Information

  • Facility Location

  • Conducted on

  • Prepared by

Part 1: General

  • Are monthly GEMBA walks completed?

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

Part 2: Storage and Housekeeping

  • Are there damaged rack legs, beams secured, and end of racks guarded?

  • Storage shelving secured and beams marked with load capacity?

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

  • Push-through protection measures in place? (Bars, screens, administrative controls)

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

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

  • Are work areas free from trip hazards?

  • Are locations for specific items/supplies clearly marked?

  • Are broom handles in good condition (all capped)?

Part 3: Emergency Procedures

  • Are building exits free from obstruction?

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

  • Are exits marked and adequately lighted?

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

  • 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?

  • Is the first aid kit stocked and inspected monthly? Are there expired items in the kit?

  • Is there an adequate amount of blood borne pathogen kits in the facility? Are they expired?

  • Is the AED inspected monthly?

Part 4: Fall Protection

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

  • Is fall protection being inspected annually by a competent person?

  • Are ladders maintained in good condition?

Part 5: Hazard Assessments

  • Are hazard assessments current and posted at job sites?

Part 6: Personal Protection Equipment (PPE)

  • Are observed employees using the required PPE? (safety glasses in Lab, cut resistant gloves)

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

Part 7: Lockout/Tagout (LOTO)

  • Are proper LOTO procedures being followed?

Part 8: Fire Protection

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

  • Are portable fire extinguishers mounted at the correct height?

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

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

  • Fire pump room doors unobstructed?

  • Are wood pallets stacked no taller than 6'?

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

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

Part 9: Powered Industrial Trucks (PIT)

  • Are PITs inspected before each shift, and is the inspection documented?

  • Are PITs warning labels and data plates in legible condition?

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

  • Are PITs observed being used in a safe manner?

  • Are seatbelts worn on sit-down lifts?

  • Are dock locks, wheel chocks, and jack stands utilized on trucks and trailers during loading/unloading operations?

  • Two controls in place for trailers that cannot use dock locks?

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

  • Are combustible materials stored at least 8.2 feet away from charging area?

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

Part 10: Equipment/Machines & Hand Tools

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

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

  • Are emergency stop buttons colored red?

  • Are warning labels and signs in place?

  • Machine keys assessed and marked to show approval for use? (i.e. green key)

  • Are tool chuck keys spring loaded to prevent being left in the tool?

  • Machines designed for fixed location are secured to prevent toppling or movement?

  • Presence sensing device and interlocks verified to proper working condition on wood panel saw test equipment?

  • Only OSHA approved nozzles used on compressed air hose? (limits air pressure to <30 psi)

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

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

  • All MAE has been reviewed and released for operation? (Marked with green sticker)

Part 11: Hazard Communication

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

  • Is the SDS binder audited on an annual basis and is the audit documented?

Part 12: Hazardous Material

  • Are all chemical containers properly labeled?

  • Are waste containers properly marked and stored closed?

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

  • Flammable storage cabinets kept locked?

  • Spill containment provided for chemical and waste containers?

Part 13: Electrical Safety

  • Is there adequate space provided and maintained around all electrical equipment (depth=42", width=30", or width of the equipment (whichever is greater), height=6.5')?

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

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

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

  • Less than 50 volts labeling shall be on electrical panels or disconnects with systems below 50 volts.

  • Is electrical equipment grounded?

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

  • Are extension cords connected to GFCI?

  • Electrical disconnect doors secured to prevent opening the panel without use of a tool?

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

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

  • Is there tension relief on flexible electrical cords?

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

Part 14: Stormwater - No Exposure

  • Outdoor areas clean and cleared of debris?

  • Material placed outdoors covered to prevent contact with storm water?

  • Outdoor areas free of any visual deposits of residue?

  • Empty containers are stored so storm water is not collecting inside?

  • Activities are not occurring outside that could cause runoff on the ground and stormwater? (Cleaning or storing equipment outdoors)

Part 15: Confined Space

  • Confined spaces are marked?

  • Confined space procedures being followed?

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