Hoists are equipped with functional overtravel limit-switch (1910.179)

  Yes

  No

  N/A

• Rigging is inspected before use/no defective slings, fastenings and attachments were found (1910.184)

  Yes

  No

  N/A

• Slings are maintained in good condition, no damage, kinks or knots (1910.184)

  Yes

  No

  N/A

• Slings are used within the rated load capacity (1910.184)

  Yes

  No

  N/A

• ID tags are legible and affixed to slings (1910.184)

  Yes

  No

  N/A

• Slings are protected from sharp edges of loads (1910.184)

  Yes

  No

  N/A

• Employees are kept clear of loads about to be lifted/suspended loads (1910.184)

  Yes

  No

  N/A

• Good compliance with OSHA Cranes/Hoist Equipment requirements (1910.179)

  Yes

  No

  N/A

Electrical Safety

• Electrical equipment is free from recognized hazards and maintained in good working order as intended by the manufacturer (1910.303)

  Yes

  No

  N/A

• The top of electrical equipment is kept clear / no items are allowed stored on equipment (1910.303)

  Yes

  No

  N/A

• Electrical equipment is installed/used as listed or per manufacturer specifications (1910.303)

  Yes

  No

  N/A

• Extension cords and/or power strip cords are not connected to one another (i.e. not "daisy-chained") (1910.303)

  Yes

  No

  N/A

• Items are not hung on or from electrical conduit (1910.303)

  Yes

  No

  N/A

• Unused openings in electrical equipment are closed (1910.303)

  Yes

  No

  N/A

• Electrical equipment is free of significant damage (1910.303)

  Yes

  No

  N/A

• Electrical equipment is firmly secured to surface (1910.303)

  Yes

  No

  N/A

• Splices/free ends of conductors are properly insulated (1910.303)

  Yes

  No

  N/A

• Warning labels/decals are placed on electrical equipment indicating the voltage, current, wattage, etc.

  Yes

  No

  N/A

• Disconnect switches are identified/legibly marked to indicate purpose (1910.303)

  Yes

  No

  N/A

• Breaker switches are identified/legibly marked to indicate their purpose (1910.303)

  Yes

  No

  N/A

• Proper clearance is maintained around breaker panels, disconnects, etc. (1910.303)

  Yes

  No

  N/A

• All live parts of electrical equipment were protected against accidental contact(1910.303)

  Yes

  No

  N/A

• Electrical equipment is adequately guarded/protected from damage (1910.303)

  Yes

  No

  N/A

• GFCI receptacles are used/located within 6 feet of water source (1910.304)

  Yes

  No

  N/A

• The use of multi-plug outlet devices is discouraged and/or prohibited (except for temporary use of low powered loads) (1910.304)

  Yes

  No

  N/A

• Cord-and-plug electrical equipment is either grounded (i.e. 3 prong cord) or double-insulated (1910.304)

  Yes

  No

  N/A

• Light bulbs/lamps are protected from accidental damage (1910.305)

  Yes

  No

  N/A

• Electrical cords/conductors entering boxes/panels are protected from abrasion (1910.305)

  Yes

  No

  N/A

• Pull/Junction Boxes (over 600V) are completely enclosed (1910.305)

  Yes

  No

  N/A

• Pull/Junction Boxes (over 600V) are enclosed with a suitable cover that is securely fastened (1910.305)

  Yes

  No

  N/A

• Covers on boxes over 600 volts, nominal are legibly marked “High Voltage” (1910.305)

  Yes

  No

  N/A

• Panel boards/dead fronts are installed on electrical enclosures (1910.305)

  Yes

  No

  N/A

• Extension cords are not used as a substitute for fixed wiring of the structure (1910.305)

  Yes

  No

  N/A

• Extension cords are not run through doors/openings (1910.305)

  Yes

  No

  N/A

• Extension cords are not allowed to be fastened to building surfaces (1910.305)

  Yes

  No

  N/A

• Extension cords are not concealed and can be visually inspected (1910.305)

  Yes

  No

  N/A

• Cords/terminal ends are protected with strain relief (1910.305)

  Yes

  No

  N/A

• Lamps, lampholders, fixtures appear to be properly covered/guarded and have no exposed live parts (1910.305)

  Yes

  No

  N/A

• Electrical receptacles/outlets have approved tight-fitting covers (1910.305)

  Yes

  No

  N/A

• Indoor receptacles used in wet/damp locations are covered (1910.305)

  Yes

  No

  N/A

• Outdoor receptacles are protected from weather (1910.305)

  Yes

  No

  N/A

• Interlocks/e-stops are not used to deenergize equipment (1910.333)

  Yes

  No

  N/A

• Illumination is adequate for work on energized circuits (1910.333)

  Yes

  No

  N/A

• Flexible cords are free of damage/fraying (1910.334)

  Yes

  No

  N/A

• Damaged electrical equipment is removed from service (1910.334)

  Yes

  No

  N/A

• Flexible cords have ground pin (1910.334)

  Yes

  No

  N/A

• Two-prong (non-grounded) extension cords are prohibited (1910.334)

  Yes

  No

  N/A

• Adapters (cheater plugs) are not used for cord/plug connections (1910.334)

  Yes

  No

  N/A

• Arc flash warning labels are placed on electrical panels (1910.335)

  Yes

  No

  N/A

• Good compliance with OSHA Electrical Safety requirements (1910.303-.335)

  Yes

  No

  N/A

Emergency Action Plan

• An Emergency Action Plan is in writing and up-to-date and is available for employees to review (1910.38)

  Yes

  No

  N/A

• The EAP includes procedures for reporting fire or other emergencies (1910.38)

  Yes

  No

  N/A

• The EAP includes procedures for emergency evacuation and exit route assignments (1910.38)

  Yes

  No

  N/A

• The EAP includes procedures to be followed by employees who remain to operate critical plant operations before they evacuate (1910.38)

  Yes

  No

  N/A

• The EAP includes procedures to account for all employees after evacuation (1910.38)

  Yes

  No

  N/A

• The EAP includes procedures to be followed by employees performing rescue or medical duties (1910.38)

  Yes

  No

  N/A

• The EAP includes names or job titles of employees with designated duties under the plan (1910.38)

  Yes

  No

  N/A

• An alarm system is in place, functional and distinctive for each type of emergency (1910.38)

  Yes

  No

  N/A

• Designated employees are trained to assist in a safe and orderly evacuation of employees (1910.38)

  Yes

  No

  N/A

• The Fire Prevention Plan is in writing, up-to-date and available for employees to review (1910.39)

  Yes

  No

  N/A

• The Fire Prevention Plan includes a list of major fire hazards (1910.39)

  Yes

  No

  N/A

• The Fire Prevention Plan includes handling/storage procedures for hazardous materials (1910.39)

  Yes

  No

  N/A

• The Fire Prevention Plan includes potential ignition sources and their control (1910.39)

  Yes

  No

  N/A

• The Fire Prevention Plan includes the type of fire protection equipment necessary to control each major hazard (1910.39)

  Yes

  No

  N/A

• The Fire Prevention Plan includes procedures to control accumulations of flammable and combustible waste materials (1910.39)

  Yes

  No

  N/A

• The Fire Prevention Plan includes procedures for maintenance of safeguards installed on heat-producing equipment to prevent ignition of combustible materials (1910.39)

  Yes

  No

  N/A

• The Fire Prevention Plan includes employees responsible for maintaining equipment to prevent or control sources of ignition or fires (1910.39)

  Yes

  No

  N/A

• The Fire Prevention Plan includes the name or job title of employees responsible for the control of fuel source hazards 1910.39(c)(5)

  Yes

  No

  N/A

• The Fire Prevention Plan is reviewed with employees/employees are familiar with plan (1910.39)

  Yes

  No

  N/A

• Good compliance with OSHA Emergency Action Plan requirements (1910.38-.39)

  Yes

  No

  N/A

Exits/Egress

• Exit pathways are at least 28 inches wide (1910.36)

  Yes

  No

  N/A

• All exit discharges lead directly outside the facility (1910.36)

  Yes

  No

  N/A

• Exit doors are kept unlocked when building is occupied, no latches or special tools are needed to open door (1910.36)

  Yes

  No

  N/A

• Exit doors in high occupancy/high hazard areas open out in direction of travel (1910.36)

  Yes

  No

  N/A

• There are at least two exit doors in high occupancy rooms (1910.36)

  Yes

  No

  N/A

• The direction of travel to exits is marked when not apparent (1910.37)

  Yes

  No

  N/A

• Non-exit doors are marked NOT AN EXIT as required (1910.37)

  Yes

  No

  N/A

• Exit signs are illuminated (1910.37)

  Yes

  No

  N/A

• Exits are clearly visible and marked by EXIT signs (1910.37)

  Yes

  No

  N/A

• Exits and pathway to exits are free of obstructions (1910.37)

  Yes

  No

  N/A

• Exit routes avoid high hazard areas (1910.37)

  Yes

  No

  N/A

• Flammable/combustible liquids not stored next to exits (1910.106)

  Yes

  No

  N/A

• Emergency lights are provided and functional (1910.37)

  Yes

  No

  N/A

• Employee alarm system is functional and audible throughout the facilities (1910.38)

  Yes

  No

  N/A

• Good compliance with OSHA Means of Egress requirements (1910 Subpart E)

  Yes

  No

  N/A

Fall Protection

• Employees are protected from falling (i.e. guardrail, PFA system, etc.) when working on unprotected walking-working surfaces 4 feet or more above the lower level (1910.28)

  Yes

  No

  N/A

• Fall protection is provided/used near unprotected hoist area(s) 4 feet above lower level (1910.28)

  Yes

  No

  N/A

• Steps are taken to protect employees from falling through holes (1910.28)

  Yes

  No

  N/A

• Steps are taken to protect against falling through stair openings (1910.28)

  Yes

  No

  N/A

• Steps are taken to protect against falling through ladderway opening (1910.28)

  Yes

  No

  N/A

• Steps are taken to prevent falling through hatchway or chute opening (1910.28)

  Yes

  No

  N/A

• Steps are taken to prevent falls from runways/catwalks (1910.28)

  Yes

  No

  N/A

• Steps are taken to prevent falls above dangerous equipment (1910.28)

  Yes

  No

  N/A

• Workers 6 ft. from edge of low-sloped roof are protected from falls (1910.28)

  Yes

  No

  N/A

• Workers between 6 and 15 ft. of low-sloped roof edge are protected from falls (1910.28)

  Yes

  No

  N/A

• Workers 15 ft. from edge of low-sloped roof are protected from falls (1910.28)

  Yes

  No

  N/A

• Access is restricted to unattended loading racks with unprotected edges of 4+ feet (1910.28)

  Yes

  No

  N/A

• Protection from falling object hazards is provided (i.e. hard hats, toeboards, canopies, barricades) (1910.28)

  Yes

  No

  N/A

• The top rail on guardrails is set at proper height of 42 in. +/- 3 in. (1910.29)

  Yes

  No

  N/A

• The midrail is installed halfway between the floor and top rail (1910.29)

  Yes

  No

  N/A

• Vertical members/balusters on guardrails are no more than 19 inches apart (1910.29)

  Yes

  No

  N/A

• Guardrails are capable of withstanding 200 lb. downward and outward force (1910.29)

  Yes

  No

  N/A

• Guardrails have a smooth surface along entire length (1910.29)

  Yes

  No

  N/A

• The perimeter of Fall Protection designated areas is properly delineated (1910.29)

  Yes

  No

  N/A

• Warning lines demarcating designated areas meet minimum requirements (1910.29)

  Yes

  No

  N/A

• Floor hole covers are sturdy and secured (1910.29)

  Yes

  No

  N/A

• Toeboards are installed as needed and meet minimum design requirements (1910.29)

  Yes

  No

  N/A

• Access near unprotected repair/service pits is restricted or limited (1910.28)

  Yes

  No

  N/A

• Falling object protection is installed around service pits (1910.29)

  Yes

  No

  N/A

• Fall protection training is provided for employees exposed to fall hazards (1910.30)

  Yes

  No

  N/A

• Employees are retrained on fall protection requirements when changes occur in the workplace affecting fall protection or when employee performance dictates additional training is needed (1910.30)

  Yes

  No

  N/A

• Good compliance with Fall Protection safety requirements (1910.28-.30)

  Yes

  No

  N/A

Fire Safety

• Portable fire extinguishers are mounted (1910.157)

  Yes

  No

  N/A

• Portable fire extinguishers are unobstructed (1910.157)

  Yes

  No

  N/A

• Portable fire extinguishers identified by signage (1910.157)

  Yes

  No

  N/A

• When fire extinguishers are relocated, fire extinguisher signs are removed (1910.157)

  Yes

  No

  N/A

• Fire extinguishers are kept fully charged and operable (1910.157)

  Yes

  No

  N/A

• Fire extinguishers are kept in their designated locations (1910.157)

  Yes

  No

  N/A

• The travel distance to the nearest fire extinguisher is within 75 feet (1910.157)

  Yes

  No

  N/A

• Portable fire extinguishers are inspected monthly (1910.157)

  Yes

  No

  N/A

• Portable fire extinguishers are maintained annually (1910.157)

  Yes

  No

  N/A

• The space on floor directly below fire extinguishers is marked/striped (Best Practice)

  Yes

  No

  N/A

• A minimum clearance of 18 inches is maintained below sprinkler heads (1910.159)

  Yes

  No

  N/A

• Sprinkler heads are protected by metal guards when needed (1910.159)

  Yes

  No

  N/A

• The sprinkler system is inspected annually (1910.160)

  Yes

  No

  N/A

• Fire doors are in good operating condition (NFPA 80)

  Yes

  No

  N/A

• Fire doors are unobstructed (NFPA 80)

  Yes

  No

  N/A

• The fire alarm system is tested annually (NFPA 25)

  Yes

  No

  N/A

• Smoke alarms are functional when test button is depressed (NFPA 72)

  Yes

  No

  N/A

• Outside hydrants are tested annually (NFPA 25/291)

  Yes

  No

  N/A

• Combustible items are kept at least 3 feet away from heating equipment (NFPA 86)

  Yes

  No

  N/A

• Proper clearance is maintained around water heaters (NFPA 54 & 70]

  Yes

  No

  N/A

• Dust collectors and ductwork are properly grounded (NFPA 664)

  Yes

  No

  N/A

• Good compliance with OSHA Fire Protection requirements (1910.157-.159)

  Yes

  No

  N/A

Flammable Liquids

• Approved containers are used for storage of flammable liquids (1910.106)

  Yes

  No

  N/A

• Flammable liquids are kept in closed containers when not in use (1910.106)

  Yes

  No

  N/A

• Containers are bonded when transferring flammables (1910.106)

  Yes

  No

  N/A

• No Smoking signs are posted in flammable storage areas (1910.106)

  Yes

  No

  N/A

• Ignition sources are controlled/eliminated near flammable storage areas (1910.106)

  Yes

  No

  N/A

• Fire extinguishers are located near flammable storage areas (1910.106)

  Yes

  No

  N/A

• Combustible waste (i.e. oily rags) is stored in covered metal containers (1910.106)

  Yes

  No

  N/A

• Spill response/cleanup supplies are readily available (1910.106)

  Yes

  No

  N/A

• Spill containment is provided in bulk transfer/storage areas (i.e. tank farms) (1910.106)

  Yes

  No

  N/A

• Ventilation is provided at bulk storage areas when transferring flammables (1910.106)

  Yes

  No

  N/A

• Flammable storage cabinets meet OSHA’s minimum design/construction requirements (1910.106)

  Yes

  No

  N/A

• Flammable storage cabinets labeled properly (1910.106)

  Yes

  No

  N/A

• Self-closing valve is used when dispensing flammables (1910.106)

  Yes

  No

  N/A

• A fill pipe is used when top filling containers to minimize splashing (1910.106)

  Yes

  No

  N/A

• Air is exchanged 6 times/hour in inside chemical storage rooms (1910.106)

  Yes

  No

  N/A

• The aisle width in chemical storage room is maintained at a minimum of 3 feet (1910.106)

  Yes

  No

  N/A

• Outside flammable storage areas are secured (1910.106)

  Yes

  No

  N/A

• Good housekeeping is maintained in outside storage areas (1910.106)

  Yes

  No

  N/A

• Spill containment is provided for outdoor storage areas (1910.106)

  Yes

  No

  N/A

• Flammable storage tanks are protected against collision damage (1910.178)

  Yes

  No

  N/A

• Aboveground storage tanks are properly marked/labeled with chemical name and NFPA placard (NFPA 704)

  Yes

  No

  N/A

• No more than 25 gallons of Category 1 flammable liquids are stored outside of an approved storage cabinet or flammable storage room (1910.106)

  Yes

  No

  N/A

• No more than 120 gallons of Category 2, 3, or 4 flammable liquids are stored outside of an approved storage cabinet or storage room (1910.106)

  Yes

  No

  N/A

• Flammable/combustible liquids not stored next to exits (1910.106)

  Yes

  No

  N/A

• Good compliance with OSHA Flammable Liquids requirements (1910.106)

  Yes

  No

  N/A

Forklifts (Powered Industrial Trucks)

• Forklifts are inspected daily and documented (1910.178)

  Yes

  No

  N/A

• Forklifts are maintained in good working condition (1910.178)

  Yes

  No

  N/A

• Trucks are removed from service if defective/repairs are needed (1910.178)

  Yes

  No

  N/A

• Only trained personnel are allowed to operate forklifts (1910.178)

  Yes

  No

  N/A

• Operators are properly certified by employer to operate lift(s) (1910.178)

  Yes

  No

  N/A

• No modifications have been made to forklifts that could affect the lift capacity (1910.178)

  Yes

  No

  N/A

• Operators were observed keeping arms/legs inside running lines of truck (1910.178)

  Yes

  No

  N/A

• Forks are lowered when truck is left unattended (1910.178)

  Yes

  No

  N/A

• Forks/load are tilted back and carried close to ground (as conditions allow) when operating forklifts (1910.178)

  Yes

  No

  N/A

• Operators were observed sounding horn when their view is obstructed (1910.178)

  Yes

  No

  N/A

• Operator(s) were observed driving in reverse when load obstructs their forward view (1910.178)

  Yes

  No

  N/A

• Loads are lifted when transported (i.e. bulldozing/split-forking not allowed) (1910.178)

  Yes

  No

  N/A

• Forklifts are approved for hazardous environments (1910.178)

  Yes

  No

  N/A

• Battery chargers are protected from damage by forklifts (1910.178)

  Yes

  No

  N/A

• Adequate materials/supplies (i.e. battery spill kit) are readily available to clean/neutralize battery acid spills (1910.178)

  Yes

  No

  N/A

• Adequate ventilation is provided in battery charging areas (1910.178)

  Yes

  No

  N/A

• Facilities (i.e. portable fire extinguishers) are provided for fire protection (1910.178)

  Yes

  No

  N/A

• Smoking is prohibited in battery charging areas as evidenced by no-smoking signs (1910.178)

  Yes

  No

  N/A

• Trucks/trailers are chocked when loading/unloading (1910.178)

  Yes

  No

  N/A

• Nameplate/markings are in place and legible (1910.178)

  Yes

  No

  N/A

• Safe clearances are maintained at aisles, doors, docks, etc. (1910.176)

  Yes

  No

  N/A

• Seatbelts are worn on sit down rider trucks (1910.132)

  Yes

  No

  N/A

• Forklifts are turned off and brakes set when left unattended (1910.178)

  Yes

  No

  N/A

• Forklifts are not driven up to anyone standing in front of fixed object (1910.178)

  Yes

  No

  N/A

• Forklift operators are evaluated every 3 years (1910.178)

  Yes

  No

  N/A

• Good compliance with OSHA Powered Industrial Trucks requirements (1910.178)

  Yes

  No

  N/A

Grinders (Bench/Pedestal)

• Work rest is adjusted to within 1/8 inch of wheel (1910.215)

  Yes

  No

  N/A

• The tongue guard is adjusted to within 1/4 inch of wheel (1910.215)

  Yes

  No

  N/A

• Side guards cover 75 percent of wheel diameter (1910.215)

  Yes

  No

  N/A

• Bench/pedestal grinders are permanently mounted (1910.212)

  Yes

  No

  N/A

• Safety glasses/faceshield are worn when grinding (1910.132)

  Yes

  No

  N/A

• Wheel RPM ratings are compatible with motor RPM ratings (1910.215)

  Yes

  No

  N/A

• Abrasive wheels are ring tested before mounting (1910.215)

  Yes

  No

  N/A

• Good compliance with OSHA Abrasive Wheel Grinders requirements (1910.215)

  Yes

  No

  N/A

Grinding, Polishing, Buffing Operations

• Local exhaust ventilation is provided/used to control dust from grinding, polishing and buffing (1910.94)

  Yes

  No

  N/A

• Exhaust system used for grinding, polishing and buffing operations is designed per code (ANSI Z9.2-1960) (1910.94)

  Yes

  No

  N/A

• Exhaust hood is placed to minimize employee exposure to dust (i.e. draws air away from breathing zone) (1910.94)

  Yes

  No

  N/A

• Exhaust hood is located as close as possible to the operation (1910.94)

  Yes

  No

  N/A

• Exhaust system is equipped with suitable dust collectors (1910.94)

  Yes

  No

  N/A

• Good compliance with Grinding, Polishing and Buffing requirements were observed (1910.94)

  Yes

  No

  N/A

Hazard Communication

• The Hazcom Program has been developed and is available for review (1910.1200)

  Yes

  No

  N/A

• A chemical inventory list or index is maintained (1910.1200)

  Yes

  No

  N/A

• Chemicals in supplier containers are properly labeled (1910.1200)

  Yes

  No

  N/A

• Secondary chemical containers are properly labeled (1910.1200)

  Yes

  No

  N/A

• Safety Data Sheets (SDSs) for hazardous chemicals are readily accessible to all employees/all shifts (1910.1200)

  Yes

  No

  N/A

• Noncompatible chemicals are segregated in storage (1910.1200)

  Yes

  No

  N/A

• GHS (Globally Harmonized System) awareness training has been completed by the December 1, 2013 deadline (1910.1200)

  Yes

  No

  N/A

• Good compliance with OSHA Hazcom requirements (1910.1200)

  Yes

  No

  N/A

Health Hazards

• Noise exposures are monitored and measures are in place (i.e. use of hearing protection, minimize duration, etc.) to effectively control the hazard (1910.95)

  Yes

  No

  N/A

• Carbon Monoxide exposures are monitored and effective measures are in place (i.e. ventilation, equipment PM’s, personal CO monitors, respirators, etc.) to maintain employee exposure under 50 ppm for an 8-hour TWA (1910.1000 Table Z-1)

  Yes

  No

  N/A

• Lead exposures are monitored and effective measures are in place (i.e. hand washing facilities available, respirators provided, wet-cleaning methods used, etc.) to prevent worker exposure above 50 micrograms/cubic meter over an 8-hour period (1910.1025)

  Yes

  No

  N/A

• Welding fume exposures are monitored and effective measures are in place (i.e. exhaust ventilation, fume hoods, air-supplied respirators, etc.) to adequately protect workers from breathing fumes (1910.252)

  Yes

  No

  N/A

• Engineering/Work Practice Controls (i.e. sharps containers, biohazard bags, mouth pipet, etc.) are in place to control worker exposure to bloodborne pathogens (1910.1030)

  Yes

  No

  N/A

• Steps have been taken (i.e. frequent breaks, water/energy drinks provided, etc.) to adequately address worker safety resulting from excessive heat exposure (Section 5a1)

  Yes

  No

  N/A

• Steps have been taken (i.e. frequent breaks in warm climate, localized heat source, insulated clothing/gear, etc.) to adequately address worker safety resulting from excessive cold exposure (Section 5a1)

  Yes

  No

  N/A

• Steps have been taken to protect against hazards from insects and/or animals (Best Practice)

  Yes

  No

  N/A

• Good compliance with OSHA Health Hazard requirements

  Yes

  No

  N/A

Housekeeping

• Work areas are kept generally clean and orderly (1910.141)

  Yes

  No

  N/A

• Working surfaces are kept in good repair and level to minimize slip/trip/fall hazards (1910.141)

  Yes

  No

  N/A

• Work surfaces are kept reasonably dry as work allows (1910.141)

  Yes

  No

  N/A

• Waste/garbage is removed regularly (1910.141)

  Yes

  No

  N/A

• Entrance or harborage of vermin to workplace is controlled and maintained (1910.141)

  Yes

  No

  N/A

• Employees are not allowed to consume food and beverages in areas exposed to a toxic material(1910.141)

  Yes

  No

  N/A

• Restrooms are maintained in a clean and sanitary condition (1910.141)

  Yes

  No

  N/A

• Break areas are clean and sanitary (1910.141)

  Yes

  No

  N/A

• Potable water is provided as required (1910.141)

  Yes

  No

  N/A

• Good compliance with OSHA Housekeeping requirements (1910.141)

  Yes

  No

  N/A

Ladders (Fixed)

• Fall protection is provided when ascending/descending fixed ladders extending 24+ feet in height (1910.28)

  Yes

  No

  N/A

• Ladder cages are installed to code and maintained in good condition (1910.29)

  Yes

  No

  N/A

• Ladder Safety Systems, when used, allow employee to keep both hands free (1910.29)

  Yes

  No

  N/A

• Rungs/steps/cleats are spaced btwn. 10 to 14 inches (1910.23)

  Yes

  No

  N/A

• Rungs/steps/cleats are parallel, level, uniformly spaced (1910.23)

  Yes

  No

  N/A

• Rungs/steps/cleats have min. clear width of 16 inches (1910.23)

  Yes

  No

  N/A

• There is a minimum 7 in. clearance on backside of fixed ladders (1910.23)

  Yes

  No

  N/A

• The step across distance for through ladders is between 7 and 12 inches to nearest landing (1910.23)

  Yes

  No

  N/A

• The step across distance for side-step ladders is between 15 and 20 inches to nearest landing (1910.23)

  Yes

  No

  N/A

• Rails or grab bars of fixed ladders extend 42 in. above top access point (1910.23)

  Yes

  No

  N/A

• When a fixed ladder terminates at hatch opening, the hatch cover opens w/sufficient clearance (1910.23)

  Yes

  No

  N/A

• Good compliance with OSHA Fixed Ladder requirements (1910.23)

  Yes

  No

  N/A

Ladders (Portable)

• Ladders are inspected when first used and maintained in good condition (1910.23)

  Yes

  No

  N/A

• Ladders are not immediately tagged DANGEROUS - DO NOT USE and/or replaced when defective (1910.23)

  Yes

  No

  N/A

• Spreader/locking device on stepladders is engaged when in use (1910.23)

  Yes

  No

  N/A

• Ladders are only used on stable/level surfaces, unless secured or stabilized (1910.23)

  Yes

  No

  N/A

• The cap (if equipped) and/or top step of stepladder is not used as a step (1910.23)

  Yes

  No

  N/A

• Siderails of portable ladders extend 3 ft. past landing surface (1910.23)

  Yes

  No

  N/A

• Rungs/steps/cleats are parallel, level, uniformly spaced (1910.23)

  Yes

  No

  N/A

• Rungs/steps/cleats are spaced between 10 to 14 inches (1910.23)

  Yes

  No

  N/A

• Rungs/steps/cleats have min. clear width of 11.5 inches (1910.23)

  Yes

  No

  N/A

• Employee faces ladder when climbing up or down (1910.23)

  Yes

  No

  N/A

• At least one hand is free to grasp ladder when climbing up or down (1910.23)

  Yes

  No

  N/A

• Ladders are guarded/barricaded as conditions warrant (i.e. located in passageways, doorways, etc.) (1910.23)

  Yes

  No

  N/A

• Specification label in place/legible (ANSI A14)

  Yes

  No

  N/A

• Ladders are properly/safely secured when stored upright (1910.176)

  Yes

  No

  N/A

• Good compliance with OSHA Portable Ladder requirements (1910.23)

  Yes

  No

  N/A

Ladders (Rolling Platform)

• Steps on mobile ladder stands are a minimum 16 in. wide (1910.23)

  Yes

  No

  N/A

• Steps on mobile ladder stands are slip resistant (1910.23)

  Yes

  No

  N/A

• Mobile ladder stands are capable of supporting 4x the intended load (1910.23)

  Yes

  No

  N/A

• Handrails are provided on mobile ladder stands with a top step height of 4 feet or more (1910.23)

  Yes

  No

  N/A

• Wheels on mobile ladder stands lock or otherwise impede horizontal movement when employee is on it (1910.23)

  Yes

  No

  N/A

• Good compliance with Rolling Ladder safety requirements

  Yes

  No

  N/A

Laser Safety

• A Laser Safety Program has been established and implemented (1910.269)

  Yes

  No

  N/A

• Laser hazard signage is posted in areas where lasers are used (1910.269)

  Yes

  No

  N/A

• Laser hazard signage is posted in areas where Class 3B or Class 4 lasers are used ANSI Z1361-1993-4.3.15

  Yes

  No

  N/A

• Training has been completed for employees using Tire Balancer Class 2 Laser (1910.

  Yes

  No

  N/A

• Good compliance with Laser Safety requirements were observed (1910.269)

  Yes

  No

  N/A

Loading Docks

• Truck/trailer restraint devices are functional/no defects observed

  Yes

  No

  N/A

• Measures are taken to prevent transport vehicle from moving (i.e. wheel chocks, docklocks, etc.) (1910.26)

  Yes

  No

  N/A

• Dock edges are marked/delineated (i.e. painted yellow) to provide better view of drop off

  Yes

  No

  N/A

• Access to unprotected/open dock doors (where fall protection has been determined to be infeasible) is limited to authorized/trained employees (1910.28)

  Yes

  No

  N/A

• Ladders and/or stairs are provided and meet OSHA specifications for safe access to the dock area

  Yes

  No

  N/A

• Pedestrian walkways in dock area are properly marked/defined (i.e. taped, painted, etc.)

  Yes

  No

  N/A

• Overhead obstructions (pipes, conveyors, doorways, etc.) are marked or identified to reduce contact by powered industrial trucks

  Yes

  No

  N/A

• Dockboards in good repair and capable of supporting the maximum intended load (1910.26)

  Yes

  No

  N/A

• Dock levelers are returned to the stored position after being used

  Yes

  No

  N/A

• Dockboards are designed to prevent vehicle from running off edge (1910.26)

  Yes

  No

  N/A

• Portable dockboards are secured to prevent displacement (1910.26)

  Yes

  No

  N/A

• Portable dockboards have handholds for safe handling (1910.26)

  Yes

  No

  N/A

• Dock seal or shelter is installed and maintained to keep rain and/or snow off loading docks

  Yes

  No

  N/A

• Dock bumpers are maintained in good condition

  Yes

  No

  N/A

• Dock lights are functional/operate per manufacturer specifications

  Yes

  No

  N/A

• Safety devices (i.e. photo-eyes, edge sensors) are installed on overhead doors and function properly

  Yes

  No

  N/A

• Good compliance with Loading Dock safety requirements/best practices

  Yes

  No

  N/A

Lockout/Tagout

• Machines/equipment are locked out during servicing and/or maintenance (1910.147)

  Yes

  No

  N/A

• Machine-specific procedures are developed (1910.147)

  Yes

  No

  N/A

• Proper lockout devices are provided and available for use as needed (1910.147)

  Yes

  No

  N/A

• Lockout devices are only used for their intended purposes, control of hazardous energy sources (1910.147)

  Yes

  No

  N/A

• Only approved/standardized lockout/tagout devices are used for controlling energy (1910.147)

  Yes

  No

  N/A

• Employee names are identified on lockout devices (1910.147)

  Yes

  No

  N/A

• Lockout/Tagout procedures are audited annually (1910.147)

  Yes

  No

  N/A

• Authorized employees have received LOTO training (1910.147)

  Yes

  No

  N/A

• Affected employees have received LOTO training (1910.147)

  Yes

  No

  N/A

• All Other Employees have received awareness level training (1910.147)

  Yes

  No

  N/A

• LOTO procedures include preparation for shutdown (1910.147)

  Yes

  No

  N/A

• LOTO procedures include orderly equipment shutdown procedures (1910.147)

  Yes

  No

  N/A

• Energy isolating devices are available and applied to equipment (1910.147)

  Yes

  No

  N/A

• Each employee working on machine has affixed a lock (1910.147)

  Yes

  No

  N/A

Machine Guards (General)

• Appropriate machine guarding is provided and used as required 1910.212(a)(1)

  Yes

  No

  N/A

• Guards are affixed to machine and/or otherwise secured to prevent displacement (1910.212)

  Yes

  No

  N/A

• Machinery and/or equipment designed for a fixed location is anchored to prevent movement (1910.212)

  Yes

  No

  N/A

• Power transmission apparatus are properly guarded (1910.219)

  Yes

  No

  N/A

• Point-of-operation hazards are properly guarded (1910.212)

  Yes

  No

  N/A

• Rotating parts hazards are properly guarded of shielded (1910.212)

  Yes

  No

  N/A

• An emergency stop device (i.e. button, cable, presence-sensing device) is installed on equipment/machinery as a secondary safeguarding method to protect the machine operator (ANSI B11.19)

  Yes

  No

  N/A

• An emergency stop device (i.e. button, cable, presence-sensing device) is installed within reach of the machine operator (ANSI B11.19)

  Yes

  No

  N/A

• Hand tools for placing and removing material in the danger zone of machines are not used as the sole means of safeguarding (i.e. in place of fixed or adjustable guards) (1910.212)

  Yes

  No

  N/A

• Fan blades are properly guarded/shrouded (1910.212)

  Yes

  No

  N/A

• Fan guard/shroud openings are no more than 1/2 inch wide (1910.212)

  Yes

  No

  N/A

• Good compliance with OSHA Machine Guarding requirements (1910.212)

  Yes

  No

  N/A

Machine Guards (Presses)

• Point-of-operation hazards are properly guarded (1910.217)

  Yes

  No

  N/A

• Safety blocks (or other approved devices) are used when adjusting/changing out dies (1910.217)

  Yes

  No

  N/A

• Foot pedals are guarded against unintended operation (1910.217)

  Yes

  No

  N/A

• There is a non-slip pad on foot pedals (1910.217)

  Yes

  No

  N/A

• Two-hand trip controls are protected against unintentional operation (1910.217)

  Yes

  No

  N/A

• Two-hand trips require use of both hands to trip the press (1910.217)

  Yes

  No

  N/A

• Two-hand trips require concurrent operation to trip the press (1910.217)

  Yes

  No

  N/A

• A red color stop control is provided with the clutch/brake control system (1910.217)

  Yes

  No

  N/A

• All operators have a separate set of controls when two-hand trip controls are used on multiple operator presses (1910.217)

  Yes

  No

  N/A

• Hand lever operated presses are equipped with a spring latch on the lever to prevent accidental tripping (1910.217)

  Yes

  No

  N/A

• When more than one operating station is used on hand-tripped presses, all operating levers are interlocked to prevent tripping except by the concurrent use of all levers (1910.217)

  Yes

  No

  N/A

• The inch control operating means is designed to prevent hands in the point of operation (1910.217)

  Yes

  No

  N/A

• Each power press control system has a main power disconnect switch capable of being locked in the “Off” position (1910.217)

  Yes

  No

  N/A

• The motor start button is protected against accidental operation (1910.217)

  Yes

  No

  N/A

• Controls incorporate a type of drive motor starter that will disconnect the drive motor from the power source in the event of control voltage or power source failure (1910.217)

  Yes

  No

  N/A

• The maximum anticipated hydraulic pressure of mechanical power press does not exceed safe working pressure rating of any component used in the system (1910.217)

  Yes

  No

  N/A

• Guards prevent access to point-of-operation by preventing hands/fingers from reaching through, over, under or around the guards (1910.217)

  Yes

  No

  N/A

• Point-of-operation guards conform to the maximum permissible openings listed in Table O-10 (1910.217)

  Yes

  No

  N/A

• Point-of-operation guards have no additional pinch points between the guard and moving machine parts (1910.217)

  Yes

  No

  N/A

• Point-of-operation guards are securely fastened or interlocked and not readily removable (1910.217)

  Yes

  No

  N/A

• Guards offer maximum visibility of the point of operation (1910.217)

  Yes

  No

  N/A

• Fixed barrier guards are attached securely to the frame or bolster plate (1910.217)

  Yes

  No

  N/A

• Devices prevent and/or stop the stroke if hands are placed in the point of operation (1910.217)

  Yes

  No

  N/A

• Devices prevent the operator from reaching into the point of operation (1910.217)

  Yes

  No

  N/A

• Point-of-operation devices require application of both of the operator’s hands to the operating controls (1910.217)

  Yes

  No

  N/A

• A presence sensing point of operation device is interlocked into the control circuit 1910.217

  Yes

  No

  N/A

• Hand tools are provided and used for freeing and removing stuck work pieces or scrap (1910.217)

  Yes

  No

  N/A

• Periodic and regular inspections are completed and certification of inspections maintained (1910.217)

  Yes

  No

  N/A

• Weekly inspections are completed and certification of inspections maintained (1910.217)

  Yes

  No

  N/A

• Good compliance with OSHA Machine Guard Press Brake requirements (1910.217)

  Yes

  No

  N/A

Machine Guards (Woodworking)

• Woodworking machinery and equipment are kept clean and properly maintained (1910.213)

  Yes

  No

  N/A

• The emergency shut-off is located within reach of operator (1910.213)

  Yes

  No

  N/A

• Controls/switches are clearly identified and accessible (1910.213)

  Yes

  No

  N/A

• Hand-held circular saw blades are guarded (1910.213)

  Yes

  No

  N/A

• Drop out switch is installed to prevent startup after power failure (1910.213)

  Yes

  No

  N/A

• Power saws are properly guarded (1910.213)

  Yes

  No

  N/A

• Table saws equipped with spreader (1910.213)

  Yes

  No

  N/A

• Table saws are equipped with nonkickback fingers (1910.213)

  Yes

  No

  N/A

• Belt sanders are properly guarded (1910.213)

  Yes

  No

  N/A

• Good compliance with OSHA Machine Guard requirements for Woodworking Equipment (1910.213)

  Yes

  No

  N/A

Medical Services/First Aid

• First aid kits are readily accessible to employees (1910.151)

  Yes

  No

  N/A

• First aid kits are periodically inspected and replenished (1910.151)

  Yes

  No

  N/A

• Burn kits are readily accessible when required (1910.151)

  Yes

  No

  N/A

• Eyewash stations are available/accessible when required (1910.151)

  Yes

  No

  N/A

• Deluge showers are available and accessible when required (1910.151)

  Yes

  No

  N/A

• Signs are posted above eyewash stations and/or emergency showers to identify their location (ANSI Z358.1)

  Yes

  No

  N/A

• Eye Wash Stations and Emergency Showers are cleaned and activated weekly to verify proper operation (ANSI Z358.1)

  Yes

  No

  N/A

• The AED system status indicator shows green or "positive" when checked

  Yes

  No

  N/A

• At least one trained first responder is available per shift when working in rural areas (1910.151)

  Yes

  No

  N/A

• The AED pads are current/within the expiration date

  Yes

  No

  N/A

• Employees who are authorized to use AED’s are trained and training is current

  Yes

  No

  N/A

• The AED is visible and unobstructed

  Yes

  No

  N/A

• The AED shows no sign of physical damage/appears to be maintained in good condition

  Yes

  No

  N/A

• Good compliance with OSHA Medical Services/First Aid requirements (1910.151)

  Yes

  No

  N/A

Personal Protective Equipment

• PPE is maintained in clean/sanitary condition (1910.132)

  Yes

  No

  N/A

• PPE Hazard Assessment has been completed and certified (1910.132)

  Yes

  No

  N/A

• PPE was maintained in good condition, there were no obvious signs of damage or defects (1910.132)

  Yes

  No

  N/A

• ANSI approved safety glasses with side protection are worn as required (1910.133)

  Yes

  No

  N/A

• Face shields are worn when there is danger of flying particles (1910.133)

  Yes

  No

  N/A

• Goggles are worn as needed for protection against splashing chemicals (1910.133)

  Yes

  No

  N/A

• Filter/shaded lenses are used as required (1910.133)

  Yes

  No

  N/A

• Eye/face protection is ANSI approved (1910.133)

  Yes

  No

  N/A

• Hard hats are worn where there is danger of falling objects (1910.135)

  Yes

  No

  N/A

• Hard hats are rated (E or G) for electrical hazards as required (1910.135)

  Yes

  No

  N/A

• Appropriate footwear is being worn as required (1910.136)

  Yes

  No

  N/A

• Hearing protection is being used as required (1910.95)

  Yes

  No

  N/A

• Hearing protection is being worn properly (1910.95)

  Yes

  No

  N/A

• Appropriate hand protection is used as required (1910.138)

  Yes

  No

  N/A

• FR clothing/gear worn when danger of arc flash exists (NFPA70e)

  Yes

  No

  N/A

• All harnesses/lanyards are maintained in good condition (1910.132)

  Yes

  No

  N/A

• Signage requiring use of PPE (i.e. Safety Glasses required beyond this point) is posted near entrances to areas where policy requires PPE to be used (Best Practice)

  Yes

  No

  N/A

• Good compliance with OSHA PPE requirements (1910.132-.138)

  Yes

  No

  N/A

Postings/Signs

• OSHA Poster is prominently displayed (1903.2)

  Yes

  No

  N/A

• The OSHA Form 300A is posted starting in February through April (1904.32)

  Yes

  No

  N/A

• Federal and State posters are conspicuously displayed

  Yes

  No

  N/A

• Caution signs are posted as needed/required to warn employees of potential hazards (1910.145)

  Yes

  No

  N/A

• Danger, Caution, Warning Tags are used to identify potentially hazardous conditions/equipment (1910.145)

  Yes

  No

  N/A

Recordkeeping (Injury/Illness)

• Work-related fatalities, injuries, and illnesses are properly documented on the OSHA 300 Log [1904.4(a)(1)]

  Yes

  No

  N/A

• Work-related bloodborne incidents (needlestick/cuts) are properly recorded (1904.8)

  Yes

  No

  N/A

• Hearing loss incidents resulting in Standard Threshold Shift (STS) are recorded (1904.10)

  Yes

  No

  N/A

• The OSHA 301 Incident Report form (or equivalent) is completed for each recordable injury or illness entered on the OSHA 300 Log (1904.29)

  Yes

  No

  N/A

• Recordable Incidents are recorded on the OSHA 300 Log no later than seven calendar days of receiving the information that a recordable injury or illness has occurred (1904.29)

  Yes

  No

  N/A

• Separate OSHA 300 Logs are kept for each establishment that is in operation for one year or longer (1904.30)

  Yes

  No

  N/A

• Annual summary (OSHA form 300A) is properly certified (signed by senior management) (1904.32)

  Yes

  No

  N/A

• Annual summary (OSHA form 300A) is completed and posted in a conspicuous location between February 1 and April 30 of following year (1904.32)

  Yes

  No

  N/A

• The previous year's Injury/Illness records have been submitted electronically (by March 2nd starting in 2019) for covered establishments (1904.41)

  Yes

  No

  N/A

• The 300 Log, the privacy case list (if one exists), the annual summary, and the 301 Incident Report forms are kept for five (5) years following the end of the calendar year that these records cover (1904.33)

  Yes

  No

  N/A

• Employees are informed on how to report injuries or illnesses (1904.35)

  Yes

  No

  N/A

• Work-related fatalities and injuries resulting in hospitalization, amputation and/or loss of eye are reported to OSHA in a timely manner (1904.39)

  Yes

  No

  N/A

• Compliance with OSHA Recordkeeping requirements is satisfactory (1904)

  Yes

  No

  N/A

Respirators

• A written Respiratory Protection Program has been established and implemented (1910.134)

  Yes

  No

  N/A

• Respirators are being used in hazardous atmospheres (1910.134)

  Yes

  No

  N/A

• Respirators are properly maintained/sanitary (1910.134)

  Yes

  No

  N/A

• Medical evaluations are completed prior to fit-testing (1910.134)

  Yes

  No

  N/A

• Fit-tests are completed prior to initial use and annually thereafter (1910.134)

  Yes

  No

  N/A

• Facial hair does not break seal of respirator (1910.134)

  Yes

  No

  N/A

• Only approved respirators are used based on the hazard(s) to which the employees are exposed (1910.134)

  Yes

  No

  N/A

• Employees appear to be trained in proper respirator use (1910.134)

  Yes

  No

  N/A

• Appendix D is reviewed by employees for voluntary respirator use (1910.134)

  Yes

  No

  N/A

• Compressed air quality is at least Grade D (1910.134)

  Yes

  No

  N/A

• Compressors are serviced/maintained as required (1910.134)

  Yes

  No

  N/A

• Good compliance with OSHA Respirators requirements (1910.134)

  Yes

  No

  N/A

Rope Descent System

• Anchorage for rope descent systems are tested annually (1910.27)

  Yes

  No

  N/A

• Anchorage for rope descent systems are certified by a qualified person (1910.27)

  Yes

  No

  N/A

• Rope Descent System is used in accordance with the manufacturer instructions (1910.27)

  Yes

  No

  N/A

• Rope Descent System is inspected at start of shift and defective equipment (when applicable) is removed from service and immediately replaced (1910.27)

  Yes

  No

  N/A

• Only proper rigging is used on Rope Descent Systems (1910.27)

  Yes

  No

  N/A

• Ropes on descent system are properly padded (1910.27)

  Yes

  No

  N/A

• Rope Descent System is only used in non-hazardous weather conditions (1910.27)

  Yes

  No

  N/A

• Tools, equipment, etc. are secured to prevent falling (1910.27)

  Yes

  No

  N/A

• Only trained/authorized employees use Rope Descent System (1910.27)

  Yes

  No

  N/A

• Good compliance with Rope Descent Systems safety requirements (1910.27)

  Yes

  No

  N/A

Safety Training

• Employees receive safety orientation training

  Yes

  No

  N/A

• Employees receive job and/or machine-specific training

  Yes

  No

  N/A

• Employees receive periodic/ongoing refresher safety training as required

  Yes

  No

  N/A

• Daily or weekly safety talks completed/documented (Best Practice)

  Yes

  No

  N/A

• Safety training is properly documented per company policy

  Yes

  No

  N/A

• Good compliance with OSHA Safety Training requirements

  Yes

  No

  N/A

Scaffolds (Rolling/Baker)

• Scaffolds are inspected and found to be free of visible defects (1910.27 & 1926.451)

  Yes

  No

  N/A

• Platforms are fully planked or decked (1910.27 & 1926.451)

  Yes

  No

  N/A

• Work platform is reasonably clean/free of excessive debris (1910.27 & 1926.451)

  Yes

  No

  N/A

• Fall protection is provided on scaffold 10 feet above lower level (1910.27 & 1926.451)

  Yes

  No

  N/A

• Scaffolds and scaffold components are not loaded in excess of their maximum intended loads (1910.27 & 1926.451)

  Yes

  No

  N/A

• Employees are not allowed to work on any part of the scaffold extending beyond the wheels, casters, or supports (1910.27 & 1926.452)

  Yes

  No

  N/A

• Scaffold bracing is secure, squared and aligned (1910.27 & 1926.452)

  Yes

  No

  N/A

• Wheel/caster brakes are operable and set as required (1910.27 & 1926.452)

  Yes

  No

  N/A

• Caster/wheel stems are pinned/secured to scaffold legs (1910.27 & 1926.452)

  Yes

  No

  N/A

• Employee are only allowed to ride scaffold if the surface is level, free of pits, holes and obstructions (1910.27 & 1926.452)

  Yes

  No

  N/A

• Outriggers are used when platform extends beyond supports (1910.27 & 1926.452)

  Yes

  No

  N/A

• Outriggers, when required, are properly installed on both sides of scaffold (1910.27 & 1926.452)

  Yes

  No

  N/A

• Workers are trained to recognize hazards associated with the type of scaffold being used (1910.27 & 1926.454)

  Yes

  No

  N/A

• Good compliance with OSHA Scaffolding requirements (1910.27(a) / 1926 subpart L)

  Yes

  No

  N/A

Silica Exposure

• Exposure assessment has been completed for crystalline silica (1910.1053)

  Yes

  No

  N/A

• Regulated areas have been established and identified (1910.1053)

  Yes

  No

  N/A

• Access to regulated areas is restricted (1910.1053)

  Yes

  No

  N/A

• Engineering/work practice controls are in place to reduce exposure (1910.1053)

  Yes

  No

  N/A

• Written Exposure Control Plan is updated and readily available for review (1910.1053)

  Yes

  No

  N/A

• Proper controls are in place when abrasive blasting involves crystalline silica (1910.1053)

  Yes

  No

  N/A

• Wet sweeping or HEPA vacuuming is used when cleaning up silica dust (1910.1053)

  Yes

  No

  N/A

• Use of compressed air is prohibited for cleaning silica dust (1910.1053)

  Yes

  No

  N/A

• Medical surveillance program is in place (1910.1053)

  Yes

  No

  N/A

• Initial medical examinations are completed within first 30 days of assignment (1910.1053)

  Yes

  No

  N/A

• Medical evaluation completed every 3 years or more often as needed (1910.1053)

  Yes

  No

  N/A

• Signs are posted at entrance to regulated areas (1910.1053)

  Yes

  No

  N/A

• Employees are trained on hazards associated with silica exposure (1910.1053)

  Yes

  No

  N/A

• Records of air sampling and medical surveillance are maintained (1910.1053)

  Yes

  No

  N/A

• Good compliance with OSHA Crystalline Silica requirements (1910.1053)

  Yes

  No

  N/A

Spray Finishing Operations

• Floor of spray booth is covered with non-combustible materials (1910.107)

  Yes

  No

  N/A

• Required air velocity is maintained/filters changed as needed (1910.107)

  Yes

  No

  N/A

• Used/dirty filters are properly disposed (1910.107)

  Yes

  No

  N/A

• Space behind filters is protected by sprinklers (1910.107)

  Yes

  No

  N/A

• 3 feet wide access path is maintained around all sides of booth (1910.107)

  Yes

  No

  N/A

• Electrical circuits inside booth are intrinsically safe/explosion proof (1910.107)

  Yes

  No

  N/A

• No ignition sources are within 20 ft. unless partitioned (1910.107)

  Yes

  No

  N/A

• Non-approved electrical equipment is not allowed inside spray booth (1910.107)

  Yes

  No

  N/A

• Booth/ducts/piping (all metal parts) are grounded (1910.107)

  Yes

  No

  N/A

• Ventilation is turned on during spraying operations (1910.107)

  Yes

  No

  N/A

• Motors for exhaust fans are located outside booth/ducts (1910.107)

  Yes

  No

  N/A

• Ducts have access doors to allow for cleaning (1910.107)

  Yes

  No

  N/A

• Paint quantities near spray area are kept at minimum (1910.107)

  Yes

  No

  N/A

• Containers used for paint/thinner storage are grounded/bonded when transferring (1910.107)

  Yes

  No

  N/A

• Sprinkler heads are kept cleaned/covered (1910.107)

  Yes

  No

  N/A

• Spraying is not conducted outside of booth (1910.107)

  Yes

  No

  N/A

• Spray areas are free of excessive paint residue (1910.107)

  Yes

  No

  N/A

• "No Smoking" signs are posted in spray finishing areas (1910.107)

  Yes

  No

  N/A

• Electrostatic equipment is properly guarded/isolated (1910.107)

  Yes

  No

  N/A

• Electrostatic spraying operations are properly ventilated (1910.107)

  Yes

  No

  N/A

• Fire protection is installed in electrostatic spray finishing areas (1910.107)

  Yes

  No

  N/A

• Good compliance with OSHA Spray Finishing Operations requirements (1910.107)

  Yes

  No

  N/A

Stairs and Stairways

• Clearance from tread to overhead obstruction is at least 6 ft. 8 in. (1910.25)

  Yes

  No

  N/A

• Stairs have uniform riser height/tread depth (1910.25)

  Yes

  No

  N/A

• Stair landings and /or platforms are at least 30 inches in depth (1910.25)

  Yes

  No

  N/A

• Standard stairs are minimum 22 inches wide (1910.25)

  Yes

  No

  N/A

• Standard stair tread is at least 9.5 inches deep, and stair riser is limited to 9.5 inches in height (1910.25)

  Yes

  No

  N/A

• Exposed or unprotected sides of stairway landings (4 or more feet high) are protected by guardrail system (1910.28)

  Yes

  No

  N/A

• Stairways having 3 treads and 4 risers are equipped with a handrail system (1910.28)

  Yes

  No

  N/A

• Handrails are at a proper height of 30-38 in. as measured from leading edge of stair to top of rail (1910.29)

  Yes

  No

  N/A

• Stair railings are installed at proper height (30 in. before 1/17/17 and 42 in. after 1/17/17) (1910.29)

  Yes

  No

  N/A

• The top rail of a stair rail system is 36-38 in. in height when used as handrail

  Yes

  No

  N/A

• Handrail has min. 2.5 in. finger clearance (1910.29)

  Yes

  No

  N/A

• Handrails are capable of withstanding 200 lb. force (1910.29)

  Yes

  No

  N/A

• Good compliance with OSHA Stairs and Stairway requirements (1910.25)

  Yes

  No

  N/A

Storage

• Material storage areas are reasonably clean and orderly (1910.176)

  Yes

  No

  N/A

• Materials are stored/stacked safely (1910.176)

  Yes

  No

  N/A

• Storage racks are installed square and plumb (ANSI MH16.1)

  Yes

  No

  N/A

• Storage racks are properly anchored to the floor ANSI MH16.1

  Yes

  No

  N/A

• Storage rack columns in high traffic areas are protected from damage (Best Practice)

  Yes

  No

  N/A

• Load capacity signs are posted on steel storage racks (ANSI MH16.1)

  Yes

  No

  N/A

• Cross members on steel storage racks are held in place with pins, clamps, bolts, etc. (ANSI MH16.1)

  Yes

  No

  N/A

• Good compliance with Material Storage requirements

  Yes

  No

  N/A

Tire Inflation

• Restraining device for inflating tires is provided and readily available for use (1910.177)

  Yes

  No

  N/A

• Tire restraining device is inspected and in good condition (1910.177)

  Yes

  No

  N/A

• Air-line assembly allows for safe tire inflation (i.e. clip-on-chuck, in-line valve with pressure gauge or regulator, sufficient length of hose, etc.) to allow employee to stand outside the trajectory (1910.177)

  Yes

  No

  N/A

• Charts or rim manuals with instructions for the type of wheels being serviced are available in the service area (1910.177)

  Yes

  No

  N/A

• Employees are trained in the safe operating procedures for single and/or multi-piece rim wheels (1910.177)

  Yes

  No

  N/A

• Good compliance with OSHA Tire Inflation requirements (1910.177)

  Yes

  No

  N/A

Tools (Hand & Power)

• Tools are inspected and maintained in good condition (1910.242)

  Yes

  No

  N/A

• Angle grinders are equipped with safety guards (1910.243)

  Yes

  No

  N/A

• Explosive actuated tools are properly guarded (1910.243)

  Yes

  No

  N/A

• Explosive actuated fastening tools are unloaded when unattended (1910.243)

  Yes

  No

  N/A

• Load capacities are identified on hydraulic jacks (1910.244)

  Yes

  No

  N/A

• Loads are cribbed/blocked after raised (1910.244)

  Yes

  No

  N/A

• Load limits are legibly marked on jack stands (1910.244)

  Yes

  No

  N/A

• Good compliance with OSHA Hand & Power Tools requirements (1910.243-.244)

  Yes

  No

  N/A

Walking-Working Surfaces

• Surfaces are kept clean, orderly, sanitary (1910.22)

  Yes

  No

  N/A

• Surfaces are kept in dry condition to the extent feasible (1910.22)

  Yes

  No

  N/A

• Surfaces are free of hazards (loose boards, spills, etc.) (1910.22)

  Yes

  No

  N/A

• Surfaces support the maximum intended load (1910.22)

  Yes

  No

  N/A

• Safe access/egress to surfaces is provided/used (1910.22)

  Yes

  No

  N/A

• Surfaces are inspected regularly/as needed (1910.22)

  Yes

  No

  N/A

• Access to hazardous surfaces is guarded until hazard fixed (1910.22)

  Yes

  No

  N/A

• Good compliance with OSHA Walking-Working Surfaces requirements (1910.22)

  Yes

  No

  N/A

Welding, Cutting and Brazing

• Adequate ventilation is provided for welding operations (1910.252)

  Yes

  No

  N/A

• Suitable fire extinguishing equipment is readily available (1910.252)

  Yes

  No

  N/A

• Combustible materials are removed from welding area (1910.252)

  Yes

  No

  N/A

• Combustible materials are protected from sparks/slag (1910.252)

  Yes

  No

  N/A

• Fire watch is maintained where serious fire risk exists (1910.252)

  Yes

  No

  N/A

• Eye protection is suitable for welding hazard (1910.252)

  Yes

  No

  N/A

• Electrodes are removed from holders when not in use (1910.252)

  Yes

  No

  N/A

• Welding curtains are located to protect workers adjacent to welding areas (1910.252)

  Yes

  No

  N/A

• Cylinders are kept in well-ventilated/well-protected area (1910.253)

  Yes

  No

  N/A

• Oxygen cylinders are separated from fuel-gas cylinders by 20' or a 5' fire wall (1910.253)

  Yes

  No

  N/A

• Valves/couplings/hoses are free of oily, greasy substances (1910.253)

  Yes

  No

  N/A

• Regulators are removed and valve caps replaced when cylinders are in storage (1910.253)

  Yes

  No

  N/A

• Regulators are removed and valve caps are replaced when cylinders are moved (1910.253)

  Yes

  No

  N/A

• Valves are closed when work is finished and/or cylinders are empty (1910.253)

  Yes

  No

  N/A

• Gas cylinders are used/stored valve end up (1910.253)

  Yes

  No

  N/A

• Cylinders are properly labeled (1910.253)

  Yes

  No

  N/A

• Welding equipment (including hoses, torches, gauges, etc.) are maintained/used in good condition per manufacturer’s recommendations (1910.253)

  Yes

  No

  N/A

• Welding apparatus is maintained in good condition (1910.253)

  Yes

  No

  N/A

• Arc weld cables are maintained in good condition (1910.254)

  Yes

  No

  N/A

• Protective systems (flashback / backflow device) are installed on cutting torches (1910.253)

  Yes

  No

  N/A

• Good compliance with OSHA Welding, Cutting and Brazing requirements (1910.253-.254)

  Yes

  No

  N/A