Title Page

  • Conducted on

  • Prepared by

Bulletin Board

  • All-In-One Poster

  • Emergency Phone Numbers (01-SUP-SAF-REF-023, page 3)

  • Emergency Response Procedures (01-SUP-SAF-REF-023, page 4)

  • OHS Flier

  • OSHA 300A (Feb 1- Apr 30)

  • Prior SAT Meeting Minutes

  • Safety Equipment Maps (First Aid, Fire Ext., Etc)

Emergency Equipment

  • Fire Extinguishers serviceable and documented monthly inspection? (Upstairs- Long Merch Cab- 1)

  • Fire Extinguishers serviceable and monthly documented inspection? (Downstairs- 11)

  • Sign outside indicating that fire extinguisher(s) are available inside the building?

  • First Aid Kit (Long Merch Cab) documented monthly inspection? Material not expired? Properly stocked?

  • Eye Wash Station documented monthly inspection (Lunch Room)? Solution not expired?

  • AED monthly documented inspection (Lunch Room)? Pads are not expired?

  • Fire balls- 2 @ hydraulic tanks / 2 @ hydraulic room / 1 @ under barko- not expired

Personal Protective Equipment (PPE)

  • Eye protection available?

  • 2 types of hearing protection available?

  • Gloves available?

  • Safety vests worn or available?

  • Eye protection worn or available?

Access/Egress/Walking Working Surfaces

  • Ladders free of defects (dents, damage, etc.)?

  • Ladders have legible manufacturer labels?

  • Handrail, steps, & stairs free of damage? No missing components?

  • Access and walking paths free of tools, materials, debris, etc.?

  • Exits are clear of obstructions?

  • Handrails in place?

  • Fall hazards of greater than 4' protected?

Housekeeping

  • Safety hazard signs legible and properly posted (AED, noise, fire extinguisher, etc.)?

  • Hoses, cords, etc. are routed in a manner that does not present a trip hazard?

  • No wood debris over an inch thick?

  • Lighting in good working condition?

  • Proper Labeling of containers (chemical content on label, no containers without labels)?

  • Gas cylinders stored upright, secured and caps installed when not in use?

  • Saw dust cleaned up to an acceptable depth on motors, pulleys, belts, etc.?

  • Weed management in place in required areas (e.g., transformer enclosures)?

Electrical

  • Panels/disconnects clear for 36"?

  • Extension cords free of damage?

  • Extension cords properly routed (not through doors or windows)?

  • Electrical wiring properly routed, covers over outlets and junction boxes?

  • Wiring fee of damage (exposed wiring, unauthorized splices, or electrical tape used to repair damaged insulation)?

  • Extension cords have 3-prong connectors?

  • MCC rooms may not be used as storge. Free from tools, equipment, materials?

  • All pedestals and control covers secured/fastened?

Small Tools & Equipment

  • Guards in place for all pulleys, rollers, etc. that are closer than 7' from the walking/working surface?

  • Tools inspected before each use?

  • Cords in good condition (no exposed wires or damaged plug relief, 3 prong, etc)?

  • Bench grinders with rest within 1/8" of wheel, adjustable tongue guards within 1/4"?

  • Face shields available when top grinder wheel eye shields are not present or used?

  • Rigging inspected and serviceable?

  • Hose clamps for air lines are compression type fittings (not hose clamps)?

  • Air lines used for blow-down are equipped with safety tips and operated at less than 30 psi?

Observations & Safety Improvement ideas

  • Were any hazards or conditions identified that are not listed above?

  • Were any hazards or conditions identified that are not listed above?

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.