Title Page

  • Plant

  • Conducted on

  • Prepared by

Conveyor Systems

  • Pulley guards in place and adequate?

  • Catwalk handrails adequate and not damaged?

  • All rollers guarded to 8ft?

  • Catwalks clean and free of loose debris?

  • Auger belts guarded properly?

  • Conveyor pits labeled "Confined Space" and have limited access?

  • Additional notes and photos for conveyor systems

Dust collector and Bag House

  • Standard railing and toe boards provided at top where employees have exposure?

  • Fixed ladders adequate and not damaged?

  • Labeled as "Confined Space"

  • Additional notes for Dust collectors and bag house

Plant Electrical

  • Extension wires with bare wires or missing ground prongs taken out of service?

  • Ground fault interrupters being used in wet areas?

  • Terminal boxes equipped with required covers?

  • Outlets checked for reverse polarity?

  • GFCIs tested monthly?

  • All electrical boxes labeled for voltage, feed and NFPA 70E (arc flash requirements)?

  • Wall outlets free of damage and cover plates installed?

  • All electrical circuit breaker panels and disconnects have at least 36 inches of clearance around, and has easy access in case of emergency?

  • All electrical boxes, disconnects and transformers free from debris or objects stored on top of?

  • All electrical power stations are free from clutter, debris and combustibles?

  • Electrical conductors properly run though conduit and strain relief provided?

  • Conduit free of damage?

  • Electrical boxes have knockouts or circuit breaker blanks installed?

  • Temporary cords not used in place of permanent wiring?

  • Temporary cords not run through ceilings, walls, windows, or doorways?

  • Additional notes for Plant Electrical

Plant General

  • Safety rails and cables secured properly?

  • Adequate fire extinguishers, checked (monthly and annual) and accessible?

  • "No Smoking" posted and enforced near flammables?

  • All floor openings over 2 in in diameter planked over or barricaded?

  • Mid-rail installed at 21 in.?

  • Handrails at least 42 in. from floor to top of rail?

  • Toe boards are at least 4 in. in height and no more than 1/4 in. from floor?

  • Plant lighting adequate?

  • Admix containment free of trash and other debris?

  • Housekeeping adequate (all areas)?

  • Passageways and walkways clear?

  • No excessive rock buildup on catwalks?

  • Waste containers provided and used?

  • All blower motors properly guarded?

  • All air compressors belts properly guarded?

  • All pump motors properly guarded?

  • Portable maintenance stand(s) operate properly?

  • Portable maintenance stand(s) are not damaged? If damaged are they taken out of service?

  • Portable ladders extended at least 36" above landing?

  • Portable ladders are secure to prevent slipping, sliding or falling?

  • Portable ladders with split or missing rungs taken out of service?

  • Stepladders used in fully open position?

  • No step at top two rungs of stepladder?

  • Adequate signage?

  • Additional notes for Plant General

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.