High Industries Safety Inspection

• Department

• Conducted on

  Date

• Prepared by

Personal Protective Equipment (Subpart I - 1910.132)

• Hard Hats - being worn & in good condition

  Safe

  At Risk

  N/A

• Shoes - Condition (e.g. steel toe exposed < 1", laced up & stitching)

  Safe

  At Risk

  N/A

• Safety Glasses/Double Eye Protection (When necessary)

  Safe

  At Risk

  N/A

• Work Clothes - Condition (e.g. rips, tears, holes, etc.)

  Safe

  At Risk

  N/A

• Gloves - Right for the for the job & condition (e.g. holes, stitching)

  Safe

  At Risk

  N/A

• Hearing Protection - Worn correctly

  Safe

  At Risk

  N/A

• Fall protection in use (At or over 4ft.)

  Safe

  At Risk

  N/A

• Proper storage (Respirators, face shields)

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

Hazard Communication (Subpart Z - 1910.1200)

• GHS/HMIS Labels - Correct & Legible

  Safe

  At Risk

  N/A

• Chemical Drum - Storage, containment, lids & caps in place

  Safe

  At Risk

  N/A

• No open containers around food/drinks

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

Electrical (Subpart S - 1910.301)

• Electric cords (e.g. plug and insulation damage)

  Safe

  At Risk

  N/A

• Correct labeling on inside of electrical panel box

  Safe

  At Risk

  N/A

• 3 foot clearance for panel access<br>

  Safe

  At Risk

  N/A

• Panel doors are closed

  Safe

  At Risk

  N/A

• Receptacle condition

  Safe

  At Risk

  N/A

• GFCI Receptacle condition - test

  Safe

  At Risk

  N/A

• Lockout/Tagout - installed and used properly (when necessary)

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

Fire Prevention (Subpart L - 1910.155)

• Flammable materials within 3 ft. of storage cabinets (paint, solvents, etc.)

  Safe

  At Risk

  N/A

• Open Containers (Paint cans/thinner cans)

  Safe

  At Risk

  N/A

• Fire extinguishers (minimum 3 ft. access, missing, insp tag signed, charged)

  Safe

  At Risk

  N/A

• No painting within 25 ft. of electrical boxes

  Safe

  At Risk

  N/A

• Flammable Storage Cabinets grounded

  Safe

  At Risk

  N/A

• Exit doors and No Exit (marked, accessible and functioning)

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

Housekeeping (Subpart D - 1910.22)

• Recycle Waste & Scrap bins are labeled, used, & not overfilled.

  Safe

  At Risk

  N/A

• Combustible materials removed (rags, paper, cardboard)

  Safe

  At Risk

  N/A

• Clear walkways and clean floors (blocks, lines, equipment)

  Safe

  At Risk

  N/A

• Clear access area to fixed ladders

  Safe

  At Risk

  N/A

• Eye wash stations are accessible

  Safe

  At Risk

  N/A

• Changes in floor elevation are identified

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Ladders (Subpart D - 1910.23)

  Off

  On

• Safety labels are legible

  Safe

  At Risk

  N/A

• Correct height for the job & stored properly

  Safe

  At Risk

  N/A

• Damaged steps/side rails/hinge spreaders

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Compressed Air Equipment (Subpart M - 1910.169)

  Off

  On

• Splice distance from working end (25 ft. min)

  Safe

  At Risk

  N/A

• Leaks/damage to lines/connections

  Safe

  At Risk

  N/A

• Open/uncapped lines/hoses

  Safe

  At Risk

  N/A

• Access to Emergency Shut Off & marked clearly

  Safe

  At Risk

  N/A

• Air guns used w/safety nozzle/tip and labeled correctly

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Gas/Oxygen Equipment (Subpart H - 1910.101)

  Off

  On

• Cylinder Use & Storage ( Right Location & Secured)

  Safe

  At Risk

  N/A

• Double eye protection (face shield tinted/clear with mag strip)

  Safe

  At Risk

  N/A

• Regulators - Lens condition/missing <br>

  Safe

  At Risk

  N/A

• Torches (heating/cutting, bent tubes, tip condition, control valves)

  Safe

  At Risk

  N/A

• Open/uncapped hoses <br>

  Safe

  At Risk

  N/A

• Splice distance from connection fuel/O2 min. 10 ft. <br>

  Safe

  At Risk

  N/A

• Leaks/damages to lines/hoses

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Welding

  Off

  On

• Cylinder use and storage (Correct location and secured)

  Safe

  At Risk

  N/A

• Regulators - lens condition/missing

  Safe

  At Risk

  N/A

• Use of arc shielding

  Safe

  At Risk

  N/A

• Double eye protection (weld/face shield tinted/clear with mag strip)

  Safe

  At Risk

  N/A

• Welding cables (bare/exposed cables)

  Safe

  At Risk

  N/A

• Insulator covers (welding/air arc rod holder)

  Safe

  At Risk

  N/A

• Ground clamps (condition/connection)

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Grinding/Air Tools (Subpart O - 1910.215)

  Off

  On

• Guards & Safety Latch <br>

  Safe

  At Risk

  N/A

• Quick disconnect - Leaking/Loose <br>

  Safe

  At Risk

  N/A

• Disc/Stone wheel condition cracked/chipped <br>

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

Hand & Power Tools (Subpart P - 1910.241)

• Bench Grinder - guards are in place with appropriate gaps

  Safe

  At Risk

  N/A

• C-clamps - Bent/ missing foot pad <br>

  Safe

  At Risk

  N/A

• Comalongs - Cracked casings, handle condition <br>

  Safe

  At Risk

  N/A

• Disc Grinders are in place

  Safe

  At Risk

  N/A

• Drill Press - Chip Guard - Maint/Weld Shop/Mold Shop

  Safe

  At Risk

  N/A

• Fitting rams (cracks, splits, mushroomed ends) <br>

  Safe

  At Risk

  N/A

• Floor Sanders

  Safe

  At Risk

  N/A

• Hammers -defects or damage (e.g., mushroomed, chips, cracks, etc.) to the heads and handles. <br>

  Safe

  At Risk

  N/A

• Hammer & Hilti gun

  Safe

  At Risk

  N/A

• Hydraulics (stress jack)

  Safe

  At Risk

  N/A

• Hydraulics (Enerpac jack, leaks, loose collars) <br>

  Safe

  At Risk

  N/A

• Iron Press & Spartan - Weld Shop Only

  Safe

  At Risk

  N/A

• Saws (hand & table)

  Safe

  At Risk

  N/A

• Stencils/ID stamps dressed, (no chips, cracks, or mushroomed) <br>

  Safe

  At Risk

  N/A

• Unsecured Drills <br>

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Cranes and Material Handling (Subpart N - 1910.176 & 1910.179)

  Off

  On

• Crane Log filled out completely (no blank boxes)

  Safe

  At Risk

  N/A

• Stacking/Blocking of materials <br>

  Safe

  At Risk

  N/A

• Girders/Panels secured

  Safe

  At Risk

  N/A

• Capacity information in place and readable <br>

  Safe

  At Risk

  N/A

• Condition of wood blocks

  Safe

  At Risk

  N/A

• Nylon/Wire Mesh slings and belts <br>

  Safe

  At Risk

  N/A

• Safety ropes in place (Boom Cranes)

  Safe

  At Risk

  N/A

• Wheel Guards - MiJacks

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• PITs (Subpart N - 1910.178)

  Off

  On

• Daily Inspection Logs accurate <br>

  Safe

  At Risk

  N/A

• Seat Belts being worn <br>

  Safe

  At Risk

  N/A

• Fire Extinguisher inspected monthly <br>

  Safe

  At Risk

  N/A

• Back up alarms/mirrors clean, free of cracks <br>

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Confined Spaces (Subpart J - 1910.146)

  Off

  On

• Identified & Signs in place <br>

  Safe

  At Risk

  N/A

• Permit posted <br>

  Safe

  At Risk

  N/A

• Ventilation in place <br>

  Safe

  At Risk

  N/A

• Sign in Sign out sheet <br>

  Safe

  At Risk

  N/A

• Air Quality Readings Recorded per hour <br>

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Environmental (Subpart J - 1910.141)

  Off

  On

• Waste Containers are labeled - both inside and outside trash containers (i.e. wood, metal, etc.)

  Safe

  At Risk

  N/A

• Drip Pans are under Totes

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Forms/Bed

  Off

  On

• Chains in place

  Safe

  At Risk

  N/A

• Stressing alarm/signs/warning lights

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Coating/Blasting

  Off

  On

• Paint/Solvent (storage, proper containers, grounded, doors closed, clear access) <br>

  Safe

  At Risk

  N/A

• Respiratory Protection in use <br>

  Safe

  At Risk

  N/A

• CO monitor Inspections accurate - weekly<br>

  Safe

  At Risk

  N/A

• CO monitor filter change date - recorded

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Trailers

  Off

  On

• Binder Condition (Bent hook/handle, damaged threads, oiled)<br>

  Safe

  At Risk

  N/A

• Chains (visible damage)<br>

  Safe

  At Risk

  N/A

• Floor boards (Missing/Broken)<br>

  Safe

  At Risk

  N/A

• Timbers (End fungus, split, crushed)<br>

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• X-Ray (Subpart Z - 1910.1096)

  Off

  On

• Signs & safety barriers in place<br>

  Safe

  At Risk

  N/A

• Dosimeters & film badges in use<br>

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Machine Centers

  Off

  On

• Lockout/Tagout<br>

  Safe

  At Risk

  N/A

• Leaks or Spills<br>

  Safe

  At Risk

  N/A

• Work Stations/Access<br>

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• Other Safety Violations

  Off

  On

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

Corrections:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action:

• At Risk Item: <br>Completion Date: <br>Corrective Action: