Title Page

  • Conducted on

  • Department

  • Prepared by

Monthly Department Inspection


  • Floors clean and dry, corners free of clutter, and tops of cabinets not used for storage?

  • Tools clean and stored properly?

  • Is trash being emptied and not overflowing?

  • Aisleways clear and free from obstruction?

  • Work carts and Supply Cabinets cleaned and organized?

  • No open food or drinks in the area?

  • Are outside areas around the department clean and organized?

  • Employees are not using cell phones or headphones on production floor?

Emergency Action Plan

  • Is spill kit available and in the correct place?

  • Are exits properly marked and free of obstruction?

  • Are emergency exits lights in working order? (look for red light)

  • Is emergency equipment (alarm, pull boxes, eyewashes, showers, etc.) accessible and not blocked?

  • Is eye wash station covered, clean and overflow bucket empty?

Walking Working Surfaces

  • Are floor openings guarded by a cover, a guardrail or equivalent on all sides?

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

  • Are spotters being used when backing up boats or moving molds/dollies the operator can't see around?

  • Are steps clear of tools or materials?

  • Are employees facing the ladder when ascending and descending ladder?

  • Are trip hazards present? (cords, parts in aisleways, etc

  • Are standard guardrails provided wherever aisle or walkway surfaces are elevated 4 feet or more above any adjacent floor or the ground?

  • Are ladders positioned properly and in good condition?

Fire Prevention

  • All fire extinguishers marked and accessible?

  • Flammable materials are stored in flammable cabinet?

  • Dust accumlation is less than 1/32 inch (thickness of a dime) and cleaned daily to prevent accumulation?

  • Has dust collection systems been emptied or dust swept out?

  • Are all flammable liquid barrels grounded?

  • Trash dumpster do not contain any "HOT" materials?

  • Combustible materials are being stored away from where MEKP is present?


  • All employees are wearing clear safety glasses in the production area?

  • Cut resistant glove is worn on opposite hand when using a razor knife/blade?

  • Are chemical resistant gloves being worn when handling chemicals?

  • Are goggles/face shield being worn when drilling or sanding overhead?

  • Are hard hats being used when operating crane/hoist or in scissor lift?

  • Is hearing protection being used in required areas?

  • Used razor blades are placed in razor blade container for disposal?

  • Are those wearing a tight fitting respirator clean shaven?

  • Is respirators stored in nonporous, sturdy, airtight containers, like a zip-sealed plastic bag or plastic container?

Electrical, Mechanical & Air Systems

  • Damage to equipment, tools or property?

  • Are guards installed and being used?

  • Is Jigs, Cradles, Stands, and other equipment in good working order?

  • All moving parts (belts, pulleys, gears, shafts, etc) covered with solid material or metal mesh?

  • Extension cords have ground prong and no frays in cord?

  • Is the work rest on abrasive wheel adjusted to within 1/8 inch of the wheel?

  • Is the adjustable tongue on the top side of the grinder used and kept adjusted to within 1/4 inch of wheel?

  • Are compressed air nozzles at the correct pressure of 30 psi or less?

  • Are all tool instructions clearly marked & legible?

  • Are bench and pedestal grinders securely anchored to the floor?

  • Is there at least three (3) feet clearance in front of electrical panels/breaker boxes?

  • Are electrical panels accessible with labels to indicate there use or equipment severed?

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

  • Does fans have an approved sticker and equipped with a blade guard with opening no greater than 1/2 inch?

Chemical Process Operations

  • Are gelcoats and resins stored in areas separate from catalysts?

  • All chemicals stored & labeled properly? Containers are in good condition?

  • Is there a "boot" covering the opening of gelcoats and resins to reduce VOC's from escaping into the atmosphere?

  • Is Acetone stored in closed flammable containers?

  • No signs of leaking MEKP, resin, or other chemicals present?

Waste Management

  • Are used solvent rags being stored in closed containers?

  • Are aerosol cans disposed of in accumulation drum and not in trash cans?

  • Is cardboard, paper, or combustibles in the "Hot Box"?

  • Are empty barrels being taken to "Empty Barrel Storage" areas outside?

  • Is trash removed promptly? (cans/dumpsters not overflowing)?

  • Are idle pallets stored flat (not propped on side or leaning? Are pallets stacked 14 or less high and not taller than 6 feet?

Hoist / Lifting

  • Are the chains and pins being used when hull rotator is in a vertical or horizon position?

  • Are slings in good condition? (not frayed, cut or deteriorated)

  • Is safety latches on crane hooks in place and operational?

  • Does spreader bars or other lifting devices have a ID tag present?

  • Is hoist or lifting device being used to lift items >50lbs or greater?

  • There is no one standing under a load when hoisting material or equipment?

  • Are the controls of hoist clearly marked to indicate the direction of travel or motion? Is load rating clearly marked and visible?

Material Handling and Storaga

  • Is there at least (2) feet clearance between stacked materials and overhead lights?

  • Is there at least (18) inches maintained around the fire sprinkler heads?

  • Are trucks and trailer secured with wheel chocks during loading and unloading operations?

  • Are chains in place across loading dock when not loading or unloading?

  • Are shelves holding materials marked with load rating?

Powered Industrial Trucks

  • Has a preshift inspection been conducted on powered industrial trucks?

  • Is operator going a safe speed, sounding horn and wearing seatbelt?

  • Is parking brake applied and forks on ground when parked?

Hot Work/Welding

  • Is compressed gas bottles secured and equipped with "Clamshell" type valve protectors?

  • Is electrical cords and welding leads maintained in good repair: welding leads should not be repaired or spliced within 10' of electrode holder?

  • Is flashback and backflow preventers at both the torch and regulator on oxygen/fuel cutting systems present?

  • Are welding curtains and welding hood being used while welding?


  • Materials or Parts- There are no red tagged, unused or damaged items in the area. (tools, equipment, inventory, etc.)

  • Machines, Benches & Cabinets- Only the necessary items to perform the work at hand are located in the area. There are no unneeded machines, tools or furniture in the area.

  • Tools, Fixtures & Other Equipment- All tools and fixtures in the area are used on a regular basis. Any items that are used less than once a day are stored out of the way.

  • Bulletin & SIC Boards- No outdated, torn or soiled announcements are displayed. All bulletins are arranged in a straight and neat manner.

  • Personal Items- No personal items (newspapers, clothing, lunchboxes, open drinks, etc.) stored in the area.

5S-Set in Order

  • Area Layout- Machines, work surfaces, etc. are arranged in a logical & neat fashion to promote a smooth product flow through the work area.

  • Aisles, Walkways, and Floor Markings- Lines on the floor clearly mark aisles, walkway, work areas, storage locations. Nothing is overlapping aisle boundaries.

  • Documentation and Visual Signals- Only current labeled documents and binders necessary to do the work are stored at workstations. Documents and binders are store in a neat and orderly manner.

  • Visual Display and Storage- Items are arranged, dividend, and clearly labeled such that it is obvious where things are stored and if they are missing.

  • Specific Locations for Tools, Gages, and Fixtures- Tools, gages, and fixtures are arranged neatly and stored, kept clean and free of any risk from damage. They are located for easy access.

  • Items on floor- Few, if any, items are stored on floor. Those items stored on the floor are clearly indicated with floor markings and labeling.

  • Hazmat Storage-Liquids, Solvents, Flammables, and other chemicals are properly labeled and stored.

  • Emergency Access- Safety devices are clearly marked, highly visible and unobstructed. Emergency egress routes are marked and exit signs, lights, etc. are in good condition.

  • Equipment- Equipment controls are properly labeled and all control labels are legible.


  • Condition of Floors- Floors are clean of all debris, chips, trash, dust, etc. Floor cleaning should be done routinely-on a per shift basis.

  • Machines / Equipment- Equipment is in good condition. There are no air or fluid leaks. View windows, guards, deflectors are clean & in place.

  • Cleaning Supplies and Tools-All cleaning equipment (trash cans, brooms, floor sweep, etc.) are stored in a neat manner. (proper location must be identified)

  • Cleaning Responsibilities- There is a schedule showing times, frequency and responsibilities to clean specific areas.


  • Visual Control- Boards are arranged in a neat manner and have been updated.

  • Safety- PPE notices are posted in every area and all employees are wearing the required PPE's.

  • Work Instuctions- Are work instructions written, clear and actively used?

  • OPL's- Are One Point Lessons used to communicate key activities / procedures?

  • Supplies-All Supply cabinets are fully stocked and maintained in a clean, orderly fashion.


  • undefined

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.