IDC Spring Floor Safety Evaluation

• Conducted on:

  Date

• Prepared by:

Housekeeping

• Is the floor of every work area maintained in a clean and, so far as possible, a dry condition?

  Yes

  No

  N/A

• Are aisles and passageways kept clear with no obstructions across or in aisles that could create a hazard and appropriately marked?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Emergency Action Plan

• Are exits clearly marked “EXIT” and exit routes adequately lit? Access/egress routes are clear and unobstructed?

  Yes

  No

  N/A

• Are the number of exit routes adequate? Are exits doors unlocked? Do exit route doors discharge to an open space that gives safe access?

  Yes

  No

  N/A

• Appropriate fire extinguishers are readily accessible; noted in good condition; tagged; and inspected (annual, monthly)?

  Yes

  No

  N/A

• Medical services and first aid readily are available? Are first-aid kits easily accessible to each work area, with necessary supplies available, periodically inspected and replenished as needed?

  Yes

  No

  N/A

• Emergency eye wash / shower facilities are located within the immediate work area where employees are exposed to corrosive materials?

  Yes

  No

  N/A

• Employee workstations are set so that employees would not become trapped or enclosed by material or equipment?

  Yes

  No

  N/A

Fire Protection

• Is any type of flammable storage / hot work exposure observed in the facility at the time of the survey?

  Yes

  No

• Cylinders are stored properly (e.g. upright position, caps in place, protected from falling)?<br><br>

  Yes

  No

  N/A

• Oxygen is separated at least 20’ from fuel-gas cylinders or combustible materials (such as oil or grease)?<br><br>

  Yes

  No

  N/A

• Flashback arrestors are used on burning torches to prevent flashback into the compressed gas tanks?<br>

  Yes

  No

  N/A

Machine Guarding & Lockout/Tagout (LOTO)

• Is any type of machine safety / lockout-tagout exposure observed at the time of the survey?

  Yes

  No

• Rotating or moving parts of equipment, chains, and gears properly guarded to prevent physical contact? Are all point-of-operation exposures properly guarded/protected?<br>

  Yes

  No

  N/A

• Are bench grinders guarded and compliant with OSHA standards [ work rest - 1/8-inch; adjustable tongue guard - 1/4-inch ] ?

  Yes

  No

  N/A

• LO/TO is performed correctly / using correct LO/TO equipment? This includes during set-ups

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Are safety glasses used by employees while in the plant or manufacturing areas?

  Yes

  No

  N/A

• Are cut-resistant sleeves worn by all employees in the plant or manufacturing areas?

  Yes

  No

  N/A

• Gloves / hand protection are utilized as needed?<br>

  Yes

  No

  N/A

• Safety-toed shoes or boots are worn in the plant or manufacturing areas?<br>

  Yes

  No

  N/A

Hazard Communication

• Is any type of chemical / hazard communication exposure observed in the facility at the time of the survey?

  Yes

  No

• Containers of hazardous chemicals in the workplace are labeled, tagged, or marked identifying the chemical it contains as well as the appropriate hazard warnings?<br><br>

  Yes

  No

  N/A

• Safety Data Sheets (SDSs) are in place for materials/chemicals on-site and are readily accessible to employees? <br>

  Yes

  No

  N/A

Electrical

• Is any type of electrical exposure observed in the facility at the time of the survey?

  Yes

  No

• Live electrical apparats have shields or guarding to prevent accidental contact?

  Yes

  No

  N/A

• Flexible cords and cables appeared in good condition (ground pin in place, free of splices, insulation)?<br><br>

  Yes

  No

  N/A

• Electrical-Additional Observation

  Yes

  No

  N/A

Walking-Working Surfaces/Fall Protection

• Is any type of walking-working surfaces / fall protection exposure observed in the facility at the time of the survey

  Yes

  No

• Employees above four feet from the next level are protected from falling?<br>

  Yes

  No

  N/A

• Man-lifts, powered platforms, and/or vehicle-mounted work platforms are used with proper fall protection in place?<br>

  Yes

  No

  N/A

• Stairs/changes in elevation are marked/tread appears adequate?

  Yes

  No

  N/A

• Ladders used properly and is in adequate condition?

  Yes

  No

  N/A

Material Handling / Powered Industrial Trucks (Forklifts)

• Powered industrial trucks are inspected before each shift to ensure they are in proper working service? <br><br>

  Yes

  No

  N/A

• Have all authorized powered industrial truck drivers been trained and certified (machine-specific) within in the past 3 years?

  Yes

  No

  N/A

• Powered industrial truck(s) were operated in a safe manner (i.e. seat belt, safe speed, clear view etc.) at time of evaluation?<br><br>

  Yes

  No

  N/A

• Docks locks appeared to be in use when loading or unloading trucks?

  Yes

  No

  N/A

Tools & Equipment

• Were any type of tools or equipment observed in use during the survey?

  Yes

  No

• Hand tools appear to be in good working order?<br><br>

  Yes

  No

  N/A

• Hand / powered tools have proper guarding?

  Yes

  No

  N/A

• Is compressed air (designed for cleaning purposes) restricted at 30 psi?<br>

  Yes

  No

  N/A

• Tools & Equipment-Additional Observation

  Yes

  No

  N/A

Additional Observations

• Is there any type of exposure not already addressed in this report?

  Yes

  No

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

Overall Comments / Notes

• undefined