APPENDIX “4SIGN DESIGN & FABRICATION, INC. SAFETY INSPECTION CHECKLIST

Inspected By: _____________________________ Date: ________

(Mark N/A as appropriate)

8. WORK SITE INFORMATION:

a.
Posting OSHA and other work site warning posters _____
b.
Are Safety Meetings conducted periodically? When was the last meeting? __________
c.
First aid equipment properly stocked _____
d.
Are work site injury records being kept? _____
e.
Are emergency telephone numbers conspicuously posted? _____
f.
Is the EMERGENCY INFORMATION form posted? (Page 8) _____

Describe Violation – Location – Remedy Taken

.
9. HOUSEKEEPING AND SANITATION :
a. Are emergency lights fully operational? _____
b. General neatness of working areas _____
c. Regular disposal of waste and trash _____
d. Passageways and walkways clear _____
e. Waste containers provided and used _____
f. Sanitary facilities adequate and clean _____
g. Adequate supply of water _____
h. Adequate lighting _____
i. Trash receptacle for drinking cups _____
j. Are handrails and stair treads in good repair? _____
k. Is smoking restricted to certain locations? _____
l. Are electrical cords and plugs in good condition? _____
m. Is a clearance of 3’ maintained around hot water heater?
Electric breaker panels, heating units, and fire sprinkler riser? _____
n. Are electric circuit breakers free of obstructions? _____
Describe Violation – Location – Remedy Taken

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