Title Page

  • Conducted on

  • Prepared by

  • Location

Office Work Areas

  • Are exits clearly marked?

  • Are emergency lights operational?

  • Are emergency exit routes posted?

  • Are designated smoking areas clearly marked?

  • Are office machine cords kept off floor to prevent tripping?

First-Aid Stations

  • Are first aid kits available and adequately stocked?

  • Are emergency eye wash bottles readily accessible to employees?

  • If applicable, are emergency showers available for employees working with liquid hazardous chemicals?

Lockout Tagout Stations

  • Have LOTO procedures been developed?

  • Are LOTO stations readily available for authorized employees?

Fire Prevention & Protection

  • Are fire extinguishers free of obstructions?

  • Are fire extinguishers/alarms inspected annually?

  • Are fire exits free of obstructions?

  • Are cigarette containers specifically designed for cigarette butts?

  • Are flammable and combustible chemicals stored in fire proof containers and clearly marked with proper signage?

Emergency Evacuation Plans

  • Are emergency exits posted?

  • Are emergency telephone numbers posted in employee break areas?

  • Has a muster area been established?

Shop Area

  • Are waste receptacles emptied regularly?

  • Are aisles and walkways clear of trip hazards?

  • Are floors clear of oil and grease?

  • Are extension cords in good, serviceable condition?

  • Are power tools equipped with GFCI?

  • Is there a 3’ access clearance to all electrical panels?

  • Do electrical panels have open slots or missing panel covers?

  • Are work areas equipped with adequate illumination?

  • Are ladders in safe operational conditions?

Hazard Communications Program

  • Are chemical containers properly labeled with chemical name and hazard level?

  • Are SDS readily available to all employees?

  • Is a current chemical inventory maintained within a SDS binder?

Welding and Cutting Area

  • Are goggles and face shields readily available to employees?

  • Are compressed gas cylinders securely stored upright?

  • Are oxygen cylinders stored 20 feet from combustible material?

  • Are oxygen and acetylene gas cylinders stored with protection caps and separated with a 30 minute burn wall or 20 feet apart?

  • Are compressed gas cylinders clearly marked?

  • Are “no smoking” signs posted in the cylinder storage area?

  • Are hand-held grinders equipped with protection guards?

  • Are bench grinders equipped with protection shields?

Environmental Assurance

  • Are all workplace areas clean and litter free?

  • Are waste disposals being conducted in an environmentally sound manner?

  • If applicable, are used oil containers properly labeled?

  • 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?

  • Are aerosol cans being disposed of properly?

PPE

  • Are employees utilizing adequate PPE based on workplace exposures?

  • Are respirators stored to protect the them from contamination?

  • Is proper signage in place for required PPE areas?

Slings and Rigging Equipment

  • Are slings equipped with a legible identification tag?

  • Are all slings and rigging equipment tagged with working load limit?

  • Are all rigging hooks equipped with a working safety latch?

  • Are rigging chains labeled as being grade 8’ or 10’?

  • Are good and bad slings being stored separately?

Building Exterior

  • Is storm water maintained as to not cause issues for municipal authorities?

  • Are exterior lights operational?

  • Is security in place to control access on the facility during and after hours?

Comments

  • Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.