Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Manual Material Handling and Lifting Techniques

  • Are personnel who regularly perform manual lifting duties properly trained? AFI 91-203 para 4.4

  • Does training instruction include information such as what PPE is required, what manual lifting devices are available and their proper use? AFI 91-203 para 4.4

  • Is training documented IAW AFI 91-202? AFI 91-203, para 4.4

  • Are manual materials handling activities kept to a minimum through the application and use of engineering controls when possible? AFI 91-203, para 4.5.1

  • Are loads to be lifted manageable in both size and weight distribution? AFI 91-203, para 4.6

  • Are objects to be lifted inspected for grease or other slippery substances that might cause the object to slip? AFI 91-203 para 4.6.1.1

  • Do individuals seek assistance when it is necessary to move havey or odd shaped items? AFI 91-203 para 4.6.3

  • Are workers properly trained in team lifting techniques when they will be lifting heavy or odd shaped items? AFI 91-203 para 4.6.3.

  • Is PPE provided and used when needed to protect the hands and feet of workers involved in manual materials handling activities? AFI 91-203, para 4.7.1

  • Are wheeled hand trucks and dollies loaded so that the cargo is stable and the loads won't fall? AFI 91-203, para 4.9.1.5

  • Is the rated capacity on all lever operated hoists permanently and conspicuously marked and easily visible? AFI 91-203, para 4.9.3.1.1

  • Are hoists equipped with a device (ratchet and pawl or load brake) that prevents a suspended load from self-lowering and ensures loads are only lowered by operation of the hoist lever? AFI 91-203 para 4.9.3.1.2

  • Are hoists inspected daily or prior to each use for items such as loose or worn parts, cracked or broken welds, deformed hooks or chain, and bent or deformed pawls? AFI 91-203, para 4.9.3.2

  • Is an annual inspection accomplished on all MHE? AFI 91-203, para 4.9.3.3

  • Are identification tags attached to hoists indicating date of inspection, date of proof test, capacity of hoist and identification number of hoist? AFI 91-203, para 4.9.3.4

  • Do hoist users maintain records of all tests? AFI 91-203, para 4.9.3.5.1

  • Are only approved lifting devices like slings used to lift loads? AFI 91-203, para 4.9.3.6.2

  • Do material handlers remove finger rings and jewelry prior to working with materials or moving machinery? AFI 91-203, para 4.11.6

  • Are materials neatly stacked and the height limited to minimize the possibility for the materials to fall or collapse? AFI 91-203, para 4.13.1

Housekeeping

  • Are floors and walking surfaces kept free of potential tripping hazards such as tools, electrical cords, air hoses, materials and liquids? AFI 91-203, para 5.1

  • Are noncombustible containers with vapor tight and spill proof lids provided for the disposal of combustible wastes, soiled rags and other flammable materials? AFI 91-203, para 5.2

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? AFI 91-203, para 5.3

  • Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? AFI 91-203, para 5.3

  • Are aisles and passageways kept clear of stacked materials? AFI 91-203, para 5.6

  • Is an 18-inch clearance maintained below fire protection sprinkler heads, rafters, joists, beams and roof trusses when materials are stacked less than 15 feet high? AFI 91-203, para 5.6

  • Are trash and garbage cans leakproof and adequate in number and size? AFI 91-203, para 5.8.2

Fire Protection and Prevention

  • Are personnel trained initially and annually thereafter on their responsibilities for fire protection and prevention? AFI 91-203, para 6.2.1.1

  • Are all commercial cooking facilities provided with a system to remove smoke and grease-laden vapors? AFI 91-203, para 6.2.2.1

  • Are grease ducts and grease removal systems protected by automatic fire suppression systems? AFI 91-203, para 6.2.2.1

  • Are grease filters installed in all hoods and extraction systems? AFI 91-203, para 6.2.2.2.1

  • Are the filters and hoods cleaned at least daily? AFI 91-203, para 6.2.2.2.2

  • Are hood and exhaust ducts thoroughly cleaned every six (6) months, or more frequently when determined by the installation FES Flight? AFI 91-203, para 6.2.2.2.3

  • Are deep fat fryers listed IAW NSF/ANSI Standard 4: Commercial Cooking, Rethermalization and Powered Hot Food Holding, and Transport? AFI 91-203, para 6.2.2.2.6

  • Are deep fat fryer thermostats tested annually and after any repairs or as recommended by manufacturer? AFI 91-203, para 6.2.2.2.6

  • Has a written fire plan been developed for the health care facility that includes appropriate staff response to fire emergencies and requirements for education and training? AFI 91-203, para 6.2.3

  • Are fire extinguishers visually inspected at a minimum of 30-day intervals to detect and correct discrepancies? AFI 91-203, para 6.2.4.7

  • Are caution signs posted both inside and outside rooms or enclosures protected by total flooding halon, CO2, or similar fire suppressing agents? AFI 91-203, para 6.2.5.2

  • Do hose cabinets of standpipe and hose systems contain only fire protection equipment? AFI 91-203, para 6.2.6.1

  • Is safety, fire prevention and health training accomplished IAW AFI 91-202? AFI 91-203, para 6.2.16

Walking Surfaces, Guarding Floor and Wall Openings, Fixed Industrial Stairs, and Portable and Fixed Ladders

  • Are all pieces of equipment and machinery arranged to permit an even flow of materials? AFI 91-203, para 7.2.1.1.1

  • Are machines positioned so it will not be necessary for an operator to stand in a passageway, aisle or exit access? AFI 91-203, para 7.2.1.1.1

  • Are machines positioned to allow for easy maintenance, cleaning and removal of scrap? AFI 91-203, para 7.2.1.1.1

  • Are passageways, aisles and exit accesses provided to permit the free movement of employees and material? AFI 91-203, para 7.2.1.1.2

  • Are at least 18 inches provided for passageways through or between movable obstructions? AFI 91-203, para 7.2.1.1.4

  • Are floors kept in good condition and free of defects and obstructions that endanger workers, interfere with handling of materials or hinder people leaving the area during emergencies? AFI 91-203, para 7.2.1.2

  • Are floors of all shops, service rooms, halls and storerooms kept clean and free of slippery substances? AFI 91-203, para 7.2.1.2.2

  • Are drip or oil pans used whenever the possibility of spilling or dripping exists? AFI 91-203, para 7.2.1.2.2

  • When floors are being cleaned or finishing compounds are being applied, are signs posted to warn workers of a slipping hazard? AFI 91-203, para 7.2.1.2.5

  • Are passageways, aisles and exit accesses kept clear for easy access to emergency equipment and to enable firefighters to reach a fire, if necessary? AFI 91-203, para 7.2.1.2.7

  • Are areas adjacent to fire sprinkler control valves, fuse boxes and electrical switch panels clear and unobstructed? AFI 91-203, para 7.2.1.2.7

  • Are signs identifying the floor load capacity permanently installed in plain view of all workers? AFI 91-203, para 7.2.1.3

  • Are drains provided when floors are subject to water, moisture, flooding or when wet processes are used? AFI 91-203, para 7.2.1.4

  • Are all floor openings, such as hatchways, chutes, pits, trap doors, manholes and ladderways properly guarded? AFI 91-203, para 7.2.1.6

  • Are all open-sided floors, platforms and runways four (4) feet or more above the ground guarded on all open sides? AFI 91-203, para 7.2.1.7.3

  • Are grab handles installed on each side of the opening, when the operation requires reaching through or around the unprotected opening? AFI 91-203, para 7.2.1.7.4

  • Are frequently used loading docks located away from principal streets and intersections? AFI 91-203, para 7.2.2.1

  • Are the surfaces of docks smooth and even, and are their edges marked? AFI 91-203, para 7.2.2.1.1

  • Are the dock widths at least two (2) feet wider than the widest vehicle or most common materials being transported? AFI 91-203, para 7.2.2.1.2

  • Do parking lots have a smooth surface, good drainage and are they free of pedestrian tripping hazards? AFI 91-203, para 7.2.2.2

  • Are entrances and exits free of obstructions that block a driver‘s or pedestrian‘s view of traffic? AFI 91-203, para 7.2.2.2

  • Are exterior walkways kept clear of obstacles that block the right-of-way or present slipping and tripping hazards? AFI 91-203, para 7.2.2.3

  • Do workers ensure materials are not stored, left under or piled against buildings, doors, exits or stairways? AFI 91-203, para 7.2.2.4.1

  • Are poisonous or toxic plants prohibited for landscaping unless approved by the installation medical services? AFI 91-203, para 7.2.2.4.2

  • Are trees and bushes adjacent to walkways trimmed to permit a clear path for pedestrians? AFI 91-203, para 7.2.2.4.2

  • Is all construction work clearly identified by signs that can be read from at least 50 feet, in addition to barriers marked with reflective materials? AFI 91-203, para 7.2.2.5

  • Are illuminated or other warning flashers also used after dark? AFI 91-203, para 7.2.2.5

  • Are fixed stairs and ramps designed and built to carry a load of 5 times the normal live load anticipated, but not less than a 1,000 pound moving concentrated load? AFI 91-203, para 7.3.2.2

  • Are fixed stairs (not part of the exit access) installed at angles to the horizontal of 30 to 50 degrees? AFI 91-203, para 7.3.2.4

  • Are ramps (not part of the exit access) installed IAW guidance in Table 7.2? AFI 91-203, para 7.3.2.5

  • When the doors or gates open directly onto a stairway, is the available width of the landing not less than 20 inches? AFI 91-203, para 7.3.2.6

  • Where there is less than seven (7) feet of headroom over stairs, are obstructions padded? AFI 91-203, para 7.3.2.7

  • Where obstructions over stairs cannot be padded, are they color coded with yellow or yellow-and-black stripes to highlight the hazard? AFI 91-203, para 7.3.2.7

  • Are open grating type treads used on stairs which are not enclosed? AFI 91-203, para 7.3.2.10

  • Is every flight of fixed industrial stairs with four (4) or more risers equipped with standard guardrails or standard handrails? AFI 91-203, para 7.3.2.12.1

  • Do stairs less than 44 inches wide, having both sides enclosed, have at least one handrail, preferably on the right side going down? AFi 91-203, para 7.3.2.12.1.1

  • Are spiraling and winding stairs equipped with a handrail offset to stop people from walking on the parts of the treads that are less than six (6) inches wide? AFI 91-203, para 7.3.2.12.2

  • Are stairs and ramps lighted so all treads and landings are visible? AFI 91-203, para 7.3.2.13

  • Are stairs and ramps kept clean, free of obstructions or slippery substances and in good repair? AFI 91-203, para 7.3.2.15

  • Are slippery surfaces replaced or made safe by coating them with nonslip surface materials? AFI 91-203, para 7.3.2.15.3

  • Are guardrails and handrails smooth, free of splinters or burrs and securely mounted? AFI 91-203, para 7.3.2.15.6

  • Are fixed industrial stairs provided as a means of access to roofs, pits, silos, towers, tanks and limited-access areas, where access is daily or during each shift for gauging, inspection, regular maintenance, etc.? AFi 91-203, para 7.4.2.2

  • Is adequate illumination provided when using ladders? AFI 91-203, para 7.4.2.5

  • Where unauthorized use of a fixed ladder is a problem, such as in a public area, is the bottom seven (7) feet guarded? AFI 91-203, para 7.4.2.6

  • Are electrical conductors not installed on or adjacent to fixed metal ladders, unless they are beyond reach and cannot be used as a handrail or grabbed in an emergency? AFI 91-203, para 7.4.2.8

  • Are iron rung ladders built into the walls of each manhole over 12 feet deep? AFI 91-203, para 7.4.2.9

  • Are formal, fully documented inspections of all fixed ladders accomplished upon installation and at least every three (3) years thereafter? AFI 91-203, para 7.4.3.1

  • Are modifications to ladder components, safety climb devices or related equipment approved by the installation CE, property manager and Ground Safety office? AFI 91-203, para 7.4.4.2

  • Do supervisors ensure personnel are properly trained on climbing and using ladders? AFI 91-203, para 7.4.6

  • Do workers abstain from using metal ladders and wood ladders with metal reinforced side rails in areas where they could contact energized electrical circuits? AFI 91-203, para 7.5.2.1.2.2

  • Do supervisors make thorough visual inspections of ladders when the ladder is initially received and before the ladder is placed in service? AFI 91-203, para 7.5.2.2

  • Do workers perform an inspection of ladders prior to use? AFI 91-203, para 7.5.2.2

  • Are hardware, fittings and related equipment checked frequently and kept in proper working condition? AFI 91-203, para 7.5.2.3

  • Are safety feet and other parts of the unit‘s ladders kept in good working condition? AFI 91-203, para 7.5.2.3.3

  • Are wood ladders not painted with an opaque coating, avoiding a cover-up of possible defects? AFI 91-203, para 7.5.2.3.4

  • When location demands, are metal ladders protected against corrosion? AFI 91-203, para 7.5.2.3.4

  • Are ladders with defects which cannot be immediately repaired, removed from service and action taken to ensure they are scheduled for repair or destruction? AFI 91-203, para 7.5.2.4

  • Are danger tags used to warn workers that the ladder cannot be used? AFI 91-203, para 7.5.2.4

  • Are personnel who use ladders adequately trained by the supervisor in the care and use of different type ladders when a worker is first assigned? AFI 91-203, para 7.5.2.4.1

  • Are ladders stored in a way that provides easy access for inspection and permits their safe withdrawal for use? AFI 91-203, para 7.5.2.5.1.3

  • Are wood ladders stored in a location free from exposure to the elements and excessive heat or dampness? AFI 91-203, para 7.5.2.5.1.3

Electrical Safety

  • Are electrical receptacles and cover plates free from dangerous cracks and secured in place? AFI 91-203, para 8.2

  • Are receptacles located in damp or wet locations protected by GFCI breakers or receptacles? AFI 91-203, para 8.2

  • Is the prohibition of multiple plug adapters enforced to prevent overloading electrical circuits? AFI 91-203,para 8.2.1

  • Are cords that show signs of fraying, cracking, wearing or damage removed from service? AFI 91-203, para 8.4.1.2

  • Are electrical extension cords used as outlined in the NEC and not used as a substitute for fixed wiring? AFI 91-203, para 8.4.1.3

  • Are electrical extension cords not run through holes in ceilings, walls, floors, doorways, windows or similar openings? AFI 91-203, para 8.4.1.4

  • Unless their purpose is evident, are circuit breakers and fuse boxes legibly marked to indicate their purpose? AFi 91-203, para 8.5

  • Are circuit breakers, disconnect switches and fuses located so that they are not exposed to physical damage or in the vicinity of easily ignitable material? AFI 91-203, para 8.5.2

  • Are electrical outlets, switches and junction boxes in good condition and free of defects? AFI 91-203, para 8.6

  • Do workers remove jewelry, such as rings, earrings, bracelets and watches, and secure metal framed eyeglasses with a band or cord when they work on or near live electrical equipment? AFI 91-203, para 8.8

  • Do workers ensure electrical circuits are de-energized, and locked out and tagged IAW Chapter 21, Hazardous Energy Control (Lockout and Tagout), prior to performing repairs on energized electrical equipment? AFI 91-203, para 8.9.1

  • Are only qualified operators who are designated in writing by the supervisor allowed to work on electrical installations and equipment? AFI 91-203, para 8.9.2

  • Are electrical receptacles located within six (6) feet of any water source equipped with a GFCI? AFI 91-203, para 8.9.9

  • Are machines safeguarded to protect workers during undervoltage situations in the event of a power interruption? AFI 91-203, para 8.16

  • Are equipment interlocks working properly and not disconnected or bypassed by operators? AFI 91-203, para 8.17.2

  • Is equipment de-energized where possible before personnel perform any maintenance actions? AFI 91-203, para 8.18.1

  • Is a safety observer present when working on energized electrical circuits and equipment IAW AFI 32-1064 and UFC 3-560-01? AFI 91-203, para 8.18.1

  • Are rubber insulating blankets or other suitable PPE and guards used when working adjacent to energized circuits? AFI 91-203, para 8.18.2.1

  • Do personnel working on energized equipment over 50 volts wear long sleeved, ATPV-rated clothing containing no synthetic fibers? AFI 91-203, para 8.18.2.4

  • Do personnel who operate or service electrical switch-gear of voltage greater than 15 kV wear an appropriately ATPV-rated blast suit with hood and polycarbonate face shield? AFI 91-203, prar 8.18.2.5

  • When air-operated equipment, either pressure or vacuum, is used around energized parts, is the equipment nozzle made of non-conductive material and any pressurized air moisture free? AFI 91-203, para 8.18.3.3

Jewelry

  • Do workers remove rings when they perform activities that involve climbing, ascending or descending, or where they could fall or jump from an elevated surface? AFI 91-203, para 9.1.1.1

  • Do workers remove rings when performing materials handling activities? AFI 91-203, para 9.1.1.2

  • Do workers remove rings when performing work that exposes them to moving machinery, rotating or revolving parts? AFI 91-203, para 9.1.1.3

  • Do workers remove rings when performing work that exposes them to energized electrical circuits? AFI 91-203, para 9.1.1.4

  • Is any jewelry that presents a potential for snagging, catching, pulling, tearing or loss evaluated and restricted if it presents a hazard to the worker or operation? AFI 91-203, para 9.2

Office Safety

  • Are all floor areas kept clean, dry and free of refuse? AFI 91-203, para 10.2.2.1

  • Are telephone and electrical cords located where they do not pose a tripping hazard? AFI 91-203, para 10.2.2.1

  • Are all defects, such as floor tiles, broken steps, torn carpet or curled mats identified until repaired or replaced? AFI 91-203, para 10.2.2.2

  • Are stepstools or ladders used to access anything above shoulder level? AFI 91-203, para 10.2.2.4

  • Are office ergonomics considered when attempting to fit the job to the person? AFI 91-203, para 10.3

  • Is team lifting considered when lifting heavy or awkward objects? AFI 91-203, para 10.4

  • Are heavy materials stored in the bottom of file cabinets? AFI 91-203, para 10.5.5.1

  • Are frayed electrical cords, broken electrical wires and outlet covers repaired or removed from service immediately? AFI 91-203, para 10.5.7.1

  • Are heating appliances, such as coffee makers, plugged directly into a facility outlet and unplugged at the end of the work shift? AFI 91-203, para 10.5.7.3

  • Is access to fuses, circuit breakers and electrical controls clear and unobstructed? AFI 91-203, para 10.5.7.6

  • Are flammable and combustible liquids stored in office occupancies limited to that required for maintenance and operation of building and equipment? AFI 91-203, para 10.8.4.1

Fall Protection

  • Are workers provided fall protection when exposed to falls of four (4) feet or more? AFI 91-203, para 13.2.2

  • Are active and passive means of fall protection considered before using procedural controls? AFI 91-203, para 13.3.1.3

  • Has a JSA been performed and coordinated with the installation safety office prior to the use of procedural controls for protecting workers from falls? AFI 91-203, para 13.3.1.3

  • Are all PFAS components marked to indicate compliance with ANSI Z359.1.? AFI 91-203, para 13.4.6.2

  • Are wire rope, rope covered wire lanyards, plastics (such as nylon) and wet lanyards prohibited where an electrical hazard may be present? AFI 91-203, para 13.4.6.5

  • Can anchorage connectors withstand a 5000 pound load for each PFAS connected? AFI 203, para 13.4.6.7

  • Do workers inspect their PFAS prior to each use for mildew, wear, damage and other deterioration? AFI 91-203, para 13.4.6.10.2

  • Does the supervisor ensure all PFAS components receive a thorough inspection at least quarterly and keep the record of inspection for at least one year? AFI 91-203, para 13.4.6.10.3

  • Are PFAS components subjected to impact loading immediately removed from service and not be used again until inspected and determined by a competent person to be undamaged and suitable for reuse? AFI 91-203, para 13.4.6.11.8

  • Are workers/competent persons trained and evaluated on the fall protection/fall arrest system prior to use? AFI 91-203, para 13.6

  • Is recurring fall protection training conducted annually, when work conditions change or when new fall protection/fall arrest systems are procured? AFI 91-203, para 13.6

  • Is a rescue plan included in each fall protection plan to assure prompt rescue of fallen workers? AFI 91-203, para 13.7

PPE

  • Do supervisors ensure PPE is provided, used and maintained in a sanitary, serviceable condition? AFI 91-203, para 14.3.2

  • Do supervisors ensure that required PPE job safety training is documented as required by AFI 91-202? AFI 91-203, para 14.3.2

  • Do supervisors advise workers it is mandatory to comply with PPE requirements on- and off-duty? AFI 91-203, para 14.3.3.2

  • Do workers notify their supervisors if they have a known medical condition or are taking medications that could affect their ability to safely perform a hazardous task or operation? AFI 91-203, para 14.3.3.5

  • Are workers provided appropriate eye or face protection when exposed to hazards from flying particles, molten metal, liquid chemicals, corrosives, caustics, chemical gases, vapors or potentially injurious radiation? AFI 91-203, para 14.4.2

  • Do management, supervisors and visitors wear appropriate PPE while within a hazardous area? AFI 91-203, para 14.4.2

  • Are protective helmets provided for and used by workers exposed to injury from falling or flying objects, bumping head against a fixed object or electrical shock or burns? AFI 91-203, para 14.4.3

  • Do protective helmets have the manufacturer‘s name, ANSI designation and the class identified inside the shell? AFI 91-203, para 14.4.3.1.3

  • Do workers who work around chains, belts, rotating devices, suction devices, blowers, etc., cover their hair to prevent it being caught in machinery? AFI 91-203, para 14.4.3.4.1

  • Is specifically designed hearing protection provided to workers who need it IAW AFOSH Standard 48-20? AFI 91-203, para 14.4.4

  • Is BE contacted for advice on the proper respirator protection to use prior to exposing personnel to a potentially hazardous atmosphere? AFI 91-203, para 14.4.5

  • Is appropriate hand or arm protection provided when a worker‘s hands or arms are exposed to hazards? AFI 91-203, para 14.4.7

  • Are chemical protective gloves worn by personnel handling acids, alkalis, organic solvents and other harmful chemicals? AFI 91-203, para 14.4.7.2

  • Are workers able to remove gloves without causing skin contamination? AFI 91-203, para 14.4.7.2.4

  • Is contaminated PPE that cannot be decontaminated disposed of in a manner that protects employees from exposure to hazards? AFI 91-203, para 14.4.7.2.5

  • Is protective footwear provided and worn when there is a reasonable possibility of foot injuries? AFI 91-203, para 14.4.10

  • Are other protective methods, such as engineering or administrative controls, used to limit worker contact with hazardous chemicals before considering PPE use? AFI 91-203, para 14.4.11

  • Do supervisors select chemical protective clothing based on the performance characteristics relative to tasks performed, conditions present, duration of use and potential hazards identified? AFI 91-203, para 14.4.11.1

  • Do supervisors review MSDS requirements, then verify proper selection of chemical protective clothing with BE before original issue? AFI 91-203, para 14.4.11.1

  • Do personnel exposed to vehicle or aircraft traffic during hours of darkness or periods of reduced visibility, or as part of construction or maintenance activities, use reflective vests/accessories? AFI 91-203, para 14.5.10.2

  • Do supervisors ensure proper cold weather clothing is provided and used for working in cold temperatures? AFI 91-203, para 14.5.12

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