Annual OSHA Assessment

• Site

  Select

• Conducted on

  Date

• Prepared by

• Location - Safety Team Members

• Lab Manager

• Assistant Lab Manager

OSHA General Requirements

First Aid

• Is First Aid kit on site and well stocked? Is the First Aid register in kit and in use?<br>OSHA Standard 1926.50(d)(2)

  Yes

  No

  N/A

• How often is the first aid kit serviced?

  Monthly

  Annual

  Quarterly

  Internally maintained

• Does the location have a first aid vendor?

  Yes

  No

  N/A

• Are all OSHA required posters hung up and up-to-date?

  Yes

  No

• Is the OSHA 300 log posted/available if during the required posting period?<br>OSHA Standard 1904.32(b)(5)

  Yes

  No

  N/A

• Is the Workers Compensation poster posted?

  Yes

  No

Emergency Evacuation Plan

• Is there an emergency evacuation map posted?

  Yes

  No

• Is there an emergency evacuation plan for this location finalized?

  Yes

  No

• Is the emergency evacuation plan posted?<br>OSHA Standard 1926.35(d)

  Yes

  No

• Are the Emergency numbers posted?<br>OSHA Standard 1926.50(a)

  Yes

  No

AED

• Does the facility have an AED?

  Yes

  No

• Is the AED inspected on a monthly basis?

  Yes

  No

• Is there a vendor that maintains the AED?

  Yes

  No

• Name of Vendor

• Does this location have trained responders for first aid and AED?

  Yes

  No

• Names of employees

• Obtain copies of certifications

Fire Protection SAF-P04-004 (Fire Protection)

• When was the last time the fire extinguishers were serviced and tagged?

  Date

• Who is the fire protection vendor?

• How many fire extinguishers does this facility have?

• Are fire extinguisher inspections current?<br>OSHA Standard 1926.150(c)(1)(viii)

  Yes

  No

• Has a fire drill been conducted within the last 6 months?

  Yes

  No

• When was the last fire drill?

• Are employees trained in the use of fire extinguishers?<br>OSHA Standard 1926.150

  Yes

  No

• Are there fire extinguishers within 100 feet of all work areas?<br>OSHA Standard 1926.150(c)(1)(i)

  Yes

  No

• Are all fire extinguishers in good working order?<br>OSHA Standard 1926.150(a)(4)

  Yes

  No

• Is there an extinguisher within 50 feet of all flammable liquids of 5 gallons or more?<br>OSHA Standard 1926.150(c)(1)(vi)

  Yes

  No

  N/A

• Are flammable liquids stored in approved safety cans?<br>OSHA Standard 1926.152(a)(1)

  Yes

  No

  N/A

• Are there "NO SMOKING" signs posted in the storage areas?<br>OSHA Standard 1926.151(a)(3)

  Yes

  No

  N/A

• Is there a 20lb., ABC extinguisher within 50 ft. of acetylene and oxygen tanks?<br>OSHA Standard 1926.152(d)

  Yes

  No

  N/A

• Is there a 20lb., ABC extinguisher located in welding/cutting area?<br>OSHA Standard 1926.352(d)

  Yes

  No

  N/A

Bloodborne Pathogens SAF-P07-001 (Bloodborne Pathogens)

• Cleanup equipment and supplies are available.

  Yes

  No

• All employees with potential occupational exposure have equipment to prevent exposure (e.g. gloves, CPR mask, etc.)

  Yes

  No

• Equipment and supplies are available for clean-up of potentially contaminated material.

  Yes

  No

• Supervisors and all employees with potential occupational exposure to bloodborne pathogens receive formalized training, including exams, upon assignment and within each 365 days thereafter.

  Yes

  No

• Process exists for disposal of bio-hazard wastes.

  Yes

  No

  N/A

• All employees understand the hazards associated with bloodborne pathogens and the concept of Universal Precautions.

  Yes

  No

• Regulations are followed regarding annual training requirements, vaccinations (Hepatitis B) and recordkeeping

  Yes

  No

• Universal precautions are followed to prevent the spread of bloodborne pathogens.

  Yes

  No

Fall Protection SAF-P08-001 (Fall Protection)

• Does this location require fall protection?

  Yes

  No

  N/A

• Are employees using fall protection when required?<br>OSHA Standard 1926.501(a)(2)

  Yes

  No

• Is fall protection equipment inspected and stored in good condition?<br>OSHA Standard 1926(d)(21)

  Yes

  No

  N/A

• Are employees trained in the use of fall protection systems?<br>OSHA Standard 1926.503(a)(1)

  Yes

  No

  N/A

• Are employees using the system properly?<br>OSHA Standard 1926.501(a)(1)

  Yes

  No

  N/A

General Safety and Security Policy

Housekeeping and Material Handling

• Are all stairways and aisles clear of material and debris?<br>OSHA Standard 1926.250(a)(3)

  Yes

  No

• Is material stored or stacked properly to prevent injuries?<br>OSHA Standard 1926.250(a)(1)

  Yes

  No

• Are all nails removed from all boards not in use?<br>OSHA Standard 1926.250(b)(8)(i)

  Yes

  No

  N/A

• Is material from upper floors secured from blowing/falling?<br>OSHA Standard 1926.259(b)(1)

  Yes

  No

  N/A

Sanitation

• Is there hot water available?

  Yes

  No

• Are toilet facilities adequate and clean?<br>OSHA Standard 1926.51(c)(1)

  Yes

  No

• Is trash and debris removed daily?<br>OSHA Standard 1926.250

  Yes

  No

Slips, Trips and Falls

• Are the surfaces level and free of cracks?

  Yes

  No

• Are the floor surfaces free of highly waxed areas?

  Yes

  No

• Are the floor surfaces level and free of cracks/bulges/breaks/tears?

  Yes

  No

• Do surfaces have proper drainage?

  Yes

  No

• Are walkways properly illuminated?

  Yes

  No

• Are the carpets firmly fastened in place and free of gaps?

  Yes

  No

• Are walkways free of debris?

  Yes

  No

• Are the floor surfaces free of debris?

  Yes

  No

• Are the entryway mats in place during rain or snow conditions?

  Yes

  No

Ramps:

• Are there ramps at this location?

  Yes

  No

• Are the floor surfaces treated with non-slip materials?

  Yes

  No

• Are the ramps equipped with handrails?

  Yes

  No

• Are landings provided at points of turning, entrance and exit?

  Yes

  No

Stairways:

• Are there stairways at this location?

  Yes

  No

• Are the steps uniform and well maintained with no broken edges?

  Yes

  No

• Do doors open into stairways without landings?

  Yes

  No

• Are handrails provided and secure?

  Yes

  No

• Are the landings level and well maintained?

  Yes

  No

• Are the stairways and landings well illuminated?

  Yes

  No

• Are the landings and stairways free of debris?

  Yes

  No

• Is emergency lighting provided with proper coverage?

  Yes

  No

Restrooms:

• Are the floor surfaces free of irregularities?

  Yes

  No

• Are the floor surfaces free of water?

  Yes

  No

• While floors are wet mopped, is the area barricaded or signs in places?

  Yes

  No

• Are buckets, mops, brooms, etc.,kept out of walking areas?

  Yes

  No

Hand and Power Tools (Hand and Power Tool Policy)

• Do employees use power tools?

  Yes

  No

• Do employees receive annual training on power tool safety?

  Yes

  No

• Are workers trained in the proper operation of the machinery prior to using?

  Yes

  No

• Are tools that are designed for a fixed location securely anchored to prevent walking or moving during operation? <br>OSHA Standard 1910.212(b)

  Yes

  No

• Are tools being inspected and stored properly?<br>OSHA Standard 1926.300(a)

  Yes

  No

Grinding Machinery

• Does this location use grinding machinery?

  Yes

  No

• Was the grinding wheel inspected and a ring test completed prior to mounting to ensure it has not been damaged?<br>OSHA Standard 1910.215(d)(1)

  Yes

  No

• Are the work rests adjusted closely to the wheel with a max. opening of 1/8"?<br>OSHA Standard 1910.215(a)(4)

  Yes

  No

• Are the tongue guards adjusted within 1/4' of the periphery of the grinding wheel?<br>OSHA Standard 1910.215(b)(9)

  Yes

  No

• Do all tools have the proper guards?<br>OSHA Standard 1926.300(b)(1)

  Yes

  No

• Are all electrical cords and plugs in good condition?<br>OSHA Standard 1926.403(b)

  Yes

  No

• Are employees trained in powder actuated tools?<br>OSHA Standard 1926.302(e)(1)

  Yes

  No

Electrical Safety Electrical Safety Policy - Future

• Is there 3 ft. around all breaker panels?

  Yes

  No

• Do all electrical cords and devices have proper covers and show no signs of damage?

  Yes

  No

• Are temporary lights properly suspended and maintained?<br>OSHA Standard 1926.405(a)(2)(ii)(F)

  Yes

  No

  N/A

• Are the temporary power cords protected from heavy traffic?<br>OSHA Standard 1926.405(a)(2)(ii)(I)

  Yes

  No

• Are the temporary power panels in good condition and maintained?<br>OSHA Standard 1926.405(b)(2)

  Yes

  No

• Are all unused knockouts blanked?<br>OSHA Standard 1926.405(b)(1)

  Yes

  No

  N/A

• Are all panel schedules in place?<br>OSHA Standard 1926.403(h)

  Yes

  No

  N/A

• Are all panels marked and made inaccessible to unauthorized persons?<br>OSHA Standard 1926.405

  Yes

  No

  N/A

Lockout/Tagout SAF-P06-001 (Lockout Tagout)

• Does this location require LOTO?

  Yes

  No

• Is LO/TO equipment on site, used, and documented?<br>OSHA Standard 1926.417

  Yes

  No

  N/A

• Is the written LO/TO procedure on site?<br>OSHA Standard 1926.417

  Yes

  No

• Are the authorized personnel identified, trained, and qualified to LO/TO?<br>OSHA Standard 1926.417

  Yes

  No

• Are the LO/TO tags/logs properly filled out and up to date?<br>OSHA Standard 1926.417

  Yes

  No

• Is there a copy of Energized Electrical/Hot Work policy on site?<br>OSHA Standard 1926.416(a)(1)

  Yes

  No

  N/A

• Is all hot work in full compliance with policy?<br>OSHA Standard 1926.416(a)(1)

  Yes

  No

  N/A

• Have all authorized persons received hot work training?<br>OSHA Standard 1926.416(a)(1)

  Yes

  No

  N/A

• Are there covers, faceplates, or fixture canopies?<br>OSHA Standard 1926.405(b)(2)

  Yes

  No

  N/A

Welding and Cutting

• Does this location do any welding or cutting activities?

  Yes

  No

• Are all leads and stringers in good condition?<br>OSHA Standard 1926.351(b)(2)

  Yes

  No

• Are all bare spots on welding leads properly repaired?<br>OSHA Standard 1926.351(b)(4)

  Yes

  No

• Is the first 10 feet of the leads free from damage?<br>OSHA Standard 1926.351(b)(2)

  Yes

  No

• Is proper eye protection available and in use?<br>OSHA Standard 1926.353(e)(2)

  Yes

  No

• Are all cylinders in a secured, upright position?<br>OSHA Standard 1926.350(a)(9)

  Yes

  No

• Do all cylinders have protective caps when not in use?<br>OSHA Standard 1926.350(a)(1)

  Yes

  No

• Is there a fire watch needed/used?<br>OSHA Standard 1926.352(e)

  Yes

  No

• Is a welding screen utilized to protect personnel?<br>OSHA Standard 1926.352(b)

  Yes

  No

• Is there a 20lb. ABC Ext. located in welding/cutting area?<br>OSHA Standard 1926.352(d)

  Yes

  No

• Is there a 20 foot separation between O2 and acetylene when stored?<br>OSHA Standard 1926.350(a)(10)

  Yes

  No

Ladder Safety SAF-P04-007 (Ladder Safety)

• Are employees trained on and using ladders properly?<br>OSHA Standard 1926.1060

  Yes

  No

• Are all ladders inspected daily and in good condition?<br>OSHA Standard 1926.1053(b)(15)

  Yes

  No

• Are spreaders on step ladders down and locked?<br>OSHA Standard 1926.1053(a)(8)

  Yes

  No

  N/A

• Are all ladders rated for task uses?<br>OSHA Standard 1926.1053(a)(1)(i)

  Yes

  No

• Are side rails 3 feet above landings for extension ladders?<br>OSHA Standard 1926.1052(b)(1)

  Yes

  No

  N/A

• Are extension ladders secured at the top and/or bottom?<br>OSHA Standard 1926.1053(b)(1)

  Yes

  No

  N/A

• Are doorways barricaded when necessary?<br>OSHA Standard 1926.1053(b)(8)

  Yes

  No

• Is proper fall protection used when required?<br>OSHA Standard 1926.1053(a)(22)

  Yes

  No

Floor/Wall Openings, Stairwells, and Roofs

• Are all employees protected from falling objects?<br>OSHA 1926.501(c)

  Yes

  No

• Is all material at least 10 feet from the floor edge?<br>OSHA 1926.250(b)(1)

  Yes

  No

• Do all guard rails meet OSHA requirements?<br>OSHA 1926.502(b)

  Yes

  No

• Is fall protection provided/used for fall exposures in excess of 6 feet?<br>OSHA 1926.501(b)(15)

  Yes

  No

Hazard Communication SAF-P02-001 (Haz Com)

• Does the lab maintain MSDS's? (individual must be able to physically point out the MSDS's for their area)

  Yes

  No

• Are there any hazardous materials in the work area? (They should be able to locate their inventory of hazardous materials)

  Yes

  No

• Is there a written hazardous communication program for their work area?

  Yes

  No

• Is there a hazardous inventory? if yes, a copy of your inventory needs to be included with this audit report.

  Yes

  No

• Has the inventory been reviewed within the last calendar year?

  Yes

  No

• Is each container labeled properly? (At minimum product identity, hazard warning, PPE, target organs, manufacturer name, address and emergency phone number)

  Yes

  No

• Are employees trained and aware of where the MSDS binder is located?

  Yes

  No

• Have employees been trained on the appropriate use of PPE?

  Yes

  No

  N/A

• Is PPE available and used when handling corrosive, flammable and carcinogenic substances?

  Yes

  No

• Are volumes of chemicals consistent with usage? <br>**It is dangerous to store large volumes of hazardous chemicals. Chemicals should be discarded if not used within 6 months**

  Yes

  No

• Are chemicals stored properly? (Not under sinks)

  Yes

  No

• Have any new chemicals or processes been introduced in the past year?

  Yes

  No

• Have employees been trained on how to handle a spill and is a spill kit available?

  Yes

  No

Compressed Gases SAF-P10-001 (Compressed Gas)

• Does this location have compressed gases?

  Yes

  No

• Are cylinders stored upright, secured and in a dry, cool area?

  Yes

  No

• Are cylinders stored away from electrical connections, flames, sources of ignition and flammable/combustible substances?

  Yes

  No

• Are acetylene and propane gas cylinders separated from oxygen by at least 20 feet or by a fire resistant partition when in storage?

  Yes

  No

• Are all compressed gas cylinder valve covers in place when the cylinders are not in use?

  Yes

  No

• Are all compressed gas cylinders labels clear and legible?

  Yes

  No

• Are all compressed gas cylinders free from visual defects?

  Yes

  No

• Are compressed gas cylinders moved by a suitable hand truck?

  Yes

  No

Industrial Equipment Future Policy

• Does this location have industrial equipment?

  Yes

  No

• Picture of Industrial Powered Truck

  Media

• Is the battery charging area properly located to protect the charger from collision? <br>OSHA Standard 1910.178(g)(2)

  Yes

  No

• Are forktrucks inspected prior to use?<br>OSHA Standard 1910.178(q)(7)

  Yes

  No

• Have all operators been trained and certified to operate forktrucks?

  Yes

  No

• What are the names of the individuals certified?

• Obtain copies of certifications

  Media

Personal Protection Equipment

• Are employees provided PPE for any hazards? <br>OSHA 1910.132(f)

  Yes

  No

Eyes

• Employees perform tasks, or work near employees that perform tasks, that might produce airborne dust or flying particles

  Yes

  No

  N/A

• Employees handle, or work near employees who handle hazardous liquid chemicals or encounter blood splashes

  Yes

  No

  N/A

• Employees' eyes exposed to other potential physical or chemical irritants

  Yes

  No

  N/A

• Employee exposed to intense light or lasers

  Yes

  No

  N/A

Face

• Employee handles or works near employees who handle hazardous liquid chemicals

  Yes

  No

  N/A

• Employees' faces are exposed to extreme heat

  Yes

  No

  N/A

• Employees' faces are exposed to other potential irritants

  Yes

  No

  N/A

Head

• Tools or other objects may potentially fall from above and strike your employee on the head

  Yes

  No

  N/A

• Employees' heads, when they stand or bend, are near exposed beams, machine parts, pipes, etc.?

  Yes

  No

  N/A

• Employees work with or are in close proximity to electrical wiring or components of electrical wiring

  Yes

  No

  N/A

Feet

• Tools, heavy equipment or other objects may potentially roll, fall onto or strike employees' feet

  Yes

  No

  N/A

• Employees work with or are near exposed electrical wiring or electrical wiring components

  Yes

  No

  N/A

• Employees handle or work with those who handle molten metal

  Yes

  No

  N/A

• Employees work with explosives or are in an explosive atmosphere

  Yes

  No

  N/A

Hands

• Employees' hands may come into contact with tools or materials that might scrape, bruise or cut

  Yes

  No

  N/A

• Employees handle chemicals that might irritate skin or come into contact with blood

  Yes

  No

  N/A

• Employees place their hands and arms near extreme heat

  Yes

  No

  N/A

• Employees' hands and arms are placed ear exposed electrical wiring or components

  Yes

  No

  N/A

Body

• Employees' bodies exposed to irritating dust or chemical splashes

  Yes

  No

  N/A

• Employees' bodies exposed to sharp or rough surfaces

  Yes

  No

  N/A

• Employees' bodies exposed to extreme heat

  Yes

  No

  N/A

• Employees' bodies exposed to acids or other hazardous substances

  Yes

  No

  N/A

Hearing

• Employees are exposed to loud noise from machines, tools, music systems, etc.

  Yes

  No

  N/A

Training

• Have all employees completed the required training in LMS?

  Yes

  No

• Describe deficiencies

• Additional comments

Signature

• Completed By

  Sign