Title Page
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Conducted on
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Prepared by
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Location
Office Work Areas
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Are exits clearly marked?
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Are emergency lights operational?
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Are emergency exit routes posted?
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Are designated smoking areas clearly marked?
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Are office machine cords kept off floor to prevent tripping?
First-Aid Stations
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Are first aid kits available and adequately stocked?
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Are emergency eye wash bottles readily accessible to employees?
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If applicable, are emergency showers available for employees working with liquid hazardous chemicals?
Lockout Tagout Stations
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Have LOTO procedures been developed?
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Are LOTO stations readily available for authorized employees?
Fire Prevention & Protection
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Are fire extinguishers free of obstructions?
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Are fire extinguishers/alarms inspected annually?
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Are fire exits free of obstructions?
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Are cigarette containers specifically designed for cigarette butts?
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Are flammable and combustible chemicals stored in fire proof containers and clearly marked with proper signage?
Emergency Evacuation Plans
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Are emergency exits posted?
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Are emergency telephone numbers posted in employee break areas?
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Has a muster area been established?
Shop Area
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Are waste receptacles emptied regularly?
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Are aisles and walkways clear of trip hazards?
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Are floors clear of oil and grease?
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Are extension cords in good, serviceable condition?
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Are power tools equipped with GFCI?
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Is there a 3’ access clearance to all electrical panels?
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Do electrical panels have open slots or missing panel covers?
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Are work areas equipped with adequate illumination?
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Are ladders in safe operational conditions?
Hazard Communications Program
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Are chemical containers properly labeled with chemical name and hazard level?
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Are SDS readily available to all employees?
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Is a current chemical inventory maintained within a SDS binder?
Welding and Cutting Area
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Are goggles and face shields readily available to employees?
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Are compressed gas cylinders securely stored upright?
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Are oxygen cylinders stored 20 feet from combustible material?
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Are oxygen and acetylene gas cylinders stored with protection caps and separated with a 30 minute burn wall or 20 feet apart?
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Are compressed gas cylinders clearly marked?
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Are “no smoking” signs posted in the cylinder storage area?
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Are hand-held grinders equipped with protection guards?
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Are bench grinders equipped with protection shields?
Environmental Assurance
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Are all workplace areas clean and litter free?
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Are waste disposals being conducted in an environmentally sound manner?
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If applicable, are used oil containers properly labeled?
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Are wash rack areas for tools and equipment designed so as to ensure that waste water does not drain into public drains, canals, or waterways?
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Are aerosol cans being disposed of properly?
PPE
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Are employees utilizing adequate PPE based on workplace exposures?
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Are respirators stored to protect the them from contamination?
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Is proper signage in place for required PPE areas?
Slings and Rigging Equipment
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Are slings equipped with a legible identification tag?
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Are all slings and rigging equipment tagged with working load limit?
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Are all rigging hooks equipped with a working safety latch?
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Are rigging chains labeled as being grade 8’ or 10’?
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Are good and bad slings being stored separately?
Building Exterior
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Is storm water maintained as to not cause issues for municipal authorities?
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Are exterior lights operational?
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Is security in place to control access on the facility during and after hours?
Comments
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Comments