Ehs gemba walk checklist
Hbs
What does this form include?
This form contains 23 sections:
PPE & Safe Work Practices
- Correct PPE worn and is it in good condition?
- Safety shoes worn and are they in good condition
Mobile Equipment
- Are inspections being completed on equipment, prior to being used before each shift
- Material lifting devices used and are they in good condition
- Is mobile equipment free of excess oil, dirt and grease?
- Is the date plate in place and legible?
- Is the emergency brake set
- Mobile equipment license and training current within 3 years
- Seatbelt used whenever forklift operated
- Suspended loads must never be lifted over employees
- Are suspended loads attended
- Can operator explain daily inspection performed on lifting devices
Safety Shower / Eye Wash Station
- Are all safety showers / eye wash stations operational
- Are they inspected monthly
- Are they blocked
- Are the caps present and closed to prevent dust collection?
- Are emergency lights in working condition?
Emergency Exits/ First Aid
- Aisles and emergency exits not blocked
- Are exit signs illuminated and visible?
- Are employees familiar with emergency response procedures?
- Are 1st aid kits available and properly stocked?
- Are emergency telephone numbers posted and up to date?
Electrical
- Is voltage indicated on electrical control enclosures, power cabinets,, junction boxes etc.
- Arc Flash label present on electrical control enclosures, power cabinets, junction boxes etc.
- Clearance in front of electrical enclosures36" (0-150v) and 42" (151-600v)
- Chords are free from frays and damage
- Extension cords only allowed for temporary situations <90 days. must be inspected annually
- GFCI's required on portable electric tools and in areas where wetness or damage to cord is possible
- Are knockout plugs present on all electrical enclosures
- All other electrical hazards removed?
Material Storage Area
- Material organized and rotated by date
- Material not triple stacked, only two high
- Are pallets in good condition
- Are hazardous chemicals stored in appropriate areas?
- Are flammable transfer containers connected to bonding cables?
- Are flammable liquids kept in closed containers when not in use?
- Are materials not stored within 18 inches of fire suppression sprinklers?
- Is adequate lighting provided?
- Are areas clean and free of debris?
- Are floors free of oil spills or leaking material?
- Is there adequate aisle space between containers to provide for container inspection?
- Are tools stored in designated areas?
- All other chemical storage hazards removed?
Flammable Cabinets
- Only flammable liquids in cabinet (no paper, wood or plastic stored in cabinet)
- Cabinets undamaged
- No more than 3 cabinets within 100 square feet
Environmental
- Are any spills present?
- Are spill clean up materials available and properly stocked?
- Are unprotected outdoor areas free of debris or potential sources of contamination?
Waste
- Is there only one drum per satellite area
- Is the waste pad organized
- Do hazardous Waste have appropriate label (with date <90days)
- Are the pallets with waste drums in good condition
Machine Guarding
- Is point of operation (grinding wheel, etc.) protected such that inadvertent contact is prevented?
- Flywheels, gears, shafts, pulleys, belts, gears, sprockets, chains and couplings guarded to protect employees
- E-stop button present
Walking / Working surfaces
- Are any holes or floor opening not guarded?
- Are employees using hand rails while ascending/ descending stairs?
Fire Extinguishers
- Monthly Inspection completed / Verify completely charged
- Are Fire Extinguisher locations properly identified/visible ?
Confined space
- Marked with proper signage (permit required sign or non permit required sign
HAZCOM
- Are containers properly labeled. (Original container with Manufacturers Label or secondary container with HMIS label)
- Do employees know how to access an MSDS for a chemicals used?
Lockout / Tagout
Compressed Air Nozzles
- Are nozzles labeled as OSHA compliant. (regulate air pressure to 30psi or less)
Compressed Gas Cylinder Storage
- Are cylinders identified with a durable label that clearly identifies the cylinder contents and gives a brief description of the potential hazard?
- Cylinders secured with chain, lab strap or hard stock device located on the upper one third of the cylinder
- Nesting methods for storage are prohibited. Acceptable means of storage include individual chains or straps, holding racks, cylinder carts etc.
- Flammable gasses shall be stored at least 20 feet from oxidizers and any other source of ignition or separated by an approved firewall
Fall Protection
- Are fall protection devices in good condition?
- Are step relief devices in place?
Ergonomics
- Are tasks being performed with proper posture and body mechanics?
- Are tools and work stations being used the best for proper body mechanics?
- Are there any sharp edges at work stations that could cause nerve compression?
- Are proper Lift techniques being used?
Ladders
- Are ladders free frome any loose steps, loose fasteners, missing, bent or broken steps?
- Are the bases/shoes in good condition
- Are the identification tags present and in good condition?
- Are extension ladders in good condition? (no loose rungs, no corrosion, pulley free from fraying, etc)
Ventiliation
- Is proper ventilation being used in areas where chemical fumes are present?
- Are chemical fume hoods on when needed and in good condition?
- Are chemicals in fume hoods not stored in area for more than 1 day?
Housekeeping
- Are areas free of trip hazards?
- Are areas free of clutter?
- Has equipment been returned to storage area after use?
Hand Tools and Equipment
- Are all tools and equipment maintained in good condition?
- Are safety glasses, face shields, or other appropriate protective equipment used while usinghand tools or equipment that might produce flying materials or be subject to breakage?
- Are tools stored in dry, secure locations?
Use this template