1. The checklist is formed for the employees of the organization to identify and verify that
management has the system in place to ensure the actual practices and equipments are safe and not
harmful for employees (workers):
CA A N D CD
1 Work surface/areas are kept clean and clear
2 Trained First aid trainers/aiders are available in your shift
3 Medical doctors/attendants are available in your shift
4 Facilities are provided for the transport of the injured to hospital
5 List of names and contact details of all trainers/aiders/doctors are
available on the display(notice board)
6 All medical facilities are available to treat serious injuries
7 You pre-employment medical examination is conducted and a record of
all ailments/allergy is recorded
8 There is a system of periodical cleaning and replacing the light fittings/
lamps in order to ensure that they give the intended illumination levels
in your working area
9 You are not provided with adequate numbers of first aid boxes*
10 Accident investigation report are submitted to top management
11 From accident investigation reports are communicated to you
12 Root causes of accidents are not analyzed*
13 Training for safety needs was provided to you before you started
working
14 A trial evacuation test has been performed in your work area
15 Your job can be less risky if manual handling is eliminated
16 The work place has no unavoidable trip hazards( open live wire, worn
floor coverings)
17 You have access to the protective equipment if necessary to do your
work safely
18 You are exposed to high noise levels*
19 You have been provided with the written company safety policy
20 You are satisfied with that all dangerous parts are safely guarded
21 You have insurance policy provided by the company
22 You have insurance against group accident policy provided by company
CA: Completely Agree
A: Agree
N: Neutral
D: Disagree
CD: Completely Disagree