Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Manufacturing Area

    Manufacturing Areas
  • Flooring provides adequate slip resistance with present levels of contamination

  • Flooring changes present trip free facilities (no greater than 1/4” or 6.5mm)

  • Thresholds used at doorways are necessary and do not present trip hazard

  • Single step trip hazards do not exist on production machinery

  • Stairs and ladders comply with OSHA in USA, HSE in Europe and other local laws

  • Correct safety skid resistant shoes are worn in wet or heavily contaminated areas

  • Correct flooring materials are in wet or heavily contaminated areas

  • GMP flooring materials must not present a slip hazard where contamination/ small parts present an additional risk

  • Contamination of liquids (i.e. silicone), small parts, plastic pellets are adequately addressed through engineering controls

  • GMP booties must have skid resistant soles that provide adequate walking traction and do not present a hazard in themselves

  • PPE (glasses, goggles or suits) have strong visual cues

  • Contaminated areas have skid resistant ladders and platforms

  • Ladders/platforms provide open grating and skid resistance to clean soles

  • Safe containment curbing with appropriate visual cues is evident

  • Rail siding railings are in place to prevent falls into open pits

  • Pallet loading areas to elevate platforms have normally closed gates

  • Emergency exits
  • Emergency exit routes take people through areas with low risk for slips or trips, especially during lighting failures

  • Emergency exit doors pose no trip potential due to elevation change through solid closed doors

  • Emergency exit areas outside doors have no standing water or other potentially slippery areas

  • Emergency exit doors have adequate emergency lighting during a major power failure

  • Emergency evacuation route has appropriate visual clues if stair or ramps are involved (no single or partial steps exit)

Other areas

Food Service Areas

  • Trip free walking surface - no abrupt changes greater than 1/4” or 6.5mm

  • Food, drink and tray dispensing areas have spill tolerant flooring, 3-D type surface, surface grit or abrasive coating in specific localized areas

  • Transition to carpeted or other material type eating areas complies with 1/4” or 6.5mm

  • Steps (if used - 2 or more) have good visual cues (color change)

  • Chairs have sufficient spacing to provide trip free walking areas

  • Laboratory Areas
  • Flooring can handle small amounts of potential contaminants and provide slip resistant walking surface (with or without appropriate safety shoes)

  • Safety showers are piped away and do not present additional slip hazard

  • Visual cues are appropriate for Personal Protective Equipment use (goggles, eye glasses)

  • Wet floor signs are available if spill occurs, to protect unaware employee

  • Spill kits are available to safely clean and dispose of laboratory spills

  • Flooring in close proximity to sink has skid resistant coating

  • Office Areas
  • Carpeting has no rips or folds and provides good walking surface

  • Floor material transitions do not exceed 1/4” or 6.5mm

  • Electric cords do not present trip hazards when in use

  • File boxes, briefcases, purses do not present trip hazards

  • Thresholds at doorways are needed and do not present trip hazard

  • Low level planters do not provide trip hazard

  • Housekeeping is kept up to J&J standards and obsolete materials are disposed of properly

  • Temporary maintenance procedures do not present new trip hazards

  • Product samples are not stacked in corners to present potential trip hazard

  • Distribution Areas
  • Floors present good slip resistance with small amounts of contamination

  • Floors do not have cracks or separations that present trip hazards

  • Floors do not have misaligned concrete section greater than 1/4” or 6.5mm

  • Dock doors are always closed or have additional railings when not in use to prevent falls to pavements.

  • Lift truck hydraulic fluid leaks are controlled through preventative maintenance program

  • Spill kits and signs are available to control liquid spills

  • Concrete curbs or other dividers to separate materials do not present trip hazards

  • Empty pallets are not left on the floor as trip hazards

  • Forks on lift trucks are not parked adjacent to pedestrian aisles to form trip hazards

  • Outdoor material handling activities do not track moisture onto interior concrete floors with poor skid resistance

  • Emergency exits
  • Emergency exit routes take people through areas with low risk for slips or trips, especially during lighting failures

  • Emergency exit doors pose no trip potential due to elevation change through solid closed doors

  • Emergency exit areas outside doors have no standing water or other potentially slippery areas

  • Emergency exit doors have adequate emergency lighting during a major power failure

  • Emergency evacuation route has appropriate visual clues if stair or ramps are involved (no single or partial steps exit)

Entrances

    Overhangs, Awning or Architectural Overhangs at Entrances
  • Entrances have some protection from the elements at all entrances

  • Exterior entrance mats are in place to remove excess snow or water on soles

  • Entrance Walkways and Curbs
  • Surfaces are level, and misaligned concrete or bricks are not a trip hazard

  • Walking surface provides good traction under wet conditions

  • Walkways are properly pitched to eliminate standing water

  • Curbless walkways are desirable at high volume pedestrian entrances

  • (Excellent visual cue by color change or other marker is second choice)

  • Snow melt or rain drainage does not drain over walking surfaces

  • Lobbies and Vestibules
  • Vestibule exists in snow and severe weather areas to seal out elements

  • Entrance mat system is in place to remove and drain excess moisture

  • Mat is recessed into floor and provides level surface (Less than 1/4” or 6.5mm)

  • Floor mat framing is not slippery when wet

  • Main flooring in lobby can tolerate moisture without being a slip hazard

  • Sufficient entrance mat length is provided to dry shoe soles

  • No trip hazards exist between lobby flooring and next flooring surface

  • No trip hazards exist as a result of using entrance mats

Stairs

    Stairs and Ramps
  • Steps are uniform, even and to correct pitch (complying with OSHA in USA, HSE in Europe and other building, egress, and fire codes)

  • Stairs have abrasive (friction enhancing) leading edge

  • Tight diameter winding/spiral, or circular staircases are not used

  • Walking surface of stairs provides good traction, even with slight contamination (handles all shoe materials well)

  • Sturdy handrails are provided for entire length of staircase per codes

  • Stairs have appropriate visual cues (color difference or other enhancement)

  • Single step elevation changes are avoided or replaced by a ramp

  • Staircases and landings are well illuminated

  • Plants, waste receptacles and other obstacles are not placed on staircases

  • Landings are level and of sufficient size

  • Ramps have slopes less than 1 to 12°

  • Ramps have good slip resistant surface - .80 Coefficient of Friction

  • Pedestrian ramps have handrails in compliance with ADA criteria

  • Pedestrian and lift truck ramps are separated

  • Ramps are well illuminated

  • Ramps have no trip hazards or discontinuous surfaces

Aisles

    Main Interior Aisles (High Volume Pedestrian Walkways)
  • Trip free surfaces (No abrupt changes 1/4” or 6.5mm, or greater)

  • Surfaces provide good slip free walking surface for all shoe materials, even with slight surface contamination

  • Carpeting is firmly fastened with no folds or tears

  • Flooring transitions/thresholds are protected by closed doors

  • There are no open or automatic doors when thresholds are present

  • Transitions between different materials comply to 1/4” or 6.5mm (or sloped transitions are in place for greater changes)

Washrooms

    Washroom and Locker rooms
  • Showers have skid resistant flooring and grab bars

  • Area outside showers have drains with skid resistant flooring (ideal would be entrance vestibule type matting recessed in floor)

  • Locker rooms or change areas have skid resistant flooring

  • Mats expressly designed for these applications are used to improve existing conditions

  • Transitions between flooring materials comply with 1/4” or 6.5mm

  • Standing water is not evident

  • Towel dispenser is positioned adjacent or over sinks to minimize dripping on floor (alternative is skid resistant/water tolerant flooring)

Parking Lots

Parking Lots (High Volume Pedestrian Walking Areas)

  • Surfaces are level and free of potholes, large cracks or trip hazards

  • Walking surface provides good traction under wet conditions

  • Standing water is minimal, especially in heavy pedestrian walkways

  • Parking bumpers provide good visual cue, and use is minimized

  • Inadvertent trip hazards are not present in heavy pedestrian walkways

  • Lines (white/ yellow/ blue) and metal covers/ grates/ drains do not present a slip hazard when wet

  • Speed bumps have excellent visual cues and are not in heavy walkways

  • Handicap zones meet local requirements, including walking surface

Other requirements

Personal Protective Equipment

  • The wearing of PPE does not increase the chance for a slip or trip

  • Prescription safety glasses are fitted regularly to prevent slips or trips

  • Surveys are frequently done to determine the adequacy of safety shoes, floor coatings, maintenance activities like waxing, and snow removal

  • An annual news article on the use of personal protective equipment is written to increase awareness of related slip and trip hazards

  • Boots, rubbers and safety shoes are evaluated for slip resistance in the facility

Shops and Remote Work Areas

  • The slip resistance of the floor is adequate for the contaminants that are normally found because of the activities here

  • Housekeeping and storage techniques minimize trip hazards

  • Temporary electric cords to service equipment do not pose a trip hazard

  • In areas where personal protective equipment is used, additional visual cues are provided in case of obscured vision

  • There are no trip hazards due to misaligned concrete

  • Mats or other repairs adequately solve potential slip or trip problems

  • Lift truck forks (which present a trip hazard) have a protected area for service

  • Ladders and movable stairs have adequate slip resistance

  • Mobile lift or snorkels have slip resistant walking surfaces

  • Pick up trucks or trackmobiles have slip resistant walking surfaces

  • Falls From Heights
  • Policy and training on ladder safety?

  • Policy on working on elevated surfaces (including roofs, personal lifts, ladders, scaffolds, etc)?

  • Roof perimeter marked at 6'?

  • Guarded skylights?

  • Work platforms guarded appropriately?

  • Work on equipment, tanks, platforms, etc. guarded appropriately?

  • Fall protection (guardrails, restraint system) in place for roof work within 6' of roof edge?

  • Falls from heights due to the fact that there are "no self closing gates on a mezzanine"

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.