Title Page

  • Conducted on

  • Prepared by

  • Location

Work Areas

  • Is safety signage, labelling in good condition and not missing? (Examples: Pinch Point, Electrical Hazard, Fire Extinguishers, Eye Wash Stations, etc.)

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  • Are communication postings current or in date? (Example: OSHA Log, Safety Communication Boards, etc.)

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  • Are pallets, packing materials, waste stored safely in the right place? (Example: No higher than 25 pallets in a stack, pallets not overhanging racking, pallets not leaning against the wall)

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  • Is lighting adequate (Ask two employees)

  • Who did you ask?

  • Who did you ask?

  • Are racks, storage shelves in good condition

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  • Is the area clear of slip, trip, and fall hazards?

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  • Is there adequate space, aisles, work space (36-42 inch aisles maintained clear)?

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First Aid Facilities

  • Is there at least one fully equipped first aid box available nearby?

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  • Are first aid supplies within their expiration date drugs, eyewash bottles)?

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  • Are eyewash stations within expiration date and not leaking?

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  • Do workers know who is qualified persons to render first aid (ask one employee)

  • Who did you ask?

Machine, Equipment, Ladders

  • Are employees using machines safely?

  • add detailed notes and create action item

  • Does equipment/ machinery appear safe and in good condition?

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  • Are safeguards provided for all hazardous moving parts? (i.e., catch points, snag points protected?) Take a picture of all safeguards provided

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  • Abrasive wheel grinder guide

    wheel grinder guide.jpg
  • Abrasive wheel grinders - is tongue guard at 1/4” & tool rest at 1/8” (use guide)?

  • add detailed notes and create action item

  • Are portable/fixed ladders/stairs in good condition, labeled, properly stowed? (secured to support in an upright position, rubber feet attached, tightly constructed)

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Electrical Safety

  • Are wires or wire connections free of damage and in good condition?

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  • Do all electrical panels have at least 36" unobstructed clearance?

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  • All power strips & extension cords free of “Daisy Chaining”?

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  • No more than one power strip plugged into the outlet?

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  • Are all switchboxes, panels and sockets provided with suitable cover (knockouts)

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  • No flexible drop cords running through unprotected holes or lacking strain relief?

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  • Are extension cords free of damage and being used properly? (temp. Only 90 days max, ask someone

  • Is LOTO being used when working on equipment? (Observe or ask an employee)

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Personal Ergonomics, training and PPE

  • Are the employees practicing good ergonomics? (Observe)

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  • If lifting aides are available are they being used? (Observe, ask)?

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  • Are the employees using proper PPE?

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  • Have employees been properly trained on the use of PPE? (Ask an employee)

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  • Is all PPE in good condition and maintained? (Example: are respirators stored properly)

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  • Is the proper PPE available when needed?

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  • Are respirator cartridges within the effective use dates?

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  • Are employees trained in lifting and other manual handling techniques (ask employee)?

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  • Are office staff trained on proper computer workstation design (VDT’s) (ask one employee)?

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  • Do the employees seem sufficiently focused on their job?

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Emergency Exits, Fire and Safety Equipment

  • Are all emergency exits free from obstructions?

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  • Are all emergency exits clearly marked with illuminated or self-illuminated signs?

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  • Are fire extinguishers accessible within 75 feet and locations marked (on floor and above)?

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  • Have employees been instructed in the evacuation procedures (Ask employee)?

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  • Is the proper fire and safety equipment available and inspected?

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  • Are fire pull stations free of obstructions?

Handling Hazardous/Non-Hazardous Materials

  • Are all containers including secondary containers properly labeled and stored? (i.e., closed) - Provide photos

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  • Are all containers free of damage such as bulging and rusting, crusting, evident leakage?

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  • Are containers stored away from incompatible materials/ chemicals by means of a separate spill pallet or another form of containment?

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  • Is there a spill kit available in the area where hazardous/non-hazardous material stored?

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  • Are SAA (Satellite Accumulation Area) & HWSA (Hazardous Waste Storage Area) being inspected? (Wiscasset only)

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  • Is suitable PPE available for handling hazardous/non-hazardous materials?

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  • Do employees know what to do if there is a spill (ask an employee)?

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  • Have employees been trained on the hazards of the materials (ask an employee)?

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  • Are Safety Data Sheet (SDS) readily available for reference if needed (ask an employee for the location)?

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  • Are all materials/chemicals within their expiration dates?

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Building exterior

  • Is night time lighting adequate?

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  • Are loading dock areas free of trash and debris?

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  • Are all hydraulic lines on compactor in good condition?

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  • Are all emergency exits free of obstacles?

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  • Are walkways, entrances and stairways clear of snow/ice in winter months?

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  • Are all areas salted or sanded during winter months?

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  • Are there no visible dangers present during winter months? (ice build- up overhead slip hazards, etc.)

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  • No unsecured/unlocked “attractive nuisances” that others can access, i.e., ladders, hazardous or flammable materials, etc.<br>

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Quality (Speak to area employees to answer quality questions)

  • Is there a cross-training plan in place?

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  • Are product specifications known?

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  • Are proper non-conformance handling procedures being practiced?

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  • Are procedures periodically reviewed?

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  • Is A3 problem solving taking place?

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  • Is non-conforming material being segregated from conforming material?

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  • Are materials identified and is the location accurate on the label?

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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.