Title Page
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Conducted on
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Prepared by
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Location
Work Areas
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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)
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Who did you ask?
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Who did you ask?
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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
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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)
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Who did you ask?
Machine, Equipment, Ladders
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Are employees using machines safely?
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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
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Abrasive wheel grinders - is tongue guard at 1/4” & tool rest at 1/8” (use guide)?
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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
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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
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Is LOTO being used when working on equipment? (Observe or ask an employee)
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Personal Ergonomics, training and PPE
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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
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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
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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
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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)
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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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