# Question Yes No N/A Comments/Suggestions 1 Is the student

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Student Auto Shop Safety Checklist
Doc date: 5/5/2015
Instructor’s Directions: Select one (1) student to observe. For every question listed below, place a check () in the Yes column if the student is performing as to the
question’s description. Place a check () in the No column if the student is NOT performing as to the question’s description. Place a check () in the N/A (Not
Applicable) column if the question’s description does not apply to the current working situation. Add any specific comments or suggestions to the last column on the
right which would serve to help the student become more safety-minded. To score this instrument: For every question with a check in the Yes or N/A column, count it
as one (1) point. For every check in the No column, count it as zero (0) points. Place the total number earned in the blank below next to the student’s name.
Student’s Name: __________________________________________
Date: ____________________ Total Score:_____/31 [Note: 1 point per Yes and N/A]
Instructor’s Name: ________________________________________
Course: _______________
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Question
Is the student wearing appropriate attire in the shop?
Does the student secure long hair, loose clothing, and long sleeves away from
equipment and tools being used?
Is the student wearing OSHA-approved safety glasses with side protection or
OSHA-approved goggles appropriately?
Is the student wearing noise protection ear wear appropriately?
Is the student wearing appropriate hand protection?
Is the student wearing appropriate foot protection correctly?
Is the student wearing appropriate head/face protection correctly?
Does student remove, tape, or secure jewelry per the work to be performed?
Is the student’s work area neat, orderly and free of debris?
Is the student adequately illuminating his/her work area?
Does the student lift heavy items using proper lifting techniques?
If an item is deemed too heavy for one person, has the student secured adequate
lifting assistance?
Does the student ask for assistance/guidance when he/she does not know how to
use a tool, operate equipment or know the procedure(s)?
Is the student following instructor’s directions and safe work procedures?
Has the student secured cords so they do not run across pathways, under doors or
through walls?
Page 1 of 2
Session:______________
Yes No N/A
Comments/Suggestions
#
Question
Yes No N/A
16 Is the student using only approved tools, equipment and/or cords?
17 Is the student using tools appropriately?
18 Does the student safely store or set aside tools, equipment and/or materials to prevent
falls & spills?
19 Does the student use the appropriate PPE when handling materials?
20 Does the student follow standard operating procedures with each specific tool or
equipment?
21
When asked, does the student know proper procedures in case of any of the following:
Fire?
22
Hazardous spill?
23
Chemical or other burn?
24
Foreign object/chemical in eye?
25
Physical injury?
26 When asked, is the student aware of the location of each of the following: First Aid Kit?
27
Eye Wash Station?
Shut-off switches and valves for equipment/tools in use?
28
Fire Exits?
29
The marked safety area around specified work areas?
30 When asked, is the student able to explain how to assist an injured/impaired co-worker?
31 Does the student conduct work activities in a responsible manner?
Page 2 of 2
Comments/Suggestions
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