FACILITY SAFETY INSPECTION CHECKLIST

Company: Inspection Completed By:

Location: Date:

Satisfactory Comments/Actions
Administrative:
1. Written safety rules/safe job procedures in place Y N N/A
2. OSHA log updated/safety posters displayed Y N N/A
3. Management Safety Policy in place Y N N/A
4. All planned safety activities performed (meetings, inspections, training) Y N N/A
5. Effective new employee safety orinetation Y N N/A
Life Safety Issues/Housekeeping:
1. Walkways maintained, aisles defined, uncluttered Y N N/A
2. Emergency exits clearly identified, adequate number Y N N/A
3. Egress routes marked and accessible Y N N/A
4. Unapproved doors clearly marked "NOT AN EXIT" Y N N/A
5. Stairs/aisleways free from material storage and debris Y N N/A
Emergency Medical:
1. Emergency contact information posted Y N N/A
2. First aid responders available for each shift Y N N/A
3. Bloodborne pathogens exposure potential adequately addressed Y N N/A
4. First aid supplies adequate and available Y N N/A
5. Transportation available for injured workers/plan in place Y N N/A
Slip/Trip/Fall Hazards:
1. Portable ladders equipped with non-slip feet. Metal ladders marked "Do Not
Use Around Electrical Equipment" Y N N/A
2. Stairways in good repair with handrails, treads and risers in proper proportion
and non-slip Y N N/A
3. Elevated areas have guardrails and toe boards Y N N/A
4. Work areas, aisleways, storage areas are orderly Y N N/A
5. Illumination adequate for normal conditions, emergency lighting in place Y N N/A
6. External walking, parking, break areas free of hazards, well maintained Y N N/A
7. Warning signs posted for wet floors or spills Y N N/A
8. Anti-slip mats and flooring used where appropriate Y N N/A

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 FACILITY SAFETY INSPECTION CHECKLIST
Satisfactory Comments/Actions

Hand Tools:
1. Power tools properly grounded/have safety power switch Y N N/A
2. Defective tools are removed from service Y N N/A
3. Proper guards are provided, tools electrically grounded or double insulated Y N N/A
4. There is a preventive maintenance/inspection program Y N N/A
5. Employees are trained in the safe use of hand tools Y N N/A
Fire Safety:
1. Portable fire extinguishers of proper type are mounted properly, accessible, and
inspected Y N N/A
2. Approved safety containers are used for flammable liquids Y N N/A
3. Bonding and grounding used with storage of flammable materials Y N N/A
4. Combustible debris disposed of regularly Y N N/A
5. Sprinkler system functional/inspected/documented Y N N/A
6. Smoke/heat detectors functional and inspected Y N N/A
7. Minimum 18" clearance below sprinkler heads Y N N/A
8. Sprinkler valves locked open Y N N/A
Electrical Hazards:
1. Machinery and equipment are grounded Y N N/A
2. 36" clearance is maintained in front of all electrical panels Y N N/A
3. Electrical panels clearly marked Y N N/A
4. Outlets, switches and boxes have covers Y N N/A
5. Permanent wiring in place -- no extension cords Y N N/A
6. Exposure of overhead electrical lines controlled Y N N/A
7. Emergency stops and critical electrical controls are identified Y N N/A
8. Appropriate electrical systems designed for hazardous locations have been
installed in spray booths and flammable liquid storage rooms Y N N/A

Mobile Equipment:
1. Observed operating at safe speeds Y N N/A
2. Observed safe loading and unloading practices Y N N/A
3. Equipped with back-up alarms Y N N/A
4. Operators qualified/trained Y N N/A
5. Equipment inspected regularly Y N N/A
6. Seat belt worn by operator Y N N/A
7. Mirrors installed at blind spots Y N N/A

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 FACILITY SAFETY INSPECTION CHECKLIST
Satisfactory Comments/Actions

Mechanical and Manual Material Handling and Storage:

1. Hoist chains, cables and slings are inspected regularly and documented Y N N/A
2. Storage piles are stable and secured from falling or collapse Y N N/A
3. Load limits are posted for all floors above ground level Y N N/A
4. Load limits are displayed on all hoists Y N N/A
5. Manual handling aids available and used Y N N/A
6. Weight limits set for manual lifting, carrying, pushing, pulling Y N N/A
7. Workers trained in proper lifting techniques/ergonomics Y N N/A
Machinery:
1. Lockout/tagout program in place, locks available, employees trained Y N N/A
2. Hazardous areas painted bright colors Y N N/A
3. Guards are provided for "point-of-operation" of machinery Y N N/A
4. Clothing and hair restrictions in place to prevent entanglement in machinery Y N N/A
5. Power transmission guards are in place Y N N/A
6. Noise exposures adequately addressed Y N N/A
7. Warnings displayed in obvious locations Y N N/A
8. Compressed air systems have pressure reduced to 30 PSI and are not used for
cleaning clothing Y N N/A
9. Air hoses provided with safety latch to prevent accidental disconnect Y N N/A
10. Welding equipment in good condition Y N N/A
11. Compressed gas cylinders are secured to prevent falling Y N N/A
12. Overhead hazards from equipment, conveyors and process pipes are guarded
below 7 ft. from floor Y N N/A

Chemicals:
1. Hazardous material containers labeled Y N N/A
2. MSDS available Y N N/A
3. Hazard Communication Training program in place Y N N/A
4. Smoking and eating prohibited in work areas where chemicals are used Y N N/A
5. Eyewash/emergency shower available and functiounal Y N N/A
Personal Protective Equipment:
1. PPE assessment performed -- PPE requirements in place Y N N/A
2. Employees trained in the use and maintenance of PPE -- training documented Y N N/A
3. Hard hat areas designated and enforced Y N N/A
4. Hearing protecting utilized in required areas Y N N/A
5. Face/eye protection in place where needed Y N N/A
6. Safety foot protection required where appropriate Y N N/A
7. Protective clothing, gloves, aprons, boots, face shields and goggles are used
when handling hazardous materials Y N N/A
8. Approved respiratory protection equipment available and fit tested Y N N/A
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