Information

  • STATION

  • AREA

  • Conducted on

  • Auditors

SHOP AND CHEMICAL ROOM

  • PPE SIGNAGE WHERE REQUIRE?

  • EMERGENCY NUMBERS BY ALL PHONES?

  • FLOOR CLEAN AND FREE OF OIL, GREASE AND DEBRIS?

  • TOOLS AND EQUIPMENT ARE PUT AWAT WHEN NOT USED?

  • STORAGE RACKS DO NOT HAVE ANY BENT, CRACKED, OR BROKEN RAILS OR SUPPORTS?

  • CHEMICAL CONTAINERS PROPERLY LABELED?

  • ELECTRICAL CONTROL PANELS FREE OF DEBRIS, TOOLS AND PARTS?

  • EMERGENCY LIGHTING ADEQUATE AND OPERABLE?

  • NO LOCKED OR BLOCKED EXITS?

  • FIRE EXTINGUISHERS INSPECTED MONTHLY AND ANNUALLY?

  • FIRE EXTINGUISHERS CLEARLY MARKED AND UNOBSTRUCTED?

  • PORTABLE HAND TOOLS ARE PROPERLY GUARDED AND GROUNDED?

  • SHOP SAFETY RULES POSTED AND FOLLOWED?

  • IS PPE STORED PROPERLY? IN GOOD CONITION?

  • IS THERE AN EMERGENCY EVACUATION PLAN POSTED?

  • ARE FLAMMABLE MATERIALS STORED PROPERLY?

  • EXTENSION CORDS IN GOOD CONDITION AND INSPECTED?

  • CAN POWER TO EACH MACHINE BE LOCKED OUT FOR REPAIR OR SERVICE?

WAREHOUSE

  • ELECTRICAL CONTROL PANELS FREE OF DEBRIS, TOOLS AND PARTS?

  • PPE SIGNAGE WHERE REQUIRE?

  • EMERGENCY NUMBERS BY ALL PHONES?

  • STORAGE RACKS DO NOT HAVE ANY BENT, CRACKED, OR BROKEN RAILS OR SUPPORTS?

  • CHEMICAL CONTAINERS PROPERLY LABELED?

  • LADDERS LABELED AND INSPECTED?

  • IS THERE AN EMERGENCY EVACUATION PLAN POSTED?

  • FORKLIFT DAILY INSPECTIONS BEING COMPLETED?

  • FORKLIFTS BEING OPERATED IN A SAFE MANNER?

  • FORKLIFT HORN, BRAKES, LIGHTS, AND STROBE SAFELY OPERABLE?

  • SEATBELTS WORN BY FORKLIFT OPERATORS?

  • SEED BOXES STACKED PROPERLY?

  • NO EXPOSED WIRES, OPEN PANELS, OR UNCOVERED JUNCTION BOXES?

  • ELECTRICAL CONTROL PANELS FREE OF DEBRIS, TOOLS AND PARTS?

  • CONTROL PANELS SECURED AND UNOBSTRUCTED?

  • GAURDS IN PLACE FOR ALL WAREHOUSE EQUIPMENT?

  • FIRE EXTINGUISHERS INSPECTED MONTHLY AND ANNUALLY?

  • FIRE EXTINGUISHERS CLEARLY MARKED AND UNOBSTRUCTED?

  • PRE AND POST TRIP INSPECTIONS BEING COMPLETED FOR ALL CMV VEHICLES?

  • CONTROL PANELS SECURED AND UNOBSTRUCTED?

OUTSIDE

  • CONTROL PANELS SECURED AND UNOBSTRUCTED?

  • PROPER SIGNAGE ON ELECTRICAL PANELS?

  • OUTSIDE PERIMETER LIGHS CORRECTLY TIMED AND FUNCTIONAL?

Sample worker questions

  • What other jobs are you scheduled for today?

  • What are the hazards involved in your job?

  • What is one thing you would do to improve safety in your area?

  • What are the regulatory requirements in your area?

  • Have you had any problems with__________?

  • Where do you get the most of your information about safety?

  • What would you change to make your job safer?

  • Do you approve of the housekeeping in your area?

  • Where might the next injury or illness occur in your area?

  • What chemicals do you have in this area, and what can you tell me about their hazards?

  • What part of your job makes you the most uneasy?

  • How long have you been doing this job?

Ergonomics

  • Do you feel that you have been adequately trained to avoid ergonomic risks while performing ______________tasks?

  • Do you ever feel physical discomfort while working? What do you do to reduce/avoid this?

  • What is the ergonomic risk that you see in this area? How can this be corrected?

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.