CARLING

• Document No.

• Conducted on

  Date

• Prepared by

ACCESS & VISITOR PROCEDURES

• There are adequate signs and directions indicating location of Site Management Office?

  Yes

  No

  N/A

• Did front office reception personnel ask you to sign in?

  Yes

  No

  N/A

• All visitors are required to sign in and out on a visitor log?

  Yes

  No

  N/A

H&S RISK ASSESSMENT

• All recommended actions closed off

• What do you believe to be the most pressing safety issue for this site?

• Do you have visits from your Safety Manager?

  Yes

  No

  N/A

• Do you have an Evacuation Plan & Procedure?

  Yes

  No

  N/A

• Do you have records of evacuation drills?

  Yes

  No

  N/A

• There is a detailed floor plan for the entire site?

  Yes

  No

  N/A

• There is an aerial photograph of the site?

  Yes

  No

  N/A

FIRE RISK ASSESSMENT

• All external doors are locked and not accessible from outside

  Yes

  No

  N/A

• Fence and gates are all in good standing and secured.

  Yes

  No

  N/A

• Fire suppression system inspection current.

  Yes

  No

  N/A

• All walkways and steps are in good order and free of any trip hazards.

  Yes

  No

  N/A

• Athletic Fields appear to be safe and free of safety hazards

  Yes

  No

  N/A

• All equipment in Playground and Recreation areas is safe and in good repair.

  Yes

  No

  N/A

• Warning barriers/barricades are in place around any campus construction work sites.

  Yes

  No

  N/A

MAJOR INCIDENT MANAGEMENT PLAN

• Each room has an updated evacuation plan posted by the doorway.

  Yes

  No

  N/A

• Personal belongings are stored away and not accessible to students.

  Yes

  No

  N/A

• Classrooms are free of any appliances to include refrigerators or microwaves.

  Yes

  No

  N/A

• Rooms not in use are locked and not accessible to children.

  Yes

  No

  N/A

• All bookshelves are anchored to wall.

  Yes

  No

  N/A

• Any ceiling decorations are hung with fishing line.

  Yes

  No

  N/A

MECHANICAL & ELECTRICAL

• PPM schedule

  Yes

  No

  N/A

• Hot & Cold water available.

  Yes

  No

  N/A

• Mechanical Rooms are organized and clutter free - not blocking breaker panels or access doors.

  Yes

  No

  N/A

• Proper lifts and changing table is present in each room.

  Yes

  No

  N/A

• All electrical wiring for major appliances are free of exposed wires or electrical hazards.

  Yes

  No

  N/A

• All storage areas areas are organized and free of clutter.

  Yes

  No

  N/A

WATER HYGIENE

• All chemicals are properly labeled and organized.

  Yes

  No

  N/A

• All chemical inventories are regularly reviewed and any old chemicals are given proper disposition.

  Yes

  No

  N/A

• Storage cabinets are available and in use.

  Yes

  No

  N/A

• Eye protection available and appropriately used.

  Yes

  No

  N/A

• Appropriate Safety warning signs on display?

  Yes

  No

  N/A

• Are showers and eye wash stations available and in good working order

  Yes

  No

  N/A

SITE ISSUES

• Equipment safe and in good repair

  Yes

  No

  N/A

• Storage rooms are iorderly and free from items on the ground or too close to ceiling.

  Yes

  No

  N/A

• Refrigeration temperature logs are completed daily and accessible.

  Yes

  No

  N/A

• All refrigeration and freezer units are organized and clean.

  Yes

  No

  N/A

• All chemicals are properly stored and labeled and MSDS sheets are available

  Yes

  No

  N/A

• Site is free of any rodent or insect infestation.

  Yes

  No

  N/A

FACILITIES

• site is free from safety hazards.

  Yes

  No

  N/A

• Fire extinguishers are available throughout campus and inspections are up to date.

  Yes

  No

  N/A

• Mechanical Rooms are organized and clutter free - not blocking breaker panels or access doors.

  Yes

  No

  N/A

• Lighting is adequate and facility has minimal burned out bulbs.

  Yes

  No

  N/A

• Campus has a minimum of one AED Defibrillator on campus and can produce documentation of staff training on its use.

  Yes

  No

  N/A

• Custodial closets are orderly and chemicals are stored appropriately with MSDS records available.

  Yes

  No

  N/A

• Lighted exit signs are in appropriate areas and working

  Yes

  No

  N/A

• Electrical wiring, chords, wall plates are in good working condition.

  Yes

  No

  N/A

• Personal, Protective Equipment & Safety Equipment observed and in use.

  Yes

  No

  N/A

• Mechanical rooms are all locked, secured and inaccessible without keys.

  Yes

  No

  N/A

• Restroom facilities are clean and in good working order.

  Yes

  No

  N/A

• All exits, hallways and doorways are kept clear and free from obstructions.

  Yes

  No

  N/A

FIRST AID

• Mechanical Rooms are organized and clutter free - not blocking breaker panels or access doors.

  Yes

  No

  N/A

• Hot & Cold water available.

  Yes

  No

  N/A

• First Aid supplies are locked and secured when not in use.

  Yes

  No

  N/A

• Licensed Nurse or trained person gives first aid treatment.

  Yes

  No

  N/A

• Adequate ventilation?

  Yes

  No

  N/A

• Proper storage and inventory control of any chemicals?

  Yes

  No

  N/A

• Chemical MSDS sheets are up to date and readily available?

  Yes

  No

  N/A

• Equipment guards in place?

  Yes

  No

  N/A

• Eye protection available and safety warning signs posted?

  Yes

  No

  N/A

• Flame proof cabinets are available and used when appropriate?

  Yes

  No

  N/A

• Lockout Tag Out procedures are being practiced and trained?

  Yes

  No

  N/A

• Adequate number and current extinguishers available in work areas?

  Yes

  No

  N/A

OFFICE AREAS

• Excess electrical wiring kept from being strung across traffic areas as possible trip hazard?

  Yes

  No

  N/A

• No overload use of electric surge protectors?

  Yes

  No

  N/A

• Limited or minimal use of electric appliances (coffee pots, microwaves, refrigerators)?

  Yes

  No

  N/A

• Closets and storage areas are clean and organized?

  Yes

  No

  N/A

• There is limited and controlled access by public to office areas?

  Yes

  No

  N/A

• Fire evacuation plans are posted and current?

  Yes

  No

  N/A

• Designated parking area for vehicles is easy to maneuver and park?

  Yes

  No

  N/A

• Department has specific accident reporting form and instructions for completion?

  Yes

  No

  N/A

OTHER AREAS

• Specialty areas

• Add media

  Media

CONCLUDING STATEMENTS

• Suggestions/Recommendations

• Critical Issues & Concerns

• Commendations

• Summary Comments

SIGNATURE

• Auditor Completing Report

  Sign

• Add location
  Address

• Select date

  Date

• Add media

  Media

• Yes

  No

  N/A

• Compliant

  Non Compliant

  Partial Compliant

  Not Applicable

• Add signature

  Sign