COVER SHEET

  • Document No.

  • Inspection Title (Group/ Squadron)

  • Program Inspection

  • Facility Inspection

  • Squadron Commander (Rank, Full Name)

  • Safety Inspection Personnel (Rank, Name)

  • Prepared by (Rank, Name, Unit, Office Symbol)

EXECUTIVE SUMMARY

EXECUTIVE SUMMARY

  • Summary

    ** This annual safety program assessment and facilities inspection meets and satisfies the mandatory safety requirements of AFI91-202. **

    1. Upon completion of the inspection, 128th ARW Safety has 15 days to complete the inspection report for Commander coordination.

    2. All noted program and facility (if applicable) findings from this report require corrective actions. Once the report is received by the unit, corrective actions must be sent to the safety office within 30 days.

    3. Upon receipt of the report, the Unit Safety Representative (USR) will ensure all appropriate functional/facility managers receive a copy of the safety inspection report. Each noted finding requires a reply.

    4. Observations do not require reply, but should be addressed in a timely manner. The USR will consolidate responses and forward corrective actions taken or planned, along with an estimated completion date (ECD), to the safety office. If a work order request was submitted, enter the work order number, and the date the work request was submitted to base CE. Submission of a work request is NOT considered a closing action; only when the item is actually corrected.

    5. Each open finding requires follow-up and a status sent to Wing Safety by the workcenter supervisor every 30 days until all actions are completed. Once finding is corrected this will be verified by Wing Safety and officially closed in the report.

  • Overall Unit Score

  • Commander's Support of Safety

  • Unit Supervisor's Support of Safety

  • Weapons Safety Program Score

  • Squadron Flight Safety Officer's Score

  • Best Practices

  • Inspection Report Sent to Unit

  • Inspection Follow-up Due to Wing Safety

IN-BRIEF

IN-BRIEF RECAP

  • In-Brief Date/ Time

  • In-Brief Attendees (Rank, Name, Unit)

  • Total Number Attended

  • FY Mishap Trends (Past Year - Current Year)

  • Mishap Trend Comments

  • Open Discrepancies

  • Open Discrepancy Comments

  • Open Hazards (Hazard Abatement)

  • Hazard Abatement Comments

PROGRAM INSPECTION

OCCUPATIONAL SAFETY

  • OCCUPATIONAL SAFETY: APPLICABLE/NON-APPLICABLE

  • COMMANDER SAFETY POLICY LETTER

  • POLICY
  • Has the Unit Commander published their safety policy and goals?

  • UNIT SAFETY REPRESENTATIVE (USR)

  • USR
  • Has the Unit Commander appointed a primary and alternate Unit Safety Representative (USR)?

  • Has USR been trained within 60 days of appointment?

  • Is the USR appointment letter accurate and up-to-date?

  • USR SPOT INSP: USRs shall conduct and document monthly spot inspections in conjunction with facility managers when possible and IAW paragraph 3.5 of this instruction. This will encompass 100% of the workplaces annually. AFI 91-202 para 2.2.2.2.<br>- The activity or work are inspected.<br>- The date and time of the inspection.<br>- The name of the person conducting the spot inspection.<br>- Brief description of the area or hazard.<br>- Applicable RAC, if assigned by Bio, Safety, Fire.<br>- Corrective actions taken or planned.<br>- Follow-up actions every 30 days until closed.

  • ADVISE CC: USRs shall advise the commander on safety related matters at least on a quarterly basis or more frequently as necessary and document key elements briefed. AFI 91-202 para 8.5.1.

  • SAFETY BRIEFING: USRs shall conduct safety briefings and provide unit personnel with educational safety materials. AFI 91-202 para 2.2.2.5.

  • MOTORCYCLE SAFETY REPRESENTATIVE (MSR)

  • MSR
  • Has the Unit Commander appointed at least one Motorcycle Safety Representative (MSR) in writing coordinate the Motorcycle Safety Program?

  • Has the MSR been trained within 30 days of appointment?

  • Is the MSR appointment letter accurate and up-to-date?

  • Is the commander completing annual safety brief for all motorcycle riders?

  • Are all motorcycle riders tracked in AFSAS/MUSTT?

  • HIGH RISK ACTIVITIES PROGRAM

  • HRAP
  • Has the Unit Commander provided a Risk Activity Briefing to all unit personnel whether they chose to participate in high risk activities or not?

  • MICT
  • Has squadron accomplished the following MICT checklists: 1. Unit Safety Representative (USR) Responsibilities/ 2. Supervisor Occupational Safety Responsibilities (within the squadron)/ 3. Commander below Installation Level Responsibilities Communicator

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

WEAPONS SAFETY

  • WEAPONS SAFETY: APPLICABLE/NON-APPLICABLE

  • ADDITIONAL DUTY WEAPONS SAFETY REPRESENTATIVE (ADWSR)

  • ADWSR
  • Has the Unit Commander appointed at least one Additional Duty Weapons Safety Representative (ADWSR) in writing coordinate the Weapons Safety Program?

  • Has the ADWSR been trained within 30 days of appointment?

  • Is the ADWSR appointment letter accurate and up-to-date?

  • ADWSR SPOT INSP: ADWSR's shall conduct and document monthly spot inspections in conjunction with facility managers when possible and IAW paragraph 3.5 of this instruction. This will encompass 100% of the workplaces annually. AFI 91-202 para 2.2.2.2.<br>- The activity or work are inspected.<br>- The date and time of the inspection.<br>- The name of the person conducting the spot inspection.<br>- Brief description of the area or hazard.<br>- Applicable RAC, if assigned by Bio, Safety, Fire.<br>- Corrective actions taken or planned.<br>- Follow-up actions every 30 days until closed.

  • SAFETY BRIEFING: USRs shall conduct safety briefings and provide unit personnel with educational safety materials. AFI 91-202 para 2.2.2.5.

  • ADVISE CC: ADWSR's shall advise the commander on safety related matters at least on a quarterly basis or more frequently as necessary and document key elements briefed. AFI 91-202 para 8.5.1.

  • MICT
  • Has squadron accomplished the following MICT checklists: 1. SEW-3 Weapons Safety program Management - AFI90-201, Para. 5.4.

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

FLIGHT SAFETY

  • FLIGHT SAFETY: APPLICABLE/NON-APPLICABLE

  • SQUADRON FLIGHT SAFETY OFFICER (SFSO)

  • SFSO
  • Has the Unit Commander appointed at least one Squadron Flight Safety Officer (SFSO) in writing coordinate the Flight Safety Program?

  • Has the SFSO been trained within 30 days of appointment?

  • Is the SFSO appointment letter accurate and up-to-date?

  • MICT
  • Has squadron accomplished the following MICT checklists: 1. SE F01 - Aviation Safety/ 2. AMC SEF Sup - Aviation Safety - AMC Sup - AFI90-201, Para. 5.4.

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

JOB SAFETY TRAINING OUTLINE (JSTO)

  • Method of documenting safety training:

  • JSTO
  • Does the JSTO COVER THE 14 mandatory items from AFI 91-202, Attachment 4?

  • Does the JSTO cover specific hazards to include both task specific and work environment hazards?

  • Are all workcenter specific items cover in second section of JSTO?

  • Supervisor annual review:

  • When was the review last accomplished?

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

HAZARDOUS ENERGY CONTROL PROGRAM

  • OCCUPATIONAL SAFETY: APPLICABLE/NON-APPLICABLE

  • HAZARDOUS ENERGY CONTROL PROGRAM

  • LOTO
  • Is an adequate supply of safety tags and locks available for use? Reference 21.3.3

  • Are procedures developed and documented for safe and proper use of locks and tags? Reference 21.2.1.4

  • Has a training plan been developed for initial and recurring training on lockout and tagout procedures? Reference 21.2.1.6

  • Are LOTO devices (typically locks) used as a positive means of isolating energy sources and preventing unexpected start-up of machines and equipment? Reference 21.2.1.7

  • Is an inspection of the lockout and tagout program conducted annually? Reference 21.2.1.10

  • Are all workers responsible for recognizing when LOTO is used, the general reasons for LOTO and the importance of not tampering with or removing LOTO devices? Reference 21.3.4.1

  • Have equipment-specific, written procedures been developed for use when equipment or machinery undergoes servicing, modification or maintenance? Reference 21.3.8

  • Has squadron accomplished the following MICT checklists: 1. SE F01 - Aviation Safety/ 2. AMC SEF Sup - Aviation Safety - AMC Sup - AFI90-201, Para. 5.4.

  • Was a management above supervisor review accomplished?

  • Management above supervisor review:

  • Date of management review

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

CONFINED SPACE PROGRAM

  • OCCUPATIONAL SAFETY: APPLICABLE/NON-APPLICABLE

  • CONFINED SPACE

  • Confined Space
  • Has the commander and/or functional manager developed and implemented a written confined space program? Reference 23.2.7

  • Does the commander and/or functional manager ensure personnel who support the permit-required confined space program are properly trained, equipped and qualified? Reference 23.2.7.2

  • Does the commander and/or functional manager ensure required equipment is available and properly maintained? Reference 23.2.7.3

  • Does the commander and/or functional manager maintain a current list of all confined spaces, both permit-required and non-permit, under the control of their organization? Reference 23.2.7.4.

  • Does the entry supervisor have a copy of the MEP? Reference 23.2.8.1

  • Prior to the start of entry operations, does the entry supervisor ensure workers are properly trained and qualified in safe operating, emergency and egress procedures, and the use of PPE? Reference 23.2.8.5

  • Does the entry supervisor ensure workers obtain an AF Form 1024 prior to entering a permit-required confined space? Reference 23.5.1

  • Are entry permits, including those canceled or revoked, retained on file for one year? Reference 23.5.1.2

  • When additional hazards are present or may be introduced in a permit-required operation, does the entry supervisor ensure the hazards are adequately addressed on the entry permit? Reference 23.5.4.4

  • When toxic materials are present or may be introduced in a permit-required operation, does the entry supervisor contact BE to determine the necessity for respiratory protection equipment? Reference 23.5.4.4.1

  • Does the organization have a MEP, as appropriate? Reference 23.5.4.10

  • Does the entry supervisor ensure the inspection, testing, maintenance and documentation of safety and rescue equipment are accomplished prior to an operation being performed? Reference 23.6.2

  • Does the organization have an effective training program that incorporates safe work practices and techniques? Reference 23.7.1

  • Does the organization ensure all individuals authorized and assigned permit-required confined space entry duties complete site-specific training? Reference 23.7.2

  • Is confined space training documented on an AF IMT 55, Employee Safety and Health Record, or an authorized computerized information management system? Reference 23.7.5

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

FALL PROTECTION PROGRAM

  • OCCUPATIONAL SAFETY: APPLICABLE/NON-APPLICABLE

  • FALL PROTECTION

  • Fall Protection
  • Are workers provided fall protection when exposed to falls of four (4) feet or more? Reference 13.2.2

  • Are all PFAS components marked to indicate compliance with ANSI Z359.1.? Reference 13.4.6.2

  • Can anchorage connectors withstand a 5000 pound load for each PFAS connected? Reference 13.4.6.7

  • Do workers inspect their PFAS prior to each use for mildew, wear, damage and other deterioration? Reference 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? Reference 13.4.6.10.3

  • Are workers/competent persons trained and evaluated on the fall protection/fall arrest system prior to use? Reference 13.6

  • Is recurring fall protection training conducted annually, when work conditions change or when new fall protection/fall arrest systems are procured and does it contain a rescue plan developed to assure prompt rescue of fallen workers? Reference 13.6, 13.7

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

GOVERNMENT-VEHICLE OPERATOR TRAINING

  • GOVERNMENT-VEHICLE OPERATOR TRAINING: APPLICABLE/NON-APPLICABLE

  • GOVERNMENT-VEHICLE OPERATOR TRAINING

  • Vehicle
  • Do workers who operate vehicle-mounted elevating and rotating work platforms receive thorough training to include hands-on-training prior to actual on-the-job training tasks? is training documented in individuals training records? (623's, 797's, ARCNET)

  • Does training meet minimum mandatory requirements for Aerial Lift Training and Training Plans in AFI 91-203, Attachment 2?

  • Is training/certification documented on AF Form 483

  • Is the instructor for forklift trucks/MHE qualified as an instructor?

  • Does the qualified instructor evaluate each operator at least every 3 years and provide refresher training if needed? Is there a written record of each operations evaluation on file for review? Is recertification annotated in operators training record or in TBA?

  • Does Materials handling and lifting equipment training include: Reference AFI 91-203 Para. 35.3.3.4

  • Is training/certification documented on AF Form 2293

  • Equipment design, to include restrictions, limitations and hazards relative to the environment where used, e.g., steering, maneuvering and visibility.

  • Operating and maintenance instructions, including manufacturer’s instructions and those contained in this standard.

  • Safe loading and unloading requirements.

  • Operating techniques inside and outside of warehouses.

  • Flight line rules and regulations, when applicable.

  • Fire extinguisher training (initial and annual). Refer to Chapter 6, Fire Protection and Prevention, for additional guidance.

  • Use of attachments such as extended forks or tines or personnel lift pallets.

  • Clearances, heights and limitations.

  • Safety clothing and equipment. Refer to Chapter 14, Personal Protective Equipment (PPE), for additional guidance.

  • Fire protection, fuel spills, maintenance of equipment, smoking, etc. Refer to Chapter 6 for additional guidance.

  • Operating restrictions in potentially hazardous storage areas, which include flammable, toxic, lumber, coal, etc. Refer to Chapter 22, Flammable and Combustible Liquids, for additional guidance.

  • Load composition and stability.

  • Damage that may be caused by acid or caustic material.

  • Workplace related topics such as surface condition; local policies on stacking, unstacking, and load manipulation; pedestrian traffic; and narrow aisles.

  • Applicable information contained in paragraphs 35.2. and 35.3.2.1. of this standard.

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

OFFICE AREAS

  • OFFICE AREAS

  • Office Area

  • Office
  • BLDG and Room Number

  • Floors and walking surfaces free of potential tripping hazards such as tools, Elec, cords, air hoses, materials and liquids?

  • Electrical receptacles & cover plates free from cracks and secured in place?<br>

  • Are receptacles located in damp or wet locations protected by GFCI breakers or receptacles?

  • Is the prohibition of multiple plug adapters enforced to prevent overloading electrical<br>circuits?

  • Are cords that show signs of fraying, cracking, wearing or damage removed from service?

  • Are electrical extension cords used as outlined in the NEC and not used as a substitute for<br>fixed wiring?

  • Are electrical extension cords not run through holes in ceilings, walls, floors, doorways,<br>windows or similar openings?

  • Unless their purpose is evident, are circuit breakers and fuse boxes legibly marked to indicate<br>their purpose?

  • Are telephone and electrical cords located where they do not pose a tripping hazard?

  • Are all defects, such as floor tiles, broken steps, torn carpet or curled mats identified until<br>repaired or replaced?

  • Are heavy materials stored in the bottom of file cabinets?

  • Is access to fuses, circuit breakers and electrical controls clear and unobstructed? Reference 10.5.7.6

  • Are stepstools or ladders used to access anything above shoulder level? Reference 10.2.2.4

  • Are office ergonomics considered when attempting to fit the job to the person? Reference 10.3

  • Are drawers and file cabinets closed when not being used?

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

  • Do not place cords under rugs, carpets or other combustible material. AFI 91-203 para 8.4.1.16.

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

HOUSEKEEPING

    Housekeeping
  • HOUSEKEEPING

  • Keep areas where personnel walk and work free of potential tripping and slipping hazards such as tools, electrical cords, air lines and packaging materials. AFI 91-203 para 5.1.

  • Are fire extinguishers visually inspected by the workcenter supervisor at a minimum of 30-day intervals to detect and correct discrepancies? Reference 6.2.4.7

  • Are garbage cans where food, minor medical waste is disposed, and exterior garbage cans securely covered when not actually being filled or emptied? Reference 5.9.1

  • Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

  • Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? Reference 5.4

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height. Reference 5.7

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

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

  • Are aisles and passageways kept clear of stacked materials? Reference 5.7

  • Are trash and garbage cans leak-proof and adequate in number and size and have lids? Reference 5.9.2

  • Are all surfaces maintained as free as practicable of accumulations of dust, lead, chromium, cadmium or any other foreign particles.? Are floors kept clean and spills cleaned up as soon as possible.? Reference 5.10.9

  • Is apparel no needed to perform official duties stored in lockers and are no items stored on top of or under clothing lockers? Reference 5.10.8

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

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Do not place cords under rugs, carpets or other combustible material. AFI 91-203 para 8.4.1.16.

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

FLAMMABLE COMBUSTABLE

  • FLAMMABLE AND COMBUSTIBLE

  • Flammable
  • Cabinets shall be labeled with conspicuous lettering, ―Flammable — Keep Fire Away. Additional guidance for marking storage containers is contained in Chapter 20, Safety Color Coding, Labeling, and Marking. AFI 91-203 para. 22.5.3.2.

  • The combined quantity of Class I and Class II liquids in a cabinet shall not exceed 60 gallons per cabinet, and the total quantities of all liquids shall not exceed 120 gallons. AFI 91-203 22.5.3 & Uniform Fire Code 79.202 (c)(2)

  • Cabinets shall be conspicuously labeled in red letter on contrasting background FLAMMABLE--KEEP AWAY. AFI 91-203 para. 22.5.3.2 & Uniform Fire Code 79.202(c)(3)(a)

  • Doors shall be well fitted, self-closing and equipped with a latch. AFI 22.5.3.4.2 & Uniform Fire Code 79.202 (c)(3)(b)

  • The bottom of the cabinet shall be liquid-tight to a height of at least 2 inches. AFI 91-203 para 22.5.3.4.2 & Uniform Fire Code 79.202 (c)(3)(c)

  • Functional Managers and/or Supervisors shall ensure:<br>- All workers and handlers of flammable or combustibles have accomplished appropriate training associated with tasks and hazards related to the work environment.<br>- Personnel handling, storing or using hazardous materials are trained IAW AFI 90-821.<br>- Individuals involved in dispensing of flammable or combustible liquids are instructed on hazards of static electricity.<br>- Workers handling and storing flammable or combustible liquids are trained in fire prevention and protection as it relates to their duties.<br>- Appropriate spill and containment control materials are readily available at storage or dispensing areas.<br>- PPE is available and appropriately worn when handling flammable or combustible liquids.<br>AFI 91-203 para 22.4.1.6.

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

EMERGENCY SHOWER & EYEWASH UNITS

  • EMERGENCY SHOWER & EYEWASH

  • Emergency shower & eyewash

  • Shower
  • Do supervisors ensure emergency showers and eyewashes are provided, inspected, tested and maintained IAW this standard? Reference 19.3

  • Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? Reference 19.5

  • Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? Reference 19.5

  • Are emergency showers installed in conjunction with, or in close proximity to, eye and face or eyewash facilities? Reference 19.5

  • Are the units connected to a supply of water free from contamination and equal in purity to potable water? Reference 19.6

  • Is the delivered water temperature in a comfortable range that would not discourage use of the unit? Reference 19.6.1

  • Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature? Reference 19.6.1

  • Are permanently-installed and self-contained units installed in a fixed location identified with a highly visible sign and well lighted? Reference 19.6.2

  • Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? Reference 19.6.3

  • When actuated, does the water flow remain on without use of the operator’s hands? Reference 19.7.1

  • Is the actuating device (pull handle, walk-on treadle, or push handle) readily accessible and easily located? Reference 19.7.2

  • If audible alarms or blinking lights are installed to show that the unit is in use, are they working properly? Reference 19.8

  • Do supervisors activate permanently installed shower and eyewash units weekly to verify proper operation? Reference 19.9.1

  • Are units installed in unoccupied or infrequently used areas tested prior to commencing any operations that could expose personnel to hazardous substances? Reference 19.9.1

  • Do supervisors inspect permanently installed units monthly IAW instructions in paragraph 19.12.? Reference 19.9.2

  • Are eyewash bottles and self contained eyewash stations maintained IAW the manufacturer’s instructions? Reference 19.9.4

  • Are emergency shower and eyewash actuating devices easy to locate and readily accessible to the user? Reference 19.12.2.1.3

  • Is the stored fluid in self-contained units protected against contaminants and temperature extremes, and are instructions permanently affixed to the unit? Reference 19.12.5

  • Have procedures been developed to prevent eyewash bottles from being exposed to extreme temperatures, and are the instructions and expiration dates permanently affixed to the unit? Reference 19.12.6

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

FIRE PROTECTION AND PREVENTION

  • FIRE PROTECTION AND PREVENTION

  • Fire Protection
  • Exit sign: The illuminated surface value of the exit sign should have a value of not less than five foot-candles. 29 CFR 1910.37 ( b )( 6 )

  • Exit signs shall be clearly visible from all directions of egress and shall not be obstructed at any time. If occupancy is permitted at night, or if normal lighting levels are reduced at times during working hours, exit signs shall be suitably illuminated by a reliable light source. New exit signs shall be the internally illuminated, light emitting diode (LED) type. Existing signs may be internally or externally illuminated. AFI 91-203 para 25.4.9.5.

  • Monthly testing of exit lights shall be accomplished IAW NFPA 101, The Life Safety Code. AFI 91-203 para 25.4.9.10.

  • Fire exits shall be clearly marked and exit paths shall be kept clear of equipment and materials, emergency lighting shall be provided and all workers trained in proper evacuation procedures. AFI 91-203 para 6.3.2.

  • Floors or means of egress shall be illuminated to at least one (1) foot-candle (measured at all points at the floor), including angles and intersections of corridors and passageways, stairways, landings of stairs and exit doors. AFI 91-203 para 6.3.8.

  • Doors, passageways or stairways which are neither exits nor ways to an exit but may be mistaken for an exit, shall be clearly marked ―NOT AN EXIT or a sign indicating their actual use; for example, ―STORAGE ROOM or ―BASEMENT. AFI 91-203 para 6.3.3.

  • Ensure escape routes are kept free of obstruction—to include stairways and office doors. Ensure doors leading outside open easily. AFI 91-203 para 6.2.15.2.

  • Ensure escape routes are kept free of obstruction—to include stairways and office doors. Ensure doors leading outside open easily. AFI 91-203 para 6.2.15.2.

  • Ensure escape routes are kept free of obstruction—to include stairways and office doors. Ensure doors leading outside open easily. AFI 91-203 para 6.2.15.2.

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

MATERIALS HANDLING / WAREHOUSE

  • MATERIALS HANDLING/WAREHOUSE

  • Materials Handling Checklist

  • Warehouse
  • Are manual materials handling activities kept to a minimum through the application and use of engineering controls when possible? Reference 4.5.1

  • Are personnel who regularly perform manual lifting duties properly trained?<br>Does training instruction include information such as what PPE is required, what manual lifting devices are available and their proper use? <br>Is training documented IAW AFI 91-202? Reference 4.4

  • Are loads to be lifted manageable in both size and weight distribution? Reference 4.6

  • Is PPE provided and used when needed to protect the hands and feet of workers involved in manual materials handling activities? Reference 4.7.1

  • Are wheeled hand trucks and dollies loaded so the cargo is stable and the loads won't slip, shift or fall? Reference 4.9.1.5

  • Is the rated capacity on all lever operated hoists permanently and conspicuously marked and easily visible? Reference 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? Reference 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? Reference 4.9.3.2

  • Is an annual inspection accomplished on all MHE? Reference 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? Reference 4.9.3.4

  • Have training outlines been developed for all material handling equipment? Reference 35.3.3.2

  • Have qualified personnel been identified as training instructors? Reference 35.3.3.1

  • Does the instructor provide written certification of training completion to the OR&L? Reference 35.3.3.3

  • Are safety pallets used to lift personnel designed correctly? Reference 35.3.4.6

  • Do materials handling and lifting equipment operators conduct daily or prior-to-use inspections and document them on AF Form 1800 per requirements of paragraph 35.1.1? Reference 35.3.6

  • Is materials handling and lifting equipment cleaned in designated locations and only with cleaning agents approved by the FES Flight and BE? Reference 35.3.7.2

  • Do conveyors meet all required design and safety features? Reference 35.4.2

  • Are all personnel trained on procedures for operating conveyors? Reference 35.4.2.2

  • Are inspections of manual hoisting and pulling devices conducted annually? Reference 35.5.2.3.2

  • Do Storage Racks have load rating posted on the unit? Reference 35.2.5.2

  • Are storage racks/shelving inspected per manufacturer's instructions and is it documented properly. Reference 35.2.5.5

  • Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height.

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

  • Housekeeping
  • HOUSEKEEPING

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Are all surfaces maintained as free as practicable of accumulations of dust, lead, chromium, cadmium or any other foreign particles.? Are floors kept clean and spills cleaned up as soon as possible.? Reference 5.10.9

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

  • Are fire extinguishers visually inspected by the workcenter supervisor at a minimum of 30-day intervals to detect and correct discrepancies? Reference 6.2.4.7

  • Is apparel no needed to perform official duties stored in lockers and are no items stored on top of or under clothing lockers? Reference 5.10.8

  • Are aisles and passageways kept clear of stacked materials? Reference 5.7

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height. Reference 5.7

  • Are trash and garbage cans leak-proof and adequate in number and size and have lids? Reference 5.9.2

  • Are garbage cans where food, minor medical waste is disposed, and exterior garbage cans securely covered when not actually being filled or emptied? Reference 5.9.1

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

  • Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? Reference 5.4

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

  • Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

  • Emergency shower & eyewash

  • Shower
  • Do supervisors ensure emergency showers and eyewashes are provided, inspected, tested and maintained IAW this standard? Reference 19.3

  • Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? Reference 19.5

  • Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? Reference 19.5

  • Are emergency showers installed in conjunction with, or in close proximity to, eye and face or eyewash facilities? Reference 19.5

  • Are the units connected to a supply of water free from contamination and equal in purity to potable water? Reference 19.6

  • Is the delivered water temperature in a comfortable range that would not discourage use of the unit? Reference 19.6.1

  • Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature? Reference 19.6.1

  • Are permanently-installed and self-contained units installed in a fixed location identified with a highly visible sign and well lighted? Reference 19.6.2

  • Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? Reference 19.6.3

  • When actuated, does the water flow remain on without use of the operator’s hands? Reference 19.7.1

  • Is the actuating device (pull handle, walk-on treadle, or push handle) readily accessible and easily located? Reference 19.7.2

  • If audible alarms or blinking lights are installed to show that the unit is in use, are they working properly? Reference 19.8

  • Do supervisors activate permanently installed shower and eyewash units weekly to verify proper operation? Reference 19.9.1

  • Are units installed in unoccupied or infrequently used areas tested prior to commencing any operations that could expose personnel to hazardous substances? Reference 19.9.1

  • Do supervisors inspect permanently installed units monthly IAW instructions in paragraph 19.12.? Reference 19.9.2

  • Are eyewash bottles and self contained eyewash stations maintained IAW the manufacturer’s instructions? Reference 19.9.4

  • Are emergency shower and eyewash actuating devices easy to locate and readily accessible to the user? Reference 19.12.2.1.3

  • Is the stored fluid in self-contained units protected against contaminants and temperature extremes, and are instructions permanently affixed to the unit? Reference 19.12.5

  • Have procedures been developed to prevent eyewash bottles from being exposed to extreme temperatures, and are the instructions and expiration dates permanently affixed to the unit? Reference 19.12.6

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HYDROCARBIN FUELS COMPLEX

  • HYDROCARBON FUELS

  • POL
  • BLDG Numbers

  • Have possible sources of ignition been identified and prohibited from areas where flammable vapor may exist? Reference 36.1.5.1

  • Have all damaged static grounds been repaired and retested for resistance values? Reference 36.1.6.5

  • Have all personnel in work environments where petroleum products are present been instructed on hazards of static electricity? Reference 36.2.2.2

  • Are all personnel involved in fuel handling operations trained in minimizing the possibility of fuel spills and proper response procedures if a spill does occur? Reference 36.2.2.5

  • Are proper procedures used when entering petroleum storage tanks? Reference 36.2.

  • Are the minimum safety features present in locations where petroleum products are handled or stored? Reference 36.2.4

  • Are fuel transport vehicles electrically bonded to the offloading header during fuel handling operations? Reference 36.3.2.2

  • Are emergency shower and eyewash units in place IAW Chapter 19? Reference 36.2.4.1

  • Are proper procedures utilized for fuel transfer operations, including gauging and temperature measurement? Reference 36.3.2.4

  • Is fire protection equipment properly located prior to fuel handling operations? Reference 36.3.2.6

  • Do local fuel movement procedures include emergency shutdown procedures? Reference 36.3.2.9

  • Has a Fuel Servicing Safety Zone (FSSZ) been established for fuel servicing operations? Reference 36.4.1.1

  • Are spotters used when backing refueling trucks toward the aircraft? Reference 36.4.2.2

  • Are the specific precautions for hydrant system fueling being followed? Reference 36.4.3

  • Housekeeping
  • HOUSEKEEPING

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Are all surfaces maintained as free as practicable of accumulations of dust, lead, chromium, cadmium or any other foreign particles.? Are floors kept clean and spills cleaned up as soon as possible.? Reference 5.10.9

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

  • Are fire extinguishers visually inspected by the workcenter supervisor at a minimum of 30-day intervals to detect and correct discrepancies? Reference 6.2.4.7

  • Is apparel no needed to perform official duties stored in lockers and are no items stored on top of or under clothing lockers? Reference 5.10.8

  • Are aisles and passageways kept clear of stacked materials? Reference 5.7

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height. Reference 5.7

  • Are trash and garbage cans leak-proof and adequate in number and size and have lids? Reference 5.9.2

  • Are garbage cans where food, minor medical waste is disposed, and exterior garbage cans securely covered when not actually being filled or emptied? Reference 5.9.1

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

  • Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? Reference 5.4

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

  • Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

  • Emergency shower & eyewash

  • Shower
  • Do supervisors ensure emergency showers and eyewashes are provided, inspected, tested and maintained IAW this standard? Reference 19.3

  • Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? Reference 19.5

  • Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? Reference 19.5

  • Are emergency showers installed in conjunction with, or in close proximity to, eye and face or eyewash facilities? Reference 19.5

  • Are the units connected to a supply of water free from contamination and equal in purity to potable water? Reference 19.6

  • Is the delivered water temperature in a comfortable range that would not discourage use of the unit? Reference 19.6.1

  • Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature? Reference 19.6.1

  • Are permanently-installed and self-contained units installed in a fixed location identified with a highly visible sign and well lighted? Reference 19.6.2

  • Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? Reference 19.6.3

  • When actuated, does the water flow remain on without use of the operator’s hands? Reference 19.7.1

  • Is the actuating device (pull handle, walk-on treadle, or push handle) readily accessible and easily located? Reference 19.7.2

  • If audible alarms or blinking lights are installed to show that the unit is in use, are they working properly? Reference 19.8

  • Do supervisors activate permanently installed shower and eyewash units weekly to verify proper operation? Reference 19.9.1

  • Are units installed in unoccupied or infrequently used areas tested prior to commencing any operations that could expose personnel to hazardous substances? Reference 19.9.1

  • Do supervisors inspect permanently installed units monthly IAW instructions in paragraph 19.12.? Reference 19.9.2

  • Are eyewash bottles and self contained eyewash stations maintained IAW the manufacturer’s instructions? Reference 19.9.4

  • Are emergency shower and eyewash actuating devices easy to locate and readily accessible to the user? Reference 19.12.2.1.3

  • Is the stored fluid in self-contained units protected against contaminants and temperature extremes, and are instructions permanently affixed to the unit? Reference 19.12.5

  • Have procedures been developed to prevent eyewash bottles from being exposed to extreme temperatures, and are the instructions and expiration dates permanently affixed to the unit? Reference 19.12.6

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VEHICLE MAINTENANCE

  • VEHICLE MAINTENANCE

  • Vehicle Maintenance

  • VM
  • Are piping systems labeled and color coded IAW guidance in paragraph 20.3.4?

  • Do the colors used to distinguish the hazard potential of piping systems conform to those in this standard?

  • Are vehicle maintenance operations, such as painting, welding, battery work, and wheel and tire maintenance operations performed in separate parts of the facility to prevent operations of one kind from being hazardous to another? Reference 32.2.4.2

  • Are vented lockers provided for workers‘ clothing? Reference 32.2.4.4

  • Is the consumption of foods or drinks prohibited in paint shops? Reference 32.3.5

  • Do vehicle operators and mechanics ensure roll down or side sliding doors are completely opened before a vehicle enters or exits the maintenance shop? Reference 32.4.3

  • Are tools not in use kept in suitable containers? Reference 32.4.15.4

  • Are emergency eyewash station(s) provided for workers who may come in contact with corrosive materials? Reference 32.4.7

  • Do workers remove all items of jewelry before working on or around shop equipment or vehicles? Reference 32.4.8

  • Is clear, unrestricted access maintained to on-off power control switches and stations? Reference 32.8.2

  • Are all compressed gas cylinders stored upright with valves closed and protective caps in place? Reference 32.12.2.5.4

  • Are current OSHA tire charts (such as OSHA 3086), rim manuals, and applicable TOs available to ensure extensive damage to equipment and serious or fatal injuries to personnel are prevented? Reference 32.14.1

  • Are vehicles with leaking fuel tanks immediately removed from the maintenance shop? Reference 32.15.6.1

  • Are open flame and spark-producing devices kept at least 50 feet from the refueling maintenance shop? Reference 32.15.7.1

  • Is maintenance of fuel servicing vehicles prohibited in maintenance shops with other vehicular equipment? Reference 32.15.8.1

  • Are tools not in use kept in suitable containers? Reference 32.3.4

  • Do vehicle operators and mechanics sound vehicle horns before backing, intermittently during backing (unless vehicle is equipped with backup alarms) and prior to entering or leaving the maintenance shop? Reference 32.4.3

  • Where compressed air is used for cleaning, is the discharge end of the air line restricted to less than 30 psi? Reference 32.4.14.4

  • Are workers prohibited from storing fuel-contaminated clothing in lockers or other confined areas? Reference 32.7.1.1

  • Is the use of flammable liquid for cleaning shop floors prohibited? Reference 32.9.1.4

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height.

  • Are workers prohibited from working under vehicles supported only on hydraulic floor jacks, post jacks or mechanical jacks? Reference 32.13.3.3

  • Are tires on multi-piece rim wheels completely deflated by removing the valve core before the rim wheel is removed from the axle? Reference 32.14.4.1

  • Are current OSHA tire charts (such as OSHA 3086), rim manuals, and applicable TOs available to ensure extensive damage to equipment and serious or fatal injuries to personnel are prevented? Reference 32.14.1.1

  • Are tires on multi-piece rim wheels completely deflated by removing the valve core before the rim wheel is removed from the axle? Reference 32.14.4.1

  • When reinflation of tires installed on multi-piece rims is approved for tires already mounted on the vehicle, are safeguards used to encase the wheel and tire (chains, remote control inflation equipment, etc.)? Reference 32.14.4.3

  • Is the loosening of lug nuts on dual wheels prohibited until all air is exhausted from both tires? Reference 32.14.6.2.2

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

  • Is maintenance of fuel servicing vehicles prohibited in maintenance shops with other vehicular equipment? Reference 32.15.8.1

  • Housekeeping
  • HOUSEKEEPING

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Are all surfaces maintained as free as practicable of accumulations of dust, lead, chromium, cadmium or any other foreign particles.? Are floors kept clean and spills cleaned up as soon as possible.? Reference 5.10.9

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

  • Are fire extinguishers visually inspected by the workcenter supervisor at a minimum of 30-day intervals to detect and correct discrepancies? Reference 6.2.4.7

  • Is apparel no needed to perform official duties stored in lockers and are no items stored on top of or under clothing lockers? Reference 5.10.8

  • Are aisles and passageways kept clear of stacked materials? Reference 5.7

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height. Reference 5.7

  • Are trash and garbage cans leak-proof and adequate in number and size and have lids? Reference 5.9.2

  • Are garbage cans where food, minor medical waste is disposed, and exterior garbage cans securely covered when not actually being filled or emptied? Reference 5.9.1

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

  • Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? Reference 5.4

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

  • Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

  • Batteries
  • Location

  • Is appropriate PPE used when charging, maintaining, removing or replacing batteries? Reference 31.2.1

  • Do workers wear a face shield, splash resistant chemical goggles and chemical resistant gloves and apron when handling electrolyte? Reference 31.2.1.1

  • Do workers wear acid resistant gloves, arm gauntlets, aprons, face protection and ANSI/ISEA Z87.1 approved eye protection with side shields when handling vehicle or support equipment batteries, or working in the battery room or maintenance areas? Reference 31.2.1.2

  • Are battery and charging system electrical components and systems de-energized and isolated from other energized circuits or power sources, unless specifically directed by a TO, before being worked on? Reference 31.2.2

  • Do exit doors of battery shops/rooms swing outwards? Reference 31.3.3

  • Are warning signs posted inside and outside the battery room prohibiting smoking, sparks, flames and warning of electric shock and slipping hazards? Reference 31.3.9

  • Are battery chargers turned off before connecting or disconnecting batteries? Reference 31.3.10.1

  • Do workers ensure battery chargers are turned off and disconnected from the input power source before performing work on charger plug contacts? Reference 31.3.10.5.

  • Does management ensure vented lead-acid and vented NICAD battery rooms have their own separate ventilation systems? Reference 31.5.3.

  • When removing a battery from a vehicle, is the battery ground cable(s) disconnected first to prevent the possibility of a spark? Reference 31.8.2

  • Are mechanical lifting devices used on batteries that cannot be safely handled by two people? Reference 31.8.4

  • Is jump-starting of vehicles only accomplished by qualified personnel? Reference 31.8.7

  • Do workers adhere to the Note against connecting positive (+) terminal to negative (-) terminal and vice versa when jump-starting a vehicle? Reference 31.8.8.7

  • Do workers ensure the electrical circuit of the vehicle/equipment is open, the battery is unplugged from the vehicle/equipment and the brakes set or wheels chocked, before a battery is removed or recharged in the vehicle/equipment? Reference 31.8.11

  • Do workers ensure the cover of the steel battery tray is kept open throughout the recharging period when an enclosed/covered battery is charged? Reference 31.8.12

  • Do specialists follow TO guidance when troubleshooting aircraft electrical systems? Reference 31.9.1

  • Are batteries not charged while in the aircraft, except as permitted by the aircraft TO? Reference 31.9.3

  • Welding, cutting and brazing

  • Welding
  • Location

  • Are only approved apparatuses purchased for use? Reference 27.2.1

  • Do personal protective clothing and equipment meet or exceed the requirements of Chapter 14, Personal Protective Equipment (PPE)? Reference 27.2.3

  • Are acetylene cylinders used and stored in an upright position? Reference 27.3.1

  • Is the fuel gas and oxygen supply to the torch shut off when left unattended or not used for extended periods of time, i.e., when left unattended for 30 minutes or more? Reference 27.3.3

  • Are welders provided appropriate fall protection when working on elevated surfaces? Reference 27.3.10

  • Does the welding operation supervisor ensure installed fire protection sprinkler systems are operational before the welding operation begins, or, if not, ensure other means of fire detection, reporting and extinguishing have been approved by the installation FES Flight? Reference 27.3.12.2

  • Are welding hoses visually checked for damage once a shift, before each use? Reference 27.4.1

  • Are warning signs posted to prevent personnel from inadvertently touching hot items when left unattended? Reference 27.4.4

  • Have workers and other personnel adjacent to the welding areas been protected from radiant energy or spatter by use of noncombustible and/or flameproof screens? Reference 27.5.1.1

  • Are walls, screens, and non-rigid heat and spark barriers finished to limit reflectivity? Reference 27.5.1.2

  • Have procedures been established to prevent personnel from entering an inside welding area and inadvertently being exposed to welding hazards? Reference 27.5.1.4

  • Where floors have been wet down or damp sand applied, have rigid controls been established to ensure proper grounding of equipment, and are personnel protected from possible electrical shock? Reference 27.5.1.5

  • Is a fully charged and operational fire extinguisher, appropriate for the task, kept in the work area at all times? Reference 27.5.1.6

  • Are welding operations roped off or segregated by physical barriers to prevent unauthorized entry into the area? Reference 27.5.2.1

  • Are outside welding operations placarded to warn bystanders that welding operations are in progress? Reference 27.5.2.1

  • Has a written permit been obtained from the installation FES Flight prior to the start of welding operations? Reference 27.5.2.2

  • Whenever welding activities are within 35 feet of combustible materials, are firewatcher procedures implemented? References 27.5.2.3. and 27.5.1.8.3

  • Has a fire watch been assigned to monitor the operation for 30 minutes after completion of cutting or welding operations, to detect and extinguish possible smoldering fires? References 27.5.2.3. and 27.5.1.8.4

  • Is the welding operation environment free of flammable liquids and vapors? Reference 27.5.2.4

  • While welding and cutting operations are being performed, is fire extinguishing equipment available and ready for use? Reference 27.5.2.5

  • Are approved flash arresters installed between each cylinder and the coupler block when acetylene cylinders are coupled? Reference 27.6.2

  • Has backflow protection been provided that shall prevent oxygen from flowing into the fuel-gas system or fuel from flowing into the oxygen system? Reference 27.6.3

  • Has flashback protection been provided by an approved device? Reference 27.6.4

  • Are flame resistant gloves, in good condition, used to protect welder’s hands? Reference 27.7.2

  • When additional protection is needed, are durable flame-resistant aprons made of leather or suitable materials provided to protect the front of the body? Reference 27.7.3

  • For heavy work, are flame-resistant leggings or other equivalent means used to give added protection to the legs? Reference 27.7.4

  • When necessary, are cape sleeves or shoulder covers used during overhead welding, cutting or other operations? Reference 27.7.5

  • Is only approved respirator equipment used when working in atmospheres of hazardous concentrations of airborne contaminants? Reference 27.7.8

  • Do all welding helmets meet 29 CFR 1910.252, Welding, Cutting, and Brazing - General Requirements, requirements? Reference 27.7.9.1

  • When two or more welders are exposed to each other's arc, are filter lens goggles worn under the welders‘ helmets to protect them from the harmful rays? Reference 27.7.9.2

  • Are goggles or other suitable eye protection used during all gas welding or oxygen cutting operations? Reference 27.7.9.3<br>Are ventilated goggles used to prevent fogging of the lenses? Reference 27.7.10.5

  • Is eye protection in the form of suitable tinted goggles or spectacles provided for brazing operations? Reference 27.7.9.5<br>Are ventilated goggles used to prevent fogging of the lenses? Reference 27.7.10.5

  • Are workers trained to arrange helmets to protect the face, neck and ears from the arc's radiant energy? Reference 27.7.10.2

  • Does the commander ensure workers who handle, use or are potentially exposed to hazardous materials provided training IAW the AFHCP? Reference 27.8.2

  • Is welding on aircraft accomplished outside of hangars whenever possible? Reference 27.10.16.1

  • Have cables with damaged insulation or exposed conductors been repaired or replaced? Reference 27.15.2.4

  • Are electrode holders, when not in use, placed where they cannot make electrical contact with personnel, conducting objects, fuel or compressed gas cylinders? Reference 27.15.4

  • Does the welding supervisor ensure all welders meet the requirements of Chapter 23, Confined Spaces, prior to entry into confined spaces? Reference 27.17.1

  • Emergency shower & eyewash

  • Shower
  • Do supervisors ensure emergency showers and eyewashes are provided, inspected, tested and maintained IAW this standard? Reference 19.3

  • Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? Reference 19.5

  • Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? Reference 19.5

  • Are emergency showers installed in conjunction with, or in close proximity to, eye and face or eyewash facilities? Reference 19.5

  • Are the units connected to a supply of water free from contamination and equal in purity to potable water? Reference 19.6

  • Is the delivered water temperature in a comfortable range that would not discourage use of the unit? Reference 19.6.1

  • Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature? Reference 19.6.1

  • Are permanently-installed and self-contained units installed in a fixed location identified with a highly visible sign and well lighted? Reference 19.6.2

  • Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? Reference 19.6.3

  • When actuated, does the water flow remain on without use of the operator’s hands? Reference 19.7.1

  • Is the actuating device (pull handle, walk-on treadle, or push handle) readily accessible and easily located? Reference 19.7.2

  • If audible alarms or blinking lights are installed to show that the unit is in use, are they working properly? Reference 19.8

  • Do supervisors activate permanently installed shower and eyewash units weekly to verify proper operation? Reference 19.9.1

  • Are units installed in unoccupied or infrequently used areas tested prior to commencing any operations that could expose personnel to hazardous substances? Reference 19.9.1

  • Do supervisors inspect permanently installed units monthly IAW instructions in paragraph 19.12.? Reference 19.9.2

  • Are eyewash bottles and self contained eyewash stations maintained IAW the manufacturer’s instructions? Reference 19.9.4

  • Are emergency shower and eyewash actuating devices easy to locate and readily accessible to the user? Reference 19.12.2.1.3

  • Is the stored fluid in self-contained units protected against contaminants and temperature extremes, and are instructions permanently affixed to the unit? Reference 19.12.5

  • Have procedures been developed to prevent eyewash bottles from being exposed to extreme temperatures, and are the instructions and expiration dates permanently affixed to the unit? Reference 19.12.6

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DFAC

  • DFAC

  • Dining Facility

  • DFAC
  • HOUSEKEEPING

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Are all surfaces maintained as free as practicable of accumulations of dust, lead, chromium, cadmium or any other foreign particles.? Are floors kept clean and spills cleaned up as soon as possible.? Reference 5.10.9

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

  • Are fire extinguishers visually inspected by the workcenter supervisor at a minimum of 30-day intervals to detect and correct discrepancies? Reference 6.2.4.7

  • Is apparel no needed to perform official duties stored in lockers and are no items stored on top of or under clothing lockers? Reference 5.10.8

  • Are aisles and passageways kept clear of stacked materials? Reference 5.7

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height. Reference 5.7

  • Are trash and garbage cans leak-proof and adequate in number and size and have lids? Reference 5.9.2

  • Are garbage cans where food, minor medical waste is disposed, and exterior garbage cans securely covered when not actually being filled or emptied? Reference 5.9.1

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

  • Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? Reference 5.4

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

  • Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

FLIGHTLINE

  • FLIGHTLINE MAINTENANCE

  • FLIGHTLINE

  • FLIGHTLINE
  • HOUSEKEEPING

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Are all surfaces maintained as free as practicable of accumulations of dust, lead, chromium, cadmium or any other foreign particles.? Are floors kept clean and spills cleaned up as soon as possible.? Reference 5.10.9

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

  • Are fire extinguishers visually inspected by the workcenter supervisor at a minimum of 30-day intervals to detect and correct discrepancies? Reference 6.2.4.7

  • Is apparel no needed to perform official duties stored in lockers and are no items stored on top of or under clothing lockers? Reference 5.10.8

  • Are aisles and passageways kept clear of stacked materials? Reference 5.7

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height. Reference 5.7

  • Are trash and garbage cans leak-proof and adequate in number and size and have lids? Reference 5.9.2

  • Are garbage cans where food, minor medical waste is disposed, and exterior garbage cans securely covered when not actually being filled or emptied? Reference 5.9.1

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

  • Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? Reference 5.4

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

  • Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

  • EMERGENCY SHOWER & EYEWASH

  • Emergency shower & eyewash

  • Shower
  • Do supervisors ensure emergency showers and eyewashes are provided, inspected, tested and maintained IAW this standard? Reference 19.3

  • Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? Reference 19.5

  • Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? Reference 19.5

  • Are emergency showers installed in conjunction with, or in close proximity to, eye and face or eyewash facilities? Reference 19.5

  • Are the units connected to a supply of water free from contamination and equal in purity to potable water? Reference 19.6

  • Is the delivered water temperature in a comfortable range that would not discourage use of the unit? Reference 19.6.1

  • Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature? Reference 19.6.1

  • Are permanently-installed and self-contained units installed in a fixed location identified with a highly visible sign and well lighted? Reference 19.6.2

  • Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? Reference 19.6.3

  • When actuated, does the water flow remain on without use of the operator’s hands? Reference 19.7.1

  • Is the actuating device (pull handle, walk-on treadle, or push handle) readily accessible and easily located? Reference 19.7.2

  • If audible alarms or blinking lights are installed to show that the unit is in use, are they working properly? Reference 19.8

  • Do supervisors activate permanently installed shower and eyewash units weekly to verify proper operation? Reference 19.9.1

  • Are units installed in unoccupied or infrequently used areas tested prior to commencing any operations that could expose personnel to hazardous substances? Reference 19.9.1

  • Do supervisors inspect permanently installed units monthly IAW instructions in paragraph 19.12.? Reference 19.9.2

  • Are eyewash bottles and self contained eyewash stations maintained IAW the manufacturer’s instructions? Reference 19.9.4

  • Are emergency shower and eyewash actuating devices easy to locate and readily accessible to the user? Reference 19.12.2.1.3

  • Is the stored fluid in self-contained units protected against contaminants and temperature extremes, and are instructions permanently affixed to the unit? Reference 19.12.5

  • Have procedures been developed to prevent eyewash bottles from being exposed to extreme temperatures, and are the instructions and expiration dates permanently affixed to the unit? Reference 19.12.6

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

FABRICATION

  • FABRICATION

  • Emergency shower & eyewash

  • Shower
  • HOUSEKEEPING

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Are all surfaces maintained as free as practicable of accumulations of dust, lead, chromium, cadmium or any other foreign particles.? Are floors kept clean and spills cleaned up as soon as possible.? Reference 5.10.9

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

  • Are fire extinguishers visually inspected by the workcenter supervisor at a minimum of 30-day intervals to detect and correct discrepancies? Reference 6.2.4.7

  • Is apparel no needed to perform official duties stored in lockers and are no items stored on top of or under clothing lockers? Reference 5.10.8

  • Are aisles and passageways kept clear of stacked materials? Reference 5.7

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height. Reference 5.7

  • Are trash and garbage cans leak-proof and adequate in number and size and have lids? Reference 5.9.2

  • Are garbage cans where food, minor medical waste is disposed, and exterior garbage cans securely covered when not actually being filled or emptied? Reference 5.9.1

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

  • Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? Reference 5.4

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

  • Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

  • EMERGENCY SHOWER & EYEWASH

  • Emergency shower & eyewash

  • Shower
  • Do supervisors ensure emergency showers and eyewashes are provided, inspected, tested and maintained IAW this standard? Reference 19.3

  • Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? Reference 19.5

  • Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? Reference 19.5

  • Are emergency showers installed in conjunction with, or in close proximity to, eye and face or eyewash facilities? Reference 19.5

  • Are the units connected to a supply of water free from contamination and equal in purity to potable water? Reference 19.6

  • Is the delivered water temperature in a comfortable range that would not discourage use of the unit? Reference 19.6.1

  • Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature? Reference 19.6.1

  • Are permanently-installed and self-contained units installed in a fixed location identified with a highly visible sign and well lighted? Reference 19.6.2

  • Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? Reference 19.6.3

  • When actuated, does the water flow remain on without use of the operator’s hands? Reference 19.7.1

  • Is the actuating device (pull handle, walk-on treadle, or push handle) readily accessible and easily located? Reference 19.7.2

  • If audible alarms or blinking lights are installed to show that the unit is in use, are they working properly? Reference 19.8

  • Do supervisors activate permanently installed shower and eyewash units weekly to verify proper operation? Reference 19.9.1

  • Are units installed in unoccupied or infrequently used areas tested prior to commencing any operations that could expose personnel to hazardous substances? Reference 19.9.1

  • Do supervisors inspect permanently installed units monthly IAW instructions in paragraph 19.12.? Reference 19.9.2

  • Are eyewash bottles and self contained eyewash stations maintained IAW the manufacturer’s instructions? Reference 19.9.4

  • Are emergency shower and eyewash actuating devices easy to locate and readily accessible to the user? Reference 19.12.2.1.3

  • Is the stored fluid in self-contained units protected against contaminants and temperature extremes, and are instructions permanently affixed to the unit? Reference 19.12.5

  • Have procedures been developed to prevent eyewash bottles from being exposed to extreme temperatures, and are the instructions and expiration dates permanently affixed to the unit? Reference 19.12.6

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

AIRCRAFT MAINTENANCE

  • AIRCRAFT MAINTENANCE BACKSHOPS

  • Emergency shower & eyewash

  • Shower
  • HOUSEKEEPING

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Are all surfaces maintained as free as practicable of accumulations of dust, lead, chromium, cadmium or any other foreign particles.? Are floors kept clean and spills cleaned up as soon as possible.? Reference 5.10.9

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

  • Are fire extinguishers visually inspected by the workcenter supervisor at a minimum of 30-day intervals to detect and correct discrepancies? Reference 6.2.4.7

  • Is apparel no needed to perform official duties stored in lockers and are no items stored on top of or under clothing lockers? Reference 5.10.8

  • Are aisles and passageways kept clear of stacked materials? Reference 5.7

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height. Reference 5.7

  • Are trash and garbage cans leak-proof and adequate in number and size and have lids? Reference 5.9.2

  • Are garbage cans where food, minor medical waste is disposed, and exterior garbage cans securely covered when not actually being filled or emptied? Reference 5.9.1

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

  • Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? Reference 5.4

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

  • Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

  • EMERGENCY SHOWER & EYEWASH

  • Emergency shower & eyewash

  • Shower
  • Do supervisors ensure emergency showers and eyewashes are provided, inspected, tested and maintained IAW this standard? Reference 19.3

  • Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? Reference 19.5

  • Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? Reference 19.5

  • Are emergency showers installed in conjunction with, or in close proximity to, eye and face or eyewash facilities? Reference 19.5

  • Are the units connected to a supply of water free from contamination and equal in purity to potable water? Reference 19.6

  • Is the delivered water temperature in a comfortable range that would not discourage use of the unit? Reference 19.6.1

  • Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature? Reference 19.6.1

  • Are permanently-installed and self-contained units installed in a fixed location identified with a highly visible sign and well lighted? Reference 19.6.2

  • Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? Reference 19.6.3

  • When actuated, does the water flow remain on without use of the operator’s hands? Reference 19.7.1

  • Is the actuating device (pull handle, walk-on treadle, or push handle) readily accessible and easily located? Reference 19.7.2

  • If audible alarms or blinking lights are installed to show that the unit is in use, are they working properly? Reference 19.8

  • Do supervisors activate permanently installed shower and eyewash units weekly to verify proper operation? Reference 19.9.1

  • Are units installed in unoccupied or infrequently used areas tested prior to commencing any operations that could expose personnel to hazardous substances? Reference 19.9.1

  • Do supervisors inspect permanently installed units monthly IAW instructions in paragraph 19.12.? Reference 19.9.2

  • Are eyewash bottles and self contained eyewash stations maintained IAW the manufacturer’s instructions? Reference 19.9.4

  • Are emergency shower and eyewash actuating devices easy to locate and readily accessible to the user? Reference 19.12.2.1.3

  • Is the stored fluid in self-contained units protected against contaminants and temperature extremes, and are instructions permanently affixed to the unit? Reference 19.12.5

  • Have procedures been developed to prevent eyewash bottles from being exposed to extreme temperatures, and are the instructions and expiration dates permanently affixed to the unit? Reference 19.12.6

  • BATTERIES SECTION

  • Emergency shower & eyewash

  • Shower
  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

Communications Cable, Antenna and Communications Systems Checklist

  • Communications Cable, Antenna and Communications Systems Checklist

  • Communications Cable, Antenna and Communications Systems Checklist

  • Computer
  • Are flammable wastes disposed of at the end of each shift in clearly marked metal<br>containers? Reference 30.1.1.

  • Are procedures established to protect personnel and notify the installation Radiation<br>Safety Officer if an electron tube containing radioactive materials is broken? Reference<br>30.2.3.3

  • Do workers adhere to established safety practices when working near exposed<br>electrical circuits or maintenance and installation activities, such as not wearing rings, watches<br>or other conductive objects; not using or carrying in pockets, metallic measuring rules, tools or<br>metal-cased objects; and avoiding working in wet clothes? Reference 30.3.1

  • Are electrical circuits de-energized, and locked and tagged out before attempting any<br>work, unless the work requires the circuits to remain energized? Reference 30.3.5.

  • Are metal workbenches and those that are metal framed or metal legged, which are<br>used for repairing and testing electronic equipment, grounded? Reference 30.3.14.1.

  • Do workers wear arc-fault protective clothing when work tasks expose them to a<br>potential for arc flash? Reference 30.3.5

  • Is the soldering work area free of combustible materials and equipped with fire<br>extinguishers? References 30.3.15

  • Is proper face protection used by personnel performing soldering tasks? Reference<br>30.3.15.1.

  • Is the soldering work area properly ventilated? Reference 30.3.15.2.

  • Do workers who use heaters and torches in tents ensure the tent material is fire<br>resistant and the tent is adequately ventilated during use of this equipment? Reference 30.3.16

  • Have all workers required to perform duties on communications systems or act as<br>safety observers received first aid and CPR training? Reference 30.4.1

  • Are personnel who are required to enter confined spaces trained in self-rescue?<br>Reference 30.4.2.2

  • Is a pre-task safety briefing performed prior to any task requiring the use of or<br>exposure to hazardous materials? Reference 30.4.2.3

  • Is the training for all workers required to perform duties on communications systems<br>or act as safety observers documented properly? Reference 30.4.3

  • Are warning devices and barriers used when motor vehicle traffic is a potential<br>hazard to personnel working in manholes or on aerial lifts? Reference 30.5.1

  • Are appropriate warning signs or AFVAs available and used when working in and<br>around communications systems work sites? Reference 30.5.4.

  • Is emergency equipment available to personnel exposed to high voltage when<br>performing communications maintenance tasks? Reference 30.5.7.

  • Are hard hats issued to personnel who work on and around poles, overhead<br>structures, tower and antenna construction jobs? Reference 30.5.8.1

  • Are all tools and equipment maintained in safe condition? Reference 30.6.1

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

BATTERIES

  • DISCREPANCY

  • Discrepancy
  • Discrepancy

  • Reference

  • Recommendation

  • Database Reference # (For Internal Use Only)

  • Add media

  • Open/Closed

  • Date Closed

  • BATTERIES SECTION

  • Batteries
  • Is appropriate PPE used when charging, maintaining, removing or replacing batteries? Reference 31.2.1

  • Do workers wear a face shield, splash resistant chemical goggles and chemical resistant gloves and apron when handling electrolyte? Reference 31.2.1.1

  • Do workers wear acid resistant gloves, arm gauntlets, aprons, face protection and ANSI/ISEA Z87.1 approved eye protection with side shields when handling vehicle or support equipment batteries, or working in the battery room or maintenance areas? Reference 31.2.1.2

  • Are battery and charging system electrical components and systems de-energized and isolated from other energized circuits or power sources, unless specifically directed by a TO, before being worked on? Reference 31.2.2

  • Do exit doors of battery shops/rooms swing outwards? Reference 31.3.3

  • Are warning signs posted inside and outside the battery room prohibiting smoking, sparks, flames and warning of electric shock and slipping hazards? Reference 31.3.9

  • Are battery chargers turned off before connecting or disconnecting batteries? Reference 31.3.10.1

  • Do workers ensure battery chargers are turned off and disconnected from the input power source before performing work on charger plug contacts? Reference 31.3.10.5.

  • Does management ensure vented lead-acid and vented NICAD battery rooms have their own separate ventilation systems? Reference 31.5.3.

  • When removing a battery from a vehicle, is the battery ground cable(s) disconnected first to prevent the possibility of a spark? Reference 31.8.2

  • Are mechanical lifting devices used on batteries that cannot be safely handled by two people? Reference 31.8.4

  • Is jump-starting of vehicles only accomplished by qualified personnel? Reference 31.8.7

  • Do workers adhere to the Note against connecting positive (+) terminal to negative (-) terminal and vice versa when jump-starting a vehicle? Reference 31.8.8.7

  • Do workers ensure the electrical circuit of the vehicle/equipment is open, the battery is unplugged from the vehicle/equipment and the brakes set or wheels chocked, before a battery is removed or recharged in the vehicle/equipment? Reference 31.8.11

  • Do workers ensure the cover of the steel battery tray is kept open throughout the recharging period when an enclosed/covered battery is charged? Reference 31.8.12

  • Do specialists follow TO guidance when troubleshooting aircraft electrical systems? Reference 31.9.1

  • Are batteries not charged while in the aircraft, except as permitted by the aircraft TO? Reference 31.9.3

OUT-BRIEF

OUT-BRIEF

  • Out-Brief Date/ Time

  • Out-Brief Attendees (Rank, Name/ Unit)

  • Total Findings

  • Current Year (FY)

  • Last Year (FY)

  • Safety Program Recommendations:

SIGNATURES (e-SSS)

  • 128 ARW/SEG Occupational Safety Specialist

  • 128 ARW/SE Chief of Safety

  • 128 ARW/SEG Occupational Safety Manager

  • Unit Commander

  • Group Commander

  • Wing Commander

SIGNATURES

SIGNATURES (e-SSS)

  • 128 ARWSE Chief of Safety

  • 128 ARW/SEG Occupational Safety Manager

  • Unit Commander

  • Group Commander

  • Wing Commander

  • 128 ARW/SEG Occupational Safety Specialist

WELDING, CUTTING AND BRAZING

  • WELDING

  • Welding, cutting and brazing

  • Welding
  • Location

  • Are only approved apparatuses purchased for use? Reference 27.2.1

  • Do personal protective clothing and equipment meet or exceed the requirements of Chapter 14, Personal Protective Equipment (PPE)? Reference 27.2.3

  • Are acetylene cylinders used and stored in an upright position? Reference 27.3.1

  • Is the fuel gas and oxygen supply to the torch shut off when left unattended or not used for extended periods of time, i.e., when left unattended for 30 minutes or more? Reference 27.3.3

  • Are welders provided appropriate fall protection when working on elevated surfaces? Reference 27.3.10

  • Does the welding operation supervisor ensure installed fire protection sprinkler systems are operational before the welding operation begins, or, if not, ensure other means of fire detection, reporting and extinguishing have been approved by the installation FES Flight? Reference 27.3.12.2

  • Are welding hoses visually checked for damage once a shift, before each use? Reference 27.4.1

  • Are warning signs posted to prevent personnel from inadvertently touching hot items when left unattended? Reference 27.4.4

  • Have workers and other personnel adjacent to the welding areas been protected from radiant energy or spatter by use of noncombustible and/or flameproof screens? Reference 27.5.1.1

  • Are walls, screens, and non-rigid heat and spark barriers finished to limit reflectivity? Reference 27.5.1.2

  • Have procedures been established to prevent personnel from entering an inside welding area and inadvertently being exposed to welding hazards? Reference 27.5.1.4

  • Where floors have been wet down or damp sand applied, have rigid controls been established to ensure proper grounding of equipment, and are personnel protected from possible electrical shock? Reference 27.5.1.5

  • Is a fully charged and operational fire extinguisher, appropriate for the task, kept in the work area at all times? Reference 27.5.1.6

  • Are welding operations roped off or segregated by physical barriers to prevent unauthorized entry into the area? Reference 27.5.2.1

  • Are outside welding operations placarded to warn bystanders that welding operations are in progress? Reference 27.5.2.1

  • Has a written permit been obtained from the installation FES Flight prior to the start of welding operations? Reference 27.5.2.2

  • Whenever welding activities are within 35 feet of combustible materials, are firewatcher procedures implemented? References 27.5.2.3. and 27.5.1.8.3

  • Has a fire watch been assigned to monitor the operation for 30 minutes after completion of cutting or welding operations, to detect and extinguish possible smoldering fires? References 27.5.2.3. and 27.5.1.8.4

  • Is the welding operation environment free of flammable liquids and vapors? Reference 27.5.2.4

  • While welding and cutting operations are being performed, is fire extinguishing equipment available and ready for use? Reference 27.5.2.5

  • Are approved flash arresters installed between each cylinder and the coupler block when acetylene cylinders are coupled? Reference 27.6.2

  • Has backflow protection been provided that shall prevent oxygen from flowing into the fuel-gas system or fuel from flowing into the oxygen system? Reference 27.6.3

  • Has flashback protection been provided by an approved device? Reference 27.6.4

  • Are flame resistant gloves, in good condition, used to protect welder’s hands? Reference 27.7.2

  • When additional protection is needed, are durable flame-resistant aprons made of leather or suitable materials provided to protect the front of the body? Reference 27.7.3

  • For heavy work, are flame-resistant leggings or other equivalent means used to give added protection to the legs? Reference 27.7.4

  • When necessary, are cape sleeves or shoulder covers used during overhead welding, cutting or other operations? Reference 27.7.5

  • Is only approved respirator equipment used when working in atmospheres of hazardous concentrations of airborne contaminants? Reference 27.7.8

  • Do all welding helmets meet 29 CFR 1910.252, Welding, Cutting, and Brazing - General Requirements, requirements? Reference 27.7.9.1

  • When two or more welders are exposed to each other's arc, are filter lens goggles worn under the welders‘ helmets to protect them from the harmful rays? Reference 27.7.9.2

  • Are goggles or other suitable eye protection used during all gas welding or oxygen cutting operations? Reference 27.7.9.3<br>Are ventilated goggles used to prevent fogging of the lenses? Reference 27.7.10.5

  • Is eye protection in the form of suitable tinted goggles or spectacles provided for brazing operations? Reference 27.7.9.5<br>Are ventilated goggles used to prevent fogging of the lenses? Reference 27.7.10.5

  • Are workers trained to arrange helmets to protect the face, neck and ears from the arc's radiant energy? Reference 27.7.10.2

  • Does the commander ensure workers who handle, use or are potentially exposed to hazardous materials provided training IAW the AFHCP? Reference 27.8.2

  • Is welding on aircraft accomplished outside of hangars whenever possible? Reference 27.10.16.1

  • Have cables with damaged insulation or exposed conductors been repaired or replaced? Reference 27.15.2.4

  • Are electrode holders, when not in use, placed where they cannot make electrical contact with personnel, conducting objects, fuel or compressed gas cylinders? Reference 27.15.4

  • Does the welding supervisor ensure all welders meet the requirements of Chapter 23, Confined Spaces, prior to entry into confined spaces? Reference 27.17.1

Template

  • FLIGHTLINE MAINTENANCE

  • FLIGHTLINE

  • FLIGHTLINE
  • HOUSEKEEPING

  • Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

  • Are all surfaces maintained as free as practicable of accumulations of dust, lead, chromium, cadmium or any other foreign particles.? Are floors kept clean and spills cleaned up as soon as possible.? Reference 5.10.9

  • Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

  • Are fire extinguishers visually inspected by the workcenter supervisor at a minimum of 30-day intervals to detect and correct discrepancies? Reference 6.2.4.7

  • Is apparel no needed to perform official duties stored in lockers and are no items stored on top of or under clothing lockers? Reference 5.10.8

  • Are aisles and passageways kept clear of stacked materials? Reference 5.7

  • Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height. Reference 5.7

  • Are trash and garbage cans leak-proof and adequate in number and size and have lids? Reference 5.9.2

  • Are garbage cans where food, minor medical waste is disposed, and exterior garbage cans securely covered when not actually being filled or emptied? Reference 5.9.1

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

  • Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? Reference 5.4

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

  • Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

  • EMERGENCY SHOWER & EYEWASH

  • Emergency shower & eyewash

  • Shower
  • Do supervisors ensure emergency showers and eyewashes are provided, inspected, tested and maintained IAW this standard? Reference 19.3

  • Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? Reference 19.5

  • Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? Reference 19.5

  • Are emergency showers installed in conjunction with, or in close proximity to, eye and face or eyewash facilities? Reference 19.5

  • Are the units connected to a supply of water free from contamination and equal in purity to potable water? Reference 19.6

  • Is the delivered water temperature in a comfortable range that would not discourage use of the unit? Reference 19.6.1

  • Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature? Reference 19.6.1

  • Are permanently-installed and self-contained units installed in a fixed location identified with a highly visible sign and well lighted? Reference 19.6.2

  • Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? Reference 19.6.3

  • When actuated, does the water flow remain on without use of the operator’s hands? Reference 19.7.1

  • Is the actuating device (pull handle, walk-on treadle, or push handle) readily accessible and easily located? Reference 19.7.2

  • If audible alarms or blinking lights are installed to show that the unit is in use, are they working properly? Reference 19.8

  • Do supervisors activate permanently installed shower and eyewash units weekly to verify proper operation? Reference 19.9.1

  • Are units installed in unoccupied or infrequently used areas tested prior to commencing any operations that could expose personnel to hazardous substances? Reference 19.9.1

  • Do supervisors inspect permanently installed units monthly IAW instructions in paragraph 19.12.? Reference 19.9.2

  • Are eyewash bottles and self contained eyewash stations maintained IAW the manufacturer’s instructions? Reference 19.9.4

  • Are emergency shower and eyewash actuating devices easy to locate and readily accessible to the user? Reference 19.12.2.1.3

  • Is the stored fluid in self-contained units protected against contaminants and temperature extremes, and are instructions permanently affixed to the unit? Reference 19.12.5

  • Have procedures been developed to prevent eyewash bottles from being exposed to extreme temperatures, and are the instructions and expiration dates permanently affixed to the unit? Reference 19.12.6

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.