Fire Safety S S S Emergency Action Plan Is an emergency action plan reviewed and revised? Does the employer have a procedure for reporting an emergency? Are evacuation records maintain ? Are evacuation drill records present? Is the EAP written or Oral? Are there Procedures for evacuating disabled employees? Is there a list of who can be contact for further explaination of plan? Are emergeny alarms Testing Records current? General warehouse condition Are employees prohibitted from walking/working in unsafe surface areas? is there sufficient lighting in the building? is automatic doors working properly? Is there sanitation guildelines? Does facility have first aid stations? Is the exit and non-exit clearly marked? Are hazardous conditions on walking-working surfaces corrected on time? Are walking/working surfaces inspected regularly? 3 non-Regularity Topics 4 Safety Committee 5 Does committee meetings follow a written agenda? 6 Are there committee meeting minutes recordkeeping? 7 Are committee meeting minutes available to all employees? 8 Do committee minutes include recommendations, reports, and evaluations? 9 How frequently does the safety committee meets? 0 Is the employee representative volunteer or elected by peers? 1 Is the committee makeup of an equal number of employers and employees? 2 Does the employer provide training for safety committee members? 3. 4 Workplace violance 5 6 8 9 0 1 2 3. 4 5 Ergonomics 6 7 8 9 0 Does employer provide ergonomics training? Does employer has ergnomic program? Is there implementation of medical review and record keeping? Does employer provide ergonomic risk assessment to employees? 1 Does the ergonomic program address work-related injuries? 2 Are procedures for reporting ergonomic work-related injuries? 3. Does employer provide individual ergonomic set-up? 4 Which management positions are invlove in ergonomics programs? 5 Cover Sheet Topics Summary Documentation Review Facility Inspection Employee Interview