This template is based on the administrative hazard evaluation of OSHA regenerated using Lumiform. It includes 43 sections including a wide range of risk identification methods in the workplace. Adjust this template and delete parts which may not be relevant or suited to your own workplace’s requirements.
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Are work surfaces held dry or proper means taken to ensure the surfaces are slip-resistant?
Are all spilt materials or fluids cleaned up instantly?
Are flammable scrap, debris, and waste deposited safely and removed from the work site immediately?
Is accumulated flammable dust routinely removed from raised surfaces, including the above construction of buildings?
Is inflammable dust cleaned up with a vacuum system so that the dust will not go into suspension?
Is metallic or conductive dust blocked from entering or gathering on or around electrical enclosures or equipment?
Are covered metal trash cans applied for oily and paint-soaked waste?
Are all oil and gas fired devices equipped with flame failure controls that will block the flow of fuel if pilots or main burners are not running?
Are paint spray booths, dip tanks and the like cleaned frequently?
Are the minimum amount of toilets and washing facilities provided?
Are all the toilets and washing facilities neat and sanitary?
Are all work areas appropriately illuminated?
Are pits and floor openings included or otherwise secured?
Personal Protective Equipment
PERSONAL PROTECTIVE EQUIPMENT
Are protective gloves, shields or other means implemented against cuts, corrosive fluids and chemicals?
Are certified safety glasses needed to be worn at all times in ranges where there is a risk of eye damages such as punctures, abrasions, injuries or burns?
Are protective goggles or face protection given and worn where there is any risk of flying particles or corrosive elements?
Are workers who need corrective glasses or contacts lenses in operating environments with dangerous exposures, needed to wear only certified safety glasses, protective goggles, or use other medically accepted precautionary procedures?
Are hard hats given and worn where there is a threat of falling objects?
Are hard hats examined regularly for harm to the shell and suspension system?
Is proper foot protection demanded where there is the danger of foot injuries from hot, corrosive, or toxic substances, falling objects, crushing or penetrating actions?
Are certified respirators given for routine or emergency use where required?
Do you have eye-wash plants and a quick drench shower in the work area where workers are exposed to harmful corrosive materials?
Is protection against the consequences of occupational noise exposure given when sound levels surpass those of the Cal/OSHA noise standard?
Where special equipment is required for electrical operators, is it available?
Is all protective equipment sustained in a sanitary condition and available for use?
When lunch is eaten on the premises, is it eaten in regions where there is no exposure to toxic materials or other health risks?
Are materials/equipment stored in such a way that sharp projectiles won't interfere with the walkway?
Are walkways and passageways kept clear of any obstacles?
Are wet surfaces being covered with non-slip materials?
Are aisles or walkways that move near moving or working machinery, welding operations or comparable operations arranged so workers will not be subjected to potential hazards?
Are holes/cracks in the floor, sidewalk or other walking surface fixed accurately, covered or otherwise made safe?
Are paths and walkways labelled as appropriate?
Is there safe clearance for walking in aisles where motor-powered or mechanical handling equipment is working.
Are variations of direction or elevations easily identifiable?
Are spilled materials wiped up instantly?
Is enough headroom given for the entire length of any path or walkway?
Are approved guardrails given wherever aisle or walkway surfaces are raised more than 30 inches above any adjacent floor or the ground?
Are bridges provided over conveyors and alike risks?
Floor and Wall Stairways
FLOOR AND WALL STAIRWAYS
Are unused parts of service pits and pits not in use either covered or shielded by guardrails or equivalent?
Are toeboards placed around the edges of a continual floor opening (where people may pass underneath the opening)?
Is the glass in windows, doors or glass walls that are subject to human influence, of adequate thickness and type for the shape of use?
Are floor openings secured by a cover, guardrail, or equivalent on all surfaces (except at entry to stairways or ladders)?
Are grates or comparable type covers over floor openings such as floor drains, of such form that foot traffic or rolling equipment will not be influenced by the grating spacing?
Are skylight screens of such installation and mounting that they will resist a load of at least 200 pounds?
Are manhole protection, trench covers and comparable covers, plus their supports, made to carry a truck rear axle load of at least 20,000 pounds when placed in roadways and subject to vehicle traffic?
Are floor or wall openings in fire-resistive construction given with doors or covers pleasant with the fire rating of the structure and provided with the self-closing feature when suitable?
Stairs and Stairways
STAIRS & STAIRWAYS
Is the vertical range between stairway landings restricted to 3.5 m or less?
Are regular stair rails or handrails on all stairways that have four or more steps?
Is the stairs angle between 30 and 50 degrees?
Are stairs of low-pan type treads and landings filled to noising level with thick material?
Do stairs have at least 2 meters above clearance?
Are step risers on stairs uniform from bottom to top, with no riser greater than 20 cm?
Are stairway handrails installed between 30 and 34 inches beyond the leading edge of stair treads?
Do stairway handrails have a least 2 cm of clearance between the handrails and the wall they are installed on?
Are steps on stairs and stairways made or provided with a surface that makes them slip-resistant?
Are stairway handrails able of withstanding a weight of 90 kg, implemented in any direction?
Where stairs or stairways exit straight into any place where vehicles may be served, are sufficient barriers and warnings implemented to prevent workers from walking into the path of traffic?
Do stairway landings have a dimension included in the direction of travel, at least similar to the width of the stairway?
Are all raised surfaces (underneath which people or machinery could be revealed to falling items) equipped with standard 10 cm toeboards?
Is a continual means of entrance and egress provided to raised storage and work surfaces?
Is essential headroom implemented where required?
Are symbols posted, when relevant, showing the elevated surface weight capacity?
Is the material on raised surfaces piled, stacked or racked in a way to stop it from tipping, falling, collapsing, moving or spreading?
Are surfaces elevated more than 75 cm above the floor or ground equipped with standard guardrails?
Are dock boards or bridge services used when carrying materials between docks and trucks or rail cars?
Exiting or Egress
EXITING OR EGRESS
Are the directions to exits, when not directly apparent, identified with visible signs?
Are all exits always free of any obstructions?
Are exit symbols provided with the term "EXIT" in lettering at least 13 cm high and the stroke of the lettering at least 1 cm wide?
Are exits side-hinged?
Are at least two means of egress implemented from raised platforms, pits or rooms where the lack of a second exit would improve the risk of damage from hot, toxic, corrosive, suffocating, ignitable, or explosive substances?
Are all exits labelled with an exit symbol and illuminated by a steady light source?
Are doors, gates or stairways, that are neither exits nor entrance to exits and which could be mixed with exits, properly marked, e.g. "NOT AN EXIT", "TO BASEMENT", "STOREROOM", and the alike?
Are there enough exits to allow prompt release in case of emergency?
Is the number of exits from each floor of a building, and the number of exits from the building itself, suitable for the building occupancy load?
Are the exits made of frameless glass, glass exit doors, storm doors, and such are the doors completely tempered and fit the safety demands for human impact?
Are exit stairways which are needed to be segregated from other parts of a building surrounded by at least two-hour fire-resistive installation in buildings more than four stories in height, and not fewer than one-hour fire-resistive assembly elsewhere?
When ramps are implemented as part of needed exiting from a building, is the ramp slope restricted to 30 cm vertically and 3 meters horizontally?
Are special precautions taken to shield workers during construction and repair works?
Are windows that could be wrongly taken for exit doors, made unavailable by means of obstacles or railings?
Is a revolving, sliding or above door prohibited from working as a necessary exit door?
Are doors that are ordered to serve as exits created and constructed so that the way to the exit is clear and direct?
Are doors that turn in both directions and are placed between rooms where there is constant traffic, equipped with viewing panels in each door?
Where panic hardware is placed on a necessary exit door, will it enable the door to open by using a force of 15 pounds or less in the way of the exit traffic?
Are doors on cold storage rooms equipped with an inside relief mechanism that will release the latch and open the door even if it's padlocked or differently locked on the outside?
Are exit doors able to be opened from the direction of exit travel without the aid of a key or any particular knowledge or energy, when the building is occupied?
Where exit doors open straight onto any street, alley or other areas where vehicles may be run, are enough barriers and warnings provided to prevent employees from stepping into the way of traffic?
Are non-slip safety feet implemented on any metal or rung ladder?
Are ladder rungs and steps clear of grease or oil?
Is it forbidden to install a ladder in front of doors opening near the ladder except when the door is pressed open, locked or guarded?
Is it forbidden to put ladders on boxes, barrels, or other weak bases to get additional height?
Is it expected that when portable rung or cleat type ladders are used the base is so located that slipping will not happen, or it is fastened or otherwise held in position?
Are non-slip safety feet implemented on every ladder?
Are all ladders sustained in good condition, joints between steps and side rails secure, all hardware and fittings securely connected, and moveable parts working freely without cover or undue play?
Are employees directed to face the ladder when ascending or descending?
Are employees forbidden from using ladders that are damaged, missing steps, rungs, or cleats, broken side rails or other broken equipment?
Are workers directed not to use the top 2 steps of common stepladders as a step?
Are movable metal ladders legibly labelled with symbols reading "CAUTION", "Do Not Use Around Electrical Equipment" or equivalent expressions?
When movable rung ladders are used to get access to raised platforms, roofs, and the like does the ladder always reach at least 90 cm above the raised surface?
Are operators prohibited from working with ladders as guys, braces, skids, gin poles, or for other than their designed purposes?
Are workers directed to only adjust extension ladders while standing at a base (not while standing on the ladder or from a position over the ladder)?
Are metal ladders examined for damage?
Are the rungs of ladders regularly spaced at 30 cm?
Hand Tools & Equipment
HAND TOOLS & EQUIPMENT
Are all tools and supplies (both, company and employee-owned) utilised by workers at their workplace in good form?
Are hand devices such as chisels, punches, which develop mushroomed heads during use, repaired or replaced as necessary?
Are damaged or fractured holders on hammers, axes and comparable equipment replaced immediately?
Are used or bent wrenches replaced frequently?
Are proper handles used on files and comparable tools?
Are workers aware of the risks caused by faulty or inappropriately used hand tools?
Are proper safety glasses, face shields, and alike equipment used while working with hand tools or equipment that may produce flying materials or be subject to damage?
Are jacks checked regularly to ensure they are in good working condition?
Are tool handles wedged tightly in the head of all tools?
Are tool cutting edges kept sharp so the tool will move easily without binding or skipping?
Are tools deposited in a dry, secure location where they will not be tampered with?
Is eye and face shield used when driving fixed or tempered spuds or nails?
Power (Power Operated) Tools & Equipment
PORTABLE (POWER OPERATED) TOOLS & EQUIPMENT
Are movable circular saws equipped with guards over and below the base shoe?
Are portable fans equipped with full guards or screens having openings that are 12 cm or less?
Are turning or moving pieces of equipment guarded to stop physical contact?
Are all cord-connected, electrically worked tools and equipment efficiently grounded or of the authorised double insulated type?
Are pneumatic and hydraulic hoses on power-operated tools reviewed frequently for deterioration or damage?
Are power tools used with the right shield, guard or attachment approved by the manufacturer?
Are ground-fault circuit interrupters implemented on all temporary electrical 15 and 20 ampere circles, used throughout periods of construction?
Are grinders, saws, and alike equipment provided with proper safety guards?
Are there efficient guards in place over belts, pulleys, chains, and sprockets, on devices such as cement mixers, air compressors, and the related?
Are circular saw guards inspected to ensure they are not wedged up, therefore leaving the lower portion of the blade unguarded?
Is hoisting equipment in place and used for lifting heavy objects, and are hoist evaluations and characteristics suitable for the task?
Abrasive Wheel Equipment Grinders
ABRASIVE WHEEL EQUIPMENT GRINDERS
Is the maximum RPM class of each abrasive wheel cooperative with the RPM rating of the grinder motor?
Is the work rest used and kept adjusted to within 3 mm of the wheel?
Is the flexible tongue on the top side of the abrasive used and kept adjusted to within a half cm of the wheel?
Are bench and pedestal grinders lastingly mounted?
Are goggles or face shields always used when grinding?
Is cleanliness sustained around grinder?
Does each grinder have an own on and off control switch?
Do side shields cover the spindle, nut, and flange and 75 % of the wheel diameter?
Is each electrically worked grinder effectively grounded?
Before new abrasive wheels are mounted, are they visually reviewed and ring checked?
Are fixed or lastingly mounted grinders connected to their electrical equipment system with metallic conduit or other permanent wiring methods?
Are dust receivers and powered exhausts gave on grinders used in procedures that generate large amounts of dust?
Are splash guards installed on grinders that use coolant, to prevent the coolant from reaching employees?
Power Actuated Tools
POWDER ACTUATED TOOLS
Do powder-actuated tools workers have and use proper personal protective equipment such as hard hats, safety goggles, safety shoes and ear protection?
Is each powder-actuated tool deposited in its own locked container when not in use?
Are workers who work with powder-actuated tools taught in their use and provide a valid operator's card?
Are powder-actuated devices left unloaded until they are ready to be used?
Are powder-actuated tools examined for obstructions or defects every day before use?
Is there a training program to teach workers on safe methods of machine operation?
Is sufficient clearance presented around and between machines to allow safe works, set up and servicing, material treatment and waste removal?
Is there a formal program of safety inspection of machinery and equipment?
Is all machinery and equipment held clean and accurately maintained?
Is equipment and machinery securely stored and anchored, when needed to prevent tipping or other movements that could lead to personal harm?
Is there enough supervision to guarantee that employees are following safe machine operating methods?
Are all emergency stop buttons red?
Is there a power shut-off switch in reach of the operator's place at each machine?
Can electric power to every machine be locked out for support, repair, or security?
Are the noncurrent-carrying metal pieces of electrically run machines bonded and grounded?
Are manually run valves and switches controlling the performance of equipment and machines clearly distinguished and readily available?
If special hand tools are used for putting and removing material, do they shield the operator's hands?
Are all pulleys and belts that are within 2 m of the ground or working level accurately guarded?
Are foot-operated switches secured or arranged to stop accidental actuation by employees or falling?
Are all moving chains and gears accurately guarded?
Are methods given to protect the worker and other employees in the machine area from risks created at the point of operation, ingoing nip points, revolving parts, flying chips, and sparks?
Are machinery guards safe and so arranged that they do not offer a risk in their use?
Are revolving drums, barrels, and containers needed to be observed by an enclosure that is interlocked with the drive mechanism, so that revolution cannot happen unless the guard enclosure is in position, so observed?
Are splashguards mounted on machines that work with coolant, to prevent the coolant from reaching workers?
Are provisions made to limit machines from automatically beginning when power is replaced after a power failure or shutdown?
Are machines built so as to be free from unnecessary vibration when the biggest size tool is installed and run at the full rate?
Are radial arm saws so ordered that the cutting head will kindly return to the back of the table when released?
If machinery is washed with compressed air, is air pressure checked and personal protective equipment or other safeguards used to shield operators and other workers from eye and body damage?
Are fan blades protected with a guard having openings no larger than 1 cm when working within 7 feet of the floor?
Do arbours and mandrels have solid and secure bearings and are they free from any play?
Are saws used for ripping, provided with anti-kickback devices and spreaders?
Lockout Blackout Procedures
LOCKOUT BLOCKOUT PROCEDURES
Is the locking-out of charge circuits in lieu of locking-out main power disconnects forbidden?
Are employees asked to keep personal control of their key(s) when they have safety locks in use?
Are all equipment check valve handles equipped with a means for locking-out?
Is all machinery or equipment able to move, demanded to be de-energized or disengaged and prevented or locked out while cleaning, servicing, adjusting or setting up operations, whenever needed?
Does the lockout procedure demand that stored energy be released or blocked before the material is locked-out for repairs?
Is means provide to ensure the control circuit can also be separated and locked out?
Is it demanded that employees check the safety of the lockout by attempting a start-up after assuring no one is exposed?
Are proper employees provided with individually keyed individual safety locks?
Where the power disconnecting centres for equipment does not also separate the electrical control circuit:
Are the proper electrical enclosures identified?
Welding, Cutting & Brazing
WELDING, CUTTING & BRAZING
Are only allowed and trained staff permitted to use welding, cutting or brazing equipment?
Are compressed gas cylinders frequently examined for visible signs of defects, deep rusting, or leakage?
Is care used in the treatment and storage of cylinders, safety valves, relief valves, and the like, to stop the damage?
Are precautions taken to prevent the mix of air or oxygen with inflammable gases, except at a burner or in a standard torch?
Do all workers have a copy of the proper operating instructions and are they ordered to follow them?
Are cylinders, cylinder valves, couplings, regulators, hoses, and apparatus kept free of oily or greasy substances?
Are only recommended apparatus (torches, regulators, pressure-reducing valves, acetylene generators, manifolds) applied?
Are cylinders kept distant from sources of heat?
Are empty cylinders properly marked their valves closed and valve-shield caps on?
Are signs with: DANGER NO-SMOKING, MATCHES, OR OPEN LIGHTS, or the similar posted?
Is care taken not to drop or strike cylinders?
Is it forbidden to use cylinders as rollers or supports?
Do cylinders without secured hand wheels have keys, handles, or non-flexible wrenches on stem valves when in service?
Are liquefied gases put and shipped valve-end up with valve covers in place?
Are pressure-decreasing regulators used only for the gas and pressures for which they are meant?
Are workers instructed to never crack a fuel-gas cylinder valve near any sources of ignition?
Unless secured on special trucks, are regulators displaced and valve-protection caps put in position before moving cylinders?
Before a regulator is removed, is the valve sealed and gas released from the regulator?
Is the colour red used to identify the acetylene (and other fuel-gas) hose, green for oxygen hose, and black for inert gas and air hose?
Is suitable fire extinguishing equipment in place for immediate use?
Is open circuit (No Load) voltage of arc welding and cutting machines as low as feasible and not in excess of the recommended limits?
Under wet conditions, are automated controls for reducing no-load voltage used?
Are electrodes displaced from the holders when not in use?
Is it demanded that electric power to the welder be shut off while no one is in attendance?
Are flammable floors kept wet, covered by damp sand, or protected by fire-resistant shields?
Is grounding of the device frame and safety ground connections of transportable machines checked periodically?
Are wet machines completely dried and tested before being used?
Are work and electrode lead cables regularly inspected for wear and damage, and replaced when needed?
When the object to be fixed cannot be removed and fire dangers cannot be removed, are shields used to limit heat, sparks, and slag?
When working in confined locations are environmental monitoring tests taken and means implemented for quick removal of welders in case of an emergency?
Are firewatchers charged when welding or cutting is performed, in places where a serious fire might develop?
Is the welder prohibited to coil or loop welding electrode cable around his body?
Do means for connecting cables' lengths have appropriate insulation?
When floors are wet down, are employees protected from probable electrical shock?
Before hot work is started, are used drums, barrels, tanks, and other containers so completely cleaned that no substances remain that could explode, ignite, or produce toxic vapors?
When welding is applied on metal walls, are precautions taken to shield combustibles on the other side?
Is it demanded that eye protection helmets, hand shields and goggles meet proper standards?
Are personnel exposed to the hazards created by welding, cutting, or brazing operations protected with personal protective equipment and clothing?
Is a test made for adequate ventilation in and where welding or cutting is done?
Compressors & Compressed Air
COMPRESSORS & COMPRESSED AIR
Are compressor air intakes installed and equipped to assure that only clean uncontaminated air accesses the compressor?
Is the belt drive system completely enclosed to give protection for the front, back, top, and sides?
Are air filters placed on the compressor intake?
Are compressors worked and lubricated in accordance with the producer's recommendations?
Are compressors provided with pressure relief valves and pressure gauges?
Are safety devices on compressed air systems examined frequently?
Are signs posted to warn of the automated starting feature of the compressors?
Is it forbidden to use compressed air to clean up or move combustible dust if such action could cause the dust to be suspended in the air and cause a fire or explosion danger?
Is it strictly forbidden to direct compressed air towards a person?
Are workers prohibited from using highly compressed air for cleaning purposes?
Before any reconstruction work is done on the pressure system of a compressor, is the strength bled off and the system locked-out?
If compressed air is used for cleaning clothing, is the pressure decreased to less than 10 psi?
Are safety chains or other proper locking devices used at couplings of high-pressure hose lines where an association failure would create a hazard?
Before compressed air is used to empty containers of fluid, is the safe working pressure of the container examined?
When compressed air is used with abrasive blast washing equipment, is the working valve a type that must be held open manually?
When using compressed air for cleaning, do workers use PPE?
When compressed air is used to inflate car tires, is a clip-on chuck and an inline regulator preset to 40 psi needed?
Compressed Air Receivers
COMPRESSED AIR RECEIVERS
Is the total relieving capacity of the safety valve proficient of preventing pressure in the receiver from exceeding the maximum allowable working pressure of the receiver by more than 10 %?
Is the inlet of air receivers and piping systems free of accumulated oil and carbonaceous materials?
Is every receiver provided with a pressure gauge and with one or more automatic, spring-loaded safety valves?
Is every air receiver equipped with a drainpipe and valve at the lowest point for the removal of stored oil and water?
Are compressed air receivers regularly drained of moisture and oil?
Are all safety valves tested regularly and at regular intervals to determine whether they are in good working condition?
Is there current operating authorisation issued by the Division of Occupational Safety and Health?
Compressed Gas & Cyclinders
COMPRESSED GAS & CYLINDERS
Are cylinders legibly labelled to clearly identify the gas contained?
Are compressed gas cylinders deposited in areas which are protected from external heat sources such as fire impingement, intense radiant heat, electric arcs, or high temperature lines?
Are cylinders placed or stored in areas where they will not be damaged by passing or falling items, or subject to tampering by unauthorized persons?
Are cylinders with a water weight capacity over 30 pounds provided with means for connecting a valve
Are cylinders deposited or transported in a manner to prevent them forming a hazard by tipping, falling or rolling?
Does the regular check of low pressure fuel-gas cylinders cover a close inspection of the cylinders' bottom?
Are cylinders including liquefied fuel gas, deposited or transported in a position so that the safety relief device is always in direct contact with the vapour space in the cylinder?
Are valve protectors always located on cylinders when the cylinders are not in use or connected for use?
Are all valves closed off before a cylinder is moved, when the cylinder is clear, and at the completion of each job?
Are low-pressure fuel-gas cylinders examined periodically for corrosion, general distortion, cracks, or any other defect that might identify a weakness or render it unfit for service?
Hoist & Auxiliary Equipment
HOIST & AUXILIARY EQUIPMENT
Are nip points or contact points between hoist ropes and sheaves which are lastingly placed within 7 feet of the floor, ground or working platform, guarded?
Is the rated load of each hoist legibly labelled and visible to the operator?
Are stops equipped at the safe limits of travel for trolley hoist?
Is each overhead electrical hoist equipped with a limit device to stop the hook travel at its highest and lowest point of secure travel?
Is each cage-controlled hoist provided with an effective warning device?
Are close-fitting guards or other suitable devices placed on hoist to ensure hoist ropes will be maintained in the sheave groves?
Will each hoist automatically stop and hold any load up to 125 % of its estimated load, if its actuating force is removed?
Are the controls of hoists plainly labelled to indicate the direction of travel or motion?
Is it forbidden to use chains or rope slings that are kinked or twisted?
Are only workers who have been trained in the proper use of hoists allowed to operate them?
Are all hoist chains or ropes of enough length to handle the full range of movement for the application while still keeping two full wraps on the drum at all times?
Is it forbidden to use the hoist rope or chain wrapped around the weight as a substitute, for a sling?
Is the worker instructed to avoid carrying loads over people?
Industrial Trucks - Forklifts
INDUSTRIAL TRUCKS - FORKLIFTS
Will the industrial truck's parking brake completely prevent the vehicle from moving when unattended?
Is substantial overhead PPE provided on high lift rider equipment?
Are the needed lift truck operating rules posted and enforced?
Are only trained staff allowed to operate industrial trucks?
Does each industrial truck have an alarm horn, whistle, gong or other devices which can be clearly heard over the normal noise in the areas where operated?
Are the brakes on each industrial truck able to bring the vehicle to a complete and safe stop when fully loaded?
Are industrial trucks with internal combustion engine worked within buildings or enclosed areas, carefully checked to assure such operations do not cause a harmful concentration of dangerous gases or fumes?
Is directional lighting given on each industrial truck that works in an area with less than 60 cm candles per square meter of general lighting?
Are industrial trucks working in areas where flammable gases or vapours, or combustible dust or ignitable fibres may be existing in the atmosphere, approved for such locations?
Are motorized hand and hand/rider trucks so created that the brakes are applied, and power to the drive motor shuts off when the operator loses his/her grip on the device that controls the travel?
Is mechanical ventilation implemented when spraying operation is done in enclosed places?
Are spray booths made of metal, masonry, or other substantial noncombustible material?
When mechanical ventilation is implemented during spraying operations, is it so arranged that it will not circulate the contaminated air?
Is the spray area free of any hot surfaces?
Is proper ventilation ensured before spray operations are started?
Are movable lamps used to illuminate spray areas suitable for use in a dangerous location?
Do solvents used for cleaning have a flashpoint of 100E F or more?
Are fire control sprinkler heads always clean?
Are "NO SMOKING" signs hung up in spray areas, paint rooms, paint booths, and paint storage areas?
Is the spray area at least 6 meters from flames, sparks, working electrical motors and other ignition sources?
Is the spray area always clean of combustible residue?
Is infrared drying apparatus held out of the spray area throughout spraying operations?
Are spray booth floors and baffles noncombustible and simply cleaned?
Is the spray booth thoroughly ventilated before using the drying apparatus?
Is approved respiratory equipment given and used when appropriate during spraying operations?
Are the electric motors for exhaust fans located outside booths or ducts?
Are lighting fixtures for spray booths placed outside of the booth and the interior lighting through sealed clear panels?
Are belts and pulleys inside the booth completely enclosed?
Is the electric drying apparatus appropriately grounded?
Do ducts have entrance doors to allow cleaning?
Do all drying spaces have proper ventilation?
Entering Confined Spaces
ENTERING CONFINED SPACES
Are confined spaces thoroughly emptied of any corrosive or hazardous substances, such as acids or caustics, before entry?
Before entry, are all lines to a confined space, containing inert, toxic, flammable, or corrosive materials valved off and blanked or disconnected and separated?
Is it required that all impellers, agitators, or other moving equipment inside confined spaces be locked-out if they present a hazard?
Is either natural or mechanical ventilation provided prior to confined space entry?
Before entry, are appropriate atmospheric tests performed to check for oxygen deficiency, toxic substance and explosive concentrations in the confined space before entry?
Is adequate illumination provided for the work to be performed in the confined space?
Is the atmosphere inside the confined space frequently tested or continuously monitor during conduct of work?
Is there an assigned safety standby employee outside of the confined space, whose sole responsibility is to watch the work in progress, sound an alarm if necessary, and render assistance?
Is the standby employee or other employees prohibited from entering the confined space without lifelines and respiratory equipment if there is any questions as to the cause of an emergency?
In addition to the standby employee, is there at least one other trained rescuer in the vicinity?
Are all rescuers appropriately trained and using approved, recently inspected equipment?
Does all rescue equipment allow for lifting employees vertically from a top opening?
Are there trained personnel in First Aid and CPR immediately available?
Is there an effective communication system in place whenever respiratory equipment is used and the employee in the confined space is out of sight of the standby person?
Is approved respiratory equipment required if the atmosphere inside the confined space cannot be made acceptable?
Is all portable electrical equipment used inside confined spaces either grounded and insulated, or equipped with ground fault protection?
Before gas welding or burning is started in a confined space, are hoses checked for leaks, compressed gas bottles forbidden inside of the confined space, torches lighted only outside of the confined area and the confined area tested for an explosive atmosphere each time before a lighted torch is to be taken into the confined space?
If employees will be using oxygen-consuming equipment such as salamanders, torches, furnaces, in a
confined space, is sufficient air provided to assure combustion without reducing the oxygen concentration of the atmosphere below 19.5 percent by volume?
Whenever combustion-type equipment is used in confined space, are provisions made to ensure the exhaust gases are vented outside of the enclosure?
Is each confined space checked for decaying vegetation or animal matter, which may produce methane?
Is the confined space checked for possible industrial waste, which could contain toxic properties?
If the confined space is below the ground and near areas where motor vehicles will be operating, is it possible for vehicle exhaust or carbon monoxide to enter the space?
Are all work areas properly illuminated?
Are employees instructed in proper first aid and other emergency procedures?
Are hazardous substances identified which may cause harm by inhalation, ingestion, skin absorption or contact?
Are employees aware of the hazards involved with the various chemicals they may be exposed to in their work environment, such as ammonia, chlorine, epoxies, and caustics?
Is employee exposure to chemicals in the workplace kept within acceptable levels?
Can a less harmful method or product be used?
Is the work area's ventilation system appropriate for the work being performed?
Are spray painting operations done in spray rooms or booths equipped with an appropriate exhaust system?
Is employee exposure to welding fumes controlled by ventilation, use of respirators, exposure time, or other means?
Are welders and other workers nearby provided with flash shields during welding operations?
If forklifts and other vehicles are used in buildings or other enclosed areas, are the carbon monoxide levels kept below maximum acceptable concentration?
Has there been a determination that noise levels in the facilities are within acceptable levels?
Are steps being taken to use engineering controls to reduce excessive noise levels?
Are proper precautions being taken when handling asbestos and other fibrous materials?
Are caution labels and signs used to warn of asbestos?
Are wet methods used, when practicable, to prevent the emission of airborne asbestos fibers, silica dust and similar hazardous materials?
Is vacuuming with appropriate equipment used whenever possible rather than blowing or sweeping dust?
Are grinders, saws, and other machines that produce respirable dusts vented to an industrial collector or central exhaust system?
Are all local exhaust ventilation systems designed and operating properly such as airflow and volume necessary for the application? Are the ducts free of obstructions or the belts slipping?
Is personal protective equipment provided, used and maintained wherever required?
Are there written standard operating procedures for the selection and use of respirators where needed?
Are restrooms and washrooms kept clean and sanitary?
Is all water provided for drinking, washing, and cooking potable?
Are all outlets for water not suitable for drinking clearly identified?
Are employees' physical capacities assessed before being assigned to jobs requiring heavy work?
Are employees instructed in the proper manner of lifting heavy objects?
Where heat is a problem, have all fixed work areas been provided with spot cooling or air conditioning?
Are employees screened before assignment to areas of high heat to determine if their health condition might make them more susceptible to having an adverse reaction?
Are employees working on streets and roadways where they are exposed to the hazards of traffic, required to wear bright colored (traffic orange) warning vest?
Are exhaust stacks and air intakes located that contaminated air will not be recirculated within a building or other enclosed area?
Is equipment producing ultra-violet radiation properly shielded?
Flammable & Combustible Materials
FLAMMABLE & COMBUSTIBLE MATERIALS
Are combustible scrap, debris and waste materials (i.e. oily rags) stored in covered metal receptacles and removed from the worksite promptly?
Is proper storage practiced to minimize the risk of fire including spontaneous combustion?
Are approved containers and tanks used for the storage and handling of flammable and combustible liquids?
Are all connections on drums and combustible liquid piping, vapor and liquid tight?
Are all flammable liquids kept in closed containers when not in use (e.g. parts cleaning tanks, pans)?
Are bulk drums of flammable liquids grounded and bonded to containers during dispensing?
Do storage rooms for flammable and combustible liquids have explosion-proof lights?
Do storage rooms for flammable and combustible liquids have mechanical or gravity ventilation?
Is liquefied petroleum gas stored, handled, and used in accordance with safe practices and standards?
Are liquefied petroleum storage tanks guarded to prevent damage from vehicles?
Are all solvent wastes and flammable liquids kept in fire-resistant covered containers until they are removed from the worksite?
Is vacuuming used whenever possible rather than blowing or sweeping combustible dust?
Are fire separators placed between containers of combustibles or flammables, when stacked one upon another, to assure their support and stability?
Are fuel gas cylinders and oxygen cylinders separated by distance, fire resistant barriers or other means while in storage?
Are fire extinguishers selected and provided for the types of materials in areas where they are to be used?
Class A: Ordinary combustible material fires.
Class B: Flammable liquid, gas or grease fires.
Class C: Energized-electrical equipment fires.
If a Halon 1301 fire extinguisher is used, can employees evacuate within the specified time for that extinguisher?
Are appropriate fire extinguishers mounted within 75 feet of outside areas containing flammable liquids, and within 10 feet of any inside storage area for such materials?
Is the transfer/withdrawal of flammable or combustible liquids performed by trained personnel?
Are fire extinguishers mounted so that employees do not have to travel more than 75 feet for a class "A" fire or 50 feet for a class "B" fire?
Are employees trained in the use of fire extinguishers?
Are extinguishers free from obstructions or blockage?
Are all extinguishers serviced, maintained and tagged at intervals not to exceed one year?
Are all extinguishers fully charged and in their designated places?
Is a record maintained of required monthly checks of extinguishers?
Where sprinkler systems are permanently installed, are the nozzle heads directed or arranged so that water will not be sprayed into operating electrical switchboards and equipment?
Are "NO SMOKING" signs posted where appropriate in areas where flammable or combustible materials are used or stored?
Are "NO SMOKING" signs posted on liquefied petroleum gas tanks?
Are "NO SMOKING" rules enforced in areas involving storage and use of flammable materials?
Are safety cans used for dispensing flammable or combustible liquids at a point of use?
Are all spills of flammable or combustible liquids cleaned up promptly?
Are storage tanks adequately vented to prevent the development of excessive vacuum or pressure as a result of filling, emptying, or atmosphere temperature changes?
Are storage tanks equipped with emergency venting that will relieve excessive internal pressure caused by fire exposure?
Are spare portable or butane tanks, which are sued by industrial trucks stored in accord with regulations?
Do you have a fire prevention plan?
Does your plan describe the type of fire protection equipment and/or systems?
Have you established practices and procedures to control potential fire hazards and ignition sources?
Are employees aware of the fire hazards of the material and processes to which they are exposed?
Is your local fire department well acquainted with your facilities, location and specific hazards?
If you have a fire alarm system, is it tested at least annually?
If you have a fire alarm system, is it certified as required?
If you have interior standpipes and valves, are they inspected regularly?
If you have outside private fire hydrants, are they flushed at least once a year and on a routine preventive maintenance schedule?
Are fire doors and shutters in good operating condition?
Are fire doors and shutters unobstructed and protected against obstructions, including their counterweights?
Are fire door and shutter fusible links in place?
Are automatic sprinkler system water control valves, air and water pressures checked weekly/periodically as required?
Is maintenance of automatic sprinkler system assigned to responsible persons or to a sprinkler contractor?
Are sprinkler heads protected by metal guards, when exposed to physical damage?
Is proper clearance maintained below sprinkler heads?
Are portable fire extinguishers provided in adequate number and type?
Are fire extinguishers mounted in readily accessible locations?
Are fire extinguishers recharged regularly and noted on the inspection tag?
Are employees periodically instructed in the use of extinguishers and fire protection procedures?
Hazardous Chemical Exposures
HAZARDOUS CHEMICAL EXPOSURE
Are employees trained in the safe handling practices of hazardous chemicals such as acids, caustics, and the like?
Are employees aware of the potential hazards involving various chemicals stored or used in the workplace-- such as acids, bases, caustics, epoxies, and phenols?
Is employee exposure to chemicals kept within acceptable levels?
Are eye wash fountains and safety showers provided in areas where corrosive chemicals are handled?
Are all employees required to use personal protective clothing and equipment when handling chemicals (i.e. gloves, eye protection, and respirators)?
Are flammable or toxic chemicals kept in closed containers when not in use?
Are chemical piping systems clearly marked as to their content?
Where corrosive liquids are frequently handled in open containers or drawn from storage vessels or pipelines,
are adequate means readily available for neutralizing or disposing of spills or overflows properly and safely?
Have standard operating procedures been established and are they being followed when cleaning up chemical spills?
Where needed for emergency use, are respirators stored in a convenient, clean and sanitary location?
Are respirators intended for emergency use adequate for the various uses for which they may be needed?
Are employees prohibited from eating in areas where hazardous chemicals are present?
Is personal protective equipment provided, used and maintained whenever necessary?
Are there written standard operating procedures for the selection and use of respirators where needed?
If you have a respirator protection program, are your employees instructed on the correct usage and limitations of the respirators?
Are the respirators NIOSH approved for this particular application?
Are they regularly inspected and cleaned sanitized and maintained?
If hazardous substances are used in your processes, do you have a medical or biological monitoring system in operation?
Are you familiar with the Threshold Limit Values or Permissible Exposure Limits of airborne contaminants and physical agents used in your workplace?
Have control procedures been instituted for hazardous materials, where appropriate, such as respirators, ventilation systems, handling practices, and the like?
Whenever possible, are hazardous substances handled in properly designed and exhausted booths or similar locations?
Do you use general dilution or local exhaust ventilation systems to control dusts, vapors, gases, fumes, smoke, solvents or mists which may be generated in your workplace?
Is ventilation equipment provided for removal of contaminants from such operations as production grinding, buffing, spray painting, and/or vapor decreasing, and is it operating properly?
Do employees complain about dizziness, headaches, nausea, irritation, or other factors of discomfort when they use solvents or other chemicals?
Is there a dermatitis problem--do employees complain about skin dryness, irritation, or sensitization?
Have you considered the use of an industrial hygienist or environmental health specialist to evaluate your operation?
If internal combustion engines are used, is carbon monoxide kept within acceptable levels?
Is vacuuming used, rather than blowing or sweeping dusts whenever possible for clean up?
Are materials, which give off toxic asphyxiant, suffocating or anesthetic fumes, stored in remote or isolated locations when not in use?
Hazardous Substances Communication
HAZARDOUS SUBSTANCES COMMUNICATION
Is there a list of hazardous substances used in your workplace?
Is there a written hazard communication program dealing with Material Safety Data Sheets (MSDS) labeling, and employee training?
Is each container for a hazardous substance (i.e. vats, bottles, storage tanks,) labeled with product identity and a hazard warning (communication of the specific health hazards and physical hazards)?
Is there a Material Safety Data Sheet readily available for each hazardous substance used?
How will you inform other employers whose employees share the same work area where the hazardous substances are used?
Is there an employee training program for hazardous substances?
Does this program include:
An explanation of what an MSDS is and how to use and obtain one?
MSDS contents for each hazardous substance or class of substances?
Explanation of "Right to Know"?
Identification of where employees can see the employer's written hazard communication program and where hazardous substances are present in their work area?
The physical and health hazards of substances in the work area, how to detect their presence, and specific protective measures to be used?
Details of the hazard communication program, including how to use the labeling system and MSDSs?
How employees will be informed of hazards of non-routine tasks, and hazards of unlabeled pipes?
Are your workplace electricians familiar with the Cal/OSHA Electrical Safety Orders?
Do you specify compliance with Cal/OSHA for all contract electrical work?
Are all employees required to report as soon as practicable any obvious hazard to life or property observed in connection with electrical equipment or lines?
Are employees instructed to make preliminary inspections and/or appropriate tests to determine what conditions exist before starting work on electrical equipment or lines?
When electrical equipment or lines are to be serviced, maintained or adjusted, are necessary switches opened, locked-out and tagged whenever possible?
Are portable electrical tools and equipment grounded or of the double insulated type?
Are electrical appliances such as vacuum cleaners, polishers, vending machines grounded?
Do extension cords being used have a grounding conductor?
Are multiple plug adapters prohibited?
Are ground-fault circuit interrupters installed on each temporary 15 or 20 ampere, 120 volt AC circuit at locations where construction, demolition, modifications, alterations or excavations are being performed?
Are all temporary circuits protected by suitable disconnecting switches or plug connectors at the junction with permanent wiring?
Is exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly?
Are flexible cords and cables free of splices or taps?
Are clamps or other securing means provided on flexible cords or cables at plugs, receptacles, tools, and equipment and is the cord jacket securely held in place?
Are all cord, cable and raceway connections intact and secure?
In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected?
Is the location of electrical power lines and cables (overhead, underground, underfloor, other side of walls) determined before digging, drilling or similar work is begun?
Are metal measuring tapes, ropes, handlines or similar devices with metallic thread woven into the fabric prohibited where they could come in contact with energized parts of equipment or circuit conductors?
Is the use of metal ladders prohibited in area where the ladder or the person using the ladder could come in contact with energized parts of equipment, fixtures or circuit conductors?
Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?
Are disconnecting means always opened before fuses are replaced?
Do all interior wiring systems include provisions for grounding metal parts of electrical raceways, equipment, and enclosures?
Are all electrical raceways and enclosures securely fastened in place?
Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?
Is sufficient access and working space provided and maintained about all electrical equipment to permit ready and safe operations and maintenance?
Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs or plates?
Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?
Are disconnecting switches for electrical motors in excess of two horsepower, capable of opening the circuit when the motor is in a stalled condition, without exploding? (Switches must be horsepower rated equal to or in excess of the motor hp rating).
Is low voltage protection provided in the control device of motors driving machines or equipment, which could cause probably injury from inadvertent starting?
Is each motor disconnecting switch or circuit breaker located within sight of the motor control device?
Is each motor located within sight of its controller or the controller disconnecting means capable of being locked in the open position or is a separate disconnecting means installed in the circuit within sight of the motor?
Is the controller for each motor in excess of two horsepower, rated in horsepower equal to or in excess of the rating of the motor is serves?
Are employees who regularly work on or around energized electrical equipment or lines instructed in the cardiopulmonary resuscitation (CPR) methods?
Are employees prohibited from working alone on energized lines or equipment over 600 volts?
Are there areas in the workplace where continuous noise levels exceed 85 dBA?
Are noise levels being measured using a sound level meter or an octave band analyzer and records being kept?
Have you tried isolating noisy machinery from the rest of your operation?
Have engineering controls been used to reduce excessive noise levels?
Where engineering controls are determined not feasible, are administrative controls (i.e. worker rotation) being used to minimize individual employee exposure to noise?
Is there an ongoing preventive health program to educate employees in safe levels of noise and exposure, effects of noise on their health, and use of personal protection?
Is the training repeated annually for employees exposed to continuous noise above 85 dBA?
Have work areas where noise levels make voice communication between employees difficult been identified and posted?
Is approved hearing protective equipment (noise attenuating devices) available to every employee working in areas where continuous noise levels exceed 85 dBA?
If you use ear protectors, are employees properly fitted and instructed in their use and care?
Are employees exposed to continuous noise above 85 dBA given periodic audiometric testing to ensure that you have an effective hearing protection system?
Is it prohibited to fuel an internal combustion engine with a flammable liquid while the engine is running?
Are fueling operations done in such a manner that likelihood of spillage will be minimal?
When spillage occurs during fueling operations, is the spilled fuel cleaned up completely, evaporated, or other measures taken to control vapors before restarting the engine?
Are fuel tank caps replaced and secured before starting the engine?
In fueling operations is there always metal contact between the container and fuel tank?
Are fueling hoses of a type designed to handle the specific type of fuel?
Is it prohibited to handle or transfer gasoline in open containers?
Are open lights, open flames, or sparking or arcing equipment prohibited near fueling or transfer of fuel operations?
Is smoking prohibited in the vicinity of fueling operations?
Are fueling operations prohibited in building or other enclosed areas that are not specifically ventilated for this purpose?
Where fueling or transfer of fuel is done through a gravity flow system, are the nozzles of the self-closing type?
Identification of Piping Systems
IDENTIFICATION OF PIPING SYSTEMS
When nonpotable water is piped through a facility, are outlets or taps posted to alert employees that it is unsafe and not to be used for drinking, washing or other personal use?
When hazardous substances are transported through above ground piping, is each pipeline identified at points where confusion could introduce hazards to employees?
When pipelines are identified by color painting, are all visible parts of the line so identified?
When pipelines are identified by color painted bands or tapes, are the bands or tapes located at reasonable
When pipelines are identified by color, is the color code posted at all locations where confusion could introduce hazards to employees?
When the contents of pipelines are identified by name or name abbreviation, is the information readily visible on the pipe near each valve or outlet?
When pipelines carrying hazardous substances are identified by tags, are the tags constructed of durable materials, the message carried clearly ad permanently distinguishable and are tags installed at each valve or outlet?
When pipelines are heated by electricity, steam or other external source, are suitable warning signs or tags placed at unions, valves, or other serviceable parts of the system?
Is there safe clearance for equipment through aisles and doorways?
Are aisleways designated, permanently marked, and kept clear to allow unhindered passage?
Are motorized vehicles and mechanized equipment inspected daily or prior to use?
Are vehicles shut off and brakes set prior to loading or unloading?
Are containers or combustibles or flammables, when stacked while being moved, always separated by dunnage sufficient to provide stability?
Are dock boards (bridge plates) used when loading or unloading operations are taking place between vehicles and docks?
Are trucks and trailers secured from movement during loading and unloading operations?
Are dock plates and loading ramps constructed and maintained with sufficient strength to support imposed loading?
Are hand trucks maintained in safe operating condition?
Are chutes equipped with sideboards of sufficient height to prevent the materials being handled from falling off?
Are chutes and gravity roller sections firmly placed or secured to prevent displacement?
At the delivery end of rollers or chutes, are provisions made to brake the movement of the handled materials.
Are pallets usually inspected before being loaded or moved?
Are hooks with safety latches or other arrangements used when hoisting materials so that slings or load attachments won't accidentally slip off the hoist hooks?
Are securing chains, ropes, chockers or slings adequate for the job to be performed?
When hoisting material or equipment, are provisions made to assure no one will be passing under the suspended loads?
Are Material Safety Data Sheets available to employees handling hazardous substances?
Transporting Employees & Materials
TRANSPORTING EMPLOYEES & MATERIALS
Do employees who operate vehicles on public thoroughfares have valid operator's licenses?
When seven or more employees are regularly transported in a van, bus or truck, is the operator's license appropriate for the class of vehicle being driven?
Is each van, bus or truck used regularly to transport employees, equipped with an adequate number of seats?
When employees are transported by truck, are provision provided to prevent their falling from the vehicle?
Are vehicles used to transport employees, equipped with lamps, brakes, horns, mirrors, windshields and turn signals in good repair?
Are transport vehicles provided with handrails, steps, stirrups or similar devices, so placed and arranged that employees can safely mount or dismount?
Are employee transport vehicles equipped at all times with at least two reflective type flares?
Is a full charged fire extinguisher, in good condition, with at least 4 B:C rating maintained in each employee transport vehicle?
When cutting tools with sharp edges are carried in passenger compartments of employee transport vehicles, are they placed in closed boxes or containers which are secured in place?
Are employees prohibited from riding on top of any load, which can shift, topple, or otherwise become unstable?
Control of Harmful Substances by Ventilation
CONTROL OF HARMFUL SUBSTANCES BY VENTILATION
Is the volume and velocity of air in each exhaust system sufficient to gather the dusts, fumes, mists, vapors or gases to be controlled, and to convey them to a suitable point of disposal?
Are exhaust inlets, ducts and plenums designed, constructed, and supported to prevent collapse or failure of any part of the system?
Are clean-out ports or doors provided at intervals not to exceed 12 feet in all horizontal runs of exhaust ducts?
Where two or more different type of operations are being controlled through the same exhaust system, will the combination of substances being controlled, constitute a fire, explosion or chemical reaction hazard in the duct?
Is adequate makeup air provided to areas where exhaust systems are operating?
Is the intake for makeup air located so that only clean, fresh air, which is free of contaminates, will enter the work environment?
Where two or more ventilation systems are serving a work area, is their operation such that one will not offset the functions of the other?
Sanitizing Equipment & Clothing
SANITIZING EQUIPMENT & CLOTHING
Is personal protective clothing or equipment, that employees are required to wear or use, of a type capable of being easily cleaned and disinfected?
Are employees prohibited from interchanging personal protective clothing or equipment, unless it has been properly cleaned?
Are machines and equipment, which processes, handle or apply materials that could be injurious to employees, cleaned and/or decontaminated before being overhauled or placed in storage?
Are employees prohibited from smoking or eating in any area where contaminates are present that could be injurious if ingested?
When employees are required to change from street clothing into protective clothing, is a clean changeroom with separate storage facility for street and protective clothing provided?
Are employees required to shower and wash their hair as soon as possible after a known contact has occurred with a carcinogen?
When equipment, materials, or other items are taken into or removed from a carcinogen regulated area, is it done in a manner that will not contaminate non-regulated areas or the external environment?
Is a safe practice procedure posted and enforced about mounting tires on drop center wheels?
Where tires are mounted and/or inflated on wheels with split rims and/or retainer rings is a safe practice procedure posted and enforced?
Does each tire inflation hose have a clip-on chuck with at least 24 inches of hose between the chuck and an inline hand valve and gauge?
Does the tire inflation control valve automatically shut off the airflow when the valve is released?
Is a tire restraining device such as a cage, rack or other effective means used while inflating tires mounted on split rims, or rims using retainer rings?
Are employees strictly forbidden from taking a position directly over or in front of a tire while it's being inflated?
Emergency Action Plan
EMERGENCY ACTION PLAN
Are you required to have an emergency action plan?
Have emergency escape procedures and routes been developed and communicated to all employers?
Do employees, who remain to operate critical plant operations before they evacuate, know the proper procedures?
Is the employee alarm system that provides a warning for emergency action recognizable and perceptible above ambient conditions?
Are alarm systems properly maintained and tested regularly?
Is the emergency action plan reviewed and revised periodically?
Know their responsibilities for reporting emergencies?
Know their responsibilities during an emergency?
Know their responsibilities for conducting rescue and medical duties?
Are employees potentially exposed to infectious agents in body fluids?
Have occasions of potential occupational exposure been identified and documented?
Has a training and information program been provided for employees exposed to or potentially exposed to blood and/or body fluids?
Have infection control procedures been instituted where appropriate, such as ventilation, universal precautions, workplace practices, and personal protective equipment?
Are employees aware of specific workplace practices to follow when appropriate? (Hand washing, handling sharp instruments, handling of laundry, disposal of contaminated materials, reusable equipment.)
Is personal protective equipment provided to employees, and in all appropriate locations?
Is the necessary equipment (i.e. mouthpieces, resuscitation bags, and other ventilation devices) provided for administering mouth-to-mouth resuscitation on potentially infected patients?
Are facilities/equipment to comply with workplace practices available, such as hand-washing sinks, biohazard tags and labels, needle containers, detergents/disinfectants to clean up spills?
Are all equipment and environmental and working surfaces cleaned and disinfected after contact with blood or potentially infectious materials?
Is infectious waste placed in closable, leak proof containers, bags or puncture-resistant holders with proper labels?
Has medical surveillance including HBV evaluation, antibody testing and vaccination been made available to potentially exposed employees?
Training on universal precautions?
Training on personal protective equipment?
Training on workplace practices, which should include blood drawing, room cleaning, laundry handling, clean up of blood spills?
Training on needlestick exposure/management?
Hepatitis B vaccinations?
Can the work be performed without eyestrain or glare to the employees?
Does the task require prolonged raising of the arms?
Do the neck and shoulders have to be stooped to view the task?
Are there pressure points on any parts of the body (wrists, forearms, back of thighs)?
Can the work be done using the larger muscles of the body?
Can the work be done without twisting or overly bending the lower back?
Are there sufficient rest breaks, in addition to the regular rest breaks, to relieve stress from repetitive-motion tasks?
Are tools, instruments and machinery shaped, positioned and handled so that tasks can be performed comfortably?
Are all pieces of furniture adjusted, positioned and arranged to minimize strain on all parts of the body?
Ventilation for Indoor Air Quality
VENTILATION FOR INDOOR AIR QUALITY
Does your HVAC system provide at least the quantity of outdoor air required by the State Building Standards
Is the HVAC system inspected at least annually, and problems corrected?
Are inspection records retained for at least 5 years?
Are the cranes visually inspected for defective components prior to the beginning of any work shift?
Are all electrically operated cranes effectively grounded?
Is a crane preventive maintenance program established?
Is the load chart clearly visible to the operator?
Are operating controls clearly identified?
Is a fire extinguisher provided at the operator's station?
Is the rated capacity visibly marked on each crane?
Is an audible warning device mounted on each crane?
Is sufficient illumination provided for the operator to perform the work safely?
Are cranes of such design, that the boom could fall over backward, equipped with boomstops?
Does each crane have a certificate indicating that required testing and examinations have been performed?
Are crane inspection and maintenance records maintained and available for inspection?
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Full Name and Signature of the Inspector
Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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