Title Page
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Conducted on
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Prepared by
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Location
Safety Checklist
Safety and Health Program
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Written Hazard Communication Plan: Do you have an active safety and health program in operation that deals with general safety and health program elements as well as management of hazards specific to your worksite? Employers must have a written plan which describes how the training, labeling, SDS management and other requirements of "Right-to-Know" will be met.
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If fail, why?
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Responsibility assigned to one person for the safety program? Is one person clearly responsible for the overall activities of the safety and health program? 29CFR 1910.1200 (and other regulations) require that you assign responsibility for the many aspects of the safety program. Some states also specifically require that employers name a person for responsibility with overall safety.<br>
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If fail, why?
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Are we conducting monthly safety walks to identify hazards? Keeping a record? <br>
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If fail, why?
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Are we conducting weekly safety meetings or discussions. Keeping a record?
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If fail, why?
Records and Postings
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OSHA 300-A log being maintained and posted from February 1 to April 30. <br>
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If fail, why?
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Department of labor and OSHA signs posted and current. Federal and State.
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If fail, why?
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Are all local emergency contacts posted in an area assessable to all employees?
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If fail, why?
Personal Protective Equipment
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Are employers assessing the workplace to determine if hazards that require the use of personal protective equipment (for example, head, eye, face, hand, or foot protection) are present or are likely to be present?
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If fail, why?
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Has the employee been trained on PPE procedures, that is, what PPE is necessary for a job task, when they need it, and how to properly adjust it?
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If fail, why?
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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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If fail, why?
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Are approved safety glasses required to be worn at all times in areas where there is a risk of eye injuries such as punctures, abrasions, contusions or burns?
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If fail, why?
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Are protective gloves, aprons, shields, or other means provided and required where employees could be cut or where there is reasonably anticipated exposure to corrosive liquids, chemicals, blood, or other potentially infectious materials? See 29 CFR 1910.1030(b) for the definition of "other potentially infectious materials."
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If fail, why?
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Do you have eye wash facilities and a quick drench shower within the work area where employees are exposed to injurious corrosive materials?
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If fail, why?
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Is protection against the effects of occupational noise exposure provided when sound levels exceed those of the OSHA noise standard?
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If fail, why?
Lockout/ Tagout Procedures
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Do you a have a written Lockout tag out process?
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If fail, why?
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Has the staff been trained? Records on file?
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If fail, why?
Electrical
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Do extension cords being used have a grounding conductor?
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If fail, why?
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Are multiple plug adaptors prohibited?
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If fail, why?
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Are electrical outlets behind washer, dryers, and refrigerators dry, clear of trash and cob webs?
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If fail, why?
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Is exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly?
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If fail, why?
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In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected?
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If fail, why?
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Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?
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If fail, why?
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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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If fail, why?
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Is sufficient access and working space provided and maintained about all electrical equipment to permit ready and safe operations and maintenance?<br>
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If fail, why?
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Are all power cords placed in a way to prevent trip or fall hazards? To include office areas.
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If fail, why?
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Are electrical enclosures such as switches, receptacles, and junction boxes, clear of items falling into them or being hit by equipment.
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If fail, why?
Walking/ Working Surfaces
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Are all worksites clean, sanitary, and orderly?
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If fail, why?
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Are work surfaces kept dry or is appropriate means taken to assure the surfaces are slip-resistant?
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If fail, why?
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Are all spilled hazardous materials or liquids, including blood and other potentially infectious materials, cleaned up immediately and according to proper procedures?
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If fail, why?
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Is combustible scrap, debris and waste stored safely and removed from the worksite properly?
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If fail, why?
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Are covered metal waste cans used for oily and paint-soaked waste?
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If fail, why?
Walkways
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Are aisles and passageways kept clear?
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If fail, why?
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Are aisles and walkways marked as required?
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If fail, why?
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Are wet surfaces covered with non-slip materials?
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If fail, why?
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Are holes in the floor, sidewalk or other walking surface repaired properly, covered or otherwise made safe?
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If fail, why?
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Is there safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?
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If fail, why?
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Are materials or equipment stored in such a way that they will not interfere with the walkway?
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If fail, why?
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Are spilled materials cleaned up immediately?
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If fail, why?
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Are changes of direction or elevation readily identifiable?
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If fail, why?
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Are standard guardrails provided wherever aisle or walkway surfaces are elevated more than 30 inches above any adjacent floor or the ground?
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If fail, why?
Floor and Wall Openings
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Are floor openings guarded by a cover, a guardrail, or equivalent on all sides (except at entrance to stairways or ladders)?
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If fail, why?
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Are toe boards installed around the edges of permanent floor openings (where persons may pass below the opening)?
Stairs and Stairways
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Are standard stair rails or handrails on all stairways having four or more risers?
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If fail, why?
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Are all stairways at least 22 inches wide?
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If fail, why?
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Do stairs have landing platforms not less than 30 inches in the direction of travel and extend 22 inches in width at every 12 feet or less of vertical rise?
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If fail, why?
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Do stairs angle no more than 50 and no less than 30 degrees?
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If fail, why?
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Are step risers on stairs uniform from top to bottom?
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If fail, why?
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Are steps on stairs and stairways designed or provided with a surface that renders them slip resistant?
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If fail, why?
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Are stairway handrails located between 30 and 34 inches above the leading edge of stair treads?
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If fail, why?
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Do stairway handrails have at least 3 inches of clearance between the handrails and the wall or surface they are mounted on?
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If fail, why?
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Where doors or gates open directly on a stairway, is there a platform provided so the swing of the door does not reduce the width of the platform to less than 21 inches?
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If fail, why?
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Where stairs or stairways exit directly into any area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees stepping into the path of traffic?
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If fail, why?
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Do stairway landings have a dimension measured in the direction of travel, at least equal to the width of the stairway?
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If fail, why?
Elevated Surfaces
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Are signs posted, when appropriate, showing the elevated surface load capacity?
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If fail, why?
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Are surfaces elevated more than 30 inches above the floor or ground provided with standard guardrails?
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If fail, why?
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Are all elevated surfaces (beneath which people or machinery could be exposed to falling objects) provided with standard 4-inch toe boards?
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If fail, why?
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Is a permanent means of access and egress provided to elevated storage and work surfaces?
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If fail, why?
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Is required headroom provided where necessary?
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If fail, why?
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Is material on elevated surfaces piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading?
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If fail, why?
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Are dock boards or bridge plates used when transferring materials between docks and trucks or rail cars?
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If fail, why?
Hazard Communication
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29CFR 1910.22 requires that all work places be clean, orderly and sanitary.
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If fail, why?
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Are there any containers without legible labels?
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If fail, why?
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Complete written inventory (list) of hazardous materials?
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If fail, why?
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Do all secondary container labels list the product, the hazards and the manufacturer?
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If fail, why?
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Is there a written hazard communication program dealing with Safety Data Sheets (SDS), labeling, and employee training?
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If fail, why?
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Is each container for a hazardous substance (i.e., vats, bottles, storage tanks, etc.) labeled with product identity and a hazard warning (communication of the specific health hazards and physical hazards)?
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If fail, why?
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Is there a Safety Data Sheet readily available for each hazardous substance used?
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If fail, why?
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Is there an employee training program for hazardous substances?
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If fail, why?
Material Handling Equipment
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Are all powered industrial truck operators competent to operate a powered industrial truck safely, as demonstrated by successful completion of the training and Evaluation specified in 29 CFR 1910.178 (1)(1).
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If fail, why?
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Are all training records maintained, current and accessable for review?
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If fail, why?
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Is the pre-operating checklist complete and all defects reported to the proper person?
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If fail, why?
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Are all operators trained on how to properly change propane. Using proper PPE?
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If fail, why?
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Is your propane storage in a locked cage and located in its proper location?
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If fail, why?
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Are all dock plates, lift gates and forklift ramps in proper working condition?
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If fail, why?
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Are chalks blocks being properly utilized prior to the loading and unloading?
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If fail, why?
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Are there warning signs posted, warning pedestrians of forklift traffic areas on entrance ways into a forklift "Traffic areas"?
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If fail, why?
Storage Racks
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Are your Storage racks clear of ALL potential hazards. Broken pallets, unsafe loads, loose shrink wraps and fall hazards?
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If fail, why?
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Does your racking foot print create blind spots, obstruct emergency walkways or create hazard to pedestrians?
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If fail, why?
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Are your racks free from damage and secured to the floor properly?
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If fail, why?
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Are all items that are stored in elevated locations secured and safe?
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If fail, why?
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Are your storage racks placed over personnel entrance ways, personal walkways and or work areas? Are there measures to prevent fall hazards?
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If fail, why?
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Are there locking systems on all of your cross beams?
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If fail, why?
First Aid/Fire/Disaster Prevention
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Has you annual fire prevention inspection been complete? Do you have your records on file?
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If fail, why?
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Is your monthly visual inspection of all fire prevention equipment complete? Are your tags signed?
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If fail, why?
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Is your fire and disaster evacuation program complete? Has everyone been trained?
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If fail, why?
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Are the evacuation routes posted? Is the disaster shelter clearly identified?
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If fail, why?
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Have you conducted your annual fire and disaster drill? Record on file?
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If fail, why?
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Do you have a approved OSHA First Aid Kit that are sufficient for the amount of employees you have in the shop?
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If fail, why?
Security
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Is your security system in working order?
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If fail, why?
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Are all access doors in working order and can be secured?
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If fail, why?
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Visitor sign in log.
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If fail, why?
Perimeter and Parking Lot
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Is your parking lot clean and free of hazards?
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If fail, why?
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Are outside entrance ways clean and clear of trip hazards?
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If fail, why?
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Are the outside of loading docks in good shape and in proper working order?
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If fail, why?
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Are the outside of all exit routes clear of obstruction?
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If fail, why?
Exit Route and Signs
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Are all Exit and non Exit doors properly marked?
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If fail, why?
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Are your exits doors unlocked and allow for a single motion to exit? (I.E no pad locks or security bars)
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If fail, why?
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Are all Exit doors clear of obstructions and have a clearance of 12" on both sides of your exit?
- Pass
- Fail
- N/A
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If fail, why?
Inspection Complete
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Signature of Inspector:
