PSU OPP SAFETY -BS & MP

General Survey Information

• Building/Location

• Date Conducted

  Date

• Prepared by

• Work Order / Job / Project #

• Responsible Supervisor

Confined Space

• Is this a Confined Space?

  Yes

  No

  N/A

• Is the permit completed correctly?

  Yes

  No

  N/A

• Was gas monitor calibrated by a qualified individual?

  Yes

  No

  N/A

• Are employees knowledgeable about Confined Space Entry procedures?

  Yes

  No

  N/A

• Is the OPP Confined Space Program being followed?

  Yes

  No

  N/A

Designated Work Space

• Is the area clearly defined and identified as a work space?

  Yes

  No

  N/A

• Is the area clear of debris and any unnecessary materials?

  Yes

  No

  N/A

• If areas are restricted, are correct procedures being followed to restrict access?

  Yes

  No

  N/A

Electrical Safety

• Are extension cords present?

  Yes

  No

  N/A

• Are extension cords being used in lieu of permanent equipment?

  Yes

  No

  N/A

• Are extension cords being run under carpet or through doorways?

  Yes

  No

  N/A

• Are GFCI's used with extension cords where required?

  Yes

  No

  N/A

• Are extension cords daisy chained together?

  Yes

  No

  N/A

• Are powerstrips UL rated?

  Yes

  No

  N/A

• Are power cords in good condition and free from splices?

  Yes

  No

  N/A

• Are grounding prongs being removed from extension cords?

  Yes

  No

  N/A

• Are outlet, switch, and junction box covers in place and in good repair?

  Yes

  No

  N/A

• Are circuit breaker panels and emergency shut-offs unobstructed and labeled?

  Yes

  No

  N/A

• Are electrical outlets overloaded with appliances, etc?

  Yes

  No

  N/A

• Are energized part, circuits, and equipment guarded against accidental contact?

  Yes

  No

  N/A

• Are ground fault interruptors installed, labeled, and operating correctly?

  Yes

  No

  N/A

Fixed and Portable Ladders

• Are there fixed ladders over 4ft in height?

  Yes

  No

  N/A

• Are self closing swing gates installed?

  Yes

  No

  N/A

• Are rungs slip resistant?

  Yes

  No

  N/A

• Are rungs at least 7" away from the wall or other obstruction?

  Yes

  No

  N/A

• Are guardrails provided at least 6ft on either side of the landing?

  Yes

  No

  N/A

• Are there any ladders over 24ft in height?

  Yes

  No

  N/A

• Are they equipped with ladder climbing device?

  Yes

  No

  N/A

• Are the rungs slip resistant?

  Yes

  No

  N/A

• Are guardrails provided at least 6ft on each side of ladder opening?

  Yes

  No

  N/A

• Are portable ladders in use?

  Yes

  No

  N/A

• Are employees inspecting ladders prior to use?

  Yes

  No

  N/A

• Are ladders in good condition? (spreader bar works properly, no damaged or missing rungs)

  Yes

  No

  N/A

• Do portable ladders have anti-slip feet?

  Yes

  No

  N/A

Elevated Work Surfaces - Motorized

• Are there powered industrial trucks or aerial lifts in use?

  Yes

  No

  N/A

• Are operators licensed in the safe operation of powered industrial trucks and lifts?

  Yes

  No

  N/A

• Has equipment been inspected?

  Yes

  No

  N/A

• What was the previous inspection date?

  Date

• Is equipment in good working order?

  Yes

  No

  N/A

• Is personal fall arrest system being used for all aerial lifts?

  Yes

  No

  N/A

Elevated Work Surfaces - Scaffolding

• Are scaffold platforms or other elevated work surfaces present?

  Yes

  No

  N/A

• Is scaffolding in good condition?

  Yes

  No

  N/A

• Has scaffolding been erected properly?

  Yes

  No

  N/A

• Are rails or personal fall arrest system in place?

  Yes

  No

  N/A

• Are pics approved for such use?

  Yes

  No

  N/A

• Has area been properly secured and barricaded around scaffolding?

  Yes

  No

  N/A

Walking and Working Surfaces

• Are floor openings properly guarded (railing, toe boards) or covered?

  Yes

  No

  N/A

• Are skylights guarded?

  Yes

  No

  N/A

• Are wall openings (including chutes and chases) properly guarded?

  Yes

  No

  N/A

• Are catwalks equipped with railings and toeboards?

  Yes

  No

  N/A

• Are deck boards and grating on catwalks or elevated surfaces properly secured?

  Yes

  No

  N/A

• Are floor drains, holes and other floor openings protected to prevent a tripping hazard?

  Yes

  No

  N/A

Hazardous Materials

• Have all hazardous materials been identified?

  Yes

  No

  N/A

• All hazardous materials have been abated or controlled?

  Yes

  No

  N/A

• Are secondary containment skids being used?

  Yes

  No

  N/A

Lock Out and Tag Out

• Is lock out and tag out required?

  Yes

  No

  N/A

• Do employees understand the Lock out and Tag out program and it's requirements?

  Yes

  No

  N/A

• Have authorized employees completed the required training?

  Yes

  No

  N/A

• Have authorized employees been evaluated (appendix d) at least once in the past year for compliance with the program?

  Yes

  No

  N/A

• Are proper devices being locked and tagged?

  Yes

  No

  N/A

• Are only the approved lock out and tag out (LOTO) locks being used?

  Yes

  No

  N/A

Material Handling and Storage

• Does work area include materials storage space?

  Yes

  No

  N/A

• Is there safe clearance for equipment through aisles and doorways?

  Yes

  No

  N/A

• Are containers stored, stacked, secured, and of limited height for stability?

  Yes

  No

  N/A

• Are properly rated dock boards used while loading and unloading trailers?

  Yes

  No

  N/A

• Are trucks and trailers secured from movement during loading and unloading?

  Yes

  No

  N/A

• Are shelving and mezzanines properly rated and marked for loads?

  Yes

  No

  N/A

• Are manual palled jacks, hand-trucks, and dollies in good condition?

  Yes

  No

  N/A

• Are forklifts and motorized pallet jacks inspected each shift or prior to use?

  Yes

  No

  N/A

• Are forklift and motorized pallet jack operators licensed?

  Yes

  No

  N/A

• Are proper lifting techniques being used while lifting or moving loads?

  Yes

  No

  N/A

Mechanical Room Safety

• Is the work area being audited within a mechanical room?

  Yes

  No

  N/A

• Are mechanical rooms properly illuminated?

  Yes

  No

  N/A

• Are noise levels within acceptable limits or marked as Hearing Protection Required?

  Yes

  No

  N/A

• Are hearing protective devices readily available in mechanical rooms?

  Yes

  No

  N/A

• Are work areas clean, organized, and kept orderly? (Garbage disposed of properly, etc)

  Yes

  No

  N/A

• Is work area properly ventilated for type of equipment or chemicals in use?

  Yes

  No

  N/A

• Are vacuum systems used when possible instead of blowing or sweeping dusts?

  Yes

  No

  N/A

• Do temperature and humidity seem to be within acceptable ranges?

  Yes

  No

  N/A

• Is the area free of visible fungi/mold growth and associated odors?

  Yes

  No

  N/A

• Are walls, ceilings, floors free of signs of mold or moisture damage?

  Yes

  No

  N/A

• Are air intake areas free of odor-causing materials or hazardous chemicals?

  Yes

  No

  N/A

• Is area free from slip, trip, and fall hazards?

  Yes

  No

  N/A

• Are identified tripping hazards clearly marked?

  Yes

  No

  N/A

• Are low clearance areas clearly marked?

  Yes

  No

  N/A

Personal Protective Equipment

• The following PPE is required and is being used properly:

  Select Hard Hat Safety Glasses Face Shield Safety Shoes Gloves Hearing Protection Respirator Tyvek Suit or Coveralls Welding Helmet/ Fire rated clothing Arc Flash Gear PFAS

  • Hard Hat
  • Safety Glasses
  • Face Shield
  • Safety Shoes
  • Gloves
  • Hearing Protection
  • Respirator
  • Tyvek Suit or Coveralls
  • Welding Helmet/ Fire rated clothing
  • Arc Flash Gear
  • PFAS

• The following PPE is required and was not in use or being used properly:

  Select Hard Hat Safety Glasses Face Shield Safety Shoes Gloves Hearing Protection Respirator Tyvek suit or coveralls Welding helmet/Fire rated clothing Arc Flash Gear PFAS

  • Hard Hat
  • Safety Glasses
  • Face Shield
  • Safety Shoes
  • Gloves
  • Hearing Protection
  • Respirator
  • Tyvek suit or coveralls
  • Welding helmet/Fire rated clothing
  • Arc Flash Gear
  • PFAS

• Is PPE being properly stored, kept clean, and in good condition?

  Yes

  No

  N/A

Shop Tools

• Are power tools in use?

  Yes

  No

  N/A

• Do employees understand safe operation of the power tools they are using?

  Yes

  No

  N/A

• Are tools in good working condition?

  Yes

  No

  N/A

• Are power tools grounded or double insulated?

  Yes

  No

  N/A

• Are rotating or moving parts (chains, gears, belts, etc) properly guarded?

  Yes

  No

  N/A

• Are machine guards secure and do not present a hazard in their use?

  Yes

  No

  N/A

• Is fixed machinery guarded to prevent splash, spark, and flying chip injuries?

  Yes

  No

  N/A

• Is equipment and machinery securely in place and anchored to prevent movement?

  Yes

  No

  N/A

• Are guards and safety interlocks in working condition on the equipment in which it is installed?

  Yes

  No

  N/A

• Is equipment and machinery kept clean and properly maintained?

  Yes

  No

  N/A

• Is there sufficient clearance around machines for safe operation and services?

  Yes

  No

  N/A

• Are power shut-off switches within reach of operators position at each machine?

  Yes

  No

  N/A

• Do machine users understand the safe operation of the machine that they are using?

  Yes

  No

  N/A

• Are manually operated control switches and valves clearly identified and accessible?

  Yes

  No

  N/A

• Are emergency stop buttons available, operable, and colored red?

  Yes

  No

  N/A

Trenching and Shoring

• Is there any trenching or excavations in the work area?

  Yes

  No

  N/A

• Are employees following Trenching and Shoring Guidelines?

  Yes

  No

  N/A

• Has "PA One Call" been notified and is the "one call" up to date for the particular dig?

  Yes

  No

  N/A

• Has a "competent" person been identified for this job?

  Yes

  No

  N/A

Tunnel Work Areas

• Does the work area involve tunnel access?

  Yes

  No

  N/A

• Are employees following OPP Tunnel Entry Procedures?

  Yes

  No

  N/A

• Are employees following OPP Restricted Entry Guidelines?

  Yes

  No

  N/A

Notes/Comments/Actions Required or Taken

• Is corrective action required?

  Yes

  No

  N/A

• Have deficiencies been properly reported?

  Yes

  No

  N/A

• Please note corrective actions:

• REMINDER - Place a work order to correct issues identified in this audit.