Goodwill Industries

• Conducted on

  Date

• Prepared by

• Location
  Address

Building Services & Utilities

• Any major electrical system issues identified?

  Yes

  No

  N/A

• Any major plumbing system issues identified?

  Yes

  No

  N/A

• Building Maintenance appears satisfactory?

  Yes

  No

  N/A

Machines and Tools

• Observed machines and tools in satisfactory condition?

  Yes

  No

  N/A

Equipment

Forklift or pallet jack on site?

• Employees trained on use?

  Yes

  No

  N/A

• Daily inspection completed?

  Yes

  No

  N/A

• If applicable- is battery charging area equipped with eyewash?

  Yes

  No

  N/A

Trash compactor or baler on site?

• Employees trained on use?

  Yes

  No

  N/A

• Interlock(s) properly working?

  Yes

  No

  N/A

Building fire protection

• Observed fire extinguishers inspected?

  Yes

  No

  N/A

• Has the fire suppression system been inspected at least annually?

  Yes

  No

  N/A

• System is free of obvious impairments?

  Yes

  No

  N/A

Material handling, storage, and display

• Appropriate storage practices in place? (pallets, brooms, mops, shelves, donated items, etc.)

  Yes

  No

  N/A

• Is manual material handling minimized?

  Yes

  No

  N/A

• Are proper body mechanics used while manually moving items?

  Yes

  No

  N/A

• Are materials stored in a leaning manner properly secured?

  Yes

  No

  N/A

• Are items for sale kept off the floor on the sales floor?

  Yes

  No

  N/A

• Are Materials stored on the floor arranged in such a manner to prevent trip incidents?

  Yes

  No

  N/A

• Do employees remember receiving manual material handling training?

  Yes

  No

  N/A

General facility safety

• Are observed emergency lights functional?

  Yes

  No

  N/A

• Does general lighting inside and outside the facility appear adequate for operations?

  Yes

  No

  N/A

• Walking surfaces properly maintained? (no large cracks or unexpected changes in elevation, no wet areas)

  Yes

  No

  N/A

• Handrails & guardrails provided where required?

  Yes

  No

  N/A

• First aid kit supplied?

  Yes

  No

  N/A

• General housekeeping acceptable? No slip hazards observed?

  Yes

  No

  N/A

• If trash is thrown into a dumpster is dumpster of acceptable height to minimize injuries?

  Yes

  No

  N/A

Safety program elements

• Required OSHA posting notices present and maintained?

  Yes

  No

  N/A

• Emergency evacuation plan posted and drills conducted? (permissible to ask staff if they have participated in drills)

  Yes

  No

  N/A

• Do employees acknowledge receiving routine safety training? (hazard communication, etc.)

  Yes

  No

  N/A

Best practices observations

• Recommendations

• Comments