Occupational Asthma Prevention Checklist

• Company name/department

• Location
  Address

• Conducted on

  Date

• Conducted by

• Are asthma-inducing materials present in your workplace?

  Yes

  No

  N/A

• Are the asthma-inducing materials in your workplace properly stored?

  Yes

  No

  N/A

• Are the asthma-inducing wastes properly disposed of?

  Yes

  No

  N/A

• Do you have employees with existing asthma conditions?

  Yes

  No

  N/A

• Are they aware of the presence of potential allergens/irritants in the workplace?

  Yes

  No

  N/A

• Is the facility regularly sanitized to avoid the buildup of asthma-inducing materials?

  Yes

  No

  N/A

• Is Personal Protective Equipment (PPE) available and used when needed?

  Yes

  No

  N/A

• Are the Occupational Safety and Health Administration (OSHA) guidelines observed and followed?

  Yes

  No

  N/A

• Do you perform regular inspections to check if there are other potential asthma-inducing materials?

  Yes

  No

  N/A

• Do you perform regular inspections to ensure that all preventive measures for occupational asthma are followed?

  Yes

  No

  N/A

Completion

• Additional notes/recommendations

• Add signature

  Sign