Information
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Client / Site
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Conducted on
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Prepared by
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Location
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Additional staff attending
General Work Areas
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Floors free of debris?
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Work surfaces clear and uncluttered?
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Are floor holes and wall holes guarded?
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Are there work areas over 4 feet high?
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Are railings in place?
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Is Fall protection PPE being used?
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Do any stairs on site have more than 4 treads? (Portable or Permanent)
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Are railings in place?
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Are impalement hazards cover/marked?
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Are hand washing stations available?
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Is lighting appropriate for the work area
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Are exit paths and emergency doors clear?
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Are bathrooms located in the work area or adjacent to?
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Is the bathroom facility clean?
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Are appropriate products available?
Storage
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Are flammables stored in flame safe cabinets?
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Are chemicals properly stored?
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Are weight limits identified on storage/shelving?
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Is shelving secured to wall?
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Are storage areas near and tidy?
Emergency equipment
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Emergency lights working?
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Fire extinguishers inspected monthly?
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Are Fire extinguishers clear 36”?
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Are Sprinkler heads clear 18” vertically?
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Are Emergency Exit Maps posted and accurate?
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Are exits properly marked?
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Are exit paths 28” wide?
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Do Fire doors close and latch?
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First Aid Kits available?
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Are monthly inspections conducted?
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Are they properly stocked per an inventory sheet?
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Are emergency eye washes/ showers in place where acids/caustics are used?
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Are 3 yrs inspection records available?
Personal Protective equipment
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Is Head protection worn if overhead hazards are present?
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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.
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Are Safety toes shoes used where there is a danger of foot injuries due to falling or rolling objects
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Is Noise level above 85 dB?
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Is appropriate hearing protection being worn?
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Is hand protection used?
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Appropriate clothing for the task?
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Respiratory protection needed?
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Protection is appropriate for the hazard?
Working Surfaces
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Are storage areas neat and tidy?
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Are ladders used?
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Are ladders inspected monthly?
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Are weight stickers legible?
Hazard Communication
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List of chemicals onsite and available?
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Chemical Containers Labeled?
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SDSs available
Tools and equipment
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General condition of tools?
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Hand tools are inspected periodically?
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Are inspection documents available?
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Are Power tools inspected periodically?
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Are inspection documents available?
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Is the weight capacity identified on lifting equipment and hoisting equipment?
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Are jacks identified and inspected annually
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Are inspection documents available?
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Are chains or straps used for lifting?
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Are they marked for identification and inspected annually?
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Are straps marking legible?
Electrical
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Are ground fault circuit interrupters in use?
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Extension cords properly routed/covered to prevent trip hazard?
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Extension cords are appropriate and in good repair?
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Extension cords are used as permanent wiring?
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Are electrical panels clear 30” in front?
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Are circuits marked in electrical panel?
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Outlet and light switch covers in place?
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Electrical boxes -exposed openings?
Waste material
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Are rags with solvent disposed of properly? (HazWaste)
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Is waste oil generated?
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Spill control supplies available?
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Is Hazardous waste generated?
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Is the hazwaste managed properly?
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Are garbage containers emptied daily?
Energy control
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Is lock out/tag out used to control energy sources?
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Who has locks?
Hotwork
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Are welding screens used?
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Is welding permited?
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Is an area cleared within 35 feet?
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Is a Hot work permit issued?
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Is appropriate PPE worn(eye,face,body)
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Are welding gasses properly stored?