Information
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Housekeeping
-
Does the work area have a clean and orderly appearance?
-
Is the shop/ work area free from trip/slip hazards?
Chemical Safety
-
Are all chemical containers and cylinders clearly labeled as to their contents?
-
Are containers in good condition?
-
Are incompatible materials properly segregated?
Personal Protective Equipment
-
Is appropriate PPE available and used where required?
-
Eye Protection?
-
Hand Protection?
-
Hearing Protection?
-
Foot Protection?
-
Respiratory Protection?
-
Are showers/eye wash stations labeled, accessible, and routinely inspected?
Fire Protection
-
Are exits clearly identified and accessible?
-
Are fire extinguishers available and clearly accessible?
-
Are fire extinguishers mounted to the wall?
-
Have all fire extinguishers been serviced within the past 12 months?
-
Are emergency pull stations visible and clearly accessible?
-
Do sprinkler heads have at least 18 inches of vertical clearance?
-
Are oily rags and combustible wastes kept in closed metal containers?
-
Are flammable liquids properly stored in approved containers/cabinets?
Electrical Safety
-
Is the area free from exposed wiring/frayed cords?
-
Is at least three feet of clear space provided in front of all electrical panels?
-
Are all knockouts on panels and junction boxes covered or replaced?
-
Are electrical junction boxes, switches and panels equipped with proper covers?
-
Are all extension cords equipped with a grounding conductor? And properly rated?
-
Are portable tools either grounded or double insulated?
-
Any additional electrical hazards not specifically addressed?
Equipment/Machinery
-
Is equipment free from any exposed moving parts/pinch points?
-
Is machine guarding in good condition and working properly?
-
Are emergency stop mechanisms identified and working properly?
-
Are all equipment controls clearly labeled?
-
Are all warning stickers legible?
-
Is equipment adequately secured against "walking" or moving while in operation?
-
Are bench/pedestal grinders adequately controlled to protect area personnel? (Work rest must be adjusted to within 1/8" of grinding wheel)
-
Is the adjustable tongue on the grinder kept adjusted within 1/4 inches of the wheel?
-
Is the compressed air pressure adequately controlled to protect area personnel? (Pressure at tip of air guns must be limited to < 30 psi if dead-ended.)
-
Is all equipment capable of being locked out during servicing?
-
Are all hand tools in good condition? (i.e. no broken/cracked handles or parts?)
Material Storage and Handling
-
Is all material stacked in a stable manner?
-
Are compressed gas cylinders properly secured?
-
Are protective caps placed on all cylinders that are not in use?
-
Are mechanical devices available for use with heavy loads (>50 pounds)?
-
Are load ratings clearly marked on all hoisting equipment?
Occupational Health
-
Does ventilation have adequate flow (no excessive fumes/dust accumulation)?
-
Are exhaust ducts in good condition?
-
Is local ventilation used where required?
-
Are noise levels not excessive?
-
Is lighting adequate?
-
Are there any repetitive motion concerns or awkward work postures?
-
Are first aid supplies kept in accordance with PSU Policy SY21?
Hazardous Waste
-
Are waste materials placed in the proper receptacles?
-
Is waste removed on a routine basis?
-
Are waste containers properly labeled?
Miscellaneous
-
Are there any additional hazards not covered by the categories listed?
Comments
-
Note any comments related to specific hazards uncovered during the inspection
-
Add signature