Title Page
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Conducted on
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Prepared by
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Housekeeping
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There are no broken or unused equipment / machinery in the work area.
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Aisles, stairs, and floors clean and are free from obstacles.
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Take a picture of area.
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Garbage is being properly contained and disposed of.
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No spills or leaks in the work area.
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Workstations / table(s) are clean.
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Equipment and tools are clean.
Material Handling
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Inventory or WIP, is being piled or stacked within safe limits
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Item(s) are being properly stored in their designated areas
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Work material(s) are being handled safely and properly
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There is a good use of lifting equipment
Machinery
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Guarding to power transmission equipment is in place (eg. CNC saw guard).
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Pinch points are guarded.
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Emergency safeguards are in operation (eg. Emergency stop buttons, CNC laser eye).
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Guards or deflective devices provided for chips/sparks from rotating equipment
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Machinery is clean and appears to be in good running condition
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Load capacities are identified and clearly marked on hoisting/lifting equipment
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Hoisting/lifting chains and slings are properly maintained and in good condition
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Only those personnel trained, are operating the machinery
Hand Tools
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Tools are in good working condition
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Guards and safety fixtures are safe and operational
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Tools are being stored in their proper location or in a safe manner
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Tools are being used for their intended uses
Ergonomics
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Workers do not make unnatural or awkward motions, or strain themselves.
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There is significant lighting in the area of the worker to be in
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The room temperature is adequate for the worker to do his/her duty
Personal Protective Equipment (PPE)
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Safety footwear is being worn when required
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Eye protection is being worn
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Hearing protection is being worn
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Gloves are being worn when required
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Respirators are being worn when required
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Machine operators has long hair contained (e.g.. Hair net, hat, tied back, etc..)
Clothing
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No signs of loose clothing in area of moving machinery parts
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Proper clothing is being worn
Fire Protection
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Combustible containment storage is in good working condition
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Combustibles (rags, towels, excess flammable chemicals, etc..) are stored safely
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Emergency exits are marked and are free from obstruction(s)
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Fire extinguishers clear from obstruction
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Sprinkler heads have at least 18" clearance
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Fire extinguishers are being inspected, recorded & up to date
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Drums or tanks are properly bonded or grounded
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Compressed gas cyinders stored securely upright and away from heat sources
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Emergency evacuation plans are posted
Health Hazards
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Work area(s) are free from excessive dust, gasses and fumes? Adequate ventilation
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Washrooms in the area are being kept clean eg. Floors are dry/clean, soap, paper towel, toilet paper
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Controlled products being used are properly labeled (e.g. supplier & work labels)
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Controlled products waste is being properly contained
First Aid
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Safety report forms available
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First Aid equipment, and supplies inventories are being monitored (checklist on first aid box)
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First Aid response team members names, and photos are posted in your work area
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First Aid room (If applicable) is clean and organized
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Eye wash equipment is clean, free from obstruction & inspection tags are up to date
Forklift Vehicles
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Forklift vehicles (if applicable) & all other lift(s) inspections logs are up to date
Safe Work Procedures
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All employees (if applicable) are trained in safe work procedures (confirm with supervisor)
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All employees (if applicable) have access to safe work procedures (confirm with supervisor)
Safe Walk Area's
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Walk ways, aisle ways and stair ways are clear
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Stair treads are free from damage and wear
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Stair ways are marked and free of garbage, snow and ice
Electrical Panels
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There are clear access to all electrical panels from all sides
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There are no signs of loose or damage cable(s) lines running to and from the panel box
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Floor taping around the electrical panels is good condition