Run WBL Employer and Worksite Safety Verification Checklist — Free

Inspection Details

Site name and address confirmed critical (required)

Date and time of pre-placement visit recorded critical (required)

Inspector name and role recorded critical (required)

Student placement type and program identified

Employer contact and site supervisor identified critical (required)

General Worksite Safety

Work areas are clean, orderly, and free of obvious slip, trip, and fall hazards critical (required)

Yes No N/A

Aisles, exits, and access paths are unobstructed and clearly usable critical (required)

Yes No N/A

Machine guards and protective devices are in place where applicable critical (required)

Yes No N/A

Chemical containers are labeled and stored to prevent exposure or incompatibility issues critical (required)

Yes No N/A

Noise, heat, and other environmental conditions appear suitable for a student worker

Any observed safety deficiencies documented with corrective actions

Emergency Preparedness and Fire-Life Safety

Emergency exits are marked, accessible, and free of obstruction critical (required)

Yes No N/A

Fire extinguishers are present, mounted or readily accessible, and inspection tags are current critical (required)

Yes No N/A

Alarm notification devices and emergency contact procedures are posted or communicated critical (required)

Yes No N/A

First aid supplies are available and accessible to staff critical (required)

Yes No N/A

Eyewash or emergency shower is accessible where required by hazards present

Yes No N/A

PPE, Training, and Supervision

Required PPE for the student role has been identified critical (required)

PPE is available in the correct sizes and condition for the student critical (required)

Yes No N/A

Student will receive site-specific safety orientation before starting work critical (required)

Yes No N/A

A designated supervisor is present or readily available during student hours critical (required)

Yes No N/A

Supervisor understands reporting, escalation, and incident notification expectations

Yes No N/A

Minor-Labor Compliance and Restricted Tasks

Proposed student duties are age-appropriate and consistent with minor-labor restrictions critical (required)

Yes No N/A

No prohibited hazardous tasks were observed or assigned to the student critical (required)

Yes No N/A

Hours, breaks, and schedule appear consistent with applicable minor-work rules critical (required)

Yes No N/A

Worksite has procedures to prevent minors from operating restricted equipment or vehicles critical (required)

Yes No N/A

Any age-related restrictions, permits, or documentation requirements were reviewed

Yes No N/A

Final Determination and Corrective Actions

Overall site approval status critical (required)

Corrective actions required before placement

Inspector signature critical (required)

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Run: WBL Employer and Worksite Safety Verification Checklist

Inspection Details

General Worksite Safety

Emergency Preparedness and Fire-Life Safety

PPE, Training, and Supervision

Minor-Labor Compliance and Restricted Tasks

Final Determination and Corrective Actions

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