Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

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Worksite General

  • Are Occupational Safety and Health Administration (OSHA) and state required posters displayed in a prominent location?

  • Are safety signs/warnings posted where appropriate?

  • Are emergency telephone numbers posted where they can be found readily?

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  • Is a first aid kit available and adequately stocked?

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  • Is a substance abuse policy in place?

  • Is the Summary of Occupational Illnesses posted?

  • Are emergency evacuation traffic routes identified?

  • Are all work areas clean and orderly?

  • Are combustible scrap, debris, and waste stored safely and removed from work areas promptly?

  • Are adequate toilets and washing facilities provided?

  • Are toilets and wash areas clean and sanitary?

  • Are work areas adequately illuminated?

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Record Keeping

  • Are OSHA 300/301 logs maintained as required?

  • Are medical records and exposure records maintained as required?

  • Are training records maintained in accordance with OSHA requirements?

  • Are employee records being maintained for the required time frames?

  • Are operating permits and records up to date?

  • Are procedures in place to maintain records and logs?

  • A. Safety inspections

  • B. Safety meeting minutes

  • C. Accident investigations

  • D. Emergency response drills

Medical Services/First Aid

  • Is a blood borne pathogen plan in place?

  • Is regulated waste discarded according to applicable laws and regulations?

  • Are medically approved firs aid kits and sharps containers adequately supplied?

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  • If medical/first aid facilities are not in proximity, is at least one employee on each shift qualified to render first aid?

  • Are medical personnel readily available for advice and consultation?

  • Are quick drenching showers and eye flushing stations available where hazardous liquids or materials are handled?

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Health & Safety Training

  • Have all new employees received safety orientation training?

  • Do employees participate in regularly scheduled safety meetings?

  • Are adequate training resources available and management committed to employee training?

  • Is it documented that all employees have received required training?

  • A. Work area hazards

  • B. Emergency action plan

  • C. Equipment operation

  • D. Personal protective equipment

  • E. Locations and use of emergency equipment

  • F. Hazard communication/ Safety Data Sheets (SDS)<br>

  • G. Hearing conservation

  • Do all employees receive refresher training at least annually?

  • Have employees received instruction on procedures to report unsafe conditions, defective equipment and unsafe acts?

Fire Protection

  • Is the local fire department acquainted with the facility and its specific hazards?

  • Is the fire suppression equipment inspection current?

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  • Are fire alarm systems tested at least annually?

  • Are interior standpipes and valves inspected regularly?

  • Are fire doors and shutters maintained and inspected regularly?

  • Are automatic sprinkler system water control valves, air and water pressure checked as required?

  • Are sprinkler heads protected by metal guards if exposed to possible physical damage?

  • Are fire extinguishers provided in adequate number, type, and are they in readily accessible locations?

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  • Are employees periodically trained in use of fire suppression and protection procedures?

Exit Routes

  • Are all exit routes marked and illuminated by reliable light source?

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  • Are doors, passageways or stairways that are not exits, or accessible to exits appropriately marked "Not An Exit" or with an indication of its actual use?

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  • Is "Exit" sign lettering at least 5 inches high with 1/2 inch wide stroke?

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  • Are exit doors side hinged?

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  • Are all exits free from obstruction?

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  • Are there sufficient exits to permit prompt emergency escape?

  • Where ramps are used as required exits, is the ramp slope limited to 1 foot vertical and 12 feet horizontal?

  • Do all exit doors open from the inside without the use of a key, tool or any special knowledge?

  • Where panic hardware is installed on an exit door, will it allow the door to open with 15 pounds or less force in the direction of the exit traffic?

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  • Are exit doors that open onto a street, alley or vehicle parking area provided with adequate barriers and warnings to prevent employees stepping into traffic or vehicles blocking the exit?

Walkways

  • Are aisles and passageways kept clear and clean?

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  • Are wet surfaces covered with non-slip materials?

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  • Are pits and floor openings covered or guarded?

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  • Is aisle clearance provided for motorized or mechanical handling equipment operation?

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  • Are walkways properly marked?

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  • Are aisles and walkways passing near moving or operating machinery, welding operations or similar operations arranged to minimize potential hazard exposure?

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  • Is adequate headroom provided for the entire length of each walkway?

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  • Are standard guardrails provided when the walkway surface is elevated more than 30 inches above any adjacent floor or ground?

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  • Are bridges provided over conveyors and similar hazards?

Floor and Wall Openings

  • Are floor openings guarded by a cover, guardrail or equivalent on all sides?

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  • Are toe boards installed around edges of permanent floor openings?

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  • Are skylight screens capable of supporting at least 200 pounds?

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  • Are grates or similar type floor covers designed so that foot traffic or rolling equipment will not be affected by their placement?

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  • Are portions of pits not actually in use either covered or protected by guardrails or equivalent?

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  • Are manhole covers, trench covers and similar covers, plus their supports, designed to carry a truck rear axle load of at least 20,000 pounds?

Stairs and Stairways

  • Are standard stair rails or handrails on all stairways with 4 or more risers?

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  • Are stairways at least 22 inches wide?

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  • Are stair landing platforms not less than 30 inches in the direction of travel and extending 22 inches in width at every 12 feet or less of vertical rise?

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  • Do stairs angle no more than 50 degrees and no less than 30 degrees?

  • Are stairs of hollow-pan type treads and landings filled to the top edge of the pan with solid material?

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  • Are step risers on stairs uniform from top to bottom?

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  • Are steps designed or provided with a slip resistant surface?

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  • Are handrails located between 30 and 34 inches above the stair treads?

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  • Do hand rails have at least 3 inches of clearance between the handrail and the wall surface they are mounted on?

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  • Where doors or gates open directly on a stairway, is there a platform provided so the swing of the door does not reduce the width of the platform less than 21 inches?

  • Are handrails capable of withstanding a load of 200 pounds, applied within 2 inches of the top edge?

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Elevated Surfaces

  • Are signs posted showing the surface load capacity?

  • Are surfaces elevated more than 30 inches above the floor or ground provided with standard guardrails?

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  • Are elevated surfaces that expose people or machinery to falling objects provided with standard 4 inch toe boards?

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  • Is permanent means of access and egress provided to elevated storage and work surfaces?

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  • Is material on elevated surfaces piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading?

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  • Are dock boards or bridge plates used when transferring materials between docks and trucks or railcars?

Personal Protective Equipment (PPE)

  • Are protective goggles or face shields provided and worn where there is a danger of flying particles or hazardous materials?

  • Are approved safety glasses worn at all times in areas where there is a risk of eye injuries?

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  • Are protective gloves, aprons, shields or other means provided where employees could be cut or where there is reasonably anticipated exposure to; hazardous liquids, chemicals, blood or other potentially infectious materials?

  • Are hard hats provided and worn where danger of falling objects exists?

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  • Are hard hats inspected periodically for damage to the shell and suspension system?

  • Is appropriate foot protection provided as required?

  • Are approved respirators provided for regular and emergency use as needed?

  • Are employees fit tested for respirators, if in use?

  • Is PPE maintained in a sanitary condition and ready for use?

  • Is a hearing conservation program established for noise levels exceeding 85 decibels?

  • Is hearing protection required when noise levels are exceeded?

  • Are adequate work procedures and PPE provided and used when cleaning up spilled toxic or hazardous materials or liquids?

  • Are appropriate procedures in place for disposing of or decontaminating PPE?

  • Are employees trained in use, limitations, maintenance, storage and inspection requirements of PPE?

  • Are machines and equipment, which process, handle or apply materials that could be injurious to employees, cleaned and/or decontaminated before being overhauled or placed in storage?

Ladders

  • Are ladders inspected and maintained in good condition?

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  • Are non-slip feet provided on each ladder?

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  • Are ladder rungs and steps free from grease and oil?

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  • Are employees trained in the proper use and operation of ladders?

  • Is it prohibited to place ladders on boxes, barrels or other unstable bases to obtain extra height?

  • Are ladders with broken, missing steps, rungs, or cleats, broken side rails or faulty equipment removed from service?

  • Are employees instructed to face ladders when climbing and descending?

  • Are employees instructed not to use the top two steps of stepladders as steps?

  • When in use, do ladders extend at least 3 feet above elevated surface?

  • Are metal ladders legibly marked with signs cautioning against using them around electrical power sources?

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  • Are rungs of ladders uniformly spaced at 12 inches, center to center?

Compressed Gas Cylinders

  • Are cylinders legibly marked to clearly identify the gas contained?

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  • Are compressed gas cylinders stored in areas that are protected from external heat sources?

  • Are cylinders located or stored in areas where they will not be damaged by passing or falling objects or tampered with by unauthorized persons?

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  • Are cylinders stored or transported in a manner to prevent them from creating a hazard by slipping, falling or rolling?

  • Are all valves closed off before a cylinder is moved, when the cylinder is empty and at the completion of each job?

  • Are cylinders stored at least 20 feet away from highly combustible materials?

  • Are cylinders maintained with current hydro inspection dates?

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  • Are in-service cylinders adequately supported to prevent them from falling over?

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Lockout/Tag Out Procedures

  • Are all hazardous energy sources required to be de-energized, disengaged, blocked or locked-out during cleaning, servicing, adjusting, setting-up operations, or as required?

  • When electrical control circuits cannot be disconnected, are the appropriate electrical supply enclosures identified?

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  • Is lockout of control circuits in lieu of locking-out main power disconnects prohibited?

  • Are all equipment control valve handles provided with a means for lockout?

  • Do lockout procedures require stored energy to be released or blocked?

  • Are appropriate employees provided with individually keyed safety locks?

  • Are employees required to keep personal control of their key(s) while they have safety locks in use?

  • Is it required that only the employee exposed to the hazard place or remove the safety lock?

  • Do you require employees to verify equipment lockout by attempting to start-up after making sure no one is exposed to the hazard?

  • Are employees instructed to always push the control circuit stop button prior to re-energizing the main power switch?

  • Are means established to identify all employees who are working on locked-out equipment by their locks or accompanying tags?

  • In the event that equipment or lines cannot be shut down, locked and tagged out, is a safe job procedure established and rigidly enforced?

Environmental Conditions

  • Are all work areas properly illuminated?

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  • Are workers aware of the hazards involved with the various chemicals they may be exposed to in their work environment?

  • Is employee exposure to chemicals in the workplace kept within acceptable levels?

  • Is the work area's ventilation system appropriate for the work being done?

  • Are noise levels in work areas within acceptable levels?

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  • Are labels and signs used to warn of hazardous substances and biohazards?

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  • Are grinders, saws and other machines that produce respirable dusts vented to an industrial collector or central exhaust system?

  • Is potable water provided for drinking, washing and cooking?

  • Are water outlets not suitable for drinking clearly identified?

Hazardous Chemical Exposure

  • Are employees trained in the safe use of hazardous chemicals and materials?

  • Are employees knowledgeable of potential workplace chemical hazards?

  • Are eyewash fountains and safety showers provided in areas where hazardous chemicals are handled?

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  • Are chemical containers labeled?

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  • Are employees required to use personal protective clothing and equipment when handling chemicals?

  • Are adequate means readily available for containing spills or overflows properly and safely?

  • Are standard operating procedures established and being followed when cleaning up chemical spills?

  • Are respirators stored in a convenient, clean and sanitary location?

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  • Are respirators intended for emergency use adequate for the various uses for which they may be used?

  • Are employees prohibited from eating in areas where hazardous chemicals are present?

  • Is personal protective equipment provided, used and maintained where needed?

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  • Are there written standard operating procedures for the selection and use of respirators?

  • If you have a respirator protection program, are your employees instructed on the correct usage and limitations of the respirators?

  • Are respirators regularly cleaned, sanitized and maintained?

  • Are hazardous substances handled in properly designed and exhausted locations?

  • If internal combustion engines are used, is carbon monoxide kept within acceptable levels?

  • Whenever possible, is vacuuming used, rather than blowing off or sweeping dusts for clean up?

  • Are annual spirometry and medical examinations maintained for personnel using respirators?

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Hazardous Substances Communication

  • Is there a list of hazardous substances that are used in your workplace?

  • Is there a current written exposure control plan for occupational exposure to blood borne pathogens and other potentially infectious materials?

  • Do you have a written hazard communication program dealing with Safety Data Sheets (SDS), labeling, employee training, etc., that meets the OSHA standard?

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  • Are all containers for a hazardous substance (i.e., vats, bottles and storage tanks, etc.) labeled with product identity and a hazard warning (communication of the specific health hazards and physical hazards)?

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  • Are Safety Data Sheets (SDS) readily available for each hazardous substance used?

  • Is there an employee training program for hazardous substances?

  • Are employees trained in the following?

  • A. How to recognize tasks that might result in occupational exposure?

  • B. How to use work practice, engineering controls and personal protective equipment, and to know their limitations?

  • C. How to obtain information on the types, selection, proper use, location, removal, handling, decontamination and disposal of personal protective equipment?

  • D. Who to contact and what to do in an emergency?

Electrical

  • Do you specify compliance with OSHA as a requirement for all contract electrical work?

  • Are employees required to report as soon as practical any obvious hazard to life or property observed in connection with electrical equipment or lines?

  • Are employees instructed to make preliminary inspections and/or appropriate tests to determine what conditions exists before starting work on electrical equipment or lines?

  • When electrical equipment or lines are to be serviced, maintained or adjusted, are necessary switches open, locked-out and tagged whenever possible?

  • Do all extension cords on site have a grounding conductor?

  • Are multiple plug adaptors prohibited?

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  • Are exposed wiring and cords with frayed or deteriorated insulation repaired/replaced promptly?

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  • Are flexible cords and cables free of splices and taps?

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  • Are cord, cable and raceway connections intact and secure?

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  • Is use of metal ladders prohibited in areas where the ladder or the person using the ladder could come in contact with energized parts of equipment, fixtures or circuit conductors?

  • Are disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

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  • Is sufficient access and working space provided and maintained around all electrical equipment to permit safe operations and maintenance?

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  • Are all unused openings (including conduit knockouts) in electrical enclosures and fittings protected with appropriate covers, plugs or plates?

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  • Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?

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  • Is each motor disconnecting switch or circuit breaker located within sight of the motor control device?

  • Are employees who regularly work on or around energized electrical equipment or lines instructed in cardiopulmonary resuscitation (CPR) methods?

Noise

  • Are there areas in the workplace where continuous noise levels exceed 85 dBA?

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  • Is there an ongoing preventative health program to educate employees in safe levels of noise exposures, effects of noise on their health and the use of personal protective equipment?

  • Have work areas where noise levels make communication between employees difficult been identified and posted?

  • Are noise levels being measured with a dosimeter or an octave band analyzer and records being kept?

  • Are engineering controls being used to reduce excessive noise levels?

  • Where engineering controls are determined not to be feasible, are administrative controls (i.e. worker rotation) being used to minimize individual employee exposure to noise?

  • Is approved hearing protection equipment (noise attenuating devices) available to every employee working in noisy areas?

  • Are employees properly fitted and instructed in the use of hearing protectors?

  • Are employees in high noise areas given periodic audiometric testing to ensure effective hearing protection systems are in place?

Material Handling

  • Is there safe clearance for equipment through all aisles and doorways?

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  • Are aisles properly mark and kept clear?

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  • Are motorized vehicles and mechanized equipment inspected daily or prior to use?

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  • Are vehicles shut off and their brakes set prior to loading or unloading?

  • Are dock boards (bridge plates) used when loading or unloading operations are taking place between vehicles and docks?

  • Are trucks and trailers secured from movement during loading and unloading operations?

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  • Are dock plates and loading ramps constructed and maintained with sufficient strength to support any imposed loading?

  • Are all hand trucks maintained in safe operating condition?

Transporting Employees and Materials

  • Do all employees who operate vehicles on public thoroughfares have a valid operator's license?

  • Are vehicles used to transport employees equipped with lamps, brakes, horns, mirrors, windshields and turn signals in good condition?

  • Are transport vehicles provided with handrails, steps, stirrups or similar devices so placed and arranged that employees can safely mount or dismount?

  • Are employee transport vehicles equipped at all times with at least two reflective type flares or three reflective type triangles?

  • Are fully charged fire extinguishers, in good condition, with at least a 4 B-C rating maintained in each employee transport vehicle?

Control of Harmful Substances By Ventilation

  • Is the volume and velocity of air in each exhaust system sufficient to gather the dusts, fumes, mists, vapors or gases to be controlled, and convey them to a suitable point of disposal?

  • Are exhaust inlets, ducts and plenums designed, constructed and supported to prevent collapse or failure of any part of the system?

  • Is adequate makeup air provided to areas where exhaust systems are operating?

  • Are source points for makeup air located so that only clean, fresh air, free of contaminants will enter the work environment?

Industrial Trucks/Forklifts

  • Are only trained personnel allowed to operate industrial trucks?

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  • Is substantial overhead protective equipment provided on high lift rider equipment?

  • Are required lift truck operating rules posted and enforced?

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  • Is directional lighting provided on each industrial truck that operates in an area with less than 2 foot candles per square foot of general lighting?

  • Do industrial trucks have warning horns or other devices that can be clearly heard above normal noise in the areas where they are operated?

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  • Are brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded?

  • Does the industrial truck's parking brake effectively prevent the vehicle from moving when unattended?

Hand Tools and Equipment

  • Are all tools and equipment maintained in good condition?

  • Are broken or fracture handles on hammers, axes and similar equipment replaced promptly?

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  • Are worn or bent wrenches replaced regularly?

  • Are appropriate handles used on files and similar tools?

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  • Are employees made aware of the hazards caused by faulty or improperly used hand tools?

  • Are safety glasses, face shields, etc. used while using hand tools or equipment that might produce flying materials or be subject to breakage?

  • Are jacks checked periodically to ensure they are in good operating condition?

  • Are tool handles wedged tightly in the heads of all tools?

  • Are tools stored in dry, secure locations?

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Portable Power Tools and Equipment

  • Are grinders, saws and similar equipment provided with appropriate safety guards and are they used as recommended by the manufacturer?

  • Are portable electric tools and extension cords inspected regularly with the results documented and the tools marked with a dated "OK" tag?

  • Are all cord-connected, electrically-operated tools and equipment effectively grounded or of the approved double insulated type?

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  • Are portable fans provided with full guards or screens having openings of 1/2 inch or less?

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  • Are pneumatic and hydraulic hoses on power-operated tools checked regularly for deterioration or damage?

Machine Guarding

  • Is there a training program to instruct employees on safe methods of machine operation?

  • Is there adequate supervision to ensure that employees are following safe machine operating procedures?

  • Is there a regular program of safety inspections of machinery and equipment?

  • Is all machinery and equipment kept clean and properly maintained?

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  • Is sufficient clearance provided around and between machines to allow for safe operations, servicing, material handling and waste removal?

  • Is equipment and machinery securely placed and anchored when necessary, to prevent tipping or other movement that could result in personal injury?

  • Is the power shutoff switch within reach of the operators position at each machine?

  • Can electric power to each machine be locked-out for maintenance, repair or security?

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  • Are non-current-carrying metal parts of electrically operated machines bonded and grounded?

  • Are foot-operated switches guarded or arranged to prevent accidental actuation by personnel or falling objects?

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  • Are manually operated valves and switches controlling the operation of equipment and machines clearly identified and readily accessible?

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  • Are all emergency stop buttons brightly colored or placarded?

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  • Are all pulleys and belts that are within 7 feet of the floor or working level properly guarded?

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  • Are methods provided to protect the operator and other employees in the machine areas from hazards created at the point of operation, nip points, rotating parts, flying chips and sparks?

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  • Are machinery guards secure and arranged so they do not offer a hazard when in use?

  • Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown?

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  • Are fan blades protected with a guard having openings no larger than 1/2 inch, when operating within 7 feet of the floor?

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.