SAFETY INSPECTION CHECKLIST Facility: [FACILITY NAME] Inspection Date: [DATE] Inspector: [NAME & POSITION] Department/Area: [AREA INSPECTED] Inspection Type: □ Routine □ Follow-up □ Incident-related □ Audit INSPECTION RATING SCALE: S = Satisfactory (meets requirements) U = Unsatisfactory (immediate attention required) N/A = Not Applicable N/O = Not Observed GENERAL WORKPLACE CONDITIONS Rating Comments ──────────────────────────────────────────────────────────────────────── Housekeeping and cleanliness [ ] ____________ Adequate lighting in all areas [ ] ____________ Floors clean, dry, and in good condition [ ] ____________ Aisles and walkways clear and marked [ ] ____________ Stairs and handrails in good condition [ ] ____________ Emergency exits clearly marked and unobstructed [ ] ____________ Adequate ventilation [ ] ____________ Temperature control appropriate [ ] ____________ Noise levels acceptable [ ] ____________ Storage areas organized and secure [ ] ____________ FIRE SAFETY Rating Comments ──────────────────────────────────────────────────────────────────────── Fire extinguishers accessible and inspected [ ] ____________ Fire alarm system functional [ ] ____________ Sprinkler system unobstructed [ ] ____________ Emergency evacuation routes posted [ ] ____________ Fire doors operational and unblocked [ ] ____________ Smoking restrictions enforced [ ] ____________ Flammable materials properly stored [ ] ____________ Hot work permits used when required [ ] ____________ ELECTRICAL SAFETY Rating Comments ──────────────────────────────────────────────────────────────────────── Electrical panels accessible and labeled [ ] ____________ No exposed wiring or damaged cords [ ] ____________ GFCI protection where required [ ] ____________ Extension cords used properly [ ] ____________ Electrical equipment properly grounded [ ] ____________ Lockout/tagout procedures followed [ ] ____________ MACHINERY AND EQUIPMENT Rating Comments ──────────────────────────────────────────────────────────────────────── Machine guards in place and secure [ ] ____________ Emergency stops accessible and functional [ ] ____________ Equipment properly maintained [ ] ____________ Operating procedures posted [ ] ____________ Only authorized personnel operating equipment [ ] ____________ Maintenance schedules up to date [ ] ____________ PERSONAL PROTECTIVE EQUIPMENT Rating Comments ──────────────────────────────────────────────────────────────────────── Required PPE available and in good condition [ ] ____________ Employees wearing required PPE [ ] ____________ PPE properly fitted and maintained [ ] ____________ Eye wash stations accessible and functional [ ] ____________ Safety showers operational (where required) [ ] ____________ First aid kits stocked and accessible [ ] ____________ CHEMICAL SAFETY Rating Comments ──────────────────────────────────────────────────────────────────────── Chemicals properly labeled and stored [ ] ____________ Safety Data Sheets (SDS) available and current [ ] ____________ Incompatible chemicals separated [ ] ____________ Spill cleanup materials available [ ] ____________ Chemical storage areas ventilated [ ] ____________ Waste disposal procedures followed [ ] ____________ ERGONOMICS AND MANUAL HANDLING Rating Comments ──────────────────────────────────────────────────────────────────────── Workstations properly adjusted [ ] ____________ Lifting aids available and used [ ] ____________ Repetitive motion hazards minimized [ ] ____________ Proper lifting techniques observed [ ] ____________ Adequate rest breaks provided [ ] ____________ TRAINING AND COMMUNICATION Rating Comments ──────────────────────────────────────────────────────────────────────── Safety training records current [ ] ____________ Safety procedures posted and accessible [ ] ____________ Employees aware of hazards in their area [ ] ____________ Safety meetings conducted regularly [ ] ____________ Incident reporting system understood [ ] ____________ SPECIFIC HAZARDS (Industry/Area Specific) Rating Comments ──────────────────────────────────────────────────────────────────────── Working at height protections [ ] ____________ Confined space entry procedures [ ] ____________ Vehicle/pedestrian separation [ ] ____________ Radiation protection (if applicable) [ ] ____________ Biological hazard controls [ ] ____________ Pressure vessel safety [ ] ____________ SUMMARY OF FINDINGS Total Items Inspected: [NUMBER] Satisfactory Items: [NUMBER] Unsatisfactory Items: [NUMBER] Not Applicable: [NUMBER] PRIORITY ACTIONS REQUIRED High Priority (Immediate attention): 1. [DESCRIPTION] - Responsible: [NAME] - Due: [DATE] 2. [DESCRIPTION] - Responsible: [NAME] - Due: [DATE] 3. [DESCRIPTION] - Responsible: [NAME] - Due: [DATE] Medium Priority (Within 30 days): 1. [DESCRIPTION] - Responsible: [NAME] - Due: [DATE] 2. [DESCRIPTION] - Responsible: [NAME] - Due: [DATE] Low Priority (Within 90 days): 1. [DESCRIPTION] - Responsible: [NAME] - Due: [DATE] 2. [DESCRIPTION] - Responsible: [NAME] - Due: [DATE] POSITIVE OBSERVATIONS Areas of excellence noted during inspection: • [POSITIVE FINDING] • [POSITIVE FINDING] • [POSITIVE FINDING] RECOMMENDATIONS General recommendations for improvement: • [RECOMMENDATION] • [RECOMMENDATION] • [RECOMMENDATION] FOLLOW-UP ACTIONS Next inspection date: [DATE] Follow-up inspection required: □ Yes □ No If yes, date: [DATE] Areas requiring follow-up: [AREAS] SIGNATURES Inspector: _________________________ Date: _________ [NAME & POSITION] Area Supervisor: ___________________ Date: _________ [NAME & POSITION] Safety Manager: ____________________ Date: _________ [NAME & POSITION] DISTRIBUTION: □ Area Supervisor □ Safety Department □ Maintenance Department □ Management □ Employee Representatives Document Control: Checklist Version: 3.0 Form ID: SI-001 Last Updated: [DATE] Next Review: [DATE] NOTES: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________