Template

LCO and Occupational Medicine Assessment

by Bobby Collister, from the Community

This PDQ LCO/OccMed Assessment template supports facilities and site teams in reviewing safety training requirements, PPE needs, and core OSHA compliance elements. Sections include a Loss Control Officer review, employee training matrix (arc flash, asbestos, BBP, confined space, defensive driving, electrical safety, fall protection, forklift, HazCom/GHS, hearing conservation, heat stress, ladder safety, LOTO, machine guarding, NFPA 70E, respiratory protection, TB, trenching and excavation, welding/cutting/brazing), and PPE requirements (gloves, hard hat, hearing and eye protection, safety shoes/vest, harness, splash apron). Includes signature fields and JHA reference.

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions .

Template
CBIZ Workplace Safety Assessment Checklist
Conduct a comprehensive workplace safety assessment with this checklist used by loss control teams. Review IIPP, HAZCOM and GHS, PPE, hearing conservation, fall protection, emergency evacuation, LOTO and incident reporting. Inspect fire prevention, lighting, building and walkway safety, work benches, storage racks, machines and guarding, electrical and chemical safety, ladders, first aid facilities and height exposures. Verify operator training for forklifts and other MHE, document compliance, and capture hazards, photos and sign off.
by Felipe Rodriguez, from the Community
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Safety Assessment Audit
Use this Safety Assessment Audit to identify workplace hazards and strengthen compliance with OSHA 1910 and 1926 requirements. The checklist reviews employer responsibilities, PPE selection and training, machine guarding, hazard communication, respiratory protection and fit testing, hearing conservation, and control of hazardous energy (lockout/tagout). It also covers emergency action and fire prevention plans, walking-working surfaces and fall protection, first aid and eyewash provisions, compressed air and material handling, forklifts and aerial lifts, cranes and rigging, welding and cutting safety, confined spaces, and housekeeping. Ideal for manufacturing and industrial operations, it helps verify documentation, training, inspections, and safe work practices across facilities and jobsites.
by Ironwood Safety, from the Community
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OPP Supervisor Safety Check Up
Use this supervisor safety check up to evaluate safety programs across facilities. The checklist helps supervisors review training completion, required inspections, and compliance for key EHS areas including aerial and scissor lifts, asbestos, bloodborne pathogens, evacuation plans, chemical and hazardous waste, confined spaces, cranes and rigging, electrical safety and NFPA 70E, excavation, fall protection, fire prevention, first aid kits, hazard communication, hearing conservation, hot work, ladder safety, lead awareness, lockout tagout, machine shop safety, PPE, powered industrial trucks, respiratory protection, scaffolds, storage tanks, vehicle safety, and onboarding. Includes prompts on supervisor responsibilities and final notes.
by Elizabeth Fisher, from the Community
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Epic Morse Electrical Safety Audit Checklist
Use this electrical safety audit checklist to assess jobsite conditions and reduce risk. The template covers JHA completion, site housekeeping, first aid, fire extinguishers, noise, and hazard controls. Verify PPE such as hard hats, safety glasses, gloves, footwear, respiratory protection, arc flash gear, and hearing protection. Inspect fall protection, ladders, and aerial lifts. Review lockout tagout programs, training, and proper locking methods. Check tools, GFCIs, cords, and power tools for safe use. Observe personnel behavior and communication. Includes a 5S audit and space for notes, photos, and sign off.
by Jared Lanier, from the Community
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LCO and Occupational Medicine Assessment

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