Title Page

  • Conducted on

  • Prepared by

  • Location

General Safety

  • Safety Data Sheets available

  • Chemical bottles clearly marked

  • Personnel wearing proper PPE (Safety glasses, ear plugs, gloves, boots, Respirator/Hood when painting and sand blasting)

  • Exits are clearly marked and unobstructed

  • First Aid kit fully stocked

  • Eye wash station is functional and accessible

  • Breaker boxes are secured

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

  • Work areas, aisles, and walkways are clear

  • Fire extinguishers are charged, tagged, and inspected

Flammable Material

  • All flammable materials are stored in designated flammable cabinets

  • Flammable cabinets do not exceed 60 gallons of flammable materials

  • There is no more than 3 flammable cabinets in the building

  • Flammable materials are properly disposed of

Hard Wired Equipment

  • All operators have been trained

  • LOTO procedures are clearly posted and enforced

  • Emergency Stop buttons are functional

  • All airlines are intact and free of leaks

  • Ventilation systems are operational

  • There are no unusual sounds

Sandblast

  • Proper PPE is worn (Blast suit, leather gloves, hood, hearing protection)

  • Hood filter is clean and operational

  • Ventilation system is on while blasting is conducted

  • Blast gun and hose are in proper and safe working order

  • Aggregate is properly stored and secured

Paint

  • Proper PPE is worn (Full face respirator, gloves, suit/apron hearing protection)

  • Personnel have been fit tested for respirators

  • Ventilation system is on while painting is conducted

  • Paint gun and hoses are in proper and safe working order

  • Pots of mixed paints and chemicals are clearly marked and labeled

  • Paint pump filter is clean and operational

Infrared Oven

  • All personnel are cleared from oven before beginning use

  • Doors are properly closed and secured while oven is in use

  • Infrared bulbs are in proper and safe working order

Forklifts

  • Daily Inspection log completed

  • All hoses in place and in good condition

  • Seat belt is functional and worn by operators

  • Operators are looking in the direction of travel

  • Wheels / Tires are in good condition

  • Propane tank is secured and in good condition

  • Horn is functional and used

Material Storage

  • All materials are stored and secured properly

  • Softeners are used to protect panels

  • Trucks are properly packed and loaded

  • Propane tanks are store 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.