FREE Needs Assessment What is Required?

1) Accident Reporting and Investigation

Do you need to develop a company-specific written plan for reporting accidents and conducting investigations?

Yes No

2) Aerial and Scissor Lift Program

Do you need to develop a company-specific written plan for safe operation of aerial and scissor lifts ?

Yes No

3) Asbestos Compliance

Are your employees or contractors exposed to asbestos during the course of performing their jobs?

Yes No

4) Behavioral Based Safety

Do your employees or contractors have at-risk behavior that can lead to an injury? Do you want to reduce accidents?

Yes No

5) Benzene

Do your employees or contractors have the potential of Benzene exposure?

Yes No

6) Bloodborne Pathogens

Does your company need to set up procedures to minimize occupational exposure to bloodborne pathogens (including hepatitis B virus or HIV) that are in compliance with OSHA regulations at your construction site?

Yes No

7) Compressed Gas

Does your company have processes or procedures that require the use of compressed gases, such as oxygen, propane, nitrogen, chlorine, carbon dioxide, or acetylene?

Yes No

8) Confined Space

Does your facility have an area which would be considered a confined space?

Yes No

9) Contractor Safety

Does your company work with outside contractors?

Yes No

10) Corporate Safety Policies and Procedures

Do you want an overall guiding policy statement on your company's written policies and procedures and/or general safety philosophy?

Yes No

11) Drug and Alcohol

Do you need a current Drug and Alcohol Program?

Yes No

12) Electrical Safety

Do you have any employees or contractors working on, near, or with electricity?

Yes No

13) Emergency Action

Select ?yes? if your company may experience any of the following workplace emergencies:

• Accidental releases of toxic gases
• Chemical Spills
• Fires
• Explosions
• Personal injury
• Other

Yes No

14) Emergency Response

Does the potential exist for chemical emergencies, such as spills or leaks of hazardous chemicals?

Yes No

15) Ergonomics

Do you need a program to address ergonomic issues?

Yes No

16) Excavation and Trenchng Procedures

Do your employees work in, on, or near open excavations (including trenches) made in the earth's surface?

Yes No

17) Fall Protection

Does your company have procedures for equipment that could pose fall safety hazards, or do employees or contractors perform their tasks over 6 feet off the ground?

Yes No

18) Fire Prevention

Does the potential exist for a fire at your workplace?

Yes No

19) Forklift Operation

Are there forklifts or other powered industrial trucks in use at your facility?

Yes No

20) Gases, Vapors, Fumes, Dusts, and Mists

Is one or more of your employees exposed to inhalation, ingestion, skin absorption, or contact with any material or substance (including a gas, vapor, fume, dust, or mist) that you suspect may present a hazard?

Yes No

21) General Facility Safety

Select ?yes? if you have any of the following:

• Housekeeping Issues
• Machines or equipment
• Employees involved in lifting, bending, stretching, pulling, or other job activities that might injure their backs
• Employees that handle chemical

Yes No

22) Hazard Assessment

Do you need to perform an evaluation of your workplace, identifying hazards, both physical and chemical, and noting where the PPE is or should be used?

Yes No

23) Hazard Communication

Do you manufacture, distribute, handle, or store any chemicals at any of your locations?

Yes No

24) Hazardous Waste Contingency

Does your company generate more than 1000 kg of hazardous waste in a month or operate a permitted treatment, storage, and disposal (TSD) facility or is your company a licensed or permitted transporter of hazardous waste?

Yes No

25) HAZWOPER

Is your company

• involved in cleanup or corrective actions at uncontrolled hazardous waste sites?
• involved in emergency response of spills or leaks of hazardous chemicals?
• A TSD or large quantity generator?

Yes No

26) Hearing Conservation

Do you have noise levels equal to or exceeding an 8-hour time-weighted average sound level (TWA) of 85 decibels measured on the 'A' scale (slow response) or equivalently, a dose of fifty (50) percent?

Yes No

27) Hot Work Program

Do you perform work that produces enough sparks, heat or flames that could produce a fire or explosion?

Yes No

28) Housekeeping

Does your company need to set up procedures for housekeeping that are in compliance with OSHA regulations throughout your company and locations?

Yes No

29) Indoor Air Quality

Do you need a procedure regarding tobacco smoke OR have any building systems whose failure, degradation, or misuse would adversely impact indoor air quality?

Yes No

30) Job Safety Analysis (JSA)

Do you need a procedure regarding tobacco smoke OR have any building systems whose failure, degradation, or misuse would adversely impact indoor air quality?

Yes No

31) Laboratory Standard

Do you have a laboratory where relatively small quantities of hazardous chemicals are used on a non-production basis?

Yes No

32) Lead Exposure Compliance

Do you have employees or contractors involved in work activities that are occupationally exposed to lead?

Yes No

33) Lockout/Tagout

Do you need to isolate and secure machines, valves, and/or electrical equipment?

Yes No

34) Machine Guarding

Does any operation at your company involve the use of machines, handheld tools, or portable power tools?

Yes No

35) Medical Surveillance

Do you have workplace situations where employees or contractors can be exposed to regulated substances, and must have some form of medical monitoring?

Yes No

36) Office Safety General

Do you have an office workplace ?

Yes No

37) Oil Spill Prevention and Response

Do you offer, accept for transportation, or transport any oil in containers that can hold more than 3,500 gallons, or any oil in containers that have 42,000 gallons or more of oil in them?

Yes No

38) Personal Protective Equipment

Does your workplace present hazards requiring the use of Personal Protective Equipment(PPE) (ie. safety glasses, hard hat, etc.)?

Yes No

39) Process Safety Management

Do you process any chemicals on-site that pose significant risk to workers?

Yes No

40) Respiratory Protection Program

Are respirators or SCBAs in use at your company?

Yes No

41) Return to Work Program

Do you have or need a return to work program for injured employees?

Yes No

42) Risk Management

Do your operations involve more than a threshold quantity of a regulated substance in a process?

Yes No

43) Scaffolding Safety

Do your employees or contractors use scaffolds to complete their work?

Yes No

44) Spill Prevention, Control and Counter-measures

Do you have a non-transportation related facility that could discharge oil in harmful quantities into any body of water?

Yes No

45) Stairways and Ladders Safety

Does your workplace include any stairs or require the use of ladders?

Yes No

46) Stormwater Pollution Prevention

Does your company have stormwater runoff associated with industrial activity?

Yes No

47) Temperature Extreme Management

Are any of your workers exposed to temperature extremes (i.e., hot, cold, windy, or wet environments)

Yes No

48) Vehicle Safety

Do you have employees or contractors that operate any vehicles?

Yes No

49) Welding and Cutting Procedures

Do your employees perform welding or cutting activities?

Yes No

50) Workplace Security

Select yes if your facility or work site has issues related to any of the following:

• Physical workplace security
• Background investigations of job applicants for violent behavior
• Employee disciplinary policy and procedures for violent acts

Yes No

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