Information

  • Conducted on

  • Prepared by

  • Location

1.0 Employer Posting

  • 1.1 Is the required OSHA Job Safety and Health Protection Poster displayed in a prominent location where all employees are likely to see it?

  • 1.2 Are emergency telephone numbers posted where they can be readily found in case of emergency?<br>

  • 1.3 Are emergency response maps (indicating locations of emergency exits and muster points, 1st Aid stations, eyewash stations and fire extinguishers) prominently displayed?

  • 1.4 Are designated medical providers listed and displayed prominently?

  • 1.5 Are the most recent ICWG Safety Alerts prominently posted?

  • 1.6 Is the most recent Site Safety Inspection and Action Item List posted?

2.0 Recordkeeping

  • 2.1 Are minor occupational injuries or illnesses requiring only first aid recorded on the first aid log?<br>

  • 2.2 Are employee training records (Safe Work Procedure and Safety Alert acknowledgement pages, supplemental training quizzes, etc.) kept and accessible?<br>

3.0 Medical Services and First Aid

  • 3.1 Is the wash within 3-4 minutes of emergency medical services, or is at least one employee on each shift currently qualified to render first aid?

  • 3.2 Are fully supplied first aid kits easily accessible to each work area, periodically inspected and replenished as needed?<br>

  • 3.3 Is there an eye-wash station readily accessible for quick drenching or flushing of the eyes in areas where corrosive liquids are handled, and is it regularly inspected?

4.0 Fire Protection

  • 4.1 Are portable fire extinguishers provided in adequate number (within 75ft of any given point) and type (ABC) and mounted in readily accessible locations?<br>

  • 4.2 Are all extinguishers inspected within the past 30 days, with this inspection noted on the tag?

  • 4.3 Are all extinguishers serviced, maintained and tagged annually?

5.0 Personal Protective Equipment and Clothing

  • 5.1 Are all employees equipped with non-slip footwear?

  • 5.2 Is all required PPE readily available and maintained in a sanitary condition and ready for use?

6.0 General Work Environment

  • 6.1 Are all worksites clean, sanitary and orderly?<br>

  • 6.2 Is there adequate directional signage (speed limits, striping, bollards, etc.) to effectively control traffic and customer driving behavior while on site?

7.0 Walkways

  • 7.1 Are aisles and passageways kept clear and free of trip hazards (i.e. - uneven surfaces, holes in the floor, sidewalk, or other walking surfaces, ill-fitting grating, etc.)?

  • 7.2 Are changes of direction or elevations (curbs, ramps, etc. requiring employees or customers to step up or down) readily identifiable?

8.0 Stairs and Stairways

  • 8.1 Are there standard handrails on all sets of stairs having at least four risers?

9.0 Elevated Surfaces

  • 9.1 Are signs posted showing the elevated surface load capacity?<br>

  • 9.2 Are surfaces that are elevated more than 30 inches provided with standard guardrails and toeboards?<br>

  • 9.3 Is a safe means of access and egress provided to elevated storage and work surfaces?<br>

  • 9.4 Is material on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?<br>

10.0 Exiting or Egress-Evacuation

  • 10.1 Are all emergency exits marked with an exit sign, illuminated by a reliable light source and kept free of obstructions?

  • 10.2 Are doors that are neither exits nor access to exits appropriately marked "NOT AN EXIT," "EQUIPMENT ROOM," "ELECTRICAL ROOM," etc.?<br>

11.0 Portable Ladders

  • 11.1 Are all ladders maintained in good condition (i.e. - joints between steps and side rails tight, all hardware and fittings securely attached, non-slip safety feet in good condition, and warning labels attached and legible)?

  • 11.2 When portable ladders are used to gain access to elevated surfaces, does the ladder always extend at least 3 feet above the elevated surface?<br>

12.0 Hand Tools and Equipment

  • 12.1 Are all tools and equipment in good condition and stored in a dry, secure location?

  • 12.2 Are power tools used with proper shields, guards, or attachments, as recommended by the manufacturer?

  • 12.3 Are mechanical aids (dollies, pallet jacks, etc.) available to limit forceful exertion or lifting-related injuries?

13.0 Safe Machine Guarding, Operation, and Inspection

  • 13.1 Is there a regular program of safety inspection of machinery and equipment, including morning walkthroughs and routine spot checks?

  • 13.2 Is all machinery and equipment kept clean and properly maintained according to a Preventive Maintenance program?

  • 13.3 Is equipment and machinery securely placed and anchored to prevent tipping or other movement that could result in personal injury?

  • 13.4 Is there at least one lockable E-Stop installed to prevent startup of wash equipment while cleaning or performing maintenance in the wash tunnel?

  • 13.5 Are all pulleys, fans, belts, chains and gears within 7 feet of the floor or working level properly guarded?

14.0 Lockout/Tagout Procedures

  • 14.1 Are there specific, up-to-date LOTO procedures for each piece of equipment or machinery?

  • 14.2 Is there an adequate number of Lockout/Tagout devices available?

  • 14.3 Are authorized employees identified and assessed at least annually on their ability to perform the Lockout/Tagout procedures?

  • 14.4 Is there a log of Lockout/Tagout procedures performed, indicating the date, reason for LOTO, and name of the authorized employee who performed the LOTO?

15.0 Compressors and Compressed Air

  • 15.1 Are compressors operated and lubricated in accordance with the manufacturer's recommendations?<br>

16.0 Compressed Gas Cylinders

  • 16.1 Are cylinders legibly marked to clearly identify the type of gas?<br>

  • 16.2 Are compressed gas cylinders stored securely and in areas protected from external heat sources or damage?

  • 16.3 Are valve protectors always placed on cylinders when the cylinders are not in use or connected for use?

  • 16.4 Are propane tanks stored outside and in approved, locked cabinets?

17.0 Flammable and Combustible Materials

  • 17.1 Are all flammable liquids kept in closed containers when not in use?<br>

  • 17.2 Are "NO SMOKING" signs posted in areas where flammable or combustible materials are used or stored?<br>

  • 17.3 Are designated metal safety cans used for storing and dispensing flammable or combustible liquids, such as gasoline or diesel fuel?

18.0 Hazardous Chemical Exposure

  • 18.1 Is there a list of hazardous substances used in your workplace and a Safety Data Sheet readily available for each hazardous substance used?<br>

  • 18.2 Are all containers (chemical totes, storage tanks, etc.,) and secondary containers (spray bottles, pump-action sprayers, etc.) labeled as to their contents (e.g., Poly Pro, Hydraulic Oil, Windex, Water, etc.)?

  • 18.3 Are spill kits stocked and readily available for neutralizing or disposing of spills or overflows?<br>

19.0 Electrical

  • 19.1 Are portable electrical tools and equipment grounded or of the double insulated type?<br>

  • 19.2 Are exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly?

  • 19.3 Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

  • 19.4 Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates, and is conduit securely fastened in place?

  • 19.5 Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?

  • 19.6 Is sufficient access and working space (36") provided and maintained around all electrical equipment to permit ready and safe operations and maintenance?

20.0 Noise

  • 20.1 Have High Noise work areas been identified and signs posted?<br>

  • 20.2 Are administrative controls (i.e. - worker rotation, scheduling) being used to minimize individual employee exposure to noise?

Sign Off

  • Auditor

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.