Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

General Safety

  • OSHA 300 A log is posted from February 1 - April 30

  • Safety Data Sheets Available

  • Chemical bottles clearly marked

  • Personnel wearing proper PPE (safety glasses, ear plugs, gloves, boots, face shields when cutting and grinding)

  • Exits clearly marked and unobstructed

  • First aid kit fully stocked

  • Eye wash station functional and accessible

  • Are all flammable materials stored in designated labeled case

  • Are fire extinguishers charged, tagged, and inspected

  • Are all aisles and walkways clear

  • Are breaker boxes secured

  • 36" in front of all breaker boxes is free of obstruction

  • Fall protection systems in place at loading zones

Safety Quiz

  • Safety Quiz conducted with (Type Employee Name)

  • What PPE is required when using a grinder or chop saw? - (Safety glasses, face shield, gloves)

  • At what height is fall protection required in General Industry? - (4')

  • When using extension cords, what must be in place? - (Ground plug, GFCI, cord cover)

  • 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

  • Area free of tripping hazards (cords ,materials, debris, tools)

  • Pneumatic tools stored above head level

  • Power tools functional, guards and handles in place

  • Cords in good condition and grounded

Hard Wired Equipment

  • All operators have been trained

  • Guards in place

  • LOTO procedures are clearly posted and enforced

  • Emergency stop buttons functional

  • Vacuum systems are operational

  • There are no unusual sounds

  • Aisles and work areas are free of clutter and debris

Welding

  • Welding area is fully screened in.

  • Appropriate PPE is worn. (Welding mask, Fire resistant gloves, jacket or apron)

  • Ventilation system is operational and in use.

  • All gas tanks are secured.

  • Fire extinguisher present in welding area.

Saw Stations

  • All operators have been properly trained

  • Guards in place and functional

  • Face shields worn as well as all other required PPE (ear plugs, safety glasses, gloves, boots)

  • LOTO procedures are clearly posted and enforced

  • Pneumatic systems functional and in good condition

  • Materials are stacked safely, aisles and work area are clear of debris

Fork Lifts

  • Daily inspection log completed

  • All hoses in places and in good condition

  • Wheels/Tires in good condition

  • Propane tank secured and in good condition

  • Horn is functional

Fork Lift Operators

  • Seat belt is functional and worn by operators

  • Operator is looking in the direction of travel

  • Operator fully engages load

  • Operator uses horn

  • Operator keeps in the confinement of lift

  • Operator safely parks lift

Loading and Crating

  • Loads are secured and softeners used

  • Nail gun operating properly and is in good condition

  • Trucks backed in tight to stairs

  • Stairs are in good condition and handrails are in place

  • Ladders used to access flatbeds

  • Trucks are properly packed and loaded

Trucks

  • Vehicle Inspections are up to date.

  • There is no visual damage to vehicles (broken lights, missing plates, bent/broken steps)

  • All fuel cans are secured in fuel truck.

  • There are no more than 4 gasoline cans in the fuel truck.

  • All cans are OSHA approved safety cans, and flame arrestors are in place.

  • Fire extinguisher present within fuel truck.

Material Yard

  • All materials are stacked properly

  • Racks are clear of debris and organized

  • Propane tanks stored in proper flammable case

  • All walking and working surfaces are free of clutter and debris

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.