Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Safe Work Practice or Procedures

  • Employee in proper uniform

  • Smoking rules obeyed

  • Use of proper equipment handling techniques

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

  • Use of equipment guards as needed

  • Employee work place clean (FREE of spills, grease, trash etc..)

  • Tools and Machines used properly

  • Tools and Machines properly maintained

  • Flame or Spark producing operations isolated from flammable liquids and material

  • Welding Operations Accomplished Safely ( Employee dressed properly, Hoses Inspected, Cylinder secure, Valves turned off when job is completed, Caps in place, Acetylene cylinders, chained, etc)

  • Other Hazardous Operations are Isolated (Grinding, cutting)

  • Safe procedures when engines are running

  • Tire cage used by any person inflating or deflating a tire

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

  • Air pressure for cleaning purposes reduce to 30 PSI

  • MSDS BOOK current and complete

  • SPCC BINDER current and complete

  • Shop Pit properly secure

Housekeeping

  • Signs indicate Maximum Floor Loading

  • Permanent Aisles marked and clear of objects

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

  • Trash containers sufficient in number and no overflow

  • Permanent ladders firmly attached and in good conditions

  • Cleaning supplies readily available

  • Storage areas neat and orderly

  • ladders stores properly when not in use, and free of defects

  • ALL doors function and lock properly

Fire Control and Prevention

  • Fire door closed and free of obstruction

  • " Exit" and "No Exit" properly marked

  • Do emergency exits have a clear path way?

  • Fire response instructions posted

  • No smoking areas designated and signs posted

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

  • Is there an area that is missing a fire extinguisher?

  • Emergency Response Sheet available

  • Flammables in approved containers and stored properly

Fuel Island

  • Fuel Island as circuit to breaker to shut off pumps- clearly marked

  • Signs posted "No Smoking" and Ignition off

  • Protective Barrier Guards around fuel island to prevent damage

  • manifest for recycled oils

  • At least on 10lbs, Fire Extinguisher within 50 Feet of Fuel Island

  • manifest for sand trap, wash bay

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  • Permanent wiring boxes, switches, outlets and light secure and free of defects

  • Breaker and fuse box clean, of proper type and labeled

  • Machines, tools, vending and water machines grounded and working properly and plugs tight

  • Wiring for extension cords, Portable Lights and tools free of cuts, kinks and wear, used properly and plugs tight

  • Pre Loaded Fork-cliff, tires, all lights, break, emergency break, Fork inclination, Fork Status and Lock, Horn, Raising and lowering the fork

  • Lighting sufficient, free from glare

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 was station station available and inspected in battery room

  • Protective Equipment - Adecuated, Stored, Accesible and Used

  • First Aid equipment available and maintained

Machines, Equipment and Tools

  • Electrical Equipment Tools protected by ground or Double insulation

  • Moving parts within 7 feet or floor enclosed ( fans, pulley etc)

  • Machines guarded at point of operation (Grinder, etc)

  • Appropriate warning sings posted on or near equipment with moving parts

  • Hoists, cranes, jacks, scaffolds marked for capacity

  • Hands tools in good repair, no loose handles, no burrs.

  • SDS, Chemicals PROPERLY labeled

  • Hot work in safe locations away from fire hazards, never performing hot work in an area where flammable vapors or combustible materials exist

  • hydraulic bus lift

  • Lock out and tag out equipment is shut down and inoperable until maintenance or repair work is completed

  • Lock out / tag out accessible to all the employees at the shop

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.