B & G Shop Safety Inspection Report

• Document No.

• Conducted on

  Date
• Location
  Address

• Prepared By:

• Prepared By:

  Sign

Overall Grade & Sign Off

• Over All Grade:

• Shop Manager (If not present please type N/A):

• Shop Manager:

  Sign

• Warehouse Manager (If not present please type N/A):

• Warehouse Manager:

  Sign

• Additional Participants:

• 1.) Additional Person

  Sign

• 2.) Additional Person

  Sign

B & G Shop Safety Inspection Report

• Add location
  Address

• Select date

  Date

POSTING & RECORD KEEPING

• OSHA 300A form posted?

  Yes

  No

  N/A

• Safety and health poster posted?

  Yes

  No

  N/A

• Emergency telephone numbers posted?

  Yes

  No

  N/A

• Physicians Panel posted?

  Yes

  No

  N/A

• Emergency evacuation routes posted?

  Yes

  No

  N/A

• Warning signs, stickers or labels posted in areas or on equipment to notify employees of specific hazards?

  Yes

  No

  N/A

• POSTING & RECORD KEEPING GRADE:

MEDICAL & FIRST AID

• Someone trained in First Aid/CPR on site?

  Yes

  No

  N/A

• First Aid Kits accessible and properly stocked?

  Yes

  No

  N/A

• Eyewash stations accessible, clean, operational, and properly maintained?

  Yes

  No

  N/A

• Yes

  No

  N/A

• MEDICAL & FIRST AID GRADE:

HAZARD COMMUNICATION & SDS

• Copy of written program

  Yes

  No

  N/A

• List of hazardous materials on site & current

  Yes

  No

  N/A

• SDS’s available for all chemicals onsite

  Yes

  No

  N/A

• Have employees been trained on Hazard Communication & GHS?

  Yes

  No

  N/A

• All containers properly labeled

  Yes

  No

  N/A

• HAZARD COMMUNICATION & SDS GRADE:

HOUSEKEEPING & MATERIAL STORAGE

• Are work areas clean & orderly?

  Yes

  No

  N/A

• Floors kept clean from oil spills & absorbent?

  Yes

  No

  N/A

• Have trip hazards been eliminated (e.g. cords, hoses, holes, etc.)

  Yes

  No

  N/A

• Are oily rags & combustible waste kept in metal containers with lids?

  Yes

  No

  N/A

• Exits clearly marked & free of obstructions?

  Yes

  No

  N/A

• Walkways clearly marked and kept clear?

  Yes

  No

  N/A

• Is there clear area (30”x30”) in front of electrical panels?

  Yes

  No

  N/A

• Width of aisles properly maintained?

  Yes

  No

  N/A

• Safe clearance for equipment through aisles and doorways?

  Yes

  No

  N/A

• Boxes & containers stored, stacked, blocked, & limited in height to prevent falling?

  Yes

  No

  N/A

• Heavy objects stored on lower shelves?

  Yes

  No

  N/A

• Adequate clearance maintained from all sprinkler heads (18” for stacks 15’ & less, 36” for stacks 15’ and more)?

  Yes

  No

  N/A

• Are warehouse shelves properly secured?

  Yes

  No

  N/A

• Mezzanine floor and rack storage limits properly posted?

  Yes

  No

  N/A

• Storage racks in good condition and free of damage?

  Yes

  No

  N/A

• Empty pallets stored properly with no protruding nails?

  Yes

  No

  N/A

• Proper material staking, orderliness, and travel paths maintained in storage yards?

  Yes

  No

  N/A

• HOUSEKEEPING & MATERIAL STORAGE GRADE:

CHEMICAL STORAGE

• Are open drums and containers stored on spill containment pallets or pans?

  Yes

  No

  N/A

• Are approved secondary containers utilized, properly labeled, and compatible with contents?

  Yes

  No

  N/A

• Refuge oil stored in proper containers and labeled?

  Yes

  No

  N/A

• CHEMICAL STORAGE GRADE:

PERSONAL PROTECTIVE & LIFE SAVING EQUIPMENT

• Proper eye/face protection worn as required?

  Yes

  No

  N/A

• Hard hats worn where there is a danger of falling objects?

  Yes

  No

  N/A

• Gloves used as required?

  Yes

  No

  N/A

• Hearing protection worn when necessary?

  Yes

  No

  N/A

• Protective clothing worn when necessary?

  Yes

  No

  N/A

• Respiratory protection worn when necessary?

  Yes

  No

  N/A

• Respirator users medically evaluated, fit tested, and trained?

  Yes

  No

  N/A

• Are employees using proper PPE for chemicals (Nitrile gloves, safety glasses, goggles, or face shields)?

  Yes

  No

  N/A

• PERSONAL PROTECTIVE & LIFE SAVING EQUIPMENT GRADE:

FIRE PROTECTION & PREVENTION

• Are fire extinguishers in place, clearly marked, accessible, & properly charged?

  Yes

  No

  N/A

• All fire extinguishers have a current monthly inspection & annual service?

  Yes

  No

  N/A

• Flammable liquids stored in safety cans or flammable cabinets?

  Yes

  No

  N/A

• Are no smoking signs posted where appropriate and obeyed?

  Yes

  No

  N/A

• Sprinkler & fire alarm systems routinely inspected/serviced?

  Yes

  No

  N/A

• FIRE PROTECTION & PREVENTION GRADE:

ELECTRICAL

• Electrical panels/equipment and outlets properly covered and free of defects (cover plates, dead fronts secure, open slots and holes covered, etc.)?

  Yes

  No

  N/A

• GFCI’s installed/used in wet locations?

  Yes

  No

  N/A

• All circuit breakers and power disconnects clearly marked as to what they control AND with amperage/voltage?

  Yes

  No

  N/A

• All electrical cords in good condition and ground prongs attached?

  Yes

  No

  N/A

• Work areas properly illuminated?

  Yes

  No

  N/A

• ELECTRICAL GRADE:

HAND AND POWER TOOLS

• Electrical equipment grounded or double insulated?

  Yes

  No

  N/A

• Electrical cords on power tools in good condition?

  Yes

  No

  N/A

• Safety guards in place for equipment with moving parts (belts, fans, saw blades)?

  Yes

  No

  N/A

• Are machines secured against moving during operations (such as bench/pedestal grinders)?

  Yes

  No

  N/A

• Bench grinders: work rest adjusted to within ⅛ inch & tongue guard ¼ inch from grinding stone.

  Yes

  No

  N/A

• Air lines in good condition?

  Yes

  No

  N/A

• Are air compressors equipped with pressure relief valves and operational pressure gauges?

  Yes

  No

  N/A

• Compressed air used for cleaning reduced to 30 psi or less?

  Yes

  No

  N/A

• Chisels, punches, etc. that develop mushroomed heads reconditioned or replaced?

  Yes

  No

  N/A

• Hammer heads securely fastened to handles?

  Yes

  No

  N/A

• Damaged hammer handles replaced?

  Yes

  No

  N/A

• Worn and bent wrenches replaced?

  Yes

  No

  N/A

• Jacks labeled with lifting capacity, in good condition, and free of leaks?

  Yes

  No

  N/A

• Jack safety stands used with portable jacks?

  Yes

  No

  N/A

• Wheels chocked when jacks used?

  Yes

  No

  N/A

• HAND AND POWER TOOLS GRADE:

LOCKOUT TAGOUT (LOTO)

• Are machines/equipment locked and tagged out as necessary?

  Yes

  No

  N/A

• Are proper LOTO devices available for al energy sources?

  Yes

  No

  N/A

• All personnel trained in proper LOTO procedures?

  Yes

  No

  N/A

• LOCKOUT TAGOUT (LOTO) GRADE:

WELDING & COMPRESSED GAS CYLINDERS

• When welding is the proper ventilation and welding screens in place?

  Yes

  No

  N/A

• Welding areas free of flammable and combustible materials?

  Yes

  No

  N/A

• Are compress gas cylinders secured in the upright position to prevent tipping?

  Yes

  No

  N/A

• Gas cylinders clearly labelled?

  Yes

  No

  N/A

• Safety caps in place on gas cylinders not in use?

  Yes

  No

  N/A

• Oxygen & Fuel Gas cylinders in storage separated by 5-foot fire partition or 20 feet?

  Yes

  No

  N/A

• Are propane tanks stored in a secure cage or rack to prevent tipping?

  Yes

  No

  N/A

• WELDING & COMPRESSED GAS CYLINDERS GRADE:

HOISTS

• Overhead hoists equipped with limit stop for highest and lowest safe travel points?

  Yes

  No

  N/A

• Rated load of each hoist legibly marked and visible?

  Yes

  No

  N/A

• Are controls of hoist plainly marked to indicate direction of travel?

  Yes

  No

  N/A

• Is proper rigging equipment used that are free of defects?

  Yes

  No

  N/A

• Proper rigging methods used?

  Yes

  No

  N/A

• HOISTS GRADE:

FORKLIFTS

• Only trained personnel allowed to operate forklifts?

  Yes

  No

  N/A

• Forklifts inspected daily?

  Yes

  No

  N/A

• Substantial overhead protection on high lift forklifts?

  Yes

  No

  N/A

• Forklifts equipped with operational horn, backup alarms, and seatbelt?

  Yes

  No

  N/A

• Seatbelts worn by forklift operators?

  Yes

  No

  N/A

• Parking brakes effectively prevent forklifts from moving when unattended?

  Yes

  No

  N/A

• Forklift forks placed on the ground when parked?

  Yes

  No

  N/A

• Trailer wheels chalked when backed up to loading ramps?

  Yes

  No

  N/A

• FORKLIFTS GRADE:

DOT

• Pre-trip inspection?

  Yes

  No

  N/A

• Post-trip Inspection?

  Yes

  No

  N/A

• Logs maintained (when required)?

  Yes

  No

  N/A

• DOT physicals maintained and up-to-date?

  Yes

  No

  N/A

• DOT Grade: