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?
-
Date of last inspection:
-
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?
-
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
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
Observations, Notes and Photos:
-
Observations and notes:
-
Photos:
Signatures:
-
Shop Representative:
-
Safety Manager: