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Safety Inspection Checklist Template

safety inspection checklist

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Randy Pedroza
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0% found this document useful (0 votes)
15 views5 pages

Safety Inspection Checklist Template

safety inspection checklist

Uploaded by

Randy Pedroza
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

CENAPRO CHEMICAL CORPORATION HEALTH & SAFETY COMMITTEE

Safety Inspection Checklist

Building/Department(s):
____________________________________________________________________________________________

Date: ____________________ Time: ___________ Start ___________ Finished _____________

Inspector(s): _______________________________________

__________________________________________________
Checklist Items Yes No NA Checklist Items Yes No NA
A. General – All Areas 1. Are all corridors unobstructed?
1. Are all ceiling tiles in place and in 2. Are all exit doors unobstructed?
good condition? 3. Are exit signs posted and properly
2. Is all furniture in good/stable illuminated to clearly indicate exits?
condition and properly adjusted? 4. Are all exit doors able to be opened
3. Are wall-mounted bookcases free of from the inside without special
excessive materials on top and not knowledge/keys?
overloaded? Chemicals & heavy items 5. Are exit doors free of slide bolts or
should not be stored above head locks?
height (6 ft)
4. Are all walking or working surfaces E. Electrical
free of tripping/slipping hazards? 1. Is there at least three (3) feet of
5. Are emergency phone numbers and clearance in front of electrical panels?
procedures posted at or near 2. Are electric hand tools properly
telephones? grounded/double insulated?
6. Are all fans equipped with a blade 3. Is the area free of extension cords?
guard with openings no greater than ½ (Surge protectors - not power strips -
inch? are allowed)
7. Is consumption of food, beverage, 4. Is all electrical equipment plugged
etc. prohibited where required? directly into the wall outlets?
B. General – Machinery & Equipments 5. Are all cords/plugs free from
1. Are machine and belt guards in damage or deterioration?
place and in good condition? 6. Are switches and circuit breakers
2. Is pedestal machinery securely properly identified as to the service
anchored to the floor? they are in and to what they control?
3. Is equipment properly maintained 7. Are circuit breaker panels free of
and adjusted to prevent personal injury combustible materials?
and equipment damage? 8. Are cover plates in place on junction
4. Is all piping appropriately identified boxes to eliminate exposed wiring?
as to contents/direction of flow? 9. Are “Warning High Voltage” signs
5. Are hot pipes and surfaces guarded installed on high voltage enclosures for
against contact and clearly marked systems rated 600V or over?
“HOT”? 10. Is all electrical, including light
6. Are areas requiring use of protective fixtures, protected from physical
equipment (e.g. Eye Protection damage by enclosure/guards?
Required) adequately posted with F. Emergency Equipment
warning signs and enforced? 1. Is emergency equipment (alarm pull
7. Is damaged/malfunctioning boxes, eyewashes, showers, etc.)
equipment tagged “Out of Service”? accessible and not blocked by
C. General – Laboratories equipment?
1. Are working surfaces clear and 2. Are emergency eyewashes/showers
organized? provided in the required chemical
2. Are working surfaces made from areas?
non-porous & chemical resistant 3. Are eyewash/showers flushed
materials? weekly and inspected annually?
3. Are phones accessible and 4. Is all emergency equipment in good
emergency numbers posted? condition?
4. Are hazards signs and contact 5. Are spill kits accessible and fully
names for the lab/studio posted on the stocked?
outside of the lab? G. Storage - General
5. Are areas requiring use of personal 1. Is good housekeeping practiced in
protective equipment adequately work area?
posted with warning signs and 2. Is storage adequately
enforced? supported/stable to avoid
6. Is safety instruction part of each lab tipping/falling?
or class? 3. Is there at least two (2) feet
7. Are ventilation hoods NOT used to clearance between stacked materials
store chemicals? and ceiling light?
D. Exits/Corridors H. Storage – Fire Protection
Checklist Items Yes No NA Checklist Items Yes No NA
1. Is the storage of combustibles in the with the name of the material and the
work area held to a minimum to avoid primary hazard, e.g. flammable, toxic
a fire hazard? 2. Materials Safety Data Sheets are
2. Is clearance of at least 18 inches available for all hazardous materials
maintained around fire sprinkler heads present. MSDS are current.
and 2 feet below ceiling height? 3. Are hazardous wastes labeled as
3. Are flammable/combustible liquids such?
in excess of one day’s operational 4. Are hazardous materials stored
supply kept in approved flammable properly, e.g. compatibles, flammable
materials storage (FMS) cabinets? cabinets, toxics locked?
4. Are all FMS cabinets free of 5. Do containers look undamaged?
combustible materials (cardboard, 6. Are there spills or leaks?
paper, plastic, etc.) L. Railing/Elevated Work Areas
5. Are all flammable containers 1. Are drain openings, pits in the floor,
properly closed/covered to control or walking surfaces guarded to prevent
vapors? tripping/slipping?
6. Are combustible items at least 18 2. Are toeboards in place on elevated
inches from heat source? platforms to prevent objects from
7. Are all refrigerators used for storage falling off the platform?
of flammable/combustible 3. Are standard guardrails provided on
liquids/materials approved and elevated platforms?
explosion proof?
4. Are handrails provided and in good
8. Are flammable/combustible liquids condition on stairways?
returned to approved flammable liquid
5. Are there provisions for safe access
storage cabinets at the end of the
to elevated machinery/equipment?
workday?
M. Ladders
9. Are sprinkler valves unobstructed?
1. Are portable ladders in good repair
I. Storage – Compressed Gas Cylinders
and safe to use?
1. Are all cylinders properly secured
2. Are mobile ladder stands in good
with straps or chains to prevent
condition?
tipping/falling?
N. Forklifts
2. Are protective valve caps in place
when cylinder is not in use? 1. Are defective forklifts taken out of
service and tagged “Do Not Use”?
3. Are empty and full cylinders stored
separately? 2. Are forklift inspection forms current
and maintained in a file?
4. Are only chemically compatible
cylinders stored together? 3. Are load limits clearly posted in the
area?
5. Are cylinder contents adequately
labeled and easily seen? 4. Are forklift operating rules clearly
posted in the area?
6. Is the correct regulator being used
for the cylinder service? 5. Are all operators trained and
authorized?
7. Are highly toxic gases stored in
vented gas cabinets?
J. Personal Protective Equipment (PPE)
1. Has a job hazard assessment been
O. Fire Protection
completed and signed by EHS?
1. Are emergency evacuation plans
2. Is the requirement to use protective
posted?
equipment enforced?
2. Are all self-closing doors operational
3. Is the proper PPE worn?
(No doorstops)?
4. When not in use, is PPE properly
3. Are walls and floors free of
maintained/stored?
holes/penetrations?
5. Is PPE readily available for all
4. Are no smoking regulations clearly
personnel including visitors to the
posted and being followed in “No
area?
Smoking” areas?
6. Are all employees using respiratory
5. Are fire extinguishers and signs
protection properly trained and
clearly visible?
authorized by EHS?
6. Is access to fire extinguishers clear
K. Hazardous Materials
and unobstructed?
1. Are hazardous materials labeled
Checklist Items Yes No NA Checklist Items Yes No NA
7. Are all extinguishers in place and 8. Are doors to the peripheral rooms
properly inspected (monthly) and closed?
maintained (annually)? 9. Is paper stored in computer room
8. Is the building number or address limited to a one-day supply?
posted? 10. Is the room free of repair shop
P. Training operations?
1. Have personnel been trained in the 11. Is the room free of soldering irons?
use of personal protective equipment? 12. Is the room free of coffee makers,
2. Are all employees trained in electric floor/space heaters, etc.?
hazardous substances safety? T. Lockout / Tagout
3. Have personnel working in high 1. Are LO/TO procedures followed?
noise areas been trained in hearing U. Confined Spaces
conservation? 1. Are Confined Spaces procedures
4. Have employees who use followed?
respirators been trained, fit tested, and
received the required health
monitoring examination?

5. Have employees been trained in


emergency procedures?
6. Other training:
Q. Ergonomics
1. Are desk chairs equipped with seat
and back height and tilt adjustments?

2. Do you see anyone working in an


awkward position?
3. Do employees have tools to assist
in lifting and moving heavy or awkward
materials?
4. Are employees using proper lifting
techniques?
R. Grounds
1. Are walking or working surfaces free
of tripping/slipping hazards?
2. Is vegetation maintained to provide
clear visibility, clearance around light
fixtures, and safe pathways?
S. Computer Rooms (Offices)
1. Are combustibles stored in
approved, enclosed metal cabinets?
2. Is combustible waste, e.g. trash
containers, cardboard boxes, etc.,
removed from the room daily or more
often as needed?
3. Is the computer room free of
flammable/combustible liquids?
4. Are computer tapes stored in
approved, enclosed metal cabinets?
5. Is the raised floor free of unsealed
cable holes?
6. Is the access to fire suppression
and alarm systems unobstructed?
7. Are floor tile pullers available and
mounted?
Explanation/Comments or Other Hazards/Risks Explanation/Comments or Other Hazards/Risks
Identified/Observed Identified/Observed

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