Health & Safety Checklist

  Worksite Learning Site Safety Assessment  1 of 2

 

Organization:

Date:

Address:
Site Supervisor:
Checked By:

 

S = Satisfactory U = Unsatisfactory N/A = Not Applicable

Add occupationally-specific considerations as needed.

 

	Floors and Walkways	Comment:
	Exits are marked; walkways and stairways are clear
	Locations of cleanup supplies are identified
	Non-slip mats, grates, or slip-free coatings are used in potentially wet areas
	Stairways have handrails
	___________________________________________________________

 

	Ladders (including step stools, etc.)	Comment:
	Ladders appear to be in good condition
	Ladders have safety feet
	Non-metal ladders are used where there is a possibility of electric shock
	___________________________________________________________

 

	Fire Safety	Comment:
	There are at least two emergency exits for each work area
	Fire exits are clearly marked and pathways to exits are clear
	Emergency procedures are posted and/or covered in student orientation
	Fire extinguisher(s) are available and marked
	___________________________________________________________

 

	Electrical Hazards	Comment:
	Visible electric cords are in good condition (unfrayed and without defects)
	Any floor cords and cables are covered with safety covers
	Emergency “stop” switch is available to shut down electricity (where applicable)
	___________________________________________________________

 

	Machine Guarding and Mechanical Safety	Comment:
	Machines are securely attached to the floor
	Machines have protective guards as appropriate to protect workers
	Emergency turn off switches are functional and available where appropriate
	Safe use procedures are posted and/or covered in student orientation
	___________________________________________________________

 

	Ventilation	Comment:
	Temperature, humidity and air movement appears to be appropriately maintained
	Air exchange equipment is operational; maintains clean air availability
	___________________________________________________________

 

	Lighting	Comment:
	There is adequate light throughout the worksite
	Areas surrounding equipment and machinery are well lighted
	___________________________________________________________

 

	Sanitation & Housekeeping	Comment:
	Toilet facilities are clean and well-ventilated
	Toilet facilities have sinks with hot and cold water, hand soap and disposable hand towels
	Insects and rodents are adequately controlled
	An eating area is available separate from the work area
	Eating areas and drinking facilities are clean
	Waste containers appear to be adequate, leak proof and emptied regularly
	___________________________________________________________

 

	Noise	Comment:
	Noise is monitored/maintained at a comfortable level
	High-noise areas require hearing protection
	___________________________________________________________

 

	Chemical Hazards	Comment:
	Chemicals are properly labeled and stored
	Activities involving use of chemicals require protective clothing and/or equipment
	Safe use procedures are posted and/or covered in student orientation
	Material Safety Data Sheets (MSDS) are current and accessible
	Smoking near chemicals of any type is prohibited
	Environment in which student will be placed is non-smoking
	___________________________________________________________

 

	Ergonomic Hazards	Comment:
	Lifting is a minimal element and under 50 pounds (alone)
	Proper lifting procedures are posted and covered in student orientation
	Tasks requiring repetitive movements are varied or rotated
	___________________________________________________________

Back to top