Site Safety Inspections

• Conducted on

  Date

• Prepared by

• Location
  Address

Safety and Health Program

• 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.

  Pass

  Fail

  N/A

• If fail, why?

• 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>

  Pass

  Fail

  N/A

• If fail, why?

• Are we conducting monthly safety walks to identify hazards? Keeping a record? <br>

  Pass

  Fail

  N/A

• If fail, why?

• Are we conducting weekly safety meetings or discussions. Keeping a record?

  Pass

  Fail

  N/A

• If fail, why?

Records and Postings

• OSHA 300-A log being maintained and posted from February 1 to April 30. <br>

  Pass

  Fail

  N/A

• If fail, why?

• Department of labor and OSHA signs posted and current. Federal and State.

  Pass

  Fail

  N/A

• If fail, why?

• Are all local emergency contacts posted in an area assessable to all employees?

  Pass

  Fail

  N/A

• If fail, why?

Personal Protective Equipment

• 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?

  Pass

  Fail

  N/A

• If fail, why?

• 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?

  Pass

  Fail

  N/A

• If fail, why?

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

  Pass

  Fail

  N/A

• If fail, why?

• 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?

  Pass

  Fail

  N/A

• If fail, why?

• 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."

  Pass

  Fail

  N/A

• If fail, why?

• Do you have eye wash facilities and a quick drench shower within the work area where employees are exposed to injurious corrosive materials?

  Pass

  Fail

  N/A

• If fail, why?

• Is protection against the effects of occupational noise exposure provided when sound levels exceed those of the OSHA noise standard?

  Pass

  Fail

  N/A

• If fail, why?

Lockout/ Tagout Procedures

• Do you a have a written Lockout tag out process?

  Pass

  Fail

  N/A

• If fail, why?

• Has the staff been trained? Records on file?

  Pass

  Fail

  N/A

• If fail, why?

Electrical

• Do extension cords being used have a grounding conductor?

  Pass

  Fail

  N/A

• If fail, why?

• Are multiple plug adaptors prohibited?

  Pass

  Fail

  N/A

• If fail, why?

• Are electrical outlets behind washer, dryers, and refrigerators dry, clear of trash and cob webs?

  Pass

  Fail

  N/A

• If fail, why?

• Is exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly?

  Pass

  Fail

  N/A

• If fail, why?

• In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected?

  Pass

  Fail

  N/A

• If fail, why?

• Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

  Pass

  Fail

  N/A

• If fail, why?

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

  Pass

  Fail

  N/A

• If fail, why?

• Is sufficient access and working space provided and maintained about all electrical equipment to permit ready and safe operations and maintenance?<br>

  Pass

  Fail

  N/A

• If fail, why?

• Are all power cords placed in a way to prevent trip or fall hazards? To include office areas.

  Pass

  Fail

  N/A

• If fail, why?

• Are electrical enclosures such as switches, receptacles, and junction boxes, clear of items falling into them or being hit by equipment.

  Pass

  Fail

  N/A

• If fail, why?

Walking/ Working Surfaces

• Are all worksites clean, sanitary, and orderly?

  Pass

  Fail

  N/A

• If fail, why?

• Are work surfaces kept dry or is appropriate means taken to assure the surfaces are slip-resistant?

  Pass

  Fail

  N/A

• If fail, why?

• Are all spilled hazardous materials or liquids, including blood and other potentially infectious materials, cleaned up immediately and according to proper procedures?

  Pass

  Fail

  N/A

• If fail, why?

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

  Pass

  Fail

  N/A

• If fail, why?

• Are covered metal waste cans used for oily and paint-soaked waste?

  Pass

  Fail

  N/A

• If fail, why?

Walkways

• Are aisles and passageways kept clear?

  Pass

  Fail

  N/A

• If fail, why?

• Are aisles and walkways marked as required?

  Pass

  Fail

  N/A

• If fail, why?

• Are wet surfaces covered with non-slip materials?

  Pass

  Fail

  N/A

• If fail, why?

• Are holes in the floor, sidewalk or other walking surface repaired properly, covered or otherwise made safe?

  Pass

  Fail

  N/A

• If fail, why?

• Is there safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?

  Pass

  Fail

  N/A

• If fail, why?

• Are materials or equipment stored in such a way that they will not interfere with the walkway?

  Pass

  Fail

  N/A

• If fail, why?

• Are spilled materials cleaned up immediately?

  Pass

  Fail

  N/A

• If fail, why?

• Are changes of direction or elevation readily identifiable?

  Pass

  Fail

  N/A

• If fail, why?

• Are standard guardrails provided wherever aisle or walkway surfaces are elevated more than 30 inches above any adjacent floor or the ground?

  Pass

  Fail

  N/A

• If fail, why?

Floor and Wall Openings

• Are floor openings guarded by a cover, a guardrail, or equivalent on all sides (except at entrance to stairways or ladders)?

  Pass

  Fail

  N/A

• If fail, why?

• Are toe boards installed around the edges of permanent floor openings (where persons may pass below the opening)?

  Yes

  No

  N/A

Stairs and Stairways

• Are standard stair rails or handrails on all stairways having four or more risers?

  Pass

  Fail

  N/A

• If fail, why?

• Are all stairways at least 22 inches wide?

  Pass

  Fail

  N/A

• If fail, why?

• 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?

  Pass

  Fail

  N/A

• If fail, why?

• Do stairs angle no more than 50 and no less than 30 degrees?

  Pass

  Fail

  N/A

• If fail, why?

• Are step risers on stairs uniform from top to bottom?

  Pass

  Fail

  N/A

• If fail, why?

• Are steps on stairs and stairways designed or provided with a surface that renders them slip resistant?

  Pass

  Fail

  N/A

• If fail, why?

• Are stairway handrails located between 30 and 34 inches above the leading edge of stair treads?

  Pass

  Fail

  N/A

• If fail, why?

• Do stairway handrails have at least 3 inches of clearance between the handrails and the wall or surface they are mounted on?

  Pass

  Fail

  N/A

• If fail, why?

• 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?

  Pass

  Fail

  N/A

• If fail, why?

• 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?

  Pass

  Fail

  N/A

• If fail, why?

• Do stairway landings have a dimension measured in the direction of travel, at least equal to the width of the stairway?

  Pass

  Fail

  N/A

• If fail, why?

Elevated Surfaces

• Are signs posted, when appropriate, showing the elevated surface load capacity?

  Pass

  Fail

  N/A

• If fail, why?

• Are surfaces elevated more than 30 inches above the floor or ground provided with standard guardrails?

  Pass

  Fail

  N/A

• If fail, why?

• Are all elevated surfaces (beneath which people or machinery could be exposed to falling objects) provided with standard 4-inch toe boards?

  Pass

  Fail

  N/A

• If fail, why?

• Is a permanent means of access and egress provided to elevated storage and work surfaces?

  Pass

  Fail

  N/A

• If fail, why?

• Is required headroom provided where necessary?

  Pass

  Fail

  N/A

• If fail, why?

• Is material on elevated surfaces piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading?

  Pass

  Fail

  N/A

• If fail, why?

• Are dock boards or bridge plates used when transferring materials between docks and trucks or rail cars?

  Pass

  Fail

  N/A

• If fail, why?

Hazard Communication

• 29CFR 1910.22 requires that all work places be clean, orderly and sanitary.

  Pass

  Fail

  N/A

• If fail, why?

• Are there any containers without legible labels?

  Pass

  Fail

  N/A

• If fail, why?

• Complete written inventory (list) of hazardous materials?

  Pass

  Fail

  N/A

• If fail, why?

• Do all secondary container labels list the product, the hazards and the manufacturer?

  Pass

  Fail

  N/A

• If fail, why?

• Is there a written hazard communication program dealing with Safety Data Sheets (SDS), labeling, and employee training?

  Pass

  Fail

  N/A

• If fail, why?

• 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)?

  Pass

  Fail

  N/A

• If fail, why?

• Is there a Safety Data Sheet readily available for each hazardous substance used?

  Pass

  Fail

  N/A

• If fail, why?

• Is there an employee training program for hazardous substances?

  Pass

  Fail

  N/A

• If fail, why?

Material Handling Equipment

• 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).

  Pass

  Fail

  N/A

• If fail, why?

• Are all training records maintained, current and accessable for review?

  Pass

  Fail

  N/A

• If fail, why?

• Is the pre-operating checklist complete and all defects reported to the proper person?

  Pass

  Fail

  N/A

• If fail, why?

• Are all operators trained on how to properly change propane. Using proper PPE?

  Pass

  Fail

  N/A

• If fail, why?

• Is your propane storage in a locked cage and located in its proper location?

  Pass

  Fail

  N/A

• If fail, why?

• Are all dock plates, lift gates and forklift ramps in proper working condition?

  Pass

  Fail

  N/A

• If fail, why?

• Are chalks blocks being properly utilized prior to the loading and unloading?

  Pass

  Fail

  N/A

• If fail, why?

• Are there warning signs posted, warning pedestrians of forklift traffic areas on entrance ways into a forklift "Traffic areas"?

  Pass

  Fail

  N/A

• If fail, why?

Storage Racks

• Are your Storage racks clear of ALL potential hazards. Broken pallets, unsafe loads, loose shrink wraps and fall hazards?

  Pass

  Fail

  N/A

• If fail, why?

• Does your racking foot print create blind spots, obstruct emergency walkways or create hazard to pedestrians?

  Pass

  Fail

  N/A

• If fail, why?

• Are your racks free from damage and secured to the floor properly?

  Pass

  Fail

  N/A

• If fail, why?

• Are all items that are stored in elevated locations secured and safe?

  Pass

  Fail

  N/A

• If fail, why?

• Are your storage racks placed over personnel entrance ways, personal walkways and or work areas? Are there measures to prevent fall hazards?

  Pass

  Fail

  N/A

• If fail, why?

• Are there locking systems on all of your cross beams?

  Pass

  Fail

  N/A

• If fail, why?

First Aid/Fire/Disaster Prevention

• Has you annual fire prevention inspection been complete? Do you have your records on file?

  Pass

  Fail

  N/A

• If fail, why?

• Is your monthly visual inspection of all fire prevention equipment complete? Are your tags signed?

  Pass

  Fail

  N/A

• If fail, why?

• Is your fire and disaster evacuation program complete? Has everyone been trained?

  Pass

  Fail

  N/A

• If fail, why?

• Are the evacuation routes posted? Is the disaster shelter clearly identified?

  Pass

  Fail

  N/A

• If fail, why?

• Have you conducted your annual fire and disaster drill? Record on file?

  Pass

  Fail

  N/A

• If fail, why?

• Do you have a approved OSHA First Aid Kit that are sufficient for the amount of employees you have in the shop?

  Pass

  Fail

  N/A

• If fail, why?

Security

• Is your security system in working order?

  Pass

  Fail

  N/A

• If fail, why?

• Are all access doors in working order and can be secured?

  Pass

  Fail

  N/A

• If fail, why?

• Visitor sign in log.

  Pass

  Fail

  N/A

• If fail, why?

Perimeter and Parking Lot

• Is your parking lot clean and free of hazards?

  Pass

  Fail

  N/A

• If fail, why?

• Are outside entrance ways clean and clear of trip hazards?

  Pass

  Fail

  N/A

• If fail, why?

• Are the outside of loading docks in good shape and in proper working order?

  Pass

  Fail

  N/A

• If fail, why?

• Are the outside of all exit routes clear of obstruction?

  Pass

  Fail

  N/A

• If fail, why?

Exit Route and Signs

• Are all Exit and non Exit doors properly marked?

  Pass

  Fail

  N/A

• If fail, why?

• Are your exits doors unlocked and allow for a single motion to exit? (I.E no pad locks or security bars)

  Pass

  Fail

  N/A

• If fail, why?

• Are all Exit doors clear of obstructions and have a clearance of 12" on both sides of your exit?

  Select Pass Fail N/A

  • Pass
  • Fail
  • N/A

• If fail, why?

Inspection Complete

• Signature of Inspector:

  Sign