Personal Protective Equipment

Are the employee(s) wearing the minimum required PPE indicated on the PPE Door tag?

Do the employee(s) wear the respirator correctly? (e.g., tight‐fitting respirators' head straps correctly positioned, PAPR faceshield kept closed, etc.)

Has the employee(s) properly stored their reusable respirator during breaks (i.e., placed the half‐mask respirator or the head gear of the PAPR into a clean bag and sealed)?

Is a storage area for the PPE available within the zone, ie. Coat rack, hooks,?

Is all PPE available within the area or zone, ie. Hearing protection, respirators?

Is the employee(s) donning and doffing the indicated PPE correctly?

Are employees wearing harnesses and lanyards for task requiring fall protection?

Are employees wearing appropriate hearing and eye protection?

Are contractors wearing hard hats, safety glasses and other appropriate PPE when required?

Are laboratory employees wearing appropriate shoes, safety glasses, and laboratory coats?

Equipment Safety

Has all equipment undergoing cleaning, maintenance or servicing been properly locked out?

Are all electrical cords in good condition? Do all electrical cord plugs in the room have their grounding prongs intact?

Are all machine guards and safety interlocks working correctly?

Are employee(s) following LOTO guides if applicable for tasks being completed?

Are plug locks being used when necessary?

Are all breakers and/or valves appropriately locked out?

Are all LOTO tags filled out correctly?

Has all equipment been properly grounded or bonded?

Is explosion proof equipment being used where required?

Has equipment been modified in any way that jeopardizes the safety of the process or operator?

Are all required warning tags on equipment accounted for, visible, and identifiable?


Are the following basic lifting techniques being followed? Back straight, knees bent, load close to body, lifts with legs, does not twist at the waist.

Do employees scoop product from boxes or drums that are too heavy to make them lighter before handling them?

Are employees using mechanical lift assist devices (drum dumpers, inverters, hoists, etc.) properly?

Are employees using mechanical lift assist devices (drum dumpers, inverters, hoists, etc.) properly?

Are employees referencing available ergonomic guides?

Are rooms efficiently staged to diminish distances of material handling?

Housekeeping & Walking/Working Surfaces

Are materials that are staged/stored stable, neat and orderly?

Are ladders and/or platforms in good repair, no noticeable damage?

Are all egress and exit areas clear of obstruction?

Do batch staging areas have aisle ways so employees can search for jobs without climbing on top of drums?

Area all walking surfaces, platforms free of clutter and debris?

Is accumulating dust being appropriately controlled through housekeeping measures?

Are pallets stored appropriately in the area or zone?

In Construction or Maintenance areas, is the work area, ladder, lift, etc., appropriately marked, attended, or barricaded?

Are wet floor areas appropriately marked?

Are employees wearing the appropriate footwear for the cleaning processes as specified in the SOP?

Emergency Equipment & Evacuation

Are emergency equipment and exits in the area free from obstructions and available for use?

Do the employee(s) know their primary and secondary evacuation routes from their current location?

Do the employees know where their designated outside evacuation assembly area is located?

Are Emergency supplies and Maps in-date or need updated?

Does emergency equipment or emergency equipment storage require maintenance or replacement?

Has emergency equipment been appropriately PM'd?

Flammable/Combustible Material Handling

Flammable/combustible liquids are being stored in proper containers and in designated storage areas?

Is bonding and grounding equipment being used properly? I the equipment in the room in good condition? (Such as no fraying or broken connections)

IS XP equipment being used with flammable liquids/solvents?

Are equipment or containers appropriately grounded to grounding bars, exhaust drops, etc.?

Are Earthrite systems working appropriately?

Is LEL detection present and working appropriately?

Are SSTVs present appropriately grounded and bonded?

Are appropriate labels for flammable and combustible liquids present?

Environmental Compliance

Waste drums are closed, grounded (flammable only), properly labeled and in good condition/clean?

Low pH and acetone waste drums are located inside processing rooms, where applicable?

Sanitary drains are plugged during all acetone processing and/or washing?

Storm water drains are clean and clear of sediment or debris?

Metal stored outside is covered?

Containment dike drain valves are locked in a closed position?


Are chemicals stored in their appropriate location?

Are chemicals appropriately capped?

Are all nozzles appropriately turned to eliminate the chance of spills?

Are Sashes at appropriate heights?

Are Sashes at appropriate heights?

Are Hoods pulling appropriate CFMs and not in alarm or Setup mode?

Have Hoods been tested appropriately?

Are stir plates and other corded equipment appropriately stored?

Are cords in good condition?

Is glassware in good condition?

Is glassware stored above eye level?

Are aisle-ways free of clutter and debris?

Is waste appropriately being dumped and dump stations maintained?

Is waste appropriately labeled?

Is PPE being worn and worn correctly?

Are spill kits appropriately stocked?

Are electrical panels and emergency equipment unblocked and accessible?

Are cylinders appropriately chained and stored?

Are spills appropriately cleaned up,or does evidence of spills exist?

Potential IPO Risks

Chemical Exposure

Analytical /Actions

Employee Falls

Analytical /Actions


Analytical /Actions

Power Tools

Analytical /Actions

Overhead tasks

Analytical /Actions

Driver Safety

Analytical /Actions

Burns / thermal exposure

Analytical /Actions


Analytical /Actions


Analytical /Actions

Gas / Vapor / Fume

Analytical /Actions

Weather impact

Analytical /Actions

Corrective Action Plan

Safety Rep Signature
Second Auditor Signature
Forward to
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.