Supervisor's Facility and Administrative Inspection Checklist

Chapter 6 Safety <strong>and</strong> Health <strong>Inspection</strong>s 129<br />

Supervisor’s <strong>Facility</strong> <strong>and</strong> <strong>Administrative</strong> <strong>Inspection</strong> <strong>Checklist</strong><br />

Building/Department<br />

This checklist is intended only as a guide in reviewing general facility <strong>and</strong> administrative items. Only unsatisfactory items <strong>and</strong> their<br />

location need to be identified by a check. Those items identified as unsatisfactory should be targeted for corrective action.<br />

Check If<br />

FACILITY AND OPERATIONS<br />

Action<br />

Required<br />

Machinery <strong>and</strong> Equipment<br />

Location/Comments/Action Required<br />

General safeguarding provided <strong>and</strong> in place ________ ______________________________________<br />

Operators properly attired (no loose clothing, jewelry) ________ ______________________________________<br />

Point of operation safeguarding provided <strong>and</strong><br />

functioning properly ________ ______________________________________<br />

Proper tools provided for cleanup <strong>and</strong> adjustments ________ ______________________________________<br />

Other: ________ ______________________________________<br />

Materials H<strong>and</strong>ling <strong>and</strong> Storage<br />

Manual materials-h<strong>and</strong>ling equipment in good<br />

condition ________ ______________________________________<br />

Powered materials-h<strong>and</strong>ling equipment in good<br />

condition ________ ______________________________________<br />

Hazardous <strong>and</strong> toxic materials h<strong>and</strong>led,<br />

stored, <strong>and</strong> transported in accordance with<br />

regulatory requirements ________ ______________________________________<br />

Storage areas properly illuminated ________ ______________________________________<br />

Cylinders transported <strong>and</strong> stored in upright<br />

position; properly secured ________ ______________________________________<br />

Shipping/receiving areas in good condition ________ ______________________________________<br />

Racking <strong>and</strong> other storage procedures followed ________ ______________________________________<br />

Wheel chocks <strong>and</strong> restraining devices available/<br />

functioning properly ________ ______________________________________<br />

Other: ________ ______________________________________<br />

H<strong>and</strong> <strong>and</strong> Portable Power Tools<br />

Correct tools provided ________ ______________________________________<br />

H<strong>and</strong> tools <strong>and</strong> power equipment in good<br />

condition ________ ______________________________________<br />

Guards are in place, adjusted properly ________ ______________________________________<br />

Grinding wheel tool rest is within 1/8 in. of wheel ________ ______________________________________<br />

Stored tools are locked <strong>and</strong>/or secured ________ ______________________________________<br />

Electrical tools GFCI protected ________ ______________________________________<br />

Electrical tools <strong>and</strong> receptacles grounded ________ ______________________________________<br />

Other: ________ ______________________________________<br />

Figure 6–1. A supervisor’s facility <strong>and</strong> administrative inspection checklist, such as this one, can be used<br />

as a guide for reviewing general facility items.<br />

©2009 National Safety Council.

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130 Supervisors’ Safety Manual<br />

Fire Protection<br />

Provided as required ________ ______________________________________<br />

Inspected as marked ________ ______________________________________<br />

Location identifi ed ________ ______________________________________<br />

Locations are readily accessible ________ ______________________________________<br />

Alarm system tested (as required) ________ ______________________________________<br />

Fire doors in good operating condition ________ ______________________________________<br />

Exits marked <strong>and</strong> accessible ________ ______________________________________<br />

Fire detectors working ________ ______________________________________<br />

Other: ________ ______________________________________<br />

Electrical<br />

Outlet boxes covered ________ ______________________________________<br />

Electric cords properly placed ________ ______________________________________<br />

Outlet circuits properly grounded ________ ______________________________________<br />

Portable electric tools:<br />

• GFCI protected ________ ______________________________________<br />

• Double insulated ________ ______________________________________<br />

• Grounded as required ________ ______________________________________<br />

Switches in clean, closed boxes ________ ______________________________________<br />

Switches properly identifi ed ________ ______________________________________<br />

Circuit fuses, circuit breakers identifi ed ________ ______________________________________<br />

Motors are clean, free of oil, grease, <strong>and</strong> dust ________ ______________________________________<br />

Approved extension cords in good condition ________ ______________________________________<br />

Other: ________ ______________________________________<br />

Housekeeping/Maintenance<br />

Work areas maintained in clean <strong>and</strong> orderly condition _______ _______________________________________<br />

Floors, aisles, work areas free of obstruction,<br />

slipping <strong>and</strong> tripping hazards ________ ______________________________________<br />

Washrooms <strong>and</strong> change facilities clean <strong>and</strong> well<br />

maintained ________ ______________________________________<br />

Tools, equipment, <strong>and</strong> materials properly stored<br />

when not in use ________ ______________________________________<br />

Waste materials stored in appropriate containers<br />

<strong>and</strong> disposed of in a safe manner ________ ______________________________________<br />

Scheduled maintenance ________ ______________________________________<br />

General ventilation systems ________ ______________________________________<br />

Local exhaust systems (paint booths, welding areas, etc.) ________ ______________________________________<br />

Machinery (lubrication, belts, servicing, etc.) ________ ______________________________________<br />

Figure 6–1. (Continued)<br />

©2009 National Safety Council.

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Chapter 6 Safety <strong>and</strong> Health <strong>Inspection</strong>s 131<br />

Personal Protective Equipment<br />

Equipment (determined by exposure):<br />

• Head protection ________ ______________________________________<br />

• Eye protection ________ ______________________________________<br />

• Ear protection ________ ______________________________________<br />

• Foot protection ________ ______________________________________<br />

• Clothes ________ ______________________________________<br />

• H<strong>and</strong> protection ________ ______________________________________<br />

• Respiratory protection ________ ______________________________________<br />

Personal protective equipment procedure in place ________ ______________________________________<br />

Other: ________ ______________________________________<br />

<strong>Administrative</strong><br />

Training records: ________ ______________________________________<br />

• Safety <strong>and</strong> health orientation ________ ______________________________________<br />

• Hazard communication (right to know) ________ ______________________________________<br />

• Safe operating procedures ________ ______________________________________<br />

• Confi ned space entry procedures ________ ______________________________________<br />

• Lockout/tagout ________ ______________________________________<br />

• Evacuation emergency response ________ ______________________________________<br />

• Equipment/vehicle operation ________ ______________________________________<br />

• Fire protection equipment use ________ ______________________________________<br />

• Other ________ ______________________________________<br />

Plans: ________ ______________________________________<br />

• Disaster preparedness ________ ______________________________________<br />

• Chemical emergencies/spills ________ ______________________________________<br />

• Fire/evacuation ________ ______________________________________<br />

• Emergency medical ________ ______________________________________<br />

• Equipment maintenance ________ ______________________________________<br />

• Other ________ ______________________________________<br />

Records/reports ________ ______________________________________<br />

• Injury/illness ________ ______________________________________<br />

• Accidents/incidents ________ ______________________________________<br />

• MSDSs ________ ______________________________________<br />

• <strong>Inspection</strong> summaries ________ ______________________________________<br />

• Noise surveys ________ ______________________________________<br />

• Equipment service logs ________ ______________________________________<br />

• Other: ________ ______________________________________<br />

Other: ________ ______________________________________<br />

• OSHA-required postings ________ ______________________________________<br />

• Emergency phone listings ________ ______________________________________<br />

• Required labeling ________ ______________________________________<br />

• Defective equipment procedure in place ________ ______________________________________<br />

Completed by: _______________________________<br />

Date: _______________________________<br />

Route to:<br />

❍ Maintenance ❍ Engineering ❍ Other<br />

Figure 6–1. (Concluded)<br />

©2009 National Safety Council.