Supervisor safety inspection checklist
Safety checklist for use with esams
What does this form include?
This form contains 9 sections:
Select date and time inspection took place. Date
Housekeeping
- Are aisle ways and exits clear and unobstructed?
- Are offices and storage areas clean, orderly, and free of debris and slipping/tripping hazards?
- Are cabinet tops clean and not used as storage?
- Are mops and brooms stored in a well ventilated area with heads up off the floor?
- Are janitors closets clean and not used for storage?
- Are food appliances and eating areas kept clean?
- Are floors adequately swept, mopped, vacuumed and free of slipping/tripping/fall hazards?
- Are fluorescent light tubes properly disposed of?
- Are filing cabinet drawers evenly loaded to prevent tipping over?
Electrical
- Is the use of extension cords eliminated when possible?
- Are only UL-approved extension cords and/or power strips used?
- Are electric cords in good repair (not spliced or taped, ground prong intact, plug secure on cord)?
- Are electric cords arranged so they do not present tripping or other hazard?
- Are electric cords kept out of doorways and aisles?
- Are breaker boxes and junction boxes securely covered?
- Are heat-producing appliances plugged directly into hard-wired outlets, not extension cords?
- Do portable heat-producing appliances have tip over safety feature?
- Are electrical outlets not overloaded?
- Is emergency lighting operational?
- Do electrical panel boxes lock and close properly?
Sign Posting/Labeling
- Is a written Emergency/Evacuation Plan posted and up to date?
- Are Bomb Threat procedures posted near doors and phones?
- Are Industrial Hygiene Surveys available and up to date?
- Is the Commanding Officer's Safety Policy Statement posted and up to date?
- Are applicable Safety and Occupational Heath (SOH) and Fire Deficiency Notices posted and up to date?
- Are routine (monthly/quarterly) supervisor workplace safety inspections being conducted and recorded?
- Are Unsafe/Unhealthful report forms readily available to employees?
- Is the DOD Safety & Occupational Health Protection Program poster (DD2272) posted on the official bulletin board?
- When required, are floor loading signs posted? (I.e., mezzanine areas)
Miscellaneous
- Are office furnishings and chairs in good repair?
- Do rolling chairs have 5 casters?
- Are step stools and ladders sturdy and fitted with rubber caps to control movement while in use?
- Are paper cutters equipped with safety latches, finger guards, and stored with the blade locked?
- Are fans equipped with adequate blade guards?
- Are all employees briefed on the office emergency evacuation plan and re-assembly?
- Is ergonomic hazard mitigation being used?
- Are area JHAs up to date, and are they available for worker review?
Fire protection
- Are emergency egress lanes clear and unobstructed?
- Are personnel EXIT signs posted and clearly visible?
- Are fire exits kept free of obstructions?
- Are the directions to exits, when not immediately apparent, marked clearly with visible signs?
- Are emergency egress EXIT signs illuminated and in working order?
- Are fire suppression sprinkler heads kept clean?
- Are sprinkler heads protected by metal guards when exposed to physical damage?
- Is proper clearance maintained below sprinkler heads (18 inches)?
- Are appropriate fire extinguishers mounted, located, and identified so they are readily accessible to employees?
- Are all fire extinguishers inspected monthly and recharged regularly and noted on the inspection tag?
Hazardous Material
- If secondary containers are used, are they properly labeled?
- Are MSDS logs current and readily available?
Training
- Are all personnel assigned appropriate (Core) duty/task(s)?
- Are all personnel assigned correct job specific duty/task(s) that correctly identify their training requirements?
- Are all personnel current with required training and medical surveillance?
Signature of inspector. (Sign when all sections have been completed.)
Use this template