KLOC Store Inspection

• Store

• Conducted on

  Date

• Prepared by

BASIC REQUIREMENTS

• Are the required OSHA postings in place and updated?

  Yes

  No

  N/A

• Is there a properly stocked first aid and bloodborne pathogen kit available and without expired contents?

  Yes

  No

  N/A

• Are fire extinguishers available, properly located, properly marked, and have updated annual and monthly inspections?

  Yes

  No

  N/A

• Is there any emergency equipment with restricted access?

  Safe

  At Risk

  N/A

• Are all emergency exits properly marked?

  Yes

  No

  N/A

CHEMICALS AND GASES

• Are all flammable and combustible liquids/chemicals stored or used onsite?

  Yes

  No

  N/A

• Are chemical containers properly labeled?

  Yes

  No

  N/A

• Are all flammable and combustible liquids stored in the appropriate type of container?

  Yes

  No

  N/A

• Are all flammable and combustible materials stored away from energized circuits and ignition sources?

  Yes

  No

  N/A

• Is eyewash capability located for convenient employee access, if applicable?

  Yes

  No

  N/A

• Are fuel shut-off switches prominently located and easily accessible? Do all employees know where they are and how to use them?

  Yes

  No

  N/A

• Are all compressed gas cylinders properly stored and labeled?

  Yes

  No

  N/A

INJURY HAZARDS

• Are there any electrical hazards present?

  Yes

  No

  N/A

• Are all breaker panels properly labeled with warning placards?

  Yes

  No

  N/A

• Are all electrical components and equipment properly guarded?

  Yes

  No

  N/A

• Are there any strain, sprain, or tear hazards present?

  Safe

  At Risk

  N/A

• Are all portable ladders properly erected or stored and properly marked with load and warning labels?

  Yes

  No

  N/A

• Are there any slip, trip, or fall hazards present?

  Safe

  At Risk

  N/A

MISCELLANEOUS HAZARDS AND VIOLATIONS

• Are there any miscellaneous safety violations present?

  Safe

  At Risk

  N/A