supervisor safety checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

General

• Is workplace clean and in orderly condition(good housekeeping!)?

  Yes

  No

  N/A

• Are all main entrances/exits clear of obstruction(s)?

  Yes

  No

  N/A

• Are all hoses, electrical cords, or air lines secured or clear of walkway?

  Yes

  No

  N/A

• Are all hot water lines insulated or labeled to prevent any employee incidents causing burn injuries?

  Yes

  No

  N/A

• Has a hazard assessment been completed and the appropriate PPE been identified for each specific job?

  Yes

  No

  N/A

• Are all warning signs/labels/tags in place and legible?

  Yes

  No

  N/A

• Are exit signs/emergency lighting visible and working properly?

  Yes

  No

  N/A

• Is flooring in work areas in good condition (free of cracks, slippery substances, or any openings which would cause possible injuries)?

  Yes

  No

  N/A

• Are fire extinguishers in place and updated for use on small fire emergencies?<br> a. Extinguisher is full (dial indicates it is full when in green area)<br> b. Safety pin and seal are in place (indicates that it has not been used)<br> c. Hose is clear of any ready for discharge (should be clear of any trash or debris)<br> d. All labels are legible (should be able to read all precautions, instructions, and type of extinguisher for safe use)

  Yes

  No

  N/A

• Do employees have all certification(s) for use of any company machinery or equipment for proper operation and safety?

  Yes

  No

  N/A

• Are eyewashes/showers clean and clear for employee use (should not obstructed and be flushed out every time it is checked before initial use)?

  Yes

  No

  N/A

• Are safety chains/handrails/guards at elevated stands or platforms in place and in good condition to prevent any falls or misplaced footing?

  Yes

  No

  N/A

• Do employees have cell phones or any electronic devices in their possession while on the production floor?

  Yes

  No

  N/A

Safety Lifting

• Are workers trained on using safe lifting techniques?<br> a. Size up/test load<br> b. Avoid heavy loads - split into small loads or ask for help<br> c. Bend knees to take pressure off of back when lifting<br> d. Consciously firm up abdominals when lifting<br> e. Never twist while lifting or holding a load

  Yes

  No

  N/A

• Are employees using safety support belts properly, tightening straps for support and loosening after lifting is done?

  Yes

  No

  N/A

Equipment and Electrical

• Electrical Equipment<br> a. Clean and working properly<br> b. Properly grounded<br> c. Proper clearances kept combustibles (paper, cardboard, or combustible liquids)<br> d. Adequately ventilated<br> e. Approved extension cords, extension cords with breakers, and multiple connectors used properly (e.g., not as fixed wiring)<br> f. Emergency Stop is in good working condition <br> f. Frayed or damaged electric cords replaced

  Yes

  No

  N/A

• Machinery<br> a. Clean and working properly<br> b. Proper clearances kept from combustibles<br> c. Adequately ventilated <br> d. Emergency stop mechanisms identified and in working order<br> e. Mechanical safeguards in place and in working order<br> f. Emergency Stop is in good working condition

  Yes

  No

  N/A

• Are all extension cords out of wet hazards and sealed with safety caps when not in use?

  Yes

  No

  N/A

• Are extension cords free of knots, not pinched, or cut while in use?

  Yes

  No

  N/A

• Are quick disconnects at employees reach for proper LO/TO application?

  Yes

  No

  N/A

• Are employees familiar with proper shutdown of all electrical equipment, and do they know where to find procedures for proper LO/TO of equipment?

  Yes

  No

  N/A

Personal Protective Equipment

• Are employees provided with and using hearing protection for noise hazardous equipment (noise level above 85 dBA)?

  Yes

  No

  N/A

• Are employees provided with and using safety goggles/face shields when needed?

  Yes

  No

  N/A

• Are employees provided with and using protective clothing (e.g., gloves, coats, aprons, coveralls)?

  Yes

  No

  N/A

• Are employee shoes/boots steel-toed, slip resistant, electrocution resistant, and insulated safety shoes, are they worn when required?

  Yes

  No

  N/A

• Do employees have locks on them for proper LO/TO, and are they locking out equipment before, during, and at the end of day to protect themselves along with co-workers?

  Yes

  No

  N/A

• Do they have the proper fall protection in place?

  Yes

  No

  N/A

Hazardous Materials

• Do you have any hazardous materials in your work area?

  Yes

  No

  N/A

• If you have any hazardous materials, are the MSDSs available?

  Yes

  No

  N/A

• If you have hazardous materials, have they been inventoried within the last year?

  Yes

  No

  N/A

• When transferring chemical materials from the original container to a secondary container are the secondary containers labeled with the proper name and hazard warnings, including target organs affected by an exposure?

  Yes

  No

  N/A

• Please list any hazardous materials (by name and quantity) missing from any chemical inventories for this work area.

  Yes

  No

  N/A