OSHA Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• All Providers that practice in this location has their license visibly displayed in the office. If not, please request a copy from the HR department and correctly display it in the office.

  Yes

  No

  N/A

• All Dental assistant radiation certificates are current and visibly displayed in the office. If not, please request a copy from the HR department and correctly display it in the office.

  Yes

  No

  N/A

• The dental office radiation certificate is current and visibly displayed in the office.

  Yes

  No

  N/A

• All containers that contain Biohazard waste are labelled correctly

  Yes

  No

  N/A

• Spill-proof sharps containers labeled correctly

  Yes

  No

  N/A

• State and Federal Employment Posters Displayed

  Yes

  No

  N/A

• OSHA Poster Displayed

  Yes

  No

  N/A

• Hand wash signs displayed appropriately

  Yes

  No

  N/A

The following items are in the Office and available to staff

• OSHA Manual up to date and in the office in the office

  Yes

  No

  N/A

• Material Safety Data Sheets (MSDS) are placed in a binder and maintained in the office. (Do you know where it is?)

  Yes

  No

  N/A

• First Aid Kit updated and contains no expired iteams

  Yes

  No

  N/A

• PPE is available to all staff and being used appropriately

  Yes

  No

  N/A

• Emergency Phone numbers are listed in the office and accessible to employees

  Yes

  No

  N/A

• Emergency/fire escape plan displayed

  Yes

  No

  N/A

• Fire Extinguishers are regularly checked and tag label is updated

  Yes

  No

  N/A

• AED (Batteries charged? Pads expired?)

  Yes

  No

  N/A

• All items that are stored on shelves are properly placed, labelled, and organized

  Yes

  No

  N/A

• Trash and sink areas are clean and in order

  Yes

  No

  N/A

• Machines and equipment are safe in working order

  Yes

  No

  N/A

• Circuit breakers properly marked

  Yes

  No

  N/A

• Is the facility free of trips and fall hazards?

  Yes

  No

  N/A

• Are exit and exit paths clear and properly marked?

  Yes

  No

  N/A

• The waiting area is being disinfected every 30 minutes or in between patient visits.

  Yes

  No

  N/A

• All bathrooms are disinfected throughout the day

  Yes

  No

  N/A

• Hand sanitiser is available and being used by patients and staff

  Yes

  No

  N/A

Comments

• Comments

undefined

• Signed by Manager:

  Sign