HEALTH AND SAFETY POLICY ASSESSM

The following checklist may assist you to determine what practices and policies may be needed at your operation. You may want to make multiple copies of this form and distribute them to your line supervisors.

Please check all the applicable items	YES	NO	N/A
Safety team developed
Safety director appointed
Annual maintenance of the OSHA 300 log
Annual posting of the OSHA 300 A summary
Retaining the OSHA 300 logs for 5 years
Hazard communication policy
Annual MSDS training
Blood borne pathogen policy
Annual blood borne pathogen training
Lockout / tagout policy
Annual lockout / tagout training
Respiratory policy
Medical exam for all respirator users
Personal protective equipment policy
Emergency action plan
Annual emergency action plan training
Hearing Conservation program
Annual employee audiograms
Annual fire extinguisher training
Fork lift policy and training
Trenching / cave-in education & equipment
Material handling education
Motor vehicle safety education
Communicating with non-English speaking employees
Fall protection – equipment & training
Ladder safety
Welding safety training & education
Machine guarding
Housekeeping (site cleanliness)
Fire brigade training
Participant in BLS/ Data Initiative Surveys?