General OSHA Program Survey
Facility Health and Safety Programs
The following form will help you determine which OSHA General Industry Standards your company currently has written programs on. Please note that you are not necessarily required to maintain each of the programs identified. In some circumstances OSHA does not require a written program but employers nonetheless maintain a written program to ensure compliance.
Occupational Injuries and Illnesses / Recordkeeping (29 C.F.R. § 1904.2-8)Log of occupational injuries and illnesses (OSHA Form 200 & 300)
Please attach copies for the last three years / Yes / No
Log of contractor occupational injuries and illnesses (OSHA Form 200 & 300)
Please attach copies for the last three years / Yes / No / NA
Written supplementary records of each recordable injury (OSHA Form 101 or 100 and/or their equivalent) / Yes / No / NA
General Requirements (29 C.F.R. § 1910.22)
Specific work practices and procedures for housekeeping personnel such as keeping all areas of the facility clean and orderly, for keeping floors dry, and for keeping aisles and passageways clear and in good repair / Yes / No
Employee Emergency Action Plans and Fire Prevention Plans; Means of Egress (29 C.F.R. § 1910.38)
Emergency Action Plan / Yes / No / NA
Noise Exposure(29 C.F.R. § 1910.95)
Periodic monitoring of sound levels of work activities / Yes / No
Hearing conservation program / Yes / No / NA
Compressed Gases, General Requirements (29 C.F.R. § 1910.101)
Specific work practices and procedures for handling, storage, use, and inspection of all compressed gas cylinders / Yes / No / NA
Acetylene (29 C.F.R. § 1910.102)
Specific work practices and procedures regarding the transfer, handling, and/or storage of acetylene / Yes / No / NA
Flammable and Combustible Liquids (29 C.F.R. § 1910.106)
Specific practices and procedures regarding storage and handling of flammable and/or combustible liquids / Yes / No
Storage and Handling of Anhydrous Ammonia (29 C.F.R. § 1910.111)
Specific criteria regarding the design of the anhydrous ammonia system and specific practices and procedures for the use and maintenance of the system / Yes / No / NA
Process Safety Management of Highly Hazardous Chemicals (29 C.F.R. § 1910.119)
Overall Process Safety Management program
Please note you are not being asked to provide all PSM documentation. Only an overall plans if one exists. / Yes / No / NA
Most recent PSM audit report and any open recommendations / Yes / No / NA
Hazardous Waste Operations and Emergency Response (29 C.F.R. § 1910.120)
Emergency response program or procedures, which includes a response plan for fires, chemical spills, and other catastrophic events / Yes / No
Personal Protective Equipment, General Requirements (29 C.F.R. § 1910.132)
Specific work practices and procedures regarding the determination of the need for personal protective equipment? *Please attach examples of your most recent hazard assessment for personal protective equipment for two jobs. / Yes / No
PPE training documentation
Please attach your most recent training roster / Yes / No
Eye and Face Protection (29 C.F.R. § 1910.133)
Specific practices, procedures and/or criteria regarding the use of eye and face protection / Yes / No / NA
Respiratory Protection (29 C.F.R. § 1910.134)
Respiratory protection program for employees prior to assignment to an area where respiratory protection is required / Yes / No / NA
Training documentation for employees who are required to wear respirators / Yes / No / NA
Head Protection (29 C.F.R. § 1910.135)
Specific practices and procedures regarding the use of head protection / Yes / No / NA
Foot Protection (29 C.F.R. § 1910.136)
Specific practices and procedures regarding the use of foot protection? / Yes / No / NA
Hand Protection (29 C.F.R. § 1910.138)
Specific practices and procedures regarding the use of hand protection? / Yes / No / NA
Permit-Required Confined Spaces (29 C.F.R. § 1910.146)
Program for permit-required work in confined spaces, such as tanks, vessels, and pits, that have the potential to contain a hazardous atmosphere, i.e. chemical, mechanical, or low-oxygen / Yes / No / NA
The Control of Hazardous Energy, Lockout/Tagout (29 C.F.R. § 1910.147)
Equipment specific lockout/tagout procedures
*Please attach copies of two equipment-specific lockout/tagout procedures. / Yes / No / NA
Fire Brigades (29 C.F.R. § 1910.156)
Organizational statement and plan for a fire brigade / Yes / No / NA
Documentation of training and education for fire brigade / Yes / No / NA
Portable Fire Extinguishers (29 C.F.R. § 1910.157)
Documentation of employee training regarding the use of portable fire extinguishers?
Please attach your most recent training roster or three individual examples / Yes / No / NA
Powered Industrial Trucks (29 C.F.R. § 1910.178)
Specific work practices and training regarding the use and maintenance of powered industrial trucks / Yes / No / NA
Documentation of employee training prior to assignment to a job involving use of a powered industrial truck
Please attach your most recent training roster or three individual examples / Yes / No / NA
Overhead and Gantry Cranes (29 C.F.R. § 1910.179)
Specific work practices and procedures regarding the operation and maintenance of overhead and gantry cranes / Yes / No / NA
Slings (29 C.F.R. § 1910.184)
Specific work practices and procedures regarding the use, inspection, testing, and repair of slings *Please attach a copy of your last record of inspection. / Yes / No / NA
Machine Guarding, General Requirements (29 C.F.R. § 1910.212)
Specific practices and procedures regarding machine guarding for employees using equipment that involve hazards of point of operation, e.g., ingoing nip points, rotating parts, flying chips and/or sparks / Yes / No
Abrasive Wheel Machinery (29 C.F.R. § 1910.215)
Specific work practices and procedures regarding the operation and maintenance of abrasive wheels / Yes / No / NA
Mechanical Power Presses (29 C.F.R. § 1910.217)
Specific work practices and procedures, including safety practices and controls, regarding the operation, maintenance, inspection, and testing of mechanical power presses / Yes / No / NA
Documentation on reported any injuries resulting from point of operation use of mechanical power presses / Yes / No / NA
Hand and Portable Powered Tools and Equipment, General (29 C.F.R. § 1910. 242)
Specific work practices and procedures regarding the use of hand and portable powered tools and equipment / Yes / No / NA
Welding, Cutting and Heating, Hot Work (29 C.F.R. § 1910.252)
Specific work practices and procedures for welding, cutting and other hot work activities? *Please provide a copy of hot work practices and procedures used at your facility, as well as three completed hot work permits / Yes / No / NA
Electrical System, Work Practices (29 C.F.R. § 1910.331-335)
Specific work practices and procedures and/or permit systems to prevent electric shock or other injuries resulting from direct or indirect electrical contacts during these work activities / Yes / No / NA
Air Contaminants (29 C.F.R. § 1910.1000)
Monitoring of employee exposure to any hazardous chemicals or air contaminants covered by 29 C.F.R. § 1910.1000 present at your facility / Yes / No / NA
Specific work practices and engineering controls to minimize employee exposure to covered chemicals and/or air contaminants / Yes / No / NA
Asbestos (29 C.F.R. 1910.1001)
- Asbestos surveys of the workplace
Employee Exposure and Medical Records( 29 C.F.R. § 1910.1020)
Specific procedures regarding retention of and access to exposure monitoring and medical records / Yes / No / NA
Lead (29 C.F.R. § 1910.1025)
Specific work practices and procedures regarding work with lead and work in areas containing lead? / Yes / No / NA
Medical surveillance records for employees who are exposed to lead / Yes / No / NA
Benzene (29 C.F.R. § 1910.1028)
Benzene exposure air monitoring for employees
Please attach a copy of your most recent results / Yes / No / NA
Bloodborne Pathogens (29 C.F.R. § 1910.1030)
Exposure control plan for bloodborne pathogens for employees at your facility exposed to blood or other infectious materials as part of their job, such as first-aid providers / Yes / No / NA
Documentation of employee training regarding exposure to bloodborne pathogens / Yes / No / NA
Ionizing Radiation (29 C.F.R. § 1910.1096)
Specific practices and procedures regarding employee exposure to ionizing radiation / Yes / No / NA
Hazard Communication (29 C.F.R. § 1910.1200)
Hazard communication program, including provisions for labels and other warnings, material safety data sheets, and employee notification and training / Yes / No
List of hazardous chemicals / Yes / No / NA