Environmental, Health, and Safety (EHS) Checklist

• Inspector

• Conducted on

  Date
• Location
  Address

AISLES/EXITS/EGRESS

• Is emergency lighting operating? (Test by using test button if you can do so from the ground or floor.)

  Yes

  No

  N/A

• Can you see marked exits or exit signs from the walkway in your area?

  Yes

  No

  N/A

• Are walkways and doorways kept clear; and free of obstructions with trip hazards minimized to permit visibility and movement?

  Yes

  No

  N/A

• Are doors not used for egress (closets, offices, etc) that could incorrectly be thought to be an exit labeled “NOT AN EXIT?”

  Yes

  No

  N/A

• Are floor surfaces clean, dry, level, not slippery or sticky and in good condition?

  Yes

  No

  N/A

EMERGENCY, HEALTH, AND SAFETY INFORMATION

• Are area hazard sign visible, legible, understandable and in compliance with regulations?

  Yes

  No

  N/A

• Are procedures established for alerting employees of an emergency in the workplace (i.e., fire and shelter)?

  Yes

  No

  N/A

• Are fire alarm pull station locations marked and unobstructed?

  Yes

  No

  N/A

• Are sign for emergency numbers, routes, and evacuation plans posted?

  Yes

  No

  N/A

• Do employees know who their Fire Wardens and WHS Coordinators are?

  Yes

  No

  N/A

• Does the Fire Wardens have their numbers readily available, functional?

  Yes

  No

  N/A

• Is a copy of the Emergency Action Plan (EAP) for the area available for employees to read?

  Yes

  No

  N/A

• Are employees trained on emergency procedures (primary and secondary routes)? Do they know where to go?

  Yes

  No

  N/A

• Does the EAP include a way to alert employees, including disabled workers, to<br>evacuate or take other action and include instructions on how to report<br>emergencies?

  Yes

  No

  N/A

FIRE EMERGENCY

• Are fire extinguishers fully charged and have current inspection dates? All previous months should be signed off

  Yes

  No

  N/A

• Are fire extinguishers and hoses, mounted, visible, and accessible?

  Yes

  No

  N/A

• Do employees know where the fire extinguishers are and how to use them?

  Yes

  No

  N/A

• Do fire doors and shutters appear to be in good operating condition?

  Yes

  No

  N/A

FIRE PREVENTION

• Are “NO SMOKING” areas enforced?

  Yes

  No

  N/A

• Are electrical outlets or cords not overloaded? Only allowable number of connections (i.e., a 4-way outlet only has 4 pieces of equipment connected and not loaded with additional extension cords). NOTE: Isolated power not included

  Yes

  No

  N/A

• Are fire sprinkler heads unobstructed and free of dirt and corrosion?

  Yes

  No

  N/A

STRUCTURES

• Ceiling tiles are not damaged, loose, or missing?

  Yes

  No

  N/A

• All overhead hazards have been identified?

  Yes

  No

  N/A

ENVIRONMENTAL

HAZARDOUS/NON-HAZARDOUS WASTE COMPLIANCE

• Are hazardous waste containers properly identified and labeled with the words, “HAZARDOUS WASTE?”

  Yes

  No

  N/A

• Are used oil collection containers properly identified and clearly labeled with the words, “USED OIL?”

  Yes

  No

  N/A

• Are controlled and non-hazardous wastes being collected and managed properly

  Yes

  No

  N/A

• Are containers properly identified and clearly labeled with contents?

  Yes

  No

  N/A

• Are used oil waste containers closed while not in use?

  Yes

  No

  N/A

• Are trash cans free of hazardous waste?

  Yes

  No

  N/A

• Are trash cans free of scrap metal?

  Yes

  No

  N/A

• Are employees familiar with the waste materials generated in the work area and the proper disposal method(s)?

  Yes

  No

  N/A

• Are proper absorbent materials on hand for spills?

  Yes

  No

  N/A

• Is waste removed in a timely manner?

  Yes

  No

  N/A

SAFETY

EMPLOYEE WORK PRACTICES

• Is Job Safety Analysis (JSA) information available for employee reference for<br>infrequently performed tasks and high value or high-risk tasks?

  Yes

  No

  N/A

ELECTRICAL EQUIPMENT MARKINGS

• Do circuit breakers clearly indicate whether they are in the “ON” or “OFF” position and are switch panels clearly marked?

  Yes

  No

  N/A

• ELECTRICL GROUNDING

  Yes

  No

  N/A

• Are electrical appliances, portable electrical tools, and fixed electrical equipment grounded or UL rated/double insulated and in good repair?

  Yes

  No

  N/A

• Do extension cords being used have a grounding conductor and are in good repair?

  Yes

  No

  N/A

ERGONOMICS

• Employees are advised on the proper lifting techniques

  Yes

  No

  N/A

• Are mechanical lifting aids available for heavy or awkward items?

  Yes

  No

  N/A

EYEWASH STATION

• Eyewash station is clean and tested

  Yes

  No

  N/A

• Eyewash station is located in a way that assures free and unimpeded access

  Yes

  No

  N/A

HAZARD COMMUNICATION – CHEMICAL SAFETY

• Do employees know what an MSDS (Material Safety Data Sheet) is, where to find them, and how to use them?

  Yes

  No

  N/A

• Is each container of hazardous chemicals in the work area properly labeled by<br>identifying the chemical it contains and marked with health hazards?

  Yes

  No

  N/A

• Are all chemicals that are used in the facility listed in the MSDS book and available?

  Yes

  No

  N/A

• Is food separated and away from chemicals in the work area?

  Yes

  No

  N/A

PPE: FALL PROTECTION

• Is fall protection PPE stored properly, kept clean, and out of direct sunlight?

  Yes

  No

  N/A

• Is fall protection PPE inspected and certified annually?

  Yes

  No

  N/A

WALKING SURFACES/STAIRS

• Are all floor tracks covered or covered as much as possible when in use?

  Yes

  No

  N/A

• Is the angle of fixed stairs within 30 to 50 degrees?

  Yes

  No

  N/A

• Are non-slip surfaces in good condition on steps and platforms?

  Yes

  No

  N/A

• Are stairwells clear and handrails in good condition?

  Yes

  No

  N/A

• Are mobile work platforms available and used?

  Yes

  No

  N/A

(Laboratory)

• UNSATISFACTORY EHS CONDITIONS FOR:

Representatives

• Month/Year: EHS Representative:

  Sign

• Lab Manager: PI/Safety Designate:

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