Title Page

  • Conducted on

  • Prepared by

  • Location


  • Are first aid kits well stocked?

  • Is the first aid station labeled with a sign and easily accessible to all employees?

  • Are eyewash stations being checked monthly and signed off on?

  • Is there an emergency eye wash kit/station and is the expiration date on it current?

  • Is there a Bloodborne Pathogen Kit?


  • Is there a fire extinguisher sign above each extinguisher?

  • Look on the extinguisher tag; is the date that is punched within one year of today’s date?

  • Look on the back of the extinguisher tag; has someone been initialing the tag once a month?

  • Do the fire extinguishers have at least 36” of clearance in front of them?

  • Is the fire escape plan posted so all employees and visitors can see it?


  • Are aisles and walkways clear of product and garbage that could cause a tripping hazard?

  • Are the following areas clean: office, break room, bathrooms and warehouse?

  • Are stairs accessible, clean and clear?

  • Is the overall housekeeping of the plant/facility in good shape? (i.e. under machinery, glue spills, etc.)


  • Does each exit door have an exit sign on or above it?

  • If the exit sign is capable of being lit up, is the light working?

  • Are all exit doors open from the inside during business hours?

  • Are all exits clear of product and not blocked?

  • Open each door, are all doors very easy to open?


  • Do all step ladders have safety feet and do all rolling ladders have a working brake?

  • Are all ladders aluminum or fiber glass?

  • Are ladders in good working condition; no cracks, no bends, feels sturdy?

  • Are unused ladders stored/secured out of the way?

  • Have ladders been inspected monthly?


  • Is there an "extra" supply of replacement PPE on-hand?

  • Is PPE being used and inspected for damage?


  • Are flammables and combustibles stored separately at the end of the shift?

  • Are bottles and chemicals all identifiable by reading a label?

  • Does facility have an SDS book?

  • Is the location of the book posted and accessible to all employees?

  • Ask an employee to show you where the SDS book is located; can he/she tell you?


  • If there is machinery, are the Lockout/Tagout procedures posted on the machine?

  • Are the Lockout/Tagout devices stored correctly?

  • Does each air compressor nozzle have an OSHA approved nozzle (hole on the tip)?

  • Is everything stacked on top of each other stacked straight and appear to be sturdy? (i.e. Insulation Rolls, boxes, facing, etc.)

  • Are jobs/tasks done with ergonomics in mind?

  • Are all guards on equipment in place and fucntional?


  • Are only trained employees operating the forklifts?

  • Are propane cylinders in a locked cabinet outside or chained up in a secure place?

  • Are dock plates used when loading or unloading vehicles?

  • Are trucks and trailers secured (chocked) from movement during loading and unloading?

  • 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)

  • Are the forklift inspections being done on a daily basis?


  • Are the state and federal signs hung up in a common area for everyone to see?


  • Are all outlets/switches free of damage?

  • Do all breaker boxes have at least 36” of clearance in front of them?

  • Inspect all extension cords, are they free of frays and tape?

  • Is there a ground plug on the end of each cord? (3 prongs)


  • Is all of the racking bolted to the floor?

  • Are all uprights straight and in good condition?

  • Does racking have load ratings and do cross members have a pin in place to prevent accidental upward movement?

  • Are the lighter items stored on top and the heavier items on the bottom?

  • Are Poly and Facing rolls properly strapped and chocked per Bay guidelines?


  • Are the company trucks / vehicles in good operating condition?

  • Do all company trucks have a current fire extinguisher, first aid kit, and emergency roadside equipment? (i.e. flares, 3 triangles, fuses)


  • Is the Property Manager taking care of the building and the surrounding infrastructure issues?

  • Are loading docks in good condition?

  • Inspectors Signature

  • Additional Comments, Suggestions, or Improvements:

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.