Information

  • Document No.

  • Store name/ number month/ year

  • Store name/number

  • Conducted on

  • Prepared by

  • Location

Physical Hazards

  • Are floors clean, dry and free from tripping hazards?<br>(including air and water hoses,electrical cords)

  • Department

  • Aisles, passageways, and stairsways kept clear?<br>(Nothing in the way to block access? Nothing stored on stairs?)

  • Department

  • Do all air hoses have clip-on air chucks?

  • Is there a Brench grinder present?

Bench Grinder

  • Work rest within 1/8" of the wheel?

  • Side spindle guard in place?

  • Abrasive wheel in good condition, no chips/cracks?

  • Is the cord grounded and in good condition?

  • Is Grinder secured to the workbench/shelf?

  • Tongue Guard at top of wheel within 1/4" of the wheel?

Air Compressor(s)

  • Are belts fully guarded?

  • Is there a pressure relief valve?

  • Is there a guage,operating properly?

  • Is stocked piled safely to prevent falling<br>(No more than head high on a given level)

  • Are scrap tires stored neatly and away from combustible materials?

Automotive Lifts

  • Are operating instructions posted in service area?

  • Are All lifts operating as designed?<br>(no leaks, jumping, or dropping)

  • Does the control return to neutral when pressed?

  • Is the load capacity posted on all lifts/floor jacks and jack stands?

  • Are All safety latches working properly?

Electrical

  • Are all electrical cords free from damage?<br>(No cuts, missing insulation , or electrical tape on cord)

  • Is all equipment properly grounded?<br>(Under NO circumstances should a grounded outlet (3 prong) be altered or plugged into a 2 prong outlet!)

  • Do all outlets and receptacles have cover plates?

  • Are GFCI's in place in all "wet" areas? Near water spigots ( within 6')

  • Are they tested every 30 days or during a monthly inspection?

  • Do all electrical panels have 3' of clear space in front of them?

  • Ate all openings in the panel covered with a blank or have a breaker installed?

  • Are circuits labeled?

  • Are panels kept closed when not in use?

  • Are all bulbs working and lighting adequate?<br>(Inside and out)

  • Is there a maximum of one power strip per electrical receptacle?<br>( NO " daisy chaining" of power strips?

  • Are extension cords used temporarily?<br>( Not longer than 90 days)

Fire Protection/ EXITS

  • Have fire extinguishers been inspected by a qualified outside vender within 12 months?

  • Name of vender

  • Date of last annually inspection.

  • Are All fire extinguishers inspected by a Dunn Tire employee EVERY 30 days for the following?

  • Number of fire extinguishers in building.

  • Is the extinguisher mounted on wall?

  • Is the pin in place?

  • Is the tag signed and dated every 30 days?

  • Is there a sign above the fire extinguisher that can be seen clearly?

  • Do all EXITS signs meet OSHA requirements?

  • Are lighted signs illuminated?

  • Test if battery backup

  • Are emergency lights working?

  • Test if battery backup

  • Are emergency evacuation plans/maps posted in each area?

  • Are all exit doors free of obstruction and walkways clear?

  • Are entrance mats in use by all doors with title floors?

  • Restrooms clean?

  • General house keeping

Employee Safety/ First Aid

  • Are all employees wearing required eye protection <br>( safety glasses or other)

  • Are over the glasses safety glassed available for customers?

  • Is compressed air for cleaning parts reduced to less than 30 psi?

  • Do all employees have proper safety footwear?<br>(Work boot with distinctive heel)

  • Is the First aid kit fully stocked?

Eyewash

Plumbed unit

  • Adequate number of unit to size of shop?

  • Test weekly?

  • Clean?

  • Is water pressure adequate to have both water streams intersect?

  • Clear access to unit

  • Sign above to indicate location?

Gravity Feed Unit

  • Adequate number of unit to size of shop?

  • Full of water?

  • Clear access to unit?

  • Spare bottle of preservative in stock?

  • Sign above to indicate location?

  • Clean,tag signed monthly and date for 6 month fluid change?

  • PPE Employee sign off sheets

  • Are they in use and up to date?

Hazard Communications

  • Are all secondary containers (bottles) properly labeled?

Comments

  • Comments

  • Mangers name

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.