Section 1: Training
1. 1. Is training provided for each person newly assigned to a job?
Yes
No
N/A
2. 2. Does initial training include a thorough review of hazards and accidents associated with the job?
Yes
No
N/A
3. 3. Is adequate instruction in the use of personal protective equipment provided?
Yes
No
N/A
4. 4. Is training for the use of emergency equipment provided?
Yes
No
N/A
5. 5. Are workers knowledgeable in the "Right to Refuse" procedures?
Yes
No
N/A
Section 2: Environment
1. 1. Are resources available to deal with very hot or very cold conditions (drinking water, lined gloves, insulated boots)?
Yes
No
N/A
2. 2. Is the rain/cold weather gear that is provided comfortable, and light enough so as not to constitute a hazard?
Yes
No
N/A
3. 3. Are work surfaces and grip surfaces safe when wet?
Yes
No
N/A
4. 4. Do workers know the symptoms of heat cramps/heatstroke, or frost bite/hypothermia?
Yes
No
N/A
Section 3: Work Process
1. 1. Are repetitive motion tasks properly paced and kept to a minimum?
Yes
No
N/A
2. 2. Are the material safety data sheets placed in locations accessible to all employees?
Yes
No
N/A
3. 3. Are hazards signalled by signs and tags?
Yes
No
N/A
4. 4. Have all trucks, forklifts and other equipment been inspected and maintained?
Yes
No
N/A
5. 5. Are lockout or tagout procedures in place and followed?
Yes
No
N/A
6. 6. Is ventilation equipment working effectively?
Yes
No
N/A
7. 7. Is the fume and dust collection hood working effectively?
Yes
No
N/A
8. 8. Are the safety showers and eye wash stations in the proper locations and in good working condition?
Yes
No
N/A
Section 4: Fire Emergency Procedures
1. 1. Is there a clear fire response plan posted for each work area?
Yes
No
N/A
2. 2. Do all workers know the plan?
Yes
No
N/A
3. 3. Are drills held regularly?
Yes
No
N/A
4. 4. Are fire extinguishers chosen for the type of fire most likely in that area?
Yes
No
N/A
5. 5. Are there enough extinguishers present to do the job?
Yes
No
N/A
6. 6. Are extinguisher locations conspicuously marked?
Yes
No
N/A
7. 7. Are extinguishers properly mounted and easily accessible?
Yes
No
N/A
8. 8. Are all extinguishers fully charged and operable?
Yes
No
N/A
9. 9. Are special purpose extinguishers clearly marked?
Yes
No
N/A
Section 5: Means Of Exit
1. 1. Are there enough exits to allow prompt escape?
Yes
No
N/A
2. 2. Do employees have easy access to exits?
Yes
No
N/A
3. 3. Are exits unlocked to allow egress?
Yes
No
N/A
4. 4. Are exits clearly marked?
Yes
No
N/A
5. 5. Are exits and exit routes equipped with emergency lighting?
Yes
No
N/A
Section 6: Warehouse And Shipping
1. 1. Are dock platforms, bumpers, stairs and steps in good condition?
Yes
No
N/A
2. 2. Are light fixtures in good condition?
Yes
No
N/A
3. 3. Are all work areas clean and free of debris?
Yes
No
N/A
4. 4. Are stored materials properly stacked and spaced?
Yes
No
N/A
5. 5. Are tools kept in their proper place?
Yes
No
N/A
6. 6. Are there metal containers for oily rags and for rubbish?
Yes
No
N/A
7. 7. Are floors free of oil spillage or leakage?
Yes
No
N/A
8. 8. Is absorbent available for immediate clean-up of spills and leaks?
Yes
No
N/A
9. 9. Are all flammable and combustible products stored appropriately? For example: Are Class I (one) flammable products (as per NFPA or your local fire code) stored in Class I approved buildings or outside the warehouse?
Yes
No
N/A
Section 7: Loading/Unloading Racks
1. 1. Are steps, railings and retractable ramps on raised platforms in good repair?
Yes
No
N/A
2. 2. Is piping and in-line equipment in good condition and free of leaks?
Yes
No
N/A
3. 3. Are loading arms operating satisfactorily?
Yes
No
N/A
4. 4. Do submerged filling two-stage valves operate properly?
Yes
No
N/A
5. 5. Are bonding and grounding cables free of breaks or damage?
Yes
No
N/A
6. 6. Are connections tight and sound?
Yes
No
N/A
7. 7. Is the general condition of wiring and junction boxes, etc. in good condition (visual inspection)?
Yes
No
N/A
Section 8: Lighting
1. 1. Is the level of light adequate for safe and comfortable performance of work?
Yes
No
N/A
2. 2. Does lighting produce glare on work surfaces, monitors, screens and keyboards?
Yes
No
N/A
3. 3. Is emergency lighting adequate and regularly tested?
Yes
No
N/A
Section 9: Machine Guards
1. 1. Are all dangerous machine parts adequately guarded?
Yes
No
N/A
2. 2. Do machine guards meet standards?
Yes
No
N/A
3. 3. Are lockout procedures followed when performing maintenance with guards removed?
Yes
No
N/A
Section 10: Electrical
1. 1. Are all machines properly grounded?
Yes
No
N/A
2. 2. Are portable hand tools grounded or double insulated?
Yes
No
N/A
3. 3. Are junction boxes closed?
Yes
No
N/A
4. 4. Are extension cords out of the aisles where they can be abused by heavy traffic?
Yes
No
N/A
5. 5. Is permanent wiring used instead of extension cords?
Yes
No
N/A
Section 11: Tools And Machinery
1. 1. Are manufacturers' manuals kept for all tools and machinery?
Yes
No
N/A
2. 2. Do power tools conform to standards?
Yes
No
N/A
3. 3. Are tools properly designed for use by employees?
Yes
No
N/A
4. 4. Are defective tools tagged and removed from service as part of a regular maintenance program?
Yes
No
N/A
5. 5. Are tools and machinery used so as to avoid electrical hazards?
Yes
No
N/A
6. 6. Is proper training given in the safe use of tools and machinery?
Yes
No
N/A
Section 12: Confined Spaces
1. 1. Are the confined space procedures and training available and followed by all involved?
Yes
No
N/A
2. 2. Are entry and exit procedures adequate?
Yes
No
N/A
3. 3. Are emergency and rescue procedures in place (e.g. trained safety watchers)?
Yes
No
N/A
Section 13: Housekeeping
1. 1. Is the work area clean and orderly?
Yes
No
N/A
2. 2. Are floors free from protruding nails, splinters, holes and loose boards?
Yes
No
N/A
3. 3. Are aisles and passageways kept clear of obstructions?
Yes
No
N/A
4. 4. Are permanent aisles and passageways clearly marked?
Yes
No
N/A
5. 5. Are covers or guardrails in place around open pits, tanks and ditches?
Yes
No
N/A
Section 14: Floor And Wall Openings
1. 1. Are ladder-ways and door openings guarded by a railing?
Yes
No
N/A
2. 2. Do temporary floor openings have standard railings or someone constantly on guard?
Yes
No
N/A
Section 15: Stairs, Ladders And Platforms
1. 1. Are stairs and handrails in good condition?
Yes
No
N/A
2. 2. Are ladders free of defects?
Yes
No
N/A
3. 3. Are ladders set up properly before use?
Yes
No
N/A
4. 4. Are the elevated platforms properly secured and do they have handrails?
Yes
No
N/A
Section 16: Elevating Devices
1. 1. Are elevating devices used only within capacity?
Yes
No
N/A
2. 2. Are capacities posted on equipment?
Yes
No
N/A
3. 3. Are they regularly inspected, tested and maintained?
Yes
No
N/A
4. 4. Are controls of the "dead man" type?
Yes
No
N/A
5. 5. Are operators trained?
Yes
No
N/A
Section 17: Sound Level/Noise
1. 1. Are regular noise surveys conducted?
Yes
No
N/A
2. 2. Is hearing protection available and used properly?
Yes
No
N/A
Section 18: Temporary Work Structures
1. 1. Are temporary work structures used only when it is not reasonably practicable to use permanent ones?
Yes
No
N/A
2. 2. Are excavations properly shored, free of large objects (rocks, etc.) at the edges?
Yes
No
N/A
Section 19: Employee Facilities
1. 1. Are facilities kept clean and sanitary?
Yes
No
N/A
2. 2. Are facilities in good repair?
Yes
No
N/A
3. 3. Are cafeteria facilities provided away from toxic chemicals?
Yes
No
N/A
4. 4. Are hand washing facilities available?
Yes
No
N/A
Section 20: Medical And First Aid
1. 1. Do all employees know how to get first aid assistance when needed?
Yes
No
N/A
2. 2. Do the first-aiders know when and to which hospital or clinic an injured person should be taken?
Yes
No
N/A
3. 3. Are there employees trained as first-aid practitioners on each shift worked?
Yes
No
N/A
4. 4. Are first-aid kits provided as per jurisdiction’s first-aid regulations?
Yes
No
N/A
5. 5. Are first-aid supplies replenished as they are used?
Yes
No
N/A
Section 21: Personal Protective Equipment (PPE)
1. 1. Is required equipment provided, maintained and used?
Yes
No
N/A
2. 2. Does equipment meet requirements?
Yes
No
N/A
3. 3. Is personal protection utilized only when it is not reasonably practicable to eliminate or control the hazardous substance or process?
Yes
No
N/A
4. 4. Are the areas requiring PPE usage properly identified by warning signs?
Yes
No
N/A
Section 22: Materials Handling And Storage
1. 1. Is there safe clearance for all equipment through aisles and doors?
Yes
No
N/A
2. 2. Is stored material stable and secure?
Yes
No
N/A
3. 3. Are storage areas free from tipping hazards?
Yes
No
N/A
4. 4. Are only trained operators allowed to operate forklifts?
Yes
No
N/A
5. 5. Is charging of electric batteries performed only in designated areas?
Yes
No
N/A
6. 6. Are dock boards (bridge plates) used when loading or unloading from dock to truck or dock to rail car?
Yes
No
N/A
7. 7. Are necessary warning devices and signs in use for railway sidings?
Yes
No
N/A
8. 8. Are specifications posted for maximum loads which are approved for shelving, floors and roofs?
Yes
No
N/A
9. 9. Are racks and platforms loaded only within the limits of their capacity?
Yes
No
N/A
10. 10. Are chain hoists, ropes and slings adequate for the loads and marked accordingly?
Yes
No
N/A
11. 11. Are slings inspected daily before use?
Yes
No
N/A
12. 12. Are all new, repaired, or reconditioned alloy steel chain slings proof-tested before use?
Yes
No
N/A
13. 13. Are pallets and skids the correct type and inspected?
Yes
No
N/A
14. 14. Do personnel use proper lifting techniques?
Yes
No
N/A
15. 15. Is the size and condition of containers hazardous to workers?
Yes
No
N/A
16. 16. Are elevators, hoists, conveyors, balers, etc., properly used with appropriate signals and directional warning signs?
Yes
No
N/A