Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
GENERAL WORKING CONDITIONS
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Are all work areas clean, sanitary and orderly?
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Is combustible scrap, debris, and waste stored safely and removed from the worksite promply?
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Are the minimum number of toilets and washing facilities provided and maintained in a clean and sanitary fashion?
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Are all work areas adequately illuminated?
SHEET METAL MACHINES
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Have all operators been task trained on the machine they are operating?
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Are all machines guarded and protecting the operator from pinch points, nip points, blades, gears, and belts?
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Are all guards functioning and in good condition?
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Are all machines up to date with maintenance (oiling, greasing, fluid levels, cleanliness)?
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When was maintenance performed?
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Are emergency stops working properly?
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Are operating procedures posted at each machine?
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Is there adequate work space around the machines?
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Is there a clear travel path around machines big enough for carts and materials to travel?
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Are grinders, saws, and similar equipment provided with (and used) appropriate safety guards?
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Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?
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Are pneumatic and hydraulic hoses checked regularly for deterioration or damage?
FIRE PREVENTION/PROTECTION
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Is there an inspected fire extinguisher, within 50 feet of the work area?
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Are gas cylinders secured from falling and capped when not in use?
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Are emergency exits free of obstructions and marked?
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Are hot work areas free from flammables, combustibles, and aerosols?
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Are egress routes at least 28" wide and free of obstructions?
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Are employees periodically instructed in the use of fire extinguishers and fire protection procedures?
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Are flammable liquid containers clearly identified?
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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
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Can the use of PPE be eliminated by engineered precautions?
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What are the recommended engineering controls?
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Is the appropriate hand protection being worn?
- Kevlar
- Leather
- Welding
- Heat Resistant
- Latex
- Chemical Gloves
- Cotton\Nitrile
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Is the appropriate eye protection being worn when needed?
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Are protective goggles or face shields provided and worn where there is any danger of flying particles or corrosive materials?
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Is the appropriate hearing protection being worn when needed?
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Is the appropriate footwear being worn?
MATERIAL HANDLING
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Are carts and other material handling equipment in good condition?
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Are loads limited to 50 pounds? If not, are two or more people making the lift or equipment when possible?
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Check Forklift
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Make:
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Model:
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Load Capacity Rating:
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Serial Number:
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Hours?
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Date of last maintenance
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Attachment?
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What type?
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Load capacity rating:
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Check all that apply:
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Certified Operator
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Brakes
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Lights
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Pre-Inspection
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Seat Belt
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Fire Extinguisher
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Warning Devices (i.e., back-up alarm)
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Horn
HAND TOOLS AND EQUIPMENT
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Are all tools and equipment (both company and employee-owned) used at the workplace in good condition?
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Are hand tools, such as chisels, punches, etc., which develop mushroomed heads during use, reconditioned or replaced as necessary?
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Are appropriate handles used on files and similar tools?
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Are appropriate safety glasses, face shields, etc., utilized while using hand tools or equipment that might produce flying materials or be subject to breakage?
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Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping?
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Are tools in good condition and free of cracks, dents, and alterations?
POWER TOOLS AND EQUIPMENT
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Are grinders, saws, and similar equipment provided with (and used) appropriate safety guards?
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Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?
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Are pneumatic and hydraulic hoses checked regularly for deterioration or damage?
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Welding/cutting equipment inspected and in good condition?
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Are tools stored in designated area when not in use?
HOUSEKEEPING
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Work area free of trip hazards and swept free of debris?
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Are garbage bins available and emptied, when needed?
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Are oily/greasy rags properly disposed of in metal containers with lids?
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Are ventilation systems functioning properly to dissipate fumes?
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Are restrooms clean and sanitary?
ELECTRICAL
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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?
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Do extension cords have a grounding conductor (i.e., ground prong)?
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Are extension cords at least 12 gauge?
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Are flexible cords and cables free of splices or taps?
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Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?
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Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?
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Are extension cords being used in the place of permanent wiring?
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Are extension cords, wiring, or conduit creating a trip hazard?
WELDING, CUTTING, AND BRAZING
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Area inspected for fire hazards?
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Screens and shields in place?
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Proper ventilation?
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Are oxygen and acetylene stored properly?
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Are cylinders not in use secured with caps in place?
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Are valves shut-off and regulators backed off each night?
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Flashback arresters placed on hoses (O2 and fuel gas)?
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Are welding leads in good repair and no cuts, splices, or damage within 10 ft of the electrode holder (stinger)?
COMMENTS:
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Additional comments, concerns, or details
OVERALL GRADING
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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.
SIGNATURES
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Sheet Metal Representative/Supervisor:
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Auditor/Inspector: