HTML Preview Safety Report page number 1.
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The purpose of this report is to help you identify and correct unsafe work practices (acts) and conditions
before an accident occurs. Begin each inspection by making safety observations. Then, conduct a thorough inspection
utilizing this checklist. Be sure to follow up on all items needing action.
Use the space below for general safety observations. Look for unsafe behaviors and note them here. Remember, more
than 80% of all accidents are caused by unsafe acts of personnel. When unsafe acts are observed, the situation should
be corrected immediately.
Administrative: O.K
Action
Needed
Comments
Cal/OSHA poster conspicuously displayed?
Cal/OSHA record keeping requirements met?
Current workers comp posters displayed?
Availability and location of IIPP is posted?
Copy of the Emergency Action Plan is posted?
List of the First Responders for the building is posted?
The hazardous inventory list is posted and up to date?
Material Safety Data Sheets are accessible to all
employees?
Employee Hazard Reports displayed on safety bulletin
boards?
Workers trained prior to new unfamiliar tasks?
Material Handling:
Employees trained in proper lifting methods?
Materials stored to prevent overreaching?
Housekeeping:
Walkways clear of obstruction (boxes, paper, water
bottles, personal belongings, etc.)?
Employees clean up as they go?
Boxes and paper are stacked to prevent tipping?
Lights have protective covering in place?
Doors on filing cabinets and shelves closed?
Ceiling tiles free of water stains?
Floors:
Walking and working surfaces kept clear?
Spilled materials cleaned up immediately?
Floors in good condition?
Stairs:
Lighting adequate?
Doors to stairs are kept closed at all times?
Non-Slip surface?
Handrails secure?
First Aid:
Fully stocked first aid kit?
Approved First Aid check list is in the first aid kit?
Emergency telephone numbers posted?
First responders trained in CPR & first aid?
First aid poster posted on safety bulletin board?
Emergency Action Plan:
Written; covers fire and other emergencies?
PSD-RM-202
Revised 11/7/05
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