Information

  • Conducted on

Fire Protection

  • Fire extinguishers are easily located, accessible and charged

  • Emergency exits are marked and clear by at least 28"

  • Employees are aware of emergency exit procedures and location of exit discharge

  • Fire doors and kept closed

  • Door and garage door to wetout are kept shut

  • Fire extinguisher near employee(s) performing hot work

Portable Tools and Equipment

  • Power tools are in good condition and all power tools with defects are taken out of service

  • Equipment is in good working order

  • Guards are in place

  • Ladders are free from any defects

  • No aluminum ladders

  • No leaking fluids

  • Positive lock trigger on grinder

General Housekeeping

  • No oil on floor from forklifts/trucks

  • Hand tools are properly stored and out away when not in use

  • Excessive scrap removed from underneath machines

  • Machines are free from any debris such as oil, pieces of metal, etc. that could result in injury or interfere with process

  • Aisle ways are clear and free and clear from unnecessary items

  • Water bottles are disposed of properly and not left out on floor creating a trip hazard

  • Compressed gas cylinders are stored by themselves, turned off, and not left out when not in use

Electrical Fixtures

  • All panel boxes are kept shut when not in use

  • Panel boxes are properly labeled and no items are stored within 36"

  • Wire insulation of machinery is in good condition and is not exposed

  • Extension cords are for portable equipment only and free from damage/electrical tape

  • Outlets have covers and do not expose wires

  • Outlets 220 V or higher are labeled

Flammable Materials

  • Container lids are in place

  • Flammable storage cabinet does in exceed 60 gallons of materials and doors are closed when not in use

  • Only metal (no plastic) gas cans are being used

  • Employees performing hot work are not working near flammable materials

  • No collection of barrels from wetout

Unsafe Practices

  • Guards are not being used

  • Employees are not running machines at excessive speeds

  • Employees are operating forklifts safely

  • Proper lifting techniques are being used

  • Damage or defective equipment is not being used

  • Proper PPE is being worn

  • "Right tool for the right job"

  • Employees are focusing on task they are performing (not looking away when using grinder)

  • Employees are using welding curtains

  • Employees are not standing under suspended loads (cranes, forklifts)

Emergency Response

  • Emergency contact list are posted where necessary

  • Eye wash stations are functional and readily available. Eye wash stations also have bucket to collect water.

  • First aid kits have adequate supplies and are easily located

  • SDS binders are easily located

Chemicals and Cleaners

  • Chemicals and cleaners have labels and are correct

  • Aerosol depletion system is being used and cans are being disposed of properly

  • Locale exhaust and ventilation system is operating and providing sufficient air flow

Misc.

  • Adequate lighting for work

  • No puddles have accumulated on floor

  • Hazard signs are posted where necessary

  • Blocks are in place when employees are working underneath loads

  • Spotters are being used necessary

  • Tool-Box Talks are being done and recorded daily

Additional Comments

Signature

  • What score do you think the shop will receive (1 is bad, 10 great)

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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.