Title Page

  • Location

  • Areas Inspected

  • Conducted on

  • Conducted by (List all members involved)

  • Location

Office & Common Areas/Documentation

  • Labor Law Posters Present

  • OSHA 300A Posted (if between Feb-Mar)

  • Extension Cords (safe, intact, out of pathway, not overloaded)

  • Floors (Clean, clear, slip & trip free)

  • Walkways (clear, spacious)

  • Safety Committees (up to date on tasks, meetings, and reporting)

  • Safety Board (postings and data are up to date)

  • Safety Training (previous months training is complete by all employees)

  • First Aid Kit (Accessible, stocked, void of expired items)

  • Blood Spill Kit (gloves, cleaning supplies, disposal bags)

  • Safety Data Sheets (Available, accessible, employees know how to use)

Emergency Action Plan

  • Written Emergency Action Plan (posted & up to date)

  • Emergency Action Plan Maps (posted, up to date, in all relevant locations)

Warehouse

  • Aisles (Clean, clear, spacious, slip & trip free)

  • Material Storage (Neat, secured, stable, and organized)

  • Pathways to Fire Extinguishers, Electric Panels, and Emergency Exits (Clean, clear, spacious, slip & trip free)

Fire Protection

  • Fire Suppression System & Alarm (Annual Inspection up to date and operational)

  • Fire Extinguishers (Annual and monthly inspections up to date, adequate amount, mounted correctly)

Signage

  • Overhead/Mezzanine Storage (Safe, blocked off, with signage present and detailing permissible usage and weight rating)

  • PPE (signage present where required)

  • Exits (Illuminated signage present on all exits. Exterior doors that are not to be utilized as an emergency exit has signage detailing not an exit)

Fall Hazards

  • Docks (Chains and chocks present and utilized)

  • Stairs (Railing present)

Ladders

  • Are ladders put away and restrained?

  • Are there no damages on the ladders?

  • Are the manufacturer's labels legible?

General Hazards/PPE

Hearing Protection

  • Is hearing protection utilized by employees?

  • Is signage present for hearing protection?

  • Are supplies of hearing protection available?

Eye Protection

  • Is eye protection utilized by employees?

  • Is signage present for eye protection?

  • Are supplies of eye protection available?

Ventilation & Respirators

  • Is proper ventilation in place?

  • Do employees utilize ventilation and respirators?

  • Is signage present for ventilation and respirators?

  • Are supplies of ventilation and respirators available?

Eye Wash Stations

  • Are eye wash stations present in all manufacturing areas within 10 seconds?

Compressed Air

  • Is compressed air not being used on the body?

  • Is compressed air only used for cleaning at under 30 psi?

HAZCOM Labeling

  • Are all chemicals and containers labeled?

Additional PPE

  • Is additional PPE provided as needed (e.g., chaps, hood, gloves, footwear, Kevlar sleeves)?

  • Are employees utilizing additional PPE when needed?

Hot Work

  • Are hot work permits maintained and utilized?

  • Are there no damages to insulation or exposed conductors on cables?

  • Are bottles and containers stored safely?

  • Are appropriate PPE items available, including gloves, hood, goggles, and long sleeves?

  • Are employees wearing the necessary PPE?

Guarding

  • Are guards in place and adequate in all necessary areas?

Tablesaw

  • Is the guard present on the tablesaw?

  • Is the blades lowered when the tablesaw is not in use?

  • Is the pushbar present and utilized on the tablesaw?

LOTO

  • LOTO Level 2 (List of level 2 authorized employees posted)

  • Written LOTO Procedures (Present on all equipment)

  • LOTO Station (Present, mapped, and full)

  • LOTO Logs (Present and maintained)

  • LOTO Compliance (LOTO is not bypassed, procedures are followed)

Rolling Stock

Trucks/Trailers

  • Cab Condition (Clean, free of debris, items secured)

  • Straps (Void of excessive weathering, cuts, or frays)

  • Mudflaps (Present and intact)

  • Labels (DOT, Unit #, Decal, Reflective Tape)

  • Tire Tread (Steer > 4/32, Other > 2/32)

  • Documentation Check

  • HOS Logs (On CDL Drivers)

  • Fire Extinguisher (Present, secure, in good condition)

Forklifts/Equipment

  • Forklift Training (Documented within last 3 years)

  • Seat Belts (Worn while operating)

  • DVIR (Up to date)

  • Horns (Consistently using)

  • Forks (In a safe position)

  • Fire Extinguisher (Present, secure, in good condition)

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.