Title Page
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Site conducted
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Date:
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Organization: MSTD, MSI
Prepared by:
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Print: Luke Stapelmann
This is a general checklist for use when conducting safety review of areas. It does not include all possible hazards. Some items on this list will not apply to all work areas.
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For every item marked No, enter the item number on the notes pages along with the corrective action you took or initiated.
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When the deficiency has been corrected, indicate the date of correction
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After you have completed the inspection, sign below
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Maintain this form on file for one year
GENERAL
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Floor fans are properly equipped with center faceplates or guards to prevent injury. (Openings can be no larger than ½ inch, unless the fan is at least 7 feet above the floor.)
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Elevated storage areas have load limits calculated by an engineer and signs are posted
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Fluorescent lights are secured with holders or covers
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OSHA poster (DD Form 2272) is posted on employee bulletin boards
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All places of employment, passageways, storerooms, service rooms, and walking-working surfaces are kept in a clean, orderly, and sanitary condition.
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Chairs are free of obvious hazards (Loose casters or rungs, legs or backs that are not sturdy, etc.)
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File cabinets are arranged so that opened drawers do not protrude into walkways, and drawers are opened one at a time to avoid tip over
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Storage cabinets and closets have heaviest items on lower or middle shelves. Items are stored in a stable manner, so as not to be likely to fall.
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Shelving is in good condition without signs of overloading, improper stacking, or potential for falling items.
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Water pipes and fixtures are free of leaks or drips
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Refrigerators used for food are labeled "for food only" without the presence of toxic substances, contaminates, batteries, or chemicals.
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Consumption of food and beverages is allowed only in areas where there will be no exposure to toxic substances or contaminates
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Hand washing facilities are located near all latrines. Facilities must include soap, water, and towels OR waterless hand sanitizer
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Work areas are adequately illuminated.
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Furniture is free of physical defects, e.g. broken, cracked, or splintered
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Personnel use proper techniques while performing lifting or other physical tasks
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Good ergonomics principles are practiced by employees. (Check for persons who appear to be sitting in awkward positions at computers, whose feet do not sit comfortably on the floor when seated, and whose computer monitors are positioned at an angle that could cause neck pain or eyestrain from light glare on the screen)
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Compressed air for cleaning purposes is reduced to less than 30 psi with safety tip installed.
FIRE PREVENTION
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Fire extinguishers are properly charged and inspected
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Fire extinguishers are properly mounted, located, and identified to employees.
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Fire extinguishers are not blocked or obstructed, preventing access
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Smoke detectors are free of obstructions.
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Fire alarm pull stations are free of obstructions.
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An appropriately rated fire extinguisher is located in the vicinity flammable storage cabinets
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Fire Control Panels are marked "FACP" and unobstructed.
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Storage is maintained 24" or more below the ceiling in non-sprinklered areas of buildings or a minimum of 18" below sprinkler head deflectors in sprinklered areas of buildings.
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There are no furnishings and decorations of highly flammable or explosive composition in the facility
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Smoking areas are properly designated and disposal facilities are provided for smokers’ refuse. There are no signs of unauthorized smoking.
ELECTRICAL
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All electrical cords on equipment are free of cracks, breaks, fraying, exposed wiring, or other obvious hazards. Flexible cords and cables are free of splices and tape. Grounding prong present.
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Flexible cords and cables are connected to devices and fittings so that strain relieve is provided that will prevent pull from being directly transmitted to the joints or terminal screws.
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Flexible cords are used only in continuous lengths without splice or tap.
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Flexible cords are not routed under carpets, rugs, or heavy objects, or through walls, doors, ceilings, or storage cabinets.
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Electrical equipment on/off switches are fully operational and free of defects.
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Flexible cords are not being used in place of permanent wiring. [Exception: proper extension cords (correct amperage rating, in good condition) may be used for items of equipment that are only operated occasionally, for short periods of time, or for equipment that uses a small amount of amperage (computer equipment).]
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High-amperage or heat producing equipment (refrigerators, microwave ovens, space heaters, coffee pots, etc.) are plugged directly to wall vs temporary extension cord.
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Electrical outlets, including multi-outlet extension cords, are not overloaded or connected in series. Extension cords cannot be connected in a series, “daisy chained”.
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All extension cords are UL approved cords (homemade extension cords not authorized).
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Computer equipment is plugged into surge protector strips. Damaged or unserviceable strips will be removed from service immediately upon discovery.
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Unused openings in electrical cabinets, boxes, fittings, etc. are effectively closed to afford protection substantially equivalent to the wall of the equipment.
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Circuit breaker boxes are easily accessible, not blocked by other items and are not difficult to open (e.g., taped shut, locked, etc). Minimum depth of clear working space at electrical equipment <25k volts is 36".
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Circuit breaker boxes have clearly legible directories inside listing which items/circuits are controlled by each breaker.
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Conductors (wires) entering cutout boxes, cabinets, or fittings are protected from abrasion, and openings through which conductors enter are effectively closed.
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Electrical equipment is firmly secured to the surface which it is mounted.
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All light fixtures (if designed to be equipped with a globe or cover) are properly equipped. Bare light bulbs will be a minimum of 18” away from combustibles
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Outlets in wet or damp areas or within 6' of a sink or water source (e.g., bathrooms, kitchens, janitorial closets, outdoors, etc.) are equipped with ground-fault circuit interrupters (GFCIs). The GFCI may be either a part of the outlet or a part of the circuit breaker
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All-weather outdoor electrical receptacles are of GFCI type, installed to prevent water/moisture, and free of damage.
Ammo & Explosives
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Personnel handling A&E are certified to the appropriate level IAW RTC Supplement 2 to ATEC 385-1 to work with A&E.
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All MHE, hoists, cranes and associated rigging equipment are serviceable (shackles, slings, lifting beams, spreader bars, etc.) and have current load and inspection dates.
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Operations are conducted in a manner that exposes the minimum number of personnel for the minimum period of time to the minimum amount of A&E required to perform safe and efficient operations, i.e. “Cardinal Rule”.
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At the conclusion of daily operations, personnel store all A&E in a licensed storage facility. If operationally required due to item being under test, A&E may remain in operational buildings and/or test stands during non-duty hours.
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All flammable storage is located at least 50' from explosive locations. (A limited supply of flammable chemicals, not to exceed a one-day’s requirements, may be stored in explosives operating facilities if stored inside cabinets designed for flammable material storage and are IAW 29 CFR 1910.106)
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Personnel wear appropriate wristats, legstats, conductive shoe covers, and/or conductive shoes to provide for good continuity with ground.
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The Net Explosive Weights (NEW) is posted in operating facilities will reflect what is present for each operation conducted.
WALKWAYS, AISLES, FLOORS, EXITS, AND STAIRS
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Walking-working surfaces are maintained free of hazards such as sharp or protruding objects. loose boards, corrosion, leaks, spills, snow, and ice.
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The floor of each workroom in maintained in a clean and, to the extent feasible, in a dry condition.
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Doors that swing in both directions and that are located between rooms where there is frequent traffic have eye-level viewing panels in each door.
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Exits are located and exit access arranged so that exits are readily accessible at all times.
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All exit signs are readily visible.
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Emergency exit routes are adequately illuminated.
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The directions to exits, when not immediately apparent, are marked with visible directional signs.
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Exit doors leading from areas housing 100 or more occupants are equipped with panic hardware.
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Doors and other passageways that are not exits, but that may be mistaken for exits, are appropriately marked (e.g., “NOT AN EXIT,” “TO THE BASEMENT,” “STOREROOM,” etc.).
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Exit routes are free of obstructions.
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All doors that are passed through to reach an exit, or the path to an exit (egress route), are free to access, without possibility of doors being locked or person being locked inside.
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Exit doors open outward, are easily opened, are not locked or fastened when the building is occupied, and are fully operational (without sticking, e.g.). If exit doors are locked, they must be easily unlocked from the inside without the use of a key or specific knowledge or effort. NOTE: Deadbolts on exit doors are specifically prohibited.
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Fire doors are not propped or tied in the open position while the building is occupied.
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Where exit doors open to a change in elevation of 12 inches or more, stairs or ramps are provided to negotiate the difference.
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Floor elevations on both sides of an exit door do not vary by more than ½ inch.
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Floor elevations are maintained on both sides of the doorway for a distance not less than the width of the widest door in the exit.
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Stairways are properly illuminated. Emergency lighting units are fully operational.
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Stairways or steps having 4 or more risers (steps) have standard stair rails or handrails.
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The open sides of all exposed stairways and platforms have standard railings.
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All stairways are at least 22 inches wide, in good condition, and are slip resistant.
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Stairs have at least a 7-foot overhead clearance.
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Stairway platforms are at least 30 inches long when measured from direction of travel.
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Stairs and steps are uniform in height (riser) and depth (tread).
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If stairs are carpeted, the carpeting is well secured and the steps are clearly defined.
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There is no storage in stairwells.
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Platforms and balconies more than 4 feet above the floor are protected with standard guardrails. (Stairs to these areas must have rails.)
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When people or machinery could be exposed to falling objects from overhead platforms, lofts, or balconies, those overhead areas are guarded with standard 4-inch toe boards.
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Aisle or walkway surfaces more than 30 inches above any adjacent floor or the ground have standard guardrails.
CHEMICALS
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Hazardous chemicals (flammables, combustibles, corrosives, oxidizers) are properly stored in approved and properly marked storage cabinets.
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Hazardous chemical storage cabinets are not located near an exit door or in the pathway leading to an exit.
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Chemicals in administrative work areas are limited to common household cleaners, i.e., pine oil cleaner, window cleaner, white board cleaner, floor wax, copy machine toner, and similar substances
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All chemical containers are properly labeled. The label must clearly identify the contents. Original containers have a consumer warning label, listing the hazards and preventive measures associated with the product. If chemicals are transferred to different containers (such as portable spray bottles), those containers are labeled with the same information.
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Employees using chemicals follow the instructions on the containers, including any recommended precautions and use of any items of PPE (for example, rubber gloves, safety goggles, etc.).
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Chemicals are not stored with or near food or in areas where food is prepared or consumed.
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Safety Data Sheets (SDSs) are readily available for all chemicals used in the work area.
LADDERS, TOOLS, MISC
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Monthly safety inspections completed.
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Defective ladders are removed from service, tagged, and set aside for repair or destruction.
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Ladders have non-slip safety feet, rungs & feet are free of grease/oil.
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Wheels/casters have positive wheel and/or swivel locks, to prevent movement.
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All required stickers are present and can be read.
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Ladders are placed so doors do not open towards it, unless the door is blocked open, locked, or guarded.
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Ladders are placed on stable footing; not on boxes, barrels, or other unstable bases, to gain additional height.
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The top step of an ordinary stepladder is not used as a step.
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When a portable rung ladder is used to gain access to an elevated platform, a roof, or other elevated area, the ladder must always extend at least 3 feet above the elevated surface.
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When portable rung or cleat type ladder is used, the base is placed in a manner that will prevent slipping such as lashing.
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Personnel adjust extension ladders only while standing at the base (not while standing on the ladder or from a position above the ladder).
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Portable metal ladders are marked with signs warning to not use them around electrical equipment. Metal ladders are not used in areas where the ladder or the person using it could come into contact with energized parts of equipment, fixtures, or circuit conductors or into contact with electrical lines.
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Hand tools are in good working condition, tips of screwdrivers are not worn, handles are in good repair and free of splinters, etc.
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Handles of rakes and shovels are free of splinters, cracks, breaks, and not painted over or taped
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Power tools have proper guards; safety features are functional, free of defects.
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Personal Protective Equipment (gloves, eyewear, hearing protection, footwear, etc.) is fully serviceable and in ample supply for unit needs.
BUILDING EXTERIOR AND GROUNDS
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Exterior light fixture boxes are properly enclosed and operational.
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External emergency exit door & route, properly illuminated and unobstructed.
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Building mounted utilities, downspouts, drain pipes, etc. appear properly secured.
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Material storage (lumber, bins, carts, etc.) is clear of sidewalks, emergency vehicle access, entry doors, emergency utilities, etc.
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There is no erosion of the soil or walkways.
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Area is clear of pests (wasps, etc.).
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Gas cans, flammable chemicals, etc. are stored only in approved and locked storage facilities, signs are properly posted.
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Vehicle parking is clear of entrance or exit to any building, fire lanes are properly maintained.
ADDITIONAL FINDINGS
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Add drawing
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Add drawing
CORRECTIVE ACTIONS REQUIRED OR TAKEN
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Deficiency Corrected:
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