EH&S Scorecard

• Department or Location

• Conducted on

  Date

• Prepared by

• Location
  Address

Exits and Aisles

• Are all exits visible and unobstructed?

  Yes

  No

  N/A

• Are all exits properly marked with an illuminated sign?

  Yes

  No

  N/A

• Are exit aisles free of blockage or clutter?

  Yes

  No

  N/A

• Are exit aisles at least three feet wide?

  Yes

  No

  N/A

• Are exit routes equipped with emergency lighting?

  Yes

  No

  N/A

• Is the evacuation route posted?

  Yes

  No

  N/A

• Are exit areas outside of the exit doors kept clear?

  Yes

  No

  N/A

• Are doors and passageways that may be mistaken for Emergency exits marked "Not An Exit" to minimize possible confusion?

  Yes

  No

  N/A

• Are steps on stairs and stairways provide with a slip-resistant surface?

  Yes

  No

  N/A

Fire Protection

• Are fire extinguishers checked on a monthly basis and inspected annually?

  Yes

  No

  N/A

• Are fire extinguishers installed in appropriate locations and no further than 75' for an employee to have access?

  Yes

  No

  N/A

• Are all hand held extinguishers mounted, clearly marked and unobstructed by equipment or materials?

  Yes

  No

  N/A

• Can the fire alarm be clearly heard by all employees during normal operations?

  Yes

  No

  N/A

• Are alarm pull stations unobstructed?

  Yes

  No

  N/A

• Are sprinkler heads unblocked (clearance of at least 18")?

  Yes

  No

  N/A

• Are flammable materials properly stored/labeled?

  Yes

  No

  N/A

• Are flammable rags (spent rags) properly dispose of in containers with lids?

  Yes

  No

  N/A

Machinery and Equipment

• Are all machines properly guarded from rotating parts, pinch points, and flying particles?

  Yes

  No

  N/A

• Are machinery guards secured and arranged so they do not present a hazard in their use?

  Yes

  No

  N/A

• Are lock out/tag out procedures being observed?

  Yes

  No

  N/A

• Is all equipment clean and properly maintained?

  Yes

  No

  N/A

• Are all emergency stop buttons colored red?

  Yes

  No

  N/A

• Is lighting adequate for safe and comfortable performance of work?

  Yes

  No

  N/A

• Is there a power shut-off switch within reach of the operator's positions at each machine?

  Yes

  No

  N/A

• Is ventilation operating properly?

  Yes

  No

  N/A

• Are storage racks safe and undamaged?

  Yes

  No

  N/A

• Are storage racks adequate for the materials? Rated for the capacity?

  Yes

  No

  N/A

• If forklifts are in operation are preshift inspections being completed?

  Yes

  No

  N/A

• Has forklift operator training been completed and current?

  Yes

  No

  N/A

• If forklift being operated properly?

  Yes

  No

  N/A

• If scissor lift is in operation has operator received training and using properly?

  Yes

  No

  N/A

• If scaffold in use, has employee received scaffold competent person training?

  Yes

  No

  N/A

• If scaffold is in use, is scaffold constructed properly, used correctly?

  Yes

  No

  N/A

• If hoisting equipment or lifting straps are used has the equipment been inspected prior to use?

  Yes

  No

  N/A

Personal Protective Equipment

• Are employees trained on selection and use of PPE?

  Yes

  No

  N/A

• Is PPE training documented?

  Yes

  No

  N/A

• Is PPE being worn when required?

  Yes

  No

  N/A

• Is PPE easily attainable/available for employees?

  Yes

  No

  N/A

• Are the areas requiring PPE usage properly and clearly identified/posted?

  Yes

  No

  N/A

Electrical Safety

• Are electrical cords used in a manner to prevent damage from hanging on pipes, nails or hooks?

  Yes

  No

  N/A

• Are electrical cords free of damage, fraying, and exposed wire?

  Yes

  No

  N/A

• Are all panel boxes and disconnect covers kept closed?

  Yes

  No

  N/A

• Are all junction boxes, switch boxes and outlet boxes fully enclosed (no missing knock outs) and properly mounted?

  Yes

  No

  N/A

• Are all extension cords properly rated for hard/industrial usage?

  Yes

  No

  N/A

• Do extension cords have ground prongs?

  Yes

  No

  N/A

• Is there sufficient access and working space around electrical equipment?

  Yes

  No

  N/A

Hazardous Substances

• Do containers have complete and legible labels?

  Yes

  No

  N/A

• Are SDS's available for all hazardous substances?

  Yes

  No

  N/A

• Are liquids in closed containers?

  Yes

  No

  N/A

• Are food and beverages absent from production work areas?

  Yes

  No

  N/A

• Are proper chemical handling procedures being used?

  Yes

  No

  N/A

• Are chemical containers closed when not in use?

  Yes

  No

  N/A

• Are chemical containers grounded as necessary in dispensing areas?

  Yes

  No

  N/A

• Are compressed gas cylinders stored in upright position, secured as necessary?

  Yes

  No

  N/A

• Are compressed gas cylinders stored away from sources of ignition and substances such as flammable solvents and combustible waste?

  Yes

  No

  N/A

Medical and First Aid

• Are first aid supplies available?

  Yes

  No

  N/A

• Are first aid kits periodically inspected, filled?

  Yes

  No

  N/A

• Do all employees know how to get first aid assistance if necessary?

  Yes

  No

  N/A

• Is there a clear emergency response list posted for each work area?

  Yes

  No

  N/A

• Are eye wash stations in working condition, unobstructed and identified?

  Yes

  No

  N/A

Housekeeping/Walking Working Surfaces

• Are the working areas clean and orderly?

  Yes

  No

  N/A

• Are the floors clean and dry, spills cleaned up immediately?

  Yes

  No

  N/A

• Are the floors free from uneven surfaces or tripping hazards?

  Yes

  No

  N/A

• Are waste and recycling containers provided?

  Yes

  No

  N/A

• Are materials stored so they don't create a hazard?

  Yes

  No

  N/A

• Is fall protection provided for areas that expose employees to a potential fall of 4' or more?

  Yes

  No

  N/A

• Are ladders in use in this work area?

  Yes

  No

  N/A

• Are ladders inspected prior to use?

  Yes

  No

  N/A

• Are employees using the ladder correctly?

  Yes

  No

  N/A

• Are fixed ladders more than 24' in height outfitted with ladder climbing devices or cages? (Note, newly installed ladders more than 24' in height must have ladder climbing devices)

  Yes

  No

  N/A

• Any additional safety issues or comments?

• Rate the overall condition of the workspace. 1 being the lowest, 10 being the highest.

• Please explain your rating.