Genmark Automation

• Instructions: This inspection form will assist the Department Manager conduct an audit of their work areas. Managers are required to fill out the form with as much information as possible to assist the Safety Committee in priortizing the abatement schedule. By signing the form, you are confirming that you are aware of the issues you have identified.

• Select the Inspection(s) report included in this report:

  Select Machine Shop Production Shipping/Receiving Parts Department

  • Machine Shop
  • Production
  • Shipping/Receiving
  • Parts Department

• Conducted on

  Date

• Prepared by

General Safety (complete by all)

• NOTE: Provide an explanation for all answers marked as "NO". Pictures are helpful!

• Do employees know where to gather in case of an evacuation?

  Yes

  No

  N/A

• Do employees know where and how to receive care for an injury?

  Yes

  No

  N/A

• Are signs preset for emergency and safety related equipment?

  Yes

  No

  N/A

• Are all exits and paths free of obstruction?

  Yes

  No

  N/A

• Are first aid kits fully stocked and inspected monthly?

  Yes

  No

  N/A

• Are fire extinguishers present and inspected within the past year?

  Yes

  No

  N/A

• Are oily rags kept in a metal bin and removed from the work area daily?

  Yes

  No

  N/A

• Have all employees in your department received general safety training: SDS, PPE, Fire, Back Safety, etc.

  Yes

  No

  N/A

• Are all cabinets and shelves secured or anchored?

  Yes

  No

  N/A

• Are all light fixtures adequate and functioning properly?

  Yes

  No

  N/A

Machine Shop

• Do all employees have access to the shop safety guide?

  Yes

  No

  N/A

• Is PPE provided and used whenever necessary?

  Yes

  No

  N/A

• Are all worksites clean and orderly?

  Yes

  No

  N/A

• Are waste containers kept clean and emptied daily?

  Yes

  No

  N/A

• Are all machines secured or anchored?

  Yes

  No

  N/A

• Are floors in good condition and kept dry?

  Yes

  No

  N/A

• Is the ventilation system adequate for the work being performed?

  Yes

  No

  N/A

Electrical Safety

• Are all plugs, cords, and panels enclosed,, free from splices with insulation in good condition?

  Yes

  No

  N/A

• Do all extension cords have grounding conductors?

  Yes

  No

  N/A

• Are extension cords used only temporarily? Never linked cords together!

  Yes

  No

  N/A

• Are cords secured so they do not run across pathways, under doors or the walls?

  Yes

  No

  N/A

• Is the breaker panel accessible with labels identifying the function of each switch?

  Yes

  No

  N/A

• Are ground fault circuit interrupters available for use in wet areas?

  Yes

  No

  N/A

• Are hand-tools effectively grounded or an approved double insulated type?

  Yes

  No

  N/A

Mechanical Safety

• Do all machines have guards to protect against points of operation, nip points, rotating parts, moving parts, flying chips, sparks, etc.?

  Yes

  No

  N/A

• Are emergency stops within the operator's reach?

  Yes

  No

  N/A

• Are written Standard operating procedures (SOPs) for each machine available and executed by all employees?

  Yes

  No

  N/A

• Are machines regularly cleaned and maintained?

  Yes

  No

  N/A

• Are maintenance records, calibrations, certifications of each machine kept on file?

  Yes

  No

  N/A

Storage, Hazardous Materials and Waste

• Are materials stored to prevent falls ad spills?

  Yes

  No

  N/A

• Do signs designate storage areas?

  Yes

  No

  N/A

• Are all storage containers labeled with their contents?

  Yes

  No

  N/A

• Are combustibles and chemicals kept in closed containers when not in use?

  Yes

  No

  N/A

• Are chemical waste properly stored?

  Yes

  No

  N/A

• Are Hazardous Waste Tags present?

  Yes

  No

  N/A

• Are wastes picked up by a licensed waste hauler?

  Yes

  No

  N/A

Production

• Are repetitive motion tasks properly paced and kept to a minimum?

  Yes

  No

  N/A

• Are hazards signaled by signs and tags?

  Yes

  No

  N/A

• Is ventilation equipment working effectively?

  Yes

  No

  N/A

• Are tools properly designed for use by the employees?

  Yes

  No

  N/A

• Are defective tools tagged and removed from service as part of a regular maintenance program?

  Yes

  No

  N/A

• Are tools and machinery used so as to avoid electrical hazards?

  Yes

  No

  N/A

• Is proper training given in the safe use of tools and machinery?

  Yes

  No

  N/A

• Are extension cords in good condition? Not connected to another cord?

  Yes

  No

  N/A

Housekeeping

• Is the work area clean and orderly?

  Yes

  No

  N/A

• Are aisles and passageways kept clear of obstructions?

  Yes

  No

  N/A

• Are permanent aisles and passageways clearly marked?

  Yes

  No

  N/A

• Are there 3 feet of clearance in front of each electrical panel?

  Yes

  No

  N/A

• Are the employees using appropriate PPE when required?

  Yes

  No

  N/A

• Other items:

Shipping/Receiving

• General housekeeping is good?

  Yes

  No

  N/A

• Are slips, trips, and fall hazards observed?

  Yes

  No

  N/A

• Are fire equipent clear of blockage?

  Yes

  No

  N/A

• Are exits unobstructed?

  Yes

  No

  N/A

• Are fall hazards at the loading bay protected?

  Yes

  No

  N/A

• Are forklift used safely by authorized operators?

  Yes

  No

  N/A

• Are hand tools in good working condition?

  Yes

  No

  N/A

• Are lifting equipment used when loading crates? (crane, hoists)

  Yes

  No

  N/A

• Are proper lifting techniques applied?

  Yes

  No

  N/A

• Other items:

Parts Department

• Are shelves secured and anchored to prevent tipping?

  Yes

  No

  N/A

• Are there adequate walking space between aisles?

  Yes

  No

  N/A

• Are heavier items stored on the lower shelves?

  Yes

  No

  N/A

• Are lightbulbs protected from shatter? (tube sleeve)

  Yes

  No

  N/A

• Are SDS filed for each chemical received?

  Yes

  No

  N/A

• Are forklifts used safely by authorized operators?

  Yes

  No

  N/A

Other Safety Issues

• Enter any other safety opportunities identified during your audit.

The inspection is completed by:

• Add signature

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