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 CD1 Work surface/areas are kept clean and clear2 Trained First aid trainers/aiders are available in your shift3 Medical doctors/attendants are available in your shift4 Facilities are provided for the transport of the injured to hospital5 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 injuries7 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 management11 From accident investigation reports are communicated to you12 Root causes of accidents are not analyzed*13 Training for safety needs was provided to you before you started

working14 A trial evacuation test has been performed in your work area15 Your job can be less risky if manual handling is eliminated16 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 safely18 You are exposed to high noise levels*19 You have been provided with the written company safety policy20 You are satisfied with that all dangerous parts are safely guarded21 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