Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

GENERAL WORKING CONDITIONS

  • Are all work areas clean, sanitary and orderly?

  • Is combustible scrap, debris, and waste stored safely and removed from the worksite promply?

  • Are the minimum number of toilets and washing facilities provided and maintained in a clean and sanitary fashion?

  • Are all work areas adequately illuminated?

SHEET METAL MACHINES

  • Have all operators been task trained on the machine they are operating?

  • Are all machines guarded and protecting the operator from pinch points, nip points, blades, gears, and belts?

  • Are all guards functioning and in good condition?

  • Are all machines up to date with maintenance (oiling, greasing, fluid levels, cleanliness)?

  • When was maintenance performed?

  • Are emergency stops working properly?

  • Are operating procedures posted at each machine?

  • Is there adequate work space around the machines?

  • Is there a clear travel path around machines big enough for carts and materials to travel?

  • Are grinders, saws, and similar equipment provided with (and used) appropriate safety guards?

  • Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?

  • Are pneumatic and hydraulic hoses checked regularly for deterioration or damage?

FIRE PREVENTION/PROTECTION

  • Is there an inspected fire extinguisher, within 50 feet of the work area?

  • Are gas cylinders secured from falling and capped when not in use?

  • Are emergency exits free of obstructions and marked?

  • Are hot work areas free from flammables, combustibles, and aerosols?

  • Are egress routes at least 28" wide and free of obstructions?

  • Are employees periodically instructed in the use of fire extinguishers and fire protection procedures?

  • Are flammable liquid containers clearly identified?

  • Are flammable liquid containers properly stored and kept at least 35 ft from any spark producing, open flames, or excessive heat sources?

PERSONAL PROTECTIVE EQUIPMENT

  • Can the use of PPE be eliminated by engineered precautions?

  • What are the recommended engineering controls?

  • Is the appropriate hand protection being worn?

  • Is the appropriate eye protection being worn when needed?

  • Are protective goggles or face shields provided and worn where there is any danger of flying particles or corrosive materials?

  • Is the appropriate hearing protection being worn when needed?

  • Is the appropriate footwear being worn?

MATERIAL HANDLING

  • Are carts and other material handling equipment in good condition?

  • Are loads limited to 50 pounds? If not, are two or more people making the lift or equipment when possible?

  • Check Forklift

  • Make:

  • Model:

  • Load Capacity Rating:

  • Serial Number:

  • Hours?

  • Date of last maintenance

  • Attachment?

  • What type?

  • Load capacity rating:

  • Check all that apply:

  • Certified Operator

  • Brakes

  • Lights

  • Pre-Inspection

  • Seat Belt

  • Fire Extinguisher

  • Warning Devices (i.e., back-up alarm)

  • Horn

HAND TOOLS AND EQUIPMENT

  • Are all tools and equipment (both company and employee-owned) used at the workplace in good condition?

  • Are hand tools, such as chisels, punches, etc., which develop mushroomed heads during use, reconditioned or replaced as necessary?

  • Are appropriate handles used on files and similar tools?

  • Are appropriate safety glasses, face shields, etc., utilized while using hand tools or equipment that might produce flying materials or be subject to breakage?

  • Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping?

  • Are tools in good condition and free of cracks, dents, and alterations?

POWER TOOLS AND EQUIPMENT

  • Are grinders, saws, and similar equipment provided with (and used) appropriate safety guards?

  • Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?

  • Are pneumatic and hydraulic hoses checked regularly for deterioration or damage?

  • Welding/cutting equipment inspected and in good condition?

  • Are tools stored in designated area when not in use?

HOUSEKEEPING

  • Work area free of trip hazards and swept free of debris?

  • Are garbage bins available and emptied, when needed?

  • Are oily/greasy rags properly disposed of in metal containers with lids?

  • Are ventilation systems functioning properly to dissipate fumes?

  • Are restrooms clean and sanitary?

ELECTRICAL

  • Are ground-fault circuit interrupters installed on each temporary 15 or 20 amp, 120 volt AC circuit locations where construction, demolition, modifications, alterations, or excavations are being performed?

  • Do extension cords have a grounding conductor (i.e., ground prong)?

  • Are extension cords at least 12 gauge?

  • Are flexible cords and cables free of splices or taps?

  • Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?

  • Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?

  • Are extension cords being used in the place of permanent wiring?

  • Are extension cords, wiring, or conduit creating a trip hazard?

WELDING, CUTTING, AND BRAZING

  • Area inspected for fire hazards?

  • Screens and shields in place?

  • Proper ventilation?

  • Are oxygen and acetylene stored properly?

  • Are cylinders not in use secured with caps in place?

  • Are valves shut-off and regulators backed off each night?

  • Flashback arresters placed on hoses (O2 and fuel gas)?

  • Are welding leads in good repair and no cuts, splices, or damage within 10 ft of the electrode holder (stinger)?

COMMENTS:

  • Additional comments, concerns, or details

OVERALL GRADING

  • ACCEPTABLE: Jobsites which have no serious violations of federal requirements, or safety policies and have recognizable hazards controlled at the time of the inspection.<br><br> NEEDS IMPROVEMENT: Jobsites in which violations occurred which may be serious in nature but the inspector does not believe them to be done intentionally or egregiously.<br><br> UNACCEPTABLE: Jobs in which egregious safety violations exist and are to believe to have been known by those involved.

  • Overall "SAFETY CULTURE" of the Sheet Metal Shop

SIGNATURES

  • Sheet Metal Representative/Supervisor:

  • Auditor/Inspector:

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