Information

  • Name of Report:

  • Conducted on:

  • Location of Facility:
  • Prepared by:

Responsible Parties:

  • Persons responsible for correcting deficiencies?

General Safety:

  • All required Posters, Paperwork, posted in a visible location, and up to date?

  • Has the previous Inspection Report been distributed through Share Point?

  • Are there any outstanding issues which have not been addressed?

  • Has the (JHA) Job Hazard Analysis been updated for today? Please note last update:

  • Last JHA update posted:

  • Are Toolbox Talks being performed through the UIG safe work application? What topic was covered today?

  • Has emergency contact information been clearly posted on the safety center?

  • Employees wearing all required PPE (gloves, hi-viz, glasses, hardhats, etc)?

  • Signage & Barricades in place where required?

  • All employees wearing appropriate rated footwear for tasks today?

  • Are employees wearing hearing protection when noise levels are in excess of 85 dBa?

  • Is the Uni-pack spill kit available and fully stocked?

Facilities:

  • Fire cabinets kept closed

  • Fire cabinets free of debris

  • Fire Cabinets Properly Vented to Outside Facility?

  • Smoke Detector and Fire Suppression System in Place and Functioning?

  • Carbon Monoxide detectors in place and functioning?

  • (PPM) Parts Per Million in Work-space at Time of Inspection

  • Work tables clean and free of debris

  • Work areas kept clean

  • Emergency exit doors kept clear

  • Emergency exit door path kept clear

  • Electrical shut off switches kept clear

  • Power tools in good working order

  • Trip Hazards Observed?

  • Photos of Trip Hazards

  • Comments

Chemical Safety:

  • Have all materials/chemicals been labeled using the NFPA labels)?

  • Have safety data sheets been updated for new products in inventory? Spot check (3):

  • Photo of Safety Data Sheet Book

Fire Extinguishers & Fire Prevention:

  • Fire Extinguishers are visible and have proper signage

  • Fire Extinguishers are in date

  • Tap to enter information
  • Fire Extinguishers expiration date is

  • Evacuation Plans displayed & visible?

  • Hot Work Permits received and posted for all work requiring them?

  • Bottles/Cylinders properly stored?

  • Area around Temp Heaters or similar equipment clear?

Safety Center:

  • Picture of Safety Center

  • Is the eyewash station on the safety board, and within the manufacturers expiration date? / Tested Fixed Eye Wash Station for functionality?

  • Is SDS information on the safety board and current?

  • Is the first aid kit available and stocked?

  • Is the blood borne pathogen kit available and stocked?

  • Is all spare PPE available and fully stocked?

Shop Floor:

  • Floor striping clean and visible?

  • Work tables clean and free of debris?

  • Work areas kept clean?

  • Emergency exit doors kept clear?

  • Emergency exit door path kept clear?

  • Electrical shut off switches kept clear?

  • Electrical Panel Doors Closed and Secured?

  • Vehicles and Equipment Chocked?

  • Comments

Cranes & Hoists:

  • Date of Last Crane Inspection

  • Crane identification number:

  • Maximum Rated Capacity Working Load Limit:

  • Photo of Hoist / Crane

  • Overall visual condition 10=Good 1=Bad

Clean-up & Housekeeping:

  • Are entries walkways and drive lanes kept clear?

  • Stairs kept clear and free of debris?

  • Bins or Dumpsters located at suitable points?

  • Oily rags and combustible refuse stored in covered metal containers?

Inventory:

  • Emergency exit doors kept clear

  • Emergency exit door path kept clear

  • Walkway kept clear

  • Comments

Tool Room & Chemical Staging Area:

  • Gate Secured and Locked?

  • Work tables clean and free of debris

  • Work areas clean

  • Walkways kept clear

  • Oil drain bins stored properly

  • Exhaust reels and hoses in good working order

  • Spray bottles labeled with NFPA labels and put away when not in use

  • Parts washers clean and lids closed

  • Tool and equipment put away when not in use

  • Bench grinders in good working condition with guards in place

  • Safety mirrors installed and free of defects

  • Air/water/oil/grease hoses picked up and properly stored

  • Yellow safety chains in place and used properly at vehicle egress points

  • Comments

Welding & Cutting

  • Cylinders stored properly?

  • Hoses in good condition?

  • Adequate shielding provided?

  • Fire Blankets available and used where necessary?

Outside Building

  • Exterior lighting is functioning and adequate?

  • Safety mirrors installed and free of defects

  • Emergency exit doors kept clear

  • Weed control in place and maintained?

  • Comments

Follow Up & Get Well Plan

  • Follow up inspection to be performed

Signatures:

  • Performed by Safety Manager:

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.