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General HSE Checklist - Facility

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GENERAL HSE CHECKLIST (FACILITY)

Date: Time: Location:

Inspection Items Yes No NA Corrective Action Date of


Completion

Emergency & Fire

Are emergency phone numbers (including HSE


injury hotline) posted near a phone?

Do employees know where to gather in case of an


evacuation? (Assembly Point)

Do employees know where and how receive care


for an injury? (First aider & First aid Kit)

Are signs present for emergency safety equipment


(eyewash, exits & Fire alarm etc.)?

Are emergency evacuation drills regularly


conducted?

Are all exits and paths free of obstruction?

Are first aid kits fully stocked and inspected


monthly?

Are fire extinguishers present and inspected


regularly?

Are flammable materials in excess of 10 gallons


stored in appropriate containers and storage
cabinets?

Safety Administration

Have all employees received general safety


training: MSDS, personal protective equipment
(PPE), fire and manual handling, etc.?

Have all employees been trained on the


equipment that they operate?

Are all employees current on specialized training?


 Ladders

 Fall Protection

 First Aid

 Lockout/Tagout

 Forklift/ Pallet Jack

 Materials Handling

 Respirators/ Mask

Are all safety trainings documented and filed?

Are regularly scheduled safety meetings


conducted in the shop?

Is PPE provided and used whenever necessary?

Housekeeping and Ventilation

Are all worksites clean and orderly?

Are waste containers kept clean and emptied


daily?

Is food kept in the designated area at all times?

Are all cabinets and shelves secured or anchored?

Are floors in good condition and kept dry?

Are all light fixtures adequate and functioning


properly?

Is the ventilation system adequate for the work


being performed?

Electrical Safety

Are all plugs, cords, and panels enclosed, free


from splices with insulation in good condition?

Do all extension cords have grounding


conductors?

Are extension cords used only temporarily? Never


link cords together!

Do cords secured so they do not run across


pathways, under doors or the walls?
Is the breaker panel accessible with labels
identifying the function of each switch?

Are hand-tools effectively grounded or an


approved double insulated type?

Mechanical Safety

Is defective equipment promptly reported,


labeled, and repaired?

Do all machines have guards to protect against


points of operation, nip points, rotating parts,
moving parts, flying chips, sparks, etc.?

Are start, stop, emergency and other operating


controls within the operator’s reach?

Are written standard operating procedures (SOPs)


for each machine available and conducted by all
employees?

Are machines regularly cleaned and maintained?

Are maintenance records, calibrations,


certifications of each machine kept on file?

Do only authorized employees perform repairs?

Portable Tools

Are all electrical hand tools in good operating


condition?

Are tools free from cracks and broken parts?

Are ladders free from dents, splinters, grease, dirt


etc.?

Do the spreaders lock in place?

Are all safety feet on the ladder in good


condition?

Are cylinders and hoses free from cracks or dents?

Are cylinders secured upright with a double chain


and valve protector caps?

Storage, Hazardous Materials and Waste


Are materials stored to prevent falls and spills?

Do signs designate storage areas?

Are all storage containers labeled with their


contents?

Are storage racks free from sagging?

Are combustibles and chemicals kept in closed


containers when not in use?

Do workers use the appropriate PPE when


handling materials?

Has a current chemical inventory list been


updated?

Are chemicals separated by hazard class (acids,


bases, etc.)?

Is chemical waste properly separated and stored?

Inspector (Name and Sign)

Branch Manager (Name and Sign)

HSE Manager (Name and Sign)

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