Department Safety Inspection

• Conducted on

  Select

• Area Inspected

• Prepared by

• Team members doing inspection:

Walking Surfaces

• Aisles are established and kept clear (minimum 36")

  Safe

  At Risk

  N/A

• Trip Hazards

  Safe

  At Risk

  N/A

• Holes in Floor

  Safe

  At Risk

  N/A

• Floor Mats

  Safe

  At Risk

  N/A

• Glass and other debris on the floor

  Safe

  At Risk

  N/A

• Floors are dry and are not slippery

  Safe

  At Risk

  N/A

Storage Areas

• Shelves are not overloaded

  Safe

  At Risk

  N/A

• Weight limit is listed on the shelves

  Safe

  At Risk

  N/A

• Shelves are in good condition

  Safe

  At Risk

  N/A

• Materials, cardboard, and windows are stacked properly

  Safe

  At Risk

  N/A

Electrical Hazards

• Extension cords are not used as permanent wiring

  Safe

  At Risk

  N/A

• Equipment power cords are in good condition with no splices or broken insulation

  Safe

  At Risk

  N/A

• The area in front of electric circuit panels is clear (at least 36 inches open area)

  Safe

  At Risk

  N/A

• Wires or cords do not run under mats, or through doorways, or other traffic areas

  Safe

  At Risk

  N/A

• Adequate lighting is in place

  Select Safe At Risk N/A

  • Safe
  • At Risk
  • N/A

Fire Prevention, Emergency Exits, Eye Wash Stations

• Fire extinguishers are not obstructed and easily accessible. (at least 36 inches open area)

  Safe

  At Risk

  N/A

• Exits are unobstructed and kept unlocked during normal work hours

  Safe

  At Risk

  N/A

• Exits are properly marked and exit signs are illuminated

  Safe

  At Risk

  N/A

• Evacuation routes are posted

  Safe

  At Risk

  N/A

• The area around the eyewash stations is clear (at least 36 inches open area)

  Safe

  At Risk

  N/A

• The eyewash station is clean

  Safe

  At Risk

  N/A

• Has the eyewash expired? If so, when?

  Safe

  At Risk

  N/A

• Medical cabinet is stocked and clean

  Safe

  At Risk

  N/A

• Appropriate warning signs are posted (fire extinguishers, eyewash station, etc.)

  Safe

  At Risk

  N/A

Lock Out / Tag Out

• Proper lock out / tag out policies are being practiced

  Safe

  At Risk

  N/A

• Specific lock out / tag out procedures are written for covered equipment

  Safe

  At Risk

  N/A

• Written Lock out / Tag out procedures are in good condition

  Safe

  At Risk

  N/A

• LO / TO locks are in proper working condition

  Safe

  At Risk

  N/A

• There is only one key for the LO/TO locks

  Safe

  At Risk

  N/A

Work Area

• The tools are in good and safe working condition

  Safe

  At Risk

  N/A

• The tools are stored in appropriate locations

  Safe

  At Risk

  N/A

• All safety guards are securely in place on the machines and punches

  Safe

  At Risk

  N/A

• Fans have guards that prevent fingers from contacting fan blades

  Safe

  At Risk

  N/A

• Step stools and ladders are available fo ruse, where needed.

  Safe

  At Risk

  N/A

• Ladders are in good and safe working condition

  Safe

  At Risk

  N/A

• Employees are using PPE (Personal Protective Equipment)

  Safe

  At Risk

  N/A

• Employees are wearing proper clothing

  Safe

  At Risk

  N/A

• All containers are labeled with chemical names spelled out

  Safe

  At Risk

  N/A

• All containers are labeled with hazard ratings

  Safe

  At Risk

  N/A

• Razor blades are disposed of in proper receptacles

  Safe

  At Risk

  N/A

Fire Extinguisher Inspection

• Pin in place (not pulled)

  Safe

  At Risk

  N/A

• Is it charged? (full)

  Safe

  At Risk

  N/A

• Hose is not cracked

  Safe

  At Risk

  N/A

• Has it expired?

  Safe

  At Risk

  N/A

• Inspection tag initialed and dated.

  Safe

  At Risk

  N/A
Employee Concers/Questions

• undefined