TOOL 2 1

INSPECTION
HEALTH ANDCHECKLIST
SAFETY COMMITTEES

INSPECTION CHECKLIST

Sample Safety Inspection Checklist

Workplace: Date:

Inspected By:

Each “No” answer may indicate a problem.

Yes No FLOORS AND WALKWAYS

Are walkways and stairways kept clear of obstructions?

Are buckets and mops available to clean up spills so no one will slip?

Are non-slip mats, grates, or slip-free coatings used in wet areas to prevent falls?

Do stairways have handrails?

Are carpets and rugs causing a potential trip hazard?

Yes No LADDERS AND FALL PROTECTION

Are the appropriate ladders for the job available and in good condition?
Are they inspected before each use?

Do ladders have safety feet?

Are non-metal ladders used when there is a chance of electric shock?

Have maintenance workers, janitors and other workers been trained in ladder
safety as needed?

If work is done on an elevated work location (above 30 inches, or 48 inches if the platform is
not part of the building), are guard rails installed?

Do staf have access to step stools as needed? Have they been instructed not to stand on un-
safe surfaces or furniture?

Injury and Illness Prevention Programs Inspection Checklist

 2 TOOL 2
INSPECTION CHECKLIST

Yes No FIRE SAFETY

Are there at least two fre exits for each building? (Check with your local fre department for
their recommendations.)

Are fre exits clearly marked and pathways to the exits clear?

Have employees been told what to do in case of a fre or other emergency?

Are there fre extinguishers of the correct type in or close to each work area?

Are the locations of fre extinguishers clearly marked?

Do fre extinguishers have up-to-date inspection tags, and are they visually inspected
monthly?

If employees are authorized to use portable fre extinguishers, have these employees been
trained how to use them? (Annual training is required for all employees authorized to use
portable fre extinuishers.)

Are the fre alarm system and sprinkler system regularly tested?

Are there regular fre drills?

Yes No ELECTRICAL HAZARDS

Have employees who use machinery been told how to recognize when a machine
has been locked out and tagged (electrical power of, locked out and machine tagged)?

Are electrical cords in good condition (no fraying or other defects)?

Are power tools and other equipment in good condition?

Is all electrical equipment, including power tools, properly grounded?

Are there enough outlets so extension cords don’t have to be used?

Are cords kept out of areas where someone could trip over them, or where they
could be damaged?

Inspection Checklist Injury and Illness Prevention Programs

 TOOL 2 3
INSPECTION CHECKLIST

Yes No LIGHTING

Is there adequate lighting throughout the workplace, including outdoors?

Are the areas around all machines well lighted?

Are outside pathways and parking lots adequately lighted at night?

Yes No MACHINE GUARDING AND MECHANICAL SAFETY

Are machines securely attached to the foor?

Do machines have guards on them?

Have employees been told to report missing machine guards to their supervisors?

Do employees know how to turn of machines in an emergency?

Have employees been trained in how to work safely around machines?

Are emergency cut-of switches easily located and identifed, and do employees know
where they are?

Yes No OTHER SAFETY ISSUES

Are hot surfaces guarded to prevent accidental contact?

Are sharp objects properly stored so they don’t present a hazard?

Do furniture and equipment have seismic restraints or bracing?

Is shelving secured to walls?

Is there a security system to protect against intruders who might commit an assault
in the workplace?

Yes No CHEMICAL HAZARDS

Are chemicals (including pesticides, solvents, and cleaning products) properly labeled and
stored?

Are fammable and combustible liquids inside the buildings stored in fammable liquids cabi
nets?

Injury and Illness Prevention Programs Inspection Checklist

 4 TOOL 2
INSPECTION CHECKLIST

Has an inventory been done of toxic substances used in the workplace?

Have Material Safety Data Sheets (MSDS) been obtained for all chemicals you use?

Has monitoring been done to make sure exposure levels are within legal limits?

Are records of monitoring results available to employees?

Are employees told where Material Safety Data Sheets on chemicals are kept?

Is there adequate ventilation to keep levels of dust, vapors, gases, and fumes
as low as possible?

Are local exhaust ventilation systems (such as fume hoods) provided at work stations
where toxic chemicals are used, and are they tested regularly?

Has annual training been conducted for all employees who use chemicals?

Yes No BIOLOGICAL HAZARDS, SANITATION, AND HOUSEKEEPING

Are adequate toilet facilities provided and well maintained?

Are there sinks with hot and cold water, and disposable hand towels?

Are insects and rodents adequately controlled?

Are there clean eating areas separate from work and chemical storage areas?

Are there enough trash containers and are they well-maintained, leak-proof,
and emptied regularly?

Yes No ERGONOMIC HAZARDS

Can employees get help when lifting more than 30 pounds (as per NIOSH’s recommendation)?

Have employees been trained in proper lifting methods?

Are mechanical lifting devices available if needed?

Are job tasks that require repetitive movements varied or rotated?

Are computer workstations set up to avoid awkward postures and to ft the individual
needs of workers?

Are employees able to avoid standing or sitting for long periods of time?

Inspection Checklist Injury and Illness Prevention Programs

 TOOL 2 5
INSPECTION CHECKLIST

Yes No NOISE

Do workers feel noise levels are comfortable?

Is there a program for noise reduction?

Do workers know when and where hearing protection is necessary?

Yes No PERSONAL PROTECTIVE EQUIPMENT

Is personal protective equipment (PPE) provided as needed

(coveralls, gloves, eye protection, respirators, earplugs, etc.)?

Have workers using PPE been trained in its proper use?

Is PPE cleaned, maintained, and stored properly?

Are multiple sizes of PPE available to ft diferent workers?

If respirators are used, have workers been ft-tested and trained in the elements of the
written Respiratory Protection Program?

In addition to doing a walkaround inspection to identify possible hazards, you can also check
for the following general workplace issues.

Yes No GENERAL WORKPLACE ISSUES

Does the workplace have a written Injury and Illness Prevention Program (IIPP) as required
by Cal/OSHA, and has a responsible person been identifed?

Have all employees received health and safety training?

Is there someone in the workplace trained in frst aid and CPR?

Who? ______________________________________________

Is there a written Emergency Action Plan and have all employees been trained in what to do
during an emergency?

Injury and Illness Prevention Programs Inspection Checklist