Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
General Safety
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OSHA 300 A log is posted from February 1 - April 30
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Safety Data Sheets Available
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Chemical bottles clearly marked
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Personnel wearing proper PPE (safety glasses, ear plugs, gloves, boots, face shields when cutting and grinding)
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Exits clearly marked and unobstructed
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First aid kit fully stocked
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Eye wash station functional and accessible
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Are all flammable materials stored in designated labeled case
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Are fire extinguishers charged, tagged, and inspected
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Are all aisles and walkways clear
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Are breaker boxes secured
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36" in front of all breaker boxes is free of obstruction
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Fall protection systems in place at loading zones
Safety Quiz
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Safety Quiz conducted with (Type Employee Name)
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What PPE is required when using a grinder or chop saw? - (Safety glasses, face shield, gloves)
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At what height is fall protection required in General Industry? - (4')
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When using extension cords, what must be in place? - (Ground plug, GFCI, cord cover)
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What 5 steps do you follow if an accident/incident occurs? - (1.Ensure safety, 2.Assess injury / attend to injured, 3.Call for help if needed, 4.Notify supervisor, 5.Document the incident)
Assembly Line
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Area free of tripping hazards (cords ,materials, debris, tools)
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Pneumatic tools stored above head level
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Power tools functional, guards and handles in place
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Cords in good condition and grounded
Hard Wired Equipment
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All operators have been trained
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Guards in place
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LOTO procedures are clearly posted and enforced
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Emergency stop buttons functional
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Vacuum systems are operational
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There are no unusual sounds
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Aisles and work areas are free of clutter and debris
Welding
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Welding area is fully screened in.
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Appropriate PPE is worn. (Welding mask, Fire resistant gloves, jacket or apron)
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Ventilation system is operational and in use.
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All gas tanks are secured.
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Fire extinguisher present in welding area.
Saw Stations
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All operators have been properly trained
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Guards in place and functional
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Face shields worn as well as all other required PPE (ear plugs, safety glasses, gloves, boots)
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LOTO procedures are clearly posted and enforced
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Pneumatic systems functional and in good condition
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Materials are stacked safely, aisles and work area are clear of debris
Fork Lifts
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Daily inspection log completed
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All hoses in places and in good condition
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Wheels/Tires in good condition
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Propane tank secured and in good condition
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Horn is functional
Fork Lift Operators
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Seat belt is functional and worn by operators
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Operator is looking in the direction of travel
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Operator fully engages load
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Operator uses horn
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Operator keeps in the confinement of lift
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Operator safely parks lift
Loading and Crating
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Loads are secured and softeners used
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Nail gun operating properly and is in good condition
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Trucks backed in tight to stairs
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Stairs are in good condition and handrails are in place
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Ladders used to access flatbeds
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Trucks are properly packed and loaded
Trucks
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Vehicle Inspections are up to date.
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There is no visual damage to vehicles (broken lights, missing plates, bent/broken steps)
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All fuel cans are secured in fuel truck.
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There are no more than 4 gasoline cans in the fuel truck.
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All cans are OSHA approved safety cans, and flame arrestors are in place.
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Fire extinguisher present within fuel truck.
Material Yard
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All materials are stacked properly
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Racks are clear of debris and organized
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Propane tanks stored in proper flammable case
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All walking and working surfaces are free of clutter and debris
