SHChecklist Mod 1

Module 1 - Worksite Inspection
Checklist
15 Days to a Safe and Healthy Workplace –
Days 1 - 5
Updated: July 2020

Washington State Department of Labor & Industries 1
Welcome!
This module will help YOU get the most

out of using the
Worksite Inspection Checklist, developed
by L&I professionals for completing an
Accident Prevention Program (APP).

Download the full checklist
 A Guide to Workplace Safety and Health i

n Washington State
(English)(F416-132-000)
 A Guide to Workplace Safety and Health i
n Washington State

(Spanish)(F416-132-999)

Action on YOUR part is required
As you work through the

Worksite Inspection
Checklist, you will be
asked to have specific
items ready to
successfully answer
checklist questions.

You should do the following:
 Plan on working one item a

time (you can do this one day
at a time)
 Have all the requirements
ready
 Walk-through all areas in the
facility
 Complete the checklist

What You Will Learn in this Module
How to complete the first 5 items in the

Worksite Inspection Checklist:
1. General
2. Emergency evacuation &
Emergency Exits
3. Electrical
4. Work stations
5. Housekeeping

Topics covered – Module 1
DAY 1 - General
DAY 2 - Emergency Evacuation & Emergency Exits
DAY - 3 Electrical
DAY 4 - Work Stations
DAY 5 - Housekeeping

DAY 1 - General
What you need for DAY 1:

 The WISHA posters:
– If a job injury occurs
– Job safety and health protection
– Worker Rights
 Your business Accident Prevention Program (APP)
 First Aid Kits available

DAY 1 - General
These are 3 of the L&I required posters.
Click on the poster you need to download

them to your computer.

DAY 1 - General
Posters and safety committee meeting

minutes must be posted where
employees can read them.

DAY 1 - General
Click on the image to see all Accident

Prevention Program (APP) templates
from the L&I
Or
 General Industry APP English
 General Industry APP Spanish
 Small Business APP

DAY 1 - General
First Aid kits are commercially available.
First-aid kits purchased from your local

retailer or safety supplier should be
adequate for most nonindustrial
employers.

DAY 1 - General
Now, complete this section of the checklist:

DAY 2 – Emergency evacuation and Emergency Exits

 Do a walk-around to identify evacuation routes and exits
 Evacuation plan
 Evacuation map
 Emergency phone numbers
 Exit signs for exits and routes

Develop an evacuation plan for

emergencies.
Clearly mark routes and exits.

An evacuation plan provides the safest

route to exit the facility in case of an
emergency.

Emergency walkways and exits must be

kept clear.
It is common to see these problems in

many workplaces.

Exit signs must be located so they are

visible from several points.


DAY 3 - Electrical

 Do a walk-around, focusing on the following:
– Extension cords; ground pins
– Power cord integrity
– Breaker boxes clear accessibility
– Waterproof covers on equipment outdoors or at wet locations

DAY 3 - Electrical
Extension cords should be only used

temporarily.
All three–pronged extension cords must have

ground pins in place.

DAY 3 - Electrical
Power cords must be free of splices,

tapes and damaged insulation.

DAY 3 - Electrical
Access to electric control

panels must be easy and clear.
Clear access

DAY 3 - Electrical
Electrical cords and

equipment used at wet
locations must have
waterproof covers or seals.

DAY 3 – Electrical

DAY 4 – Work Stations

– Chair general conditions
– Chair adjusted to the employee
– Materials stored safely

 Chairs must be in good condition.
 Adjust the chair to the person.
 Training is usually needed.

Environmental conditions like

temperature, lighting and noise should
be at the person’s level of comfort.

 Stored materials should be stable.
 Storage equipment must be used

safely.


DAY 5 – Housekeeping

– Bathrooms
– Water fountains
– Waste disposal
– Drainage
– Scrap materials
– Spills

Toilets and washing facilities must be kept

clean and functional.

 Bathrooms should be stocked with

supplies:
– Soap
– Towels
– Paper

 Drinking water must be provided from

a clean source:
– Water fountain
– Individual cups
– Bottled water

 Waste and scrap should be kept in

clean and closed containers.
 Consider recycling materials.

Spills should be cleaned promptly.
Wet areas must have effective drainage.


Make sure that…
…You were able to answer YES to all questions in each of

this first 5 sections.
If you answered NO to one or more questions, then include

these items in your action plan for follow-up.

Now You are ready for…
MODULE 2:
6. Walking Surfaces/Stairways
7. Lighting
8. Chemical Safety
9. Personal Protective
Equipment
10. Portable Ladders

Additional Information
Steps to a Safe Workplace

Sample programs
Request assistance
Contact an L&I specialist
Call us at 1-800-4BE-SAFE (1-800-423-7233)

Thank You
Your interest in safety and health at your workplace, will keep YOU
and YOUR workers safe and healthy.

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Module 1 - Worksite Inspection

Updated: July 2020

This module will help YOU get the most

Washington State Department of Labor & Industries 2

 A Guide to Workplace Safety and Health i

Washington State Department of Labor & Industries 3

As you work through the

Washington State Department of Labor & Industries 4

 Plan on working one item a

Washington State Department of Labor & Industries 5

How to complete the first 5 items in the

Washington State Department of Labor & Industries 6

Washington State Department of Labor & Industries 7

What you need for DAY 1:

Washington State Department of Labor & Industries 8

These are 3 of the L&I required posters.

Click on the poster you need to download

Washington State Department of Labor & Industries 9

Posters and safety committee meeting

Washington State Department of Labor & Industries 10

Click on the image to see all Accident

 General Industry APP English

 General Industry APP Spanish

 Small Business APP

Washington State Department of Labor & Industries 11

First Aid kits are commercially available.

First-aid kits purchased from your local

Washington State Department of Labor & Industries 12

Now, complete this section of the checklist:

Washington State Department of Labor & Industries 13

What you need for DAY 2:

 Emergency phone numbers

 Exit signs for exits and routes

Washington State Department of Labor & Industries 14

Develop an evacuation plan for

Clearly mark routes and exits.

Washington State Department of Labor & Industries 15

An evacuation plan provides the safest

Washington State Department of Labor & Industries 16

Emergency walkways and exits must be

It is common to see these problems in

Washington State Department of Labor & Industries 17

Exit signs must be located so they are

Washington State Department of Labor & Industries 18

Now, complete this section of the checklist:

Washington State Department of Labor & Industries 19

What you need for DAY 3:

– Extension cords; ground pins

– Power cord integrity

– Breaker boxes clear accessibility

– Waterproof covers on equipment outdoors or at wet locations

Washington State Department of Labor & Industries 20

Extension cords should be only used

All three–pronged extension cords must have

Washington State Department of Labor & Industries 21

Power cords must be free of splices,

Washington State Department of Labor & Industries 22

Access to electric control