OSHA Self-Inspection
Company Name Date of Inspection Inspector
INSTRUCTIONS
This checklist is designed to conduct a self-inspection of your workplace to identify potential hazards and ensure compliance with Occupational Safety and Health
Administration (OSHA) regulations. Carefully review each item and mark the corresponding checkbox to indicate compliance or note any observations and areas for
improvement. Use the "Notes/Observations" section to provide additional details, corrective actions, and any required follow-up.
1. GENERAL SAFETY
Adequate signage is displayed for safety procedures and hazards. Yes No NA
Safety manuals and guidelines are accessible to all employees. Yes No NA
Emergency contact information is prominently posted. Yes No NA
First aid kits and emergency response equipment are readily available. Yes No NA
Observations/Notes:
[Insert OSHA self-inspection observations
and corrective actions, if any]
2. PERSONAL PROTECTIVE EQUIPMENT (PPE)
Employees wear the required PPE for their job tasks. Yes No NA
PPE is in good condition and properly fitted for each employee. Yes No NA
Additional specialized PPE (e.g., fall protection, respiratory protection) is provided where needed. Yes No NA
Adequate supplies of PPE are available for all employees. Yes No NA
Observations/Notes:
[Insert OSHA self-inspection observations
and corrective actions, if any]
3. HAZARD COMMUNICATION
Chemicals are properly labeled, stored, and handled. Yes No NA
Material Safety Data Sheets (MSDS) are accessible to employees. Yes No NA
Employees are trained on the hazards and safe handling of chemicals. Yes No NA
Spill kits and emergency response procedures are in place. Yes No NA
Observations/Notes:
[Insert OSHA self-inspection observations
and corrective actions, if any]
4. FIRE SAFETY
Fire extinguishers are present, visible, and not obstructed. Yes No NA
Emergency exits are clearly marked and free from obstructions. Yes No NA
Fire alarms and sprinkler systems are functional and tested regularly. Yes No NA
Employees are trained in fire evacuation procedures. Yes No NA
Observations/Notes:
[Insert OSHA self-inspection observations
and corrective actions, if any]
5. ELECTRICAL SAFETY
Electrical installations comply with safety regulations and codes. Yes No NA
Electrical panels and circuits are properly labeled and accessible. Yes No NA
Power cords and plugs are in good condition, without fraying. Yes No NA
Ground fault circuit interrupters (GFCIs) are installed where required. Yes No NA
Observations/Notes:
[Insert OSHA self-inspection observations
and corrective actions, if any]
6. MACHINE AND EQUIPMENT SAFETY
Equipment is guarded and has safety interlocks in place. Yes No NA
Emergency stop buttons are clearly marked and easily accessible. Yes No NA
Lockout/Tagout procedures are followed during maintenance. Yes No NA
Employees use the correct tools and follow safe operating procedures. Yes No NA
Observations/Notes:
[Insert OSHA self-inspection observations
and corrective actions, if any]
7. LIFTING AND MATERIAL HANDLING
Safe lifting and material handling practices are observed. Yes No NA
Mechanical lifting equipment is inspected and certified. Yes No NA
Workers are trained in material handling safety techniques. Yes No NA
Heavy materials are securely stacked and stored to prevent collapse. Yes No NA
Observations/Notes:
[Insert OSHA self-inspection observations
and corrective actions, if any]
8. WALKING AND WORKING SURFACES
Walking surfaces are free from slip, trip, and fall hazards. Yes No NA
Stairways and ramps are in good condition and properly maintained. Yes No NA
Guardrails and handrails are in place where required. Yes No NA
Floors are kept clean and dry, and spills are promptly cleaned up. Yes No NA
Observations/Notes:
[Insert OSHA self-inspection observations
and corrective actions, if any]
9. CONFINED SPACES
Confined spaces are identified and appropriately labeled. Yes No NA
Confined space entry procedures are followed when applicable. Yes No NA
Atmospheric testing is conducted before entering confined spaces. Yes No NA
Proper permits are obtained for confined space entry. Yes No NA
Observations/Notes:
[Insert OSHA self-inspection observations
and corrective actions, if any]
10. EMERGENCY PREPAREDNESS
Emergency response plans are posted, and employees are familiar with them. Yes No NA
Evacuation routes and assembly points are clearly marked. Yes No NA
First aid kits and medical emergency procedures are accessible. Yes No NA
Employees are trained in emergency response and evacuation procedures. Yes No NA
Observations/Notes:
[Insert OSHA self-inspection observations
and corrective actions, if any]
NOTES/OBSERVATIONS
[Insert any additional notes or OSHA self-inspection observations made during the inspection]
STATEMENT OF COMMITMENT
I hereby certify that I have conducted the above OSHA self-inspection and commit to addressing any identified hazards and areas for
improvement promptly.
Observer's Name : Signature :
Date :
APPROVED BY
Name : Signature :
Date :
Inspec�on template by:
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