1910 Facility Inspection

• Document No.

• Facility Name

• Location

• Facility Description

• Conducted on

  Date

• Prepared by

General Items - Office/Break Areas

• Required OSHA/State posters displayed?

  Yes

  No

  N/A

• Adequate lighting in all work areas?

  Yes

  No

  N/A

• First aid kits available? Adequately stocked?

  Safe

  At Risk

  N/A

• Material safety data sheets (MSDS) available?

  Safe

  At Risk

  N/A

• Furniture (e.g. Desks, chairs, file cabinets) in good/safe condition?

  Safe

  At Risk

  N/A

• Adequate potable water, hand wash, toilet facilities?

  Safe

  At Risk

  N/A

• Ingress/egress to building/work location adequate? Emergency exits marked?

  Safe

  At Risk

  N/A

• Overhead storage utilized properly?

  Safe

  At Risk

  N/A

• Boxes, shelving units, furniture at least 18" away from sprinkler heads?

  Safe

  At Risk

  N/A

• Carpets free of rips/tears, or bumps? Hardwood/tiles free of slippery surfaces?

  Safe

  At Risk

  N/A

• Restroom facilities clean/sanitary, adequately stocked?

  Safe

  At Risk

  N/A

• Break rooms clean/sanitary to include refrigerator, microwave, stove, counters, tables, etc.?

  Safe

  At Risk

  N/A

• Work/break areas free of rodents, insects?

  Safe

  At Risk

  N/A

• Adequate trash receptacles available, emptied regularly, not left over-filled?

  Safe

  At Risk

  N/A

• Storage areas clean/clear of debris and clutter?

  Safe

  At Risk

  N/A

Compressed gas cylinders

• Oxygen/fuel cylinders separated by 20' or 5' high, one hour fire barrier?

  Safe

  At Risk

  N/A

• Stored upright, secured from tipping? Labeled? Wrenches available?

  Safe

  At Risk

  N/A

• Regulators removed, caps in place when stored?

  Safe

  At Risk

  N/A

• Hoses, torches free from defects? Flash arresters installed? Gauges functioning?

  Safe

  At Risk

  N/A

Egress

• Emergency exit doors clearly marked, functioning properly, and clear of debris, material, or other blocking items?

  Safe

  At Risk

  N/A

• Emergency exit lights in working order, test monthly?

  Safe

  At Risk

  N/A

• Exit routes clearly marked? Non-exit doors marked properly (i.e. storage or electrical rooms)?

  Safe

  At Risk

  N/A

• Workers protected from over-head work?

  Safe

  At Risk

  N/A

• Hallways, stairways maintained free of obstructions or impediments? Adequately illuminated?

  Safe

  At Risk

  N/A

Personal protective equipment (PPE)

• Correct PPE worn when/where required?

  Safe

  At Risk

  N/A

• Adequate spare PPE items on hand?

  Yes

  No

  N/A

• Properly maintained?

  Safe

  At Risk

  N/A

Fire & Electrical Hazards, Prevention, and Safety

• Adequate number of portable fire extinguishers readily accessible? Inspected monthly? Serviced annually? Inspections recorded?

  Safe

  At Risk

  N/A

• Fire alarm system functioning, tested quarterly/annually?

  Safe

  At Risk

  N/A

• Extension cords in good condition, adequate gauge size, inspected?

  Safe

  At Risk

  N/A

• Sprinkler system inspected as required?

  Safe

  At Risk

  N/A

• Electrical outlets adequate (no overloads or unapproved extension cords in use)?

  Safe

  At Risk

  N/A

• Electrical and extension cords in good condition, adequate gauge size, inspected? Not used for permanent power?

  Safe

  At Risk

  N/A

• Electrical panels labeled properly, free of defects or open knock-outs? Have 36" clearance?

  Safe

  At Risk

  N/A

• Electrical closets free of storage items?

  Safe

  At Risk

  N/A

Warehouse/Fabrication/Tool Storage Areas

• Storage shelving/racks adequate in capacity for stored item(s)? Stored items secured from toppling where needed? Sprinkler heads not blocked?

  Safe

  At Risk

  N/A

• Stored items properly labeled or marked? Hazardous, flammable, and combustible items properly stored?

  Safe

  At Risk

  N/A

• Loading docks/ overhead doors functioning properly? Guard chains in place where required?

  Safe

  At Risk

  N/A

• Machinery in good working order? Safe guards in place where required? Emergency shut-off devices in place where required?

  Safe

  At Risk

  N/A

• Floors free of oil, grease, liquid, or other slippery liquids?

  Safe

  At Risk

  N/A

• Leading edges > 6' protected adequately?

  Safe

  At Risk

  N/A

• Aisles/walkways clear of debris, slipping, and tripping hazards?

  Safe

  At Risk

  N/A

• Chemical containers properly labeled? Stored per manufacturer's directions?

  Safe

  At Risk

  N/A

• Forklifts, scissor lifts, man lifts inspected at start of shift? Operated by authorized employees only? Electrical battery units charged in areas clear of flammable or combustible material?

  Safe

  At Risk

  N/A

Exterior/Yard Area

• Hazardous/controlled chemical storage areas inspected daily? Grounds free of hazardous/controlled chemical leaks, spills?

  Safe

  At Risk

  N/A

• Propane storage tank(s) free of defects? Inspected as required? Properly labeled?

  Safe

  At Risk

  N/A

• Walking area(s) free of holes/dips that would cause tripping hazard? Kept clear of ice/snow? Adequately illuminated?

  Safe

  At Risk

  N/A

• Stairs and hand rails in good condition? Kept clear of debris, snow, and ice?

  Safe

  At Risk

  N/A

• Dumpster(s) emptied regularly? Free of hazardous chemicals?

  Safe

  At Risk

  N/A

• Security fencing intact? Security lighting operational?

  Safe

  At Risk

  N/A

• Protected from elements where required?

  Yes

  No

  N/A