Company Safety Health Check

Company Name
Survey Conducted by
Date
Next Survey

Employers Duty Q1: Is the required company Health & Safety Policy displayed in a prominent location where all employees and visitors are likely to see it?

Q2: Is the required Health and Sfety Protection Poster displayed in a prominent location where all employees are likely to see it and filled out with the relevant details?

Q3: Where employees may be exposed to toxic substances or harmful physical agents, has appropriate information concerning employee access to medical and exposure records and Material Safety Data Sheets (MSDSs) been posted or otherwise made readily available to affected employees?

Q4: Are signs concerning exit routes, room capacities, floor loading, biohazards, exposures to x-ray, microwave, or other harmful radiation or substances posted where appropriate?

Q5: Is a Summary of Work-Related Injuries and Illnesses posted informing employees of previous onsite injuries and illnesses?

Total :

Remarks / Actions

Record Keeping Q1: Are occupational injuries or illnesses, except minor injuries requiring only first aid, recorded as required in the companies accident book/log?

Q2: Are employee medical records and records of employee exposure to hazardous substances or harmful physical agents up-to-date and in compliance with current UK HSE standards?

Q3: Have arrangements been made to retain records for the time period required for each specific type of record?

Q4: Are operating permits and records up-to-date for items such as elevators, air pressure tanks, liquefied petroleum gas tanks, etc.?

Total :

Remarks / Actions

Safety and Health Program Q1: Do you have an active safety and health program in operation that includes general safety and health program elements as well as the management of hazards specific to your work-site? ?

Q2: Is one person clearly responsible for the safety and health program? ?

Q3: Do you have a safety committee or group made up of management and labor representatives that meets regularly and reports in writing on its activities?

Q4: Do you have a working procedure to handle in-house employee complaints regarding safety and health?

Q5: Are your employees advised of efforts and accomplishments of the safety and health program made to ensure they will have a workplace that is safe and healthful?

Q6: Have you considered incentives for employees or workgroups who excel in reducing workplace injury/illnesses?

Total :

Remarks / Actions

Medical Services & First Aid Q1: Is there a hospital, clinic, or health center for medical care near your workplace or is at least one employee on each shift currently qualified to render first aid?

Q2: Have all employees who are expected to respond to medical emergencies as part of their job responsibilities received first aid training; had hepatitis B vaccination made available to them; had appropriate training on procedures to protect them from bloodborne pathogens, including universal precautions; and have available and understand how to use appropriate PPE to protect against exposure to bloodborne diseases?*

Q3: If employees have had an exposure incident involving bloodborne pathogens, was an immediate post-exposure medical evaluation and follow-up provided?

Q4: Are medical personnel readily available for advice and consultation on matters of employees' health?

Q5: Are emergency phone numbers posted?

Q6: Are fully supplied first aid kits easily accessible to each work area, periodically inspected and replenished as needed?

Q7: Have first aid kits and supplies been approved by a physician, indicating that they are adequate for a particular area or operation?

Q8: Is there an eye-wash station or sink available for quick drenching or flushing of the eyes and body in areas where corrosive liquids or materials are handled?

Total :

Remarks / Actions

Fire Protection Q1: Is your local fire department familiar with your facility, its location and specific hazards?

Q2: If you have a fire alarm system, is it certified as required and tested annually?

Q3: If you have interior standpipes and valves, are they inspected regularly?

Q4: If you have outside private fire hoses, are they flushed at least once a year and on a routine preventive maintenance schedule?

Q5: Are fire doors and shutters in good operating condition?

Q6: Are fire doors and shutters unobstructed and protected against obstructions, including their counterweights?

Q7: Are fire door and shutter fusible links in place?

Q8: Are automatic sprinkler system water control valves, air and water pressure checked periodically as required?

Q9: Is the maintenance of automatic sprinkler systems assigned to responsible persons or to a sprinkler contractor?

Q10: Are sprinkler heads protected by metal guards if exposed to potential physical damage?

Q11: Is proper clearance maintained below sprinkler heads?

Q12: Are portable fire extinguishers provided in adequate number and type and mounted in readily accessible locations?

Q13: Are fire extinguishers recharged regularly with this noted on the inspection tag?

Q14: Are employees periodically instructed in the use of fire extinguishers and fire protection procedures?

Total :

Remarks / Actions

Personal Protective Equipment and Clothing Q1: Has the employer determined whether hazards that require the use of PPE (e.g., head, eye, face, hand, or foot protection) are present or are likely to be present?

Q2: If hazards or the likelihood of hazards are found, are employers selecting appropriate and properly fitted PPE suitable for protection from these hazards and ensuring that affected employees use it?

Q3: Have both the employer and the employees been trained on PPE procedures, i.e., what PPE is necessary for job tasks, when workers need it, and how to properly wear and adjust it?

Q4: Are protective goggles or face shields provided and worn where there is any danger of flying particles or corrosive materials?

Q5: Are approved safety glasses required to be worn at all times in areas where there is a risk of eye injuries such as punctures, abrasions, contusions, or burns?

Q6: Are employees who wear corrective lenses (glasses or contacts) in workplaces with harmful exposures required to wear only approved safety glasses, protective goggles, or use other medically approved precautionary procedures?

Q7: Are protective gloves, aprons, shields, or other means provided and required where employees could be cut or where there is reasonably anticipated exposure to corrosive liquids, chemicals, blood, or other potentially infectious materials? See the Health and Safety Executive for Bloodborne Pathogens standard, and for the definition of "other potentially infectious materials."

Q8: Are hard hats required, provided and worn where danger of falling objects exists?

Q9: Are hard hats periodically inspected for damage to the shell and suspension system?

Q10: Is appropriate foot protection required where there is the risk of foot injuries from hot, corrosive, or poisonous substances, falling objects, crushing, or penetrating actions?

Q11: Are approved respirators provided when needed?

Q12: Is all PPE maintained in a sanitary condition and ready for use?

Q13: Are food or beverages consumed only in areas where there is no exposure to toxic material, blood, or other potentially infectious materials?

Q14: Is protection against the effects of occupational noise provided when sound levels exceed those of the Noise at Work Regulations?

Q15:Are adequate work procedures, PPE and other equipment provided and used when cleaning up spilled hazardous materials?

Q16: Are appropriate procedures in place to dispose of/or decontaminate PPE contaminated with, or reasonably anticipated to be contaminated with, blood or other potentially infectious materials?

Q17: Is there a company Personal Protective Equipment (PPE) Policy in place??

Total :

Remarks / Actions

General Work Environment Q1: Are all worksites clean, sanitary and orderly?

Q2: Are work surfaces kept dry and appropriate means taken to assure the surfaces are slip-resistant?

Q3: Are all spilled hazardous materials or liquids, including blood and other potentially infectious materials, cleaned up immediately and according to proper procedures?

Q4: Is combustible scrap, debris and waste stored safely and removed from the worksite promptly?

Q5: Is all regulated waste, as defined in the HSE Bloodborne Pathogens standard, discarded according to governmental, county and local regulations?

Q6: Are accumulations of combustible dust routinely removed from elevated surfaces including the overhead structure of buildings, etc.?

Q7: Is combustible dust cleaned up with a vacuum system to prevent suspension of dust particles in the environment?

Q8: Is metallic or conductive dust prevented from entering or accumulating on or around electrical enclosures or equipment?

Q9: Are covered metal waste cans used for oily or paint-soaked waste?

Q10: Are all oil and gas-fired devices equipped with flame failure controls to prevent flow of fuel if pilots or main burners are not working?

Q11: Are paint spray booths, dip tanks, etc., cleaned regularly?

Q12: Are the minimum number of toilets and washing facilities provided and maintained in a clean and sanitary fashion?

Q13: Are all work areas adequately illuminated?

Q14: Are pits and floor openings covered or otherwise guarded?

Q15: Have all confined spaces been evaluated for compliance as per HSE regulations? (Permit required confined spaces.)

Total :

Remarks / Actions

Walk Ways Q1: Are aisles and passageways kept clear and marked as appropriate?

Q2: Are wet surfaces covered with non-slip materials?

Q3: Are holes in the floor, sidewalk, or other walking surface repaired properly, covered, or otherwise made safe?

Q4: Is there safe clearance for walking in aisles where motorised or mechanical handling equipment is operating?

Q5: Are materials or equipment stored in such a way that sharp projections will not interfere with the walkway?

Q6: Are aisles or walkways that pass near moving or operating machinery, welding operations, or similar operations arranged so employees will not be subjected to potential hazards?

Q7: Are changes of direction or elevations readily identifiable?

Q8: Are aisles or walkways that pass near moving or operating machinery, welding operations, or similar operations arranged so employees will not be subjected to potential hazards?

Q9: Is adequate headroom provided for the entire length of any aisle or walkway?

Q10: Are standard guardrails provided wherever aisle or walkway surfaces are elevated more than 30 inches (76.20 centimeters) above any adjacent floor or the ground?

Q11: Are bridges provided over conveyors and similar hazards?

Total :

Remarks / Actions

Floor and Wall Openings Q1: Are floor openings guarded by a cover, a guardrail, or equivalent on all sides (except at stairways or ladder entrances)?

Q2: Are toeboards installed around the edges of permanent floor openings where persons may pass below the opening?

Q3: Are skylight screens able to withstand a load of at least 200 pounds (90.7 kilograms)?

Q4: Is the glass in windows, doors, glass walls, etc., subject to possible human impact, of sufficient thickness and type for the condition of use?

Q5: Are grates or similar type covers over floor openings such as floor drains designed to allow unimpeded foot traffic or rolling equipment?

Q6: Are unused portions of service pits and pits not in use either covered or protected by guardrails or equivalent?

Q7: Are manhole covers, trench covers and similar covers, and their supports designed to carry a truck rear axle load of at least 20,000 pounds (9,072 kilograms) when located in roadways and subject to vehicle traffic?

Q8: Are floor or wall openings in fire-resistant construction provided with doors or covers compatible with the fire rating of the structure and provided with a self-closing feature when appropriate?

Total :

Remarks / Actions

Stairs and Stairways Q1: Do standard stair rails or handrails on all stairways have at least four risers?

Q2: Are all stairways at least 22 inches (55.88 centimeters) wide?

Q3: Do stairs have landing platforms not less than 30 inches (76.20 centimeters) in the direction of travel and extend 22 inches (55.88 centimeters) in width at every 12 feet (3.6576 meters) or less of vertical rise?

Q4: Do stairs angle no more than 50 and no less than 30 degrees?

Q5: Are stairs of hollow-pan type treads and landings filled to the top edge of the pan with solid material?

Q6: Are step risers on stairs uniform from top to bottom?

Q7: Are steps slip-resistant?

Q8: Are stairway handrails located between 30 inches (76.20 centimeters) and 34 inches (86.36 centimeters) above the leading edge of stair treads?

Q9: Do stairway handrails have at least 3 inches (7.62 centimeters) of clearance between the handrails and the wall or surface they are mounted on?

Q10: Where doors or gates open directly on a stairway, is a platform provided so the swing of the door does not reduce the width of the platform to less than 21 inches (53.34 centimeters)?

Q11: Are stairway handrails capable of withstanding a load of 200 pounds (90.7 kilograms), applied within 2 inches (5.08 centimeters) of the top edge in any downward or outward direction?

Q12: Where stairs or stairways exit directly into any area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic?

Q13: Do stairway landings have a dimension measured in the direction of travel at least equal to the width of the stairway?

Q14: Is the vertical distance between stairway landings limited to 12 feet (3.6576 meters) or less?

Total :

Remarks / Actions

Elevated Surfaces Q1: Are signs posted, when appropriate, showing the elevated surface load capacity?

Q2: Are surfaces that are elevated more than 30 inches (76.20 centimeters) provided with standard guardrails?

Q3: Are all elevated surfaces beneath which people or machinery could be exposed to falling objects provided with standard toeboards?

Q4: Is a permanent means of access and egress provided to elevated storage and work surfaces?

Q5: Is required headroom provided where necessary?

Q6: Is material on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?

Q7: Are dock boards or bridge plates used when transferring materials between docks and trucks or railcars?

Total :

Remarks / Actions

Exiting or Egress-Evacuation Q1: Are all exits marked with an exit sign and illuminated by a reliable light source?

Q2: Are the directions to exits, when not immediately apparent, marked with visible signs?

Q3: Are doors, passageways or stairways that are neither exits nor access to exits, but could be mistaken for exits, appropriately marked "NOT AN EXIT," "TO BASEMENT," "STOREROOM," etc.?

Q4: Are exit signs labeled with the word "EXIT" in lettering at least 5 inches (12.70 centimeters) high and the stroke of the lettering at least l/2inch (1.2700 centimeters) wide?

Q5: Are exit doors side-hinged?

Q6: Are all exits kept free of obstructions?

Q7: Are at least two means of egress provided from elevated platforms, pits, or rooms where the absence of a second exit would increase the risk of injury from hot, poisonous, corrosive, suffocating, flammable, or explosive substances?

Q8: Are there sufficient exits to permit prompt escape in case of emergency?

Q9: Are special precautions taken to protect employees during construction and repair operations?

Q10: Is the number of exits from each floor of a building and the number of exits from the building itself appropriate for the building occupancy load?

Q11: Are exit stairways that are required to be separated from other parts of a building enclosed by at least 2-hour fire-resistive construction in buildings more than four stories in height, and not less than 1-hour fire-resistive construction elsewhere?

Q12: Where ramps are used as part of required exiting from a building, is the ramp slope limited to 1 foot (0.3048 meter) vertical and 12 feet (3.6576 meters) horizontal?

Q13: Where exiting will be through frameless glass doors, glass exit doors, storm doors, etc., are the doors fully tempered and meet the safety requirements for human impact?

Total :

Remarks / Actions

Exit Doors Q1: Are doors that are required to serve as exits designed and constructed so that the path of exit travel is obvious and direct?

Q2: Are windows that could be mistaken for exit doors made inaccessible by means of barriers or railings?

Q3: Are exit doors able to be opened from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?

Q4: Is a revolving, sliding, or overhead door prohibited from serving as a required exit door?

Q5: Where panic hardware is installed on a required exit door, will it allow the door to open by applying a force of 15 pounds (6.80 kilograms) or less in the direction of the exit traffic?

Q6: Are doors on cold storage rooms provided with an inside release mechanism that will release the latch and open the door even if the door is padlocked or otherwise locked on the outside?

Q7: Where exit doors open directly onto any street, alley, or other area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic?

Q8: Are doors that swing in both directions and are located between rooms where there is frequent traffic provided with viewing panels in each door?

Total :

Remarks / Actions

Portable Ladders Q1: Are all ladders maintained in good condition, joints between steps and side rails tight, all hardware and fittings securely attached, and moveable parts operating freely without binding or undue play?

Q2: Are non-slip safety feet provided on each metal or rung ladder, and are ladder rungs and steps free of grease and oil?

Q3: Are employees prohibited from placing a ladder in front of doors opening toward the ladder unless the door is blocked open, locked, or guarded?

Q4: Are employees prohibited from placing ladders on boxes, barrels, or other unstable bases to obtain additional height?

Q5: Are employees required to face the ladder when ascending or descending?

Q6: Are employees prohibited from using ladders that are broken, have missing steps, rungs, or cleats, broken side rails, or other faulty equipment?

Q7: Are employees instructed not to use the top step of ordinary stepladders as a step?

Q8: When portable rung ladders are used to gain access to elevated platforms, roofs, etc., does the ladder always extend at least 3 feet (0.9144 meters) above the elevated surface?

Q9: Are employees required to secure the base of a portable rung or cleat type ladder to prevent slipping, or otherwise lash or hold it in place?

Q10: Are portable metal ladders legibly marked with signs reading "CAUTION - Do Not Use Around Electrical Equipment" or equivalent wording?

Q11: Are employees prohibited from using ladders as guys, braces, skids, gin poles, or for other than their intended purposes?

Q12: Are employees instructed to only adjust extension ladders while standing at a base (not while standing on the ladder or from a position above the ladder)?

Q13: Are metal ladders inspected for damage?

Q14: Are the rungs of ladders uniformly spaced at 12 inches (30.48 centimeters) center to center?

Total :

Remarks / Actions

Hand Tools and Equipment Q1: Are all tools and equipment (both company and employee-owned) used at the workplace in good condition?

Q2: Are hand tools, such as chisels, punches, etc., which develop mushroomed heads during use, reconditioned or replaced as necessary?

Q3: Are broken or fractured handles on hammers, axes and similar equipment replaced promptly?

Q4: Are worn or bent wrenches replaced?

Q5: Are appropriate handles used on files and similar tools?

Q6: Are employees aware of hazards caused by faulty or improperly used hand tools?

Q7: Are appropriate safety glasses, face shields, etc., used while using hand tools or equipment that might produce flying materials or be subject to breakage?

Q8: Are jacks checked periodically to ensure they are in good operating condition?

Q9: Are tool handles wedged tightly into the heads of all tools?

Q10: Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping?

Q11: Are tools stored in a dry, secure location where they cannot be tampered with?

Q12: Is eye and face protection used when driving hardened or tempered studs or nails?

Total :

Remarks / Actions

Portable (Power Operated) Tools and Equipment Q1: Are grinders, saws and similar equipment provided with appropriate safety guards?

Q2: Are power tools used with proper shields, guards, or attachments, as recommended by the manufacturer?

Q3: Are portable circular saws equipped with guards above and below the base shoe?

Q4: Are circular saw guards checked to ensure that they are not wedged up, leaving the lower portion of the blade unguarded?

Q5: Are rotating or moving parts of equipment guarded to prevent physical contact?

Q6: Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?

Q7: Are effective guards in place over belts, pulleys, chains and sprockets on equipment such as concrete mixers, air compressors, etc.?

Q8: Are portable fans provided with full guards or screens having openings 1/2 inch (1.2700 centimeters) or less?

Q9: Is hoisting equipment available and used for lifting heavy objects, and are hoist ratings and characteristics appropriate for the task?

Q10: Are ground-fault circuit interrupters provided on all temporary electrical 15 and 20 ampere circuits used during periods of construction?

Q11: Are pneumatic and hydraulic hoses on powder-operated tools checked regularly for deterioration or damage?

Total :

Remarks / Actions

Abrasive Wheel Equipment Grinders Q1: Is the work rest used and kept adjusted to within 1/8 inch (0.3175 centimeter) of the wheel?

Q2: Is the adjustable tongue on the top side of the grinder used and kept adjusted to within 1/4 inch (0.6350 centimeters) of the wheel?

Q3: Do side guards cover the spindle, nut and flange and 75 percent of the wheel diameter?

Q4: Are fixed or permanently mounted grinders connected to their electrical supply system with metallic conduit or other permanent wiring method?

Q5: Are bench and pedestal grinders permanently mounted?

Q6: Are goggles or face shields always worn when grinding?

Q7: Is the maximum revolutions per minute (rpm) rating of each abrasive wheel compatible with the rpm rating of the grinder motor?

Q8: Does each grinder have an individual on and off control switch?

Q9: Is each electrically operated grinder effectively grounded?

Q10: Are new abrasive wheels visually inspected and ring tested before they are mounted?

Q11: Are dust collectors and powered exhausts provided on grinders used in operations that produce large amounts of dust?

Q12: Are splash guards mounted on grinders that use coolant to prevent the coolant from reaching employees?

Q13: Is cleanliness maintained around grinders?

Total :

Remarks / Actions

Powder Acuated Tools Q1: Are employees who operate powder-actuated tools trained in their use and required to carry a valid operator's card?

Q2: Is each powder-actuated tool stored in its own locked container when not being used?

Q3: Is a sign at least 7 inches (17.78 centimeters) by 10 inches (25.40 centimeters) with bold face type reading "POWDER-ACTUATED TOOL IN USE" conspicuously posted when the tool is being used?

Q4: Are powder-actuated tools left unloaded until they are ready to be used?

Q5: Are powder-actuated tools inspected for obstructions or defects each day before use?

Q6: Do powder-actuated tool operators have and use appropriate PPE such as hard hats, safety goggles, safety shoes and ear protectors?

Total :

Remarks / Actions

Machine Guarding Q1: Is there a training program to instruct employees on safe methods of machine operation?

Q2: Is there adequate supervision to ensure that employees are following safe machine operating procedures?

Q3: Is there a regular program of safety inspection of machinery and equipment?

Q4: Is all machinery and equipment kept clean and properly maintained?

Q5: Is sufficient clearance provided around and between machines to allow for safe operations, set up and servicing, material handling and waste removal?

Q6: Is equipment and machinery securely placed and anchored to prevent tipping or other movement that could result in personal injury?

Q7: Is there a power shut-off switch within reach of the operator's position at each machine?

Q8: Can electric power to each machine be locked out for maintenance, repair, or security?

Q9: Are the noncurrent-carrying metal parts of electrically operated machines bonded and grounded?

Q10: Are foot-operated switches guarded or arranged to prevent accidental actuation by personnel or falling objects?

Q11: Are manually operated valves and switches controlling the operation of equipment and machines clearly identified and readily accessible?

Q12: Are all emergency stop buttons colored red?

Q13: Are all pulleys and belts within 7 feet (2.1336 meters) of the floor or working level properly guarded?

Q14: Are all moving chains and gears properly guarded?

Q15: Are splash guards mounted on machines that use coolant to prevent the coolant from reaching employees?

Q16: Are methods provided to protect the operator and other employees in the machine area from hazards created at the point of operation, ingoing nip points, rotating parts, flying chips and sparks?

Q17: Are machine guards secure and arranged so they do not cause a hazard while in use?

Q18: If special hand tools are used for placing and removing material, do they protect the operator's hands?

Q19: Are revolving drums, barrels and containers guarded by an enclosure that is interlocked with the drive mechanism so that revolution cannot occur unless the guard enclosure is in place?

Q20: Do arbors and mandrels have firm and secure bearings, and are they free from play?

Q21: Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown?

Q22: Are machines constructed so as to be free from excessive vibration when the largest size tool is mounted and run at full speed?

Q23: If machinery is cleaned with compressed air, is air pressure controlled and PPE or other safeguards utilized to protect operators and other workers from eye and body injury?

Q24: Are fan blades protected with a guard having openings no larger than l/2 inch (1.2700 centimeters) when operating within 7 feet (2.1336 meters) of the floor?

Q25: Are saws used for ripping equipped with anti-kickback devices and spreaders?

Q26: Are radial arm saws so arranged that the cutting head will gently return to the back of the table when released?

Total :

Remarks / Actions

Lockout/Tagout Procedures Q1: Is all machinery or equipment capable of movement required to be de-energized or disengaged and blocked or locked out during cleaning, servicing, adjusting, or setting up operations?

Q2: If the power disconnect for equipment does not also disconnect the electrical control circuit, are the appropriate electrical enclosures identified and is a means provided to ensure that the control circuit can also be disconnected and locked out?

Q3: Is the locking out of control circuits instead of locking out main power disconnects prohibited?

Q4: Are all equipment control valve handles provided with a means for locking out?

Q5: Does the lockout procedure require that stored energy (mechanical, hydraulic, air, etc.) be released or blocked before equipment is locked out for repairs?

Q6: Are appropriate employees provided with individually keyed personal safety locks?

Q7: Are employees required to keep personal control of their key(s) while they have safety locks in use?

Q8: Is it required that only the employee exposed to the hazard can place or remove the safety lock?

Q9: Is it required that employees check the safety of the lockout by attempting a startup after making sure no one is exposed?

Q10: Are employees instructed to always push the control circuit stop button prior to re-energizing the main power switch?

Q11: Is there a means provided to identify any or all employees who are working on locked-out equipment by their locks or accompanying tags?

Q12: Are a sufficient number of accident prevention signs or tags and safety padlocks provided for any reasonably foreseeable repair emergency?

Q13: When machine operations, configuration, or size require an operator to leave the control station and part of the machine could move if accidentally activated, is the part required to be separately locked out or blocked?

Q14: If equipment or lines cannot be shut down, locked out and tagged, is a safe job procedure established and rigidly followed?

Total :

Remarks / Actions

Welding, Cutting, Brazing Q1: Are only authorized and trained personnel permitted to use welding, cutting, or brazing equipment?

Q2: Does each operator have a copy of and follow the appropriate operating instructions?

Q3: Are compressed gas cylinders regularly examined for obvious signs of defects, deep rusting, or leakage?

Q4: Is care used in handling and storage of cylinders, safety valves, relief valves, etc., to prevent damage?

Q5: Are precautions taken to prevent the mixture of air or oxygen with flammable gases, except at a burner or in a standard torch?

Q6: Are only approved apparatuses (torches, regulators, pressure reducing valves, acetylene generators, manifolds) used?

Q7: Are cylinders kept away from sources of heat and elevators, stairs, or gangways?

Q8: Is it prohibited to use cylinders as rollers or supports?

Q9: Are empty cylinders appropriately marked and their valves closed?

Q10: Are signs posted reading "DANGER, NO SMOKING, MATCHES, OR OPEN LIGHTS," or the equivalent?

Q11: Are cylinders, cylinder valves, couplings, regulators, hoses and apparatuses kept free of oily or greasy substances?

Q12: Is care taken not to drop or strike cylinders?

Q13: Are regulators removed and valve-protection caps put in place before moving cylinders, unless they are secured on special trucks?

Q14: Do cylinders without fixed wheels have keys, handles, or non-adjustable wrenches on stem valves when in service?

Q15: Are liquefied gases stored and shipped valve-end up with valve covers in place?

Q16: Are employees trained never to crack a fuel gas cylinder valve near sources of ignition?

Q17: Before a regulator is removed, is the valve closed and gas released?

Q18: Is red used to identify the acetylene (and other fuel-gas) hose, green for the oxygen hose and black for inert gas and air hoses?

Q19: Are pressure-reducing regulators used only for the gas and pressures for which they are intended?

Q20: Is open circuit (no-load) voltage of arc welding and cutting machines as low as possible and not in excess of the recommended limits?

Q21: Under wet conditions, are automatic controls for reducing no-load voltage used?

Q22: Is grounding of the machine frame and safety ground connections of portable machines checked periodically?

Q23: Are electrodes removed from the holders when not in use?

Q24: Is it required that electric power to the welder be shut off when no one is in attendance?

Q25: Is suitable fire extinguishing equipment available for immediate use?

Q26: Is the welder forbidden to coil or loop welding electrode cable around his body?

Q27: Are wet machines thoroughly dried and tested before use?

Q28: Are work and electrode lead cables frequently inspected for wear and damage, and replaced when needed?

Q29: Are cable connectors adequately insulated?

Q30: When the object to be welded cannot be moved and fire hazards cannot be removed, are shields used to confine heat, sparks and slag?

Q31: Are fire watchers assigned when welding or cutting is performed in locations where a serious fire might develop?

Q32: Are combustible floors kept wet, covered with damp sand, or protected by fire-resistant shields?

Q33: Are personnel protected from possible electrical shock when floors are wet?

Q34: Are precautions taken to protect combustibles on the other side of metal walls when welding is underway?

Q35: Are used drums, barrels, tanks and other containers thoroughly cleaned of substances that could explode, ignite, or produce toxic vapors before hot work begins?

Q36: Do eye protection, helmets, hand shields and goggles meet appropriate standards?

Q37: Are employees exposed to the hazards created by welding, cutting, or brazing operations protected with PPE and clothing?

Q38: Is a check made for adequate ventilation in and where welding or cutting is performed?

Q39: When working in confined places, are environmental monitoring tests done and means provided for quick removal of welders in case of an emergency?

Total :

Remarks / Actions

Compressors and Compressed Air Q1: Are compressors equipped with pressure relief valves and pressure gauges?

Q2: Are compressor air intakes installed and equipped so as to ensure that only clean, uncontaminated air enters the compressor?

Q3: Are air filters installed on the compressor intake?

Q4: Are compressors operated and lubricated in accordance with the manufacturer's recommendations?

Q5: Are safety devices on compressed air systems checked frequently?

Q6: Before a compressor's pressure system is repaired, is the pressure bled off and the system locked out?

Q7: Are signs posted to warn of the automatic starting feature of the compressors?

Q8: Is the belt drive system totally enclosed to provide protection for the front, back, top and sides?

Q9: Are employees strictly prohibited from directing compressed air towards a person?

Q10: Are employees prohibited from using highly compressed air for cleaning purposes?

Q11: When compressed air is used to clean clothing, are employees trained to reduce the pressure to less than 10 pounds per square inch (psi)?

Q12: When using compressed air for cleaning, do employees wear protective chip guarding and PPE? Are employees prohibited from using 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 hazard?

Q13: Are safety chains or other suitable locking devices used at couplings of high-pressure hose lines where a connection failure would create a hazard?

Q14: Before compressed air is used to empty containers of liquid, is the safe working pressure of the container checked?

Q15: When compressed air is used with abrasive blast cleaning equipment, is the operating valve a type that must be held open manually?

Q16: When compressed air is used to inflate auto tires, are a clip-on chuck and an inline regulator preset to 40 psi required?

Q17: Are employees prohibited from using 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 hazard?

Total :

Remarks / Actions

Compressors/Air Receivers Q1: Is every receiver equipped with a pressure gauge and one or more automatic, spring-loaded safety valves?

Q2: Is the total relieving capacity of the safety valve able to prevent pressure in the receiver from exceeding the maximum allowable working pressure of the receiver by more than 10 percent?

Q3: Is every air receiver provided with a drain pipe and valve at the lowest point for the removal of accumulated oil and water?

Q4: Are compressed air receivers periodically drained of moisture and oil?

Q5: Are all safety valves tested at regular intervals to determine whether they are in good operating condition?

Q6: Is there a current operating permit?

Q7: Is the inlet of air receivers and piping systems kept free of accumulated oil and carbonaceous materials?

Total :

Remarks / Actions

Compressed Gas Cylinders Q1: Are cylinders with a water weight capacity over 30 pounds (13.6 kilograms) equipped with a means to connect a valve protector device, or with a collar or recess to protect the valve?

Q2: Are cylinders legibly marked to clearly identify the type of gas?

Q3: Are compressed gas cylinders stored in areas protected from external heat sources such as flame impingement, intense radiant heat, electric arcs, or high-temperature lines?

Q4: Are cylinders located or stored in areas where they will not be damaged by passing or falling objects or subject to tampering by unauthorized persons?

Q5: Are cylinders stored or transported in a manner to prevent them from creating a hazard by tipping, falling, or rolling?

Q6: Are cylinders containing liquefied fuel gas stored or transported in a position so that the safety relief device is always in direct contact with the vapor space in the cylinder?

Q7: Are valve protectors always placed on cylinders when the cylinders are not in use or connected for use?

Q8: Are all valves closed off before a cylinder is moved, when the cylinder is empty and at the completion of each job?

Q9: Are low-pressure fuel gas cylinders checked periodically for corrosion, general distortion, cracks, or any other defect that might indicate a weakness or render them unfit for service?

Q10: Does the periodic check of low-pressure fuel gas cylinders include a close inspection of the cylinders' bottoms?

Total :

Remarks / Actions

Hoist and Auxiliary Equipment Q1: Is each overhead electric hoist equipped with a limit device to stop the hook at its highest and lowest point of safe travel?

Q2: Will each hoist automatically stop and hold any load up to 125 percent of its rated load if its actuating force is removed?

Q3: Is the rated load of each hoist legibly marked and visible to the operator?

Q4: Are stops provided at the safe limits of travel for trolley hoists?

Q5: Are the controls of hoists plainly marked to indicate the direction of travel or motion?

Q6: Is each cage-controlled hoist equipped with an effective warning device?

Q7: Are close-fitting guards or other suitable devices installed on each hoist to ensure that hoist ropes will be maintained in the sheave grooves?

Q8: Are all hoist chains or ropes long enough to handle the full range of movement of the application while maintaining two full wraps around the drum at all times?

Q9: Are guards provided for nip points or contact points between hoist ropes and sheaves permanently located within 7 feet (2.1336 meters) of the floor, ground, or working platform?

Q10: Are employees prohibited from using chains or rope slings that are kinked or twisted and prohibited from using the hoist rope or chain wrapped around the load as a substitute for a sling?

Q11: Is the operator instructed to avoid carrying loads above people?

Total :

Remarks / Actions

Industrial Trucks-Forklift Q1: Are employees properly trained in the use of the type of industrial truck they operate?

Q2: Are only trained personnel allowed to operate industrial trucks?

Q3: Is substantial overhead protective equipment provided on high lift rider equipment?

Q4: Are the required lift truck operating rules posted and enforced?

Q5: Is directional lighting provided on each industrial truck that operates in an area with less than 2 foot candles per square foot of general lighting?

Q6: Does each industrial truck have a warning horn, whistle, gong, or other device that can be clearly heard above normal noise in the areas where it is operated?

Q7: Are the brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded?

Q8: Does the parking brake of the industrial truck prevent the vehicle from moving when unattended?

Q9: Are industrial trucks that operate where flammable gases, vapors, combustible dust, or ignitable fibers may be present approved for such locations?

Q10: Are motorized hand and hand/rider trucks designed so that the brakes are applied and power to the drive motor shuts off when the operator releases his or her grip on the device that controls the truck's travel?

Q11: Are industrial trucks with internal combustion engines that are operated in buildings or enclosed areas carefully checked to ensure that such operations do not cause harmful concentrations of dangerous gases or fumes?

Q12: Are safe distances maintained from the edges of elevated ramps and platforms?

Q13: Are employees prohibited from standing or passing under elevated portions of trucks, whether loaded or empty?

Q14: Are unauthorized employees prohibited from riding on trucks?

Q15: Are operators prohibited from driving up to anyone standing in front of a fixed object?

Q16: Are arms and legs kept inside the running lines of the truck?

Q17: Are loads handled only within the rated capacity of the truck?

Q18: Are trucks in need of repair removed from service immediately?

Total :

Remarks / Actions

Spraying Operations Q1: Is adequate ventilation provided before spraying operations are started?

Q2: Is mechanical ventilation provided when spraying operations are performed in enclosed areas?

Q3: When mechanical ventilation is provided during spraying operations, is it so arranged that it will not circulate the contaminated air?

Q4: Is the spray area free of hot surfaces and at least 20 feet (6.096 meters) from flames, sparks, operating electrical motors and other ignition sources?

Q5: Are portable lamps used to illuminate spray areas suitable for use in a hazardous location?

Q6: Is approved respiratory equipment provided and used when appropriate during spraying operations?

Q7: Do solvents used for cleaning have a flash point to 100 degrees Fahrenheit (deg. F) or more?

Q8: Are fire control sprinkler heads kept clean?

Q9: Are "NO SMOKING" signs posted in spray areas, paint rooms, paint booths and paint storage areas?

Q10: Is the spray area kept clean of combustible residue?

Q11: Are spray booths constructed of metal, masonry, or other substantial noncombustible material?

Q12: Are spray booth floors and baffles noncombustible and easily cleaned?

Q13: Is infrared drying apparatus kept out of the spray area during spraying operations and is the spray booth completely ventilated before using the drying apparatus?

Q14: Is the electric drying apparatus properly grounded?

Q15: Are lighting fixtures for spray booths located outside the booth with the interior lighted through sealed clear panels?

Q16: Are the electric motors for exhaust fans placed outside booths or ducts?

Q17: Are belts and pulleys inside the booth fully enclosed?

Q18: Do ducts have access doors to allow cleaning?

Q19: Do all drying spaces have adequate ventilation?

Total :

Remarks / Actions

Entering Confined Spaces Q1: Are confined spaces thoroughly emptied of any corrosive or hazardous substances, such as acids or caustics, before entry?

Q2: Are all lines to a confined space that contain inert, toxic, flammable, or corrosive materials valved off and blanked or disconnected and separated before entry?

Q3: Are all impellers, agitators, or other moving parts and equipment inside confined spaces locked out if they present a hazard?

Q4: Is either natural or mechanical ventilation provided prior to confined space entry?

Q5: Are appropriate atmospheric tests performed to check for oxygen deficiency, toxic substances and explosive concentrations in the confined space before entry?

Q6: Is adequate illumination provided for the work to be performed in the confined space?

Q7: Is the atmosphere inside the confined space frequently tested or continuously monitored during work?

Q8: Is there a trained and equipped standby employee positioned outside the confined space, whose sole responsibility is to watch the work in progress, sound an alarm if necessary and render assistance?

Q9: Is the standby employee appropriately trained and equipped to handle an emergency?

Q10: Are employees prohibited from entering the confined space without lifelines and respiratory equipment if there is any question as to the cause of an emergency?

Q11: Is approved respiratory equipment required if the atmosphere inside the confined space cannot be made acceptable?

Q12: Is all portable electrical equipment used inside confined spaces either grounded and insulated or equipped with ground fault protection?

Q13: Are compressed gas bottles forbidden inside the confined space?

Q14: Before gas welding or burning is started in a confined space, are hoses checked for leaks, torches lighted only outside the confined area and the confined area tested for an explosive atmosphere each time before a lighted torch is taken into the confined space?

Q15: If employees will be using oxygen-consuming equipment such as salamanders, torches, furnaces, etc., 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?

Q16: Whenever combustion-type equipment is used in a confined space, are provisions made to ensure the exhaust gases are vented outside of the enclosure?

Q17: Is each confined space checked for decaying vegetation or animal matter which may produce methane?

Q18: Is the confined space checked for possible industrial waste which could contain toxic properties?

Q19: If the confined space is below ground and near areas where motor vehicles will be operating, is it possible for vehicle exhaust or carbon monoxide to enter the space?

Total :

Remarks / Actions

Environmental Controls Q1: Are all work areas properly illuminated?

Q2: Are employees instructed in proper first aid and other emergency procedures?

Q3: Are hazardous substances, blood and other potentially infectious materials, which may cause harm by inhalation, ingestion, or skin absorption or contact, identified?

Q4: 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, caustics, etc.?

Q5: Is employee exposure to chemicals in the workplace kept within acceptable levels?

Q6: Can a less harmful method or product be used?

Q7: Is the work area ventilation system appropriate for the work performed?

Q8: Are spray painting operations performed in spray rooms or booths equipped with an appropriate exhaust system?

Q9: Is employee exposure to welding fumes controlled by ventilation, use of respirators, exposure time limits, or other means?

Q10: Are welders and other nearby workers provided with flash shields during welding operations?

Q11: If forklifts and other vehicles are used in buildings or other enclosed areas, are the carbon monoxide levels kept below maximum acceptable concentration?

Q12: Has there been a determination that noise levels in the facilities are within acceptable levels?

Q13: Are steps being taken to use engineering controls to reduce excessive noise levels?

Q14: Are proper precautions being taken when handling asbestos and other fibrous materials?

Q15: Are caution labels and signs used to warn of hazardous substances (e.g., asbestos) and biohazards (e.g., bloodborne pathogens)?

Q16: Are wet methods used, when practicable, to prevent the emission of airborne asbestos fibers, silica dust and similar hazardous materials?

Q17: Are engineering controls examined and maintained or replaced on a scheduled basis?

Q18: Is vacuuming with appropriate equipment used whenever possible rather than blowing or sweeping dust?

Q19: Are grinders, saws and other machines that produce respirable dusts vented to an industrial collector or central exhaust system?

Q20: Are all local exhaust ventilation systems designed to provide sufficient air flow and volume for the application, and are ducts not plugged and belts not slipping?

Q21: Is PPE provided, used and maintained wherever required?

Q22: Are there written standard operating procedures for the selection and use of respirators where needed?

Q23: Are restrooms and washrooms kept clean and sanitary?

Q24: Is all water provided for drinking, washing and cooking potable?

Q25: Are all outlets for water that is not suitable for drinking clearly identified?

Q26: Are employees' physical capacities assessed before they are assigned to jobs requiring heavy work?

Q27: Are employees instructed in the proper manner for lifting heavy objects?

Q28: Where heat is a problem, have all fixed work areas been provided with spot cooling or air conditioning?

Q29: Are employees screened before assignment to areas of high heat to determine if their health might make them more susceptible to having an adverse reaction?

Q30: Are employees working on streets and roadways who are exposed to the hazards of traffic required to wear bright colored (traffic orange) warning vests?

Q31: Are exhaust stacks and air intakes located so that nearby contaminated air will not be recirculated within a building or other enclosed area?

Q32: Is equipment producing ultraviolet radiation properly shielded?

Q33: Are universal precautions observed where occupational exposure to blood or other potentially infectious materials can occur and in all instances where differentiation of types of body fluids or potentially infectious materials is difficult or impossible?

Total :

Remarks / Actions

Flammable and Combustible Materials Q1: Are combustible scrap, debris and waste materials (oily rags, etc.) stored in covered metal receptacles and promptly removed from the worksite?

Q2: Is proper storage practiced to minimize the risk of fire, including spontaneous combustion?

Q3: Are approved containers and tanks used to store and handle flammable and combustible liquids?

Q4: Are all connections on drums and combustible liquid piping, vapor and liquid tight?

Q5: Are all flammable liquids kept in closed containers when not in use (e.g., parts cleaning tanks, pans, etc.)?

Q6: Are bulk drums of flammable liquids grounded and bonded to containers during dispensing?

Q7:Do storage rooms for flammable and combustible liquids have explosion-proof lights and mechanical or gravity ventilation?

Q8: Is liquefied petroleum gas stored, handled and used in accordance with safe practices and standards?

Q9: Are "NO SMOKING" signs posted on liquefied petroleum gas tanks and in areas where flammable or combustible materials are used or stored?

Q10: Are liquefied petroleum storage tanks guarded to prevent damage from vehicles?

Q11: Are all solvent wastes and flammable liquids kept in fire-resistant, covered containers until they are removed from the worksite?

Q12: Is vacuuming used whenever possible rather than blowing or sweeping combustible dust?

Q13: Are firm separators placed between containers of combustibles or flammables that are stacked one upon another to ensure their support and stability?

Q14: Are fuel gas cylinders and oxygen cylinders separated by distance and fire-resistant barriers while in storage?

Q15: Are fire extinguishers selected and provided for the types of materials in the areas where they are to be used?
1) Class A - Ordinary combustible material fires
2) Class B - Flammable liquid, gas or grease fires
3) Class C - Energized-electrical equipment fires

Q16: Are appropriate fire extinguishers mounted within 75 feet (22.86 meters) of outside areas containing flammable liquids and within 10 feet (3.048 meters) of any inside storage area for such materials?

Q17: Are extinguishers free from obstructions?

Q18: Are extinguishers free from blockage?

Q19: Are all extinguishers serviced, maintained and tagged at intervals not to exceed one year?

Q20: Are all extinguishers fully charged and in their designated places?

Q21: Where sprinkler systems are permanently installed, are the nozzle heads so directed or arranged that water will not be sprayed into operating electrical switchboards and equipment?

Q22: Are safety cans used for dispensing flammable or combustible liquids at the point of use?

Q23: Are all spills of flammable or combustible liquids cleaned up promptly?

Q24: Are storage tanks equipped with emergency venting that will relieve excessive internal pressure caused by fire exposure?

Q25: Are rules enforced in areas involving storage and use of hazardous materials?

Total :

Remarks / Actions

Hazardous Chemical Exposure Q1: Are employees aware of the potential hazards and trained in safe handling practices for situations involving various chemicals stored or used in the workplace such as acids, bases, caustics, epoxies, phenols, etc.?

Q2: Are employees aware of the potential hazards and trained in safe handling practices for situations involving various chemicals stored or used in the workplace such as acids, bases, caustics, epoxies, phenols, etc.?

Q3: Are eye-wash fountains and safety showers provided in areas where corrosive chemicals are handled?

Q4: Are all containers, such as vats, storage tanks, etc., labeled as to their contents, e.g., "CAUSTICS"?

Q5: Are all employees required to use personal protective clothing and equipment when handling chemicals (gloves, eye protection, respirators, etc.)?

Q6: Are flammable or toxic chemicals kept in closed containers when not in use?

Q7: Are chemical piping systems clearly marked as to their content?

Q8: 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 and performed properly and safely?

Q9: Are standard operating procedures established and are they being followed when cleaning up chemical spills?

Q10: Are respirators stored in a convenient, clean and sanitary location, and are they adequate for emergencies?

Q11: Are employees prohibited from eating in areas where hazardous chemicals are present?

Q12: Is PPE used and maintained whenever necessary?

Q13: Are there written standard operating procedures for the selection and use of respirators where needed?

Q14: If you have a respirator protection program, are your employees instructed on the correct usage and limitations of the respirators?

Q15: Are the respirators National Institute for Occupational Safety and Health (NIOSH) approved for this particular application?

Q16: Are they regularly inspected, cleaned, sanitized and maintained?

Q17: If hazardous substances are used in your processes, do you have a medical or biological monitoring system in operation?

Q18: Are you familiar with the threshold limit values or permissible exposure limits of airborne contaminants and physical agents used in your workplace?

Q19: Have appropriate control procedures been instituted for hazardous materials, including safe handling practices and the use of respirators and ventilation systems?

Q20: Whenever possible, are hazardous substances handled in properly designed and exhausted booths or similar locations?

Q21: Do you use general dilution or local exhaust ventilation systems to control dusts, vapors, gases, fumes, smoke, solvents, or mists that may be generated in your workplace?

Q22: Is operational ventilation equipment provided for removal of contaminants from production grinding, buffing, spray painting, and/or vapor degreasing?

Q23: Do employees complain about dizziness, headaches, nausea, irritation, or other factors of discomfort when they use solvents or other chemicals?

Q24: Is there a dermatitis problem? Do employees complain about dryness, irritation, or sensitization of the skin?

Q25: Have you considered having an industrial hygienist or environmental health specialist evaluate your operation?

Q26: If internal combustion engines are used, is carbon monoxide kept within acceptable levels?

Q27: Is vacuuming used rather than blowing or sweeping dust whenever possible for cleanup?

Q28: Are materials that give off toxic, asphyxiant, suffocating, or anesthetic fumes stored in remote or isolated locations when not in use?

Total :

Remarks / Actions

Hazardous Substances Communication Q1: Is there a list of hazardous substances used in your workplace and an MSDS readily available for each hazardous substance used?

Q2: Is there a current written exposure control plan for occupational exposure to bloodborne pathogens and other potentially infectious materials, where applicable?

Q3: Is there a written hazard communication program dealing with MSDSs, labeling and employee training?

Q4: Is each container for a hazardous substance (i.e., vats, bottles, storage tanks, etc.) labeled with product identity and a hazard warning (communication of the specific health hazards and physical hazards)?

Q5: Is there an employee training program for hazardous substances?

Q6: Is there an employee training program on the bloodborne pathogens?

Q7: Are employees trained in how to recognize tasks that might result in occupational exposurea and who to contact and what to do in an emergency.

Total :

Remarks / Actions

Electrical Q1: Do you require compliance with UK Health and Safety standards for all contract electrical work?

Q2: Are all employees required to report any obvious hazard to life or property in connection with electrical equipment or lines as soon as possible?

Q3: Are employees instructed to make preliminary inspections and/or appropriate tests to determine conditions before starting work on electrical equipment or lines?

Q4: When electrical equipment or lines are to be serviced, maintained, or adjusted, are necessary switches opened, locked out or tagged, whenever possible?

Q5: Are portable electrical tools and equipment grounded or of the double insulated type?

Q6: Are electrical appliances such as vacuum cleaners, polishers, vending machines, etc., grounded?

Q7: Do extension cords have a grounding conductor?

Q8: Are multiple plug adaptors prohibited?

Q9: Are ground-fault circuit interrupters installed on each temporary 15 or 20 ampere, 120 volt alternating current (AC) circuit at locations where construction, demolition, modifications, alterations, or excavations are being performed?

Q10: Are all temporary circuits protected by suitable disconnecting switches or plug connectors at the junction with permanent wiring?

Q11: Do you have electrical installations in hazardous dust or vapor areas? If so, do they meet the National Electrical Code for hazardous locations?

Q12: Are exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly?

Q13: Are flexible cords and cables free of splices or taps?

Q14: Are clamps or other securing means provided on flexible cords or cables at plugs, receptacles, tools, equipment, etc., and is the cord jacket securely held in place?

Q15: Are all cord, cable and raceway connections intact and secure?

Q16: In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected?

Q17: Is the location of electrical power lines and cables (overhead, underground, under floor, other side of walls, etc.) determined before digging, drilling, or similar work is begun?

Q18: Are metal measuring tapes, ropes, hand-lines 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?

Q19: Is the use of metal ladders prohibited where the ladder or the person using the ladder could come in contact with energized parts of equipment, fixtures, or circuit conductors?

Q20: Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

Q21: Are disconnecting means always opened before fuses are replaced?

Q22: Do all interior wiring systems include provisions for grounding metal parts of electrical raceways, equipment and enclosures?

Q23: Are all electrical raceways and enclosures securely fastened in place?

Q24: Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?

Q25: Is sufficient access and working space provided and maintained around all electrical equipment to permit ready and safe operations and maintenance?

Q26: Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?

Q27: Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?

Q28: Are disconnecting switches for electrical motors in excess of two horsepower able to open the circuit when the motor is stalled without exploding? (Switches must be horsepower rated equal to or in excess of the motor rating.)?

Q29: Is low voltage protection provided in the control device of motors driving machines or equipment that could cause injury from inadvertent starting?

Q30: Is each motor disconnecting switch or circuit breaker located within sight of the motor control device?

Q31: Is each motor located within sight of its controller or is the controller disconnecting means able to be locked open or is a separate disconnecting means installed in the circuit within sight of the motor?

Q32: Is the controller for each motor that exceeds two horsepower rated equal to or above the rating of the motor it serves?

Q33: Are employees who regularly work on or around energized electrical equipment or lines instructed in cardiopulmonary resuscitation (CPR)?

Q34: Are employees prohibited from working alone on energized lines or equipment over 600 volts?

Total :

Remarks / Actions

Noise Q1: Are there areas in the workplace where continuous noise levels exceed 85 decibels?

Q2: Is there an ongoing preventive health program to educate employees in safe levels of noise, exposures, effects of noise on their health and the use of personal protection?

Q3: Have work areas where noise levels make voice communication between employees difficult been identified and posted?

Q4: Are noise levels measured with a sound level meter or an octave band analyzer and are records being kept?

Q5: Have engineering controls been used to reduce excessive noise levels? Where engineering controls are determined to be infeasible, are administrative controls (i.e., worker rotation) being used to minimize individual employee exposure to noise?

Q6: Is approved hearing protective equipment (noise attenuating devices) available to every employee working in noisy areas?

Q7: Have you tried isolating noisy machinery from the rest of your operation?

Q8: If you use ear protectors, are employees properly fitted and instructed in their use?

Total :

Remarks / Actions

Materials Handling Q1: Is there safe clearance for equipment through aisles and doorways?

Q2: Are aisle-ways permanently marked and kept clear to allow unhindered passage?

Q3: Are motorized vehicles and mechanized equipment inspected daily or prior to use?

Q4: Are vehicles shut off and brakes set prior to loading or unloading?

Q5: Are containers of liquid combustibles or flammables, when stacked while being moved, always protected by dunnage (packing material) sufficient to provide stability?

Q6: Are dock boards (bridge plates) used when loading or unloading operations are taking place between vehicles and docks?

Q7: Are trucks and trailers secured from movement during loading and unloading operations?

Q8: Are dock plates and loading ramps constructed and maintained with sufficient strength to support imposed loading?

Q9: Are hand trucks maintained in safe operating condition?

Q10: Are chutes equipped with sideboards of sufficient height to prevent the materials being handled from falling off?

Q11: Are chutes and gravity roller sections firmly placed or secured to prevent displacement?

Q12: Are provisions made to brake the movement of the handled materials at the delivery end of rollers or chutes?

Q13: Are pallets usually inspected before being loaded or moved?

Q14: Are safety latches and other devices being used to prevent slippage of materials off of hoisting hooks?

Q15: Are securing chains, ropes, chockers, or slings adequate for the job?

Q16: Are provisions made to ensure that no one is below when hoisting material or equipment?

Q17: Are MSDSs available to employees handling hazardous substances?

Total :

Remarks / Actions