Walking/Working Surfaces and Fall Protection

  • Proper labels in place and legible?
    -Portable ladders and stairways require labeling indicating weight limits.

  • Floors and work platforms free of excessive debris and clutter?
    -Excessive oil, trash, manufacturing byproducts, etc. in the work are?
    -No items stored on stairs?

  • Handrails secure and free of excessive defects?
    -Heavily damaged handrails that require replacement? Loose? Broken welds? Bent handrails and/or toe boards?
    -Handrails do not contain excessive oil/grease?

  • Handrails installed where a fall from a height of four feet or greater exists?

  • Fall protection equipment available for working at heights greater than 4 feet from the working surface below it where fall prevention is not available?

  • Harnesses, lanyards, SRL, and lifelines maintained in good condition and inspected properly?
    -Inspection labels present and legible?
    -Webbing free of frayed, cut or broken fibers?
    -Quick connect buckles working properly?

Tools/Machinery/Equipment

  • Are all tools in good working condition?
    -Held together with tape?
    -Excessive noise/vibration?
    -Requires excessive manual manipulation?

  • All existing guarding in place?
    -Guards laying on the floor?
    -Bolts/Screws missing from fixed guarding?
    -Guards shifted causing open point of operation?

  • Existing guarding sufficient in preventing access to the point of operation?
    -Gaps in guarding too large?
    -Use of chains as barrier guarding?
    -Interlocked/Presence sensing devices not working properly?
    -No guard installed where it should exist?

  • Machinery working properly and not causing regular manual manipulation?
    -Frequent breakdowns causing manual work?
    -Machinery producing excessive noise/vibration due to disrepair?

  • Machinery design/layout inherently hazardous?
    -Congestion created in design?
    -Equipment no longer safest design for the process?
    -Can a hazardous piece of equipment be eliminated from the process/work area?

Emergency Response/Fire Protection

  • Fire extinguishers inspected monthly and unblocked?

  • Employees aware of emergency procedures and where assembly areas are? (Interview >=2 employees)

  • Eyewash/Safety Shower stations inspected and unblocked?

  • Spill kits are available where needed and are equipped/inspected as required?

  • Sufficient emergency equipment installed in the area?
    -Fire extinguishers, eyewash, safety shower, spill kits, alarm pull stations, etc.

  • Fire suppression systems not blocked/damaged?

Mobile Equipment

  • Equipment inspected per inspection frequency requirements?

  • Operators using horns and warning devices where required?

  • No passengers on equipment designed for operators only?

Hazardous Energy Control (Lockout/Tagout)

  • Employees expected to conduct lockout trained and equipped properly?
    -Employees understand their role and requirements?
    -Employees have locks available if needed?

  • Employees locked out during a change over and/or other tasks that require lockout?
    -All employees who are working on the equipment have their own lock affixed to the proper energy source(s)?
    -Lockout was verified, stored energy was dissipated and equipment will not operate?

  • Energy control procedures exist for all equipment in the area and employees know where to find them?

  • Lockout exceptions have been adequately evaluated and determined safe?
    -Do regular tool/machine adjustments introduce hazards with unacceptable risk?
    -Other exceptions?

General Safety and Housekeeping

  • Trash, debris, and equipment not left laying around?

  • Equipment free of excessive dust, oil and/or soot?

  • Floor surfaces covered in oil/dust covering the painted surface?

  • General tripping hazards due to housekeeping, equipment layout, and/or workstation design?

Signature and Finalization

  • I have completed this assessment to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify all visible/known hazards as of the date printed on the completed assessment. assessment.

  • Select date

  • General Comments

  • Overall Safety Score

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