Title Page
-
Location
-
Conducted on
-
Conducted by
First Aid
-
Are First Aid Boxes properly mounted?
-
Are First Aid Boxes stocked with all materials?
-
Is there an adequate number of First Aid trained Team Members available?
Walking & Working Surfaces
-
Are all Walking and Working Surfaces clear of obstructions and slip, trip, fall hazards? (i.e. Water in Floor, High Volumes of Dust, Staves, Floor Bolts etc...)
-
Are all Steps in good condition, and free of damages?
-
Are all aisles properly marked and unobstructed?
-
Are all Holes covered, or repaired, on the walking surface?
-
Are Walkways that pass by moving equipment, or machinery, position so Team Members will not be exposed to hazards?
-
Are all grated floors free of major damages that creates a hazard? (i.e. large gaps, holds, missing sections, etc...)
Fire Protection
-
Has the Fire Alarm system been certified and annually tested?
-
Are all Fire Doors clear from obstruction?
-
Has the Fire Suppression System been certified?
-
Perform inspection on all fire extinguishers in this department.
-
Are all Fire Extinguishers the appropriate type and properly mounted in an accessible location?
-
Did all Fire Extinguisher, in this department, pass inspection?
General Working Environment
-
Are all Equipment Gauges clearly visible and free of cracks?
-
Are JSAs posted?
-
Are SOPs posted?
-
Are there any leaking Hydraulic lines? (i.e. Around the Half Saw)
-
Are there any leaking Air lines?
-
Are climate control systems operational for specific work stations? (i.e. Bull Saw cab, De-Barker Cab, Half Saw cab, etc...)
-
Is the Workplace clean and sanitary?
-
Proper housekeeping? (i.e. workplace is organized, free of tripping hazards, and other problems associated with a messy workplace do not exist)
Egress and Evacuation Routs
-
Are escapeway Maps clearly marked, if applicable?
-
Are all Egress, and Evacuation Routs, free of obstruction and clearly marked?
-
Are Exits labeled with an exit sign and properly illuminated so they are always visible?
-
Are there enough exits, for egress, in the event of an emergency?
-
Are all routs, and doors that could be mistaken for an exit, properly marked? (i.e. "NOT AN EXIT")
Ladders
-
Are all Ladders in good working condition, and receive proper maintenance when necessary?
-
Have all Team Members received training about how to properly and safely use ladders?
Hand Tools & Power Tools
-
Are all Hand and Power Tools in good condition, and functioning properly?
-
When not in use, are Tools properly stored?
Machine Guarding
-
Have all Pinch Points been guarded against?
-
Are all safety cages, and applicable machinery, equipped with safety interlocks and or light curtains? (i.e. Eagle System)
-
Have all Pinch Points been identified with a Pinch point warning decal?
-
Is all Machine Guarding in place and secured?
-
Are E-Stops and power shut-offs within reach of the Machine Operator?
-
Are all Emergency Stop Buttons red?
-
Is there any area in need of Machine Guarding?
Lockout Tagout
-
Have Team Members received LOTO Training?
-
Are Authorized Team Members trained on how to de-energized and lockout their equipment?
-
Are LOTO stations properly stocked? (i.e. Locks, Tags, Hasps, etc...)
-
Are there LOTO procedure for all equipment that requires LOTO?
Welding / Cutting
-
Are Compressed Gas Cylinders, used for the Welding / Cutting processes, properly examined on a regular bases? (Check for leaks, rust, or other defects)
-
Are signs posted that clearly state: smoking, matches, and other ignition sources are not allowed?
-
Is the correct PPE used when Welding / Cutting? (i.e. Eye Protection, Helmet, Face Shield/Goggles, Hand Shields, etc...)
-
Have all Welding / Cutting Personnel been trained on Hot Works?
Compressed Gas Cylinders
-
Are all Compressed Gas Cylinders properly labeled and legible?
-
Are all Compressed Gas Cylinders properly stored?
Forklifts
-
Are Team Members properly trained, on the vehicles they use? (i.e. Forklifts, Boom Lifts, etc...)
-
Has Pre-Operations Inspection been completed before the forklift is operated?
-
Are Forklifts equipped with all safety parameters? (i.e. Functioning Horn, Back-Up Alarm, Blue Spotlight, etc...)
Confined Spaces (UPDATE NEEDED)
-
Have all Affected Team Members received Confined Space Training?
-
Is there Atmospheric Testing Equipment for Confined Space Entry?
-
Has the Atmospheric Testing Equipment been properly calibrated?
Environmental Controls
-
Do all work areas have adequate Lighting?
-
Do all work areas have appropriate ventilation systems?
-
Are all Hazardous Materials properly Identified?
-
Are secondary containers properly labeled?
-
Is there an adequate drinking water dispenser located close to operators?
HAZCOM & Handling Combustible Materials
-
Are employees trained so they will understand the hazards of workplace materials? (i.e. Read SDSs, Properly Handling Techniques, etc...)
-
Are there proper storage containers and methods used to prevent spontaneous combustion of materials?
-
Are all combustible waste, debris, and scrap stored in metal containers, and appropriately removed from the workplace?
-
Is proper PPE provided when handling certain hazardous materials?
-
Is there a comprehensive list of hazardous substances in the workplace, and their corresponding SDS?
-
Have Team Members been trained to understand OSHAs bloodborne pathogen standard?
Noise
-
Are audiograms conducted annually?
-
Are all areas, that exceed 85dB, require Team Members to have hearing protection?
-
Is appropriate Hearing Protection Options made available to employees to provide adequate protection?(i.e. Ear plugs, Ear Muffs, etc...)
-
Are Noise Surveys being conducted Bi-annually?
Electrical
-
Is all electrical equipment appropriately installed and receives regular maintenance?
-
Are the appropriate labels used all devices that pose an electrical hazard? (i.e. Electrical / Breaker Boxes)
-
Have all Team Members, that work with electrical equipment, received proper training?
-
Have employees that work on, or near electrical equipment, received the proper training?
-
Is all temporary wiring properly ran to not cause a tripping hazard? (i.e. Extension Cords)
-
Are there any extension cords that are in place for permanent use?
Notes Section
-
Please any Notes and Comments: