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Floor Check LIst Sample

The document is a floor inspection checklist used to identify potential slip, trip, and fall hazards. It contains questions about walkway conditions, floor mats, housekeeping practices, material handling, employee training, and corrective actions. The inspector tallies "no" responses to determine the number of issues needing remediation to improve workplace safety.

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0% found this document useful (0 votes)
653 views1 page

Floor Check LIst Sample

The document is a floor inspection checklist used to identify potential slip, trip, and fall hazards. It contains questions about walkway conditions, floor mats, housekeeping practices, material handling, employee training, and corrective actions. The inspector tallies "no" responses to determine the number of issues needing remediation to improve workplace safety.

Uploaded by

INFO WELLSUN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Illness and Injury Prevention Program (IIPP)

FLOOR INSPECTION CHECKLIST


ENVIRONMENTAL HEALTH & SAFETY
1620 Standley Dr., MSC 3578, P.O. Box 30001, Las Cruces, NM 88003-8001
Phone: 575-646-3327 ● Fax: 575-646-7898 ● http://safety.nmsu.edu

Yes No Comments
If NO, describe what will be
Floor and Walkway Condition done to correct the hazard.
Are walkways free from slippery conditions that pose potential
slip/fall hazards?
Is proper signage indicating wet and/or slippery floors available
where needed (i.e. immediately following mopping/clean up
procedures)?
Are drain covers present where needed?
Are transitions between uneven floor surfaces that may cause a
trip/fall hazard clearly marked?
Are floors free from cracks, holes or missing tile?
Are existing handrails in good condition?
Floor Mats
Are entrance mats present?
Do mats have adequate grip to the floor surface?
Are mats in good condition?
Are mats missing where needed? (i.e. by sinks, walk-in freezers,
etc.)
Housekeeping
Are aisles and walkways kept clear from boxes/clutter?
Are electrical cords kept clear from walkways?
Any spills or debris observed in walkways?
Are cleaning equipment properly stored?
Are there protruding objects posing trip/fall hazards?
Material Handling/Employee Behavior
Are employees following safe mopping/cleaning procedures?
Do employees verbally warn pedestrians to be cautious of wet
floors?
Are employees carrying large loads while walking and limiting
view of walkway?
Do employees ask for assistance when carrying large or
awkward loads?
Training
Are employees informed on the proper clean-up procedures to
follow when there is a spill?
When necessary, do employees know to contact Environmental
Health & Safety for slip meter assessments?
Are employees trained on the proper utilization of equipment?
Are routine trainings conducted addressing potential safety
hazards (i.e. back safety, slip/fall, etc.)?
Total “No” Responses
Tally responses: (indicates number of corrective
items needed)

Inspected By/Department: Date:

Shop Safety Manual January 2013

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