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Part 1: General

  • A. Is training up to date for employees, and is the training documented?

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  • B. Is there a safety committee, and do they meet at least monthly?

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  • C. Is at least an annual safety audit of the facility being conducted, and is the audit documented?

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  • D. Is the OSHA 300A posted from February 1 to April 30?

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  • E. Are required safety & labor law postings properly displayed?

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  • F. (California locations only) Is the required heat illness posting properly displayed?

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Part 2: Housekeeping

  • A. Are work ares, passageways, storerooms, and service rooms kept clean, orderly, dry, and in a sanitary condition?

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  • B. are permanent aisles and passageways appropriately marked?

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  • C. Are work areas free from trip hazards?

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  • D. Are wooden pallets stored flat on floor (not leaned on edge)?

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  • E. Are locations for specific items/supplies clearly marked?

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  • F. Are containers stored, stacked, and limited in height so they are stable and secure?

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  • G. Are brooms/shovel handles in good condition (all aluminum handles capped)?

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  • H. Are monthly rack inspections being performed, and is the inspection documented?

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Part 3: Emergency Procedures

  • A. Does the facility have an Emergency Action Plan (EAP)?

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  • B. are employees trained on the EAP and their role during an emergency?

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  • C. Is the training current for the facility's First Responders, and are medical records being retained at the facility for the length of the First Responder's employment plus 30 years (including hepatitis B vaccination statues)?

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  • D. Are emergency phone numbers posted in the facility (preferably by the phone)?

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  • E. is the alarm system tested regularly?

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  • F. Are drills performed at least on an annual basis?

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  • G. Are building exits free from obstruction?

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  • H. Is there an unobstructed path from each workstation (minimum aisle width: 28 inches)?

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  • I. Are exits marked and adequately lighted?

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  • J. Are exit doors unlocked from inside the building, and do they open in the direction of travel?

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  • K. Is any door, passage, or stairway that could be mistaken for an exit or a way of exit access identified by a sign that reads "NOT AN EXIT" or similar wording?

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  • L. Are emergency assembly areas clearly identified and communicated?

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  • M. Is there an adequate amount of first aid kits in the facility, and is there a procedure in place for restocking them?

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  • N. is there an adequate amount of blood borne pathogen kits in the facility, and is there a procedure in place for restocking them?

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Part 4: Fall Protection

  • A. Are wall openings guarded which have a 4 feet or more drop (indoor & outdoor)?

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  • B. is a standard toe board installed wherever there is a wall opening of 4 feet or more?

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  • C. Are applicable employees trained on the proper use of fall protection equipment (lanyards, harnesses, etc.)? D

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  • D. Is fall protection equipment (lanyards, harness, etc.) inspected prior to each use, and is the inspection documented?

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  • E. Are ladders inspected prior to each use, and is the inspection documented?

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  • F. Are ladders maintained in good condition?

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Part 5: Job Safety Analysis

  • Have JSA's been written for all job tasks?

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  • Are JSA's being used properly (new hire orientation, etc.)?

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Part 6: Personal Protection Equipment (PPE

  • A. Are observed employees using the required PPE?

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  • B. Is PPE readily accessible in the work areas that require it?

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  • C. Has the "Respirators Used But Not Required" document been signed by each employee who uses a dust mask in the facility?

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Part 7: Lockout/Tagout (LO/TO)

  • A. Does the facility have an adequate LO/TO program in place?

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  • B. Are employees trained on their applicable role (authorized/affected/other) within the facility LO/TO program?

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  • C. Are authorized employees provided with the necessary equipment to preform LO/TO?

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  • D. Are facility LO/TO procedures being inspected on an annual basis, and is the inspection documented?

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Part 8: Fire Protection

  • A. Are portable fire extinguishers provided, mounted, located, and identified so that they are readily accessible?

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  • B. Are portable fire extinguishers mounted at the correct height?

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  • C. Are portable fire extinguishers inspected on a monthly basis, and is the tag signed accordingly?

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  • D. Are portable fire extinguishers subject to an annual maintenance check?

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  • E. is the travel distance between portable fire extinguishers 50 feet or less?

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  • F. Are all fire protection systems/equipment being properly inspected and tested, and are all inspections documented?

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  • G. Are wood pallets stacked no taller than 6'?

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  • H. Have wood and plastic storage been approved by the insurance carrier, and is the wood and plastic being stored to these guidelines?

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  • I. Are flammable and combustible liquids stored properly in flammable liquid storage cabinets?

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  • J. Are flammable and combustible material containers labeled, covered, and stored at least 35' away from ignition sources?

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  • K. Are flammable and combustible liquids kept in closed containers when not in use?

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  • L. Are compressed gas cylinders stored securely, away from heavy machinery and forklift traffic, and at least 35' away from ignition sources?

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  • M. Are compressed gas cylinders properly labeled and capped when not in use?

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Part 9: Powered Industrial Trucks

  • Are powered industrial trucks inspected before each shift, and is the inspection documented?

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  • Are powered industrial truck warning labels and data plates in legible condition?

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  • Do unattended industrial trucks have the load engaging means fully lowered, controls neutralized, and breaks set to prevent movement?

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  • Are powered industrial trucks observed being used in a safe manner?

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  • Are forklifts equipped with horn, overhead guard, front guard, seat belt, and data plate?

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  • Are booms and other forklift attachments inspected prior to each use, and is the inspection documented?

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  • If slings are used, are they inspected at least once per day and is the inspection documented?

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  • Are dock plates used when loading/unloading operations are taking place between vehicles and docks, and are the docks in good ccondition?

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  • Are wheel chocks utilized on trucks and trailers during loading/unloading operations?

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  • Do scissor lifts have the owner's manual present on the lift?

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  • Is there a designated area for battery charging/changing operations?

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  • Does the battery charging area have a neutralizing agent readily accessible for spilled electrolyte and acid?

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  • If powered industrial truck batteries are being removed from the vehicles during charging and/or maintenance is being done on the batteries, is there a plumbed emergency eye wash station/shower readily accessible (no more than 10 sec. away).

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  • Is the emergency eye wash station/shower being inspected weekly, and is the inspection documented?

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  • If LPG tanks are used, is there a designated location for the changing of tanks that provides adequate ventilation and has no sources of ignition within 35'?

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Part 10: Equipment/Machines & Hand Tools

  • Does observed equipment/machines appear to be in safe operating condition, and is PPE readily accessible?

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  • Are rotating or moving parts on equipment/machines guarded to prevent physical contact?

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  • Are emergency stop buttons colored red?

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  • Are grinders properly adjusted (work rest within 1/8" of the wheel, tongue guard within 1/4" of the wheel)?

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  • Are grinding wheels subject to a ring test before being mounted, and is the test documented?

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  • Do all electric overhead doors have a properly working protection system (e.g., constant pressure closing switch, safety edge, pressure relief mechanism, or 3-button control station)?

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Part 11: Hot Work Operation

  • Are only trained employees allowed to perform hot work operations?

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  • Is there a procedure in place to authorize when, where, and who is performing hot work operatios?

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  • Is there a designated area for hot work operations, and is it screened off to protect employees in the line-of-sight?

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  • Is a Hot Work Permit being used when hot operations are taking place outside of the designated area?

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  • Are fire watchers being used when necessary?

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Part 12: Hazard Communication

  • Has the hazardous chemical inventory been completed, audited on an annual basis, and is the audit documented?

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  • Are all hazardous chemical containers properly labeled?

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  • Is there a readily accessible SDS for all of the hazardous chemicals used in the facility?

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  • If an SDS binder is used, is it audited on an annual basis and is the audit documented?

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  • Are obsolete hazardous chemicals/SDS at the facility being documented, and is the documentation being retained for at least 30 years?

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  • (Stores only) Is the required SDS posting properly displayed?

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  • Are air sampling records being retained at the facility for at least 30 years?

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Part 13: Hazardous Material

  • Are aerosols being properly stored in a caged-off area in the facility?

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  • Are all liquid hazardous material boxes being stored at the correct orientation according to the orientation arrows at all times?

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  • Is there a designated waste storage area being maintained in the facility and is waste being disposed of at least biannually?

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  • Are hazardous waste manifest being retained at the facility for 3 years?

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  • Is the annual waste activity report being completed per state law?

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  • Is the weekly waste handling activity inspection being completed, an is the inspection documented?

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Part 14: Electrical Safety

  • Is there adequate space provided and maintained around all electrical equipment (depth=36", width=30", or width of the equipment (whichever is greater), height=6.5')?

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  • Are the tops of electrical boxes, service panels, and transformers free of materials?

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  • Are unused openings in electrical enclosures and fittings enclosed with appropriate covers, plugs, and/or plates?

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  • Are electrical box covers permanently marked "HIGH VOLTAGE" and "ARC FLASH", and is the marking visible and legible?

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  • Is electrical equipment grounded?

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  • Are extension cords being used for their designated purpose as temporary wiring and not as permanent wiring?

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  • Are electrical cords spliced together with wire nuts, not tape?

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  • Are there any exposed wires or cords with frayed or deteriorated insulation?

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  • Is there tension relief on flexible electrical cords?

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  • Is the Energized Electrical Work Permit being used whenever work is performed on energized electrical equipment?

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Part 15: Occupational Noise Exposure

  • Is annual noise monitoring being conducted, documented, and kept on file for 2 years?

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  • If the facility has a Hearing Conservation Program, are audiometric test being conducted, documented, and kept on file for the duration of the affected employee's employment?

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  • If the facility has a Hearing Conservation Program, are employees properly trained?

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  • If the facility has a Hearing Conservation Program, is PPE readily accessible to employees?

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  • If the facility has a Hearing Conservation Program, is thee OSHA 29 CFR 1910.95 standard posted in the workplace?

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  • If the facility has a Hearing Conservation Program, is the signage posted in areas where excessive noise levels exist?

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Part 16: Contractor Safety

  • Is there an up date Contractor Policy Agreement, Certificate of Insurance, and Compliance for Contractors Checklist for all contractors performing work at the facility?

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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.