Title Page
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Conducted on
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Prepared by
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Location
FIRST AID
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Are first aid kits well stocked?
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Is the first aid station labeled with a sign and easily accessible to all employees?
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Are eyewash stations being checked monthly and signed off on?
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Is there an emergency eye wash kit/station and is the expiration date on it current?
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Is there a Bloodborne Pathogen Kit?
FIRE PROTECTION
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Is there a fire extinguisher sign above each extinguisher?
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Look on the extinguisher tag; is the date that is punched within one year of today’s date?
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Look on the back of the extinguisher tag; has someone been initialing the tag once a month?
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Do the fire extinguishers have at least 36” of clearance in front of them?
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Is the fire escape plan posted so all employees and visitors can see it?
HOUSEKEEPING
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Are aisles and walkways clear of product and garbage that could cause a tripping hazard?
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Are the following areas clean: office, break room, bathrooms and warehouse?
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Are stairs accessible, clean and clear?
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Is the overall housekeeping of the plant/facility in good shape? (i.e. under machinery, glue spills, etc.)
EXITS
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Does each exit door have an exit sign on or above it?
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If the exit sign is capable of being lit up, is the light working?
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Are all exit doors open from the inside during business hours?
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Are all exits clear of product and not blocked?
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Open each door, are all doors very easy to open?
LADDERS
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Do all step ladders have safety feet and do all rolling ladders have a working brake?
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Are all ladders aluminum or fiber glass?
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Are ladders in good working condition; no cracks, no bends, feels sturdy?
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Are unused ladders stored/secured out of the way?
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Have ladders been inspected monthly?
PERSONAL PROTECTIVE EQUIPMENT
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Is there an "extra" supply of replacement PPE on-hand?
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Is PPE being used and inspected for damage?
HAZARD COMMUNICATION
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Are flammables and combustibles stored separately at the end of the shift?
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Are bottles and chemicals all identifiable by reading a label?
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Does facility have an SDS book?
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Is the location of the book posted and accessible to all employees?
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Ask an employee to show you where the SDS book is located; can he/she tell you?
WORK ENVIRONMENT
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If there is machinery, are the Lockout/Tagout procedures posted on the machine?
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Are the Lockout/Tagout devices stored correctly?
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Does each air compressor nozzle have an OSHA approved nozzle (hole on the tip)?
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Is everything stacked on top of each other stacked straight and appear to be sturdy? (i.e. Insulation Rolls, boxes, facing, etc.)
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Are jobs/tasks done with ergonomics in mind?
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Are all guards on equipment in place and fucntional?
FORKLIFT OPERATIONS
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Are only trained employees operating the forklifts?
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Are propane cylinders in a locked cabinet outside or chained up in a secure place?
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Are dock plates used when loading or unloading vehicles?
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Are trucks and trailers secured (chocked) from movement during loading and unloading?
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Are the forklift’s safety features operational? (i.e. back-up alarm, horn, brake lights, headlights (if equipped), current fire extinguisher, and seat belt and being worn)
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Are the forklift inspections being done on a daily basis?
POSTINGS
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Are the state and federal signs hung up in a common area for everyone to see?
ELECTRICAL
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Are all outlets/switches free of damage?
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Do all breaker boxes have at least 36” of clearance in front of them?
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Inspect all extension cords, are they free of frays and tape?
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Is there a ground plug on the end of each cord? (3 prongs)
RACKING
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Is all of the racking bolted to the floor?
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Are all uprights straight and in good condition?
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Does racking have load ratings and do cross members have a pin in place to prevent accidental upward movement?
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Are the lighter items stored on top and the heavier items on the bottom?
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Are Poly and Facing rolls properly strapped and chocked per Bay guidelines?
TRUCKS AND DRIVERS
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Are the company trucks / vehicles in good operating condition?
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Do all company trucks have a current fire extinguisher, first aid kit, and emergency roadside equipment? (i.e. flares, 3 triangles, fuses)
BUILDING / PROPERTY MANAGEMENT
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Is the Property Manager taking care of the building and the surrounding infrastructure issues?
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Are loading docks in good condition?
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Inspectors Signature
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Additional Comments, Suggestions, or Improvements: