Hollingsworth Facility Safety Checklist

• Location
  Address

• Facility and Area Observed:

• Conducted by

• Conducted on

  Date

GENERAL

• Job safety and health poster, and communications and emergency numbers posted

  Safe

  At Risk

  N/A

• Adequate provisions for first aid and/or medical attention

  Safe

  At Risk

  N/A

• Do you see evidence of Water leaks on walls/ceiling or even pooled water on the floor?

  Safe

  At Risk

  N/A

HOUSE KEEPING

• Are walking/working surfaces and storage areas free of potential slip/trip/fall hazards (Look for unnecessary debris, trip hazards, excessive accumulations of dust, standing water, other spilled liquids, etc.)?

  Safe

  At Risk

  N/A

• Are trash containers provided and emptied on a regular basis?

  Safe

  At Risk

  N/A

• Are there any general repairs/upkeep to be made? (ex: light bulbs)

  Safe

  At Risk

  N/A

• There is no flammable material or liquids near or resting on potentially hazardous items?

  Safe

  At Risk

  N/A

OUTSIDE HOUSE KEEPING

• Are walkways leading to and from the facility adequately maintained to minimize slips and falls from standing water, ice and snow?

  Safe

  At Risk

  N/A

• Are parking lots, stairs, sidewalks or other exterior walking surfaces free from defects that could cause a slip and fall?

  Safe

  At Risk

  N/A

• Is ice melt or sand readily available near exits that are likely to accumulate ice?

  Safe

  At Risk

  N/A

MANUFACTURING

• Are all machines or operations that expose operators or other employees to rotating parts, pinch points or particles, or sparks adequately guarded?

  Safe

  At Risk

  N/A

• Are all PPE, Processes, Procedures being used in appropriate areas?

  Safe

  At Risk

  N/A

WAREHOUSE

• Material/product is stored in a safe manner (ie. Nothing falling over or looks unsafe)?

  Safe

  At Risk

  N/A

• Racking is in good condition, no damaged uprights or beams?

  Safe

  At Risk

  N/A

• Is Customer Product stored without threat of damage (water, fire and dirt)?

  Safe

  At Risk

  N/A

FORKLIFT / HI-LO

• Are Hi-Lo drivers wearing their eye protection, seatbelts and have their licenses on them and are they current (Check a couple)?

  Safe

  At Risk

  N/A

• Are Hi-Lo drivers using their horns at intersections and when coming out of trailers?

  Safe

  At Risk

  N/A

• Do you see any evidence of bulldozing/pushing multiple pallets, doing unsafe acts?

  Safe

  At Risk

  N/A

• Are Hi-Lo's being used that are needing maintenance/repair

  Safe

  At Risk

  N/A

EMERGENCY PREPAREDNESS / FIRE EXTINGUISHERS

• Is each extinguisher in its designated place, clearly visible, and not blocked by equipment, coats or other objects that could interfere with access during an emergency?

  Safe

  At Risk

  N/A

• Is the pressure gauge showing that the extinguisher is fully charged (the needle should be in the green zone)?

  Safe

  At Risk

  N/A

• Is the extinguisher in good condition and showing no signs of physical damage, corrosion, expiration, or leakage?

  Safe

  At Risk

  N/A

• Are fire extinguishers installed in appropriate location (Extinguishers should be distributed to limit employee travel distance to 75 feet or less)?

  Safe

  At Risk

  N/A

• Are building evacuation drawings/maps that indicate exit routes up to date and posted?

  Safe

  At Risk

  N/A

• Are corridors and exits free and clear of all obstructions to provide easy access to the exit? (min. 36 inches)

  Safe

  At Risk

  N/A

• Are exits properly marked and illuminated?

  Safe

  At Risk

  N/A

ELECTRICAL

• Are there broken/banged up electrical boxes or electrical conduit?

  Safe

  At Risk

  N/A

• Are all electrcial conduit securely attached to a secure surface?

  Safe

  At Risk

  N/A

• All electrical cords are free from damage and not frayed or having exposed wires showing (including no electrical tape)

  Safe

  At Risk

  N/A

• Are there no electrical cords daisy chained together?

  Safe

  At Risk

  N/A

• Is Lockout/Tagout being followed?

  Safe

  At Risk

  N/A

• Are all Electical Panels easily accessable? (36 inch Clearance)

  Safe

  At Risk

  N/A

• Are all electrical panels closed and locks working?

  Safe

  At Risk

  N/A

OTHER

• Are all eye wash stations clean, full and working properly?

  Safe

  At Risk

  N/A

• Have the emergency bullhorn batteries been tested?

  Safe

  At Risk

  N/A

• Disaster first aid kits have been checked and are full of medical supplies?

  Safe

  At Risk

  N/A

• Check both Lockout/Tagout boxs for supplies.

  Safe

  At Risk

  N/A