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Section A: Machinery & Equipment

Section A1 - Cleanliness

  • There are no piles of rags and oil absorbent materials around the base of leaking machinery.

  • There are no excessive leaking fluids: water, oil, solvents, etc., on or near machinery and equipment.

  • Spill trays are not full of leaking water, oil, solvents, etc.

  • There is no trash, debris, and unnecessary materials on or near the machinery or equipment.

  • There are no large amounts of process materials (scrap foil, UBC, dross, fluxing salts, dust, etc.) spilled around the process equipment.

  • There are no excessive and unnecessary tools and materials hanging on, leaning against or around machinery and equipment.<br>

Section A2 - Machine Guarding

  • Point of operation guarding that is hinged, is secured shut and requires a tool to open.

  • Machine shop equipment is guarded, i.e. lathes without chuck guards.

  • Guarding is in place while the machine is running and secured in place.

  • Grinders with correct tool rest and tongue guard adjustments

  • Machine shop tools are anchored to the floor.

Section A3 - Electrical Equipment

  • There are no open electrical boxes, nor any unprotected energized parts that non-qualified employees can be exposed to. This would include missing junction box covers, breaker panel covers, open knockout plug holes, etc.

  • There is restricted access to general employee to areas where unprotected energized parts are located, i.e. motor control rooms with open buses.

  • Electrical disconnect equipment is not obstructed and free access.

  • Electrical equipment has 36 inches of clear working space in front of it.

  • There are no flammable or combustible materials stored within 36 inches of transformers and electrical equipment that may spark.

  • There is no water on the floor in electrical equipment areas.

  • There are labeled emergency disconnects.

  • Note: motor control rooms and other electrical equipment rooms are not being utilized as areas for general storage, unless flammable and combustible materials can be significantly isolated. Also, storage in these areas increases the likelihood that non-qualified personnel will be in these high hazard areas.

Section A4 - Material Handling Equipment (Fork trucks, Cranes, Conveyors, etc.)

  • There are no modifications to any lifting device without written approval from the original equipment manufacturer.

  • Vehicles have fully functional braking systems, lights, horns, other warning devices, etc.

  • Vehicles in safe conditions, i.e.no bad fluid leaks, no damaged load bearing parts, no damaged cables, no fuel leaks, etc.

  • There are no damaged hooks and/or missing safety latches on cranes and hoists.

  • Crane pendant and radio controls are clearly marked and legible.

  • There are weight capacity labels on crane bridges, hoists, and hooks.

  • Capacity labels are visible or readable from the operators level.

  • Consistent capacities on cranes, hoists, and hooks, i.e. a 5-ton hook installed on a 1-ton hoist.

  • Seat belts are provided on all powered industrial trucks (fork trucks, mules, heavy equipment, etc.) that are provided with rollover protection.

  • There are no damaged conveyors.

  • Conveyors are equipped with emergency stop cables.

  • There are start-up alarms on automatic conveyors.

Section A5 - Slings and Below the Hook Lifting Devices

  • There is no evidence of any cut(s), punctured, abraded, knotted, damaged, etc., synthetic, wire rope, and chain slings.

  • There are no damaged C-hooks, slab handlers, forks, etc.

  • Below the hook lifting devices are labeled with capacity labeling.

Section A6 - Emergency Equipment

  • There are no obstructed eye washes, safety showers, and stretchers.

  • There are no obstructed fire extinguishers, fire hoses, fixed fire suppression system manual dump stations, fire alarms, etc.

  • Fire fighting equipment has evidence of a regular inspection.

  • There is no evidence of obstructed access to other emergency equipment, i.e. environmental spill kits & response carts, etc.

  • There is clear access to emergency escape respirators and they are in sanitary conditoin.

Section B - Stock, Material & Chemicals

Section B1 - Raw Material, Work0in-Progress (WIP) and Chemicals

  • There are no unstable or otherwise unsafe storage of process materials (raw materials, product, scrap, etc.)

  • There are no damaged containers that allow materials to spill out on the floor.

Section B2 - Storerooms, Stockrooms & Storage Areas

  • Good housekeeping in storerooms, stockrooms, and storage areas.

  • There is no storage of materials on top of cabinets and shelf units where employees can pull objects off onto their head.

  • There are no damaged storage racks.

  • Storage racks that are anchored to the floor or building structure.

  • Storage racks (other than small commercial rack units) labeled with loading capacity.

  • Good/clear access through storage areas that does not require employees to climb over materials.

Section B3 - Chemical, Oil and Flammable Liquid Storage

  • 'No Smoking' signs posted in flammable and combustible liquid storage areas.

  • There is grounding and/or bonding straps for flammable liquid storage, handling and transfer areas.

  • No mixed and otherwise unsafe storage of acids and bases.

  • The are practices of safe storage of chemicals in lab areas.

  • There are no old, expired, and/or obsolete chemicals in Lab(s).

  • There is appropriate PPE in chemical storage areas and laboratories.

  • Secondary containers are labeled, i.e. buckets/pails, cans, bottles, spray bottles, etc., not labeled to indicate contents.

  • Hazardous materials are stored properly considering material hazards and compatibility with other materials.

Section B4 - Drum/Tote Management

  • Individual drums/totes are labeled. Drums/totes are easily identifiable as to contents or empty conditions.

  • Stored drums/totes are properly sealed. In outside storage areas, bungs are not left open, tops are not left off so that rain and/or snow can accumulate inside the drums/totes, etc.

  • Drums/totes are not stored in areas within 75 feet of interior drains or storm drains.

  • Drums/totes are stored in an orderly fashion.

  • Drums/totes are in good condition, not dented, not broken, and not leaking.

Section B5 - Compressed Gases

  • Cylinders are secured in upright position with valve caps in place when in storage.

  • Oxygen and fuel gas cylinders, in storage, that are separated by 20 feet, or a 5 foot high wall with a ½-hour fire rating.

  • There are no damaged compressed gas cylinder gauges or hoses.

  • Cutting and welding units equipped with flashback arresters in the lines.

  • Oxygen-acetylene equipment unattended and not in use has pressure drained off on the regulators.

Section C - Tools

Section C1 - Hand Tools

  • Tools free of cracked or broken handles and other parts.

  • Tools do not have mushroomed heads (i.e., sledge wrench, chisel, etc.).

  • There are no homemade tools in use that have not been designed and approved by a qualified engineer (auditors should evaluate the tool's likelihood of failure during use).

  • Air nozzles equipped with safety tips that relieve air pressure when deadhead (pressure to relieve to 30 psi.or lower).

  • There were no unsafe tool use practices, i.e. employee using pliers instead of a wrench.

Section C2 - Hand Held Power Tools & Power Cords

  • Portable grinders are equipped with proper guards.

  • There are no damaged or cracked electrical tool cases.

  • There are no damaged or unsafe power cords, i.e. cut, spliced, crushed, punctured, etc.

  • There are no power cords pulled out of tool housing or plugs that expose wires.

  • Electric hand tools are equipped with ground plug or are double insulated.

  • Electric hand tools and extension cords with grounding prong inplace.

  • No evidence of homemade extension cords made from parts that were not recommended for that application by the<br>manufacturer.<br>

  • There are no electric tools and extension cords lying in water or wet areas.

  • Ground fault interrupters (GFI) in being used in areas prone to have water present (bathrooms, kitchens, exterior construction sites).

  • There is no evidence of tempoary wiring practices (i.e., extension cords used in lieu of permanent wiring).

  • Extension cords are not left in doorways where they can be damaged by a closing door.

  • There is no evidence of grinding non-ferrous metals with inappropriate stones.

Section D - Walking Working Surfaces

Section D1 - Floors

  • There is no evedence of water, oil, and other liquids creating slipping hazards on the floor.

  • No evidence of cracked, damaged, or severely uneven floors that present tripping hazards.

  • There are no tripping hazards created by power cords, hoses, etc., on the floor.

  • No material and/or equipment stored in aisleways.

  • Floor and wall openings and holes are protected to prevent a fall to a lower elevation.

Section D2 - Stairs, Ladders & Platforms

  • Stairs with four or more risers equipped with standard stair railings.

  • No evedence of power cords, hoses, tools, gloves, and other materials left on stairs that could create tripping hazards.

  • There were no damaged ladders or stair treads.

  • Ladders are not placed in an unsafe position while in use.

  • Portable ladders equipped with safety feet.

  • Platforms that are 4 foot high or higher equipped with standard railings and toe boards.

  • Scaffolds safely erected or used, i.e. standard railings and toeboards, inspected daily, no missing cleating on planks.

  • Elevated work platforms and crane bridges equipped with standard railing or personal fall protection provided.

Section E - Buildings & Grounds

Section E1 - Exits

  • Exits are marked and illuminated.

  • Emergency lighting functions.

  • Exit doors are not fitted with locks, sliding bolts, hooks, or any other device that prevents free discharge in an emergency.

Section E2 - Lighting

  • Good/sufficient interior and exterior lighting conditions.

Section E3 - Piping Systems

  • Pipe and valve systems are labeled properly with contents and direction of flow (color coding, flow direction indicators, labels, etc.)

  • Piping systems are supported properly and they are not sagging.

  • Emergency utility shut off valves are labeled.

Section E4 - Interior Housekeeping

  • Good storage practices of tools, equipment, hoses, power cords, materials, etc., inside buildings.

  • No evidence of accumulations of cigarette butts, ear plugs, debris, and spent materials on floors inside buildings; including, but not limited to, motor rooms, coolant cellars, mezzanines, above furnaces, basements, crane bridges, maintenance shops, contractor areas, vehicle garages, security buildings, water treatment facilities, training buildings, exercise rooms, conference rooms, etc.

  • There is no unsanitary conditions associated with food storage and preparation areas (cafeterias, kitchens, refrigerators, microwave ovens, vending machines, food storage cabinets, etc.)

  • There are no unsanitary water fountains.

  • There are no unsanitary conditions in bathrooms, locker rooms, and shower rooms.

Section E5 - Exterior Housekeeping

  • There are no haphazard storage of tools, equipment, hoses, power cords, materials, etc., on the ground outside buildings.

  • There is no accumulations of cigarette butts, ear plugs, debris, and spend materials on the ground outside buildings; including, but not limited to, parking lots, grounds, roadways, service roads, contractor areas, vehicle storage, etc.

  • There is no accumulations of cigarette butts, ear plugs, debris, and spend materials on roof tops.<br>• Unsafe accumulations of snow and ice on parking lots and sidewalks.

Section E6 - Offices

  • Good housekeeping practices in office areas, including: private offices, meeting rooms, copier rooms, computer rooms, restrooms, boiler rooms, electrical rooms, HVAC rooms, basements, storage rooms, closets, etc.

  • there are no overloaded extension cords and power strips.

Section F - Environmental

F1 - Air Emissions

  • There are no signs of releases of fugitive emissions on siding of overhead doors in plant (i.e. black staining or oily residue).

  • Volatile products are kept sealed when not in use.

  • Ventilation hoods are maintained.

F2 - Water Quality

  • Chemicals, oils, solids, and other pollutants are stored such that a spill could not reach storm water or process water drain.

Section F3 - Spill Prevention & Containment

  • Secondary containers of hazardous materials are not placed within 75 feet of an access to a storm or waste water sewer drain.

  • Transfer areas are properly labeled (i.e. pipe connections are labeled, instructions or proper transfer procedures are posted, emergency response procedures are posted).

  • Remote transfer areas are equipped with visual or audible overfill alarms and product level monitor displays.

  • Transfer areas have adequate secondary containment to prevent spills from entering the environment.<br>

  • Secondary containment at transfer areas are properly designed to contain spills associated with transfer operations (largest compartment on delivery vehicle and plant mobile equipment).

  • Tank systems are provided with adequate secondary containment.

  • Secondary containment areas have locked and valved drainage systems for 110% storage capacity of the largest container.

  • Storage tank containment system drainage hardware is maintained properly (i.e. valves are locked in the closed position, valves are not left open, valves open and close easily).

  • Spill kits are located within 75 feet of bulk chemical/oil transfer areas.

Section F4 - Waste Management

  • Wastes are stored in the proper designated area.

  • Wastes are properly segregated (i.e. incompatible wastes are not stored together such as waste acids and bases; recyclable wastes are mixed with trash).

  • Hazardous wastes are properly labeled or packaged per legal requirements.

  • Non-hazardous waste containers used to accumulate specific wastes (i.e. specific industrial waste, recyclables, scrap metal, fluorescent bulbs, etc.) within the plant are labeled.

Section F5 - Energy

  • Remelt and recycle furnace doors are maintained properly and are properly seated in the furnace sill

  • Furnace refractory is in good condition with no apparent hot spots

  • There is no apparent heat leakage on annealing and homogenizing/pusher furnace surfaces

  • Doors and windows are operational and seal properly

  • Compressed air systems and tools are in good condition with no apparent leakage

  • Insulation on process equipment and heated building space is in good condition

Section G - Work Practices

Section G1 - Critical Practices

  • Employees are following lockout/tagout procedures.

  • Employees are following confined space procedures.

  • Employees are not operating equipment with machine guarding defeated (tied back, light curtains turned off, limit switches taped down, etc.)

  • There are no Non-qualified persons working on or around live energized parts.

Section G2 - Compliance & Rules

  • Employees are complying with plant PPE rules (head, eyes/face, hearing, uniform requirements, hand, arm, foot, etc.)

  • Contractors, truck drivers, and visitors are complying with plant PPE rules (head, eyes/face, hearing, body, long sleve shirt, hand, arm, foot, etc.)

  • Contractors, truck drivers, and visitors are complying with general plant EH&S rules.

Section G3 - Crane Operation

  • Employees operating cranes and have completed pre-use inspection. Employees will be required to show the equipment has been inspected through documentation or demonstration.

  • An employee operating a crane that is in safe working condition (proper function of brakes, lights, warning devices, hydraulics, etc.)

  • Employees is safely operating a crane and is not putting others at risk.

  • Crane operator is not transporting loads over others.

  • Slings and below the hook lifting devices show no evidence of damage and are safe for use..

  • Operator is not exceeding equipment capacity limit.

  • Operator is not shock loading (sudden jerking lifts) the crane.

  • Operator is not side pulling loads.

G4 - Fall Protection & Prevention

  • Employees and contractors use all protection (full body harness, shock absorbing lanyard, engineered anchored points, or standard handrail system) when working above height of 4-feet of greater.

  • Trucks drivers use fall protection system for truck drivers untarping, loading, and tarping trucks.

  • Employees using fall protection that is good condition.

  • Employees and contractors working from aerial and scissor lifts are wearing a full body harness and lanyard attached to a designated anchor point on the equipment.

Section G5 - Mobile Equipment

  • Operator wearing seatbelt while operating mobile equipment (fork truck, scooters).

  • Operator traveling with forks 4-6 inches off the ground.

  • Operators are obeying traffic signs.

  • Operators are parking in designated areas and are parking in pedestrian walkway.

  • Operators are slowing down at corners and intersections.

  • Operator has completed a pre-use inspection of the equipment.

  • Pedestrians are using designated walkways.

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.