General Industry Health and Safety Observation Checklist

• Site conducted

  Select

• Audit Title

• Document No.

• Conducted on

  Date

• Prepared by

• Address
  Address

• Date/Time

  Date

1.0 - Confined Spaces

• 1.1 - Are confined spaces marked with appropriate signage?

  Yes

  No

  N/A

• 1.2 - Comments/Other Observations

  Yes

  No

  N/A

2.0 - Electrical

• 2.1 - Insulation on flexible and extension cords?

  Yes

  No

  N/A

• 2.2 - Ground pins on flexible and extension cords?

  Yes

  No

  N/A

• 2.3 - Strain relief on flexible cords?

  Yes

  No

  N/A

• 2.4 - Required markings on electrical equipment (voltage, current, designated purpose)?

  Yes

  No

  N/A

• 2.5 - Live parts operating above 50 volts are protected?

  Yes

  No

  N/A

• 2.6 - GFCIs provided in wet environments (rooftops, restrooms, kitchens)?

  Yes

  No

  N/A

• 2.7 - Extension cords used as temporary wiring only?

  Yes

  No

  N/A

• 2.8 - Comments/Other Observations

  Yes

  No

  N/A

3.0 - Fire Prevention

• 3.1 - Are fire extinguishers available, unobstructed?

  Yes

  No

  N/A

• 3.2 - Are fire extinguishers inspected monthly?

  Yes

  No

  N/A

• 3.3 - Are fire extinguishers certified annually?

  Yes

  No

  N/A

• 3.4 - Are oily waste containers closed?

  Yes

  No

  N/A

• 3.5 - Combustible dust is managed appropriately?

  Yes

  No

  N/A

• 3.6 - Flammable liquids stored properly (safety cans, storage cabinets, grounded)?

  Yes

  No

  N/A

• 3.7 - Comments/Other Observations

  Yes

  No

  N/A

4.0 - First Aid and Emergency Action

• 4.1 First aid supplies are available?

  Yes

  No

  N/A

• 4.2 - AED is inspected monthly? Pads are current?

  Yes

  No

  N/A

• 4.3 - Emergency action plan is available for review?

  Yes

  No

  N/A

• 4.4 - Floor plan with rally points and shelter-in-place is posted?

  Yes

  No

  N/A

• 4.5 - Comments/Other Observations

  Yes

  No

  N/A

5.0 - Hand and Power Tools

• 5.1 - Electrical power tools are grounded or double insulated?

  Yes

  No

  N/A

• 5.2 - Insulation is intact?

  Yes

  No

  N/A

• 5.3 - Required guards are present?

  Yes

  No

  N/A

• 5.4 - Appropriate PPE is worn with Hand/Power Tool?

  Yes

  No

  N/A

• 5.5 - Used knife blades are in approved containers?

  Yes

  No

  N/A

• 5.6 - Compressed air cleaning tools meet 30psi requirement?

  Yes

  No

  N/A

• 5.7 - Employees do not use compressed air to clean clothing or body?

  Yes

  No

  N/A

• 5.8 - Comments/Other Observations

  Yes

  No

  N/A

6.0 - Hazard Communication

• 6.1 - Safety Data Sheets are available?

  Yes

  No

  N/A

• 6.2 - Chemical containers are labeled appropriately (product identifier, pictograms, signal word, hazard and precautionary statements)?

  Yes

  No

  N/A

• 6.3 - Spill kits are available?

  Yes

  No

  N/A

• 6.4 - Chemical containers are kept closed when not in use?

  Yes

  No

  N/A

• 6.5 - Comments/Other Observations

  Yes

  No

  N/A

7.0 - Lockout/Tagout

• 7.1 - Energy control procedures are available for machinery/equipment?

  Yes

  No

  N/A

• 7.2 - Safety padlocks in use contain a tag (employees name, warning)?

  Yes

  No

  N/A

• 7.3 - Safety are standardized in color, shape or size?

  Yes

  No

  N/A

• 7.4 - Comments/Other Observations

  Yes

  No

  N/A

8.0 - Machine Guarding

• 8.1 - The point of operation is adequately guarded to prevent employees from reaching in, over, under and around?

  Yes

  No

  N/A

• 8.2 - The power transmission devices are guarded appropriately?

  Yes

  No

  N/A

• 8.3 - Bench/pedestal grinders are guarded appropriately?

  Yes

  No

  N/A

• 8.4 - Machinery is anchored to prevent movement?

  Yes

  No

  N/A

• 8.5 Emergency stop buttons are accessible?

  Yes

  No

  N/A

• 8.6 - Comments/Other Observations

  Yes

  No

  N/A

9.0 - Material Handling/Storage (Powered Industrial Trucks, Cranes, Hoists, Slings)

• 9.1 - Are all containers, skids, pallets, materials, and equipment arranged neatly and orderly in assigned areas?

  Yes

  No

  N/A

• 9.2 - Is material stored so it does not block sprinkler heads, alarm systems, electrical panels, or access to fire extinguishers? (A minimum clearance of 3 feet )

  Yes

  No

  N/A

• 9.3 - Is there adequate clearance from overhead light fixtures when placing material overhead?

  Yes

  No

  N/A

• 9.4 - Are pre-shift inspections documented for forklifts?

  Yes

  No

  N/A

• 9.5 - Are associates using proper lifting techniques?

  Yes

  No

  N/A

• 9.6 - Are heavy items stored on lower shelves?

  Yes

  No

  N/A

• 9.7 - Have items been properly secured to prevent tipping/falling?

  Yes

  No

  N/A

• 9.8 - Are materials stored or stacked in a safe manner?

  Yes

  No

  N/A

• 9.9 Are safety devices functioning on forklifts (horns, lights, back-up alarms)?

  Yes

  No

  N/A

• 9.10 - Storage racks are maintained (not damaged)?

  Yes

  No

  N/A

• 9.11 - Storage racks are lagged to the floor?

  Yes

  No

  N/A

• 9.12 - Storage rack capacity is posted?

  Yes

  No

  N/A

• 9.13 - Cranes/hoists are inspected frequently (daily to monthly)?

  Yes

  No

  N/A

• 9.14 - Cranes/hoists are inspected periodically (monthly to annually)?

  Yes

  No

  N/A

• 9.15 - Sling tags are legible?

  Yes

  No

  N/A

• 9.16 - Slings are not damaged?

  Yes

  No

  N/A

• 9.17 - Crane/hoist is functioning properly (visual and operational)?

  Yes

  No

  N/A

• 9.18 - Comments/Other Observations

  Yes

  No

  N/A

10.0 - Personal Protective Equipment

• 10.1 - Eye protection is worn (Z87 safety glasses)?

  Yes

  No

  N/A

• 10.2 - Hearing protection is worn properly?

  Yes

  No

  N/A

• 10.3 - Safety footwear is worn?

  Yes

  No

  N/A

• 10.4 - Other PPE is worn (hi-viz, welding protection, respiratory protection)?

  Yes

  No

  N/A

• 10.5 - Comments/Other Observations

  Yes

  No

  N/A

11.0 - Signs, Signals, Barricades

• 11.1 - Load ratings are posted?

  Yes

  No

  N/A

• 11.2 - Danger/Warning/Caution signs are maintained (legible)?

  Yes

  No

  N/A

• 11.3 - Machine warning labels are legible?

  Yes

  No

  N/A

• 11.4 - Comments/Other Observations

  Yes

  No

  N/A

12.0 - Walking-Working Surfaces

• 12.1 - Are areas free of tripping hazards?

  Yes

  No

  N/A

• 12.2 - Are aisles free from obstructions (skids, scrap, banding)?

  Yes

  No

  N/A

• 12.3 - Are floors clean and free from liquids?

  Yes

  No

  N/A

• 12.4 - Are exits clearly marked and access is unobstructed?

  Yes

  No

  N/A

• 12.5 - Unprotected edges/sides are protected?

  Yes

  No

  N/A

• 12.6 - Portable ladders are used properly?

  Yes

  No

  N/A

• 12.7 - Stair rails/handrails are provided when required?

  Yes

  No

  N/A

• 12.8 - Ladderway opening is guaded with a gate?

  Yes

  No

  N/A

• 12.9 - Safe access/egress is provided and used for walking-working surfaces?

  Yes

  No

  N/A

• 12.10 - Standard railing is provided when required?

  Yes

  No

  N/A

• 12.11 - Comments/Other Observations

  Yes

  No

  N/A

13.0 - Welding and Cutting

• 13.1 - Hot work permit is completed? (If applicable)

  Yes

  No

  N/A

• 13.2 - A fire watch is provided? (If applicable)

  Yes

  No

  N/A

• 13.3 - A fire extinguisher is provided for hot work area?

  Yes

  No

  N/A

• 13.4 - Combustibles and flammables are 35 ft from operations or are effectively shielded?

  Yes

  No

  N/A

• 13.5 - Comments/Other Observations

  Yes

  No

  N/A

14.0 - Administration

• 14.1 - OSHA poster is posted?

  Yes

  No

  N/A

• 14.2 - Workers compensation poster is posted?

  Yes

  No

  N/A

• 14.3 - Comments/Other Observations

  Yes

  No

  N/A

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