Information

  • Document No.

  • Client / Site

  • Conducted

  • Assessor

  • Location
  • Personnel

  • The survey is not intended to cover all OSHA requirements. Please consult The Code of Federal Regulations, Title 29, Part 1910 for all General Industry requirements & Part 1926 for all Construction requirements.

    There are two inspection forms. This 'Core' form evaluates the following topics: General Work Environment; Environmental Controls; Walkways; Stairways; Ladders; Elevated Surfaces; Chemical Exposures; Flammable Liquids; Compressed Gases; Fire Protection & Emergency Planning; Infection Control; PPE; Tools; Grinders; Machine Guarding; Electrical Safety; Lockout/Tagout; Manual Material Handling; PIVs; Noise.

    A separate 'Supplemental' form is available that evaluates the following topics: Powder Actuated Tools; Compressors & Compressed Air; Spraying Operations; Confined Space; Welding Operations; Cranes; Hoists; Fueling Operations; Motor Vehicle Tire Operations.

1.0 Overview

  • 1.0 Overview

  • This checklist covers a variety of common workplace safety and health hazards regulated by the US Occupational Safety & Health Administration (OSHA). There may be items and/or categories that do not apply to a particular operation(s). You can skip them, mark them 'Not Evaluated' (NE), or 'Not Applicable' (NA).

General Requirements

2.0 ENVIRONMENTAL CONTROLS

  • Are 'Environmental Controls' being evaluated? If NO, select 'NE'

  • 2.1 - Work areas properly illuminated.

  • 2.2 - Employees instructed in proper first aid and other emergency procedures.

  • 2.3 - Ventilation appropriate for the work being performed.

  • 2.4 - Proper precautions being taken when handling asbestos and other fibrous materials.

  • 2.5 - Caution labels and signs used to warn of asbestos.

  • 2.6 - Wet methods used to prevent exposure to airborne asbestos fibers and/or silica dust.

  • 2.7 - Vacuuming with appropriate equipment is used when possible rather than blowing or sweeping dust.

  • 2.8 - Grinders, saws, and other machines that produce dusts vented or collected in a central system.

  • 2.9 - All local exhaust ventilation systems designed and operating properly.

  • 2.10 - Restrooms and washrooms kept clean and sanitary.

  • 2.11 - Potable water provided for drinking, washing, and cooking.

  • 2.12 - Water supplies not intended or suitable for drinking are clearly identified.

  • 2.13 - Employees' physical capacities assessed before being assigned to jobs requiring heavy work.

  • 2.14 - Employees are instructed in proper lifting techniques.

  • 2.15 - Where heat is a problem, fixed work areas have been provided with spot cooling or air conditioning.

  • 2.16 - Employees are health-screened before assignment to areas of high heat to determine their suitability for the task.

  • 2.17 - Employees exposed to the traffic hazards are required to wear high-visibility (e.g., traffic orange) apparel.

  • 2.18 - Exhaust stacks and air intakes are located remotely to prevent recirculation of contaminated air into the building.

  • 2.19 - Equipment producing ultra-violet radiation is properly shielded.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Walking Working Surfaces

3.0 WALKWAYS

  • Are 'Walkways' being evaluated? If NO, select 'NE'

  • 3.1 - Aisles and passageways are kept clear.

  • 3.2 - Aisles and walkways are marked as appropriate.

  • 3.3 - Holes in the floor, sidewalk or other walking surface are repaired properly, covered or otherwise made safe.

  • 3.4 - Safe clearance is provided for walking in aisles where motorized or mechanical handling equipment is operating.

  • 3.5 - Spilled materials cleaned up immediately.

  • 3.6 - Materials or equipment stored in such a way that sharp projectiles will not interfere with the walkway.

  • 3.7 - Changes of direction or elevations are readily identifiable.

  • 3.8 - Employees that pass near moving or operating machinery in aisles or walkways, welding operations or similar operations are properly protected from hazards.

  • 3.9 - Adequate headroom is provided for the entire length of any aisle or walkway.

  • 3.10 - Standard guardrails are provided wherever surfaces are elevated more than 48 inches (for General Industry) or 72 inches (for Construction Industry) above the next lower level.

  • 3.11 - Bridges provided over conveyors and similar hazards.

  • 3.12 - Wet surfaces covered with non-slip materials.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

4.0 FLOOR AND WALL STAIRWAYS

  • Are 'Floor and Wall Stairways' being evaluated? If NO, select 'NE'

  • 4.1 - Floor openings covered or guarded on all sides (except at entrance) as required.

  • 4.2 - Toe-boards installed around floor edges of where persons may pass below the opening.

  • 4.3 - Skylight screens can withstand a load of at least 200 pounds.

  • 4.4 - Unused portions of service pits either covered or protected by guardrails or equivalent.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

5.0 STAIRS & STAIRWAYS

  • Are 'Stairs & Stairways' being evaluated? If NO, select 'NE'

  • 5.1 - Standard stair rails or handrails on all stairways having four or more risers.

  • 5.2 - All stairways at least 22 inches wide.

  • 5.3 - Stairs have at least a 6' 8" overhead clearance.

  • 5.4 - Stairs angled between 30-50 degrees.

  • 5.5 - Stairs of hollow-pan type treads and landings are filled to nosing level with solid material.

  • 5.6 - Step risers on stairs uniform from top to bottom, with no riser spacing greater than 7.5 inches.

  • 5.7 - Steps on stairs and stairways designed or provided with a surface that renders them slip resistant.

  • 5.8 - Stairway handrails located between 30-34 inches above the leading edge of stair treads.

  • 5.9 - Stairway handrails have 1.5 inches clearance between handrails and the wall/surface mounting.

  • 5.10 - Stairway handrails capable of withstanding a load of 200 pounds, applied in any direction.

  • 5.11 - Stairways exit directly into vehicle traffic, are adequate barriers in place to protect people using them.

  • 5.12 - Stairway landings have a dimension measured in the direction of travel, at least equal to width of the stairway.

  • 5.13 - The vertical distance between stairway landings no more than 12 feet.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

6.0 ELEVATED SURFACES

  • Are 'Elevated Surfaces' being evaluated? If NO, select 'NE'

  • 6.1 - Signs posted, when appropriate, showing the maximum load capacity over occupied spaces.

  • 6.2 - A permanent means of access and egress is provided to elevated storage and work surfaces.

  • 6.3 - The required headroom is provided where necessary.

  • 6.4 - Material on elevated surfaces are piled, stacked, racked, otherwise secured to prevent accidental movement.

  • 6.5 - Dock-boards or bridge-plates are used when transferring materials between docks and trucks or rail cars.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Chemical Safety & Health

7.0 HAZARDOUS CHEMICAL EXPOSURES

  • Are 'Hazardous Chemical Exposures' being evaluated? If NO, select 'N/A'

  • 7.1 - Eemployees trained in the safe handling practices of hazardous chemicals.

  • 7.2 - Employees aware of the potential hazards involving various chemicals in the workplace.

  • 7.3 - Employee exposure to chemicals kept within acceptable levels.

  • 7.4 - Eye wash fountains and safety showers provided and maintained in areas where corrosive chemicals are handled.

  • 7.5 - All containers, vats and storage tanks labeled as to their contents.

  • 7.6 - Employees required to use proper personal protective clothing and equipment when handling chemicals.

  • 7.7 - Flammable or toxic chemicals kept in closed containers when not in use.

  • 7.8 - Chemical piping systems clearly marked as to their content.

  • 7.9 - Corrosive liquids frequently handled in open containers or drawn from storage vessels or pipelines.

  • 7.9a - Adequate means readily available for safely neutralizing or disposing of spills or overflows.

  • 7.10 - Standard operating procedures established and followed when cleaning up chemical spills.

  • 7.11 - Respirators needed for emergency use stored in a convenient, clean and sanitary location?

  • 7.12 - Respirators intended for emergency appropriate for the hazard(s).

  • 7.13 - Are employees prohibited from eating in areas where hazardous chemicals are present?

  • 7.14 - Hazardous substances used in processes have medical or biological monitoring conducted.

  • 7.15 - Employees are familiar with the TLV or PEL of airborne contaminants used in the workplace.

  • 7.16 - General dilution or local exhaust ventilation systems are used to control airborne contaminants.

  • 7.17 - Employees are complaint-free and comfortable with using solvents or other chemicals.

  • 7.18 - An industrial hygienist or other health specialist evaluates relevant operation(s).

  • Have all relevant observations for THIS assessment category been captured by the above questions?

8.0 HAZARD COMMUNICATION PROGRAM/GLOBAL HARMONIZATION SYSTEM

  • Are 'HazComm/GHS' being evaluated? If NO, select 'NE'

  • 8.1 - There a list of hazardous substances used in the workplace.

  • 8.2 - There is a written HazCom/GHS program dealing with MSDS/SDS, labeling, and employee training.

  • 8.3 - One person responsible for managing MSDS/SDS, container labeling, employee training.

  • 8.4 - Each container for a hazardous substance (i.e. vats, bottles, storage tanks,) is properly labeled.

  • 8.5 - There is a Material Safety Data Sheet or SDS readily available for each hazardous substance used.

  • 8.6 - There is an employee training program for hazardous chemicals & substances.

  • 8.7 - The HCS/GHS program includes the following:

  • 8.7e - How to detect their presence, and specific protective measures to be used?

  • 8.7g - How employees will be informed of hazards of non-routine tasks, and hazards of unlabeled pipes?

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Flammable Combustible Liquids

9.0 FLAMMABLE & COMBUSTIBLE MATERIALS

  • Are 'Flammable & Combustible Materials' being evaluated? If NO, select 'NE'.

  • 9.1 - Combustible waste materials, oily rags, etc., kept in covered metal receptacles and removed nightly.

  • 9.2 - Proper storage practiced to minimize the risk of fire.

  • 9.3 - Approved safety containers and tanks used for storage/handling of flammable/combustible liquids.

  • 9.4 - All connections on drums and combustible liquid piping vapor and liquid tight.

  • 9.5 - All flammable liquids kept in closed containers when not in use (e.g. parts cleaning tanks, pans).

  • 9.6 - Bulk drums of flammable liquids grounded and bonded to containers during dispensing.

  • 9.7 - Storage rooms for flammable and combustible liquids have explosion-proof lights.

  • 9.8 - Storage rooms for flammable and combustible liquids have mechanical or gravity ventilation.

  • 9.9 - Liquefied petroleum gas stored, handled, and used in accordance with safe practices and standards.

  • 9.10 - Liquefied petroleum storage tanks guarded to prevent damage from vehicles.

  • 9.11 - Fire separators placed between stacked containers of combustibles/flammables to assure stability.

  • 9.12 - Stored fuel gas cylinders (e.g., acetylene) and oxygen cylinders separated by a distance of 20', or fire resistant barriers rated at 1 hour and 5' tall.

  • 9.13 - Proper fire extinguishers selected and provided for the appropriate types of materials in area.

  • 9.13a - Class A: Ordinary combustible material fires.

  • 9.13b - Class B: Flammable liquid, gas or grease fires.

  • 9.13c - Class C: Energized-electrical equipment fires.

  • 9.13d - Class ABC: Fires meeting Class A, B & C criteria.

  • 9.14 - Halon 1301 fire extinguisher used: Employees can evacuate within the specified time for that extinguisher.

  • 9.15 - Appropriate class of fire extinguishers mounted within 75 feet of outside areas containing flammable liquids.

  • 9.16 - Appropriate fire extinguishers mounted within 10 feet of any inside storage of flammable materials.

  • 9.17 - Transfer/withdrawal of flammable or combustible liquids performed by trained personnel.

  • 9.18 - Fire extinguishers mounted to prevent traveling >75 feet for class "A" fire or >50 feet for a class "B" fire.

  • 9.19 - Employees adequately trained in the use of fire extinguishers.

  • 9.20 - Extinguishers kept free from obstructions or blockage.

  • 9.21 - All extinguishers serviced, maintained and tagged at intervals not to exceed one year.

  • 9.22 - All extinguishers fully charged and in their designated places.

  • 9.23 - Records maintained of required monthly checks of extinguishers.

  • 9.24 - Sprinkler systems permanently installed have the discharge directed away from electrical equipment.

  • 9.25 - "NO SMOKING" signs posted where appropriate in flammable or combustible material storage areas.

  • 9.26 - "NO SMOKING" signs posted on liquefied petroleum gas tanks.

  • 9.27 - "NO SMOKING" rules enforced in areas involving storage and use of flammable materials.

  • 9.28 - Approved safety cans are used for dispensing flammable or combustible liquids at point of use.

  • 9.29 - All spills of flammable or combustible liquids promptly cleaned up.

  • 9.30 - Storage tanks adequately vented to prevent excessive vacuum or pressure build up.

  • 9.31 - Spare portable or butane tanks used by industrial trucks are stored in accordance with regulations.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Compressed Gases

10.0 COMPRESSED GAS & CYLINDERS

  • Are 'Compressed Gas & Cylinders' being evaluated? If NO, select 'NE'

  • 10.1 - Cylinders legibly marked to clearly identify the gas contained.

  • 10.2 - Cylinders are stored in areas protected from external heat or high temperature lines.

  • 10.3 - Cylinders located or stored in areas where they will not be damaged or tampered with.

  • 10.4 - Cylinders stored or transported in a manner to prevent them creating a hazard by tipping, falling or rolling.

  • 10.5 - Liquefied fuel gas cylinders stored and transported so the relief device contacts the cylinder's vapor space.

  • 10.6 - Valve protectors always placed on cylinders when the cylinders are not in use or connected for use.

  • 10.7 - Valves are closed off before a cylinder is moved, when empty, and at the completion of each job.

  • 10.8 - Low pressure fuel-gas cylinders are checked for corrosion, general distortion, cracks, or other defects.

  • 10.9 - Periodic checks of low pressure fuel-gas cylinders include a close inspection of the cylinders' bottom.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Fire & Emergency Planning

11.0 FIRE PROTECTION & PLANNING

  • Is 'Fire Protection & Planning' being evaluated? If NO, select 'NE'

  • 11.1 - There is a formal fire prevention plan in place.

  • 11.2 - Does it describe the type of fire protection equipment and/or systems?

  • 11.3 - Have they established practices and procedures to control potential fire hazards and ignition sources?

  • 11.4 - Are employees aware of the fire hazards of the material and processes to which they are exposed?

  • 11.5 - The local fire department is well acquainted with the facilities, location and specific hazards.

  • 11.6 - There is a fire alarm system and is tested at least annually.

  • 11.7 - Is it certified as required?

  • 11.8 - If there are interior standpipes and valves, are they inspected regularly?

  • 11.9 - If there are outside private fire hydrants, are they flushed at least once a year on a routine schedule?

  • 11.10 - Fire doors and shutters in good operating condition.

  • 11.11 - Fire doors and shutters are unobstructed and protected against obstructions, including their counterweights.

  • 11.12 - Fire doors/shutters have fusible links in place?

  • 11.13 - Automatic sprinkler system control valves, air, and water pressures are checked weekly/periodically as required.

  • 11.14 - Maintenance of automatic sprinkler systems is assigned to responsible persons or a sprinkler contractor.

  • 11.15 - Sprinkler heads are protected by metal guards if exposed to physical damage.

  • 11.16 - A minimum of 18" of clearance is maintained below the horizontal plane of sprinkler heads.

  • 11.17 - Portable fire extinguishers are provided in adequate number and type.

  • 11.18 - Employees are periodically instructed in the use of extinguishers and fire protection procedures.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

12.0 EMERGENCY EXITS AND EGRESS

  • Are 'Emergency Exits & Egress' being evaluated? If NO, select 'NE'

  • 12.1 - Exits kept unlocked while occupied?

  • 12.2 - All exits marked with an EXIT sign and illuminated by a reliable light source?

  • 12.3 - Directions to exits, when not immediately apparent, are marked with visible signs.

  • 12.4 - Doors, passageways or stairways, that are not exits marked "NOT AN EXIT", or other similar language.

  • 12.5 - Exit doors are side-hinged?

  • 12.6 - All exits kept free of obstructions?

  • 12.7 - At least two means of egress provided from elevated platforms, pits or rooms available.

  • 12.8 - There are sufficient exits to permit prompt escape in case of emergency.

  • 12.9 - Special precautions taken to protect employees during construction and repair operations.

  • 12.10 - The number of exits from each floor of a building, and the building itself, are appropriate for the occupancy load.

  • 12.11 - Exit stairways which are required to be separated from other parts of a building are enclosed by at least two hour fire-resistive construction in buildings more than four stories in height, and not less than one-hour fire resistive construction elsewhere.

  • 12.12 - Ramps used as part of required exiting from a building are sloped no more than 1 inch (vertical)-in-12 inches (horizontal).

  • 12.13 - Exiting through frameless glass doors or glass exit doors are tempered against human impact.

  • 12.14 - Doors that serve as exits designed and constructed so the way of exit travel is obvious and direct.

  • 12.15 - Windows that could be mistaken for exit doors are made inaccessible by means of barriers or railings.

  • 12.16 - Doors open from the direction of exit travel without the use of a key or any special knowledge or effort.

  • 12.17 - Revolving, sliding, or overhead door are prohibited from serving as a required exit door.

  • 12.18 - Is there panic hardware installed on any exit doors?

  • 12.18a - Will it allow the door to open by applying a force of 15 pounds or less in the direction of the exit traffic?

  • 12.19 - Are doors on cold storage rooms provided with an inside release mechanism?

  • 12.19a - Will it release the latch and open the door even if it's padlocked or otherwise locked on the outside?

  • 12.20 - Do exit doors open directly onto any street, alley or other area where vehicles may be operated?

  • 12.20a - Are adequate barriers and warnings provided to prevent employees stepping into the path of traffic?

  • 12.21 - Are there doors that swing in both directions located between rooms where there is frequent traffic?

  • 12.21a - Are they provided with viewing panels in each door?

  • Have all relevant observations for THIS assessment category been captured by the above questions?

13.0 EMERGENCY ACTION PLAN (EAP)

  • Are 'Emergency Action Plans' being evaluated? If NO, select 'NE'

  • 13.1 - There is a formal Emergency Action Plan (EAP) in place.

  • 13.2 - The EAP complies with OSHA requirements of 1910.38?

  • 13.3 - Emergency escape procedures and routes been developed and communicated to all employers.

  • 13.4 - Employees who remain to operate critical plant operations before they evacuate know the proper procedures.

  • 13.5 - The employee alarm system provides a warning recognizable and perceptible above ambient conditions.

  • 13.6 - Alarm systems properly maintained and tested regularly.

  • 13.7 - The EAP is reviewed and revised at least annually, and more often as needed.

  • 13.8 - Employees know their responsibilities involving reporting emergencies.

  • 13.8a - Actions to take during an emergency.

  • 13.8c - Conducting rescue and medical duties.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Pathogens & Infection Control

14.0 INFECTION CONTROL

  • Are 'Infection Controls' being evaluated? If NO, select 'NE'

  • 14.1 - Employees are protected against being potentially exposed to infectious agents in body fluids.

  • 14.2 - Occasions of potential occupational exposure been identified and documented.

  • 14.3 - Training and education program in place for employees exposed/potentially exposed to BBP.

  • 14.4 - Infection control procedures have been instituted for ventilation, universal precautions, work practices, and PPE.

  • 14 5 - There is a formal Exposure Control Plan in place.

  • 14.6 - PPE is provided to employees and in all appropriate locations.

  • 14.7 - Necessary equipment is provided for mouth-to-mouth resuscitation on potentially infected patients.

  • 14.8 - Facilities/equipment to comply with workplace practices are available.

  • 14.9 - All equipment, environmental and working surfaces are cleaned/disinfected after contact with blood or POIM.

  • 14.10 - Infectious waste is placed in closable, leak proof containers, bags or puncture-resistant holders with proper labels.

  • 14.11 - HBV evaluation, antibody testing, vaccination is available to potentially exposed employees.

  • 14.12 - Training on universal precautions is provided.

  • 14.13 - Training on PPE is provided

  • 14.14 - Training on workplace practices is provided.

  • 14.15 - Training on needlestick exposure/management is provided.

  • 14.16 - Hepatitis B vaccinations are available and provided.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Protective Equipment

15.0 PERSONAL PROTECTIVE EQUIPMENT

  • Is 'PPE' being evaluated? If NO, select 'NE'

  • 15.1 - ANSI-approved safety glasses are required to be worn at all times in areas where there is a risk of eye injury.

  • 15.2 - Protective goggles or face shields provided and worn around flying particles or corrosive materials.

  • 15.3 - Employees with corrective lenses (glasses or contacts lenses) wear approved PPE in harmful environments.

  • 15.4 - Protective gloves, aprons, shields, or other means are provided against cuts, corrosive liquids, and chemicals.

  • 15.5 - Hard hats are provided and worn where danger of falling objects exists.

  • 15.6 - Hard hats are inspected periodically for damage to the shell and suspension system.

  • 15.7 - Appropriate foot protection required where there is the risk of foot injuries from various hazards.

  • 15.8 - Is there a formal Respiratory Protection Program in place?

  • 15.8a - Are only NIOSH-approved respirators provided for regular or emergency use where needed?

  • 15.10 - Eye wash facilities and a quick drench shower is available to employees exposed to corrosive materials.

  • 15.11 - Special protective equipment is available for electrical workers where appropriate.

  • 15.12 - ANSI-approved hearing protection is provided when sound levels exceed 85dba.

  • 15.13 - A formal PPE Hazard Assessment has been conducted.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

16.0 SANITIZING PRACTICES FOR EQUIPMENT & CLOTHING

  • 16.1 - All protective equipment is maintained in a sanitary condition and ready for use.

  • 16.2 - PPE, clothing, and/or equipment employees are required to wear or use is easily cleaned and disinfected.

  • 16.3 - Employees are prohibited from sharing PPE clothing or equipment unless it has been properly cleaned.

  • 16.4 - Employees are prohibited from smoking or eating in areas where contaminants could be ingested.

  • 16.5 - A clean change room with separate storage facility for street & protective clothing is provided when appropriate.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Ladders

17 0 PORTABLE LADDERS

  • Are 'Portable Ladders' being evaluated? If NO, select 'NE'

  • 17.1 - All ladders inspected for damage and maintained in good condition.

  • 17.2 - Joints between steps and side rails tight and all hardware securely attached.

  • 17.3 - Moveable parts operate freely without binding or undue play.

  • 17.4 - Non-slip safety feet provided on each ladder.

  • 17.5 - Ladder rungs and steps are free of grease and oil.

  • 17.6 - It is prohibited to place a ladder in front of doors opening toward the ladder except when locked or guarded.

  • 17.7 - It is prohibited to place ladders on unstable bases to obtain additional height.

  • 17.8 - Employees are instructed to face the ladder when ascending or descending.

  • 17.9 - Employees are prohibited from using ladders that are broken or faulty.

  • 17.10 - Employees are instructed to NOT use the top 2 steps of stepladders.

  • 17.11 - Do portable rung ladders used to gain access to elevated platforms extend at least 3 feet above the landing?

  • 17.11a - Is it placed so slipping will not occur, or lashed or otherwise secured in place?

  • 17.12 - Portable metal ladders legibly marked "CAUTION" "Do Not Use Around Electrical Equipment" or equivalent.

  • 17.13 - Employees are prohibited from using ladders for other than their intended purposes.

  • 17.14 - Employees instructed to ONLY adjust extension ladders while standing at a base.

  • 17.15 - Rungs of ladders are uniformly spaced at 12 inches, center to center.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Tools & Machinery

18.0 HAND TOOLS & EQUIPMENT

  • Are 'Hand Tools & Equipment' being evaluated? If NO, select 'NE'

  • 18.1 - All tools and equipment (company and employee-owned) are in good condition.

  • 18.2 - Hand tools such as chisels and punches with mushroomed heads are reconditioned or replaced as necessary.

  • 18.3 - Broken or fractured handles on hammers, axes, and similar equipment are replaced promptly.

  • 18.4 - Worn or bent wrenches are replaced regularly.

  • 18.5 - Appropriate handles are used on files and similar tools.

  • 18.6 - Employees are made aware of the hazards caused by faulty or improperly used hand tools.

  • 18.7 - Jacks are checked periodically to assure they are in good operating condition.

  • 18.8 - Tool handles are wedged tightly in the head of all tools.

  • 18.9 - Tool cutting edges are kept sharp.

  • 18.10 - Tools are stored in dry, secure location to prevent tampering.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

19.0 PORTABLE (POWER OPERATED) TOOLS & EQUIPMENT

  • Are 'Power Tools' being evaluated? If NO, select 'NE'

  • 19.1 - Grinders, saws, and similar equipment provided with appropriate safety guards.

  • 19.2 - Power tools used with the correct shield, guard or attachment recommended by the manufacturer.

  • 19.3 - Portable circular saws equipped with guards above and below the base shoe.

  • 19.4 - Circular saw guards checked to assure they are not wedged in the up position.

  • 19.5 - Rotating or moving parts of equipment are guarded to prevent physical contact.

  • 19.6 - Cords of electrically operated tools/equipment effectively grounded or double-insulated.

  • 19.7 - Effective guards in place over belts, pulleys, chains, and sprockets.

  • 19.8 - Portable fans provided with full guards or screens having openings 1/2 inch or less.

  • 19.9 - Is hoisting equipment available and used for lifting heavy objects?

  • 19.9a - Are hoist ratings and characteristics appropriate for the task?

  • 19.10 - GFCI provided on all temporary 15 and 20 amp circuits used during construction.

  • 19.11 - Pneumatic and hydraulic hoses on power-operated tools inspected regularly for deterioration or damage.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

20.0 ABRASIVE WHEEL EQUIPMENT GRINDERS

  • Are 'Grinders' being evaluated? If NO, select 'NE'

  • 20.1 - Work rests are used and kept adjusted to within 1/8 inch of the wheel.

  • 20.2 - Adjustable tongue on the top side of the grinder used and kept adjusted to within 1/4 inch of the wheel.

  • 20.3 - Side guards cover the spindle, nut, and flange and 75 percent of the wheel diameter.

  • 20.4 - Bench and pedestal grinders permanently mounted.

  • 20.5 - ANSI-approved goggles or face shields always worn when grinding.

  • 20.6 - Maximum RPM rating of each abrasive wheel is compatible with the RPM rating of the grinder motor.

  • 20.7 - Fixed or permanently mounted grinders connected to their supply system with permanent wiring methods.

  • 20.8 - Each grinder has an individual on/off control switch.

  • 20.9 - Each electrically operated grinder effectively grounded.

  • 20.10 - New abrasive wheels are mounted, are they visually inspected and ring tested before use.

  • 20.11 - Dust collectors and powered exhausts provided on grinders generating large amounts of dust.

  • 20.12 - Splashguards mounted on grinders that use coolant to prevent the coolant reaching employees.

  • 20.13 - Cleanliness maintained around grinders.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

21.0 MACHINE GUARDING

  • Is 'Machine Guarding' being evaluated? If NO, select 'NE'

  • 21.1 - There is a training program to instruct employees on safe methods of machine operation.

  • 21.2 - There is adequate supervision to ensure that employees are following safe machine operating procedures.

  • 21.3 - There is a regular program of safety inspections of machinery and equipment.

  • 21.4 - All machinery and equipment kept clean and properly maintained.

  • 21.5 - Sufficient clearance provided around and between machines to allow for safe operations.

  • 21.6 - Equipment and machinery securely placed and anchored when necessary to prevent tipping or other movement.

  • 21.7 - A power shut-off switch is within reach of the operator's position at each machine.

  • 21.8 - Electric power to each machine can be locked out for maintenance, repair, or security.

  • 21.9 - Non-current-carrying metal parts of electrically operated machines are bonded and grounded.

  • 21.10 - Foot-operated switches guarded are arranged to prevent accidental actuation by personnel or falling.

  • 21.11 - Manually operated valves and switches controlling equipment/machines clearly identified and accessible.

  • 21.12 - All emergency stop buttons are colored red.

  • 21.13 - All pulleys and belts within 7 feet of the floor or working level are properly guarded.

  • 21.14 - All moving chains and gears properly guarded.

  • 21.15 - Operators and other employees protected from point-of-operation, ingoing nip points, rotating parts, flying chips, and sparks.

  • 21.16 - Special hand tools are used for placing and removing material that protect the operator's hands?

  • 21.17 - All guards, enclosures, interlocks, etc., are in place and operating properly.

  • 21.18 - Arbors and mandrels have firm and secure bearings, not loose or wobly.

  • 21.19 - Machines are prevented from automatically starting when power is restored after a power failure or shutdown.

  • 21.20 - Machines are constructed to be free from excessive vibration when the largest size tool is at full speed.

  • 21.21 - Fan blades <8' from the floor are protected with a guard having openings no larger than 1/2 inch.

  • 21.22 - Saws used for ripping are equipped with anti-kickback devices and spreaders.

  • 21.23 - Radial arm saws are arranged so the cutting head will gently return to the back of the table when released.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Electrical

22.0 ELECTRICAL SAFETY

  • Is 'Electrical Safety' being evaluated? If NO, select 'NE'

  • 22.1 - Employees required to report obvious electrical hazards to their supervisor as soon as practicable.

  • 22.2 - Electrical equipment or lines to be serviced, maintained or adjusted are locked-out before work starts.

  • 22.3 - Portable electrical tools and equipment grounded or double insulated.

  • 22.4 - Electrical appliances such as vacuum cleaners, polishers, vending machines grounded.

  • 22.5 - All extension cords being used have a grounding conductor.

  • 22.6 - The use of multi-plug adapters is prohibited.

  • 22.7 - GFCI installed on temporary 15 or 20 ampere, 120 volt AC circuit at construction locations.

  • 22.8 - All temporary circuits protected by suitable disconnecting switches/plugs where they join permanent wiring.

  • 22.9 - Exposed wiring and cords with frayed or deteriorated insulation are repaired or replaced promptly.

  • 22.10 - Flexible cords and cables free of splices or taps.

  • 22.11 - All electrical power and extension cords equipped with appropriate strain relief.

  • 22.12 - All cord, cable and raceway connections intact and secure.

  • 22.13 - In wet or damp locations, electrical tools and equipment are protected/appropriate for the use or location.

  • 22.14 - Utility locates are completed before digging; drilling or similar work is performed.

  • 22.15 - Metal measuring tapes, ropes, hand-lines, or similar devices kept away from electrical conductors.

  • 22.16 - Metal ladders are prohibited from use in area where they could contact energized conductors or equipment.

  • 22.17 - All disconnecting switches and circuit breakers are labeled to indicate their use or equipment served.

  • 22.18 - Disconnecting means are always opened before fuses are replaced.

  • 22.19 - All interior wiring systems include provisions for grounding metal parts, raceways, equipment, enclosures.

  • 22.20 - All electrical raceways and enclosures are securely fastened in place.

  • 22.21 - All energized parts of electrical circuits and equipment guarded against accidental contact.

  • 22.22 - Sufficient access and working space provided and maintained about all electrical equipment.

  • 22.23 - All unused openings (including conduit knockouts) in electrical enclosures and fittings are closed.

  • 22.24 - Electrical enclosures such as switches, receptacles, junction boxes, etc., are provided with tight-fitting covers.

  • 22.25 - Employees who regularly work on or around energized electrical equipment or lines are instructed in CPR.

  • 22.26 - Employees prohibited from working alone on energized lines or equipment over 600 volts.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

23.0 LOCKOUT/TAGOUT

  • Is 'Lockout/Tagout' being evaluated? If NO, select 'NE'

  • 23.1 - Is there machinery or equipment capable of movement being cleaned, serviced, adjusted, or setup?

  • 23.1a - Is there a formal Lockout/Tagout Program in place?

  • 23.1b - Does it require energized equipment to be de-energized, disengaged, blocked, or locked out before servicing?

  • 23.2 - The locking-out of control circuits in lieu of locking-out MAIN power disconnects is prohibited

  • 23.3 - All equipment control valve handles are provided with a means for locking-out.

  • 23.4 - Separate procedures exist for different equipment and requires ALL stored energy be released or blocked before equipment is locked-out for repairs.

  • 23.5 - Authorized employees are provided with individually-keyed personal safety locks.

  • 23.6 - Employees are required to keep personal control of their key(s) while they have safety locks in use.

  • 23.7 - It is required that Authorized employees "Verify" the safety of the lock out by attempting a start up.

  • 23.8 - There are power disconnecting means for equipment that do NOT also disconnect the control circuit.

  • 23.8a - Are the appropriate electrical enclosures identified with signage or other instructions?

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Materials Handling

24.0 MANUAL MATERIAL HANDLING PRACTICES

  • Are 'Manual Material Handling Practices' being evaluated? If NO, select 'NE'

  • 24.1 - There is safe clearance for equipment through aisles and doorways.

  • 24.2 - Aisles are designated, permanently marked, and kept clear to allow unhindered passage.

  • 24.3 - Motorized vehicles and mechanized equipment are inspected daily or prior to use.

  • 24.4 - Vehicles are shut off and brakes set prior to loading or unloading.

  • 24.5 - Dock boards (bridge plates) are used when loading or unloading between vehicles and docks.

  • 24.6 - Trucks & trailers are secured from movement during loading and unloading operations (e.g., wheels chocked).

  • 24.7 - Dock plates and loading ramps are constructed and maintained and have sufficient strength to support the load.

  • 24.8 - Hand trucks are maintained in safe operating condition.

  • 24.9 - Chutes are equipped with sideboards of sufficient height to prevent the materials being handled from falling off.

  • 24.10 - Chutes and gravity roller sections are firmly placed or secured to prevent displacement.

  • 24.11 - Provisions are made to break the movement of the handled materials at the end of rollers or chutes.

  • 24.12 - Pallets are usually inspected before being loaded or moved.

  • 24.13 - Hooks with safety latches or other arrangements are used when hoisting materials.

  • 24.14 - securing chains, ropes, chokers or slings are adequate for the job to be performed.

  • 24.15 - Procedures for hoisting material or equipment assure no one passes under suspended loads?

  • Have all relevant observations for THIS assessment category been captured by the above questions?

25.0 POWERED INDUSTRIAL VEHICLES (PIV) a.k.a - FORKLIFTS

  • Are 'PIV's' being evaluated? If NO, select 'NE'

  • 25.1 - Only trained personnel are allowed to operate industrial trucks.

  • 25.2 - Substantial overhead protective equipment is provided on high-lift rider equipment.

  • 25.3 - Lift truck operating rules posted and enforced.

  • 25.4 - Directional lighting is provided on each industrial truck that operates in dark areas (<2fc/sf).

  • 25.5 - Each industrial truck has a warning device louder than the normal noise in areas where operated.

  • 25.6 - Brakes on each PIV brings the vehicle to a complete and safe stop when fully loaded.

  • 25.7 - PIV parking brakes effectively prevent vehicles from moving when unattended.

  • 25.8 - PIVs are proper and approved for their location(s) (e.g., flammable vapors, combustible dust).

  • 25.9 - Motorized hand or rider trucks shut off or stop when the operator releases their grip on the control device.

  • 25.10 - Are PIVs with internal combustion engines operated in buildings/enclosed areas?

  • 25.10a - Are they checked to ensure they do not produce a harmful concentration of dangerous gases or fumes?

  • Have all relevant observations for THIS assessment category been captured by the above questions?

26.0 TRANSPORTING EMPLOYEES & MATERIALS

  • Is 'Transport of Employees' being evaluated? If NO, select 'NE'

  • 26.1 - Employees who operate vehicles on public thoroughfares have a valid operator's license.

  • 26.2 - Operator licenses are appropriate for the class of vehicle being driven (e.g., CDL with endorsement(s)).

  • 26.3 - Each van, bus or truck used regularly to transport employees is equipped with an adequate number of seats.

  • 26.4 - Employees transported by truck are protected to prevent their falling from the vehicle.

  • 26.5 - Vehicles used to transport employees are equipped with lamps, brakes, horns, etc., in good repair?

  • 26.6 - Transport vehicles are provided with handrails, steps, stirrups or similar devices for safely entering/exiting vehicles.

  • 26.7 - A fully charged fire extinguisher with at least a 4 B:C rating is maintained in each employee transport vehicle.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Noise

27.0 HAZARDOUS NOISE EXPOSURE

  • Are 'Hazardous Noise Exposures' being evaluated? If NO, select 'NE

  • 27.1 - Noise levels are being measured using a sound level meter or an octave band analyzer and records being kept.

  • 27.2 - There areas in the workplace where continuous noise levels exceed 85 dBA.

  • 27.3 - Noisy machinery is isolated from the rest of the operation.

  • 27.4 - Engineering controls have been used to reduce excessive noise levels.

  • 27.5 - When engineering controls are not feasible, administrative controls (i.e. worker rotation) are being used.

  • 27.6 - There a formal Hearing Conservation Program in place.

  • 27.7 - Training is repeated annually for employees exposed to continuous noise >85 dBA.

  • 27.8 - High noise areas have been identified and posted.

  • 27.9 - ANSI-approved hearing protection is available to employees working in areas with noise >85 dBA.

  • 27.10 - When hearing protection is used, employees are properly fitted and instructed in their use and care.

  • 27.11 - Employees exposed to continuous noise above 85 dBA are given periodic audiometric testing.

  • Have all relevant observations for THIS assessment category been captured by the above questions?

Signatures

  • Have all relevant observations for assessment been captured by the above categories and questions?

  • Signature of Assessor

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.