Title Page

  • Conducted on

  • Prepared by

  • Shift

Inspection Items

GENERAL INSPECTION / HOUSEKEEPING

  • Aisle/walkways are clear and unobstructed?

  • What is the hazard class rating?

  • Floors are clean and free of obstructions or tripping hazards?

  • What is the hazard class rating?

  • Lights and light fixtures are working and in good order with proper illumination?

  • What is the hazard class rating?

  • Garbage & Recycling bins (number and location adequate)

  • What is the hazard class rating?

  • Work stations and barriers are free from sharp edges and protrusions? (i.e. nails, strapping, panels, etc.)

  • What is the hazard class rating?

  • All chemical bottles are clearly labelled as per WHMIS (GHS) - product identifier, hazard symbols, etc.?

  • What is the hazard class rating?

  • Racking and shelving in good condition, secured from tipping and in good location? (not obstructing aisles or limiting worker movement)

  • What is the hazard class rating?

  • Correct stacking heights on bins (safe stacking, not leaning or potential to fall over)

  • What is the hazard class rating?

ELECTRICAL POWER SYSTEMS - ESA CHECKS

  • High voltage and control panels closed and secured

  • What is the hazard class rating?

  • Control panel identified and accessible (1M clearance)

  • What is the hazard class rating?

  • General condition of wiring (extension cords, fans, etc.)

  • What is the hazard class rating?

  • Electrical equipment protected from the elements

  • What is the hazard class rating?

  • Lockout provisions available and procedures posted

  • What is the hazard class rating?

  • Are there any extension cords replacing permanent wiring?

  • What is the hazard class rating?

  • Emergency exit signs are in good working order and illuminated ?

  • What is the hazard class rating?

  • Is there any equipment showing exposed wiring (welding machines, fans, etc.)

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FIRE PROTECTION

  • Fire extinguishers and hoses are properly identified and secured on bracket?

  • if missing, indicate specific area/location and extinguisher number

  • What is the hazard class rating?

  • Fire extinguishers are accessible (not blocked by dies) and inspected monthly (check tags)?

  • if missing, indicate specific area/location and extinguisher number

  • What is the hazard class rating?

  • Oily rags container in good working condition (lid opens/closes)

  • What is the hazard class rating?

  • Flammables cabinet - must be grounded and only contain flammable substances. Free from rags, cardboard and other combustible materials?

  • What is the hazard class rating?

  • Spill kits are accessible - ensure emergency contact numbers , ID sign and inventory list posted, verified?

  • What is the hazard class rating?

ACCESS / EGRESS

  • Route and exits are clearly marked/lighted

  • What is the hazard class rating?

  • Adequate means of emergency egress?

  • What is the hazard class rating?

  • Exits are clear and unobstructed

  • What is the hazard class rating?

FIRST AID KITS

  • Names of qualified first-aid providers are posted and clearly visible? (not torn, damaged or unlegible)

  • What is the hazard class rating?

  • Names and phone numbers of emergency facilities are posted and clearly visible? (not torn, damaged or unlegible)

  • What is the hazard class rating?

  • Contents of first-aid kit(s) are inspected, re-stocked & signed-off?

  • What is the hazard class rating?

  • Instructions for accident reporting sticker (form 82)

  • What is the hazard class rating?

EQUIPMENT - SHIPPING

  • Shipping forklift daily inspections completed?

  • What is the hazard class rating?

  • Seat belts worn on forklifts (randomly audit)

  • What is the hazard class rating?

  • Wheel chocks are available and in good working condition (not damaged/broken)

  • What is the hazard class rating?

  • Shipping office area houskeeping

  • What is the hazard class rating?

WASTE DISPOSAL

  • Recyclables are being disposed of properly?

  • What is the hazard class rating?

  • Waste bins being emptied regularly?

  • What is the hazard class rating?

STACKING AND STORAGE

  • Dies stacked properly?

  • What is the hazard class rating?

  • All dies stacks are stable and secure (2 Dies High MAXIMUM)

  • What is the hazard class rating?

PERSONAL PROTECTIVE EQUIMENT (PPE)

  • Employees wearing appropriate eye protection? (CSA safety glasses with side shields, Face shield if grinding)

  • What is the hazard class rating?

  • Employees wearing appropriate foot protection? (CSA approved, Green patch)

  • What is the hazard class rating?

ADDITONAL ITEMS NOTED/CHECKED:

  • Indicate any other issue not previously mentioned

JOB OBSERVATION / PERFORMANCE NOTES: (at least one)

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EMPLOYEE INTERVIEW / WORKER CONCERNS:

  • Indicate name of employee interviewed

  • Does the employee know what to do in an evacuation?

  • Inform employee of nearest evacuation and meeting points. Notify Supervisor.

  • Does the employee know hazards of their job? Please indicate

  • Inform employee of specific job related hazards. Notify Supervisor

JHSEC Inspector Signature

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