Instructions: This checklist is to assist work units in conducting inspections of their facilities. Many of the items listed are things that OSHA inspectors will look for. No one facility is likely to have all the items listed. For those items the facility does have, indicate a yes or no answer. For all others check N/A. After completing an inspection, the checklist should be used by work unit managers, safety committees or regional advisory committees to initiate changes.
SECTION 1 – Inspection Information
Location Inspected:	Inspection Date:
Person Conducting Inspection:
SECTION 2 – Medical Services and First Aid
Yes	No	N/A	Item
There is a hospital, clinic or emergency services facility for medical care nearby or there is at least one employee at the facility qualified to render first aid and CPR.
All employees at this facility who are expected to have first aid and CPR training have up-to-date certification.
Employees are able to locate and display verification of first aid training (card or training transcript).
Fully supplied first aid kits are easily accessible in the work area.
There is an eye-wash station or sink available for quick drenching/flushing of eyes and body in areas where corrosive liquids or materials are handled.
SECTION 3 – Bloodborne Pathogens
Yes	No	N/A	Item
Employees at this facility are up-to-date on Bloodborne Pathogens training.
Employee first aid kits include PPE for treating exposure injuries (disposable gloves, mask, goggles or safety glasses, ventilation device, eye flush, antiseptic wipes).
Employees know what an exposure incident is.
Employees know the procedure for reporting an exposure incident.
Any at risk employee at the facility has been offered hepatitis B vaccinations.
Employees are able to locate their BBP training record.
SECTION 4 – Compressed Air
Yes	No	N/A	Item
Appropriate PPE is available for persons using compressed air for cleaning (i.e. safety glasses or safety goggles and a face shield for severe exposure.)
Compressed air nozzles used for cleaning limit air pressure to less than 30 p.s.i.
SECTION 5 – Compressed Gas Cylinders
Yes	No	N/A	Item
Cylinders are stored only in designated areas.
Cylinders are legibly marked to clearly identify the type of gas.
Cylinders are stored and transported in a vertical position and secured from falling by chain or rope.
Cylinders are located in areas where they are not subject to damage from tipping, falling, rolling or impact.
Cylinders are stored in areas which are protected from external heat sources such as flames, radiant heat and electric arc welding.
Valves are closed and valve caps are in place on cylinders that are empty or not in use.
Acetylene and oxygen gas cylinders are not stored next to each other (even when empty) and are separated by at least 20 feet or a noncombustible barrier at least 5 feet high having a fire-rating of at least one-half hour.
Cylinders are in good condition (free from corrosion, distortion, cracks, or any other defect that might indicate a weakness or render them unfit for service).
SECTION 6 – Flammable and Combustible Liquids
Yes	No	N/A	Item
Stored quantities of flammable and combustible liquids are kept to an absolute minimum.
Flammable and combustible liquids are stored in approved safety cans.
Flammable liquid storage tanks and drums are properly grounded and bonded to avoid static electrical charges and sparks.
Containers, and any secondary containers, of flammable or combustible liquids (gas, gas/oil mixtures, diesel fuel, paint, solvents, etc.) are properly labeled.
Containers used to store flammable and combustible liquids are in good condition – not showing signs of corrosion or other damage.
Smoking is prohibited in areas where flammable or combustible materials are used or stored and “No Smoking” signs are in place to indicate such.
SECTION 7 – Hazardous Substance
Yes	No	N/A	Item
Employees know how to access Safety Data Sheets (SDS) from their workplace e-binder.
All containers of hazardous chemicals/products are properly labeled.
All employees who handle chemicals have completed Hazcom training.
Employees know what PPE to use for the chemicals they handle.
Adequate ventilation is available to remove dusts, vapors, gases, fumes, smoke, solvents or mists that are generated if chemical products are used indoors.
Carbon monoxide levels are monitored in indoor facilities where internal combustion engines are used.
SECTION 18 – Confined Spaces
Yes	No	N/A	Item
All confined spaces at this facility have been identified and reported to the agency safety officer.
Confined spaces are labeled with legible signs.
SECTION 9 – Electrical Equipment
Yes	No	N/A	Item
All electrical equipment is properly grounded.
The grounding prong (third prong) on all plugs is in place.
Electrical equipment, located near water, is protected by a ground fault circuit interrupter (GFCI).
All switches and wiring carry the electrical load for which they are rated.
Extension cords are not being used in place of hard wiring.
Extension cords that are being used are of acceptable gauge.
Multiple plug adaptors are not being used to supplement electrical outlets.
Cords and wiring are in good condition (not showing signs of fraying, burning or other damage).
Wiring components, such as plugs, outlets, junction boxes, etc., are in a good working condition.
Electrical outlets, junction boxes, fuse boxes and switch boxes are kept closed at all times and the coin-hole openings are closed or sealed.
Disconnect switches and circuit breakers are labeled to indicate their use or equipment served.
All unused openings (including conduit knockouts) in electrical enclosures and fittings are closed with appropriate covers, plugs, or plates.
All electrical enclosures, such as switches, receptacles, junction boxes, etc., have tight fitting covers or plates.
A 30-inch clearance is maintained in front of all electrical service panels.
SECTION 10 – Exiting or Egress
Yes	No	N/A	Item
All exits are marked with an exit sign and illuminated by a reliable light source.
All illuminated exist signs are working.
Exit signs use lettering at least 5 inches high and one-half inch wide.
All exits are free from obstructions.
Doors or walkways that are neither exits nor access to exits, but could be mistaken for exits to the outside are marked as "NOT AN EXIT,” “TO BASEMENT,” “STORE ROOM,” etc.
Doors on cold storage rooms are provided with an inside release mechanism.
SECTION 11 – Emergency Eyewash and Showers
Yes	No	N/A	Item
Emergency eyewashes/showers are available and immediately accessible in work areas where the eyes or body of any person may be exposed to materials that are corrosive or can cause irreversible eye or bodily injury.
Drenching/flushing facilities provide 15 minutes of continuous flush.
Plumbed eyewash units are activated weekly to flush the line and verify proper operation.
SECTION 12 – GAS/ARC Welding and Cutting
Yes	No	N/A	Item
Welding cables and hoses are in good condition with no cuts, cracks or punctures.
Electrodes are not stored in the electrode holders.
Gas valves on oxy-acetylene units are shut off and drained of pressure when the unit is not in use.
Gas valves on oxy-acetylene cylinders are equipped with anti-flashback valves.
Arc welding areas are shielded with flash protection curtains to protect other workers from radiation.
Each welder is provided with proper PPE (i.e. welding helmet/shield, etc.).
Adequate ventilation is provided.
Only qualified (trained) welders are allowed to perform welding and cutting operations.
SECTION 13 – Floors, Stairs, Elevated Surfaces and Openings
Yes	No	N/A	Item
All floors that are elevated more than 30 inches above any adjacent floor or ground, are equipped with a standard guard rail (defined as: capable of withstanding 200 pounds of force applied sideways and consisting of a top rail 42 inches high, mid-rail and a toe board 4 inches high.)
Exterior stairways or steps having 4 or more risers are equipped with standard railings or standard handrails on each side.
All floor openings are guarded by a cover or guardrail (except ladder entrances and stairways).
Grates or similar types of floor coverings are designed so that they do not impede foot traffic or rolling equipment.
Step risers on stairs are uniform from top to bottom.
Handrails on stairways are between 30 and 34 inches above the stair treads.
Elevated storage areas are load-rated and the rating is posted.
SECTION 13 – Walkways
Yes	No	N/A	Item
Aisles, floors, sidewalks, or other walking surfaces are safe and free from trip, slip and fall hazards (uneven surfaces, holes, clutter, trash, boxes, etc).
Aisles where motorized or mechanical handling equipment is operated have safe clearance for walking.
Walkways are free from any sharp projections.
SECTION 14 – Ladders
Yes	No	N/A	Item
All ladders are in good condition; steps and side rails are tight; hardware and fittings securely attached; movable parts operated freely without binding, and ropes are in good condition.
All portable rung ladders are equipped with nonslip safety feet.
Rungs and steps are free of grease and oil.
Metal ladders are legibly marked with cautions to not use around electrical equipment.
All employees who use ladders have received training on safe ladder use.
SECTION 15 – Portable Power Tools and Equipment
Yes	No	N/A	Item
The rotating and moving parts of all power tools and equipment are properly guarded to prevent physical contact. For example: Guards are in place over belts, pulleys, chains and gears on equipment, such as mixers, air compressors, etc. Table saws are equipped with a blade guard and blade cover, splitter and anti-kickback dogs. The drive belt is also guarded. Radial arm saws are equipped with a blade guard and a self-retracting mechanism. Bandsaws are equipped with a blade guard that covers the entire blade except for the point of operation. Stationary belt sanders have a guard on both pulleys at the end of the belt table. Stationary power tools are equipped with a safety device which prevents automatic restart after a power outage. Abrasive wheel grinders are equipped with: A tool rest that is maintained at a ⅛ inch clearance from the wheel. A tongue guard, located at the top of the wheel that is maintained at a ¼ inch clearance from the wheel. A guard that covers all sides of the wheel and drive shaft.
All power cords are equipped with a third grounding prong unless the tool is labeled as "Double Insulated".
Pneumatic and hydraulic hoses on power tools are in good operating condition.
Job Safety Assessments have been conducted on the types of power tools and equipment at this facility with PPE assigned as needed.
Employees know what PPE is required for all power tools and equipment.
Appropriate PPE (i.e. safety glasses, gloves etc.) is available for employees when working on power tools.
SECTION 16 – Hoists, Chains, Slings and Wire Ropes
Yes	No	N/A	Item
Hoists, chains, slings and wire ropes used for lifting heavy objects are load-rated and the rating is posted.
SECTION 17 – Housekeeping
Yes	No	N/A	Item
All work areas, passageways, storage rooms and areas around machinery are level and in good repair, clean, dry and free from obstructions.
SECTION 13 – Lock Out, Tag Out
Yes	No	N/A	Item
Written machine-specific lockout/tagout procedures have been developed for the equipment at this facility and are available to employees.
All employees at this facility have completed basic lock out/tag out awareness training.
Any authorized employee (authorized to perform maintenance or repair on equipment) at this facility has been trained/instructed on lockout/tagout procedures.
SECTION 17 – Portable Fire Extinguishers
Yes	No	N/A	Item
Fire extinguishers are adequately sized and placed in buildings and vehicles.
Fire extinguishers are conspicuously located, readily accessible and free from obstructions.
Fire extinguishers in buildings are mounted so that the bottom is at least 4 inches above the floor and the top is no more than 5 feet off the floor.
Employees have received fire extinguisher training within the last 12 months.
Employees are able to locate and display their fire extinguisher training record.
All fire extinguishers are current on their inspections.
SECTION 18 – Powered Industrial Trucks (Forklifts)
Yes	No	N/A	Item
All employees who operate a powered industrial truck have current certification.
PITs are inspected before use and pre-use inspection records are maintained to verify inspections and available for review.
SECTION 19 – Mowers, Weed Eaters, Leaf Blowers, etc.
Yes	No	N/A	Item
All blade and discharge guards are properly installed and maintained.
Appropriate PPE is readily available to operators (see PPE policy).
SECTION 20 – Signature
Inspector Name (Print)	Inspector Signature	Date