Audit

Workplace/area or Job being assessed:

EYE HAZARDS

Flying Particles

Chemical Splash

Molten Metal

Dust and Dirt

Sparks

Weld Flash

Electrical

Other:

HAND HAZARDS

Skin absorption

Chemical or thermal burns

Severe cut or laceration hazard

Punctures

Other:

HEAD HAZARDS

Falling objects

Flying objects

Electrical

Hair entanglement

Hot surfaces

Chemicals

Other:

FOOT HAZARDS

Flying Objects

Rolling Objects

Powered Lawn Equipment

Wet Process Areas

Logging Areas

Other:

FACE HAZARDS

Impact Hazards

Chemical

Heat

Torch Cutting

Welding

Casting

High Temperature Exposures

Other:

BODY HAZARDS

Wet Process Areas

Chemical

Buffing

Sand Blasting

Polishing

Hot Liquids (water, grease, acids, etc.)

Other:

HEARING HAZARDS

Loud Process and or Equipment

Air and Electrical Impact Tools

Forging

Logging

Tree Trimming

Decibel Reading

Other:

BREATHING HAZARDS

Spray Finishing

Fumes

Vapors

Dust

Welding

Foundries

Permit Required Confined Space

Other:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.