Safety Observation Checklist - General Industry
100 WR NA PPE: 100% or When Required Yes No NA Administrative: Use Inc NA Observed: (Using or Incomplete) PPE Assessment Written Safety Manual Egress: Path, Em. Lighting, Marked Hard Hats: 100% or When Required New Employee Orientation Fire Hazards:Flamable, Gr. & Bond Eye Protection Visitor Orientation & PPE Fire Extinguishers: Provided, Maint. Respirator Fit & Med.: Y N OSHA Partnership: Alliance, VPP Fire System: Hearing Prot. Noise Test: Y N Safety Rules: Enforced, Policy Steel Toe Shoes Safety Committee Haz. Communication: Chemicals Fall Protection Emergency Action Plan W. Program, Label, MSDA, Train Other: First-Aid - CPR Responders Process Safety Management Yes No NA Hazard Assessment: Fire Dept. Minutes____ Weather (Hot-Cold) F Safety Inspections - Audit Walk-Work Surface - Holes: Slips, Trips & Falls Safety Meetings Fall Protection - Falling Object Prot. Physical Contact - Falling Objects Report Near Misses Guardrailing - Stair Railing: Absorption Investigate Incidents Ladders: Insp., Training Inhalation - Fume, Mist, Dust, Vapors Scaffolding: Type Violence Yes No NA Items Onsite: Lifts: Scissor, Aerial Noise OSHA Poster Light - Dark 300 Log: On-Site Cranes - Hoist - Slings: Insp., Rated Vibration or Ergonomics 300 summary (2/1-4/30) posted Forklift: Insp. - Training - Blind Spots Traffic- Street or Road Emergency Alarm System - Drills Propane: Storage, Secured Emergency Numbers Posted Machine Guard: Train, Insp, Assess Yes No NA Facility: First Aid Kit - Sign - Insp. Lockout:Procedures - Train - Audit Number of Floors: B - 1 - 2 - 3 - 4 AED Shut-off Location: Gas, Water, Elect. Bloodborne Path Kit - Sign - Insp. Confined Space: # Security: Person, Cameras Eye Wash Station - Sign - Insp. Permit, Sign, Monitor, Rescue, Train Smoke Free ____ Areas____ Toilet Facilities Drinking Water Electric: Panels, Wire, GFCI, 70E Yes No NA Employees Material Safety Data Sheets Tools: Insp., PPE Union - Non Union OSHA Standards Number of Employees Welding: Area, Ventalation, Permit Temp. Empl. Yes No NA OSHA Safety Training: Cylinders: Sign, Storage, Secured Hisp. Workers Management OSHA 10 or 30 Hr. Vehicles - Trucks - Semi: (Insp) Other: Employees - Specific Trained Traffic: Lead / Asbestos / Mold: Yes No NA Type of Work: Yes No # Contractors Requirements: Ergonomics: Lifting, Job set-Up Manf.___ Warehouse___ Dock____ Written Job Agreement Signage: Shift Work - AM. / PM. 1 - 2 - 3 Orientation____ OSHA 10/30____ Safety Manual____ MSDS's____ Yes No NA Behavior Observed: Yes No NA Site Condition: Safety - Competent Person Site Attitude - Good - Helpful Housekeeping - Good Contractors Site Inspection Unsafe Acts or Conditions Exits Paths - Maintained Sub of Sub Notification Reported to the Company Due to the constantly changing nature of government regulations, conditions, and the human factors involved, no safety audit can possibly reveal all conditions existing at the audit site that may lead to injury, property damage, or fines. Furthermore, no safety audit can possibly render an opinion on conditions existing at the inspection site before or after the performance of the audit. The Company understands that it must also provide or conduct frequent and regular inspections on the job site. The audits performed by Safety Alliance LLC shall be used only to aid not relieve the company in complying with this requirement. Safety Alliance will have no authority to stop, correct or supervise employees but will inform company representative of any specific safety concerns known to it. This is considered a walk through inspection not a comprehesive safety inspection. This form may not be complete for your site. You will need to review and revise. 6/1/08 Note: Topic-PPE: 100% means PPE is required 100% on site. W/R means "When Required". Company: Contact Person: Date: ,2008
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