Title Page

  • Inspector

  • Conducted on

  • Location

General Facility

AISLES/EXITS/EGRESS

  • Minimum width of any aisle leading to an exit is at least 44 inches wide

  • Are exits marked, free of debris and readily accessible at all times?

  • Is emergency lighting operating?

  • Can you see marked exits or exit signs from the aisles in your area?

  • Are aisles and doorways kept clear; and free of obstructions with trip hazards minimized to permit visibility and movement?

  • Are doors not used for egress (closets, offices, etc) that could incorrectly be thought to be an exit labeled “NOT AN EXIT?”

  • Are floor surfaces clean, dry, level, not slippery or sticky and in good condition?

COMPRESSED GAS CYLINDERS

  • Are cylinders legibly marked to clearly identify the gas contained?

  • Are cylinders stored away from heat source and do they have separation between flammables and oxidizers?

  • Are cylinders located or stored in a manner to prevent them from falling over? This includes empty containers which must have their protective cap in place.

  • Are valve protector caps placed on cylinders when not in use?

  • Are flammables and combustibles stored properly?

EMERGENCY, HEALTH, AND SAFETY INFORMATION

  • Are area hazard signs visible, legible, understandable?

  • Are procedures established for alerting employees of an emergency in the workplace (i.e., fire, shelter, evacuation, etc.)?

  • Are fire alarm pull station locations marked and unobstructed?

  • Are signs with emergency numbers, routes, and evacuation plans posted?

  • Is a copy of the Emergency Action Plan (EAP) for the area available for employees to read?

  • Are employees trained on emergency procedures? Do they know where to assemble in case of an emergency?

FIRE EMERGENCY

  • Are fire extinguishers fully charged and have current inspection dates?

  • Are fire extinguishers mounted, visible, and accessible?

  • Do employees know where the fire extinguishers are and how to use them?

  • Are fire suppression devices (fire extinguishers, deluge systems, monitors, hydrants, hoses cabinets, hoses, etc.) appear to be in good operating condition?

FIRE PREVENTION

  • Are “NO SMOKING” areas enforced?

  • Are electrical outlets or cords not overloaded? Only allowable number of connections (i.e., a 4-way outlet only has 4 pieces of equipment connected and not loaded with additional extension cords).

  • Are fire sprinkler heads unobstructed and free of dirt and corrosion?

FLAMMABLES/COMBUSTIBLES

  • Are hazardous materials properly stored?

  • Are chemicals properly stored and returned to appropriate cabinet at end of shift?

  • Are aerosol cans in good condition (no corrosion, damage, etc.)? If not in use, are they stored in the appropriate flammable/combustible cabinets?

  • Are flammable cabinets grounded and in good condition?

  • Are flammable liquids stored in approved safety containers?

  • Are materials that could burn kept away from ignition sources?

  • Is area free of excessive trash or combustibles?

  • Are the tops of the flammable / combustible cabinets clear (nothing stored on top)?

  • Are all flammable bottle tips unmodified and/or undamaged?

  • Is heat producing equipment turned off at night when no one is present?

HOUSEKEEPING/WORK ENVIRONMENT

  • Are desk/work and storage areas clean, organized, and sanitary?

  • Are trash containers (large 55 gallon) covered? If less than 55 Gal, are they maintained appropriately?

  • Are electrical/network cables organized to eliminate trip hazards?

  • Are drawers of desks and file cabinets kept closed when not in use?

  • Are file cabinets arranged so drawers do not open into aisles?

  • Is only one file drawer opened at a time?

  • Is knife blade on paper cutter lowered and latched when not in use?

  • Is required lighting operational and/or appear adequate for the area and work performed?

  • Are floor openings covered and secure?

  • Are spilled or dropped items cleaned up and put away?

  • Are guardrails installed, free of corrosion or obvious discrepencies , and visibly in good condition?

SECURITY ITEMS

  • Do employees have proper ID badges?

  • Do contractors/vendors have proper ID badges?

  • Are visitors escorted and have proper ID badges?

  • Are contractors and visitors displaying their ID badges?

  • Are doors that should be secure not being propped open?

STRUCTURES

  • Ceiling tiles are not damaged, loose, or missing?

  • All overhead hazards have been identified?

ENVIRONMENTAL

CLEAN AIR ACT COMPLIANCE

  • Are any solvent contaminated rags lying about in the work area?

  • Are solvent contaminated rags properly disposed of?

  • Have all open top solvent pump cans been removed from the work area?

  • Are containers, solvent dispensing containers, paint gun cleaning containers,<br>and solvent dispensing bottles closed when not in use?

CLEAN WATER ACT COMPLIANCE

  • Employees do not dump wastes into drains or sinks unless authorized (including wash water and mop water)

  • No wastes dumped outside or in storm sewers or catch basins?

  • Are pipes, pumps, hoses, and valves free of leaks or defects?

  • Do sumps, pits, lift station containment valves remain dry?

  • Are spills and leaks attended to and reported when required?

HAZARDOUS/NON-HAZARDOUS WASTE COMPLIANCE

  • Are hazardous waste containers properly identified and labeled with the words, “HAZARDOUS WASTE?”

  • Are used oil collection containers properly identified and clearly labeled with the words, “USED OIL?”

  • Are controlled and non-hazardous wastes being collected and managed properly (i.e., laundry, coolant sludge, composite waste, batteries, flourescent lamps)?

  • Are containers properly identified and clearly labeled with contents?

  • Are hazardous waste collection containers fully closed while not in use?

  • Are used oil waste containers closed while not in use?

  • Are trash cans free of hazardous waste?

  • Are trash cans free of scrap metal?

  • Is there less than 55 gallons per waste stream at satellite accumulation area(s)?

  • Are hazardous waste satellite accumulation area signs in place?

  • Are employees familiar with the waste materials generated in the work area and the proper disposal method(s)?

  • Are proper absorbent materials on hand for spills?

  • Is waste removed in a timely manner?

SAFETY

EMPLOYEE WORK PRACTICES

  • Are employees and contractors free from metal jewelry or other items that could get pulled into rotating equipment when around machinery?

  • Is the Safe Work Permit available and correctly filled out for any work being performed in area?

ELECTRICAL EQUIPMENT MARKINGS

  • Do circuit breakers clearly indicate whether they are in the “ON” or “OFF” position and are switch panels clearly marked?

  • Is electrical panel access clear – 36 inches clearance in front of panel?

  • Is equipment intended for long-term use hard wired into permanent facility wiring?

  • ELECTRICAL GROUNDING

  • Are electrical appliances, portable electrical tools, and fixed electrical equipment grounded or UL rated/double insulated and in good repair?

  • Do extension cords (in use and stored) have a grounding conductor and are in good condition (no cuts, kinks, missing prongs, etc.)?

  • Are extension cords used only for temporary wiring applications?

EQUIPMENT

  • Proper guarding of any pinch points, rotating collars, cams, chucks, couplings, shafts flywheels, spindles, bolt ends, rotating mechanisms, etc?

  • Are all protective guards (including light curtains and interlocks) in place, effective, and checked daily or before use?

  • Are all controls and emergency stops clearly identified and within reach of operator?

  • Are all emergency stops, safety guards, and safety devices located on equipment and tools working and adjusted properly?

  • Are grinder gaps 1/8 inch from bottom of wheel and 1/4 inch from top of wheel?

  • Grinding wheel surface not damaged or worn (must be square and no grinding on side of wheel)?

  • No aluminum found in grinding wheel surface?

  • Are fans inspected annually for damage (cracked blades, guards, cords, etc)?

  • Are heat lamp and work light bulbs guarded?

  • Are all fixed machines bolted to the floor?

  • Do air nozzles have relief valves to decrease pressure to 29 psi or lower?

  • Are air disconnects and safety nozzles the correct type?

  • Air lines and hydraulic lines free of damage?

ERGONOMICS

  • Ergonomic problems observed with workstation, keyboard, posture, or work habits?

  • Employees are advised on the proper lifting techniques?

  • Are mechanical lifting aids available for heavy or awkward items?

EYEWASH STATION

  • Eyewash / Shower Station's is clean, operational, and missing no equipment?

  • Eyewash / Shower Station's is located in a way that assures free and unimpeded access?

FORKLIFT/INDUSTRIAL TRUCKS – DAILY INSPECTION

  • Daily visual inspection performed prior to use? Is monthly inspections documented and filed?

  • Do all operators have current qualification?

  • Are service valves closed on all propane equipment left inside overnight?

  • Harness and lanyard used at all times with scissor-lift, aerial platform, etc?

  • Are Powered Industrial Trucks (PIT's) driven backwards with awkward or bulky loads?

  • Are all traffic signs observed? (Operators must stop at stop signs.)

  • Are pedestrians given the right-of-way?

  • Are safety glasses and seatbelt worn while operating the truck?

HAZARD COMMUNICATION – CHEMICAL SAFETY

  • Do employees know what an SDS (Safety Data Sheet) is, where to find them, and how to use them?

  • Is each container of hazardous chemicals in the work area properly labeled by<br>identifying the chemical it contains and marked with health hazards?

  • Are all chemicals that are used in the facility listed in the Online SDS Management System and available?

  • Is food separated and away from chemicals in the work area?

HOIST/CRANES/LIFTING DEVICES

  • Are all slings, hoists, chains, jacks, and supports certified and tagged with load limits and inspection dates?

  • Is the weight of all loads known and is the crane visually inspected before use? Is the monthly inspection documented and filed?

  • Is there a full, unrestricted view for operator before lifting load?

  • Are all loads being lifted overhead secured?

  • Is there no one beneath the load while it is suspended?

  • Does the crane operator have a current license or certificate (for crane operation and rigging applications)?

LADDERS/SCAFFOLDING

  • Are all rungs or steps on ladders present and in good condition?

  • Are all labels present and legible on ladders?

  • Is ladder inspection attached and current?

  • Are all ladders in good condition with no structural damage?

  • Are there no metal or aluminum ladders in electrical areas?

  • Are ladders being used properly (only one person on ladder at a time and no one standing above the second step down from the top)?

  • Are fixed stairs being used (instead of ladders) where regular travel is needed?

PERSONAL PROTECTION EQUIPMENT (PPE): EYE AND FACE/RESPIRATORY/HEARING

  • Are high-noise areas clearly marked with "Hearting Protection Required" signs or messaging?

  • Is hearing protection devices readily available close to work area?

  • Are the hearing protection devices dispensers clean, maintained, and stocked?

  • Are approved safety glasses, face shields, side-shields, gloves, aprons, FRC clothing, and hearing protection used in required areas?

  • Are employees using appropriate respirators for the work being done?

  • Are respirators clean and stored properly?

  • Are employees using respirators clean-shaven (so mask will seal against face)?

  • Are employees trained and knowledgable in their proper use?

  • Are Escape Respirators clean, full, and stored properly? Inspection current?

PPE: FALL PROTECTION

  • Is appropriate fall protection provided and used properly (safety harness, lanyard, and if needed, self-retracting lifeline)?

  • Is fall protection PPE stored properly, kept clean, and out of direct sunlight?

  • Is fall protection inspected before each use, documented and filed monthly, and certified annually?

  • Are the employees Trained and certified for the specific fall protection use? Visually verified by seeing certification card or training roster?

WALKING SURFACES/STAIRS

  • Are all floor tracks / sumps covered?

  • Is the angle of fixed stairs within 30 to 50 degrees?

  • Are non-slip surfaces in good condition on steps and platforms?

  • Are stairwells clear and handrails in good condition?

  • Are mobile work platforms available and used?

Representatives

  • SSCA Representative

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.