Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Additional staff attending

General Work Areas

  • Floors free of debris?

  • Work surfaces clear and uncluttered?

  • Are floor holes and wall holes guarded?

  • Are there work areas over 4 feet high?

  • Are railings in place?

  • Is Fall protection PPE being used?

  • Do any stairs on site have more than 4 treads? (Portable or Permanent)

  • Are railings in place?

  • Are impalement hazards cover/marked?

  • Are hand washing stations available?

  • Is lighting appropriate for the work area

  • Are exit paths and emergency doors clear?

  • Are bathrooms located in the work area or adjacent to?

  • Is the bathroom facility clean?

  • Are appropriate products available?

Storage

  • Are flammables stored in flame safe cabinets?

  • Are chemicals properly stored?

  • Are weight limits identified on storage/shelving?

  • Is shelving secured to wall?

  • Are storage areas near and tidy?

Emergency equipment

  • Emergency lights working?

  • Fire extinguishers inspected monthly?

  • Are Fire extinguishers clear 36”?

  • Are Sprinkler heads clear 18” vertically?

  • Are Emergency Exit Maps posted and accurate?

  • Are exits properly marked?

  • Are exit paths 28” wide?

  • Do Fire doors close and latch?

  • First Aid Kits available?

  • Are monthly inspections conducted?

  • Are they properly stocked per an inventory sheet?

  • Are emergency eye washes/ showers in place where acids/caustics are used?

  • Are 3 yrs inspection records available?

Personal Protective equipment

  • Is Head protection worn if overhead hazards are present?

  • Eye protection when exposed to eye or face hazards from flying particles, molten metal, liquid chemicals, acids or caustic liquids, chemical gases or vapors, or potentially injurious light radiation.

  • Are Safety toes shoes used where there is a danger of foot injuries due to falling or rolling objects

  • Is Noise level above 85 dB?

  • Is appropriate hearing protection being worn?

  • Is hand protection used?

  • Appropriate clothing for the task?

  • Respiratory protection needed?

  • Protection is appropriate for the hazard?

Working Surfaces

  • Are storage areas neat and tidy?

  • Are ladders used?

  • Are ladders inspected monthly?

  • Are weight stickers legible?

Hazard Communication

  • List of chemicals onsite and available?

  • Chemical Containers Labeled?

  • SDSs available

Tools and equipment

  • General condition of tools?

  • Hand tools are inspected periodically?

  • Are inspection documents available?

  • Are Power tools inspected periodically?

  • Are inspection documents available?

  • Is the weight capacity identified on lifting equipment and hoisting equipment?

  • Are jacks identified and inspected annually

  • Are inspection documents available?

  • Are chains or straps used for lifting?

  • Are they marked for identification and inspected annually?

  • Are straps marking legible?

Electrical

  • Are ground fault circuit interrupters in use?

  • Extension cords properly routed/covered to prevent trip hazard?

  • Extension cords are appropriate and in good repair?

  • Extension cords are used as permanent wiring?

  • Are electrical panels clear 30” in front?

  • Are circuits marked in electrical panel?

  • Outlet and light switch covers in place?

  • Electrical boxes -exposed openings?

Waste material

  • Are rags with solvent disposed of properly? (HazWaste)

  • Is waste oil generated?

  • Spill control supplies available?

  • Is Hazardous waste generated?

  • Is the hazwaste managed properly?

  • Are garbage containers emptied daily?

Energy control

  • Is lock out/tag out used to control energy sources?

  • Who has locks?

Hotwork

  • Are welding screens used?

  • Is welding permited?

  • Is an area cleared within 35 feet?

  • Is a Hot work permit issued?

  • Is appropriate PPE worn(eye,face,body)

  • Are welding gasses properly stored?

Additional information

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.