Title Page
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Inspector Name:
- Matthew Berti
- Silvester Fulmore
- Chad Hagans
- Keith Hawkins
- David Moskowitz
- Matt Quales
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Inspection Date:
Emergency & First Aid
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Fire alarm stations clearly marked and readily accessible
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Fire alarms free from visible damage
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Lights above emergency exits have all bulbs lit
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Walking paths clear of obstructions
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"Crash Bars" operate easily on emergency exits
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Signs showing locations of fire extinguishers clearly visible
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Fire extinguishers are easily accessible
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Fire extinguishers fully charged
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Signs showing locations of first aid kits clearly visible
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First aid kits are readily accessible
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First aid kits are sufficiently stocked
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First aid kits are free of expired items
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Signs showing locations of emergency eyewash stations/showers clearly visible
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Emergency eyewash stations/showers are readily accessible
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Emergency eyewash stations/showers are fully functional
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SDS materials are clearly marked and readily accessible
Ladders
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Ladders are in good condition and free from damage or defect
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Ladders in use are being used safely and appropriately
- Yes
- No
- N/A
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Are workers standing on top rungs or platforms?
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Are tools/equipment being left unattended on platforms?
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Are step ladders are being used as straight ladders?
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Are workers climbing ladders failing to use 3 points of contact while climbing?
Machinery, Equipment & Power Tools
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All guards in place and fully operational
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Storage units attached to machinery using proper fasteners
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Safety placards in place and legible
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Lock-Out/Tag-Out kits in place and complete
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Insulation on wiring is intact with no cuts or breaks
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There is at least 3 feet (36 inches) of clearance in front of electrical panels
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All electrical equipment and personal tool boxes requiring power are plugged directly into wall outlets
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All cords and plugs are free from damage and defect
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All circuit breaker panels are free of combustible materials
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"Warning High Voltage" signs are properly installed on all high voltage enclosures
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Flammable cabinets are clearly marked and in good working condition
Personal Protective Equipment
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Eye protection is in good working order
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Does eye protection have clear vision?
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Does eye protection have excessive scratches or pitting in the lenses?
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All grinders have face shields available
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All workers in designated areas wear safety footwear
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Hearing protection is worn while working with tools/machines listed in the Hearing Conservation Plan
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PPE is readily available and in good working order for all personnel, including visitors to the area
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PPE is properly stored when not in use
Sanitation
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Bathrooms and employee break areas are clean and free from litter/refuse
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Soap and paper towels are available in bathrooms and employee break areas
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Soap and paper towels are available at any sink used for employee hygiene
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Refrigerators are in good working order
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Refrigerators have no spoiled/expired food
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Refrigerators are clean and without odor
Work Area General Check
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All areas receive adequate lighting
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All electrical outlets are GFCI protected
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Carpets and throw rugs are free of tears or trip hazards
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Handrails are on all fixed stairways
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Handrails are free of damage or defect
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Standard guard rails are provided wherever aisle or walkway surfaces are elevated more than 4 feet (48 inches) above any adjacent floor, surface, or the ground
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All furniture is in good working order
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All furniture is free from damage or defect
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There are no prohibited items (food, coffee makers, ovens/microwaves, etc.) present on work shop floor
Hazardous Chemicals
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All solvents, cleaning supplies, lubricants, etc. have warning labels
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Ventilation fans have been tested and in proper working condition providing adequate air movement in areas where solvents are used