Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Housekeeping

  • Is all furniture in good/stable condition and properly adjusted?

  • Are bookcases free of excessive material on top and not overloaded?

  • Is good housekeeping practiced in area?

  • Are walking or working surfaces free of tripping/slipping hazards?

Safety Systems

  • Are all aisleways unobstructed?

  • Are all exit doors unobstructed?

  • Are exit signs clearly posted, in working order, and clearly indicate exits?

  • Are fire extinguishers and signs clearly visible?

  • Is access to fire extinguishers clear and unobstructed?

  • Are all fire extinguishers in place and properly mounted?

  • Are all fire extinguishers properly inspected (monthly) and maintained (annually)?

  • Is emergency equipment (alarm pull boxes, eyewashes, showers, etc.) accessible and not blocked?

  • Is emergency equipment (alarm pull boxes, eyewashes, showers, etc.) properly maintained (monthly)?

  • Is there at least three feet clearance in front of electrical panels/breaker boxes?

  • Is a clearance of 18 inches maintained around fire sprinkler heads?

  • Are weight ratings on hand trucks, racks, carts, saw horses, etc. clearly marked?

Personal Protective Equipment (PPE)

  • Is appropriate Personal Protective Equipment being used?

  • Is the requirement of Personal Protective Equipment being enforced?

  • Is Personal Protective Equipment free from damage and deterioration?

Policy

  • Are closed beverage containers being used?

  • Is prohibition of the consumption of food on the shop floor being enforced?

  • Are plug in heaters being used?

  • Is the area free of extension cords and not used as permanent wiring?

  • Are all chemical containers properly labeled/identified?

  • Are ladders stored securely and not freestanding?

  • Are daily checklist (forklift, crane, and scissor lift) being completed?

  • Are seatbelts being worn on forklifts?

  • Are safety chains on machinery being used?

Tools

  • Are machine and belt guards in place and in good condition?

  • Is pedestal machinery securely anchored to the floor?

  • Is equipment properly maintained and adjusted to prevent personal injury and equipment damage?

  • Do compressed air nozzles have safety tips?

  • Are floor fans equipped with a blade guard with openings no larger than1/2"?

  • Are electric hand tools properly grounded/double insulated?

  • Are all cords/plugs free from damage or deterioration?

  • Are condition of slings, chains, hooks for lifting in good condition?

  • Is the condition of the crane hook sufficient?

  • Are the condition of hand tools sufficient? (hammers secure, no chipped punches or chisels, deformed heads, etc.)

Facilities

  • Are cover plates in place on junction boxes to eliminate exposed wiring?

  • Do GFCI outlets test correctly?

  • Is storage adequately supported/stable condition to avoid tipping/falling?

  • Is there at least two feet clearance between stacked materials and ceiling lights?

  • Are pallets adequately supported/stable condition to avoid tipping/falling?

  • Is lighting adequate for production?

  • Is floor tape (electrical panels, aisleways etc.) in need of repair?

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.