MMA - Walkthrough Inspection (GI) w/ Federal OSHA citation estimates

• Client / Site

• Conducted on

  Date

• Prepared by

  Select
• Location
  Address

Ensure that the workplace is safe in the following areas:

• AWAIR Safety Program Contains 5 elements; updated annually with goals and objectives.

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select

• Safety Committee MN: Regular Meetings? Documented Meetings? Management & employee equally represented?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Bloodborne Pathogens: Training? BBP clean up kits?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Chemical Hygiene: Employees trained, Properly labeled, Stored properly (25+ gallons flammable liquid inside cabinet), SDS readily available, PPE in use as required.

  Safe

  At Risk

  N/A

• Potential OSHA Citation

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Compressed Air Use: Not used for cleaning personnel/clothing, For cleaning equipment nozzle pressure reduced to 30 psi if dead ended (regulated or relief ports on nozzle), chip guarding/PPE in place.

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Electrical Wiring & Equipment: Cords not used for permanent wiring? Damaged Cords? 3 feet clearance in front of panels?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Emergency Action Plan: Notification system, Maps developed/posted? Drills?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Employee Right To Know / GHS / SDS: Annual training? SDS available to employees? Labeling of Containers?<br>

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Fall Protection and Elevated Surfaces: Fall protection available and in use above 4'? Guardrails in place where appropriate (mezzanine and other elevated surfaces)? PFAS in use when appropriate (order pickers, etc.)? Mezzanine labeled with load rating? Training? Equipment Inspections?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Fire Extinguishers: Training? Monthly inspection? Labeled? Not Blocked/Obstructed? Mounted properly?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• First Aid & CPR: Trained personnel if no EMS Response within 4 minutes, Training every 2 years?<br>

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Injury & Illness Record Keeping: OSHA 300 Log Accurate? Log posted (February 1 - April 30)? Posters?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Ladders: Trained on proper use, in good condition, labels are legible, being used properly (Extension Ladder - secured, set up at a 4:1 ratio, and extends 3' above access point. Step Ladder - spreader bars locked, personnel not standing above the second step from the top).

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Lock Out Tag Out: Procedures developed for equipment? Authorized/Affected training? Procedures evaluated?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Machine Guarding: AUTO Interlocks? Light curtains? Two hand controls?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Overhead Cranes: Documented Inspections? Safety latch? Controls labeled? Limit switches tested?<br>

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Permit Required Confined Space: Signs? Training? Rescue plan?<br>

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Personal Protective Equipment: Trained, Proper Use, Hazard Assessments

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Power Tools: In good condition, cords not damaged, guards/shields in use, proper PPE?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Powered Industrial Trucks: Classroom Training? Written Test? Hands on evaluation, every 3 years? Quarterly Monitoring for CO?

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Respiratory Protection: Required Use (Trained, Medically Qualified, Fit Tested) Voluntary Use (Signed Form, Medically Qualified for Elastomeric APR)<br>

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Rigging (Chains & Slings): Inspected? Rated? Good condition?<br>

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Walking & Working Surfaces: Personnel exposed to a fall hazard are protected (4' trigger height, guardrail system, personal fall arrest system or safety net system). <br><br>

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

• Woodworking Machines: Guards in place? Push Sticks? Anti restart?<br>

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable
Additional observations: Air Quality, Combustible Dust, Ergonomics, Hot Work Permit Program, Servicing Rims & Wheels, Mechanical Power Presses, Lab Safety, Process Safety Management, Welding (weld fume, hex chrome), etc.

• Describe the observation:

• Observation finding:

  Safe

  At Risk

  N/A

• Potential OSHA Citation:

  Select de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0 Non Serious ("B" minor injury or illness) - $750 Serious ("C" serious physical harm) - $1,750 Serious ("D" serious physical harm) - $2,750 Serious ("E" serious physical harm) - $4,000 Serious ("F" serious physical harm) - $6,250 Serious (death or serious physical harm) - $7,000 Willful (employer intentionally and knowingly commits) - $70,000 Repeat (same violation within three-year period) - $70,000 Not Applicable

  • de minimus ("A" technical violation of OSHA rules that have no direct impact on health or safety) - $0
  • Non Serious ("B" minor injury or illness) - $750
  • Serious ("C" serious physical harm) - $1,750
  • Serious ("D" serious physical harm) - $2,750
  • Serious ("E" serious physical harm) - $4,000
  • Serious ("F" serious physical harm) - $6,250
  • Serious (death or serious physical harm) - $7,000
  • Willful (employer intentionally and knowingly commits) - $70,000
  • Repeat (same violation within three-year period) - $70,000
  • Not Applicable

ADDITIONAL SAFETY EFFORTS

• Any examples of best practices, or pro-active safety efforts observed during the site visit (ergonomic improvements, pre-task planning, near miss reporting, safety suggestion system, perception surveys, incentive program, return to work program, etc.)?<br>

  Yes

  No

• Summarize the observation:

• Have there been any injuries or incidents since the previous jobsite inspection?<br>

  Yes

  No

• Summarize the incident, results of the investigation and any corrective actions that were implemented:

STANDARD OF CARE:

• The services performed by Marsh & McLennan Agency (MMA) on this project have been conducted with that level of care or skill ordinarily exercised by reputable members of the profession, practicing in the same locality under similar budget and time constraints. No other warranty is expressed or implied.