ADBN Environmental Health & Safety (EHS) Inspection

• Inspection Date

  Date

• Building

• Area

• Inspector

GENERAL REQUIREMENTS

• A. PREPARATION: Individuals conducting inspections should prepare by reviewing the checklist in advance and highlighting applicable items. Plan on what to look for as the inspection proceeds to different areas.
  B. SCHEDULE: Quarterly inspections for each area
  C. REPORTING RESULTS: Inspection results should be distributed during monthly SCM
  D. FOLLOW-UP: Systems should be set up to monitor the correction of identified deficiencies.

Housekeeping

• Overall housekeeping neat, uncluttered, free of excessive equipment, materials, chemicals, etc.

  Yes

  No

  N/A

• Shelving: In good condition; Secure and anchored; has lips where chemicals in bottles stored; Not overloaded; Heavy items stored on lower shelves; No storage on tops of shelves, cabinets, etc.; Stored materials not too high; Access available; Sprinkler heads unobstructed within 18”

  Yes

  No

  N/A

• Excess/Clutter: No storage on floors, tops of cabinets, Excess chemicals not stored in hoods; benches uncluttered and orderly; glassware stored orderly

  Yes

  No

  N/A

Compressed Gas

• Gas cylinders secured and in upright position; valves closed and capped if not in use; Lecture bottles stored properly (not in drawers, well ventilated area)

  Yes

  No

  N/A

• Hazardous compressed gas quantity kept to minimum (ammonia, hydrogen, propane, etc.) and in well ventilated areas; No evidence of leakage

  Yes

  No

  N/A

• Compressed gas cylinders are transported with hand truck

  Yes

  No

  N/A

• Liquid nitrogen and other cryogenics handled only in ventilated area with oxygen monitoring

  Yes

  No

  N/A

Electrical

• Cords: not excessive amounts; neatly routed; not frayed; cords are in good condition

  Yes

  No

  N/A

• Receptacles: Cover plates in place; not overloaded; no six-outlet wall taps; not located within 6" of sinks unless ground fault protected (GFCI)

  Yes

  No

  N/A

• Plugs: grounding prongs not altered

  Yes

  No

  N/A

• Panels: Electrical panels and EMOs are easily accessible

  Yes

  No

  N/A

Emergency

• Fire extinguishers: Not blocked, missing, unmounted or not full

  Yes

  No

  N/A

• Egress: 36” clearnance…. Exit doors…

  Yes

  No

  N/A

• Safety showers/eyewashes, electrical panels, fire alarms, other emergency equipment not blocked and easily accessible.

  Yes

  No

  N/A

Fall Hazards

• Slips and fall hazards: No slipping hazards, such as water, oil, chemicals on floor; No tripping hazards, such cords, wires, etc…

  Yes

  No

  N/A

Flammables

• Flammable liquid storage cabinets: Sufficient for quantity; not damaged; no oxidizers inside; used for flammables

  Yes

  No

  N/A

• Segregation: Away from heat sources, open electrics

  Yes

  No

  N/A

Chemical Storage

• Spills: All spilled fluids cleaned immediately

  Yes

  No

  N/A

• Storage: All chemicals are properly stored in containers designed for their contents

  Yes

  No

  N/A

• Labeling: All chemicals are in clearly labeled containers

  Yes

  No

  N/A

• Transportation: Chemicals are transported using the correct containers; chemicals are not left in hand carry containers.

  Yes

  No

  N/A

Lighting

• Illumination: Work areas properly illuminated

  Yes

  No

  N/A

Piping

• Utility piping (water, gasses, etc.) and valves: clearly labeled and no leaks

  Yes

  No

  N/A

PPE

• Eye Protection: All persons wearing safety glasses with side shields; Goggles and/or faceshields being worn for high splash or particulate operations

  Yes

  No

  N/A

• Chemical PPE available and being worn (if applicable)

  Yes

  No

  N/A

• Respirator: Respirators are stored in sealable bags

  Yes

  No

  N/A

Signage

• Signs are current and legible

  Yes

  No

  N/A

Waste

• Labeled properly and not accumulated excessively; all waste containers are properly functioning

  Yes

  No

  N/A

Other

• Other safety concerns

  Yes

  No

  N/A

Sign Off

• Name and Signature

  Sign