03 Monthly Inspections - AED, Medical & First Aid, Compressed Gases, Fire Sprinkler, Hazardous Chemicals, Weld Area - Greenheck

• Site conducted

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• Conducted on

  Date

• Prepared by

• Location
  Address

Instructions

• INSTRUCTIONS
  1. Please answer all questions below.
  2. Add Photos in "Media" and Comments in "Add note..." on each question as needed.
  3. Add a Corrective Measure in "Action" . Provide a description, assign to a member, set priority, and due date.
  4. Complete the audit by providing a digital signature.

AED, Medical & First Aid

• Monthly AED check has been performed by an EMT/ERT member and has been verified that it is fully functional

  Yes

  No

  N/A

• Are first aid supplies available and easily accessible?

  Yes

  No

  N/A

• Are emergency phone numbers posted where they can be found in case of an emergency?

  Yes

  No

  N/A

• Is there a process for notifying an EMT/ERT member posted and updated?

  Yes

  No

  N/A

• Are instructions for transportation of an injured or ill employee such as by ambulance posted?

  Yes

  No

  N/A

Compressed Gases

• Are cylinders stored upright, secured and in a dry, cool area?

  YES

  NO

  N/A

• Are cylinders stored away from electrical connections, flames, sources of ignition and flammable/combustible substances?

  YES

  NO

  N/A

• Are acetylene and propane gas cylinders separated from oxygen by at least 20 feet or by a fire resistant partition when in storage?

  YES

  NO

  N/A

• Are all compressed gas cylinder valve covers in place when the cylinders are not in use?

  YES

  NO

  N/A

• Are all compressed gas cylinders labels clear and legible?

  YES

  NO

  N/A

• Are all compressed gas cylinders free from visual defects?

  YES

  NO

  N/A

• Are compressed gas cylinders moved by a suitable hand truck?

  YES

  NO

  N/A

• Yes

  No

  N/A

Fire Sprinkler

• Are fire sprinklers riser (vertical water mains) accessible at all times?

  Yes

  No

  N/A

• Is the area around the fire sprinkler risers kept clean, free from debris and in an orderly manner?

  Yes

  No

  N/A

• Are fire sprinkler risers adequately protected from forklift and other potential damage?

  Yes

  No

  N/A

• Are exterior wall valves, post indicator valves locked in the open position?

  Yes

  No

  N/A

• Are fire department connections (FDC) on the exterior of the building kept accessible at all times?

  Yes

  No

  N/A

• Are fire hydrants on and close by the property accessible at all times? (winter especially)

  Yes

  No

  N/A

• Are items stored in racking and other areas near sprinkler heads at a distance providing at least 18 inches of clearance from the heads.

  Yes

  No

  N/A

• Are fire sprinkler zone maps strategically placed for quick reference? (if applicable)

  Yes

  No

  N/A

• Are fire sprinkler risers marked indicating their respective zone being served? (if applicable)

  Yes

  No

  N/A

Hazardous Chemicals

• Are adequate engineering and protective steps taken to protect employees from chemical exposure hazards? (handling of chemicals during production, or exposure from spills/leaks)

  YES

  NO

  N/A

• Are workers nearby aware of the content of chemical systems and are operating procedures readily available?

  YES

  NO

  N/A

• Is there a safety data sheet readily available for each hazardous substance used or accessed to Fortis via a computer in the area of use?

  YES

  NO

  N/A

• Are all containers labeled, tagged or marked as to their contents? (e.g. vats, storage tanks, drums, bottles)

  YES

  NO

  N/A

• If hazardous waste is stored, are all hazardous waste requirements complied with?

  YES

  NO

  N/A

• Are provisions made for secondary containment of chemicals should a container become punctured and/or damaged?

  YES

  NO

  N/A

• Are provisions made to dam, dike, divert a chemical spill/leak from storm sewers?

  YES

  NO

  N/A

• Are spill kits stocked, identified and readily available for use should a spill occur?

  YES

  NO

  N/A

• Are chemicals stored in an orderly fashion and protected from damage to forklift and other motorized vehicle activity?

  YES

  NO

  N/A

• Is proper PPE being worn by employees involved in the handling of hazardous chemicals?

  YES

  NO

  N/A

• Are decontamination procedures being utilized by employees involved in the use of chemicals prior to removing PPE?

  YES

  NO

  N/A

Weld Area

• Are only authorized and trained employees permitted to use welding, cutting or brazing equipment?

  Yes

  No

  N/A

• Appropriate (and dry) PPE worn: eye, ear, and body?

  Yes

  No

  N/A

• Are the work return leads connected to the work piece?

  Yes

  No

  N/A

• Are cables together, without worn/damaged insulation, protected and connected properly?

  Yes

  No

  N/A

• Area welders using local exhaust system?

  Yes

  No

  N/A

• Are gas cylinders secure, inspected and connected properly?

  Yes

  No

  N/A

• Is work stable and within reach?

  Yes

  No

  N/A

• Is the area clean, traffic areas clear, no clutter, no standing water, no flammable or combustible material in the area?

  Yes

  No

  N/A

• Are protective screens in place to protect others?

  Yes

  No

  N/A

Additional Details

• General Comments and Recommendations

Completion

• Completed By:

• Signature:

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