SAFETY

SELF-INSPECTION
CHECKLIST
 This checklist was created to serve as a general tool which can be used to
guide companies in creating a safe and healthy workplace. After reviewing

PPACA & WORKERS’

this checklist, it is recommended that companies customize the audit with

COMPENSATION
specific federal and state requirements to ensure best practices and
compliance. To learn more about federal and state OSHA regulations, visit
https://www.osha.gov/law-regs.html.
WHAT’S IN STORE FOR PHYSICIANS?
It is recommended the person completing the audit be knowledgeable about
by Bob Patterson, MPT, CAE
the operations of the space and have the authority to affect positive
changes. Questions under each section are structured to guide the thinking
of management in addressing areas needing improvement.

© Copyright 2018 Briotix, Inc. All rights reserved.

2 | SAFETY SELF-INSPECTION CHECKLIST

 GENERAL SAFETY AND MISCELLANEOUS
Have you reviewed and are you meeting all OSHA requirements for your specific
industry and state?

Has a Job Hazard Analysis been completed?

EMERGENCY PREPAREDNESS AND FIRE PROTECTION

Are all employees familiar with your general and site-specific emergency plans?

HOUSEKEEPING
Are high-traffic and high-hazard areas free from debris and clutter?

PERSONAL PROTECTIVE EQUIPMENT POLICY

Is a Personal Protective Equipment policy readily available?

Has a Hazard Assessment been completed?

HAZARD COMMUNICATION PROGRAM

Is a program in place and training provided to employees?

BIOLOGICAL HAZARDS AND HAZARDOUS WASTE

IDo employees have a risk of being exposed to blood and other human bodily fluids? If
so, is a Bloodborne Pathogen Exposure Control Plan in place and training provided to
affected employees?

© Copyright 2018 Briotix, Inc. All rights reserved.

3 | SAFETY SELF-INSPECTION CHECKLIST

 SHARP HAZARDS AND BROKEN GLASS
Do employees work with or have the potential to be exposed to sharps or broken
glass? If yes, have they been notified of specific handling and proper disposal
procedures?

FALL PROTECTION
Do employees have a risk of falling from elevated work surfaces (over 4 feet)? If so,
are appropriate fall protection systems in place?

Have employees been trained in fall protection requirements?

EQUIPMENT AND MACHINE SAFETY

Is there mechanical equipment or machinery located in the workplace? If yes, have
all employees been trained, and do the machines have the proper safeguards?

ERGONOMICS AND MATERIAL HANDLING

Do employees or vendors complete repetitive motions for at least 2 hours per day? If
yes, have those employees received an ergonomics assessment and been trained in
ergonomics?

9000 E Nichols Avenue

Suite 201
Centennial, CO 80112
844.BRIOTIX (274.6849)
www.briotix.com

© Copyright 2018 Briotix, Inc. All rights reserved.

4 | SAFETY SELF-INSPECTION CHECKLIST