Appearance Care Monthly Safety Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Name:

  Select James Lundin Will Russell Patrice Sabatano Artis Baldwin Lucius Conyers Gloria Lyn-Burnett

  • James Lundin
  • Will Russell
  • Patrice Sabatano
  • Artis Baldwin
  • Lucius Conyers
  • Gloria Lyn-Burnett

• Select date

  Date

Chemicals/Storage Areas

• Inventory of hazardous chemicals is current (within one year)?

  Yes

  No

  N/A

• All containers are properly labeled with product identified and a hazard warning?

  Yes

  No

  N/A

• SDS are readily available for each chemical on inventory?

  Yes

  No

  N/A

• Chemicals stored properly: Insecticides, detergents/sanitizers and caustics/acids/polishes?

  Yes

  No

  N/A

• Eyewash station available for continuous 15 minute flow?

  Yes

  No

  N/A

• Aisles clear and floors clean?

  Yes

  No

  N/A

• Compressed gas cylinders stored in upright position with protective caps in place?

  Yes

  No

  N/A

• Step ladder or sufficient height to reach top of storage without standing on top 2 steps?

  Yes

  No

  N/A

• Sharp edges are identified and eliminated?

  Yes

  No

  N/A

• Bump hazards are eliminated?

  Yes

  No

  N/A

• Falling hazards are eliminated?

  Yes

  No

  N/A

• Chemical hazard communication training received by all employees and documentation in personnel files (current within one year)?

  Yes

  No

  N/A

• Proper personal protective equipment used when handling chemicals (see SDS)?

  Yes

  No

  N/A

Exits/ Mechanical Shop Area/ Fire Protection

• Exit routes unobstructed?

  Yes

  No

  N/A

• Exits clearly marked with illuminated signs?

  Yes

  No

  N/A

• Emergency lighting provided for all occupied areas and tested monthly?

  Yes

  No

  N/A

• Emergency evacuation plans posted?

  Yes

  No

  N/A

• All doors in exit paths kept closed?

  Yes

  No

  N/A

• Lighting is adequate?

  Yes

  No

  N/A

• Handrails provided on all stairs?

  Yes

  No

  N/A

• Adequate number of exits provided?

  Yes

  No

  N/A

• Exit doors are operable in the path of exit travel without the use of a key or any special knowledge?

  Yes

  No

  N/A

• All power tools are equipped with guards?

  Yes

  No

  N/A

• All ladders are in good condition?

  Yes

  No

  N/A

• Eye, face, and hand personal protective equipment is available and in good condition?

  Yes

  No

  N/A

• Fire extinguishers are properly mounted, accessible and maintained?

  Yes

  No

  N/A

• All fire alarms are unobstructed?

  Yes

  No

  N/A

• Fire doors are in proper operational condition and unobstructed?

  Yes

  No

  N/A

• Do employees know how to report a fire?

  Yes

  No

  N/A

• All employees familiar with the location of portable extinguishers, manual controls on extinguishing systems and fire alarms?

  Yes

  No

  N/A

• Minimum of 18" clearance under sprinkler heads?

  Yes

  No

  N/A

• Flammable liquids are stored in FM approved or UL listed safety containers?

  Yes

  No

  N/A

Electrical/ Custodial

• All electrical cords are in good condition?

  Yes

  No

  N/A

• Extension cords are not used in lieu of permanently installed fixed wiring?

  Yes

  No

  N/A

• Cover plates, switches, outlets, ect are in good condition?

  Yes

  No

  N/A

• Electrical panel boxes closed and accessibility is not locked?

  Yes

  No

  N/A

• Equipment is grounded or double insulated?

  Yes

  No

  N/A

• Lockout/Tagout procedures in place and staff is trained?

  Yes

  No

  N/A

• Ground plugs on equipment in good condition?

  Yes

  No

  N/A

• Motors are clean and properly lubricated?

  Yes

  No

  N/A

• Emergency shut-down switches insulated and easily accessible?

  Yes

  No

  N/A

• Emergency generators are tested weekly?

  Yes

  No

  N/A

• Switches and circuit breakers are marked to indicate equipment/areas controlled?

  Yes

  No

  N/A

• All work sites are clean and orderly?

  Yes

  No

  N/A

• All areas free of excessive trash/storage?

  Yes

  No

  N/A

• Control panels have a minimum 36" of unobstructed work space in front and are closed?

  Yes

  No

  N/A

Custodial/ Other

• All floors are clear of debris and dry?

  Yes

  No

  N/A

• Shelves and racks are of adequate strength and are secured?

  Yes

  No

  N/A

• Walk off mats used where needed?

  Yes

  No

  N/A

• All mats are in good condition?

  Yes

  No

  N/A

• Receiving are free of bump/slip/trip hazards?

  Yes

  No

  N/A

• Custodial closets neat and clean?

  Yes

  No

  N/A

• Custodial carts properly stocked and clean?

  Yes

  No

  N/A

• Custodial chemicals properly labeled?

  Yes

  No

  N/A

• Wet floor signs used properly?

  Yes

  No

  N/A

• Employees frequently receive training on correct lifting techniques?

  Yes

  No

  N/A

CORRECTIVE ACTION PLAN FOR ANY "NO"'s LISTED ABOVE

• Problem area (list question answered "no" too)?

• What is causing the problem?

• What is the corrective action?

• Corrective action to be completed by?

  Select General Manager Multi-Service Manager Appearance Care Manager Daytime Supervisor Evening Supervisor Evening Assistant Supervisor

  • General Manager
  • Multi-Service Manager
  • Appearance Care Manager
  • Daytime Supervisor
  • Evening Supervisor
  • Evening Assistant Supervisor

• Target date for corrective action to be completed?

  Date

• Completion Date?

  Date