Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Opening Conference

  • Select date

  • Client asks for credentials

  • Client asks purpose of visit

  • Time to get to meeting room

  • Time frame for wait is reasonable

  • Location of meeting room

  • Meeting room is appropriate. Location and pathway acceptable and unrevealing.

  • Names and Titles of all present

  • Is the facility Union

  • Union Name/ Number

  • List of representatives

  • Did Union request to be present

  • Does Employer host other employees on premises

  • Names of alternate employers

  • Name of Alternate employer representatives

  • Do alternate employer representatives request to be present

  • does client have written protocol for handling OSHA inspection

  • What is NASIC code or SIC code according to Employer

  • Is contact information on OSHA web site correct

  • Enter correct Information

OSHA Log Review

  • Are OSHA logs for previous 5 years available for review

  • Are 300 A available for previous years

  • Current Year Log Completed Properly

  • Describe Violations

  • Is current 300A completed properly including signatures

  • Describe violations

  • Current Year Recordable Rate

  • Current year DART Rate

  • Current Year Lost Time Rate

  • Is Previous Year Log completed properly

  • Describe violations

  • Are violation within the past 6 months

  • Issue Violation

  • Is Previous year 300A completed properly including signatures and proof of posting

  • Previous Year recordable Rate

  • Previous Year DART Rate

  • Previous Year LT rate

  • Are their any trends indicated on the OSHA logs

  • List Trends

  • REVIEW medical data to validate days counted

  • List any recordkeeping violations

Written Policies/ Procedures

  • Does Client have a safety manual

  • ASK for Copy

  • Select OSHA Written Programs

  • List Special / Other Policies or Programs

  • Are policies current or review annually if required

  • List Out of Date Policies

Safety and Health Program

  • Are JSA’s completed for each job, reviewed annually, and available in Spanish?

  • Is there an active Safety Committee meeting monthly with appropriate representation?

  • Are safety committee meetings frequent enough and do they cover appropriate information? Review minutes

  • Do people receive safety orientation on the hazards of their job (documented)?

  • Do people acknowledge orientation by signing an Orientation Form?

Required Posting/Recordkeeping (1904.)

  • Is the required OSHA workplace poster displayed in a frequented area of the workplace where all employees are likely to see it?

  • Is the summary of Occupational Illnesses & Injuries posted in the month of February through April?

Medical Services and First-Aid (1910.151) - duplicate

  • Is there a hospital, clinic, or physician designated for injury care?

  • Are first-aid kits equipped for bloodborne pathogens with rubber gloves and antiseptic wipes?

  • Are eye wash stations and safety showers located where chemicals are dispensed, functional, accessible, and checked frequently monthly?

  • Is there first-aid equipment or facilities available for treating minor injuries?

  • Are first-aid cases logged and described?

  • Have people been trained in first aid that renders treatment to the injured? Annual Training?

  • Are First Reports of Injuries being properly filled out and distributed?

Bloodborne Pathogens (1910.1030)

  • Is PPE available to First Responders?

  • Are waste receptacles available and identified?

  • Is training given to First Responders annually (documented)

  • Are vaccinations offered to First Responders? (See the records of those who received shots and denial forms of those who did not.)

Process Safety Management (1910.119) Regulated Chemical(s) - duplicate

  • Has initial and refresher training (3 yrs) been provided to operating employees?<br> (Review training records)<br>

  • Is there written procedures to maintain the mechanical integrity of the equipment?

  • Is there written operating procedures for the process?

  • Has a compliance audit been conducted in the last 3 years to verify that procedures<br> and practices are still adequate and being followed? <br>

  • Have employees been trained in working in different weather conditions?

  • Is training being provided annually to all employees?

  • Has a process hazard analysis been completed and documented within 5 years? What methodology was used

  • Is there an emergency plan and trained response team for chemical releases?

Exiting or Egress (1910.35, .36, .37) - duplicate

  • Are exits marked with an exit sign and illuminated by a reliable light source?

  • Is there an Emergency Action Plan for weather, fire, and medical emergencies?

  • Are emergency plans communicated to all employees (documented)?

  • Are all exits kept free of obstructions inside and out?

  • Are key personnel trained in responsibilities (documented)?

  • Does the Plan contain an Emergency Call List with phone numbers?

  • Are storm shelters identified?

  • Is accountability of employees established for evacuation purposes?

  • Is their sufficient emergency lighting?

  • Have regular evacuation and/or severe weather drill been conducted? (Documented)

  • Are exit doors able to open from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?

Walkways/Railings (1910.23) - duplicate

  • Are aisles and passageways kept clear, identified, and crosswalks visible to area traffic?

  • Are holes in the floor, grates, sidewalk, or other walking surface repaired promptly, covered or otherwise made safe?

  • Are all rugs or floor coverings in good condition and without holes or trip hazards?

  • Are railings provided where there is a drop from one elevation to another?<br> (railings – 42” high with midrail – toe board for people exposure below.)<br>

Portable/Fixed Ladders (1910.26, .27) - duplicate

  • Are all ladders maintained in good condition, joints between steps and side rails tight, all hardware and fittings securely attached and moveable parts operating freely without binding or undue play?

  • Are non-slip safety feet provided on each ladder and rungs provide good footing?

  • Is a annually inspection completed for ladders along with employee training on the safe use?

  • Are portable ladders secured when stored to prevent tipping/falling?

PPE (1910.132, .133, .135, .136) - duplicate - duplicate - duplicate

  • Has workplace hazard assessment been completed and accurately maintained?

  • Have the employees been trained in the use, maintenance, and limitations of personal protective equipment (documented)?

  • Are protective goggles or face shields provided and worn when mixing and dispensing cleaning solutions?

  • Are approved safety glasses required to be worn at all times when there is risk of eye injury (grinding, drilling, and chipping)?

  • Are protective gloves, face shields, and foot protection, or other means provided against undiluted cleaning solutions (sanitation, clean up)?

  • Is all protective equipment maintained in a sanitary condition and ready for use?

Fire Protection (1910.157, .159) - duplicate

  • Are fire extinguishers serviced annually and monthly inspections noted on the inspection tag?

  • Is fire extinguisher training provided to employees, who may be required to use extinguisher, on an annual basis (documented)?

  • Are extinguishers easily accessible and not obstructed?<br> (ordinary combustible 75 feet, high combustible 50 feet)<br>

  • Is sprinkler system (valves) locked in open position, secured, or provided with outside monitoring system for alarm and tampering purposes?

  • Do sprinkler heads have a minimum clearance of 18”?

Material Handling (1910.178)

  • Are drivers utilizing seat belts?

  • Are containers/corrugate stored, stacked, blocked and limited in height so they are stable and secure?

  • Are vehicles shut off and brakes set prior to loading or unloading?

  • Are vehicles being loaded/unloaded by forklift choked or dock locks utilized?

  • Are forklifts maintained in safe operating condition?

  • Are forklift drivers trained initially and refresher training every 3 years minimum?

  • Are daily forklift checks being conducted and documented?

  • Do electric forklift charging areas have acid neutralizers, immediately available fire protection, and adequate ventilation?

  • Are Propane tanks in good condition and stored properly

Tagout Procedures (1910.147) - duplicate

  • Is all machinery or equipment capable of movement, required to be de-energized or disengaged and blocked or tagged-out during cleaning, servicing, adjusting, or setting up operations, whenever required.

  • Does the Tagout procedure require that stored energy (mechanical, hydraulic, air, etc.) be released or blocked before equipment is locked-out for repairs/sanitation?

  • Is it required that only the employee(s) (or qualified service rep.) exposed to the hazard, place or remove their lockout?

  • Are locks and tags identified?

  • Is a copy of the written Lockout/Tagout Policy on hand?

  • Is an annual documented audit performed to ensure Lockout/Tagout is being conducted as required?

  • Have written procedures been established for locking out each piece and/or similar equipment and are updated when changes occur?

  • Have appropriate employees been adequately trained in lockout procedures?

Hand Tools and Equipment (1910.242, .243, .244) - duplicate

  • Are all tools and equipment used by employees in the workplace in good condition?

  • Are broken or fractured handles on hammers and similar equipment replaced promptly?

  • Are guards utilized on powered hand grinders?

  • Are appropriate handles used on files and similar tools?

  • Are non-double insulated tools grounded?

  • Is compressed air for cleaning limited to 30 psi or equipped with safety nozzle?

  • Are load ratings identified on portable walking surfaces?

  • Is equipment anchored in place and made secure?

Flammable and Combustible Materials (1910.253, .106)

  • Is there proper storage practices to minimize the risk of fire including spontaneous combustion including proper labeling?

  • Are “NO SMOKING” rules enforced in production and warehouse areas?

  • Are compressed gas cylinders secured in place?

  • Are flammable liquids and cylinders stored away from radiators, other sources of heat and exits?

  • Does oxygen/acetylene equipment have flashback arresters?

  • Are oxygen/acetylene equipment lines bled off and tanks closed when not in use?

  • Are hot work areas identified throughout the location and hot work permits utilized?

Hazardous Communication/Chemical Exposure (1910.1200)

  • Are employees aware of the potential hazards involving various chemicals stored or used in the workplace? (Review training signature sheet.)

  • Are all containers, such as drums and mixing tanks, etc., labeled as to their contents?

  • Have standard operating procedures been established and are they being followed when cleaning up chemical spills?

  • Are employees trained initially and annually in chemical hazards, symptoms, first-aid, precautions, labeling and other OSHA requirements?

  • Are Safety Data Sheets (SDS) readily available for each hazardous substance used? (Select a product and ask for SDS)

  • Is there a listing of hazardous substances used in the workplace?

  • Has the Process Safety Analysis been reviewed and updated every 5 years?

  • Was GHS training performed and documented?

  • Are SDS update according to GHS?

Electrical (1910.303, .304)

  • Are electrical appliances and equipment grounded?

  • Do extension cords being used have a grounding conductor and in good<br> condition and used only as a temporary device?<br>

  • Are all disconnecting switches and circuit breakers labeled to indicate their use?

  • Is there sufficient space (3 feet) to access power/disconnect panels?

General Work Environment (1910.141)

  • Are all work sites clean and orderly (good housekeeping)?

  • Are all spilled materials or liquids cleaned up immediately?

  • Are the floors of every workroom maintained in a clean and, so far as possible, a dry condition. Where wet processes are used, is drainage maintained, and false floors, platforms, mats, or other dry standing places provided where practicable?

  • Are hot pipes and equipment in pedestrian traffic areas insulated or isolated?

  • Is debris and waste stored safely and removed from the work site promptly?

  • Are all toilets and washing facilities clean and sanitary?

  • Are all work areas adequately illuminated?

Misc/Other Recommendations

  • Are AED’s used and maintained in accordance with Seneca’s requirements?

  • Are AED’s checked monthly and documented?

  • Is there an established Yard Safety Policy in place/implemented that meets the company’s objectives (review plan).

Closing Conference

  • Select date

  • list All present and Titles

  • Were observations reviewed?

  • Is there a need for a follow up documentation

  • Is Employer Informed of Informal Conference

  • Are there any outstanding issues?

Employee Interviews

  • Employee interview may be held in private. Ask employee if representation is desired

  • Enter Interviewee information and answers to any questions

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.