SCHEDULE SAFETY CHECKLIST

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

HOURS OF OPERATIONS

• HOURS OF OPERATIONS

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DESCRIPTION OF STANDARD/COMMON OPERATIONS

NUMBER OF ACTIVE EMPLOYEES

• FULL TIME EMPLOYEES

• PART TIME EMPLOYEES

FRONT AREA/ PARKING

• CLEAR OF DEBRIS

  Yes

  No

  N/A

• CLEAR OF OBSTACLES

  Yes

  No

  N/A

TRASH DISPOSAL AREAS

• WELL MAINTAINED

  Yes

  No

  N/A

• LIQUID BINS LABELLED AND AT EASY ACCESS

  Yes

  No

  N/A

• DISTANCE FROM BUILDING

EMPLOYEE WORK AREA

• CLEAR OF DEBRIS

  Yes

  No

  N/A

• CLEAR OF OBSTACLES

  Yes

  No

  N/A

• ORGANIZED WORK STATION

  Yes

  No

  N/A

• RIGHT TO KNOW POSTER IN PLACE

  Yes

  No

  N/A

TOOL CONDITION

• HAND TOOLS IN GOOD CONDITION AND AT EASY ACCESS

  Yes

  No

  N/A

• POWER TOOLS IN GOOD CONDITION

  Yes

  No

  N/A

• POWER TOOLS CORDS IN GOOD CONDITION. NO CUTS OR FRAYS

  Yes

  No

  N/A

• TOOLBOXES AT EASY ACCESS AND OBSTRUCTION FREE

  Yes

  No

  N/A

FLOORS

• MATS IN HIGH SLIP HAZARDS

  Yes

  No

  N/A

• FLOORS PROPERLY MAINTAINED

  Yes

  No

  N/A

• FLOORS CLEAN AND IN OVERALL GOOD CONDITION

  Yes

  No

  N/A

SAFETY DEVICES

• SAFETY EQUIPMENT REQUIRED/PROVIDED

  Yes

  No

  N/A

• PPE REQUIRED

  Yes

  No

  N/A

• PPE PROVIDED

  Yes

  No

  N/A

• FLORIDA FOOD SAFETY CERTIFICATE

  Yes

  No

  N/A

• EMPLOYEES TRAINED ON SAFETY EQUIPMENT

  Yes

  No

  N/A

FIRE SAFETY PREVENTION

• EVACUATION PLAN DISPLAYED AND UNDERSTOOD

  Yes

  No

  N/A

• FIRE EXTINGUISHERS IN PLACE AND CLEARLY MARKED

  Yes

  No

  N/A

• EXTINGUISHERS RECENTLY SERVICED

  Yes

  No

  N/A

• EXTINGUISHERS CLEAR OF OBSTACLES

  Yes

  No

  N/A

• EXIT DOORS CLEARLY MARKED AND FREE OF OBSTACLES

  Yes

  No

  N/A

GENERAL LIGHTING

• GOOD NATURAL LIGHTING

  Yes

  No

  N/A

• LIGHTS IN GOOD CONDITION AND CLEAN

  Yes

  No

  N/A

• EMERGENCY LIGHTING OPERABLE

  Yes

  No

  N/A

BUILDING SAFETY

• FLOOR SERVICES EVEN AND UNCLUTTERED

  Yes

  No

  N/A

• WALKWAYS KEPT CLEAR

  Yes

  No

  N/A

• STAIRS AND RAILS IN GOOD CONDTION

  Yes

  No

  N/A

• FOOTPATHS IN GOOD CONDITION

  Yes

  No

  N/A

• FURNITURE IN GOOD CONDITION

  Yes

  No

  N/A

STORAGE

• MATERIALS STORED ON RACKS

  Yes

  No

  N/A

• RACKS IN GOOD CONDITION

  Yes

  No

  N/A

• FLOORS AROUND RACKS CLEAR OF OBSTRUCTION

  Yes

  No

  N/A

ELECTRICAL SAFETY

• LOCKOUT TAG OUT PROCEDURES IN PLACE AND USED

  Yes

  No

  N/A

• NO DOUBLE ADAPTERS USED

  Yes

  No

  N/A

• NO BROKEN PLUGS, SOCKETS, OR SWITCHES

  Yes

  No

  N/A

• NO POWER CORDS ACROSS WALKWAYS

  Yes

  No

  N/A

• ELECTRICAL EQUIPMENT IN GOOD CONDITION

  Yes

  No

  N/A

• EMERGENCY SHUT OFF SWITCHES IN PLACE AND IN GOOD CONDITION

  Yes

  No

  N/A

CHEMICAL SAFETY

• MSDS BOOK WHERE ALL EMPLOYEES CAN OBTAIN

  Yes

  No

  N/A

• MSDS SHEETS AVAILABLE FOR ALL CHEMICALS

  Yes

  No

  N/A

• ALL CONTAINERS LABELLED CORRECTLY

  Yes

  No

  N/A

• SPECIAL STORAGE CONDITIONS FOR CHEMICALS

  Yes

  No

  N/A

• EYE WASH AND SHOWERS AVAILABLE AND ACCESSIBLE

  Yes

  No

  N/A

FIRST AID

• FIRST AID CABINET CLEARLY LABELLED

  Yes

  No

  N/A

• FIRST AID AT EASY ACCESS

  Yes

  No

  N/A

• EMERGENCY NUMBERS CLEARLY DISPLAYED

  Yes

  No

  N/A

VEHICLE CONDITION

• ARE VEHICLES PRIVATELY OWNED

  Yes

  No

  N/A

• ARE VEHICLES COMPANY OWNED

  Yes

  No

  N/A

• DOT REGISTERED

  Yes

  No

  N/A

• OVERALL VEHICLE CONDITION

• VEHIHCLES

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