Supervisor Safety Inspection Checklist

• Document No.

• Audit Title

• Division/Department

• Conducted on

  Date

• Prepared by

• Location
  Address

• Select date and time inspection took place.

  Date

Housekeeping

• Are aisle ways and exits clear and unobstructed?

  Yes

  No

  N/A

• Are offices and storage areas clean, orderly, and free of debris and slipping/tripping hazards?

  Yes

  No

  N/A

• Are cabinet tops clean and not used as storage?

  Yes

  No

  N/A

• Are mops and brooms stored in a well ventilated area with heads up off the floor?

  Yes

  No

  N/A

• Are janitors closets clean and not used for storage?

  Yes

  No

  N/A

• Are food appliances and eating areas kept clean?

  Yes

  No

  N/A

• Are floors adequately swept, mopped, vacuumed and free of slipping/tripping/fall hazards?

  Yes

  No

  N/A

• Are fluorescent light tubes properly disposed of?

  Yes

  No

  N/A

• Are filing cabinet drawers evenly loaded to prevent tipping over?

  Yes

  No

  N/A

• Select date and time inspection took place.

  Date

Electrical

• Is the use of extension cords eliminated when possible?

  Yes

  No

  N/A

• Are only UL-approved extension cords and/or power strips used?

  Yes

  No

  N/A

• Are electric cords in good repair (not spliced or taped, ground prong intact, plug secure on cord)?

  Yes

  No

  N/A

• Are electric cords arranged so they do not present tripping or other hazard?

  Yes

  No

  N/A

• Are electric cords kept out of doorways and aisles?

  Yes

  No

  N/A

• Are breaker boxes and junction boxes securely covered?

  Yes

  No

  N/A

• Are heat-producing appliances plugged directly into hard-wired outlets, not extension cords?

  Yes

  No

  N/A

• Do portable heat-producing appliances have tip over safety feature?

  Yes

  No

  N/A

• Are electrical outlets not overloaded?

  Yes

  No

  N/A

• Is emergency lighting operational?

  Yes

  No

  N/A

• Do electrical panel boxes lock and close properly?

  Yes

  No

  N/A

• Select date and time inspection took place.

  Date

Sign Posting/Labeling

• Is a written Emergency/Evacuation Plan posted and up to date?

  Yes

  No

  N/A

• Are Bomb Threat procedures posted near doors and phones?

  Yes

  No

  N/A

• Are Industrial Hygiene Surveys available and up to date?

  Yes

  No

  N/A

• Is the Commanding Officer's Safety Policy Statement posted and up to date?

  Yes

  No

  N/A

• Are applicable Safety and Occupational Heath (SOH) and Fire Deficiency Notices posted and up to date?

  Yes

  No

  N/A

• Are routine (monthly/quarterly) supervisor workplace safety inspections being conducted and recorded?

  Yes

  No

  N/A

• Are Unsafe/Unhealthful report forms readily available to employees?

  Yes

  No

  N/A

• Is the DOD Safety & Occupational Health Protection Program poster (DD2272) posted on the official bulletin board?

  Yes

  No

  N/A

• When required, are floor loading signs posted? (I.e., mezzanine areas)

  Yes

  No

  N/A

• Select date and time inspection took place.

  Date

Miscellaneous

• Are office furnishings and chairs in good repair?

  Yes

  No

  N/A

• Do rolling chairs have 5 casters?

  Yes

  No

  N/A

• Are step stools and ladders sturdy and fitted with rubber caps to control movement while in use?

  Yes

  No

  N/A

• Are paper cutters equipped with safety latches, finger guards, and stored with the blade locked?

  Yes

  No

  N/A

• Are fans equipped with adequate blade guards?

  Yes

  No

  N/A

• Are all employees briefed on the office emergency evacuation plan and re-assembly?

  Yes

  No

  N/A

• Is ergonomic hazard mitigation being used?

  Yes

  No

  N/A

• Are area JHAs up to date, and are they available for worker review?

  Yes

  No

  N/A

• Select date and time inspection took place.

  Date

Fire protection

• Are emergency egress lanes clear and unobstructed?

  Yes

  No

  N/A

• Are personnel EXIT signs posted and clearly visible?

  Yes

  No

  N/A

• Are fire exits kept free of obstructions?

  Yes

  No

  N/A

• Are the directions to exits, when not immediately apparent, marked clearly with visible signs?

  Yes

  No

  N/A

• Are emergency egress EXIT signs illuminated and in working order?

  Yes

  No

  N/A

• Are fire suppression sprinkler heads kept clean?

  Yes

  No

  N/A

• Are sprinkler heads protected by metal guards when exposed to physical damage?

  Yes

  No

  N/A

• Is proper clearance maintained below sprinkler heads (18 inches)?

  Yes

  No

  N/A

• Are appropriate fire extinguishers mounted, located, and identified so they are readily accessible to employees?

  Yes

  No

  N/A

• Are all fire extinguishers inspected monthly and recharged regularly and noted on the inspection tag?

  Yes

  No

  N/A

• Select date and time inspection took place.

  Date

Hazardous Material

• If secondary containers are used, are they properly labeled?

  Yes

  No

  N/A

• Are MSDS logs current and readily available?

  Yes

  No

  N/A

Training

• Are all personnel assigned appropriate (Core) duty/task(s)?

  Yes

  No

  N/A

• Are all personnel assigned correct job specific duty/task(s) that correctly identify their training requirements?

  Yes

  No

  N/A

• Are all personnel current with required training and medical surveillance?

  Yes

  No

  N/A

Signature

• Signature of inspector. (Sign when all sections have been completed.)

  Sign