Inspection Checklist for EH&S

• CSC Internal Safety & Health Inspection

• Conducted on

  Date

• Prepared by

• Location

• Inspection Team:

Inspection Frequency

• Annual

  Yes

  No

• Quarterly

  Yes

  No

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?<br>

  Compliant

  Non-Compliant

  N/A

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

  Compliant

  Non-Compliant

  N/A

• 1.4 Are signs concerning exit routes, room capacities, floor loading, biohazards, exposures to x-ray, microwave, or other harmful radiation or substances posted where appropriate?<br>

  Compliant

  Non-Compliant

  N/A

• 1.5 Is the Summary of Work-Related Injuries and Illnesses (OSHA Form 300A) posted during the months of February, March and April?<br>

  Yes

  No

  N/A

  Not Reviewed

2.0 Fire Prevention & Protection

• 2.1 If you have a fire alarm system, is it certified as required and tested annually?<br>

  Yes

  No

  N/A

  Not Reviewed

• 2.2 If you have interior standpipes and valves, are they inspected regularly?<br>

  Yes

  No

  N/A

  Not Reviewed

• 2.3 Are fire doors and shutters in good operating condition?<br>

  Compliant

  Non-Compliant

  N/A

• 2.4 Is proper clearance maintained below sprinkler heads?<br>

  Yes

  No

  N/A

  Not Reviewed

• 2.5 Are portable fire extinguishers provided in adequate number and type and mounted in readily accessible locations?<br>

  Yes

  No

  N/A

  Not Reviewed

• 2.6 Are fire extinguishers recharged regularly with this noted on the inspection tag?<br>

  Yes

  No

  N/A

  Not Reviewed

• 2.7 Are employees periodically instructed in the use of fire extinguishers and fire protection procedures?<br>

  Compliant

  Non-Compliant

  N/A

3.0 Personal Protective Equipment and Clothing

• Does site have documented Personal Protective Equipment Assessment?

  Yes

  No

  N/A

• 3.1 Have both the employer and the employees been trained on PPE procedures, i.e., what PPE is necessary for job tasks, when workers need it, and how to properly wear and adjust it?<br><br>

  Yes

  No

• 3.2 Are adequate work procedures, PPE and other equipment provided and used when cleaning up spilled hazardous materials?<br>

  Yes

  No

  N/A

  Not Reviewed

4.0 General Work Environment

• Yes

  No

  N/A

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

  Yes

  No

  N/A

  Not Reviewed

• 4.2 Are work surfaces kept dry and appropriate means taken to assure the surfaces are slip-resistant?<br>

  Yes

  No

  N/A

  Not Reviewed

• 4.3 Are all spilled hazardous materials or liquids, including blood and other potentially infectious materials, cleaned up immediately and according to proper procedures?<br>

  Yes

  No

  N/A

  Not Reviewed

• 4.4 Is combustible scrap, debris and waste stored safely and removed from the worksite promptly?<br>

  Yes

  No

  N/A

  Not Reviewed

• 4.5 Are all work areas adequately illuminated?<br>

  Yes

  No

  N/A

  Not Reviewed

• 4.6 Are pits and floor openings covered or otherwise guarded?<br>

  Yes

  No

  N/A

  Not Reviewed

• 4.7 Have all confined spaces been evaluated for compliance with 29 CFR 1910.146? (Permit required confined spaces.)<br>

  Yes

  No

  N/A

  Not Reviewed

5.0 Walkways

• 5.1 Are aisles and passageways kept clear and marked as appropriate?<br>

  Compliant

  Non-Compliant

  N/A

• 5.2 Are wet surfaces covered with non-slip materials?<br>

  Yes

  No

  N/A

  Not Reviewed

• 5.3 Are holes in the floor, sidewalk, or other walking surface repaired properly, covered, or otherwise made safe?<br>

  Compliant

  Non-Compliant

  N/A

• 5.4 Is there safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?<br>

  Yes

  No

  N/A

  Not Reviewed

6.0 Floor and Wall Openings

• 6.1 Are grates or similar type covers over floor openings such as floor drains designed to allow unimpeded foot traffic or rolling equipment?<br>

  Yes

  No

  N/A

  Not Reviewed

• 6.2 Are unused portions of service pits and pits not in use either covered or protected by guardrails or equivalent?<br>

  Yes

  No

  N/A

  Not Reviewed

7.0 Exiting or Egress-Evacuation

• Does the site have a documented Emergency Action Plan?

  Yes

  No

  N/A

• 7.1 Are all exits marked with an exit sign and illuminated by a reliable light source?<br>

  Yes

  No

  N/A

  Not Reviewed

• 7.2 Are the directions to exits, when not immediately apparent, marked with visible signs?<br>

  Yes

  No

  N/A

  Not Reviewed

• 7.3 Are doors, passageways or stairways that are neither exits nor access to exits, but could be mistaken for exits, appropriately marked "NOT AN EXIT," "TO BASEMENT," "STOREROOM," etc.?<br>

  Yes

  No

  N/A

  Not Reviewed

• 7.4 Are exit signs labeled with the word "EXIT" in lettering at least 5 inches (12.70 centimeters) high and the stroke of the lettering at least l/2inch (1.2700 centimeters) wide?<br>

  Yes

  No

  N/A

  Not Reviewed

• 7.5 Are exit doors side-hinged?<br>

  Yes

  No

  N/A

  Not Reviewed

• 7.6 Are all exits kept free of obstructions?<br>

  Yes

  No

  N/A

  Not Reviewed

8.0 Portable Ladders

• 8.1 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?<br>

  Compliant

  Non-Compliant

  N/A

• 8.2 Are non-slip safety feet provided on each metal or rung ladder, and are ladder rungs and steps free of grease and oil?<br>

  Yes

  No

  N/A

  Not Reviewed

• 8.3 Are the rungs of ladders uniformly spaced at 12 inches (30.48 centimeters) center to center?<br>

  Compliant

  Non-Compliant

  N/A

9.0 Hand Tools and Equipment

• 9.1 Are all tools and equipment (both company and employee-owned) used at the workplace in good condition?<br>

  Yes

  No

  N/A

  Not Reviewed

• 9.2 Are hand tools, such as chisels, punches, etc., which develop mushroomed heads during use, reconditioned or replaced as necessary?<br>

  Compliant

  Non-Compliant

  N/A

• 9.3 Are broken or fractured handles on tools and equipment replaced promptly?<br>

  Yes

  No

  N/A

  Not Reviewed

• 9.4 Are worn or bent tools replaced?<br>

  Yes

  No

  N/A

  Not Reviewed

• 9.5 Are employees aware of hazards caused by faulty or improperly used hand tools?

  Compliant

  Non-Compliant

  N/A

• 9.6 Are jacks checked periodically to ensure they are in good operating condition?<br>

  Yes

  No

  N/A

  Not Reviewed

• 9.7 Are tools stored in a dry, secure location where they cannot be tampered with?<br>

  Yes

  No

  N/A

  Not Reviewed

10.0 Portable (Power Operated) Tools and Equipment

• 10.1 Are grinders, saws and similar equipment provided with appropriate safety guards?<br>

  Yes

  No

  N/A

  Not Reviewed

• 10.2 Are power tools used with proper shields, guards, or attachments, as recommended by the manufacturer?<br>

  Yes

  No

  N/A

  Not Reviewed

• 10.3 Are portable circular saws equipped with guards above and below the base shoe?<br>

  Yes

  No

  N/A

  Not Reviewed

• 10.4 Are circular saw guards checked to ensure that they are not wedged up, leaving the lower portion of the blade unguarded?<br>

  Yes

  No

  N/A

  Not Reviewed

• 10.5 Are rotating or moving parts of equipment guarded to prevent physical contact?<br>

  Yes

  No

  N/A

  Not Reviewed

• 10.6 Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?<br>

  Yes

  No

  N/A

  Not Reviewed

• 10.7 Are effective guards in place over belts, pulleys, chains and sprockets on equipment such as concrete mixers, air compressors, etc.?<br>

  Yes

  No

  N/A

  Not Reviewed

• 10.8 Is hoisting equipment available and used for lifting heavy objects, and are hoist ratings and characteristics appropriate for the task?<br>

  Yes

  No

  N/A

  Not Reviewed

• 10.9 Are ground-fault circuit interrupters provided on all temporary electrical 15 and 20 ampere circuits used during periods of construction?<br>

  Yes

  No

  N/A

  Not Reviewed

• 10.10 Are pneumatic and hydraulic hoses on powder-operated tools checked regularly for deterioration or damage?<br>

  Yes

  No

  N/A

  Not Reviewed

11.0 Powdered Hand Tools

• 11.1 Are employees who operate powdered hand tools trained in their use and required to carry a valid operator's card?<br>

  Compliant

  Non-Compliant

  N/A

• 11.2 Is each powdered hand tool stored in its own locked/designated container when not being used?<br>

  Yes

  No

  N/A

  Not Reviewed

• 11.3 Are powdered tools stored in a safe state (unloaded, clean) until they are ready to be used?<br>

  Yes

  No

  N/A

  Not Reviewed

• 11.4 Are powdered hand tools inspected for obstructions/defects before use?<br>

  Yes

  No

  N/A

  Not Reviewed

• 11.5 Does JHA indicate the use of appropriate PPE such as hard hats, safety goggles, safety shoes and ear protectors? Review at least ONE JHA involving powered hand tool.<br>

  Yes

  No

  N/A

  Not Reviewed

12.0 Machine Guarding

• Does site have a documented Machine Guarding program?

  Yes

  No

  N/A

• 12.1 Is there a training program to instruct employees on safe methods of machine operation?<br>

  Yes

  No

  N/A

  Not Reviewed

• 12.2 Is there adequate supervision to ensure that employees are following safe machine operating procedures?<br>

  Yes

  No

  N/A

  Not Reviewed

• 12.3 Are all emergency stop buttons colored red?<br>

  Yes

  No

  N/A

  Not Reviewed

• 12.4 Are fan blades protected with a guard having openings no larger than l/2 inch (1.2700 centimeters) when operating within 7 feet (2.1336 meters) of the floor?<br>

  Yes

  No

  N/A

  Not Reviewed

13.0 Lockout/Tagout Procedures

• Does site have a documented LOTO Program?

  Yes

  No

  N/A

• 13.1 Is all machinery or equipment capable of movement required to be de-energized or disengaged and blocked or locked out during cleaning, servicing, adjusting, or setting up operations?<br>

  Yes

  No

  N/A

  Not Reviewed

• 13.2 If the power disconnect for equipment does not also disconnect the electrical control circuit, are the appropriate electrical enclosures identified and is a means provided to ensure that the control circuit can also be disconnected and locked out?<br>

  Compliant

  Non-Compliant

  N/A

• 13.3 Is there a means provided to identify any or all employees who are working on locked-out equipment by their locks or accompanying tags?<br>

  Yes

  No

  N/A

  Not Reviewed

14.0 Compressors and Compressed Air

• 14.1 Are compressors equipped with pressure relief valves and pressure gauges?<br>

  Yes

  No

  N/A

  Not Reviewed

• 14.2 Are compressor air intakes installed and equipped so as to ensure that only clean, uncontaminated air enters the compressor?<br>

  Yes

  No

  N/A

  Not Reviewed

• 14.3 Are air filters installed on the compressor intake?<br>

  Yes

  No

  N/A

  Not Reviewed

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

  Yes

  No

  N/A

  Not Reviewed

• 14.5 Are safety devices on compressed air systems checked frequently?<br>

  Yes

  No

  N/A

  Not Reviewed

15.0 Hoists, Cranes and Auxiliary Equipment

• Yes

  No

  N/A

• 15.1 Is each overhead electric hoist equipped with a limit device to stop the hook at its highest and lowest point of safe travel?<br>

  Yes

  No

  N/A

  Not Reviewed

• 15.2 Is the rated load of each hoist legibly marked and visible to the operator?<br>

  Yes

  No

  N/A

  Not Reviewed

• 15.3 Are stops provided at the safe limits of travel for trolley hoists?

  Yes

  No

  N/A

  Not Reviewed

• 15.4 Are the controls of hoists plainly marked to indicate the direction of travel or motion?<br>

  Yes

  No

  N/A

  Not Reviewed

16.0 Powered Industrial Trucks (PITs)

• Does the site have a documented Powered Industrial Truck program?

  Yes

  No

  N/A

• 16.1 Are employees properly trained in the use of the type of industrial truck they operate?<br>Review current training roster for classroom and hands-on completion.

  Yes

  No

  N/A

  Not Reviewed

• 16.2 Are only trained personnel allowed to operate industrial trucks?<br>

  Yes

  No

  N/A

  Not Reviewed

• 16.3 Is substantial overhead protective equipment provided on high lift rider equipment?<br>

  Yes

  No

  N/A

  Not Reviewed

• 16.4 Does each industrial truck have a warning horn or other device that can be clearly heard above normal noise in the areas where it is operated?<br>

  Yes

  No

  N/A

  Not Reviewed

• 16.5 Are the brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded?<br>

  Yes

  No

  N/A

  Not Reviewed

• 16.6 Are industrial trucks that operate where flammable gases, vapors, combustible dust, or ignitable fibers may be present approved for such locations?<br>

  Yes

  No

  N/A

  Not Reviewed

• 16.7 Are motorized hand and hand/rider trucks designed so that the brakes are applied and power to the drive motor shuts off when the operator releases his or her grip on the device that controls the truck's travel?<br>

  Yes

  No

  N/A

  Not Reviewed

• 16.8 Are industrial trucks with internal combustion engines that are operated in buildings or enclosed areas carefully checked to ensure that such operations do not cause harmful concentrations of dangerous gases or fumes?<br>

  Yes

  No

  N/A

  Not Reviewed

17.0 Flammable and Combustible Materials

• 17.1 Are combustible scrap, debris and waste materials (oily rags, etc.) stored in covered metal receptacles and promptly removed from the worksite?<br>

  Yes

  No

  N/A

  Not Reviewed

• 17.2 Is proper storage practiced to minimize the risk of fire, including spontaneous combustion?<br>

  Yes

  No

  N/A

  Not Reviewed

• 17.3 Are approved containers and tanks used to store and handle flammable and combustible liquids?<br>

  Yes

  No

  N/A

  Not Reviewed

• 17.4 Are all connections on drums and combustible liquid piping, vapor and liquid tight?<br>

  Yes

  No

  N/A

  Not Reviewed

• 17.5 Are all flammable liquids kept in closed containers when not in use (e.g., parts cleaning tanks, pans, etc.)?<br>

  Yes

  No

  N/A

  Not Reviewed

• 17.6 Are appropriate fire extinguishers mounted within 75 feet (22.86 meters) of outside areas containing flammable liquids and within 10 feet (3.048 meters) of any inside storage area for such materials?<br>

  Yes

  No

  N/A

  Not Reviewed

18.0 Hazardous Chemical Exposure

• Does the site have a documented Hazard Communication program?

  Yes

  No

  N/A

• 18.1 Are employees aware of the potential hazards and trained in safe handling practices for situations involving various chemicals stored or used in the workplace such as acids, bases, caustics, epoxies, phenols, etc.?<br>

  Yes

  No

  N/A

  Not Reviewed

• 18.2 Are eye-wash fountains and safety showers provided in areas where corrosive chemicals are handled?<br>

  Yes

  No

  N/A

  Not Reviewed

• who to contact and what to do in an emergency.

21.0 Electrical

• Does the site have a documented Electrical SAfety Program?

  Yes

  No

  N/A

• 19.1 Do you require compliance with OSHA standards for all contract electrical work?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.2 Are all employees required to report any obvious hazard to life or property in connection with electrical equipment or lines as soon as possible?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.3 Are employees instructed to make preliminary inspections and/or appropriate tests to determine conditions before starting work on electrical equipment or lines?<br>

  Yes

  No

  N/A

  Not Reviewed

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

  Yes

  No

  N/A

  Not Reviewed

• 19.5 Are electrical appliances such as vacuum cleaners, polishers, vending machines, etc., grounded?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.6 Do extension cords have a grounding conductor?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.7 Are ground-fault circuit interrupters installed on each temporary 15 or 20 ampere, 120 volt alternating current (AC) circuit at locations where construction, demolition, modifications, alterations, or excavations are being performed?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.8 Are flexible cords and cables free of splices or taps?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.9. Are all cord, cable and raceway connections intact and secure?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.10 Are disconnecting means always opened before fuses are replaced?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.11 Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?

  Select Compliant Non-Compliant N/A

  • Compliant
  • Non-Compliant
  • N/A

• Inspect TEN (10) electrical enclosures: Indicate the electrical panel number and location

  Yes

  No

  N/A

• 19.12 Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.13 Is low voltage protection provided in the control device of motors driving machines or equipment that could cause injury from inadvertent starting?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.14 Is each motor disconnecting switch or circuit breaker located within sight of the motor control device?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.15 Is the controller for each motor that exceeds two horsepower rated equal to or above the rating of the motor it serves?<br>

  Yes

  No

  N/A

  Not Reviewed

• 19.16 Are employees who regularly work on or around energized electrical equipment or lines instructed in cardiopulmonary resuscitation (CPR)?<br>

  Yes

  No

  N/A

  Not Reviewed

20.0 Noise

• Has the site scheduled an initial IH Assessment that includes noise monitoring?

  Yes

  No

  N/A

• Create an Action Item to Schedule an Initial IH Assessment and mark the following Noise questions "Not Applicable".

  Yes

  No

  N/A

• 20.1 Are there areas in the workplace where continuous noise levels exceed 85 decibels?<br>

  Yes

  No

  N/A

  Not Reviewed

21.0 Fueling and Charging Stations

• Yes

  No

  N/A

• 21.1 Are fuel tank caps replaced and secured before starting the engine?<br>

  Yes

  No

  N/A

  Not Reviewed

• 21.2 Are charging stations designed with bumpers or stop to prevent impacts with lifts? <br>

  Yes

  No

  N/A

  Not Reviewed

• 21.3 Are Team Members required to complete training on How to Charge mobile equipment?<br>

  Yes

  No

  N/A

  Not Reviewed

• 21.4 Are open lights, open flames, sparking, or arcing equipment prohibited near fueling or transfer of fuel operations?<br>

  Compliant

  Non-Compliant

  N/A

• 21.5 Are smoking / ignition sources prohibited signs displayed in the vicinity of fueling operations?<br>

  Compliant

  Non-Compliant

  N/A

22.0 Material Handling and Storage

• Yes

  No

  N/A

• 22.1 Is there safe clearance for equipment through aisles and doorways?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.2 Are aisleways permanently marked and kept clear to allow unhindered passage?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.3 Are motorized vehicles and mechanized equipment inspected daily or prior to use?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.4 Are vehicles shut off and brakes set prior to loading or unloading?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.5 Are containers of liquid combustibles or flammables, when stacked while being moved, always protected by dunnage (packing material) sufficient to provide stability?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.6 Are dock boards (bridge plates) used when loading or unloading operations are taking place between vehicles and docks?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.7 Are trucks and trailers secured from movement during loading and unloading operations?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.8 Are dock plates and loading ramps constructed and maintained with sufficient strength to support imposed loading?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.9 Are hand trucks maintained in safe operating condition?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.10 Are chutes and gravity roller sections firmly placed or secured to prevent displacement?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.11 Are pallets usually inspected before being loaded or moved?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.12 Are safety latches and other devices being used to prevent slippage of materials off of hoisting hooks?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.13 Are securing chains, ropes, chockers, or slings adequate for the job?<br>

  Yes

  No

  N/A

  Not Reviewed

• 22.14 Are SDSs available to employees handling hazardous substances?<br>

  Yes

  No

  N/A

  Not Reviewed

23.0 Mobile Equipment & Powered Industrial Trucks (PITs)

• This section applies to utility vehicles, forklifts, fleet vehicles, etc.

  Yes

  No

  N/A

• 23.1 Do team members who operate mobile equipment including PITs have valid operator's licenses?<br>

  Yes

  No

  N/A

  Not Reviewed

• 23.2 Are vehicles used to transport employees equipped with lamps, brakes, horns, mirrors, windshields and turn signals, and are they in good repair?<br>

  Yes

  No

  N/A

  Not Reviewed

• 23.3 Is a fully charged fire extinguisher, in good condition, with at least a 4 B:C rating maintained in each employee transport vehicle?<br>

  Yes

  No

  N/A

  Not Reviewed

24.0 Incident and Injury Management

• 24.1Does the site have a documented Incident Management program?

  Yes

  No

  N/A

• 24.2 Does the site have an Occupational Health medical treatment facility identified?

  Yes

  No

  N/A

• 24.3 Does the site have a conservative care provider identified?

  Yes

  No

  N/A

25.0 Heat Injury and Illness Prevention

• 25.1 Does the site have a documented Heat Injury and Illness Prevention program?

  Yes

  No

  N/A

• 25.2 Does the site have a procedure or program for environmental monitoring and the identification of work processes and external factors that increase the likelihood of heat-related injury and illness?

  Yes

  No

  N/A

• 25.3 Does the site have procedures for implementing engineering controls and/or administrative controls, including the provisions of drinking water, rest breaks in a cool and/or shaded area, acclimatization?

  Yes

  No

  N/A

• 25.4 Does the site have training or protocols for new and returning Team Members, and supervision of Team Members for signs and symptoms of heat-related illness?

  Yes

  No

  N/A

26.0 Contractor Safety Management

• Does the site have a documented Contractor Safety Management program?

  Yes

  No

  N/A

• Are contractors working on site in the AVETTA system?

  Yes

  No

  N/A

• If a contractor is not in the AVETTA system or has a Poor rating, is there a documented Varience process?

  Yes

  No

  N/A

• Contractor Safety Orientation includes a Point of Contact and Emergency procedures?

  Yes

  No

  N/A

• All jobs / projects performed by contractors require a Pre-Job Safety Brief to be completed prior to work. Verify by attaching at least ONE completed Pre-Job Safety Brief.

  Yes

  No

  N/A