Free Health & Safety Regulatory Compliance Evaluation Template
Health & Safety Regulatory Compliance Evaluation
Company Information
Company Name: [Your Company Name]
Location: [Your Company Address]
Date of Evaluation: [Date]
Evaluator's Name: [Your Name]
Section 1: General Information
Type of Business: [Business Type]
Number of Employees: [Number of Employees]
Hours of Operation: [Operating Hours]
Type of Hazards Present:
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Chemical
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Biological
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Physical
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Ergonomic
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Psychosocial
Section 2: Regulatory Compliance
a. Occupational Safety and Health Administration (OSHA) Compliance:
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Are OSHA standards being followed? |
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Are SDS available for hazardous chemicals? |
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Are employees trained on OSHA regulations? |
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b. Environmental Protection Agency (EPA) Compliance:
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Any hazardous waste management procedures in place? |
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Is there compliance with air and water quality regulations? |
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c. Department of Transportation (DOT) Compliance:
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Are vehicles and drivers compliant with DOT regulations? |
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Is there a vehicle maintenance program in place? |
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Section 3: Safety Procedures and Policies
a. Emergency Response Plan:
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Is there an emergency response plan in place? |
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Are employees trained on emergency procedures? |
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b. Personal Protective Equipment (PPE):
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Is PPE provided and used appropriately? |
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Are there regular PPE assessments? |
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c. Safety Training:
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Are employees trained on safety procedures? |
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Is safety training conducted? |
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Section 4: Safety Inspections and Audits
a. Frequency of Safety Inspections:
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How often are safety inspections conducted? |
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Are inspection reports documented? |
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b. Corrective Actions:
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Are safety issues addressed? |
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Is there a process for implementing corrective actions? |
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Section 5: Incident Reporting and Investigation
a. Incident Reporting Procedure:
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How are incidents reported? |
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Is there a system for investigating incidents? |
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b. Incident Analysis:
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Are incidents analyzed to prevent recurrence? |
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Is incident analysis used to implement corrective actions? |
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Section 6: Health and Wellness Programs
a. Health and Wellness Initiatives:
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Do programs promote employee health and wellness? |
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How are these programs evaluated for effectiveness? |
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b. Employee Assistance Programs (EAP):
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Is there an EAP in place for employees? |
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Are EAP services communicated to employees? |
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Section 7: Documentation and Recordkeeping
a. Recordkeeping Procedures:
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Are health and safety records maintained? |
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Are records readily available for review? |
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b. Document Retention Policy:
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Is there a health and safety documents preservation policy? |
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Are records stored securely? |
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Section 8: Recommendations and Action Plan
a. Recommendations for Improvement:
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Conduct a comprehensive review of all current safety procedures and policies to ensure they are up to date and in compliance with relevant regulations.
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Implement regular safety training sessions for all employees to ensure they are aware of and understand the importance of safety procedures.
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Improve documentation and record-keeping procedures to ensure all health and safety records are properly maintained and readily available for review.
b. Action Plan:
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Conduct a review of current safety procedures and policies by [DATE].
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Responsible Party: Safety Officer
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Timeline: [DATE] - [DATE]
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Status: In Progress
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Schedule and conduct safety training sessions for all employees by [DATE].
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Responsible Party: HR Department
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Timeline: [DATE] - [DATE]
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Status: Not Started
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Revise documentation and record-keeping procedures by [DATE].
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Responsible Party: Compliance Officer
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Timeline: [DATE] - [DATE]
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Status: Not Started
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Section 9: Evaluator's Signature
Date: [Date Signed]
