Title Page
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Conducted on
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Prepared by
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Location
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Are all tools and equipment used by employees at their workplace in good condition?
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Are hand tools such as chisels and punches, which develop mushroomed heads during use, reconditioned or replaced as necessary?
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Are broken or fractured handles on hammers, axes and similar tools replaced?
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Are tool handles wedged tightly in the head of all tools?
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Are appropriate handles used on files and similar tools?
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Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping?
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Are lever-type tools straight and unbent from excessive force?
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Are portable circular saws equipped with guards above and below the base shoe?
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Are circular saw guards free moving (i.e., not wired or wedged open)?
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Are all AC-powered tools effectively grounded or a double-insulated type with cords in good condition?
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For AC-powered tools used outdoors, is GFCI protection provided?
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Do powered tools have 'dead-man' switches?
Carpentry Machine Guarding & Safety
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Are appropriate guarding methods provided to protect workers from hazards created by the point of operation, ingoing nip points, rotating parts, flying chips, and sparks?
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Are table saws guarded by a device that rests on the worktable, completely covers the saw, and can adjust itself to the thickness of the material being cut?
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Are push sticks or blocks available and used for saws and other cutting equipment to feed smaller pieces of stock?
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Are radial arm saws provided with release return mechanisms? The saw arm when released by the operator should return to its original position?
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Are saws used for ripping equipped with a fence, anti-kickback pawls and a spreader bar?
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Are provisions made to prevent machines from automatically restarting when power is restored after a power interruption?
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Are all (a) moving chains and gears and (b) pulleys and belts that are within 7 feet (2.1 meters) of the floor or working level properly guarded?
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Are fan blades protected with a guard having openings no larger than l/2 inch (1.3 centimeters), when operating within 7 feet (2.1 meters) of the floor?
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Are any foot-operated switches guarded or located to prevent accidental actuation by personnel or falling objects?
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Is equipment and machinery securely anchored to prevent tipping or other movement during operation that could result in personal injury?
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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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Is there a power shut-off switch within reach of the operator’s position at each machine?
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Does the supervisor prohibit loose clothing, ties, long hair, and jewelry that may catch in moving machinery?
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Do compressed air guns/nozzles limit dead end pressure to 30 psi (2 bar)?
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Abrasive Wheels
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Before new abrasive wheels are mounted, are they visually inspected and ring tested?
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Do side guards cover the spindle, nut, and flange and 75 percent of the wheel?
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Are the spark arrestors on the topside of the grinder used and kept adjusted to within 1/4 inch (6.5mm) of the wheel?
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Are the eye shields in place and in good working condition?
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Is the work rest used and kept adjusted to within 1/8 inch (3 mm) of the wheel?
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Are all abrasive wheel rpm rated for the rpm of the grinder motor? The grinder motor rpm should not exceed the wheel rating
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Is grinding on the side of the wheel prohibited?
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Are bench and pedestal grinders permanently anchored?
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Is there a face shield available and its use required when the grinder is used?
Electrical Safety
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Are electrical machinery and appliances grounded?
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Do extension cords being used have a grounding conductor?
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Do plug adapters provide necessary ground conductor?
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Are all disconnecting switches and circuit breakers labeled, in both English and the local language, to indicate their use, or the equipment served?
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Do all interior wiring systems include provisions for grounding metal parts of electrical raceways, equipment and enclosures?
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Are all electrical conduits, raceways and enclosures securely fastened in place?
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Are all energized parts of electrical circuits and equipment guarded against accidental contact by proper cabinets, covers, or enclosures?
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Is sufficient access and working space provided and maintained about all electrical equipment to permit ready and safe operations and maintenance?
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Are all unused openings (including knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?
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Are electrical enclosures such as switches, receptacles, and junction boxes, provided with tightfitting covers or plates?
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Are extension cords used outdoors equipped with GFCI protection?
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Housekeeping/Premises Condition
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Are accumulations of wood dust routinely (e.g., monthly) removed from elevated surfaces such as ductwork, roof supports, etc.?
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Is wood dust cleaned up from the floor regularly to prevent the dust creating a slipping hazard?
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Are walking surfaces kept dry or appropriate means taken to assure the surfaces are slip-resistant?
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Are all spilled hazardous materials or liquids, cleaned up immediately and according to proper procedures?
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Is a clean up kit with a supply of absorbent materials and appropriate neutralizers located near the area?
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Is scrap, debris and waste stored safely and removed from the worksite promptly?
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Is heavy stock properly and safely secured for storage?
Paint Shop Safety
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Are paint booth filters changed regularly to prevent air flow loss from clogged filters?
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Are paint or solvent-soaked rags placed into a covered metal container?
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Is explosion-proof lighting in good condition with no broken globes or covers?
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Are sources of ignition (flames, sparks, electric motors) kept at least 20 feet (6.1 meters) from the paint booth?
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Are containers of flammable and toxic chemicals kept closed when not in use?
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Is all spray finishing (except with spray cans) performed in a ventilated spray booth?
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Is the spray finishing equipment interlocked so it cannot be operated without the exhaust ventilation turned on?
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Is the spray finishing booth equipped with a turntable so the operator can rotate the piece and always spray towards the booth exhaust?
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Are eye wash facilities within the work area where employees are exposed to corrosive materials or other chemicals hazardous to the eyes?
Chemical Safety
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Are solvent-based glues, wood finishes, thinners, and solvents stored in containers approved for flammable liquid storage? Are the containers properly labeled?
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Are flammable liquids properly stored in approved flammable storage cabinets when not in use?
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When flammable or toxic chemicals are in use, is the ventilation adequate to ensure that vapor concentrations do not buildup in the shop?
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Is the flammable storage cabinet only used to store flammable and combustible material, and not ordinary storage?
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Are all spilled hazardous materials or liquids, cleaned up immediately and according to proper procedures?
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Is the appropriate PPE (protective goggles, a face shield, and chemical-resistant gloves and apron) located in battery charging areas?
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Is a clean up kit with a supply of absorbent materials and appropriate neutralizers located in battery charging areas?
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Are eye wash facilities that provide a flow rate of 0.4 liters for 15 minutes located within the work area where employees are exposed to corrosive materials, or other chemicals hazardous to the eyes?
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Is wood dust from saws and other wood working equipment controlled with local exhaust ventilation?
Personal Protective Equipment
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Are approved safety glasses required to be worn at all times in areas where there is a risk of eye injuries from flying chips, splinters, sparks and other solid materials?
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Are protective goggles or face shields worn over safety glasses where there is any danger of chemical splashes?
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Are hard hats provided and worn where the danger of overhead falling objects exists?
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Are hard hats free of damage to the shell and suspension system?
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Is appropriate foot protection required where there is the risk of foot injuries from falling objects, crushing, or hot, corrosive, or toxic substances?
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Are abrasion-resistance gloves worn for handling materials with sharp edges, splinters or other surfaces that can cause severe cuts, lacerations, abrasions or punctures?
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Are chemical-resistant gloves worn to prevent skin contact with harmful chemicals (e.g., solvent-based glues, paints and thinners, fuels, acids)?
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Is hearing protection (e.g. ear plugs or muffs) properly worn when workplace noise levels exceed the Department’s occupational exposure limits?
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Are proper respirators available and worn by employees exposed to airborne chemical substance hazards (e.g., high concentrations of dusts, welding fumes, solvent vapors)?
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Is there a schedule to replace the cartridges in chemical respirators (e.g., monthly)?
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Is all protective equipment maintained and stored in a clean, functioning condition and ready for use?
Ladders
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Are all ladders used by employees at their workplace in overall good condition?
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Are ladders free of sharp edges, splinters, splits, decay, and broken rungs, spreaders, locking clamps, or side rails?
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Are wooden ladders unpainted to prevent hiding any damage, or cracks in the wood?
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Are the joints between the steps and side rails tight, are the hardware and fittings securely attached, and do the movable parts operate freely without binding or undue movement?
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Do stepladder spreaders or locking devices securely hold the front and back sections of the ladder in the open position?
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Are ropes for extension ladders in good condition (not frayed or badly worn)?
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Are the rungs or steps clean (free of mud, grease or oil)?
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Are the steps uniformly spaced, 1 foot (0.3 meter), and parallel and level when the ladder is in position for use?
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If there are any damaged ladders on the site, are they tagged for destruction or repair and kept out of service?
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Is the use of ladders while working with AC-powered tools, or when working on or near an electrical system or circuit, limited to wood or fiberglass ladders only (no metal ladders)?
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Are ladders rated to support a minimum of 250 pounds (113 kilograms), or do they have a type 1 duty rating? A type 1A ladder that can support 300 pounds (135 kilograms) is preferred
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Are stepladders a maximum of 20 feet (6 meters) long?
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Are straight ladders a maximum of 30 feet (9 meters) long?
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Are extension ladders a maximum of 60 feet (18 meters) long?
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Is the straight or extension ladder placed at a pitch of 1:4 (i.e., 1 foot or 0.3 meter out for each 4 feet or 1.3 meters up)?
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Is the straight or extension ladder placed to prevent slipping and is the top of the ladder tied in position?
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For any ladder placed in front of a doorway, is the door locked or blocked from the other side so that it cannot be opened and hit the ladder?
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Are ladders tall enough to reach the objects the workers need to retrieve?
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Are ladders not placed on boxes, barrels, tables, or other materials to gain additional height?
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Are workers staying (at a minimum) lower than two steps from the top on a stepladder, or four steps from the top on a single section or extension ladder?
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Are workers not climbing on the bracing on the back legs of the stepladder?
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Is there no more than one person on the ladder at a time?
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Are provisions made to not carry tools and materials by hand (e.g., are tool belts, a rope and pail provided)?
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If a ladder is used to provide access to an elevated platform or roof, do the side rails extend at least 36 inches (91 centimeters) above the platform or roof edge?
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Are rolling stairs available and used instead of a ladder when possible?
Hoists
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Is the rated capacity permanently marked on the hoist or load block?
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Does the load lifted by the hoist never exceed the rated load capacity?
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Are hoists used on a normal basis inspected by the operator monthly?
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Are the controls and operating mechanisms of the hoists checked for proper operation; the parts checked for leakage, cracks, deformation, or damage; the hoist rope and chain inspected for damage; the synthetic web strap for wear, tears, or other damage; and the hook latch for proper operation?
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Are hoists used on a normal basis inspected by a qualified inspector annually?
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Are the annual inspection records kept and readily available to the operators?
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Are hoists that are not in regular service (not used for a period of one month or more, but less than one year) inspected before the operator uses them?
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Are hoists that are not used for more than one year inspected by a qualified inspector before they are used?
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Are modified or repaired hoists inspected by a qualified inspector before they are used?
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Has a preventive maintenance program been established for the hoist based on the hoist manufacturer’s recommendations?
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Are replacement parts for the hoist, if not supplied by the manufacturer, equivalent to the manufacturer’s specifications?
Action Items
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Item to correct