Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Safe Work Practices or Procedures

  • Employee dressed in proper uniform<br>

  • Smoking rules obeyed

  • Use of proper equipment handling techniques

  • No evidence of horseplay, improper climbing, jumping, running, or other unsafe acts

  • Use of equipment guards as needed

  • Employee work place clean (Free of spill, grease, trash etc..)<br>

  • Tools and Machines used properly and properly maintained<br>

  • Flame or Spark producing operations isolated from flammable liquids and materials <br>

  • Welding Operations Accomplished Safely (Employee dressed properly, Hoses Inspected , Cylinders secure, Valves turned off when job completed, Caps in place, Acetylene cylinders chained, etc..)<br>

  • Other Hazardous Operations are Isolated (Grinding , cutting etc..)<br>

  • Safe procedures when engines are running<br>

  • Tire cage used by any person Inflating or Deflating a tire <br>

  • Proper use of approved stands to support vehicles (not jacks )<br>

  • Air preasure for cleaning porpuses reduce to 30 PSI<br>

  • MSDS Book current and complete<br>

HOUSEKEEPING

  • Signs indicate Maximum Floor Loading <br>

  • Permanent Aisles marked and clear of objects.<br>

  • Floors, Clean, Free of defects, no grease and oil spills<br>

  • Trash containers sufficient in number and no overflow<br>

  • Permanent ladders firmly attached and in good condition<br>

  • Cleaning supplies readily available<br>

  • Storage areas neat and orderly<br>

  • Ladders stores properly when not in use, and free of defects<br>

  • All doors function and lock properly<br>

Fire Control and Prevention

  • Fire door closed and free obstruction

  • "Exit" and "No Exit" porperly marked

  • Fire response instruction posted

  • No smoking areas designated and signs posted

  • Fire Extinguisher in good condition at proper height, visible, accessible, securely mounted, marked and tagged

  • Flammables in approved container and stored properly

Fuel Island

  • Fuel Island as circuit breaker to shut off pumps- Clearly marked <br>

  • Signs posted "No Smoking" and "Ignition Off"<br>

  • Protective Barrier Guards arround fuel island to prevent damage<br>

  • At least one 10 Lbs. Fire Extinguisher within Fifty Feet of Fuel Island <br>

OTHER

  • Permanent wiring boxes, switches, outlets and lights secure and free of defects<br>

  • Breaker and fuse box clean, of proper type and labeled<br>

  • Machines, tools, vending and water machines grounded and working properly<br>

  • Wiring for extension cords, Portable Lights and tools free of cuts, kinks and wear, used propperly and plugs tight.<br>

  • Lighting sufficient, free from glare<br>

HEALTH AND SANITATION

  • Food areas cleaned and maintained

  • Bathroom areas cleaned and equipped

  • Ventilation good ( Includes special venting as needed)

  • Noise level OK- Hearing protection in use

  • EMERGENCY EYE WASH STATION available and inspected in battery room

  • Protective Equipment - Adequate, Stored, Accessible and Used <br>

  • First Aide equipment available and maintained

MACHINES, EQUIPMENT AND TOOL

  • Electrical Equipment and Tools protected by ground or Double insulation <br>

  • Moving Parts within 7 feet or floor enclosed ( fans, pulley , etc) <br>

  • Machines guarded at point of operation (Grinders , etc)<br>

  • Appropriate warning signs posted on or near equipment with moving parts <br>

  • Hoists, cranes, jacks, scaffolds marked for capacity <br>

  • Hand tools in good repair, no loose handles, no burrs, etc.. <br>

Security

  • Security Cameras are working

  • Video Recording system is working

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.