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- 6)

  • Fire Extinguishers serviceable and monthly documented inspection? (Downstairs- 6)

  • Fire Extinguishers Secondary Stacker (Downstairs- 1 / Upstairs- 1)

  • Secondary Stacker- Upstairs First Aid Kit- Inspected monthly with nothing expired?

  • Secondary Stacker- Eye Wash Station documented monthly inspection? Expired solution?

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?

  • Fall protection equipment serviceable?

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?

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.?

Electrical

  • Panels/disconnects clear for 36"?

  • Extension cords free of damage?

  • Extension cords properly routed?

  • 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

  • Welding leads in good condition (no exposed wires or damaged reliefs)?

Small Tools & Equipment

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

  • Inspected before each use?

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

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

  • Air lines connected with compression fittings (hose clamps not allowed)?

  • 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?

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.