Information

  • Supervisor and Room Number

  • Building

  • Conducted on

  • Prepared by

A. General Work Environment

  • General housekeeping

  • Fire extinguishers/ electrical panels unobstructed and inspected

  • Exits/aisles/passageways kept clear

  • Electrical cords maintained

  • Shop rules posted

  • Portable ladders or stepstools available

B. Work Practices

  • Training has been completed and documented

  • Undergraduate work properly supervised

  • Food and drinks are prohibited

  • Unauthorized access to shop is prohibited

  • Machine guards are in place during use

  • Tools are kept in good condition with regular maintenance

  • Tools are used according to their proper function and purpose

  • Tools are inspected prior to use

  • Damaged or unsafe tools are taken out of service

  • Tools are de-energized and locked out for maintenance

C. Emergency Information

  • Telephone located in space

  • Emergency telephone numbers posted

  • Spill control materials available

  • Emergency stop buttons present

D. Personal Protective Equipment/ Dress Code

  • Personal Protective Equipment Hazard Assessment completed

  • Safety glasses required and worn

  • Loose clothing prohibited

  • Long hair and beards contained

  • Jewelry removed prior to work

  • Open-toed shoes prohibited

  • A variety of hearing protection is available

E. Chemical Safety Issues

  • Chemicals/ flammable liquids properly stored and labeled

  • Oily rags collected and disposed of properly

  • Used oil/ hazardous waste stored, labeled and disposed of properly

F. Hand and Portable Power Tools

  • Tools are well-maintained and in good condition

  • Tools are stored properly and securely

  • Powered tools are grounded or double insulated

  • Ground fault circuit interrupter (GFCI) protection for wet or outdoor locations

G. Pneumatic Powered Tools

  • Air hoses are in good condition, including couplings and fittings

  • Compressed air is not used for cleaning employees or clothing

  • Tools are not hoisted by the air hose

  • End nozzle pressure for cleaning equipment does not exceed 30 psi

  • Compressed air tanks have been inspected

  • Noise measurements have been taken when necessary

H. Liquid Fuel-Powered Tools

  • Tools are powered off and allowed to cool before refueling

  • Tools are used outdoors whenever possible

  • Adequate ventilation is provided when tools are used indoors

I. Hydraulic Powered Tools

  • Hydraulic fluids are of an approved type, either fire-resistant or insulated, as needed

  • Manufacturer's recommended safe operating pressure is not exceeded in hoses, valves, pipes, filters or other fittings

  • Hydraulic hoses, couplings and fittings are in good condition

J. Powder-Actuated Tools

  • Operators have been properly trained and qualified

  • Proper shielding is available

  • Tools and fasteners not in use are properly secured from authorized use

K. Cutting/ Welding

  • Hot work checklist is available and employed

  • Compressed gas cylinders are stored and secured properly

  • Proper personal protective equipment available

  • Welding arc is properly shielded from other works

  • Flammables and combustibles are properly isolated

  • Portable fire extinguisher is available

  • Fire code permit available

L. Hoisting/Rigging Issues

  • Appropriate equipment is available in good condition

  • Slings, hoists, chains, ropes are regularly inspected and documentation is available.

  • Users have been trained on hoisting and rigging practices

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.