General Industry 1910

• This report is in follow-up to the safety survey completed onsite. The purpose of the survey was to identify potential safety hazards and/or OSHA compliance. Attached, is a list of safety observations and recommendations based on conditions present at the time of my visit. If you have any questions or require additional information after reading this report, please don't hesitate to contact me. Sincerely,
  Josh Krey

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Aerial Work Platforms

• Lift inspected prior to use? 1910.67(c)(2)(i)

  Yes

  No

  N/A

• Workers trained/authorized to operate lift? 1910.67(c)(2)(ii)

  Yes

  No

  N/A

• Both feet on floor of basket? 1910.67(c)(2)(iv)

  Yes

  No

  N/A

• Fall protection utilized when working from lift? 1910.67(c)(2)(v)

  Yes

  No

  N/A

• Operating within rated load capacity? 1910.67(c)(2)(vi)

  Yes

  No

  N/A

• Stabilizers used as needed? 1910.67(c)(2)(vii)

  Yes

  No

  N/A

• Lift basket lowered when moved/relocated? 1910.67(c)(2)(viii)

  Yes

  No

  N/A

• Controls plainly marked as to their function? 1910.67(c)(2)(ix)

  Yes

  No

  N/A

• Lift operated on smooth/level surface? ANSI/SIA A92.2, 3, 5, 6, & 7

  Yes

  No

  N/A

• Overhead hazards (i.e. power lines, overhangs) avoided? ANSI/SIA A92.2, 3, 5, 6, & 7

  Yes

  No

  N/A

• Lift operated in safe weather conditions? ANSI/SIA A92.2, 3, 5, 6, & 7

  Yes

  No

  N/A

• Lift basket free of excessive clutter (i.e. minimal trip hazards)? 1910.22(a)(1)

  Yes

  No

  N/A

• Guardrail/toeboard in place and proper height? 1910.29(b)(1)&(2)

  Yes

  No

  N/A

• Access/opening to lift closed and secured? ANSI/SIA A92.2, 3, 5, 6, & 7

  Yes

  No

  N/A

• Lift inspections documented? (Best Practice)

  Yes

  No

  N/A

• Lift tagged/removed from service if defective? (Best Practice)

  Yes

  No

  N/A

• Good compliance/no safety violations?

  Yes

  No

  N/A

Aisles/Walkways

• Aisles/walkways kept clean and orderly? 1910.22(a)(1)

  Yes

  No

  N/A

• Aisles/walkways kept dry (if wet operations, drainage provided)? 1910.22(a)(2)

  Yes

  No

  N/A

• Aisles/walkways kept in good repair/free of hazards? 1910.22(a)(3)

  Yes

  No

  N/A

• Aisles/passageways appropriately marked? 1910.22(b)(2) Interp Letter

  Yes

  No

  N/A

• Aisles proper width (at least 3 ft. wider than largest equip. or min. of 4 ft.)? 1910.22(b) Interp Letter

  Yes

  No

  N/A

• Elevation changes delineated to minimize trip hazard? (Best Practice)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.22

  Yes

  No

  N/A

Behaviors

• Eyes on path/looks in direction of travel?

  Yes

  No

  N/A

• Looks back prior to stepping backwards?

  Yes

  No

  N/A

• Pushes instead of pulls when possible?

  Yes

  No

  N/A

• Avoids overhead work when possible?

  Yes

  No

  N/A

• Lifts with legs not back when possible?

  Yes

  No

  N/A

• Forms a bridge with free hand when lifting?

  Yes

  No

  N/A

• Avoids lifting more than one can lift safely?

  Yes

  No

  N/A

• Keeps load close to body when lifting?

  Yes

  No

  N/A

• Uses lift assist device for heavy loads?

  Yes

  No

  N/A

• Avoids lifting unstable loads?

  Yes

  No

  N/A

• Works at safe pace/not rushed?

  Yes

  No

  N/A

• Does not subject coworker(s) to injury?

  Yes

  No

  N/A

Bloodbourne Pathogens

• Written Exposure Control Plan in place? 1910.1030(c)(1)(i)

  Yes

  No

  N/A

• Exposure Control Plan reviewed/updated annually? 1910.1030(c)(1)(iv)

  Yes

  No

  N/A

• Has exposure determination been documented? 1910.1030(c)(2)(i)

  Yes

  No

  N/A

• Universal precautions observed at all times? 1910.1030(d)(1)

  Yes

  No

  N/A

• Engineering/Administrative controls utilized? 1910.1030(d)(2)(i)

  Yes

  No

  N/A

• Contaminated/reusable sharps placed in approved containers? 1910.1030(d)(2)(viii)

  Yes

  No

  N/A

• Appropriate PPE provided free to employees? 1910.1030(d)(3)(i)

  Yes

  No

  N/A

• Employees use required PPE? 1910.1030(d)(3)(ii)

  Yes

  No

  N/A

• PPE is readily accessible/correct size?1910.1030(d)(3)(iii)

  Yes

  No

  N/A

• Cleaning/decontamination scheduled followed? 1910.1030(d)(4)(i)

  Yes

  No

  N/A

• Sharps discarded in approved container? 1910.1030(d)(4)(iii)(A)(1)

  Yes

  No

  N/A

• Sharps container readily accessible? 1910.1030(d)(4)(iii)(A)(2)

  Yes

  No

  N/A

• Contaminated laundry in approved bags/containers? 1910.1030(d)(4)(iv)(A)(2)

  Yes

  No

  N/A

• Hepatitis B vaccine available as needed? 1910.1030(f)(1)(i)

  Yes

  No

  N/A

• Appendix A statement signed if vaccination declined? 1910.1030(f)(2)(iv)

  Yes

  No

  N/A

• Post exposure medical evals completed? 1910.1030(f)(3)

  Yes

  No

  N/A

• Containers of regulated waste properly labeled? 1910.1030(g)(1)(i)(A)

  Yes

  No

  N/A

• Employees trained initially and annually? 1910.1030(g)(2)(i)

  Yes

  No

  N/A

• Employee medical records maintained? 1910.1030(h)(1)(i)

  Yes

  No

  N/A

• Records kept for duration of employment plus 30 years? 1910.1030(h)(1)(iv)

  Yes

  No

  N/A

• Sharps injury log maintained? 1910.1030(h)(5)(i)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.1030

  Yes

  No

  N/A

Combustible Dust

• PM Program in place to prevent dust escape from process equipment/ventilation systems? NFPA 654

  Yes

  No

  N/A

• Dust collection systems/filters in use? NFPA 654

  Yes

  No

  N/A

• Surfaces designed to minimize dust accumulation to facilitate cleaning? NFPA 654

  Yes

  No

  N/A

• Housekeeping Program ensures dust residues are inspected/cleaned at regular intervals? NFPA 654

  Yes

  No

  N/A

• Proper cleaning methods are used to minimize dust clouds? NFPA 654

  Yes

  No

  N/A

• Ignition sources controlled/minimized? NFPA 654

  Yes

  No

  N/A

• Controls (i.e. isolation, barriers) in place to minimize damage from explosion? NFPA 654

  Yes

  No

  N/A

• Are employees affected by combustible dust hazards adequately trained? NFPA 654

  Yes

  No

  N/A

• Are managers affected by combustible dust hazards adequately trained? NFPA 654

  Yes

  No

  N/A

Compressed Air

• Compressors equipped with safety relief valve? 1910.169(b)(3)(i)

  Yes

  No

  N/A

• Compressors equipped with pressure gauges? 1910.169(b)(3)(i)

  Yes

  No

  N/A

• Compressors periodically drained of moisture/oil? 1910.169(b)(2)

  Yes

  No

  N/A

• Safety valves tested frequently? 1910.169(b)(3)(iv)

  Yes

  No

  N/A

• Compressed air kept under 30 psi at nozzle? 1910.242(b)

  Yes

  No

  N/A

• Air nozzles have relief ports to diffuse air? 1910.242(b)

  Yes

  No

  N/A

• Airhose connections designed for rated pressure/service? 1910.243(b)(2)

  Yes

  No

  N/A

• Safety cables used on air hoses to prevent whipping? (Best Practice)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.169

  Yes

  No

  N/A

Compressed Gas Cylinders

• Cylinders legibly marked/clearly identified? 1910.101

  Yes

  No

  N/A

• Cylinders protected from ignition sources? 1910.101

  Yes

  No

  N/A

• Cylinders stored in vertical position? 1910.101

  Yes

  No

  N/A

• Cylinders secured to prevent tipping? 1910.101

  Yes

  No

  N/A

• Cylinders stored away from vehicular traffic? 1910.101

  Yes

  No

  N/A

• Valve caps replaced when cylinders are not in use? 1910.101

  Yes

  No

  N/A

• Cylinder valves closed when not in use? 1910.253(b)(5)(ii)(G)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.101

  Yes

  No

  N/A

Confined Spaces

• Employer evaluated workplace to determine if PRCS’s exist? 1910.146(c)(1)

  Yes

  No

  N/A

• Danger sign(s) posted at entry to PRCS? 1910.146(c)(2)

  Yes

  No

  N/A

• Written program in place if employees enter PRCS’s? 1910.146(c)(4)

  Yes

  No

  N/A

• Air monitoring completed prior to entry? 1910.146(c)(5)(ii)(C)

  Yes

  No

  N/A

• Periodic air sampling completed? 1910.146(c)(5)(ii)(F)

  Yes

  No

  N/A

• Forced air ventilation used for duration of entry? 1910.146(c)(5)(ii)(E)

  Yes

  No

  N/A

• Entrants protected from external hazards by barricades? 1910.146(d)(3)(v)

  Yes

  No

  N/A

• Proper illumination provided? 1910.146(d)(4)(v)

  Yes

  No

  N/A

• Attendant on duty outside the permit space? 1910.146(d)(6)

  Yes

  No

  N/A

• Rescue plan/procedures established? 1910.146(d)(9)

  Yes

  No

  N/A

• Entry permit completed and signed? 1910.146(e)(1)

  Yes

  No

  N/A

• Employees with assigned PRCS duties properly trained? 1910.146(g)(1)-(2)

  Yes

  No

  N/A

• Attendant only performs monitoring duties? 1910.146(i)(4)

  Yes

  No

  N/A

• Rescue team trained and readily available?1910.146(k)(1)(ii)

  Yes

  No

  N/A

• Retrieval system available/utilized? 1910.146(k)(3)

  Yes

  No

  N/A

• Entrants attached to retrieval line? 1910.146(k)(3)(i)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.146

  Yes

  No

  N/A

Cranes/Rigging

• Frequent crane inspections occur? 1910.179(j)(1)(ii)(a)

  Yes

  No

  N/A

• Rated load of each hoist legibly marked? 1910.179(b)(5)

  Yes

  No

  N/A

• Pendants marked for identification of functions? 1910.179(g)(1)(v)

  Yes

  No

  N/A

• Lifting hooks have functional safety latch? 1910.179(j)(2)(iii)

  Yes

  No

  N/A

• Crane/rigging sufficiently rated for load? 1910.179(n)(1)

  Yes

  No

  N/A

• Hoists equipped with overtravel limit-switch? 1910.179(g)(5)(iv)

  Yes

  No

  N/A

• Rigging inspected/removed if defective? 1910.184(d)

  Yes

  No

  N/A

• Slings in good condition/no damage, kinks, knots? 1910.184(c)(1),(2),&(3)

  Yes

  No

  N/A

• Slings used within rated load capacity? 1910.184(c)(13)

  Yes

  No

  N/A

• ID tag affixed to slings and legible? 1910.184(c)(14)

  Yes

  No

  N/A

• Hooks/attachments on chain slings suitably rated? 1910.184(e)(2)(i)

  Yes

  No

  N/A

• Slings protected from sharp edges of loads? 1910.184(c)(7)

  Yes

  No

  N/A

• Employees kept clear of lifted/suspended loads? 1910.184(c)(9)

  Yes

  No

  N/A

• Good compliance/no safety violations?1910.179

  Yes

  No

  N/A

Electrical Safety

• Electrical equipment in safe operating condition? 1910.303(b)(1)

  Yes

  No

  N/A

• Top of electrical equipment not used for storage? 1910.303(b)(1)

  Yes

  No

  N/A

• Electrical equipment installed/used per mfg specs? 1910.303(b)(2)

  Yes

  No

  N/A

• Daisy chaining extension cords/power strips prohibited? 1910.303(b)(2)

  Yes

  No

  N/A

• Conduit is not used for support? 1910.303(b)(2)

  Yes

  No

  N/A

• Unused openings in electrical equipment closed? 1910.303(b)(7)(i)

  Yes

  No

  N/A

• Electrical equipment free of significant damage (i.e. dents, corrosion, etc.)? 1910.303(b)(7)(iv)

  Yes

  No

  N/A

• Electrical equipment firmly secured to surface? 1910.303(b)(8)(i)

  Yes

  No

  N/A

• Splices/free ends of conductors properly insulated? 1910.303(c)(3)(i)

  Yes

  No

  N/A

• Warning signs posted on electrical equipment? 1910.303(e)(1)(ii)

  Yes

  No

  N/A

• Disconnect switches marked to indicate purpose? 1910.303(f)(1)

  Yes

  No

  N/A

• Breaker switches marked to indicate purpose? 1910.303(f)(2)

  Yes

  No

  N/A

• Proper clearance around panels/electrical equipment? 1910.303(g)(1)

  Yes

  No

  N/A

• No exposed live parts on electrical equipment? 1910.303(g)(2)(i)

  Yes

  No

  N/A

• Electrical equipment adequately protected from damage? 1910.303(g)(2)(ii)

  Yes

  No

  N/A

• GFCI receptacles used near water source? 1910.304(b)(3)(i)

  Yes

  No

  N/A

• Use of multi-plug outlet devices discouraged/prohibited? 1910.304(b)(4)(ii)

  Yes

  No

  N/A

• Cord-and-plug equipment grounded or double-insulated? 1910.304(g)(6)(vii)(B) and (vi)(C)(6)

  Yes

  No

  N/A

• Lights protected from accidental damage? 1910.305(a)(2)(ix)

  Yes

  No

  N/A

• Cords entering boxes protected from abrasion? 1910.305(b)(1)(i)

  Yes

  No

  N/A

• Boxes (over 600V) completely enclosed? 1910.305(b)(3)(i)

  Yes

  No

  N/A

• Boxes (over 600V) enclosed w/suitable cover securely fastened? 1910.305(b)(3)(ii)

  Yes

  No

  N/A

• Covers on boxes (over 600V) legibly marked “High Voltage”? 1910.305(b)(3)(iii)

  Yes

  No

  N/A

• Panel boards/dead fronts installed on electrical enclosures? 1910.305(d)(2)

  Yes

  No

  N/A

• Extension cords not used in place of fixed wiring? 1910.305(g)(1)(iv)(A)

  Yes

  No

  N/A

• Extension cords not run through doors/openings? 1910.305(g)(1)(iv)(B) and (C)

  Yes

  No

  N/A

• Extension cords not fastened to building surfaces? 1910.305(g)(1)(iv)(D)

  Yes

  No

  N/A

• Extension cords not concealed? 1910.305(g)(1)(iv)(E)

  Yes

  No

  N/A

• Cords/terminal ends protected with strain relief? 1910.305(g)(2)(iii)

  Yes

  No

  N/A

• No exposed parts on light fixtures? 1910.305(j)(1)(i)

  Yes

  No

  N/A

• Electrical outlets have approved/tight-fitting covers? 1910.305(j)(1)(i)

  Yes

  No

  N/A

• Indoor receptacles shielded from moisture? 1910.305(j)(2)(iv)

  Yes

  No

  N/A

• Outdoor receptacles have water-proof enclosure? 1910.305(j)(2)(v)

  Yes

  No

  N/A

• Interlocks/e-stops not used to deenergize equipment? 1910.333(b)(2)(ii)(B)

  Yes

  No

  N/A

• Illumination adequate for work on energized circuits? 1910.333(c)(4)(i)

  Yes

  No

  N/A

• Flexible cords free of damage/fraying? 1910.334(a)(2)(i)

  Yes

  No

  N/A

• Damaged electrical equipment removed from service? 1910.334(a)(2)(ii)

  Yes

  No

  N/A

• Flexible cords have ground pin? 1910.334(a)(3)(i)

  Yes

  No

  N/A

• Two-prong (non-grounded) extension cords prohibited? 1910.334(a)(3)(i)

  Yes

  No

  N/A

• Cheater plugs not used for cord/plug connections? 1910.334(a)(3)(iii)

  Yes

  No

  N/A

• Arc flash warning labels on electrical panels? 1910.335(b)(1)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.303-.335

  Yes

  No

  N/A

Emergency Action Plan

• Emergency Action Plan in writing, updated and available for review? 1910.38(b)

  Yes

  No

  N/A

• Does EAP include procedures for reporting fire or other emergencies? 1910.38(c)(1)

  Yes

  No

  N/A

• Does EAP include procedures for evacuation and route assignments? 1910.38(c)(2)

  Yes

  No

  N/A

• Does EAP include procedures for shutting down critical plant operations? 1910.38(c)(3)

  Yes

  No

  N/A

• Does EAP include procedures to account for employees after evacuation? 1910.38(c)(4)

  Yes

  No

  N/A

• Does EAP include procedures for performing rescue/medical duties? 1910.38(c)(5)

  Yes

  No

  N/A

• Does EAP include names of employees w/designated duties under plan? 1910.38(c)(6)

  Yes

  No

  N/A

• Alarm system in place, functional and distinctive for emergency type? 1910.38(d)

  Yes

  No

  N/A

• Designated employees trained in the Emergency Action Plan? 1910.38(e)

  Yes

  No

  N/A

• Fire prevention plan in writing, updated, available for review? 1910.39(b)

  Yes

  No

  N/A

• Does FPP include list of major fire hazards? 1910.39(c)(1)

  Yes

  No

  N/A

• Does FPP include handling/storage procedures for hazardous materials? 1910.39(c)(1)

  Yes

  No

  N/A

• Does FPP include potential ignition sources and their control? 1910.39(c)(1)

  Yes

  No

  N/A

• Does FPP include type of equipment needed to control hazards? 1910.39(c)(1)

  Yes

  No

  N/A

• Does FPP include procedures to control accumulations of flammables? 1910.39(c)(2)

  Yes

  No

  N/A

• Does FPP include procedures for maintenance of safeguards on heat-producing equipment? 1910.39(c)(3)

  Yes

  No

  N/A

• Does FPP include employees responsible for maintaining equipment to prevent/control fires? 1910.39(c)(4)

  Yes

  No

  N/A

• Does FPP include employees responsible for control of fuel source hazards. 1910.39(c)(5)

  Yes

  No

  N/A

• Fire prevention plan reviewed with employees? 1910.39(d)

  Yes

  No

  N/A

• Good compliance/no safety violations?1910.38-.39

  Yes

  No

  N/A

Exits/Egress

• Exit pathway at least 28 inches wide? 1910.36(g)(2)

  Yes

  No

  N/A

• Exit discharge leads directly outside? 1910.36(c)(1)

  Yes

  No

  N/A

• Exit doors kept unlocked when building is occupied? 1910.36(d)(1)

  Yes

  No

  N/A

• Exit doors open out in direction of travel? 1910.36(e)(2)

  Yes

  No

  N/A

• At least two exit doors in high occupancy rooms? 1910.36(f)(1)

  Yes

  No

  N/A

• Direction to exit marked when not apparent? 1910.37(b)(4)

  Yes

  No

  N/A

• Non-exit doors marked NOT AN EXIT as required? 1910.37(b)(5)

  Yes

  No

  N/A

• Exit signs illuminated? 1910.37(b)(6)

  Yes

  No

  N/A

• Exits clearly visible and marked by EXIT signs? 1910.37(b)(2)

  Yes

  No

  N/A

• Exits/pathway to exits are unobstructed? 1910.37(a)(3)

  Yes

  No

  N/A

• Exit routes avoid high hazard areas? 1910.37(a)(2)

  Yes

  No

  N/A

• Flammables not stored next to exits? 1910.106(d)(5)(i)

  Yes

  No

  N/A

• Emergency lights provided and functional? 1910.37(b)(1)

  Yes

  No

  N/A

• Employee alarm system functional/audible? 1910.38(d)

  Yes

  No

  N/A

• Good compliance/no safety violations? (Subpart E)

  Yes

  No

  N/A

Fall Protection

• Fall protection provided/used at unprotected surfaces 4+ ft? 1910.28(b)(1)

  Yes

  No

  N/A

• Fall protection provided/used at unprotected hoist areas? 1910.28(b)(2)(i)

  Yes

  No

  N/A

• Fall protection provided/used near holes/skylights? 1910.28(b)(3)(i)

  Yes

  No

  N/A

• Fall protection provided/used near open stairwells? 1910.28(b)(3)(iii)

  Yes

  No

  N/A

• Fall protection provided/used near ladderway openings? 1910.28(b)(3)(iv)

  Yes

  No

  N/A

• Fall protection provided/used near hatchways or chutes? 1910.28(b)(3)(v)

  Yes

  No

  N/A

• Fall protection provided/used on runways/catwalks? 1910.28(b)(5)

  Yes

  No

  N/A

• Fall protection provided/used (any height) above dangerous equip.? 1910.28(b)(6)

  Yes

  No

  N/A

• Workers 6 ft. from edge of low-sloped roof protected from falls? 1910.28(b)(13)(i)

  Yes

  No

  N/A

• Workers btwn. 6-15 ft. of low-sloped roof protected from falls? 1910.28(b)(13)(ii)

  Yes

  No

  N/A

• Workers 15 ft. from edge of low-sloped roof protected from falls? 1910.28(b)(13)(iii)

  Yes

  No

  N/A

• Access to unprotected/unattended loading racks restricted? 1910.28(b)(1)(iii)

  Yes

  No

  N/A

• Falling object protection (i.e. hard hats, toeboards, barricades) used? 1910.28(c)

  Yes

  No

  N/A

• Top rail on guardrails at proper height (42 in. +/- 3)? 1910.29(b)(1)

  Yes

  No

  N/A

• Midrail installed and is halfway btwn floor and top rail? 1910.29(b)(2)(i)

  Yes

  No

  N/A

• Vertical members/balusters no more than 19 in. apart? 1910.29(b)(2)(iii)

  Yes

  No

  N/A

• Guardrail can withstanding 200 lb. downward/outward force? 1910.29(b)(3)

  Yes

  No

  N/A

• Guardrails have smooth surface? 1910.29(b)6)

  Yes

  No

  N/A

• Perimeter of designated areas properly delineated? 1910.29(d)(ii)

  Yes

  No

  N/A

• Warning lines for designated areas property installed? 1910.29(d)(2)

  Yes

  No

  N/A

• Floor hole covers are sturdy and secured? 1910.29(e)

  Yes

  No

  N/A

• Toeboards installed and meet design requirements? 1910.29(k)

  Yes

  No

  N/A

• Access near unprotected repair/service pits limited? 1910.28(b)(8)

  Yes

  No

  N/A

• Falling object protection installed around service pits? 1910.29(k)(1)(v)

  Yes

  No

  N/A

• Initial fall protection training provided as required? 1910.30(a)

  Yes

  No

  N/A

• Retraining provided as required (i.e. changes, near-misses, etc.)? 1910.30(c)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.28-.30

  Yes

  No

  N/A

Fall Protection Systems

• Each employee attached to separate lifeline if vertical lifelines used? 1910.140(c)(3)

  Yes

  No

  N/A

• Components on automatic self-retracting lifelines/lanyards sustain min. 3,000lbs. fully extended? 1910.140(c)(5)

  Yes

  No

  N/A

• D-rings, snaphooks, carabiners sustain min. 5,000lbs.? 1910.140(c)(7)

  Yes

  No

  N/A

• Snaphooks & carabiners automatic locking-type, require separate, consecutive movements to open? 1910.140(c)(9)

  Yes

  No

  N/A

• Snaphook & carabiner connections approved (not directly to webbing/rope etc.)? 1910.140(c)(10)(i-v)

  Yes

  No

  N/A

• Each horizontal lifeline designed, installed, used under qualified person supervision? 1910.140(c)(11)

  Yes

  No

  N/A

• Each horizontal lifeline part of complete personal fall arrest system w/ min. 2x safety factor? 1910.140(c)(11)

  Yes

  No

  N/A

• Fall protection equip. anchorage separate from those suspending employees or platforms? 1910.140(c)(12)

  Yes

  No

  N/A

• Fall protection equip. anchorage attachments on mobile work platforms/PITs centered & overhead? 1910.140(c)(12)

  Yes

  No

  N/A

• Anchorages support min. 5,000lbs. for each employee or have min. 2x safety factor? 1910.140(c)(13)

  Yes

  No

  N/A

• Systems & components used only for employee fall protection, no other purpose? 1910.140(c)(16)

  Yes

  No

  N/A

• Systems/components subjected to impact loading removed from service immediately? 1910.140(c)(17)

  Yes

  No

  N/A

• System/components subjected to impact loading reused only after 'safe' determination? 1910.140(c)(17)

  Yes

  No

  N/A

• Systems inspected before use & during each workshift? 1910.140(c)(18)

  Yes

  No

  N/A

• Systems w/ mildew, wear, damage, deterioration, defective components removed from service? 1910.140(c)(18)

  Yes

  No

  N/A

• Prompt rescue of each employee in event of fall provided for? 1910.140(c)(21)

  Yes

  No

  N/A

• System worn properly (w/ harness attachment point in center of employee's back etc.)? 1910.140(c)(22)

  Yes

  No

  N/A

• Systems limit max. arresting force to 1,800lbs., decel. distance to 3.5 ft. & completely stop employee? 1910.140(d)(1)(i,ii)

  Yes

  No

  N/A

• Systems withstand min. 2x potential impact energy of potential free fall? 1910.140(d)(1)(iii)

  Yes

  No

  N/A

• Criteria & protocols modified to comply if combined body/tool weight is 310lbs.+? 1910.140(d)(1)(v)

  Yes

  No

  N/A

• Connecting device(s) on horizontal lifeline that may become vertical lifeline lock in both directions? 1910.140(d)(2)(i)

  Yes

  No

  N/A

• Systems rigged to limit employee free fall to max. 6ft./prevent contact with lower level? 1910.140(d)(2)(ii)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.140

  Yes

  No

  N/A

Fire Safety

• Containers located to minimize exposure to hazards? 1910.110(f)(2)(i)

  Yes

  No

  N/A

• Fire extinguishers mounted? 1910.157(c)(1)

  Yes

  No

  N/A

• Fire extinguishers unobstructed? 1910.157(c)(1)

  Yes

  No

  N/A

• Fire extinguishers identified by signage? 1910.157(c)(1)

  Yes

  No

  N/A

• Signs removed when extinguishers are relocated? 1910.157(c)(1)

  Yes

  No

  N/A

• Fire extinguishers fully charged/operable? 1910.157(c)(4)

  Yes

  No

  N/A

• Fire extinguishers kept in their designated location? 1910.157(c)(4)

  Yes

  No

  N/A

• Travel distance to extinguisher within 75 feet? 1910.157(d)(2)

  Yes

  No

  N/A

• Fire extinguishers inspected monthly? 1910.157(e)(2)

  Yes

  No

  N/A

• Fire extinguishers maintained annually? 1910.157(e)(3)

  Yes

  No

  N/A

• Min. 18 inch clearance below sprinkler heads? 1910.159(c)(10)

  Yes

  No

  N/A

• Sprinkler heads protected by guards when needed? 1910.159(c)(8)(iii)

  Yes

  No

  N/A

• Sprinkler systems inspected annually? 1910.160(b)(6)

  Yes

  No

  N/A

• Fire doors in good operating condition? (NFPA 80)

  Yes

  No

  N/A

• Fire doors unobstructed? (NFPA 80)

  Yes

  No

  N/A

• Fire alarm system tested annually? (NFPA 25)

  Yes

  No

  N/A

• Smoke alarms functional when test button is depressed? (NFPA 72)

  Yes

  No

  N/A

• Outside hydrants tested annually? (NFPA 25/291)

  Yes

  No

  N/A

• Proper clearance around heating equipment, furnaces? (NFPA 86)

  Yes

  No

  N/A

• Proper clearance around water heaters? (NFPA 54 & 70)

  Yes

  No

  N/A

• Dust collectors and ductwork properly grounded? (NFPA 664)

  Yes

  No

  N/A

• Space on floor below extinguishers marked/striped? (Best Practice)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.157-.159

  Yes

  No

  N/A

Flammable Liquids

• Approved containers used for flammable storage? 1910.106(d)(2)(i)

  Yes

  No

  N/A

• Flammables kept in closed containers when not in use? 1910.106(e)(2)(iv)(a)

  Yes

  No

  N/A

• Containers bonded when transferring flammables? 1910.106(e)(6)(ii)

  Yes

  No

  N/A

• No Smoking signs posted in flammable storage areas? 1910.106(d)(7)(iii)

  Yes

  No

  N/A

• Ignition sources controlled/eliminated? 1910.106(b)(6)

  Yes

  No

  N/A

• Fire extinguisher located near flammable storage areas? 1910.106(d)(7)(i)

  Yes

  No

  N/A

• Combustible waste stored in covered metal containers? 1910.106(e)(9)(iii)

  Yes

  No

  N/A

• Spill response supplies readily available? 1910.106(e)(2)(iv)(b)

  Yes

  No

  N/A

• Spill containment in bulk storage areas? 1910.106(e)(2)(iii)

  Yes

  No

  N/A

• Ventilation provided when transferring flammables? 1910.106(e)(2)(iii)

  Yes

  No

  N/A

• Flammable storage cabinet(s) are of approved design? 1910.106(d)(3)

  Yes

  No

  N/A

• Flammable storage cabinets labeled properly?1910.106(d)(3)(ii)

  Yes

  No

  N/A

• Self-closing valve used when dispensing flammables? 1910.106(e)(2)(iv)(d)

  Yes

  No

  N/A

• Fill pipe used when top filling containers? 1910.106(b)(2)(viii)(e)

  Yes

  No

  N/A

• Air exchanged 6 times/hour in chemical storage room? 1910.106(d)(4)(iv)

  Yes

  No

  N/A

• Minimum 3 feet wide aisle in chemical storage room? 1910.106(d)(4)(v)

  Yes

  No

  N/A

• Outside flammable storage areas secured? 1910.106(d)(6)(iv)

  Yes

  No

  N/A

• Good housekeeping in outside storage areas? 1910.106(d)(6)(iv)

  Yes

  No

  N/A

• Spill containment for outdoor storage areas? 1910.106(d)(6)(iii)

  Yes

  No

  N/A

• Flammable tanks protected against collision damage? 1910.106(g)(3)(iv)(d)

  Yes

  No

  N/A

• Flammable storage tanks properly marked/labeled? (NFPA 704)

  Yes

  No

  N/A

• Class 1 Flammables (if > 25 gal) kept in cabinet/storage room? 1910.106(e)(2)(ii)(b)(1)

  Yes

  No

  N/A

• Class 2, 3, 4 Flammables (if > 120 gal) kept in cabinet/storage room? 1910.106(e)(2)(ii)(b)(2)

  Yes

  No

  N/A

• Flammables not stored next to exits? 1910.106(d)(5)(i)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.106

  Yes

  No

  N/A

Forklifts

• Forklifts inspected daily and documented? 1910.178(q)(7)

  Yes

  No

  N/A

• Forklifts maintained in good working condition? 1910.178(q)(1)

  Yes

  No

  N/A

• Trucks removed from service if repairs needed? 1910.178(p)(1)

  Yes

  No

  N/A

• Only trained personnel allowed on forklifts? 1910.178(l)(1)(i)

  Yes

  No

  N/A

• Operators properly certified by employer? 1910.178(l)(6)

  Yes

  No

  N/A

• No modifications affecting lift capacity? 1910.178(a)(4)

  Yes

  No

  N/A

• Arms/legs kept inside running lines of truck? 1910.178(m)(4)

  Yes

  No

  N/A

• Forks lowered when truck is unattended? 1910.178(m)(5)(i)

  Yes

  No

  N/A

• Forks/load tilted back and carried close to ground? 1910.178(n)(7)(iii)

  Yes

  No

  N/A

• Operators sounds horn when view is obstructed? 1910.178(n)(4)

  Yes

  No

  N/A

• Drives in reverse if load obstructs forward view? 1910.178(n)(4)

  Yes

  No

  N/A

• Loads are lifted when transported (i.e. no bulldozing)? 1910.178(l)(3)(i)(M)

  Yes

  No

  N/A

• Forklifts approved for hazardous environments? 1910.178(m)(11)

  Yes

  No

  N/A

• Battery chargers protected from damage by trucks? 1910.178(g)(2)

  Yes

  No

  N/A

• Spill kit available to clean/neutralize battery acid spills? 1910.178(g)(2)

  Yes

  No

  N/A

• Adequate ventilation in battery charging areas? 1910.178(g)(2)

  Yes

  No

  N/A

• Fire protection provided in charging area? 1910.178(g)(2)

  Yes

  No

  N/A

• No-Smoking signs posted in battery charging areas? 1910.178(g)(10)

  Yes

  No

  N/A

• Precautions taken to prevent ignition sources? 1910.178(g)(11)

  Yes

  No

  N/A

• Tools/metal objects kept away from uncovered batteries? 1910.178(g)(12)

  Yes

  No

  N/A

• Wheels chocked when loading/unloading? 1910.178(k)(1)

  Yes

  No

  N/A

• Nameplate/markings in place and legible? 1910.178(a)(6)

  Yes

  No

  N/A

• Safe clearances at aisles, doors, docks provided? 1910.176(a)

  Yes

  No

  N/A

• Seatbelts worn on sit down rider trucks? 1910.132(a)

  Yes

  No

  N/A

• Engine turned off/brakes set when unattended? 1910.178(m)(5)(i)

  Yes

  No

  N/A

• Avoid driving towards worker in front of fixed object? 1910.178(m)(1)

  Yes

  No

  N/A

• Forklift operators evaluated every 3 years? 1910.178(l)(4)(iii)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.178

  Yes

  No

  N/A

Grinders (Bench/Pedestal)

• Work rest adjusted to within 1/8" of wheel? 1910.215(a)(4)

  Yes

  No

  N/A

• Tongue guard adjusted to within 1/4" of wheel? 1910.215(b)(9)

  Yes

  No

  N/A

• Side guards cover 75 percent of wheel diameter? 1910.215(a)(2)

  Yes

  No

  N/A

• Bench/pedestal grinders permanently mounted? 1910.212(b)

  Yes

  No

  N/A

• Safety glasses/faceshield used when grinding? 1910.132(a)(1)

  Yes

  No

  N/A

• Wheel RPM rating compatible with motor rating? 1910.215(d)(1)

  Yes

  No

  N/A

• Abrasive wheels are ring tested before mounting?1910.215(d)(1)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.215

  Yes

  No

  N/A

Grinding, Polishing, Buffing Operations

• Exhaust provided when dust from grinding, polishing & buffing exceeds PEL? 1910.94(b)(2)

  Yes

  No

  N/A

• Exhaust system designed per code (ANSI Z9.2-1960)? 1910.94(b)(4)(i)

  Yes

  No

  N/A

• Exhaust hood placed to draw air away from breathing zone? 1910.94(b)(3)(i)

  Yes

  No

  N/A

• Exhaust hood located as close as possible to operation? 1910.94(b)(5)(i)(b)

  Yes

  No

  N/A

• Exhaust system has suitable dust collectors? 1910.94(b)(4)(iii)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.94

  Yes

  No

  N/A

Hazard Communication

• Written HazCom Program available for review? 1910.1200(e)(1)

  Yes

  No

  N/A

• Chemical inventory list maintained? 1910.1200(e)(1)(i)

  Yes

  No

  N/A

• SDS kept at worksite for each hazardous chemical?1910.1200(g)(1)

  Yes

  No

  N/A

• SDS's readily accessible to employees as needed? 1910.1200(g)(8)

  Yes

  No

  N/A

• Chemicals (in supplier container) properly labeled/legible? 1910.1200(f)(6)(i)

  Yes

  No

  N/A

• Chemicals (in secondary container) properly labeled/legible? 1910.1200(f)(6)(ii)

  Yes

  No

  N/A

• Employees effectively trained & demonstrate competency? 1910.1200(h)(1)

  Yes

  No

  N/A

• Noncompatible chemicals segregated in storage? 1910.1200(g)(2)(vii)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.1200

  Yes

  No

  N/A

Health Hazards

• Noise exposures monitored/controlled? 1910.95

  Yes

  No

  N/A

• CO exposures monitored/controlled? (1910.1000 Table Z-1)

  Yes

  No

  N/A

• Lead exposures monitored/controlled? 1910.1025

  Yes

  No

  N/A

• Welding fume exposures monitored/controlled? 1910.252

  Yes

  No

  N/A

• BBP Engineering/Work Practice Controls in place? 1910.1030

  Yes

  No

  N/A

• Extreme heat exposures monitored/controlled? (5a1)

  Yes

  No

  N/A

• Extreme cold exposure monitored/controlled? (5a1)

  Yes

  No

  N/A

• Steps taken to protect workers from cold stress? OSHA Pub. 3156

  Yes

  No

  N/A

• Steps taken to protect against insects/animals? (Best Practice)

  Yes

  No

  N/A

• Good compliance/no safety violations?

  Yes

  No

  N/A

Housekeeping

• Work areas kept clean/orderly? 1910.141(a)(3)(i)

  Yes

  No

  N/A

• Working surfaces in good repair/level? 1910.141(a)(3)(iii)

  Yes

  No

  N/A

• Work surfaces kept reasonably dry? 1910.141(a)(3)(ii)

  Yes

  No

  N/A

• Waste/garbage removed regularly? 1910.141(a)(4)(ii)

  Yes

  No

  N/A

• Entrance or harborage of vermin to workplace controlled and maintained? 1910.141(a)(5)

  Yes

  No

  N/A

• Food/beverages restricted in hazardous areas? 1910.141(g)(2)

  Yes

  No

  N/A

• Restrooms clean and sanitary? 1910.141(d)(1)

  Yes

  No

  N/A

• Break areas clean and sanitary? 1910.141(d)(1)

  Yes

  No

  N/A

• Potable water provided for drinking, washing, cooking? 1910.141(b)(1)(i)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.141

  Yes

  No

  N/A

Ladders (Fixed)

• Rungs/steps/cleats are parallel, level, uniformly spaced? 1910.23(b)(1)

  Yes

  No

  N/A

• Rungs/steps/cleats are spaced btwn. 10 to 14 inches? 1910.23(b)(2)

  Yes

  No

  N/A

• Rungs/steps/cleats have min. clear width of 16 inches? 1910.23(b)(4)

  Yes

  No

  N/A

• Minimum 7 in. clearance on backside of fixed ladder? 1910.23(d)(2)

  Yes

  No

  N/A

• Side rails/grab bars extend 42 in. above landing? 1910.23(d)(4)

  Yes

  No

  N/A

• If ladder ends at hatch, hatch opens w/sufficient clearance? 1910.23(d)(9)

  Yes

  No

  N/A

• Step across dist. on thru ladders is 7-12 inches? 1910.23(d)(12)(i)

  Yes

  No

  N/A

• Step across dist. on side-step ladders is 15-20 inches? 1910.23(d)(12)(ii)

  Yes

  No

  N/A

• Fall protection (i.e. cages, safety systems) used on fixed ladders (24+ ft.)? 1910.28(b)(9)

  Yes

  No

  N/A

• Guardrail system openings near access points have self-closing gate/offset to prevent falls? 1910.29(b)(13)

  Yes

  No

  N/A

• Cages, when used, meet design requirements and maintained? 1910.29(g)

  Yes

  No

  N/A

• Ladder Safety Systems, when used, allow both hands free? 1910.29(j)(1)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.23

  Yes

  No

  N/A

Ladders (Portable)

• Rungs/steps/cleats are parallel, level, uniformly spaced? 1910.23(b)(1)

  Yes

  No

  N/A

• Ladders inspected when used/maintained in good condition? 1910.23(b)(9)

  Yes

  No

  N/A

• Ladders are tagged DO NOT USE when defective? 1910.23(b)(10)

  Yes

  No

  N/A

• Spreader/locking device engaged on stepladder when in use? 1910.23(c)(2)

  Yes

  No

  N/A

• Ladders are only used on stable/level surfaces, unless secured? 1910.23(c)(4)

  Yes

  No

  N/A

• Cap and/or top step of stepladder not used as step? 1910.23(c)(8)

  Yes

  No

  N/A

• Siderails extend 3 ft. past landing? 1910.23(c)(11)

  Yes

  No

  N/A

• Rungs/steps/cleats are spaced btwn. 10 to 14 inches? 1910.23(b)(2)

  Yes

  No

  N/A

• Rungs/steps/cleats have min. clear width of 11.5 inches? 1910.23(b)(4)

  Yes

  No

  N/A

• Employee faces ladder when climbing up or down? 1910.23(b)(11)

  Yes

  No

  N/A

• At least one hand grasps ladder when climbing up or down? 1910.23(b)(12)

  Yes

  No

  N/A

• Ladders guarded/barricaded as conditions warrant? 1910.23(c)(7)

  Yes

  No

  N/A

• Specification label in place/legible? (ANSI A14)

  Yes

  No

  N/A

• Ladders safely secured when stored upright? 1910.176(b)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.23

  Yes

  No

  N/A

Lockout/Tagout

• LOTO Program developed? 1910.147(c)(1)

  Yes

  No

  N/A

• Machines/equipment locked out as required? 1910.147(a)(1)(i)

  Yes

  No

  N/A

• Machine-specific procedures developed? 1910.147(c)(4)(i)

  Yes

  No

  N/A

• Proper lockout devices provided/available? 1910.147(c)(5)(i)

  Yes

  No

  N/A

• Lockout devices only used for LOTO purposes? 1910.147(c)(5)(ii)

  Yes

  No

  N/A

• Only approved/standardized LOTO devices used? 1910.147(c)(5)(ii)(B)

  Yes

  No

  N/A

• Employee identified on lockout device? 1910.147(c)(5)(ii)(D)

  Yes

  No

  N/A

• LOTO procedures audited annually? 1910.147(c)(6)(i)

  Yes

  No

  N/A

• Authorized employees received LOTO training? 1910.147(c)(7)(i)(A)

  Yes

  No

  N/A

• Affected employees received LOTO training? 1910.147(c)(7)(i)(B)

  Yes

  No

  N/A

• All Other Employees received awareness level training? 1910.147(c)(7)(i)(C)

  Yes

  No

  N/A

• LOTO procedures include preparation for shutdown? 1910.147(d)(1)

  Yes

  No

  N/A

• LOTO procedures include orderly shut-down procedures? 1910.147(d)(2)

  Yes

  No

  N/A

• Energy isolating devices available/applied? 1910.147(d)(3)

  Yes

  No

  N/A

• Each employee working on machine has affixed a lock? 1910.147(f)(3)(ii)(D)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.147

  Yes

  No

  N/A

Machine Guards (General)

• Appropriate guarding provided/used as required? 1910.212(a)(1)

  Yes

  No

  N/A

• Guards secure/affixed to prevent displacement? 1910.212(a)(2)

  Yes

  No

  N/A

• Machinery/equipment anchored to prevent movement? 1910.212(b)

  Yes

  No

  N/A

• Power transmission apparatus properly guarded? 1910.219(a)(1)

  Yes

  No

  N/A

• Point-of-operation hazards properly guarded? 1910.212(a)(3)(ii)

  Yes

  No

  N/A

• Rotating parts hazards properly guarded? 1910.212(a)(3)(ii)

  Yes

  No

  N/A

• E-stop device installed on equipment? ANSI B11.19

  Yes

  No

  N/A

• E-stop located within reach of machine operator? (ANSI B11.19)

  Yes

  No

  N/A

• Projecting shaft ends properly guarded? 1910.219(c)(4)(i)

  Yes

  No

  N/A

• Projecting keys removed/setscrews flush on revolving parts? 1910.219(h)(1)

  Yes

  No

  N/A

• Hand tools not used in place of guards? 1910.212(a)(3)(iii)

  Yes

  No

  N/A

• Fan blades properly guarded? 1910.212(a)(5)

  Yes

  No

  N/A

• Fan guard openings no more than 1/2 inch? 1910.212(a)(5)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.212

  Yes

  No

  N/A

Machine Guards (Wood Working)

• Machinery/equipment clean and properly maintained? 1910.213(s)(6)

  Yes

  No

  N/A

• Emergency shut-off located within reach of operator? 1910.213(b)(1)

  Yes

  No

  N/A

• Controls/switches clearly identified and accessible? 1910.213(b)(4)

  Yes

  No

  N/A

• Hand-held circular saw blades guarded? 1910.213(a)(12)

  Yes

  No

  N/A

• Drop out switch prevents startup after power failure? 1910.213(b)(3)

  Yes

  No

  N/A

• Power saws properly guarded? 1910.213(c) thru (i)

  Yes

  No

  N/A

• Table saws equipped with spreader? 1910.213(c) thru (i)

  Yes

  No

  N/A

• Table saws equipped with nonkickback fingers? 1910.213(c) thru (i)

  Yes

  No

  N/A

• Belt sanders properly guarded? 1910.213(p)(4)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.213

  Yes

  No

  N/A

Mechanized Equipment

• Equipment in good condition/no obvious defects? 1926.601(b)(14)*

  Yes

  No

  N/A

• Seatbelts on earth-moving equip. w/ROPs? (excluding Excavators) 1926.602(a)(2)(i)*

  Yes

  No

  N/A

• Seat belts worn on equipment with ROPs? 1926.28(a)*

  Yes

  No

  N/A

• Parking brake set when equipment is parked? 1926.600(a)(3)(ii)*

  Yes

  No

  N/A

• Wheels chocked when needed (i.e. parked on incline)? 1926.600(a)(3)(ii)*

  Yes

  No

  N/A

• Bidirectional machines equipped with functional horn? 1926.602(a)(9)(i)*

  Yes

  No

  N/A

• Reverse alarm and/or spotter when backing? 1926.601-602(a)(9)(ii)*

  Yes

  No

  N/A

• No passengers allowed on single-operator equipment? 1926.601(b)(8)*

  Yes

  No

  N/A

• Windshields in good condition/no cracks? 1926.601(b)(5)*

  Yes

  No

  N/A

• Personnel platform secured to carriage/forks? 1926.602(c)(1)(viii)(A)*

  Yes

  No

  N/A

• Personnel on raised platform have access to operating controls? 1926.602(c)(1)(viii)(B)*

  Yes

  No

  N/A

• Beacon light activated on equipment when conditions warrant? (Best Practice)*

  Yes

  No

  N/A

• Slow Moving Vehicle placard when operating in traffic? (MUTCD)*

  Yes

  No

  N/A

• Blades/buckets/dump bodies lowered or blocked when not in use? 1926.600(a)(3)(i)*

  Yes

  No

  N/A

• Operator(s) competent/familiar with equipment controls? 1926.20(b)(4)*

  Yes

  No

  N/A

• Equipment/attachments safe distance from energized power lines? 1926.600(a)(6)*

  Yes

  No

  N/A

• Good compliance/no safety violations? (Subpart O)*

  Yes

  No

  N/A

Medical Services/ First Aid

• First aid kits readily accessible to employees?1910.151(b)

  Yes

  No

  N/A

• First aid kits periodically inspected/replenished? 1910.151(b)

  Yes

  No

  N/A

• Burn kit readily accessible when required? 1910.151(b)

  Yes

  No

  N/A

• Eyewash station available/accessible when required? 1910.151(c)

  Yes

  No

  N/A

• Deluge shower available/accessible when required? 1910.151(c)

  Yes

  No

  N/A

• Sign posted above eyewash/emergency shower? (ANSI Z358.1)

  Yes

  No

  N/A

• Eyewash station/shower properly maintained? (ANSI Z358.1)

  Yes

  No

  N/A

• Trained first responder available in rural areas? 1910.151(b)

  Yes

  No

  N/A

• AED status indicator green or "positive"?

  Yes

  No

  N/A

• AED pads current?

  Yes

  No

  N/A

• AED training provided and current?

  Yes

  No

  N/A

• AED visible and unobstructed?

  Yes

  No

  N/A

• AED in good condition/properly maintained?

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.151

  Yes

  No

  N/A

PPE

• PPE maintained in sanitary condition? 1910.132(a)

  Yes

  No

  N/A

• PPE Hazard Assessment completed/certified? 1910.132(d)(1)

  Yes

  No

  N/A

• Damaged/defective PPE not used? 1910.132(e)

  Yes

  No

  N/A

• Safety glasses/side shields worn as required? 1910.133(a)(2)

  Yes

  No

  N/A

• Face shield worn when danger of flying particles? 1910.133(a)(1)

  Yes

  No

  N/A

• Goggles worn as needed for splashing chemicals? 1910.133(a)(1)

  Yes

  No

  N/A

• Filter/shaded lenses used as required? 1910.133(a)(5)

  Yes

  No

  N/A

• Eye/face protection ANSI approved? 1910.133(b)

  Yes

  No

  N/A

• Hard hats worn where danger of falling objects? 1910.135(a)(1)

  Yes

  No

  N/A

• Hard hats rated for electrical hazards as required? 1910.135(a)(2)

  Yes

  No

  N/A

• Appropriate footwear worn as required? 1910.136(a)

  Yes

  No

  N/A

• Hearing protection used as required? 1910.95(a)

  Yes

  No

  N/A

• Hearing protection worn properly? 1910.95(i)(5)

  Yes

  No

  N/A

• Appropriate hand protection used as required? 1910.138(a)

  Yes

  No

  N/A

• FR clothing/gear worn when danger of arc flash? (NFPA70e)

  Yes

  No

  N/A

• Harnesses/lanyards in good condition? 1910.132(e)

  Yes

  No

  N/A

• Signage requiring PPE use posted at entrances? (Best Practice)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.132-.138

  Yes

  No

  N/A

Postings/Signs

• OSHA Poster prominently displayed? 1903.2(a)

  Yes

  No

  N/A

• OSHA Form 300A posted February through April? 1904.32(b)(5) and (b)(6)

  Yes

  No

  N/A

• Are required Federal/State posters conspicuously displayed?

  Yes

  No

  N/A

• Caution signs posted as needed/required? 1910.145(c)(2)(i)

  Yes

  No

  N/A

• Tags used to identify hazardous conditions/equipment? 1910.145(f)(3)

  Yes

  No

  N/A

Respirators

• Respiratory Protection Program established? 1910.134(c)(1)

  Yes

  No

  N/A

• Respirators used in hazardous atmospheres? 1910.134(a)(2)

  Yes

  No

  N/A

• Respirators properly maintained/sanitary? 1910.134(h)(2)(i)

  Yes

  No

  N/A

• Medical evaluation completed prior to fit-test? 1910.134(e)(1)

  Yes

  No

  N/A

• Fit-test completed prior to initial use/annually? 1910.134(f)(2)

  Yes

  No

  N/A

• Facial hair does not compromise respirator seal? 1910.134(g)(1)(i)

  Yes

  No

  N/A

• Approved respirator for application used? 1910.134(d)(1)(i)

  Yes

  No

  N/A

• Employees trained in proper respirator use? 1910.134(k)(1)

  Yes

  No

  N/A

• Appendix D reviewed when voluntary use? 1910.134(c)(2)(i)

  Yes

  No

  N/A

• Compressed air quality at least Grade D? 1910.134(i)(1)

  Yes

  No

  N/A

• Compressors maintained as required? 1910.134(i)(5)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.134

  Yes

  No

  N/A

Safety Training

• Employees receive safety orientation training?

  Yes

  No

  N/A

• Employees receive job/machine-specific training?

  Yes

  No

  N/A

• Employees receive periodic/ongoing safety training?

  Yes

  No

  N/A

• Daily or weekly safety talks completed?

  Yes

  No

  N/A

• Safety training properly documented?

  Yes

  No

  N/A

• Good compliance/no safety violations?

  Yes

  No

  N/A

Scaffold (Rolling/Baker)

• Scaffolds inspected/free of defects? 1910.27(a) & 1926.451(f)(3)

  Yes

  No

  N/A

• Working platforms fully planked/decked? 1910.127(a) & 1926.451(b)(1)

  Yes

  No

  N/A

• Platform clean/free of excessive debris? 1910.27(a) & 1926.451(f)(13)

  Yes

  No

  N/A

• Fall protection provided above 10 feet? 1910.27(a) & 1926.451(g)(1)

  Yes

  No

  N/A

• Scaffolds and components do not exceed rated capacities? 1910.27(a) & 1926.451(f)(1)

  Yes

  No

  N/A

• Employee remains within wheels/supports of scaffold? 1910.27(a) & 1926.452(w)(6)(v)

  Yes

  No

  N/A

• Scaffold bracing is secured, squared, aligned? 1910.27(a) & 1926.452(w)(1)

  Yes

  No

  N/A

• Wheel/caster brakes operable and set as required? 1910.27(a) & 1926.452(w)(2)

  Yes

  No

  N/A

• Caster/wheel stems pinned/secured to scaffold legs? 1910.27(a) & 1926.452(w)(9)

  Yes

  No

  N/A

• Employee only rides scaffold if surface is level/no obstructions? 1910.27(a) & 1926.452(w)(6)(i)

  Yes

  No

  N/A

• Outriggers used when platform extends beyond supports? 1910.27(a) & 1926.452(w)(7)

  Yes

  No

  N/A

• Outriggers (if required) properly installed? 1910.27(a) & 1926.452(w)(5)

  Yes

  No

  N/A

• Workers trained on use of scaffolds? 1910.27(a) & 1926.454(a)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.27 / 1926 subpart L

  Yes

  No

  N/A

Silica Exposure

• Exposure assessment completed for crystalline silica? 1910.1053(d)(1)

  Yes

  No

  N/A

• Regulated areas been established/identified? 1910.1053(e)(1)&(2)

  Yes

  No

  N/A

• Access to regulated area(s) restricted? 1910.1053(e)(3)

  Yes

  No

  N/A

• Engineering/work practice controls in place to reduce exposure? 1910.1053(f)(1)

  Yes

  No

  N/A

• Written Exposure Control Plan updated and readily available? 1910.1053(f)(2)

  Yes

  No

  N/A

• Controls in place when abrasive blasting involves crystalline silica? 1910.1053(f)(3)

  Yes

  No

  N/A

• Wet sweeping or HEPA vacuuming used to clean up silica dust? 1910.1053(h)(1)

  Yes

  No

  N/A

• Use of compressed air is prohibited for cleaning silica dust? 1910.1053(h)(2)

  Yes

  No

  N/A

• Medical surveillance program in place? 1910.1053(i)(1)

  Yes

  No

  N/A

• Initial medical examination completed within first 30 days of assignment? 1910.1053(i)(2)

  Yes

  No

  N/A

• Medical evaluation completed every 3 years or more often as needed? 1910.1053(i)(3)

  Yes

  No

  N/A

• Signs posted at entrance to regulated areas? 1910.1053(j)(2)

  Yes

  No

  N/A

• Employees trained on hazards associated with silica exposure? 1910.1053(j)(3)

  Yes

  No

  N/A

• Records of air sampling and medical surveillance maintained? 1910.1053(k)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.1053

  Yes

  No

  N/A

Spray Finishing Operations

• Floor of spray booth covered/non-combustible? 1910.107(b)(3)

  Yes

  No

  N/A

• Required air velocity maintained/filters changed? 1910.107(b)(5)(i)

  Yes

  No

  N/A

• Used/dirty filters properly disposed? 1910.107(b)(5)(ii)

  Yes

  No

  N/A

• Space behind filters protected by sprinklers? 1910.107(b)(5)(iv)

  Yes

  No

  N/A

• 3 feet access path around all sides of booth? 1910.107(b)(9)

  Yes

  No

  N/A

• Electrical circuits intrinsically safe/explosion proof? 1910.107(c)

  Yes

  No

  N/A

• No ignition sources within 20 ft. unless partitioned? 1910.107(c)(2)

  Yes

  No

  N/A

• No electrical equipment in spray booth? 1910.107(c)(5)

  Yes

  No

  N/A

• Booth/ducts/piping (all metal parts) grounded? 1910.107(c)(9)(i)

  Yes

  No

  N/A

• Ventilation turned on during spraying operations? 1910.107(d)(2)

  Yes

  No

  N/A

• Motors for exhaust fan located outside booth/ducts? 1910.107(d)(5)

  Yes

  No

  N/A

• Ducts have access doors to allow for cleaning? 1910.107(d)(10)

  Yes

  No

  N/A

• Paint quantities near spray area kept at minimum? 1910.107(e)(2)

  Yes

  No

  N/A

• Containers grounded/bonded when transferring? 1910.107(e)(9)

  Yes

  No

  N/A

• Sprinkler heads cleaned/covered? 1910.107(f)(3)

  Yes

  No

  N/A

• Spraying not conducted outside of booth? 1910.107(g)(1)

  Yes

  No

  N/A

• Spray area free of excessive paint residue? 1910.107(g)(2)

  Yes

  No

  N/A

• No Smoking signs posted? 1910.107(g)(7)

  Yes

  No

  N/A

• Electrostatic equipment properly guarded/isolated? 1910.107(h)(10)

  Yes

  No

  N/A

• Electrostatic spraying operations properly ventilated? 1910.107(h)(11)

  Yes

  No

  N/A

• Fire protection installed in electrostatic spray finishing areas? 1910.107(h)(12)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.107

  Yes

  No

  N/A

Stairs and Stairways

• Overhead clearance is min. 6 ft. 8 in.? 1910.25(b)(2)

  Yes

  No

  N/A

• Stairs have uniform riser height/tread depth? 1910.25(b)(3)

  Yes

  No

  N/A

• Stair landings/platforms min. 30 inches in depth? 1910.25(b)(4)

  Yes

  No

  N/A

• Stairs have min. 22 in. width? 1910.25(c)(2)

  Yes

  No

  N/A

• Tread depth is min. of 9.5 inches w/riser height max. of 9.5 inches? 1910.25(c)(2)&(3)

  Yes

  No

  N/A

• Stairway landings (4 ft high) protected by guardrail? 1910.28(b)(11)(i)

  Yes

  No

  N/A

• Handrail installed on stairs w/3 treads and 4 risers? 1910.28(b)(11)(ii)

  Yes

  No

  N/A

• Handrails at proper height (30-38 in.)? 1910.29(f)(1)(i)

  Yes

  No

  N/A

• Stair rail at proper height? (30 in. prior to 1/17/17 and 42 in. after) 1910.29(f)(1)(ii)

  Yes

  No

  N/A

• Top rail of stair rail system is 36-38 in. if used as handrail? 1910.29(f)(1)(iii)

  Yes

  No

  N/A

• Handrail has min. 2.5 in. finger clearance? 1910.29(f)(2)

  Yes

  No

  N/A

• Handrail in good condition/able to withstand 200 lb. force? 1910.29(f)(7)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.25

  Yes

  No

  N/A

Storage

• Material storage areas clean/orderly? 1910.176(c)

  Yes

  No

  N/A

• Materials stored/stacked safely? 1910.176(b)

  Yes

  No

  N/A

• Storage racks installed square and plumb? ANSI MH16.1-1.4.11

  Yes

  No

  N/A

• Storage racks anchored to the floor? ANSI MH16.2-1.4.7

  Yes

  No

  N/A

• Storage rack columns protected from damage? Best Practice

  Yes

  No

  N/A

• Load capacity signs posted on storage racks? ANSI MH16.1-1.4.2

  Yes

  No

  N/A

• Cross members securely fastened to uprights? ANSI MH16.1-5.4.2

  Yes

  No

  N/A

• Good compliance/no safety violations?

  Yes

  No

  N/A

Tools (Hand and Power)

• Tools inspected and maintained in good condition? 1910.242(a)

  Yes

  No

  N/A

• Angle grinders equipped with safety guard? 1910.243(c)(3)

  Yes

  No

  N/A

• Explosive actuated tools properly guarded? 1910.243(d)(2)(i)-(iii)

  Yes

  No

  N/A

• Explosive actuated tools unloaded when unattended? 1910.243(d)(4)(iv)

  Yes

  No

  N/A

• Load capacity identified on hydraulic jacks? 1910.244(a)(1)(ii)

  Yes

  No

  N/A

• Loads cribbed/blocked after raised? 1910.244(a)(2)(iii)

  Yes

  No

  N/A

• Load capacity marked on jack stands? 1910.244(a)(1)(ii)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.243-.244

  Yes

  No

  N/A

Walking Working Surfaces

• Surfaces kept clean, orderly, sanitary? 1910.22(a)(1)

  Yes

  No

  N/A

• Surfaces kept in dry condition to the extent feasible? 1910.22(a)(2)

  Yes

  No

  N/A

• Surfaces free of hazards (loose boards, spills, etc.)? 1910.22(a)(3)

  Yes

  No

  N/A

• Surfaces supports maximum intended load? 1910.22(b)

  Yes

  No

  N/A

• Safe access/egress to surfaces provided/used? 1910.22(c)

  Yes

  No

  N/A

• Surfaces inspected regularly/as needed? 1910.22(d)(1)

  Yes

  No

  N/A

• Access to hazardous surfaces guarded until hazard fixed? 1910.22(d)(2)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.22

  Yes

  No

  N/A

Welding, Cutting and Brazing

• Adequate ventilation provided? 1910.252(c)(1)(iii)

  Yes

  No

  N/A

• Suitable extinguishing equipment readily available? 1910.252(a)(2)(ii)

  Yes

  No

  N/A

• Combustible materials removed from welding area? 1910.252(a)(2)(vii)

  Yes

  No

  N/A

• Combustible materials protected from sparks/slag? 1910.252(a)(2)(vii)

  Yes

  No

  N/A

• Fire watch maintained where serious fire risk exists? 1910.252(a)(2)(iii)(A)

  Yes

  No

  N/A

• Eye protection suitable for welding hazard? 1910.252(b)(2)(i)

  Yes

  No

  N/A

• Electrodes removed from holders when not in use? 1910.252(a)(4)(i)

  Yes

  No

  N/A

• Welding curtains used as required? 1910.252(b)(2)(iii)

  Yes

  No

  N/A

• Cylinders kept in well-ventilated/protected area? 1910.253(b)(2)(ii)

  Yes

  No

  N/A

• Oxygen cylinders separated from fuel-gas cylinders? 1910.253(b)(4)(iii)

  Yes

  No

  N/A

• Valves/couplings/hoses free of oily/greasy substances? 1910.253(b)(5)(i)

  Yes

  No

  N/A

• Regulators removed/valve caps replaced when stored? 1910.253(b)(2)(iv)

  Yes

  No

  N/A

• Regulators removed/valve caps replaced when moved? 1910.253(b)(5)(ii)(D)

  Yes

  No

  N/A

• Valves closed when work is finished/cylinders empty? 1910.253(b)(5)(ii)(F), (G), and (H)

  Yes

  No

  N/A

• Gas cylinders used/stored valve end up? 1910.253(b)(5)(iii)(A)

  Yes

  No

  N/A

• Cylinders properly labeled? 1910.253)(b)(1)(ii)

  Yes

  No

  N/A

• Hoses, gauges, torches used/maintained per mfg. recommendations? 1910.253(e)(1)

  Yes

  No

  N/A

• Welding apparatus maintained in good condition? 1910.253(a)(3)

  Yes

  No

  N/A

• Arc weld cables maintained in good condition? 1910.254(d)(9)(iii)

  Yes

  No

  N/A

• Flashback arrestor / backflow device installed on cutting torches? 1910.253(e)(3)(i)

  Yes

  No

  N/A

• Good compliance/no safety violations? 1910.253-.254

  Yes

  No

  N/A

Written Programs and Policies

• Is there a comprehensive written safety program in place?

  Yes

  No

  N/A

• Is the Safety Program reviewed/updated at least annually?

  Yes

  No

  N/A

• Is the Safety Program organized/includes table of contents?

  Yes

  No

  N/A

• Is there an Accident/Incident Investigation Program?

  Yes

  No

  N/A

• Is there an Aerial Lift Safety Program?

  Yes

  No

  N/A

• Is there a Bloodborne Pathogens Program?

  Yes

  No

  N/A

• Is there a Confined Space Entry Program?

  Yes

  No

  N/A

• Is there a Contractor Safety Program?

  Yes

  No

  N/A

• Is there a Crane/Hoist Program?

  Yes

  No

  N/A

• Is there a Disciplinary Policy?

  Yes

  No

  N/A

• Is there a Drug & Alcohol Testing Program?

  Yes

  No

  N/A

• Is there an Electrical Safety/NFPA70E Program?

  Yes

  No

  N/A

• Is there an Emergency Action Plan?

  Yes

  No

  N/A

• Is there a Fall Protection Program?

  Yes

  No

  N/A

• Is there a Fire Safety Plan?

  Yes

  No

  N/A

• Is there a Flammable Liquid Program?

  Yes

  No

  N/A

• Is there a Forklift/Powered Industrial Truck Program?

  Yes

  No

  N/A

• Is there a Hand/Power Tool Safety Program?

  Yes

  No

  N/A

• Is there a Hazard Communication Program?

  Yes

  No

  N/A

• Is there a Hearing Conservation Program?

  Yes

  No

  N/A

• Is there a Lockout/Tagout Program?

  Yes

  No

  N/A

• Is there a Medical Services/First Aid Program?

  Yes

  No

  N/A

• Is there a PPE Hazard Assessment Program?

  Yes

  No

  N/A

• Is there a PSM (Process Safety Management) Program?

  Yes

  No

  N/A

• Is there a Respirator Program?

  Yes

  No

  N/A

• Does the Respirator Program address Voluntary Use?

  Yes

  No

  N/A

• Is there a Robotic Safety Program?

  Yes

  No

  N/A

• Is there a Visitor Policy?

  Yes

  No

  N/A

• Is there a Welding / Hot Work Permit Program?

  Yes

  No

  N/A

• Is there a Workplace Violence Program?

  Yes

  No

  N/A

Other/Misc

• Pre-shift stretching exercises completed? (Best Practice)

  Yes

  No

  N/A

• Frequent inspections of worksite completed & documented? (Best Practice)

  Yes

  No

  N/A

• Steps taken to address icy/slippery surfaces? (Best Practice)

  Yes

  No

  N/A

• Ceiling tiles in place/no openings? (NFPA 101 8.5.1)

  Yes

  No

  N/A

• Ceilings/ceiling tiles appear dry/no signs of moisture? (Best Practice)

  Yes

  No

  N/A

• Adequate lighting provided as needed? (Best Practice)

  Yes

  No

  N/A

• No unsafe acts/employee misconduct observed? (Section 5b1)

  Yes

  No

  N/A

• Worksite appears free from recognized hazards? (5a1)

  Yes

  No

  N/A