Title Page

  • Conducted on

  • Prepared by

  • Location

SPRINKLER SYSTEMS (Monthly)

  • 1. Sprinkler risers have clear and unobstructed access?

  • 2. Pressure gauges indicate that the systems are pressurized?

  • 3. Unmonitored control valves are properly secured with a chain, lock, or wire tie?

  • 4. 18 inches of clearance is continuously maintained around all sprinkler piping and heads?

  • 5. There is spacing in E-racks or mezzanines flooring to let water run through from above in the event of a fire.

  • 6. No product, equipment or material of any kind is hung or attached to sprinkler system piping?

  • 7. Sprinkler piping and heads are free of dust/debris/over-spray accumulations? Thick accumulations on sprinkler heads acts as an insulator preventing the head from sensing temperature rise due to a fire. If there is accumulation, then a blow-down or vacuuming of excessive dust debris is warranted.

  • 8. Exposures in non-sprinkler areas are being properly monitored and protected?

  • 9. Have sprinkler heads been painted? If so, they cannot function and must be replaced.

  • 10. Sprinkler heads that are susceptible to damage are covered with a protective bird cages?

  • 11. Sprinkler heads exposed to overspray are covered with properly secured paper, not plastic, bags?

  • 12. 2” drain tests have been completed on all wet system risers, with results documented

Sprinkler System (Quarterly or Annually):

  • 1. A qualified sprinkler contractor has conducted the annual sprinkler systems inspection and testing?

  • 2. The contractor's annual sprinkler systems inspection and testing report is on file for review?

  • 3. Deficiencies found during the annual inspection have been corrected with documentation on file?

FIRE EXTINGUISHERS (Monthly)

  • 1. A fire extinguisher is mounted in each designated fire extinguisher location?

  • 2. Fire extinguishers are mounted 4 to 5 feet off the ground and are readily visible at all times?

  • 3. Fire extinguishers have 3 feet clearance all around with unobstructed access?

  • 4. Each fire extinguisher has a conspicuous visual marker indicating its presence?

  • 5. A fire extinguisher is mounted on every forklift?

  • 6. Fire extinguishers are mounted a minimum of 2.5 feet away from electrical panels.

  • 7. Fire extinguishers are uniformly distributed, easily accessible on normal paths of travel, near exits and entrances protected from physical damage, and located appropriately for potential hazards?

  • 8. Fire extinguishers pins and seals are in place, and pressure gauges are "in the green"? Deficiencies corrected?

FIRE EXTINGUISHERS (Quarterly or Annually)

  • 1. The fire extinguisher layout diagram has been reviewed for accuracy and updated as required?

  • 2. Documented annual fire extinguisher training has been completed with appropriate individuals?

  • 3. A qualified fire extinguisher contractor has conducted the annual extinguisher inspection and testing, and tags have been updated on the extinguishers to reflect the inspection?

HOT WORK (Brazing, Cutting, Welding, Grinding) Monthly

  • 1. Welding equipment has been inspected to ensure that it is in good repair? Specific things to look for include:

  • ● Welding machines properly grounded?

  • ● Oxygen and fuel line hoses are in good condition?

  • ● Oxygen and gas cylinders are in good condition?

  • ● Cylinder valves are in good condition?

  • ● Welding cable electrode holders are in good condition?

  • ● Cutting torch bodies are in good condition?

  • ● Cutting torch tips are in good condition?

  • ● Flashback arrestors in place and in good repair?

  • ● All welding leads in good condition (no nicks or bare spots or significant wear)?

  • 2. Gas cylinders stored in a proper manner?

  • ● Away from heat sources and heavy traffic areas?

  • ● Oxygen and flammable gas cylinders separated by a minimum of 20 feet?

  • ● Cylinder valves closed and valve caps screwed on?

  • ● Storage area well ventilated?

  • ● Chained/restrained in upright position?

  • 3. Documentation that on-site outside contractors have been informed of our hot work polices, and have agreed to follow all safe hot work procedures including the use of hot work permit?

  • 4. Hot work permits have been reviewed, and any deficiencies addressed?

  • 5. Fire resitive tarpaulin or covering is on-site in good repair?

  • 6. New Team members to be involved in hot work operations have been properly trained on our hot work policies?

HOT WORK (Brazing, Cutting, Welding, Grinding) Quarterly or Annually:

  • 1. Hot work permit training has been updated for all team members involved in conducting hot work operations at the facility.

  • 2. Senior management has reviewed and stressed the hot work program benefits to employees and the company.

PROPANE TANKS (monthly)

  • 1. Small propane tank storage area has all cages covered, and doors on cages?

  • 2. Bulk storage propane tanks have no flammable/combustibles (including vegetation) inside the blocked off area?

  • 3. Fire extinguisher 25ft away from propane tank so it will not be damaged or inaccessible during a fire?

  • 4. Safety break-a-way valves are on fuel tanks, gas/diesel/propane/fuel oil (manual pump tanks not required)?

  • 5. Safety break-a-way valves are in good repair?

PROPANE TANKS (quarterly or annually)

  • 1. Proper signage is on fence and tanks?

ELECTRICAL (Monthly)

  • 1. A 3 foot clear access space is provided around all electrical panels?

  • 2. Area inside the electrical installation barriers are free of all product, equipment and materials?

  • 3. Panel boxes are free of all hangings?

  • 4. Panel box tops are free of all storage?

  • 5. Panel box doors are closed?

  • 6. Panel box door latches function properly?

  • 7. Electrical installation is free of significant build-up of dust and debris?

  • 8. Motors, bases of saws, and cooling vents are free of significant build-up of dust and debris?

  • 9. Permanent wiring has been installed wherever possible to eliminate the use of extension cords.

  • 10. Extension cords are free of knots or kinks?

  • 11. Extension cords with excessive cuts or deteriorated insulation have been replaced?

  • 12. Extension cords are being unplugged at the end of each shift?

  • 13. All exposed wiring has been repaired?

  • 14. All dead end wiring has been removed?

  • 15. Battery chargers are stored on their metal charging stations?

  • 16. Multi-power strips have been removed or professional grade only for the manufacturing environment.

  • 17. All damaged electrical outlets and j-boxes have been repaired/replaced?

  • 18. All outside electrical outlets and receptacles are the weatherproof type?

  • 19. Household fans, microwaves, refrigerators, radios & cell phone battery chargers have been removed from the premises

  • 20. Flickering and burned out fluorescent bulbs have been identified for replacement?

  • 21. All electrical panels have been inspected to ensure that there are no open breaker spaces?

  • 22. Open knockout holes in electrical boxes have been sealed? Check top and bottom of boxes!

  • 23. Proper signage such as high voltage warning signs is present where required at electrical installations?

ELECTRICAL (Quarterly or Annually):

  • 1. Electrical panels, disconnect switches, and circuit breakers are labeled to indicate voltage and equipment served?

  • 2. The interior components of all electrical disconnects, and breaker boxes are free of dust/debris?

  • 3. Electrical PM program has been reviewed/analyzed to identify electrical related trends & issues at the facility?

  • 4. A Level II Thermographic Scan has been completed for the main electrical equipment at the facility.

  • 5. Previous years' Thermographic Scans have been compared to current scans and checked for trends/repeats.

  • 6. All recommendations on the most recent Thermographic Scan have been corrected in a timely manner.

FOAM SEAL OPERATIONS (Monthly)

  • 1. Hose insulation is in good condition? Repair if possible. If not, it should be replaced.

  • 2. Wiring is unexposed?

  • 3. The operator is seeing a normal foam seal spray pattern? If not, contact maintenance to check for electrical deficiencies within the heating/pumping systems.

  • 4. Heating/pumping system area has a high housekeeping standard?

  • 5. Heat/pumping system electrical leads and wiring in good condition? If not, contact maintenance.

  • 6. Daily Plant Close-up Checklist items for foam seal operation are being completed?

FOAM SEAL OPERATIONS (Quarterly or Annually)

  • 1. The foam seal materials supplier has conducted a system component analysis?

  • 2. Deficiencies noted in the system analysis recommendations have been corrected?

  • 3. Residue buildups have been removed from the pumping/heating system?

  • 4. Wiring and temperature probes have been inspected by an electrician to ensure they are operating as designed.

HEATERS USED IN MANUFACTURING PROCESSES (Specifically portable heaters used for curing Sheetrock mud in homes) (Monthly)

  • 1. Portable heaters used when drying/curing sheetrock in houses are NEVER being left unattended during use?

  • 2. Personnel breaks and lunch breaks are staggered so the heaters are never be left unattended?

  • 3. Sweeping/cleaning (stirring up dust) is avoided around the heaters while they are "On"?

  • 4. Heaters sit in the center of a 4' x 4' piece of sheetrock during use?

  • 5. Milk crates or “tank buddys” are being utilized to provide a stable heater tank base?

  • 6. Heaters are being checked in and out of storage on a daily basis… and accounted for not left in production area?

HEATERS USED IN MANUFACTURING PROCESSES (Specifically portable heaters used for curing Sheetrock mud in homes) (Quarterly or Annually)

  • 1. Heaters are in good repair including the gas lines and wiring?

  • 2. Heaters with structural damage have been repaired or replaced?

GENERAL (Monthly)

  • 1. All signs of smoking outside of designated areas have been immediately addressed?

  • 2. Cigarettes are being disposed of properly, and in designated areas?

  • 3. All space heaters found in the manufacturing area have been removed?

  • 4. Space heaters in office area have been identified, and Clayton office space heater policies are being followed?

  • 5. Torpedo heaters are prohibited in manufacturing areas?

  • 6. A practical plan of action is in place to reduce the snow load on building roofs when/if required?

  • 7. Dust collection systems are working properly with no return air to the building for heating purposes or otherwise?

GENERAL (Annual):

  • 1. Emergency Response Plans have been reviewed and updated as needed?

  • 2. An annual facility-wide fire drill, including offices, has been conducted?

  • 3. Smoke or heat detectors have been tested to ensure they are operational?

  • 4. The fire pre-plan has been established/updated with the servicing fire department?

HOUSEKEEPING (Monthly)

  • 1. Poor housekeeping has been addressed in those areas which do not reflect our high standards?

  • 2. An action plan for removal of significant dust accumulation on building structures and components has been implemented

  • 3. Employees are completing their assigned housekeeping duties?

  • 4. Trash or sawdust piles have been cleaned up?

  • 5. Sawdust is being cleaned up before break, before lunch, and at the end of the day?

  • 6. All liquid spills are being cleaned up immediately?

  • 7. Absorbents are on-site to clean up spills? Note: We do not use sawdust as a spill absorbant!

  • 8. Saw table enclosures are being cleaned out on a daily basis?

HOUSEKEEPING (Quarterly or Annually):

  • 1. All overhead beams, trusses, sprinkler piping, sprinkler heads, and conduit are having dust and debris blown or vacuumed off? Note: If an area has significant dust or debris buildup, a blow down or vacuum off may be warranted more often than quarterly or annually.

SECURITY (Monthly)

  • 1. All property line fences are in good repair?

  • 2. Vegetation is kept a minimum of 4' away from fences?

  • 3. Products, materials and equipment are stored a minimum of 4' away from both sides of fences?

  • 4. Exterior lighting and security lighting is operational?

  • 5. All exit signs are equipped with 2 functional back up emergency lights?

  • 6. Entry/Exit doors are closing properly, and are able to be locked?

SECURITY (Quarterly or Annually)

  • 1. All automatic detection systems including: heat/smoke detection and burglary systems have been tested?

AIR COMPRESSORS (Monthly)

  • 1. Daily logs are filled out and significant day-to-day changes on the log sheets are being appropriately addressed?

  • 2. Hydraulic oil leaks are being identified, and a corrective action plan has been made?

  • 3. Leaks are promptly and properly cleaned up?

  • 4. Flammable liquids are stored well away from the compressor room?

  • 5. Compressor room housekeeping standard is high?

AIR COMPRESSORS (Quarterly or Annually)

  • 1. Rotary screw air compressor oil analysis has been completed, and results received?

  • 2. Deficiencies or recommendations from the oil analysis have been addressed?

FLAMMABLE LIQUIDS (monthly)

  • 1. Flammable liquids not in use are located in Flammable Storage Cabinets?

  • 2. Flammable liquids ONLY are being stored in Flammable Storage Cabinets?

  • 3. Flammable Storage Cabinets doors are kept shut?

  • 4. Rags or paper towels used in conjunction with flammable liquids have been properly disposed?

  • 5. 5 gallon buckets of flammable liquids are not stacked over 2 high?

  • 6. Proper static grounding is present on any drums/totes that are flammable?

  • 7. Employees connect static bonding cables when transferring flammable liquids from one container to another?

  • 8. Bonding and grounding procedures have been reviewed with all employees who work with flammable liquids?

  • 9. ONLY non-sparking tools are used to clean up flammable or explosive products or wastes?

FLAMMABLE LIQUIDS (Quarterly or Annually)

  • 1. Only one day's supply of flammable/combustible liquid (glues, paint, solvent, etc.) in the work area at one time.

  • 2. Reserve quantities of highly explosive methyl ethyl ketone peroxide (MEKP) used for tub repairs in the plant have been reviewed and quantities stored on-site have been adjusted to the lowest level possible

  • 3. Static electricity and flammable vapor hazards have been reviewed with affected team members?

  • 4. Electrical installations in flammable liquid storage areas have been reviewed to ensure proper explosion-proof design and installation?

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