Monthly Safety Report



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MONTHLY SAFETY INSPECTION REPORT Date of Inspection: Persons Participating in Inspection: Company: POSSIBLE HAZARDS RATE HAZARD EXTERIOR / PARKING LOT Are all parking areas well lit Are parking areas free of snow, ice or other obstructions Are curbs and other elevations painted / clearly marked to identify tripping hazard Are all sidewalks and pavements clear of potholes, debris or other obstructions Are exterior Exits clear Any other Concerns (if yes, indicate in comment column) ENTRANCE WAYS Is the front entrance well lit Are all door closure devices working properly Are all doors free of sharp objects Are all threshold plates on all doors secure No protruding screws Are solid glass door marked to alert customers Any other Concerns (if yes, indicate in comment column) OFFICE AREAS Housekeeping acceptable Aisle ways, Emergency Exits clear Have all fire extinguishers been inspected within the last year Is the tag initialed and dated Is emergency lighting inspected Is the employee lunchroom area acceptable NOTES/COMMENTS: RATE HAZARD POSSIBLE HAZARDS NOTES/COMMENTS: OFFICE AREAS (CONT’D) Electrical – are all cords and wires in good condition and out of the way Are supplies and other material stored in or on shelves or file cabinets properly to avoid overloading and/or tipping Housekeeping acceptable Aisle ways, Emergency Exits clear Are exterior Exits clear Any other Concerns (if yes, indicate in comment column) WAREHOUSE AREAS Are products all stacked and stored properly Is there free access between all rows Are housekeeping standards being met Have all fire extinguishers been inspected within the last year Is the tag initialed and dated Are dock plates functional and level Are Wheel Chocks available Is Dock Lighting in place and in good repair Any other Concerns (If yes, indicate in comment column) PERSONAL PROTECTIVE EQUIPMENT Is there an adequate inventory of PPE available in the workplace Are employees using required personal protective equipment Any other Con

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