Legend: A- Acceptable U - Unacceptable NA - Not applicable

SAFETY and HEALTH INSPECTION CHECKLIST

Month: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
LOCATION
PERIMITER SILO FARM AND RAW WHEAT SILO

Grass is below 15cm

Area is free from falling hazards
Area is free from trash
Area is free from scattered wheat
All personnel are Complete PPE (Hard Hat,safety Shoes etc)
Area is free from animals like (snake,birds etc)
All trash bin are cleared.
PERIMITER WHEAT DUMPING AREA
Grass near the perimiters fence is below 15cm
Perimeter fence is free from vines
Area is free from sliping hazard
Area is free from scattered wheat
Area is free from trash
LOADING AREA
Stairway And Ladder Training
Fall Protection Training
Equipment Operator Training
C. Safety Meeting
Held Daily
Signed By All in Attendance
Cover Topics Pertaining To Your Job
D. Hazard Communication
Written Program On Site
Chemical Inventory List Posted
MSDS Sheets On File
All Drums & Containers Labeled
Employees Trained
 E. Electrical
GFCI In Place
Electric Cords Inspected - No Splices In Cord
Electric Power Tools Inspected
F. PERSONAL PROTECTIVE EQUIPMENT
Proper Work Shoes (No Sneakers or Open Toe Shoes)
Hard Hats
Work Area Protection, Signage, and Reflective Vest
Working (if needed)
Eye Protection - Chipping, Burning, Conc. Etc.
Ear Protection
Water
Gloves Used
G. Tools
Ladders Free of Cracks & Damage
Tool Casing In Safe Condition
Wiring For All Power Tools In Safe Condition
Electric Tools Grounded (Unless Double Insulated)
Extension Cords Grounded And In Safe Condition
Tools Stored In Designated Location
J. Cranes
Feet Radius Barricade Around Swing Radius of Crane
Fire Extinguisher In Cab
Boom Angle Indicators Working Properly
Load Capacity Charts In Cab
Instructions & Warnings Posted
Annual Inspections On Site
Hand Signal Chart In Visible View of Rigger
K. MACHINERY
Lockout Policy & Tag Procedures Used
Point of Operation Guards In Place
Pulley Belt Assemblies Guarded
Gear Assemblies Guarded
Shafts Guarded
Are There Any Oil Leaks
Two Hand Controls Working Properly
Is Electric Wiring In Safe Condition
L. WELDING EQUIPMENT AND OPERATIONS
Proper Eye Protection Available And Used
Oxygen & Acetylene Welding Equipment Equipped With
Flash Arrestors
Compresses Gas Cylinders Secured Upright & Capped
When In Storage
Cylinders Mounted On A Card Or Secured In An Upright
Position
Is Oxygen Seperated From Flammables And
Combustibble By At Least (20ft) Or (1.5m) High Non-
Combustible Wall When Stored
Gas Hoses And Gauges In Safe Condition
M. FIRE PROTECTION
Evacuation Plan As Required By OSHA Available
Extinguishers Charged And Accessible
If Available, Standpipes, Hoses, Sprinkler Heads
And Valves In Safe Condition And Accessible
Stairs Clear And In Safe Condition
Exist And Exit Paths Clearly Marked
N. HOUSEKEEPING
Aisles, Stairs & Floor Free of Obstructions
Materials Supplies Stored And Piled In Designated Areas
Regular Removal Of Trash & Debris
Are All Work Areas lighted
Work Areas Neat & Orderly
P. MATERIAL HANDLING EQUIPMENT
Carts In Safe Condition
Cart Wheels Free & Rolling Smoothly
Hoist Opening Equipped With Removal Railing
Hoist Cable & Hooks Inspected
Materials Secured Stacked
Employees Trained &/Or Certified To Operate Equipment
Q. RESPIRATORY PROTECTION
Respirators selected on the basis of hazards (specific
substances and concentration) to which the workers is
exposed
Exposure assessment performed to ensure maximum
use concentration of a respirator is not exceeded.
Employees instructed and trained in proper use of
respirators.
Respirators regularly cleaned and disinfected.
Respirators stored in a clean and sanitary location.
Respirators inspected during cleaning for worn or
deteriorated parts.
Findings:

Date Inspector name And Inspection Findings Action taken

Noted by:
Acknowledge
Jonas Salangsang
Jonas Salangsang
22 23 24 25 26 27 28 29 30 31
on taken
Acknowledged by:
Zheng Yangjun
Branch Manager