Monthly Safety Facility Inspection Form

Facility

Date of Inspection

Date

Inspector Name

Inspector Email

example@example.com

General Safety Housekeeping

Rows	Yes	No	Notes
1. Aisles/walkways are clear and unobstructed
2. Floors clean, dry and free of debris/oil
3. Emergency exits clearly marked & accessible
4. First Aid kits fully stocked and accessible
5. Safety signage posted and legible
6. Fire extinguishers inspected and accessible
7. Eye wash stations inspected and operational
8. Adequate lighting throughout facility
9. Extension cords in good condition
10. Extension cords used safely, no tripping hazards
11. Guard rail at dock in place and in good condition
12. Scrap boxes in good shape and stacked safely
13. Planks stacked on carts safely (leaning, locked in
14. Mill parts on stacking carts have guard rails/spacers
15. Work truck has been inspected and is in good condition

Tools, Equipment & Machinery

Rows	Yes	No	Notes
1. Saws properly guarder and maintained
2. Welders in good condition and cords intact
3. Hand and power tools inspected for wear
4. Machine E-stops functional
5. Proper ventilation in welding/fabrication areas
6. Debris collectors emptied Hoses in good condition

Welding/Cutting/Hot Work

Rows	Yes	No	Notes
1. Welding areas properly shielded/marked
2. Hot work permits used when applicable
3. Fire watch in place during hot work
4. Gas cylinders properly stored and secured

Material Handling & Storage

Rows	Yes	No	Notes
1. Pallet construction area organized and safe
2. Racks and shelving secure and undamaged
3. Materials stacked/stored safely (no tipping hazard)
4. Forklifts & pallet jacks inspected and operational
5. All electrical panel clear from obstruction and accessible

Personal Protective Equipment

Rows	Yes	No	Notes
1. Eye Protection is used when required
2. Hearing protection available and used
3. Welding helmets, gloves, and jackets used
4. PPE in good condition and replaced when needed

Shipping/Loading Area

Rows	Yes	No	Notes
1. Loading area clean of debris and tripping hazards
2. Strapping/banding tools in good condition
3. Finished good labeled and securely palletized
4. Material safely placed on racks, wrapped labeled and accessible

Emergency & Training

Rows	Yes	No	Notes
1. Employees trained in emergency evacuation
2. SDS up to date and accessible
3. Emergency numbers clearly posted
4. Monthly safety meeting held/documented

Take Pictures or Share Files

Optional

Persons Attending Training