Work Area Preparation

Lockout/Tagout procedures correct

Confined Space Entry: permits posted, etc.

Hot Work Permit: Permit posted, etc.

Spills and Slippery Surfaces: Identified and corrected

Tripping Hazards: Identified and corrected

Housekeeping: Area picked up and clean for safe work

Guards and Barriers: In place and working


Head Protective: Hard hats in use with overhead work

Eye and Face Protection: safety glasses and faceshield

Hearing Protection: In required areas

Hand Protection: Moving material, using knives etc.

Arm Protection: When using knives, chemical use etc.

Foot Protection: Wearing required steel toed shoes

Body Protection: When working w/ acids, chemicals etc

Respiratory Protection: When required

Fall Protection: When falls of 6' or greater, ladder use

Body Mechanics and Ergonomics

Lifting/Carrying/Pulling/Pushing: Body movement

Line of Fire: Body location, regarding machine ops.

Pinch Point: Body location between objects.

Path of Travel: Body location between equipment

Path of Travel: Climbing from one elevation to next

Path of Travel: Flat surface

Tools and Equipment

Selection: Proper tool or equipment for job

Condition: Tools & equipment in safe conditions for use

Use: Tools & equipment being used as intended

Mobile Equipment: Inspected prier to use, safe ops.

Follow Up

Is any follow up required?

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Commendable behaviors observed:

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.