DPS Monthly Safety Inspection Checklist

• Site Name

• Conducted on

  Date

• Inspected by

• Instructions
  -------------------
  1. Answer "Yes", "No", "N/A" for the questions below
  2. Add photos and notes by clicking on the paperclip icon
  3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date
  4. Complete audit by providing digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link

General

• Job safety , health poster, and communications posted.

  Yes

  No

  N/A

• Adequate provisions for first aid and/or medical attention.

  Yes

  No

  N/A

• Are AEDs functioning properly and pads are not expired?

  Yes

  No

  N/A

Housekeeping & Facilities

• Are stairways, aisles and access ways kept clear?

  Yes

  No

  N/A

• Are trash containers provided and emptied on a regular basis?

  Yes

  No

  N/A

• Are materials stored properly?

  Yes

  No

  N/A

• In case of spill, is it cleaned up immediately or are clean up kits available?

  Yes

  No

  N/A

• Are walkways to the facility illuminated and free of obstacles?

  Yes

  No

  N/A

• Is the lighting sufficient for the area?

  Yes

  No

  N/A

• Are there any lights/fixtures that need replacing?

  Yes

  No

  N/A

• Are all the emergency lights functioning properly?

  Yes

  No

  N/A

• Is the floor in good condition , free from chips, holes, or standing water?

  Yes

  No

  N/A

Personal Protective Equipment

• Eye protection is available and adequate.

  Yes

  No

  N/A

• Head protection is utilized as needed.

  Yes

  No

  N/A

• Respirators or dust masks are used when needed and stored correctly at other times.

  Yes

  No

  N/A

• Gloves are being used when needed.

  Yes

  No

  N/A

• Proper clothing is being worn, including foot protection.

  Yes

  No

  N/A

• Three random associates checked for proper PPE.

  Yes

  No

  N/A

• Hearing protection is available and used if required or needed / Noise level if taken in Db.

  Yes

  No

  N/A

• All PPE kept in sanitary and reliable condition.

  Yes

  No

  N/A

Hazard Communcation

• Are chemicals properly labeled?

  Yes

  No

  N/A

• Are secondary containers labeled?

  Yes

  No

  N/A

• Ask 3 random employees if they know where to find an SDS.

  Yes

  No

  N/A

Lock-Out/Tag-Out

• Lock out/ tag out equipment( tags, locks) are used properly.

  Yes

  No

  N/A

• Are machine specific LOTO procedures posted on machine?

  Yes

  No

  N/A

• Lock out /tag out procedures are being followed.

  Yes

  No

  N/A

Hand & Power Tools

• Are proper tools being used for the area or needed?

  Yes

  No

  N/A

• Are tools being maintained in a safe condition?

  Yes

  No

  N/A

• Are mechanical guards in place?

  Yes

  No

  N/A

• Is the equipment (slicers/trimmers etc. ) properly guarded?

  Yes

  No

  N/A

• Is proper training provided for users of the tool(s) or equipment?

  Yes

  No

  N/A

Electrical

• Are electrical panels/circuits labeled and free of storage in front of panels?

  Yes

  No

  N/A

• Are electrical cords in good repair, not stretched or have exposed wires.

  Yes

  No

  N/A

• Are energized electrical parts protected from contact with other hazards?

  Yes

  No

  N/A

• Are GFCI devices used for tools or equipment in wet areas?

  Yes

  No

  N/A

• Adequate lighting for areas.

  Yes

  No

  N/A

Material Handling

• Have all forklifts been inspected before use?

  Yes

  No

  N/A

Fire Protection

• Are flammable/combustible liquids stored in approved storage cabinets?

  Yes

  No

  N/A

• Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?

  Yes

  No

  N/A

• Do sprinklers have 18 inches of vertical clearance from stored materials in racks or stacks?

  Yes

  No

  N/A

• Are building evacuation maps posted?

  Yes

  No

  N/A

• Are fire extinguishers properly placed?

  Yes

  No

  N/A

• Are fire extinguishers inspected monthly and annually.

  Yes

  No

  N/A

• Is access to fire hydrants and extinguishers unobstructed?

  Yes

  No

  N/A

• Are doors/ passages unobstructed?

  Yes

  No

  N/A

Fall Protection

• Ladders are in good condition.

  Yes

  No

  N/A

• All ladders are stored in proper location when not in use.

  Yes

  No

  N/A

• Are ladders being used appropriately?

  Yes

  No

  N/A

Completion

• Signature

  Sign