Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Safety Inspection

  • Inspected by who:

  • Site:

  • Date:

GENERAL Audit Records

  • Job safety/health poster, and communications/ emergency numbers posted

  • OSHA 300 Summery posted from FEB-MAY

  • Records of Weekly tool box talks up to date on file

  • Fork lift training records are complete and up to date on file

  • MEWP training records are complete and up to date on file

  • Fall Protection Required Staff are up to date on trainings

  • Annual Hazcom Training are complete and up to date on file

  • MSHA Required Staff are up to date on the the 5000.23 on file

  • All trucks and trailers have DOT annual inspection on unit and on file

  • Recent AHJ (Authority Having Jurisdiction) Fire Inspection on file?

  • 3rd party annual fire (Sprinkler, Fire Extinguishers, Alarm System) on file

  • Any other non compliance issues in this section

Facilities Parts Warehouse

  • Adequate provisions for first aid and/or medical attention.

  • Freight being stored properly:

  • Are racks bolted to the ground or per Manufactures' recommendations

  • Do high risk racks have bump guards

  • Rack Shelves display load ratings per manufacture

  • Are materials stored properly, Oil, Gas -Secondary containment?

  • Are indoor walkways to the facility clear and safe of hazards?

  • Are stairways, aisles and access ways kept clear?

  • Are passthrough clearly marked and safe?

  • House keeping, lighting, Signs posted, Doorways not blocked

  • Eye wash station available by the battery charging station?

  • Tool safety rules being followed?

  • Loading Docks: proper railing, gates/chains when trailer is not present, wheel chocks are used while loading/unloading, Dock ramps are in good condition.

  • Are chemicals properly labeled and do they have appropriate warning labels?

  • Ladder Safety rules being followed/ Condition, rungs, weathering.

  • Are electrical panels/circuits labeled and free of storage in front of panels?

  • Are electrical extension cords in good repair, grounded and not used as permanent wiring?

  • Are energized electrical parts protected from contact with other hazards?

  • Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?

  • Are flammable/combustible liquids stored in approved storage cabinets?

  • Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?

  • Do sprinklers have 18 inches of vertical clearance from stored materials?

  • Are area evacuation maps posted?

  • Are fire extinguishers available and properly placed?

  • Are emergency lighting fixtures inspected, working and properly placed?

  • Are doors/ passages unobstructed?

  • Other comments or recommendations:

  • Fork Lift / Telehandler Inspection
  • FORK LIFT LOCATION AND MODEL

  • Are daily for lift inspections being completed

  • Speed limits rules being followed

  • Horns on blind corners

  • Seat belt in good working condition and in use

  • Load does not have obstructed views

SAFETY-Shop

  • Is PPE provided appropriately: Glasses, Boots, Face Shields, Gloves, Hearing Protection.

  • Eye wash station in close proximity to hazards (tool washing)

  • Adequate provisions for first aid and/or medical attention

  • Are indoor walkways to the facility clear and safe of hazards?

  • Ladder safety rules being followed

  • General Housekeeping

  • Lighting, Signs posted, Doorways not blocked

  • Are passthrough clearly marked and safe?

  • Daily Fork lift Inspections log up to date.

  • Are stairways, aisles and access ways kept clear?

  • Sledge Hammer soft face only?

  • Tool safety rules being followed

  • Tool storage room House keeping and safe tools

  • Annual overhead Crane inspection on file?

  • All lifting devices in use and are in good working order with current load ratings visable

  • Have all chains and wire rope had and annual inspection per OSHA 1910.184, ASME B30. 9, B30. 20, B30. 26, & ANSI Z359

  • Webbed Slings are in good working condition with no excessive wear

  • Cribbing/ Blocking: 6"X6" or larger , If Wood- Any Rounded edges or Splits? Oak or other Hard wood being used?

  • O2 / Fuel Cylinders stored 25' apart or 30 min fire wall between.

  • Are chemicals properly labeled and do they have appropriate warning labels?

  • Are electrical panels/circuits labeled and free of storage in front of panels?

  • Are electrical extension cords in good repair, grounded and not used as permanent wiring?

  • Are energized electrical parts protected from contact with other hazards?

  • Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?

  • Are flammable/combustible liquids stored in approved storage cabinets?

  • Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?

  • Are area evacuation maps posted?

  • Are fire extinguishers available and properly placed?

  • Are emergency lighting fixtures inspected, working and properly placed?

  • Are doors/ passages unobstructed?

  • Other comments or recommendations:

Facilities- Wash Bay

  • Lighting at acceptable lumens

  • Safety Glasses in use

  • Water filtration / Pump Oil water separator in place per EPA Guidlines

  • House keeping

  • Are chemicals properly labeled and do they have appropriate warning labels?

  • Tool safety rules being followed?

  • Are chemicals properly labeled and do they have appropriate warning labels?

  • Ladder safety rules being followed

  • Are electrical panels/circuits labeled and free of storage in front of panels?

  • Are electrical extension cords in good repair, grounded and not used as permanent wiring?

  • Are energized electrical parts protected from contact with other hazards?

  • Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?

  • Is all electrical water rated? - Lights, Outlets, Exit Signs.

  • Are flammable/combustible liquids stored in approved storage cabinets?

  • Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?

  • Do sprinklers have 18 inches of vertical clearance from stored materials?

  • Are area evacuation maps posted?

  • Are fire extinguishers available and properly placed?

  • Are emergency lighting fixtures inspected, working and properly placed?

  • Are doors/ passages unobstructed?

  • Other comments or recommendations:

  • Service Truck Inspection
  • Fall protection on truck, inspected and cared for?

  • Fire Extinguisher mounted and inspected

  • Gas cylinders capped and stored properly

  • House Keeping Exterior

  • House Keeping Interior

  • Cargo Securement

  • First aid kit adequate and up to date

  • Black Binder up to date with all documentation

  • Annual crane and truck inspection up to date?

  • Safety stickers clean and legible

  • Safety Whip on truck and in good condition

  • Soft Face Bash hammer

  • Approved lifting devices only and are in good working order.

  • Tool storage boxes clean and organized

  • Have all chains and/or slings been inspected for defects, and labeled or taken out of service if inadequate?

  • Other comments or recommendations:

Safety- Exterior and Yard

  • Fencing in good condition as well as access gates.

  • Is the exterior of the building(s) safe and in order

  • Are equipment and materials being stored properly?

  • Is there appropriate traffic signage in the equipment yard and surrounding vehicle travel ways

  • Are the gutters/down spouts adequate to draw water/ice away from walkways?

  • Are open-sided edges longer than 4 feet protected by guardrails or covers?

  • General House keeping

  • Daily Fork lift Inspections log up to date Skids and tellahanders

  • The Yard is clean and organized without excess clutter, trash or weeds

  • Overhead powerlines are safely marked and traffic control is in place to mitigate all hazards

  • Diesel and fuel areas are labeled, in secondary containment, and have fire extinguishers

  • Are electrical panels/circuits labeled and free of storage in front of panels?

  • Are electrical extension cords in good repair, grounded and not used as permanent wiring?

  • Are energized electrical parts protected from contact with other hazards?

  • Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?

  • Are all fire extinguishers available and properly placed?

  • Other comments or recommendations:

  • Alternate Work Operation (carbide, welding, components, second shop)
  • What is the operation

  • Are safety glasses and steel toed shoes being worn in the operation?

  • Face shields in use with safety glasses when appropriate

  • Ladder safety rules being followed

  • Are indoor walkways to the facility clear and safe of hazards?

  • Are passthrough clearly marked and safe?

  • Tool safety rules being followed

  • Are stairways, aisles and access ways kept clear?

  • Sledge Hammer soft face only?

  • Daily Fork lift Inspections log up to date.

  • Approved lifting devices only and are in good working order.

  • Tool storage room House keeping and safe tools

  • Have all chains and/or slings been inspected for defects, and labeled or taken out of service if inadequate?

  • O2 / Fuel Cylinders stored 25' apart or 30 min fire wall between.

  • House Keeping

  • Eye wash station in close proximity

  • Are chemicals properly labeled and do they have appropriate warning labels?

  • Are electrical panels/circuits labeled and free of storage in front of panels?

  • Are electrical extension cords in good repair, grounded and not used as permanent wiring?

  • Are energized electrical parts protected from contact with other hazards?

  • Are outdoor receptacles GFCI protected and receptacles within 6 feet of water GFCI protected?

  • Adequate provisions for first aid and/or medical attention

  • Are flammable/combustible liquids stored in approved storage cabinets?

  • Have the facility sprinkler/ fire alarm systems been inspected within the past 12 months?

  • Do sprinklers have 18 inches of vertical clearance from stored materials?

  • Are area evacuation maps posted?

  • Are fire extinguishers available and properly placed?

  • Are emergency lighting fixtures inspected, working and properly placed?

  • Are doors/ passages unobstructed?

  • Other comments or recommendations:

Facilities Section Exterior Front Entrance and Parking lot

  • Windows clean and free of damage

  • Lighting

  • Landscaping meets PMC standards

  • Equipment Display meets PMC standards

  • Exterior entrance and doors in good working condition

  • Parking lot is safe and striped with ADA access

  • Facilities Section Interior -Offices/ Break room
  • Clean and professional

  • Lights appropriate lumens and temperature

  • Doors functional and clean

  • Updated to PMC Standards

  • Area is functional for its intended purpose

  • other comments or concerns

  • Facilities Section Interior - Customer Reception/ Parts Display
  • Clean and professional

  • Lights appropriate lumens and temperature

  • Doors functional and clean

  • Updated to PMC Standards

  • Area is functional for its intended purpose

  • other comments or concerns

  • Facilities Section Roofing and HVAC
  • Roofing in good condition without leaks

  • HVAC has scheduled PM Service

  • Other issues or concerns

  • IT room
  • Secure and employee only accessible

  • Temperature 68 Degrees or less

  • Other issues or concerns

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