OSHA Self Inspection Checklist

Complete

Score 7.81% Flagged items 7 Actions 2

 
Client / Site

Josheen Construction Agency

Conducted on 12.05.2022 09:08 PST

Prepared by James Mayfield

Location 5000 Estate Enighed,

Independence, KS 67301, USA

 
Personnel

Ryan Simpson

Private & confidential 1/11

Flagged items & Actions 7 flagged, 2 actions

Flagged items 7 flagged, 2 actions

Audit

1.3 Where employees may be exposed to toxic substances or

harmful physical agents, has appropriate information
concerning employee access to medical and exposure records No
and Material Safety Data Sheets (MSDSs) been posted or
otherwise made readily available to affected employees?

Audit

2.5 Are operating permits and records up-to-date for items

such as elevators, air pressure tanks, liquefied petroleum gas No
tanks, etc.?

Most of them are except for the elevators. They are a week due.

To Do | Assignee [email protected] | Priority High | Due 19.05.2022 09:13 PST | Creat

ed by SafetyCulture Staff

Close down elevators until we get an updated operating permit

Audit

3.6 Have you considered incentives for employees or No

workgroups who excel in reducing workplace injury/illnesses?

Audit

4.1 Is there a hospital, clinic, or infirmary for medical care

near your workplace or is at least one employee on each shift No
currently qualified to render first aid?

There is a hospital nearby. But in terms of having an employee trained in first aid for every shift, no
. Currently we lack in numbers of personnel. But we are in the works of hiring more people and
training someone.

Audit

4.6 Are fully supplied first aid kits easily accessible to each No
work area, periodically inspected and replenished as needed?

Some items in the kit needs to be replenished.

Audit

5.1 Is your local fire department familiar with your facility, its No
location and specific hazards?

Audit

5.12 Are portable fire extinguishers provided in adequate No

number and type and mounted in readily accessible locations?

Private & confidential 2/11

I discovered there are 2 missing from their locations but that is because they were taken off to be
replaced.

To Do | Assignee [email protected] | Priority High | Due 19.05.2022 09:15 PST | Cre

ated by SafetyCulture Staff

Follow up fire extinguishers

As soon as we get replacement, please instruct to put them on their assigned locations
immediately.

Other actions 0 actions

Private & confidential 3/11

Audit 7 flagged, 2 actions, 7.81%

1.1 Is the required OSHA Job Safety and Health Protection

Poster displayed in a prominent location where all employees Yes
are likely to see it?

1.2 Are emergency telephone numbers posted where they can Yes
be readily found in case of emergency?

1.3 Where employees may be exposed to toxic substances or

harmful physical agents, has appropriate information
concerning employee access to medical and exposure records No
and Material Safety Data Sheets (MSDSs) been posted or
otherwise made readily available to affected employees?

1.4 Are signs concerning exit routes, room capacities, floor

loading, biohazards, exposures to x-ray, microwave, or other Yes
harmful radiation or substances posted where appropriate?

1.5 Is the Summary of Work-Related Injuries and Illnesses (OS

HA Form 300A) posted during the months of February, March Yes
and April?

2.1 Are occupational injuries or illnesses, except minor injuries

requiring only first aid, recorded as required on the OSHA 300 Yes
log?

2.2 Are employee medical records and records of employee

exposure to hazardous substances or harmful physical agents Yes
up-to-date and in compliance with current OSHA standards?

2.3 Are employee training records kept and accessible for Yes
review by employees, as required by OSHA standards?

2.4 Have arrangements been made to retain records for the

time period required for each specific type of record? (Some Yes
records must be maintained for at least 40 years.)

2.5 Are operating permits and records up-to-date for items No

Private & confidential 4/11

such as elevators, air pressure tanks, liquefied petroleum gas
tanks, etc.?

Most of them are except for the elevators. They are a week due.

To Do | Assignee [email protected] | Priority High | Due 19.05.2022 09:13 PST | Creat

ed by SafetyCulture Staff

Close down elevators until we get an updated operating permit

3.1 Do you have an active safety and health program in

operation that includes general safety and health program Yes
elements as well as the management of hazards specific to
your work-site?

3.2 Is one person clearly responsible for the safety and health Yes
program?

3.3 Do you have a safety committee or group made up of

management and labor representatives that meets regularly Yes
and reports in writing on its activities?

3.4 Do you have a working procedure to handle in-house Yes

employee complaints regarding safety and health?

3.5 Are your employees advised of efforts and

accomplishments of the safety and health program made to Yes
ensure they will have a workplace that is safe and healthful?

3.6 Have you considered incentives for employees or No

workgroups who excel in reducing workplace injury/illnesses?

4.1 Is there a hospital, clinic, or infirmary for medical care

near your workplace or is at least one employee on each shift No
currently qualified to render first aid?

There is a hospital nearby. But in terms of having an employee trained in first aid for every shift, no
. Currently we lack in numbers of personnel. But we are in the works of hiring more people and
training someone.

4.2 Have all employees who are expected to respond to

medical emergencies as part of their job responsibilities
received first aid training; had hepatitis B vaccination made Yes
available to them; had appropriate training on procedures to
protect them from bloodborne pathogens, including universal
precautions; and have available and understand how to use

Private & confidential 5/11

appropriate PPE to protect against exposure to bloodborne
diseases?*

4.3 If employees have had an exposure incident involving

bloodborne pathogens, was an immediate post-exposure Yes
medical evaluation and follow-up provided?

4.4 Are medical personnel readily available for advice and N/A
consultation on matters of employees' health?

4.5 Are emergency phone numbers posted? Yes

4.6 Are fully supplied first aid kits easily accessible to each No
work area, periodically inspected and replenished as needed?

Some items in the kit needs to be replenished.

4.7 Have first aid kits and supplies been approved by a

physician, indicating that they are adequate for a particular Yes
area or operation?

4.8 Is there an eye-wash station or sink available for quick

drenching or flushing of the eyes and body in areas where Yes
corrosive liquids or materials are handled?

5.1 Is your local fire department familiar with your facility, its No
location and specific hazards?

5.2 If you have a fire alarm system, is it certified as required Yes

and tested annually?

5.3 If you have interior standpipes and valves, are they Yes
inspected regularly?

5.4 If you have outside private fire hydrants, are they flushed
at least once a year and on a routine preventive maintenance Yes
schedule?

5.5 Are fire doors and shutters in good operating condition? Yes

5.6 Are fire doors and shutters unobstructed and protected Yes

Private & confidential 6/11

against obstructions, including their counterweights?

5.7 Are fire door and shutter fusible links in place? Yes

5.8 Are automatic sprinkler system water control valves, air Yes
and water pressure checked periodically as required?

5.9 Is the maintenance of automatic sprinkler systems Yes

assigned to responsible persons or to a sprinkler contractor?

5.10 Are sprinkler heads protected by metal guards if exposed Yes

to potential physical damage?

5.11 Is proper clearance maintained below sprinkler heads? Yes

5.12 Are portable fire extinguishers provided in adequate No

number and type and mounted in readily accessible locations?

I discovered there are 2 missing from their locations but that is because they were taken off to be
replaced.

To Do | Assignee [email protected] | Priority High | Due 19.05.2022 09:15 PST | Cre

ated by SafetyCulture Staff

Follow up fire extinguishers

As soon as we get replacement, please instruct to put them on their assigned locations
immediately.

5.13 Are fire extinguishers recharged regularly with this noted Yes
on the inspection tag?

5.14 Are employees periodically instructed in the use of fire Yes

extinguishers and fire protection procedures?

6.1 Has the employer determined whether hazards that

require the use of PPE (e.g., head, eye, face, hand, or foot Yes
protection) are present or are likely to be present?

6.2 If hazards or the likelihood of hazards are found, are

employers selecting appropriate and properly fitted PPE Yes
suitable for protection from these hazards and ensuring that
affected employees use it?

Private & confidential 7/11

6.3 Have both the employer and the employees been trained
on PPE procedures, i.e., what PPE is necessary for job tasks, Yes
when workers need it, and how to properly wear and adjust it
?

6.4 Are protective goggles or face shields provided and worn

where there is any danger of flying particles or corrosive Yes
materials?

6.5 Are approved safety glasses required to be worn at all

times in areas where there is a risk of eye injuries such as Yes
punctures, abrasions, contusions, or burns?

6.6 Are employees who wear corrective lenses (glasses or

contacts) in workplaces with harmful exposures required to Yes
wear only approved safety glasses, protective goggles, or use
other medically approved precautionary procedures?

6.7 Are protective gloves, aprons, shields, or other means

provided and required where employees could be cut or
where there is reasonably anticipated exposure to corrosive
liquids, chemicals, blood, or other potentially infectious Yes
materials? See the OSHA Bloodborne Pathogens standard, 29
CFR 1910.1030(b), for the definition of "other potentially
infectious materials."

6.8 Are hard hats required, provided and worn where danger Yes
of falling objects exists?

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

6.10 Is appropriate foot protection required where there is the

risk of foot injuries from hot, corrosive, or poisonous Yes
substances, falling objects, crushing, or penetrating actions?

6.11 Are approved respirators provided when needed? (See 29

CFR 1910.134 for detailed information on respirators or check Yes
OSHA's website).

Private & confidential 8/11

6.12 Is all PPE maintained in a sanitary condition and ready for Yes
use?

6.13 Are food or beverages consumed only in areas where

there is no exposure to toxic material, blood, or other Yes
potentially infectious materials?

6.14 Is protection against the effects of occupational noise

provided when sound levels exceed those of the OSHA Noise Yes
standard?

6.15 Are adequate work procedures, PPE and other equipment

provided and used when cleaning up spilled hazardous Yes
materials?

6.16 Are appropriate procedures in place to dispose of or

decontaminate PPE contaminated with, or reasonably Yes
anticipated to be contaminated with, blood or other
potentially infectious materials?

Class A - Ordinary combustible material fires. ☐

Class B - Flammable liquid, gas or grease fires. ☐

Class C - Energized-electrical equipment fires. ☐

an explanation of what an MSDS is and how to use and obtain ☐

one;

MSDS contents for each hazardous substance or class of ☐

substances;

explanation of "A Right to Know"; ☐

identification of where an employee can see the written ☐

hazard communication program;

location of physical and health hazards in particular work ☐

areas and the specific protective measures to be used; and

details of the hazard communication program, including how ☐

to use the labeling system and MSDSs.

an accessible copy of the standard and an explanation of its ☐

Private & confidential 9/11

contents;

a general explanation of the epidemiology and symptoms of ☐

bloodborne diseases

an explanation of the modes of transmission of Bloodborne ☐

Pathogens;

an explanation of the employer's exposure control plan and ☐

the means by which employees can obtain a copy of the
written plan;

an explanation of the appropriate methods for recognizing ☐

tasks and the other activities that may involve exposure to
blood and other potentially infectious materials;

an explanation of the use and limitations of methods that will ☐

prevent or reduce exposure, including appropriate
engineering controls, work practices and PPE;

information on the types, proper use, location, removal, ☐

handling, decontamination and disposal of PPE;

an explanation of the basis for selection of PPE; ☐

information on the hepatitis B vaccine; ☐

information on the appropriate actions to take and persons to ☐

contact in an emergency involving blood or other potentially
infectious materials;

an explanation of the procedure to follow if an exposure ☐

incident occurs, including the methods of reporting the
incident and the medical follow-up that will be made available
;

information on post-exposure evaluations and follow-up; and ☐

an explanation of signs, labels and color coding. ☐

how to recognize tasks that might result in occupational ☐

exposure;

how to use work practice, engineering controls and PPE, and ☐

their limitations;

how to obtain information on the types, selection, proper use, ☐

location, removal, handling, decontamination and disposal of
PPE; and

who to contact and what to do in an emergency. ☐

Private & confidential 10/11

Sign Off  

 
Auditor

Ryan Simpson
12.05.2022 09:12 PST

Private & confidential 11/11