Title Page

  • Area Inspected

  • Date and Time of Inspection

  • Auditor

  • Location
  • Start Inspection with 100% Score


  • Are floors free of standing water, oil, debris, or other slip, trip or fall hazards?

  • Are all pallet jacks properly stowed? (Forks under pallet)

  • Are safety eyewashes readily accessible? Clean?

  • Tools, equipment, and materials properly stored when not in use?

  • Material/Totes stored in tiers or stacks so that the material is secure and can not fall?

  • Waste materials stored in appropriate containers and disposed of safely? (Haz Waste, Non-Haz Waste, Flammables)

  • Are stairs clear of debris?

  • Are individual workstations clean, orderly and in good repair? No slip, trip, fall hazards?

Exit Routes

  • Are exit doors and routes unblocked, accessible, and unobstructed?

Fire Protection

  • Are fire extinguishers hung and unblocked (36")?

  • Flammable material stored in Flammable storage cabinet?

  • Are Flammable storage cabinets free from material stored on top of them?

Do Employees know?

  • Where the nearest fire extinguisher is?

  • Where the nearest fire alarm pull station is?

  • Where the nearest exit is?

  • Where their secondary exit is?

  • Do employees know where the evacuation rally point is located?

  • Where the Emergency Stop button is on their machine?

  • Do employees know how and when to report an injury?

  • Does the employee know how to get a copy of the current SDS?

  • Do employees know the proper waste receptical for waste in their area? (Haz/Non-Haz Waste Bins, Flammables, Scrap Barrels, etc.)

Machine Guarding/Lockout Tagout

  • Are light curtain inspections completed?

  • Are the guards secured in place, during operation?

  • Are LOTO/alternate procedures posted and clearly visible?

  • If guards are missing, is machine properly locked out to prevent unintentional startup?

Personal Protective Equipment

  • Are employees wearing required PPE properly:

  • Is PPE chart for operation being followed by employees?

  • Safety glasses properly donned?

  • Hearing protection is worn correctly?

  • Respirators worn correctly?

  • Goggles or face shields used appropriately?

  • Protective clothing in good repair?

  • Are safety toe shoes in good condition and are laced properly?

Material Handling Equipment

  • Are cables, chains, slings and below-the-hook lifting devices in good condition and tagged?

  • Are hoist/crane inspections completed?

  • Is forklift daily inspection completed?

  • Are forklift operators wearing seatbelts where applicable?


  • Are hand tools in good repair?

  • Are power cords on tools in good condition?

  • Bench Grinder - is the grinding wheel work rest within 1/8 inch and tongue guard within 1/4 inch of wheel?


  • Are extension cords being used for temporary use only? And are ground plugs present?

  • Are electrical devices properly enclosed to prevent shock from incidental contact? (Missing knockouts?)

  • Are electrical panels clear of storage (36")


  • Are tanks/containers properly labeled?

  • Are acids, caustics, and chemicals stored correctly?


  • Are employees using proper utility knives (Ceramic & Self Retracting)

  • Are compressed air nozzles restricted to < 30 psi?

  • Are compressed air relief ports unblocked? (Located on the side of the air nozzle)


  • Overall Comments

  • Inspected by: (Name and Signature)

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