FACILITY INSPECTION FOR HEALTH, SAFETY AND ENVIRONMENTAL COMPLIANCE

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

Section 1: Building Exterior

• 1. Are exterior fire escapes clear for exit?

  Yes

  No

  N/A

• 2. Are exterior lights operational?

  Yes

  No

  N/A

• 3. Are sidewalks even and unbroken?

  Yes

  No

  N/A

Section 2: Medical and First Aid

• 1. Are first aid kits available and adequately stocked?

  Yes

  No

  N/A

• 2. Are there first aid/CPR trained personnel available?

  Yes

  No

  N/A

• 3. Are emergency eye washes available?

  Yes

  No

  N/A

• 4. Are emergency showers available?

  Yes

  No

  N/A

• 5. Are eye wash and first aid stations easily accessible?

  Yes

  No

  N/A

• 6. Is any first aid equipment in poor condition or expired?

  Yes

  No

  N/A

Section 3: Emergency Plans

• 1. Is there a company contingency plan for the facility?

  Yes

  No

  N/A

• 2. Are employees familiar with the contingency plan?

  Yes

  No

  N/A

• 3. Have emergency escape routes been designated and posted?

  Yes

  No

  N/A

• 4. Are employees familiar with emergency alarms?

  Yes

  No

  N/A

• 5. Are employees familiar with emergency procedures?

  Yes

  No

  N/A

• 6. Are emergency telephone numbers posted?

  Yes

  No

  N/A

• 7. Are designated muster stations marked?

  Yes

  No

  N/A

Section 4: Fire Prevention

• 1. Is there an adequate number of fire extinguishers available in the office and shop areas?

  Yes

  No

  N/A

• 2. Are fire extinguishers easily accessible?

  Yes

  No

  N/A

• 3. Are fire extinguisher inspections up to date?

  Yes

  No

  N/A

• 4. Is the fire system inspected annually?

  Yes

  No

  N/A

• 6. Are fire exits unobstructed?

  Yes

  No

  N/A

• 7. Are there containers designated for cigarette butts?

  Yes

  No

  N/A

• 8. Are cigarette butt containers maintained and emptied regularly?

  Yes

  No

  N/A

Section 5: Restroom/Eating Areas

• 1. Are floors clear of water, soap, and debris?

  Yes

  No

  N/A

• 2. Are drains unclogged?

  Yes

  No

  N/A

• 3. Are toilets working?

  Yes

  No

  N/A

• 4. Is hot and cold running water available?

  Yes

  No

  N/A

• 5. Are trash receptacles available and maintained?

  Yes

  No

  N/A

• 6. Is the department of labor poster displayed?

  Yes

  No

  N/A

• 7. Are eating and food storage areas clean and maintained?

  Yes

  No

  N/A

• 8. Is last year’s OSHA 300 report posted?

  Yes

  No

  N/A

• 9. Is there disinfectant spray or hand sanitizer available?

  Yes

  No

  N/A

Section 6: Office Work Areas

• 1. Are desk and file cabinet drawers kept closed when not in use?

  Yes

  No

  N/A

• 2. Are exits marked clearly?

  Yes

  No

  N/A

• 3. Are file cabinets, bookcases, and shelves secured?

  Yes

  No

  N/A

• 4. Are heavy objects stored on lower shelves?

  Yes

  No

  N/A

• 5. Are all lights working?

  Yes

  No

  N/A

• 6. Are floors clear of water, soap, and debris?

  Yes

  No

  N/A

• 7. Are trash receptacles available and maintained?

  Yes

  No

  N/A

Section 7: Warehouse/Shop Area

• 1. Are waste receptacles emptied regularly?

  Yes

  No

  N/A

• 2. Are walkways clearly marked and at least 3 feet wide?

  Yes

  No

  N/A

• 3. Are walkways free of trip hazards?

  Yes

  No

  N/A

• 4. Are floors clear of oil and grease?

  Yes

  No

  N/A

• 5. Are adequate “safety” warning signs posted?

  Yes

  No

  N/A

• 6. Are chains and slings in good condition?

  Yes

  No

  N/A

• 7. Do hooks have safety latches in place?

  Yes

  No

  N/A

• 8. Are sling inspections up to date?

  Yes

  No

  N/A

• 9. Do extension cords / air hoses create a trip hazard?

  Yes

  No

  N/A

• 10. Are extension cords in good condition?

  Yes

  No

  N/A

• 12. Are portable hand and power tools inspected before use?

  Yes

  No

  N/A

• 13. Is defective or damaged equipment removed from service?

  Yes

  No

  N/A

• 14. Is proper PPE worn?

  Yes

  No

  N/A

• 15. Are bench grinders properly mounted?

  Yes

  No

  N/A

• 16. Are guards in place on all grinders?

  Yes

  No

  N/A

• 17. Are grinder wheels in good condition?

  Yes

  No

  N/A

• 18. Are shop/work areas clean and free of debris?

  Yes

  No

  N/A

• 19. Are there disinfectant spray or hand sanitizer available?

  Yes

  No

  N/A

• 20. Is equipment / material stored in its proper location ?

  Yes

  No

  N/A

Section 8: Hazard Communication Program

• 1. Is an inventory of hazardous chemicals conducted annually?

  Yes

  No

  N/A

• 2. Are SDS's on hand for all chemicals used?

  Yes

  No

  N/A

• 3. Are SDS's available to all employees?

  Yes

  No

  N/A

• 4. Are chemical containers properly labeled?

  Yes

  No

  N/A

• 5. Are chemical containers properly stored?

  Yes

  No

  N/A

• 6. Is proper PPE available for employees working with chemicals

  Yes

  No

  N/A

Section 9: Electrical Equipment

• 1. Is equipment that is de-energized but not locked out or tagged out treated as energized?

  Yes

  No

  N/A

• 2. Are live electrical components de-energized prior to working on them?

  Yes

  No

  N/A

• 3. Are safety signs in places that warn employees about electrical hazards?

  Yes

  No

  N/A

• 4. Are qualified personnel only allowed to work on electrical equipment?

  Yes

  No

  N/A

• 5. Are all electrical panel doors kept closed?

  Yes

  No

  N/A

• 6. Are all electrical panels labelled properly?

  Yes

  No

  N/A

• 7. Are all electrical panels kept clear for 3 feet ?

  Yes

  No

  N/A

Section 10: Welding and Cutting Equipment

• 1. Are hoses checked for leaks and loose connections?

  Yes

  No

  N/A

• 2. Are hoses free of oil and grease?

  Yes

  No

  N/A

• 3. Do welders wear long sleeve cotton shirts?

  Yes

  No

  N/A

• 4. Are goggles and face shields available?

  Yes

  No

  N/A

• 5. Are gloves and leggings worn for welding jobs?

  Yes

  No

  N/A

• 6. Do portable tinted screens/curtains surround the welding area?

  Yes

  No

  N/A

• 7. Are fire extinguishers available in the welding area?

  Yes

  No

  N/A

Section 11: Slip, Trip, and Fall Protection

• 1. Are floors in good condition

  Yes

  No

  N/A

• 2. Are fixed stairways a minimum of 22 inches?

  Yes

  No

  N/A

• 3. Are handrails firmly in place on all stairs?

  Yes

  No

  N/A

• 4. Are stairways free of debris?

  Yes

  No

  N/A

• 5. Are ladders in good condition?

  Yes

  No

  N/A

• 6. Is only one person permitted on a latter at a time?

  Yes

  No

  N/A

• 7. Is proper fall protection worn when working 6ft or higher?

  Yes

  No

  N/A

• 8. Are walkways kept free of clutter/debris?

  Yes

  No

  N/A

Section 12: Equipment Inspection

• 1. Are overhead cranes inspected each day before use?

  Yes

  No

  N/A

• 2. Are forklifts inspected each day before use?

  Yes

  No

  N/A

• 3. Are overhead cranes inspected yearly?

  Yes

  No

  N/A

• 4. Are respirators inspected before use?

  Yes

  No

  N/A

• 5. Do employees who wear respirators and are trained on their use?

  Yes

  No

  N/A

• 6. Are fit test done for employees who wear respirators?

  Yes

  No

  N/A

Section 13: PPE

• 1. Is appropriate PPE available to all employees?

  Yes

  No

  N/A

• 2. Do employees wear the appropriate PPE for the job at hand?

  Yes

  No

  N/A

• 3. Are employees trained in the use, care, donning and doffing of PPE?

  Yes

  No

  N/A

• 4. Is fall protection available to employees working 6f or higher?

  Yes

  No

  N/A

• 5. Is the harness and lanyard inspected quarterly and documented?

  Yes

  No

  N/A

• 6. Are employees trained on fall protection?

  Yes

  No

  N/A

• 7. Are face shields available for those grinding or doing hot work?

  Yes

  No

  N/A

• 8. Are hardhats and ear plugs worn when needed for the job at hand?

  Yes

  No

  N/A

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