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

  • Are TRACK/JSA sheets being completed

  • Annual Emergency Evacuation practice.

  • 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 all recycled oil containers being stored properly, secondary containment is correctly sized?

  • 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

  • Restrooms
  • Clean with welcoming appearance

  • Toilets

  • sinks

  • Partitions

  • Other concern or issues

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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.