Title Page
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
A. General
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Emergency phone numbers and procedures posted?
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First Aid Supplies readily available?
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First Aid Supplies adequate and on hand?
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Required Posters and signs posted and readable?
B. Personal Protective Equipment
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Eye and face protection worn as required?
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Hearing protection worn as required?
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Safety harnesses and lanyards worn for fall protection?
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Cut gloves worn as needed
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Personal protective equipment in good condition?
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Safety Supplies adequate for job?
C. Houskeeping
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Walkways and stairs kept clear of material and debris?
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Cords and hoses strung to prevent trip and fall hazards?
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Are liquid spills cleaned up immediately?
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Are break rooms clean?
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Fabrication and work areas clean and orderly?
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Trash, scrap and debris picked up and disposed of?
D. Fire Protection
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Are employees trained to use fire extinguishers?
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Are fire extinguishers inspected monthly?
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Is smoking prohibited where flammables are located?
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Are flammables stored and handled in approved containers?
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Are oily rags disposed of in a approved container?
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Temporary heaters kept 20' away from combustible materials?
E. Extinguishers
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Are all fire extinguishers present in their correct location?
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Are all fire extinguishers hung or stand-mounted?
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Do all fire extinguishers with pressure gauges show correct pressure?
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Are all fire extinguishers free from corrosion?
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Are all fire extinguishers within their annual inspection date?
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Are all fire extinguishers un-obscured, un-obstructed and freely visible?
F. Escape Routes and Exits
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Are escape routes clear from stored material and debris?
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Are all internal fire doors closed (not wedged open)?
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Are final exit doors clear and un-obstructed on both sides?
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Do final exit doors open easily?
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Are external pathways from the exits away from the building clear?
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Are exit doors self-closing?
G. Signage
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Are escape route signs clearly visible and legible?
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Do signs indicate the nearest escape route from all work places?
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Are internal fire doors labeled?
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Are exit doors labeled with illuminated signage?
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Are exit signs visible and not obstructed?
H. Emergency Lighting
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Are all emergency light indicators illuminated (if present)?
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Are all covers, diffusers, etc. present and fitted?
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Do emergency lights illuminate for a minimum of 10 minutes when the electricity supply is disconnected?
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Are overhead bulbs in open food areas covered to prevent broken glass from getting into food products?
I. Fire Alarms
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Is the fire alarm sounded weekly?
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Are all call points clearly visible and un-obstructed?
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Are signs present over each call point?
J. AED
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Is the green check showing that the unit is ready to use?
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Is the unit clean, undamaged, and free of excessive wear?
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Are there any cracks or loose parts in the housing?
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When you turn the unit off and on does the green check indicate ready for use?
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Are the batteries expired?
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Check for adequate supplies (mask, gloves, extra pads or batteries).
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Alarm on the AED box operates correctly?
K. Eye Wash/First Aid
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First aid plan is displayed on the notice boards?
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Appropriate first aid kits are available and easily accessible with signs clearly visible?<br>
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Are first aid reports sent in to Corporate Safety?
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First aid kits are checked regularly to ensure they are clean, orderly, fully stocked and not expired?
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Are sharps kits available?
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Are eyewash stations un-obstructed?
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Is the eyewash solution or bottles expired?
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Do the eyewash stations have bottles or are full of solution?
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Are the eyewash stations clean?
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Are the eyewash stations clearly marked?
L. Electrical
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Are extension cords heavy duty and in good shape?
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Are extension cords used for permanent wiring?
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Are there open junction boxes, broken switches or damaged electrical panels?
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Do all electrical panels have at least 36" clearance in front of them?
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Is there sufficient lighting to work and move safely?
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Are lock outs used when the system is de-energized?
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Floor cords are secured and protected?
M. Ladders
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Are portable ladders in good working condition?
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Do rolling portable ladders have handrails?
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Do rolling portable ladders have a top work platform?
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Are all ladders inspected on an annual basis?
N. Powered Industrial Trucks
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Are safety lights, horns, seatbelts and strobes operational?
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Is the industrial lift inspection checklist completed daily?
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Are there certified trainers at each facility?
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Are employees using fall protection when required?
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Is the overall appearance acceptable?
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Are safe speeds adhered to?
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Are seatbelts worn at all times?
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Are battery charging and changing areas well ventilated?
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Is there available PPE located in the charging/changing areas?
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Are there eyewash stations and showers available in the battery changing/charging area?
O. Loading Docks
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Are dock locks used and are the warning lights operational?
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Are all trailers chocked?
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Do open dock doors have chains across them when not in use?
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Are dock surrounds in good shape?
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Are dock doors clearly marked?
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Are trailer stabilizing jacks used?
P. Employee Communications
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Are the safety committee members posted?
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Are the safety committee minutes posted?
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Are the current OSHA regulatory posters displayed?
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Is the OSHA 300A log posted (2/1 thru 4/30)?
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Are safety meetings held on a regular basis?
Q. Emergency Management
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Is the emergency management plan and procedures displayed on notice boards?
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Is an emergency evacuation exercise undertaken in accordance with the emergency management plan?
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Is a emergency lockdown practiced in accordance with the emergency management plan?
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Are emergency evacuation routes posted and current?
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Are alarms audible throughout the work place?
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Are emergency numbers clearly displayed?
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Are bomb threat procedures displayed appropriately?
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Are bomb threat cards posted by all phones?
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Are all entrances and exits clearly identified and kept free of obstructions?