Title Page

  • Conducted on

  • Prepared by

Observations

  • Walking surfaces

  • was management alerted to your finding?

  • Who

  • Warning Signage

  • Was management alerted of your finding?

  • Who?

  • What signs are needed

  • Housekeeping

  • Was Management alerted of your finding?

  • Who?

  • Electrical Safety

  • Was management alerted of your finding?

  • Who?

  • undefined

  • Fall Protection

  • Was management alerted of your finding?

  • Who?

  • Fall protection means any person elevated above 6 feet either on a platform without guard rails or a scissor lift operator must be wearing fall protection.

  • Safety Shoes

  • Was management alerted of your finding?

  • Who?

  • When looking for proper safety shoes the shoe should have a bead, if the bead is missing you must alert the manager on duty to inspect the shoes and add a bead to the safety shoe.

  • Forklift Operation

  • Was management alerted of your finding?

  • Who?

  • When observing forklift operators you must make sure they are wearing seat belts, using the horn at all times and no cell phone use

  • Ventilation

  • Was management alerted of your finding?

  • Who?

  • When looking for ventilation, safety patrol must look for work areas that are too hot or cold, you must look for the use of chemicals in closed areas. are there fans available or mechanical fans when needed in use?

  • Machine Guards

  • Was management alerted of your finding?

  • Who

  • Machine guards should always be in place, and look for bypassed safety guards, if bypassed guards are found immediately alert the supervisor.

  • Chemicals

  • Was management alerted of your finding?

  • Who?

  • When looking for chemicals out of compliance, you must look for spray bottles that are missing the label or the label around the neck of the bottle you must take the bottle to the manager on duty.

  • Fire Extinguishers

  • Was a manager alerted of your finding?

  • Who?

  • When looking at fire extinguishers, make sure they are charged and in the green area of the gauge. The fire extinguisher must be on the wall and not obstructed. If any fire extinguisher is obstructed you must notify a manager.

  • Eye Wash Stations

  • Has management been alerted of your finding?

  • Who?

  • Are eyewash stations clean and filled? is the tag signed? make sure that the eyewash station is not blocked.

  • First Aid Kits

  • Has management been alerted of your finding?

  • Who?

  • Make sure first aid kits are stocked and make sure they are not blocked.

  • Emergency Exits

  • Was management alerted of your finding?

  • Who?

  • When walking production or warehouse, look out for blocked emergency exits. An emergency exit is defined as a clear pathway to an exit of 36 inches.

  • Other Hazards

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.