Property OSHA Self Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

Employer Posting

• Is the required OSHA Job Safety and Health Protection Poster displayed in a prominent location where all employees are likely to see it?

  Yes

  No

  N/A

• Are Emergency telephone numbers posted where they can be readily found in case of Emergency?

  Yes

  No

  N/A

• Where employees may be exposed to toxic substances or harmful physical agents, has appropriate information concerning employee access to medical and exposure records and Material Safety Data Sheets (MSDS) been posted or otherwise made readily available?

  Yes

  No

  N/A

• Are signs concerning exit routes, room capacities, floor loading, biohazards, or substances posted where appropriate?

  Yes

  No

  N/A

• Is the summary of Work-Related Injuries and Illnesses (OSHA Form 300A) posted during the months of February, March and April?

  Yes

  No

  N/A

Recordkeeping

• Are occupational injuries or illnesses, except minor injuries requiring only first aid, recorded as required on the OSHA 300 log?

  Yes

  No

  N/A

• Are employee medical records and records of employee exposure to hazardous substances or harmful physical agents up to date and in compliance with current OSHA standards?

  Yes

  No

  N/A

• Are employee training records kept and accessible for review by employees, as required by OSHA standards?

  Yes

  No

  N/A

• Have arrangements been made to retain records for the time period required for each specific type of record?

  Yes

  No

  N/A

• Are operating permits and records up to date for items such as elevators, air pressure tanks, liquified petroleum gas tanks, etc...?

  Yes

  No

  N/A

Health and Safety Program

• Do you have an active health and safety program in operation that includes general safety and health program elements as well as the management of hazards of specific to your work site?

  Yes

  No

  N/A

• Is one person clearly responsible for the health and safety program?

  Yes

  No

  N/A

• Do you have a safety committee made up of management and labor representatives that meets regularly and reports in writing on its activities?

  Yes

  No

  N/A

• Do you have a working procedure to handle in house employee complaints regarding health and safety?

  Yes

  No

  N/A

• Are your employees advised of efforts and accomplishments of the health and safety program made to ensure they will have a workplace that is safe and healthful?

  Yes

  No

  N/A

• Have you considered incentives for employees or departments that excel in workplace injury or illness?

  Yes

  No

  N/A

Medical Services and First Aid

• Is there a hospital, clinic or infirmary for medical care near your facility or is at least one employee on each shift currently qualified to render first aid?

  Yes

  No

  N/A

• If employees have had an exposure incident involving bloodborne pathogens, was an immediate post exposure medical evaluation and follow up provided?

  Yes

  No

  N/A

• Are medical personnel readily available for advice and consultation on matters of employees health?

  Yes

  No

  N/A

• Are emergency phone numbers posted?

  Yes

  No

  N/A

• Are fully supplied first aid kits easily accessible, periodically inspected and replenished as needed?

  Yes

  No

  N/A

• Is there an eye wash station or sink available for quick drenching or flushing of the eyes and body in areas where corrosive liquids or materials are handled?

  Yes

  No

  N/A

Fire Protection

• Is your local fire department familiar with your facility, its location and specific hazards?

  Yes

  No

  N/A

• If you have a fire alarm system, is it certified as required and tested annually?

  Yes

  No

  N/A

• If you have interior standpipes and valves, are they inspected regularly?

  Yes

  No

  N/A

• Are fire doors and shutters in good operating condition?

  Yes

  No

  N/A

• Are fire doors and shutters unobstructed and protected against obstructions, including their counterweights?

  Yes

  No

  N/A

• Are fire door and shutter fusible links in place?

  Yes

  No

  N/A

• Are automatic sprinkler system water control valves, air and water pressure checked periodically as required?

  Yes

  No

  N/A

• Is the maintenance of automatic sprinkler systems assigned to responsible persons or to a sprinkler contractor?

  Yes

  No

  N/A

• Are sprinkler heads protected by metal guards if exposed to potential physical damage?

  Yes

  No

  N/A

• Is proper clearance (18 Inches) maintained below sprinkler heads?

  Yes

  No

  N/A

• Are portable fire extinguishers provided in adequate number and type mounted in readily accessible locations?

  Yes

  No

  N/A

• Are fire extinguishers recharged regularly with this noted on the inspection tag?

  Yes

  No

  N/A

• Are employees periodically instructed in the use of fire extinguishers and fire protection procedures?

  Yes

  No

  N/A

Personal Protective Equipment (PPE) and Clothing

• Has the employer determined whether hazards that require the use of PPE (e.g., head, eye, face, hand, or foot protection) are present or are likely to be present?

  Yes

  No

  N/A

• If hazards or the likelihood of hazards are found, are employees selecting appropriate and properly fitted PPE suitable for protection from these hazards and ensuring that affected employees use it?

  Yes

  No

  N/A

• Are protective goggles or face shields provided and worn where there is any danger of flying particles or corrosive materials?

  Yes

  No

  N/A

• Are approved safety glasses required to be worn at all times in areas where there is risk of eye injuries suck as punctures, abrasions, contusions, or burns?

  Yes

  No

  N/A

• Are employees who wear corrective lenses (glasses or contacts) in workplaces with harmful exposures required to wear only approved safety glasses, protective goggles, or use other medically approved precautionary procedures?

  Yes

  No

  N/A

• Are protective glasses, aprons, shields, or other means provided and required where employees could be cut or where there is reasonably anticipated exposure to corrosive liquids, chemicals, blood or other potentially infectious materials?

  Yes

  No

  N/A

• Are hard hats required, provided and worn where danger of falling objects exists?

  Yes

  No

  N/A

• Are hard hats periodically inspected for damage to the shell and suspension system?

  Yes

  No

  N/A

• Is appropriate foot protection required where there is the risk of foot injuries from hot, corrosive, or poisonous substances, falling objects, crushing or penetrating actions?

  Yes

  No

  N/A

• Are approved respirators provided when needed?

  Yes

  No

  N/A

• Is all PPE maintained in a sanitary condition and ready for use?

  Yes

  No

  N/A

• Is protection against the effects of occupational noise provided when sound levels exceed those of the OSHA noise standard?

  Yes

  No

  N/A

• Are adequate work procedures, PPE, and other equipment provided and used when cleaning up spilled hazardous materials?

  Yes

  No

  N/A

• Are appropriate procedures in place to dispose of or decontaminate PPE contaminated with, or reasonably anticipated to be contaminated with blood or other potentially infectious materials?

  Yes

  No

  N/A

General Work Environment

• Are all worksites clean, sanitary and orderly?

  Yes

  No

  N/A

• Are work surfaces kept dry and appropriate means taken to assure the surfaces are slip resistant?

  Yes

  No

  N/A

• Are all spilled hazardous materials or liquids, including blood and other potentially infectious materials, cleaned up immediately and according to proper procedures?

  Yes

  No

  N/A

• Is combustible scrap, debris and waste stored safely and removed from the worksite promptly?

  Yes

  No

  N/A

• Is all regulated waste, as defined in the OSHA Bloodborne Pathogens standard (29 CFR 1910.1030), discarded according to Federal, state and local regulations?

  Yes

  No

  N/A

• Are accumulations of combustible dust routinely removed from elevated surfaces including the overhead structure of buildings, etc.?

  Yes

  No

  N/A

• Is combustible dust cleaned up with a vacuum system to prevent suspension of dust particles in the environment?

  Yes

  No

  N/A

• Is metallic or conductive dust prevented from entering or accumulating on or around electrical enclosures or equipment?

  Yes

  No

  N/A

• Are covered metal waste cans used for oily or paint soaked waste?

  Yes

  No

  N/A

• Are all oil and gas fired devices equipped with flame failure controls to prevent flow of fuel if pilots or main burners are not working?

  Yes

  No

  N/A

• Are the minimum number of toilets and washing facilities provided and maintained in a clean and sanitary fashion?

  Yes

  No

  N/A

• Are all work areas adequately illuminated?

  Yes

  No

  N/A

• Are pits and floor openings covered or otherwise guarded?

  Yes

  No

  N/A

• Have all confined spaces been evaluated for compliance with 29 CFR 1910.146 (permit required confined spaces)?

  Yes

  No

  N/A

Walkways

• Are aisles and passageways kept clear and marked as appropriate?

  Yes

  No

  N/A

• Are wet surfaces covered with non slip materials?

  Yes

  No

  N/A

• Are holes in the floor, sidewalk, or other walking surface repaired properly, covered, or otherwise made safe?

  Yes

  No

  N/A

• Is there safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?

  Yes

  No

  N/A

• Are materials or equipment stored in such a way that sharp projections will not interfere with the walkway?

  Yes

  No

  N/A

• Are aisles or walkways that pass near moving or operating machinery, welding operations, or similar operations arranged so employees will not be subjected to potential hazards?

  Yes

  No

  N/A

• Are changes of direction or elevations readily identifiable?

  Yes

  No

  N/A

• is adequate headroom provided for the entire length of any aisle of walkway?

  Yes

  No

  N/A

• Are standard guardrails provided wherever aisle or walkway surfaces are elevated more than 30 inches above any adjacent floor or the ground?

  Yes

  No

  N/A

• Are bridges provided over conveyors and similar hazards?

  Yes

  No

  N/A

Floor and Wall Openings?

• Are floor openings guarded by a cover, a guardrail, or equivalent on all sides (except stairways or ladder entrances)?

  Yes

  No

  N/A

• Are kickplates installed around the edges of permanent floor openings where persons may pass below the opening?

  Yes

  No

  N/A

• Are skylight screens able to withstand a load of at least 200 pounds?

  Yes

  No

  N/A

• Is the glass in windows, doors, glass walls, etc., subject to possible human impact, of sufficient thickness and type for condition of use?

  Yes

  No

  N/A

• Are grates or similar type covers over floor openings such as floor drains designed to allow unimpeded foot traffic or rolling equipment?

  Yes

  No

  N/A

• Are unused portions of service pits and pits not in use either covered or protected by guardrails or equivalent?

  Yes

  No

  N/A

• Are floor or wall openings in fire resistant construction provided with doors or covers compatible with the fire rating of the structure and provided with a self closing feature when appropriate?

  Yes

  No

  N/A

Stairs and Stairways

• Do standard stair rails or handrails on all stairways have at least four risers?

  Yes

  No

  N/A

• Are all stairways at least 22 inches wide?

  Yes

  No

  N/A

• Do stairs have landing platforms not less than 30 inches in the direction of travel and extend 22 inches in width at every 12 feet of vertical rise?

  Yes

  No

  N/A

• Do stairs angle no more than 50 and no less than 30 degrees?

  Yes

  No

  N/A

• Are stairs of hollow pan type treads and landings filled to the top edge of the pan with solid material?

  Yes

  No

  N/A

• Are step risers on stairs uniform from top to bottom?

  Yes

  No

  N/A

• Are steps slip resistant?

  Yes

  No

  N/A

• Are stairway handrails located between 30 inches and 34 inches above the leading edge of stair treads?

  Yes

  No

  N/A

• Do stairway handrails have at least 3 inches of clearance between the handrails and the wall or surface they are mounted on?

  Yes

  No

  N/A

• Where door or grates open directly on a stairway, is a platform provided so the swing of the door does not reduce the width of the platform to less than 21 inches?

  Yes

  No

  N/A

• Are stairway handrails capable of withstanding a load of 200 pounds applied within 2 inches of the top edge in any downward or outward direction?

  Yes

  No

  N/A

• Where stairs or stairways exit directly into any area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic?

  Yes

  No

  N/A

• Do stairway landings have a dimension measured in the direction of travel at least equal to the width of the stairway?

  Yes

  No

  N/A

• Is the vertical distance between stairway landings limited to 12 feet or less?

  Yes

  No

  N/A

Elevated Surfaces

• Are signs posted, when appropriate, showing the elevated surface load capacity?

  Yes

  No

  N/A

• Are surfaces that are elevated more than 30 inches provided with standard guardrails?

  Yes

  No

  N/A

• Are all elevated surfaces beneath which people or machinery could be exposed to falling objects provided with standard 4 inch toeboards?

  Yes

  No

  N/A

• Is a permanent means of access and egress provided to elevated storage and work surfaces?

  Yes

  No

  N/A

• Is required headroom provided provided where necessary?

  Yes

  No

  N/A

• Is material on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?

  Yes

  No

  N/A

Exiting or Egress-Evacuation

• Are all exits marked with an exit sign and illuminated by a reliable light source?

  Yes

  No

  N/A

• Are the directions to exits, when not immediately apparent, marked with visible signs?

  Yes

  No

  N/A

• Are doors, passageways or stairways that are neither exits nor access to exits but could be mistaken for exits, appropriately marked "NOT AN EXIT", " TO BASEMENT", "STOREROOM" etc.?

  Yes

  No

  N/A

• Are exit signs labeled with the word "EXIT" in lettering at least 5 inches high and the stroke of the lettering at least 1/2 inch wide?

  Yes

  No

  N/A

• Are exit doors side hinged?

  Yes

  No

  N/A

• Are all exits kept free of obstructions?

  Yes

  No

  N/A

• Are at least two means of egress provided from elevated platforms, pits, or rooms where the absence of a second exit would increase the risk of injury from hot, poisonous, corrosive, suffocating, flammable, or explosive substances?

  Yes

  No

  N/A

• Are there sufficient exits to permit prompt escape in case of emergency?

  Yes

  No

  N/A

• Are special precautions taken to protect employees during construction and repair operations?

  Yes

  No

  N/A

• Is the number of exits from each floor of a building and the number of exits from the building itself appropriate for the building occupancy load?

  Yes

  No

  N/A

• Are exit stairways that re required to be separated from other parts of the building enclosed by at least 2-hour fire resistant construction in buildings more than four stories in height, and not less than 1-hour fire resistant construction elsewhere?

  Yes

  No

  N/A

• Where ramps are used as part of required exiting from a building, is the ramp slope limited to 1 foot vertical and 12 feet horizontal?

  Yes

  No

  N/A

• Where exiting will be through frameless glass doors, glass exit doors, storm doors etc., are the doors fully tempered and meet the safety requirements for human impact?

  Yes

  No

  N/A

Exit Doors

• Are doors that are required to serve as exits designed and constructed so that the path of exit travel is obvious and direct?

  Yes

  No

  N/A

• Are windows that could be mistaken for exit doors made inaccessible by means of barriers or railings?

  Yes

  No

  N/A

• Are exit doors able to be opened from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?

  Yes

  No

  N/A

• Is a revolving, sliding, or overhead door prohibited from serving as a required exit door?

  Yes

  No

  N/A

• Where panic hardware is installed on a required exit door, will it allow the door to open by applying a force of 15 pounds or less in the direction of traffic?

  Yes

  No

  N/A

• Are doors on cold storage rooms provided with an inside release mechanism that will release the latch and open the door even if the door is padlocked or otherwise locked on the outside?

  Yes

  No

  N/A

• Where exit doors open directly onto any street, alley, or other area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic?

  Yes

  No

  N/A

• Are doors that swing in both directions and are located between rooms where there is frequent traffic provided with viewing panels in each door?

  Yes

  No

  N/A

Portable Ladders

• Are all ladders maintained in good condition, joints between steps and side rails tight, all hardware and fittings securely attached, and moveable parts operating freely without binding or undue play?

  Yes

  No

  N/A

• Are non slip safety feet provided on each metal or rung ladder, and are ladder rungs and steps free of grease and oil?

  Yes

  No

  N/A

• Are employees prohibited from placing a ladder in front of doors opening toward the ladder unless the door is blocked open, locked or guarded?

  Yes

  No

  N/A

• Are employees prohibited from placing ladders on boxes, barrels, or other unstable bases to obtain additional height?

  Yes

  No

  N/A

• Are employees required to face the ladder when ascending or descending?

  Yes

  No

  N/A

• Are employees prohibited from using ladders that are broken, have missing steps, rungs, or cleats, broken side rails, or other faulty equipment?

  Yes

  No

  N/A

• Are employees instructed not to use the top step of ordinary ladders as a step?

  Yes

  No

  N/A

• When portable rung ladders are used to gain access to elevated platforms, roofs, etc., does the ladder always extend at least 3 feet above the elevated surface?

  Yes

  No

  N/A

• Are employees required to secure the base of a portable rung or cleat type ladder to prevent slipping, or otherwise lash or hold it in place?

  Yes

  No

  N/A

• Are portable metal ladders legibly marked with signs reading "CAUTION-Do Not Use Around Electrical Equipment" or equivalent wording?

  Yes

  No

  N/A

• Are employees prohibited from using ladders as braces, skids, poles, or for other than their intended purposes?

  Yes

  No

  N/A

• Are employees instructed to only adjust extension ladders while standing at a base (not while standing on the ladder or from a position above the ladder)?

  Yes

  No

  N/A

• Are metal ladders inspected for damage?

  Yes

  No

  N/A

• Are the rungs of ladders uniformly spaced at 12 inches center to center?

  Yes

  No

  N/A

Hand Tools and Equipment

• Are all tools and equipment used at the workplace in good condition?

  Yes

  No

  N/A

• Are hand tools, such as chisels, punches, etc., replaced as necessary?

  Yes

  No

  N/A

• Are broken or fractured handles on hammers, axes and similar equipment replaced promptly?

  Yes

  No

  N/A

• Are worn or otherwise damaged tools replaced when needed?

  Yes

  No

  N/A

• Are employees aware of hazards caused by faulty or improperly used hand tools?

  Yes

  No

  N/A

• Are appropriate safety glasses, face shields, etc., used while using tools or equipment that might produce flying materials or be subject to breakage?

  Yes

  No

  N/A

• Are jacks checked periodically to ensure they are in good operating condition?

  Yes

  No

  N/A

• Are tools stored in a dry, secure location so they are not tampered with?

  Yes

  No

  N/A

Portable (Power Operated) Tools and Equipment

• Are grinders, saws and similar equipment provided with appropriate safety guards?

  Yes

  No

  N/A

• Are power tools used with proper PPE?

  Yes

  No

  N/A

• Are circular saws equipped with guards above the below the base shoe?

  Yes

  No

  N/A

• Are circular saw guards checked to ensure they are not wedged up, leaving the lower portion of the blade unguarded?

  Yes

  No

  N/A

• Are rotating or moving parts of equipment guarded to prevent physical contact?

  Yes

  No

  N/A

• Are all cord connected, electrically operated tools and equipment effectively grounded or double insulated?

  Yes

  No

  N/A

• Is hoisting equipment available and used for lifting heavy objects, and are hoist ratings and characteristics appropriate for the task?

  Yes

  No

  N/A

Machine Guarding

• Is there a training program to instruct employees on safe methods of machine operation?

  Yes

  No

  N/A

• Is there a regular program of safety inspection of machinery and equipment?

  Yes

  No

  N/A

• Is all machinery and equipment kept clean and properly maintained?

  Yes

  No

  N/A

• Is sufficient clearance provided around and between machines to allow for safe operations, set up and servicing, material handling and waste removal?

  Yes

  No

  N/A

• Is machinery and equipment securely placed and anchored to prevent tipping or other movement that could result in personal injury?

  Yes

  No

  N/A

• Is there a power shut off switch within reach of the operators position at each machine?

  Yes

  No

  N/A

• Can electric power to each machine be locked out for maintenance, repair, or security?

  Yes

  No

  N/A

• Are foot operated switches guarded or arranged to prevent accidental actuation by personnel or falling objects?

  Yes

  No

  N/A

• Are manually operated valves and switches controlling the operation of equipment and machines clearly identified and readily accessible?

  Yes

  No

  N/A

• Are all emergency stop buttons colored red?

  Yes

  No

  N/A

• Are all pulleys and belts within 7 feet of the floor or working level properly guarded?

  Yes

  No

  N/A

• Are all moving chains and gears properly guarded?

  Yes

  No

  N/A

• Are splash guards mounted on machines that use coolant to prevent the coolant from reaching employees?

  Yes

  No

  N/A

• Are methods provided to protect the operator and other employees in the machine area from hazards created at the point of operation, nip points, rotating points, flying chips and sparks?

  Yes

  No

  N/A

• Are machine guards secure and arranged so they do not cause a hazard while in use?

  Yes

  No

  N/A

• Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown?

  Yes

  No

  N/A

• Are fan blades protected with a guard having openings no larger than 1/2 inch when operating within 7 feet of the floor?

  Yes

  No

  N/A

Lockout/Tagout Procedures

• Is all machinery or equipment capable of movement required to be de-energized or disengaged and blocked or locked out during cleaning, servicing, adjusting, or setting up operations

  Yes

  No

  N/A

• If the power disconnect for equipment does not also disconnect the electrical control circuit, are the appropriate electrical enclosures identified and is a means provided to ensure that the control circuit can also be disconnected and locked out?

  Yes

  No

  N/A

• Is the locking out of control circuits instead of locking out main power disconnects prohibited?

  Yes

  No

  N/A

• Are all equipment control valve handles provided with a means for locking out?

  Yes

  No

  N/A

• Does the lockout procedure require that stored energy (mechanical, hydraulic, air, etc.,) be released or blocked before equipment is locked out for repairs?

  Yes

  No

  N/A

• Are appropriate employees provided individually keyed personal safety locks?

  Yes

  No

  N/A

• Are employees required to keep personal control of their key(s) while they have safety locks in use?

  Yes

  No

  N/A

• Is it required that only the employee exposed to the hazard can place or remove the safety lock?

  Yes

  No

  N/A

• Is it required that employees check the safety of the lockout by attempting a startup after making sure no one is exposed?

  Yes

  No

  N/A

• Are employees instructed to always push the control circuit stop button prior to re-energizing the main power switch?

  Yes

  No

  N/A

• Is there a means provided to identify any or all employees who are working on locked out equipment by their locks or accompanying tags?

  Yes

  No

  N/A

• Are a sufficient number of accident prevention signs or tags and safety padlocks provided for any reasonable foreseeable repair emergency?

  Yes

  No

  N/A

• When machine operations, configuration, or size require an operator to leave the control station and part of the machine could move if accidentally activated, is the part required to be separately locked out or blocked?

  Yes

  No

  N/A

• If equipment or lines cannot be shut down, locked out and tagged, is a safe job procedure established and rigidly followed?

  Yes

  No

  N/A

Welding, Cutting, Brazing

• Are only authorized and trained personnel permitted to use welding, cutting or brazing equipment?

  Yes

  No

  N/A

• Does the facility have a "Hot Works Permit" procedure in place?

  Yes

  No

  N/A

• Are compressed gas cylinders regularly examined for obvious signs of defects, deep rusting, or leakage?

  Yes

  No

  N/A

• Are cylinders kept away from sources of heat and elevators, stairs or gangways?

  Yes

  No

  N/A

• Are empty cylinders appropriately marked and valves closed?

  Yes

  No

  N/A

• Are signs posted reading "DANGER, NO SMOKING, MATCHES, OR OPEN LIGHTS" or the equivalent?

  Yes

  No

  N/A

• Is red used to identify the acetylene (and other fuel gas) hose, green for the oxygen hose and black for inert gas and air hoses?

  Yes

  No

  N/A

• Is suitable fire extinguisher equipment available for immediate use?

  Yes

  No

  N/A

• Are fire watchers assigned when welding or cutting is performed in locations where a serious fire might develop?

  Yes

  No

  N/A

• Do eye protection, helmets, hand shields and goggles meet appropriate standards?

  Yes

  No

  N/A

• Are employees exposed to the hazards created by welding, cutting or brazing operations protected with PPE and clothing?

  Yes

  No

  N/A

• Is a check made for adequate ventilation in and where cutting or welding is performed?

  Yes

  No

  N/A

• When working in confined spaces, are environmental monitoring tests done and means provided for quick removal of welders in case of emergency?

  Yes

  No

  N/A

Compressors and Compressed Air

• Are compressors equipped with pressure relief valves and pressure gauges?

  Yes

  No

  N/A

• Are air filters installed on the compressor intake?

  Yes

  No

  N/A

• Are compressors operated and lubricated in accordance with the manufacturers recommendations?

  Yes

  No

  N/A

• Are safety devices checked compressed air systems checked frequently?

  Yes

  No

  N/A

• Is the belt drive system totally enclosed to provide protection?

  Yes

  No

  N/A

Compressed Gas Cylinders

• Are cylinders legibly marked to clearly identify the type of gas?

  Yes

  No

  N/A

• Are compressed gas cylinders stored in areas protected from external heat sources such as flame impingement, intense radiant heat, electric arcs, or high temperature lines?

  Yes

  No

  N/A

• Are cylinders located or stored in areas where they will not be damaged by passing or falling objects or subject to unauthorized persons?

  Yes

  No

  N/A

• Are cylinders stored or transported in a manner to prevent them from creating a hazard by tipping, falling, or rolling?

  Yes

  No

  N/A

• Are valve protectors always placed on cylinders when the cylinders are not in use or connected for use?

  Yes

  No

  N/A

• Are low pressure fuel gas cylinders checked periodically for corrosion, general distortion, cracks, or any other defect that might indicate a weakness or render them unfit for service?

  Yes

  No

  N/A

Spraying Operations

• Is adequate ventilation provided before spraying operations are started?

  Yes

  No

  N/A

• Is mechanical ventilation provided when spraying operations are performed in enclosed areas?

  Yes

  No

  N/A

• When mechanical ventilation is provided during spraying operations, is it so arranged that it will not circulate the contaminated air?

  Yes

  No

  N/A

• Is the spray area free of hot surfaces and at least 20 feet from flames, sparks, operating electrical motors and other ignition sources?

  Yes

  No

  N/A

• Is approved respiratory equipment provided and used when appropriate during spraying operations?

  Yes

  No

  N/A

• Are fire control sprinkler heads kept clean?

  Yes

  No

  N/A

• Are "NO SMOKING" signs posted in spray areas, paint rooms, paint booths and paint storage areas?

  Yes

  No

  N/A

• Are spray booths constructed of metal, masonry, or other substantial noncombustible material?

  Yes

  No

  N/A

• Are spray booth floors and baffles noncombustible and easily cleaned?

  Yes

  No

  N/A

• Do ducts have access doors to allow cleaning?

  Yes

  No

  N/A

Entering Confined Spaces

• Are confined spaces thoroughly emptied of corrosive or hazardous substances, such as acids or caustics, before entry?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are all lines to a confined space that contain inert, toxic, flammable, or corrosive materials valved off and blanked or disconnected and separated before entry?

  Yes

  No

  N/A

• Are all impellers, agitators, or other moving parts and equipment inside confined spaces locked out if they present a hazard?

  Yes

  No

  N/A

• Is either natural or mechanical ventilation provided prior to confined space entry?

  Yes

  No

  N/A

• Is adequate illumination provided for the work to be performed in the confined space?

  Yes

  No

  N/A

• Are appropriate atmospheric tests performed to check for oxygen deficiency, toxic substances and explosive concentrations in the confined space before entry?

  Yes

  No

  N/A

• Is there a trained and equipped standby employee positioned outside the confined space, whose sole responsibility is to watch the work in progress, sound an alarm if necessary and render assistance?

  Yes

  No

  N/A

• Is the standby employee appropriately trained and equipped to handle an emergency?

  Yes

  No

  N/A

• Are employees prohibited from entering the confined space without lifelines and respiratory equipment if there is any question as to the cause of an emergency?

  Yes

  No

  N/A

• Is approved respiratory equipment required if the atmosphere inside the confined space cannot be made acceptable?

  Yes

  No

  N/A

• Whenever combustion type equipment is used in a confined space, are provisions made to ensure the exhaust gases are vented outside of the enclosure?

  Yes

  No

  N/A

• Is the confined space checked for any toxic or flammable properties?

  Yes

  No

  N/A

• Yes

  No

  N/A

Environmental Controls

• Are all work areas properly illuminated?

  Yes

  No

  N/A

• Are employees instructed in proper first aid and other emergency procedures?

  Yes

  No

  N/A

• Are hazardous substances, blood and other potentially infectious materials which may cause harm by inhalation, ingestion, or skin absorption or contact, identified?

  Yes

  No

  N/A

• Are employees aware of the hazards involved with various chemicals they may be exposed to in their work environment, such as ammonia, chlorine, epoxies, caustics, etc.?

  Yes

  No

  N/A

• Is employee exposure to chemicals in the workplace kept within acceptable levels?

  Yes

  No

  N/A

• Is the work area ventilation system appropriate for the work performed?

  Yes

  No

  N/A

• Are spray painting operations performed in spray rooms or booths equipped with an appropriate exhaust system?

  Yes

  No

  N/A

• Is employee exposure to welding fumes controlled by ventilation, use of respirators, exposure time limits or other means?

  Yes

  No

  N/A

• Are welders and other nearby workers provided with flash shields during welding operations?

  Yes

  No

  N/A

• If forklifts and other vehicles are being used in buildings or other enclosed areas, are the carbon monoxide levels kept below maximum acceptable concentration?

  Yes

  No

  N/A

• Are caution labels and signs used to warn of hazardous substances and biohazards?

  Yes

  No

  N/A

• Are all local exhaust ventilation systems designed to provide sufficient air flow and volume for the application, and are ducts not plugged and belts not slipping?

  Yes

  No

  N/A

• Is PPE provided, used and maintained wherever required?

  Yes

  No

  N/A

• Are there written Standard Operating Procedures for the selection and use of respirators where needed?

  Yes

  No

  N/A

• Are restrooms and washrooms kept clean and sanitary?

  Yes

  No

  N/A

• Is all water provided for drinking, washing and cooking potable?

  Yes

  No

  N/A

• Are employees instructed in the proper manner for lifting heavy objects?

  Yes

  No

  N/A

• Are universal precautions observed where occupational exposure to blood or other potentially infectious materials can occur and in all instances where differentiation of types of body fluids or potentially infectious materials may be?

  Yes

  No

  N/A

Flammable and Combustible Materials

• Are combustible scrap, debris and waste materials (oily rags, etc.) stored in covered metal receptacles and promptly removed from the worksite?

  Yes

  No

  N/A

• Is proper storage practiced to minimize the risk of fire, including spontaneous combustion?

  Yes

  No

  N/A

• Are approved containers and tanks used to store and handle flammable and combustible liquids?

  Yes

  No

  N/A

• Are all flammable liquids kept in closed containers when not in use?

  Yes

  No

  N/A

• Are "NO SMOKING" signs posted on liquified petroleum gas tanks and in areas where flammable or combustible materials are stored?

  Yes

  No

  N/A

• Are fire extinguishers selected and provided for the types of materials in the areas where they are to be used? Class A-Ordinary Combustible Material. Class B-Flammable Liquid, Gas or Grease Fires. Class C-Energized Electrical Equipment Fires

  Yes

  No

  N/A

• Are appropriate fire extinguishers mounted within 75 feet of outside areas containing flammable liquids and within 10 feet of any inside storage area for such materials?

  Yes

  No

  N/A

• Are fire extinguishers free from obstructions of blockage?

  Yes

  No

  N/A

• Are all extinguishers serviced, maintained and tagged at intervals not to exceed one year?

  Yes

  No

  N/A

• Are all extinguishers fully charged and in there designated places?

  Yes

  No

  N/A

Hazardous Chemical Exposure

• Are employees aware of the potential hazards and trained in safe handling practices for situations involving various chemicals stored or used in the workplace such as acids, bases, caustics, epoxies, phenols, etc.?

  Yes

  No

  N/A

• Are eye wash fountains and safety showers provided in areas where corrosive chemicals are handled?

  Yes

  No

  N/A

• Are all employees required to use personal protective equipment and clothing when handling chemicals (gloves, eye protection, respirators, etc.)?

  Yes

  No

  N/A

• Are flammable or toxic chemicals kept in closed containers when not in use?

  Yes

  No

  N/A

• Are chemical piping systems clearly marked as to their content?

  Yes

  No

  N/A

• Where corrosive liquids are frequently handled in open containers or drawn from storage vessels or pipelines, are adequate means readily available for neutralizing or disposing of spills or overflows and performed properly and safely?

  Yes

  No

  N/A

• Are standard operating procedures established and are they being followed when cleaning up chemical spills?

  Yes

  No

  N/A

• Are respirators stored in a convenient, clean and sanitary location, and are they adequate for emergencies?

  Yes

  No

  N/A

• Is PPE used and maintained whenever necessary?

  Yes

  No

  N/A

Hazardous Substances Communication

• Is there a list of Hazardous substances used in your workplace and an MSDS readily available for each hazardous substance used?

  Yes

  No

  N/A

• Is there a written exposure control plan for occupational exposure to bloodborne pathogens and other potentially infectious materials, where applicable?

  Yes

  No

  N/A

• Is there a written hazard communication program dealing with MSDS, labeling and employee training?

  Yes

  No

  N/A

• Is each container for hazardous substance labeled with product identity and a hazard warning?

  Yes

  No

  N/A

• Is there an employee training program for hazardous substances that includes an explanation of "Right to Know", what an MSDS is and where they can be found?

  Yes

  No

  N/A

• Are employees trained on areas where there are physical and health hazards and what specific methods to be used?

  Yes

  No

  N/A

• Does the employee training program on the bloodborne pathogens standard contain a general explanation of the epidemiology and symptoms of bloodborne diseases?

  Yes

  No

  N/A

• Does the employee training program on the bloodborne pathogens standard contain an explanation of the modes of transmission of Bloodborne Pathogens

  Yes

  No

  N/A

• Does the employee training program on the bloodborne pathogens standard contain an explanation of the use and limitations of methods that will prevent or reduce exposure, including appropriate engineering controls, work practices and PPE?

  Yes

  No

  N/A

• Does the employee training program on the bloodborne pathogens standard contain Information on the types, proper use, location, removal, handling, decontamination and disposal of PPE?

  Yes

  No

  N/A

• Does the employee training program on the bloodborne pathogens standard contain information on appropriate actions to take and persons to contact in an emergency involving blood or other potentially infectious materials?

  Yes

  No

  N/A

• Does the employee training program on the bloodborne pathogens standard contain an explanation of the procedure to follow if an exposure incident occurs, including methods of reporting the incident and the medical follow up that will be made available?

  Yes

  No

  N/A

• Are employees trained in how to recognize tasks that might result in occupational exposure?

  Yes

  No

  N/A

• Are employees trained in who to contact and what to do in an emergency?

  Yes

  No

  N/A

Electrical

• Do you require compliance with OSHA standards for all contract electrical work?

  Yes

  No

  N/A

• Are all employees required to report any obvious hazard to life or property in connection with electrical equipment or lines as soon as possible?

  Yes

  No

  N/A

• Are employees instructed to make preliminary inspections and/or appropriate tests to determine conditions before starting work on electrical equipment or lines?

  Yes

  No

  N/A

• When electrical equipment or lines are to be serviced, maintained, or adjusted, are necessary switches opened, locked out or tagged, whenever possible?

  Yes

  No

  N/A

• Are electrical appliances such as vacuum cleaners or polishers etc., grounded?

  Yes

  No

  N/A

• Are exposed wiring and cords with frayed insulation replaced promptly?

  Yes

  No

  N/A

• Is the use of metal ladders prohibited where the ladder or the person using the ladder could come in contact with energized parts of equipment, fixtures, or circuit conductors?

  Yes

  No

  N/A

• Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

  Yes

  No

  N/A

• Is sufficient access and working space provided and maintained around all electrical equipment to permit ready and safe operations and maintenance?

  Yes

  No

  N/A

• Are all unused openings in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?

  Yes

  No

  N/A

• Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight fitting covers or plates?

  Yes

  No

  N/A

Noise

• Are there areas in the workplace where continuous noise levels exceed 85 decibels?

  Yes

  No

  N/A

• Is approved hearing protective equipment available to every employee working in noisy areas?

  Yes

  No

  N/A

• If you use ear protectors, are employees properly fitted and instructed in their use?

  Yes

  No

  N/A