Area free of rubbish?

(PPE) Personal Protective Equipment
PPE Pics

Employees wearing safety glasses at all times?

Employees wearing gloves when exposed to cuts and bruises?

Safety Glasses in use were task requires them to be worn.

Face shield or splash goggles worn during chemical operations? (Splash Hazard into eyes)

Hearing Protection worn properly by employees when required?

Condition of PPE? (Clean & sanitary condition)

PPE properly stored when not being used?

Dust masks worn in building 5

Electrical Pics

Electrical panels and devices labeled and secured?

Cover plates or switch plates in place?

Extension cables in good condition?

Extension cable NOT used on a permanent basis?

A quick (random) inspection was performed.

Extension cables not used across aisle ways or walk ways.

Fuse boards door are closed when not in use?

Electrical panels, Breaker boxes, Disconnect boxes unobstructed? ( 3 ft clearance)

Machinery & Machine Guarding
Machine Pics

Is the current guard(s) effective?

Is the Light curtain working properly?

Do adjustable arms for light curtains have padlocks in place?

Potential for employee to reach (Over, Under, Around, Through) the guard?

E-stop properly labeled (Emergency Shut-off)?

Caution / Warning signs in place?

Are all gates, grates, fencing, pin guards, etc in place to prevent employee from entering a hazardous area or nip point.

Are moving parts guarded (belts, shafts, rotating/reciprocating parts, pinch points, etc.)?

Do saws stop within 10 seconds when switched off

Hand and Power Tools
Tool Pics

Power Tools free from damage (switches and guards)?

Cables free from damage or frays?

Cable plug is equipped with ground plug....electrical?

Hand tools free from damage ( handles, shaft, head, etc.)?

Safety guards in place? (Grinders, sanders, etc.)

Grinders have handles in place and free from damage?

A quick (random) inspection was performed.

( Crane/Hoist ) - MEWP/Lifting Components

Properly stored when not in use?

Properly tagged or labeled?

Is tag / label legible?

A quick (random) inspection was performed.

Emergency / First Aid

Clear access to fire extinguishers?

Clear assess to fire hose?

Are fire extinguishers properly mounted?

Are fire extinguisher signs in place or pole painted "RED"?

Fire extinguisher inspections current?

Access to Emergency fire exits?

Access to First Aid items / kit?

Emergency Pics
Eye Wash
Eye Wash Pics

Accessible or clear path?

Are adequate signs marking the location?

Clean (Free from dust, dirt or other debris)?

Expiration date ok or last inspection ok?

Caps or covers in place when not in use?

A quick (random) inspection was performed.

Last documented inspection date.

Fall Protection

Elevated work levels (Over 4 feet high) have guardrails or railing at the proper height of 42" with mid-rail at approx 21"?

Are fall arrest (Harness, Lanyard, Clips, Hooks) inspected?


All chemical containers labeled?

Chemical spill kits available near by?

Chemicals used and/or stored in an approved containers?

Aerosol cans have lids/caps in place when not in use?

Flammable materials stored properly in flammable proof cabinet? (Ie:Acetone, Paint, etc.)

Waste or spent chemicals properly disposed of?

Adequate number of fire extinguishers in place?

Space heaters properly located away from flammables?

Are there items that have the potential to catch fire or possibility to cause a fire.


Are welding screens safely in place around welding work areas?

Are welding screens clean or free from excessive dust?

Are welding gas bottles secured to rack, cart or fixture to prevent it from falling?

Hoses and/or cords free from defects?

A quick (random) inspection was performed.

Ladders (Fixed or Portable)

Stored or secured correctly while not in use?

Ladders free from defects or damage?

Properly labeled or identified?

Site lighting

Are all lights working outside

Are all lights working in all building

Dust plant

Working correctly

Dust cover in place

Area clean all motors free from dust

Slip,Trip Hazards / Walking & Working Surfaces
Slip, Trip Hazard Pics

Spills or leaks?

Misc. items obstructing aisle ways?

Any holes in floor have been reported to Supervisor or Maintenance to be fixed?

Cables or hoses across aisle ways or walk ways?

Pollution Prevention

Good Housekeeping, Preventive Maintenance, Spill Prevention, Training.

Are BMP's (Best Management Practices) observed to prevent pollution?


Are good recycling practices taking place?

Water Conservation

Any leaks or drips noticed?

Energy Conservation

Are lights turned off when applicable? (ie: natural light is plentiful or motion sensors are used)

Excess machinery, electrical devices are unplugged breakers turned off when not being utilized?

Waste water

Any observations of unauthorized items being disposed of down the drain?

Storm Water

Storm water drain access is clear and free from debris?

Secondary Containment

Is secondary containment being used?

Free from cracks, holes, etc?

Describe the type of secondary containment.

Safe/Unsafe acts observed?

Unsafe Acts?

Safe/ good working practice

For this area/dept, How many accidents have occurred since the last assessment?
Clinic Visit Injuries
First Aid Only
Report Only (No clinic visit needed)
Property Damage
Near Misses
Are there Risk controls that have failed or need to be enhanced in order to prevent future injuries?
PPE (Besides Safety Glasses & Steel Toes)
Engineering Controls
Administrative Controls / Work Practice Controls
Communication Controls

Additional comments on control failures.


Overall review?

Supervisor or Lead signature
EHS Manager signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.