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WORKPLACE SAFETY INSPECTION CHECKLIST


Completed by: _______________________________ Date: __________________________
Building: ________________________________ Room: __________________________
Supervisor: ________________________________ Phone: __________________________
Department: _________________________________________________________________________

Scheduled periodic inspections to identify unsafe conditions and work practices are supervisor requirements per Cal OSHA Title 8
CCR 3203(a)(4) and Stanford’s Injury and Illness Prevention Program (IIPP). Stanford recommends completing the checklist on
an annual basis. Completed copies shall be kept on file for at least one year by the supervisor or department safety coordinator.
Report any facility-related deficiencies below to the building manager.

1. GENERAL SAFETY YES NO N/A COMMENTS/DATE


CORRECTED
1. Workplace is clean and orderly.

2. Floors are clear and aisles, hallways, and exits are


unobstructed.
3. Floor surfaces are kept dry and free of slip hazards.

4. Stairways, sidewalks, and ramps are free of defects (e.g.


damaged treads, frayed carpet).
5. Illumination is adequate in all common areas and
workstations.
6. Emergency evacuation plans are posted at eye level in
every stairway and elevator landing, and immediately
inside all public entrances to the building.
7. All containers, including non-hazardous chemicals and
wastes, are labeled with the full chemical or trade name.
(For storage of hazardous chemicals, see below*)
8. Stored materials are secured & limited in height to
prevent collapse.
9. 36” clearance maintained for electrical panels.

10. Electrical cords and plugs are in good condition with


proper grounding.
11. Extension cords and power strips are not daisy-chained
and no permanent extension cords are in use.
12. Portable electric heaters have at least 36” of clearance
from combustible materials (e.g. paper).
13. Equipment and machines are clean and working
properly.
14. Adequate ventilation is provided to machines for
preventing buildup of heat or gas emissions.
15. Emergency stop switches on machines are identified and
in proper working order.
16. Mechanical safeguards are in place and in proper
working order (e.g. paper cutter guards).

* If chemicals in the work area are stored in amounts greater than typical office/household quantities, you are required to
complete the EH&S Laboratory Inspection Checklist quarterly.

SEE NEXT PAGE


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2. FIRE YES NO N/A COMMENTS/DATE


CORRECTED
1. Emergency exit signs are properly displayed.

2. Fire alarms and fire extinguishers are visible and


accessible.
3. Fire doors (e.g. in stairways) are kept closed unless
equipped with automatic closing device.
4. 18" vertical clearance is maintained below all sprinkler
heads.
5. Fire extinguishers are serviced annually.

6. Corridors and stairways are kept free of obstruction and


not used for storage.
3. EARTHQUAKE YES NO N/A COMMENTS/DATE
CORRECTED
1. Bookcases, filing cabinets, shelves, racks, cages, storage
cabinets and similar items over four feet tall are anchored
to the wall. Refer to ProtectSU for details.
2. Shelving has lips, bungees or other seismic restraints.

3. Portable machines or equipment are secured against


movement using chains, lockable casters, or other
appropriate means.
4. Top-heavy equipment is bolted down or secured to wall
studs to withstand accelerations typically expected in an
earthquake.
5. Large & heavy objects are stored on lower shelves or
storage areas.
6. Valuable equipment sensitive to shock damage, such as
instruments, computer disks and glassware are stored in
latched cabinets or otherwise secured to prevent falling.
7. All areas are uncluttered – providing clear evacuation
routes in the event of an emergency.
8. Cabinets and lockers are equipped with positive latching or
sliding doors.

SITE-SPECIFIC INFORMATION/COMMENTS (as needed):

August 2016 OHS 16-128

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