Title Page
-
Company
-
Conducted on
-
Prepared by
-
Location
Assessment
-
Does your team use forklifts?
-
Could you provide evidence of Forklift Operator Training?
-
Could you provide evidence of Forklift Inspections?
-
Does your team use Mobile Elevated Work Platforms (MEWPs)? - Aerial Lifts to include scissor lifts or boom lifts
-
Could you provide evidence of MEWP Operator Training?
-
Could you provide evidence of MEWP inspections?
-
Does your team have to work above 4' from working surface
-
Working at a height of 4' requires fall protection measures to be in place. Do you have a work at heights program that identifies fall hazards and has a means to protect your workers from the falling hazard?
-
Could you provide evidence of Fall Protection Training?
-
Does your team use a personal fall arrest system (PFAS)?
-
Could you provide evidence of Fall Protection Equipment Inspections?
-
Does your team lift material with a hoist/crane/or other equipment?
-
Could you provide evidence of Lifting/Rigging Training?
-
Could you Provide Evidence of rigging equipment inspections?
-
Does your team have the expectation that they will or could use a fire extinguisher to put out a fire?
-
Could you provide evidence of annual fire extinguisher training?
-
Do you have eye wash and shower stations in your facility?
-
Could you provide evidence of inspections of the eye wash and shower stations?
-
Does your team use or have respirators?
-
Could you provide evidence of respirator training?
-
Could you provide evidence of respirator fit testing?
-
Could you provide evidence of medical evaluations for respirator users?
-
Do you have an Emergency Action Plan?
-
could you provide evidence of training of Emergency Action Plan?
-
Could you provide evidence of drills or effectiveness of Emergency Action Plan?
-
Are you compliant with OSHA recordkeeping standards?
-
Could you provide OSHA logs for previous 5 years?
-
Do you require your team to wear Personal Protective Equipment?
-
Could you provide evidence of PPE training?
-
Could you provide evidence that fit and use are in compliance to the standard?
-
Does your team practice energy isolation or Lock out / Tag out of your equipment?
-
Could you provide evidence of LOTO Training for your workers (Authorized)
-
Could you provide evidence of LOTO Annual Audit
-
Do you have equipment that has or should have Machine Guarding?
-
Do you have evidence of Machine Guarding Training for your workers?
-
Do you have evidence of Machine Guarding Assessment or Audits?
-
Does your team use ladders?
-
Do you have evidence of training for Walking & Working Surface, which includes ladders?
-
Does your team perform work in confined spaces?
-
Could you provide evidence of confined space training for entrant, attendant, supervisor?
-
Could you provide evidence of confined space permitting practices?
-
Could you provide evidence of confined spaces in facility?