Appendix B
SAFETY INSPECTION CHECKLIST
BUILDING/DEPARTMENT(S):__________________________________________DATE:_________________
TIME START:__________TIME FINISHED: __________INSPECTOR(S): ______________________________
BUILDING COORDINATOR:__________________________________________________________________
Checklist Items
1. Are all ceiling tiles in place and in good condition?.............................................................
2. Is all furniture in good/stable condition and properly adjusted?..........................................
3. Are wall-mounted book cases free of excessive material on top and not overloaded?
(Chemicals & heavy items should not be stored above head height (6 feet)......................
4. Are all walking or working surfaces free of tipping/slipping hazards?.................................
5. Are emergency phone numbers and procedures posted at or near telephones?...............
6. Are all fans equipped with a blade guard with openings no greater than ½ inch?..............
7. Is consumption of food, beverage, etc., prohibited where required?...................................
A. General-All Areas
1. Are all corridors unobstructed?.........................................................................................
2. Are all exit doors unobstructed?.......................................................................................
3. Are exit signs posted and properly illuminated to clearly indicate exits?..........................
4. Are all exit doors able to be opened from the inside without special knowledge/keys?...
5. Are exit doors free of slide bolts or locks?........................................................................
C. Exits/Corridors
1. Are machine and belt guards in place and in good condition?...........................................
2. Is pedestal machinery securely anchored to the floor?......................................................
3. Is equipment properly maintained and adjusted to prevent
personal injury and equipment damage?...........................................................................
4. Are compressed air nozzles at the correct pressure of 30 psi or less?..............................
5. Is all piping appropriately identified as to contents/direction of flow?.................................
6. Are hot pipes and surfaces guarded against contact and clearly marked “HOT”?.............
7. Are areas requiring use of protective equipment (e.g., Eye Protection Required, etc.)
adequately posted with warning signs and enforced?.......................................................
8. Is damaged/malfunctioning equipment tagged “OUT OF SERVICE”?..............................
B. General – Shops
Yes No NA
1. Is there at least three (3) feet clearance in front of electrical panels/breaker boxes?.......
2. Are electric hand tools properly grounded/double insulated?...........................................
3. Is the area free of extension cords?..................................................................................
4. Is all electrical equipment plugged directly into wall outlets?.............................................
5. Are all cords/plugs free from damage or deterioration?.....................................................
6. Are switches and circuit breakers properly identified as to the service
they are in and to what they control?.................................................................................
7. Are circuit breaker panels free of combustible materials?................................................
8. Are covers plates in place on junction boxes to eliminate exposed wiring?......................
9. Are “WARNING HIGH VOLTAGE” signs installed on high voltage enclosures
for systems rated 600V or over?.......................................................................................
10. Is all electrical, including light fixtures, protected fromphysical damage
by enclosure/guards?......................................................................................................
D. Electrical
1. Is good housekeeping practiced in work area?, Is it free of debris, combustibles,
and obstructions? Are aisles maintained?........................................................................
2. Is storage adequately supported/stable to avoid tipping/falling?......................................
3. Is there at least two (2) feet clearance between stacked materials and ceiling light?......
F. Storage – General
Yes No NA
1. Is emergency equipment (alarm pull boxes, eyewashes, showers, etc.)
accessible and not blocked by equipment?......................................................................
2. Are emergency eyewashes provided in the required chemical areas?.............................
3. Are emergency showers provided in the required chemical areas?.................................
4. Is all emergency equipment in good condition?................................................................
5. Are spill kits accessible and fully stocked per list?............................................................
E. Emergency Equipment
1. Is the storage of combustibles in the work area held to a minimum
to avoid a fire hazard? .....................................................................................................
2. Is clearance of at least 18 inches maintained around fire sprinkler heads?.....................
3. Are flammable/combustible liquids in excess of one day’s operational supply
kept in approved flammable materials storage (FMS) cabinets?......................................
4. Are all FMS cabinets free of combustible materials (cardboard, paper, plastic, etc.)?.....
5. Are all flammable containers properly closed/covered to control vapors?........................
6. Are all flammable/combustible containers properly labeled/ identified?............................
7. Are all refrigerators used for storage of flammable/combustible
liquids/materials approved and explosion proof?..............................................................
8. Are flammable/combustible liquids returned to approved flammable liquid
storage cabinets at the end of the workday?.....................................................................
G. Storage – Fire Protection
Appendix B
1. Are all cylinders properly secured with straps or chains to prevent tipping/falling?..........
2. Are protective valve caps in place when cylinder is not in use?........................................
3. Are empty and full cylinders stored separately?................................................................
4. Are only chemically compatible cylinders stored together?...............................................
5. Are cylinder contents adequately labeled and easily seen?..............................................
6. Is the correct regulator being used for the cylinder service?.............................................
7. Are highly toxic gases stored in vented gas cabinets?......................................................
H. Storage – Compressed Glass Cylinders
1. Are drain openings/pits in the floor or walking surfaces guarded
to prevent tripping/slipping?..............................................................................................
2. Are toe boards in place on elevated platforms to prevent objects fromfalling off
the platform?.....................................................................................................................
3. Are standard guardrails provided on elevated platforms?................................................
4. Are handrails provided and in good condition on stairways?............................................
5. Are there provisions for safe access to elevated machinery/ equipment?........................
J. Railing/ElevatedWork Areas
1. Is the requirement of use of protective equipment enforced?...........................................
2. Is the required personal protective equipment worn?.......................................................
3. When not in use, is personal protective equipment properly maintain/stored?.................
4. Is personal protective equipment readily available for all personnel
including visitors to the area?............................................................................................
5. Is all personal protective equipment free from damage and deterioration?.......................
6. Are all employees using respiratory protection properly trained and authorized by EH&S?
7. Is self-contained breathing equipment properly maintained/ inspected?...........................
I. Personal Protective Equipment
Yes No NA
1. Are portable ladders in good repair and safe to use?.......................................................
2. Are mobile ladder stands in good condition?....................................................................
3. Are standard guardrails provided on elevated platforms?................................................
4. Are handrails provided and in good condition on stairways?............................................
K. Ladders
1. Are defective forklifts taken out of service and tagged “DO NOT USE”?..........................
2. Are forklift inspection forms current and maintained in a file?..........................................
3. Are load limits clearly posted in the area?........................................................................
4. Are forklift operating rules clearly posted in the area?......................................................
5. Are all operators trained and authorized?.........................................................................
L. Forklifts
Appendix B
1. Are there current welding permits displayed in welding area?.........................................
2. Are all self-closing doors operational?..............................................................................
3. Are walls and floors free of holes/penetrations?...............................................................
4. Are no smoking regulations clearly posted and being followed in
“NO SMOKING” areas?
5. Are fire extinguishers and signs clearly visible?...............................................................
6. Is access to fire extinguishers clear and unobstructed?...................................................
7. Are all extinguishers in place and properly mounted?......................................................
8. Are all extinguishers properly inspected (monthly) and maintained (annually)?...............
M. Fire Protection
1. Have personnel been trained in the use of personal protective equipment?....................
2. Are all employees trained in hazardous substances safety?............................................
3. Have personnel working in high noise areas been trained in hearing conservation?......
4. Have employees who use respirators been trained, fit tested, and received
the required health monitoring examination?....................................................................
5. Are employees who use self-contained breathing apparatus
properly trained and authorized?......................................................................................
6. Evacuation Plans..............................................................................................................
N. Training
1. Are combustibles stored in approved, enclosed metal cabinets?..................................
2. Is combustible waste, e.g., trash containers, cardboard boxes, etc.,
removed from the roomdaily or more often as needed?..................................................
3. Is the computer room free of flammable/combustible liquids?..........................................
4. Are computer tapes stored in approved, enclosed metal cabinets?.................................
5. Is the raised floor free of unsealed cable holes?..............................................................
6. Is the access to fire suppression and alarm systems unobstructed?...............................
7. Are floor tile pullers available and mounted?....................................................................
8. Are doors to the peripheral rooms closed?.......................................................................
9. Is paper stored in computer room limited to a one day supply?.......................................
10. Is the room free of repair shop operations?....................................................................
11. Is the room free of soldering irons?.................................................................................
12. Is the room free of coffee makers, popcorn machines, electric floor/space heaters, etc.?
13. Are “NO SMOKING” signs posted and being enforced in computer rooms?..................
O. Computer Rooms
P. Grounds
1.______________________________________________________________________
2.______________________________________________________________________
3.______________________________________________________________________
4.______________________________________________________________________
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