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Hazard Assessment Checklist

MaintainX
10/24/2021

Hazard Assessment Checklist

    General Work Environment

    Are all worksites clean and orderly?

    • Pass
    • Flag
    • Fail

    Are work surfaces kept dry or appropriate means taken to assure the surfaces are slip-resistant?

    • Pass
    • Flag
    • Fail

    Are all spilled materials or liquids cleaned up immediately?

    • Pass
    • Flag
    • Fail

    Is combustible scrap, debris and waste stored safely and removed from the worksite promptly?

    • Pass
    • Flag
    • Fail

    Is accumulated combustible dust routinely removed from elevator surfaces, including the overhead structure of buildings?

    • Pass
    • Flag
    • Fail

    Is combustible dust cleaned up with a vacuum system to prevent the dust going into suspension?

    • Pass
    • Flag
    • Fail

    Is metallic or conductive dust prevented from entering or accumulation on or around electrical enclosures or equipment?

    • Pass
    • Flag
    • Fail

    Are covered metal waste cans used for oily and paint-soaked waste?

    • Pass
    • Flag
    • Fail

    Are all oil and gas fired devices equipped with flame failure controls that will prevent flow of fuel if pilots or main burners are not working?

    • Pass
    • Flag
    • Fail

    Are paint spray booths, dip tanks and the like cleaned regularly?

    • Pass
    • Flag
    • Fail

    Are the minimum number of toilets and washing facilities provided?

    • Pass
    • Flag
    • Fail

    Are all toilets and washing facilities clean and sanitary?

    • Pass
    • Flag
    • Fail

    Are all work areas adequately illuminated?

    • Pass
    • Flag
    • Fail

    Are pits and floor openings covered or otherwise guarded?

    • Pass
    • Flag
    • Fail

    Personal Protective Equipment

    Are protective goggles or face shields provided and worn where there is any danger of flying particles or corrosive materials?

    • Pass
    • Flag
    • Fail

    Are approved safety glasses required to be worn at all times in areas where there is a risk of eye injuries such as punctures, abrasions, contusions or burns?

    • Pass
    • Flag
    • Fail

    Are employees who need corrective lenses (glasses or contact lenses) in working environments with harmful exposures required to wear only approved safety glasses, protective goggles, or use other medically approved precautionary procedures?

    • Pass
    • Flag
    • Fail

    Are protective gloves, aprons, shields or other means provided against cuts, corrosive liquids and chemicals?

    • Pass
    • Flag
    • Fail

    Are hard hats provided and worn where danger of falling objects exists?

    • Pass
    • Flag
    • Fail

    Are hard hats inspected periodically for damage to the shell and suspension system?

    • Pass
    • Flag
    • Fail

    Is appropriate foot protection required where there is the risk of foot injuries from hot, corrosive, poisonous substances, falling objects, crushing or penetrating actions?

    • Pass
    • Flag
    • Fail

    Are approved respirators provided for regular or emergency use when needed?

    • Pass
    • Flag
    • Fail

    Is all protective equipment maintained in a sanitary condition and ready for use?

    • Pass
    • Flag
    • Fail

    Do you have eye wash facilities and a quick drench shower within the work area where employees are exposed to injurious corrosive material?

    • Pass
    • Flag
    • Fail

    Where special equipment is needed for electrical workers, is it available?

    • Pass
    • Flag
    • Fail

    When lunches are eaten on the premises, are they eaten in areas where there is no exposure to toxic materials or other health hazards?

    • Pass
    • Flag
    • Fail

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