Title Page
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Dunlap & Kyle Warehouse
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Conducted on
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Prepared by
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Location
Administrative Safety Compliance
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Are all required employment posters posted for all employees to view? (Wage & Hour/OSHA/Everify, etc.)
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Are managers familiar with claims reporting procedures?
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Are employee injuries/illnesses required to be reported immediately?
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Are employees encouraged to report unsafe conditions to management immediately?
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Does the location have a progressive disciplinary action program to ensure all safety & health rules are followed? Documented?
First Aid
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Are Physican-approved first aid supplies available?
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Do all employees know where the first aid supplies are located?
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Are supplies replenished regularly?
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Is a certified first aid employee available during all hours when employees are onsite working?
Chemical Safety & Information
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Has a Written Hazard Communication Program been developed and implemented for this location?
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Does the Written Hazard Communication Program include a list of chemicals for all products used by employees onsite as part of their job to include cleaning chemicals? (Similar to an inventory list)
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Are all chemical containers properly labeled with the name of the chemical, name & address of the manufacturer, emergency information, warning & hazard markings, pictograms and information on body organs affected?
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Are Safety Data Sheets provided and available for review onsite for all chemicals listed in your Written Hazard Communication Program?
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Are propane tanks used for the PITs stored outside of the building in stable metal cages?
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Are outside contractors or temp employees made aware of any chemicals present in the work environment to prevent exposure?
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Do outside contractors provide a copy of their Written Hazard Communication Program. list of chemicals, safety data sheets, and training documentation to D & K prior to conducting work onsite?
Personal Protective Equipment (PPE)
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Has a Hazard Assessment been conducted to determine employee exposures that require the use of PPE?
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Has the Hazard Assessment been signed by the person conducting the assessment?
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Face & Eyes - Have safety goggles and a face shield been provided and required to be worn by employees exposed to corrosive chemicals?
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Face & Eyes - Have safety glasses been provided and required to be worn by employees exposed to flying debris and/or dust?
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Foot Protection - Are steel toed shoes or sturdy work boots/shoes required to be worn by employees exposed to hazards of something heavy falling onto their feet?
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Head Protection - Have hardhats been provided and required to be worn for any employees exposed to something falling onto their head?
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Hand Protection - Have the appropriate gloves been provided and required to be worn by employees with hand exposure to chemicals or lacerations?
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Fall Protection - Has a Personal Fall Arrest System (Safety Harness & Lanyard) been provided and required to be worn by employees exposed to falls greater than 4' in height to the adjacent level? (Example when on elevated surfaces or Powered Industrial Trucks)
Loading Dock Safety
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When loading dock doors are open without a trailer backed in, are removable guardrails or chains used to prevent employees from falling off the open-side of the dock?
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Is an effective procedure in place to prevent the truck driver from pulling away from the loading area while the forklift operator is loading the trailer? (Dock-lock system, Red Light- Green Light, Designated area for drivers to stay until loaded, Paper system requiring driver to sign paperwork prior to departure)
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Are tire chocks provided and used by truck drivers or forklift operators to stabilize the back tires of trailers when being loaded/unloaded?
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Do dockboards have the load rate capacity marked and in clear view of the forklift operator?
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Do dockboards have stabilizers to secure the dockboard in place and prevent movement when forklifts enter/exit the trailers?
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Are dockboards equipped with handholds to prevent injury to the employee's hands when manually moving the dockboard?
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Do dockboards have run-off protection to prevent the forklift from running off the dockboard edge?
Fire Safety - Portable Fire Extinguishers
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Have all portable fire extinguishers been mounted and located for easy visibility and use?
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Have all portable fire extinguishers received an annual maintenance check from a reputable third party vendor?
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Have all portable fire extinguishers received a monthly visual check which is documented on the back of the tag?
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Have all employees received annual portable fire extinguisher training for fighting incipient stage fires? (Other Options - 1. Train a select group of employees to use, 2. Not use and evacuate the building - must be in written evacuation plan)
Secure & Stable Storage
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Do storage racks have the load rate capacity clearly marked to prevent overloading?
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Are tires stacked, blocked and stored in a secure manner?
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Are wood pallets stacked, blocked and stored in a secure manner?
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Do storage rack leg supports have bumper guards to prevent damage from forklifts?
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Are storage racks kept free from damage or repaired after damage has occurred?
Powered Industrial Trucks - Forklifts, Cherry Pickers, Powered Pallet Jacks
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Have all PIT operators received classroom instruction on the safe operation of the PITs?
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Have all PIT operators been observed during a practical exercise operating the PITs to ensure that they operate the PITs in a safe manner?
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Have all training, classroom & practical exercise been documented?
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Are all PITs inspected daily or at shift start prior to use and is the inspection documented?
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Do all PITs have a legible data plate?
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Are the PITs in safe operating condition? (operable brakes, horn, tires in good condition)
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Are operators on a Cherry Picker using a Personal Fall Arrest System (Safety Harness & Lanyard) as a method of fall protection?
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Are all permanent aisles designated for forklift travel clearly marked to keep pedestrians from being injured?
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Are all PIT operators required to wear seat belts when operating a sit down forklift?
Walking/Working Surfaces
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Are all Walking/Working Surfaces inspected daily and/or on as needed basis?
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Are hazards related to Walking/Working Surfaces corrected in a timely manner?
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Is standing water kept off the Walking/Working Surfaces or are mats used?
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Are electrical cords, pneumatic hoses, extension cords, etc. kept off of the floor and path of travel?
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Are items that protrude or create a tripping hazard removed?
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Are floor holes or drains appropriately covered?
Electrical - Breaker Boxes
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Is a 3' clearance maintained in front of all electrical breaker boxes and disconnects?
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Are all unused openings effectively covered?
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Are all live electrical parts effectively covered?
Electrical - Extension Cords and Electrical Cords
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Are all extension cords and electrical cords effectively grounded? (ground pin intact)
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Is the insulation on the extension cords and electrical cords in good repair without any splices or damaged areas?
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Are all electrical cords to equipment, to include fans, properly grounded with a three prong plug and cord?
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Are extension cords approved for their location use? (Wet locations, chemical, etc.)
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Are extension cord sets used as fixed wiring?
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Are extension cord sets run through walls, under doors, nailed to the wall, or in any other way exposed to potential damage?
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Are all electrical conductors in approved conduit?
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Are all electrical extension cords and electrical cords equipped with proper strain relief to prevent cords from being pulled away from the plugs?
Electrical - Duplex Outlets and Switches
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Are all duplex electrical outlets equipped with faceplates to prevent contact with live electrical conductors?
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Do all electrical switches have faceplates to prevent contact with live electrical conductors?
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Are all duplex electrical outlets properly grounded or the GFCI type outlets?
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Are all duplex outlets in areas that are wet or likely to be wet the GFCI type outlets? (Near loading dock doors, bathrooms, break areas, near water fountains or handwashing areas)
Battery Charging Areas
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Are "no smoking" signs prominently posted in all battery charging areas?
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Is an appropriate eyewash and shower installed and available within 10 second access from all battery charging areas?
Machine Guarding
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Are abrasive wheel bench grinders equipped with a top guard (tongue guard) to prevent broken abrasive wheels to be ejected out at the employee?
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Are abrasive wheel bench grinders equipped with a lower guard (work rest) to prevent the abrasive wheel from grabbing the item being sharpened?
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Are abrasive wheel bench grinders equipped with flange guards to cover the side and rotating nut?
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Are all fan guards equpped with fan guards that have openings no greater than 1/2"?
Means of Egress - Exits
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Are all exits properly labeled with appropriate signage and illuminated when necessary?
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Are all exits and exit routes free of obstructions to provide safe exit from the building?
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Are all exits kept unlocked when employees are occupying the building?
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Are all hazards, such as but not limited to, chemical storage, combustible materials, etc. kept away from the exit routes?
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Do all exits terminate to an area outside that allows employees to distance themselves from the building? (not fenced in or leading to a courtyard)
Ergonomics - Preventing Sprains/Strains
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Have all employees received training on proper lifting?
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Is "Body Management" required and stressed to assist with the prevention of back injuries? (Stretching, physical fitness, etc.)
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For manual unloading of tires from trailers, has training been provided to prevent strains/sprains?
Additional Safety & Health Concerns
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Additional Concern - add to notes