CATS Safety and Security Facility Inspection

• Site Inspected:

  Select

• Conducted on:

  Date

• Prepared By:

• Location:
  Address

Records

• Are records required to be present or posted at this facility?

  Yes

  No

  N/A

• Are Occupational Safety and Health Administration (OSHA) and state-required posters displayed in a prominent location? [NC Gen. Stat. Sec. 95-25.15, Sec. 97-93, and Sec. 95-143]

  Yes

  No

  N/A

• Are OSHA 300/301 logs maintained as required? [29 CFR 1904.32(a)(1)]

  Yes

  No

  N/A

• Is the Summary of Occupational Illnesses posted (February 1 - April 30)? [29 CFR 1904.32(a)(3)]

  Yes

  No

  N/A

• Are facility operating permits and records such as "Repair Garage" and "Hazardous Materials" up-to-date and posted?

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiency or deficiencies related to records or record keeping? Please note any other notable deficiencies.

  Yes

  No

  N/A

General Concerns

• Are all ceiling tiles and other smoke barriers provided to subdivide building spaces and for the purpose of restricting the movement of smoke within the structure in place, secure, and in good repair? (29 CFR §1910.37(a)(4)) / NFPA 101 8.5.1

  Yes

  No

  N/A

• Are safety signs/warnings posted where appropriate? [29 CFR 1910.145(c)(1)(ii), 1910.145(c)(2)(i) and ANSI Z535.5 ]

  Yes

  No

  N/A

• Are work areas adequately illuminated? [1915.82(a)(2)]

  Yes

  No

  N/A

• Are portable fans provided with full guards or screens having openings of 1/2 inch or less? [29CFR 1910.212(a)(5)]

  Yes

  No

  N/A

• Have all portable space heaters been taken out of service and removed from the facility?

  Yes

  No

  N/A

• Are all appliances plugged directly into an outlet rather than an extension cord or power strip?

  Yes

  No

  N/A

House Keeping

• Are areas kept clean and free from debris to the greatest extent practical given the types of activities being performed? [29 CFR 1910.141(a)(3)(i)]

  Yes

  No

  N/A

• Are storage areas kept free from hazards that may cause tripping, fire, explosion, or pest harborage? [29 CFR 1910.176(c)] and [29 CFR 1910.22(a)(1)]

  Yes

  No

  N/A

• Is good housekeeping maintained in storage areas? 1910.176(c)

  Yes

  No

  N/A

• Are adequate toilets and washing facilities provided? [29CFR 1910.141]

  Yes

  No

  N/A

• Are toilets and wash areas clean and sanitary? [29 CFR 1910.141(a)(3)]

  Yes

  No

  N/A

• Are combustible waste materials and residues kept to a minimum, stored in metal receptacles with self-closing and tight-fitting lids wherever rags or waste are impregnated with finishing material and disposed of regularly and appropriately? [29 CFR 1910.106(e)(9)(iii) and 1910.141(a)(4) and NFPA 33]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiency or deficiencies related to general facility safety or housekeeping? Please note any other notable deficiencies.

  Yes

  No

  N/A

Egress

• Are doors, passageways or stairways that are neither exits nor a way to an exit, and which can be mistaken for an exit, marked with their actual purpose, with a sign reading "Not An Exit", or similar designation? [29 CFR 1910.36(b)(5) and 29 CFR 1910.37(q)(2)]

  Yes

  No

  N/A

• Are there sufficient exits to permit prompt emergency escape? [29CFR 1910.36(b)(1) and 29CFR 1910.36(b)(2)]

  Yes

  No

  N/A

• Are emergency evacuation traffic routes identified? [29CFR 1910.36(a)(1)]

  Yes

  No

  N/A

• Are aisles and passageways kept clear and in good repair, with no obstructions that could create a hazard? [29 CFR 1910.22(b)(1)] and [29 CFR 1910.36(b)(4)]

  Yes

  No

  N/A

• Are all exit routes marked with an exit sign and illuminated by reliable light sources? [29CFR 1910.37(b)(1)]

  Yes

  No

  N/A

• Are all fire escapes, stairs, passageways, doors, and windows free of obstructions that would interfere with the evacuation of the building or the operation of the fire department? [29 CFR 1910.36(d)(1)]

  Yes

  No

  N/A

• Do all exit doors open from the inside without the use of a key, tool or any special knowledge when an area is occupied by more than 50 people or where hazardous operations are conducted? [29 CFR 1910.36(e)(2)]

  Yes

  No

  N/A

• Where panic hardware is installed on the exit door, will it allow the door to open with 15 pounds or less force in the direction of the exit traffic? [NFPA 70 and 2012 NC Building Code 1008.1.10]

  Yes

  No

  N/A

• Are exit doors side hinged? [29 CFR 1910.36(e)(1)]

  Yes

  No

  N/A

• Are all exit doors and paths of exit 28 inches or more in width and continually maintained free of all obstructions or impediments? [29 CFR 1910.36(g)(2)] and 1910.37(k)(2)

  Yes

  No

  N/A

• Are frameless glass doors, glass exit doors, storm doors, etc., fully tempered, and do they meet safety requirements for human impact? [16 CFR 1201]

  Yes

  No

  N/A

• Are exit doors that open onto a street, alley, or vehicle parking area provided with adequate barriers and warnings to prevent employees from stepping into traffic or vehicles blocking the exit? [29CFR 1910.36(d)(1)]

  Yes

  No

  N/A

• Where ramps are used as required exits, is the ramp slope limited to 1 foot vertical and 12 feet horizontal? [ADA 405.2 and 405.3]

  Yes

  No

  N/A

• Does every exit sign have the word "Exit" in plainly legible letters not less than 6 inches high, with the principal strokes of letters not less than three-fourths-inch wide? [29 CFR 1910.37(q)(8)]

  Yes

  No

  N/A

• Is every exit sign illuminated by a reliable light source? [29 CFR 1910.37(q)(6)]

  Yes

  No

  N/A

• In areas where reduction of normal illumination is permitted, are exit signs internally illuminated? [29 CFR 1910.37(q)(7)]

  Yes

  No

  N/A

• Is service lighting powered by an emergency generator when utility power is lost?

  Yes

  No

  N/A

• Are emergency lights in place and illuminate when tested? [NC Sate Code section 1006.3]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiency or deficiencies related to facility egress? Please note any other notable deficiencies.

  Yes

  No

  N/A

Bloodborne Pathogens

• Does this facility require a Bloodborne Pathogens exposure control plan?

  Yes

  No

  N/A

• Is there a current written exposure control plan for occupational exposure to blood-borne pathogens and other potentially infectious materials? [29 CFR 1910.1030]

  Yes

  No

  N/A

• Is training being provided at the time of initial assignment and at least annually thereafter? [1910.1030(g)(2)(ii)]

  Yes

  No

  N/A

• Are training records being kept for three years and do they contain the necessary information? [1910.1030(h)(2)(i-ii)]

  Yes

  No

  N/A

• Is the Hepatitis B vaccination being made available to all employees with occupational exposure? [1910.1030(f)(1)(i)]

  Yes

  No

  N/A

• Is personal protective equipment being provided, use required, cleaned, repaired, and replaced as necessary? [1910.1030(d)(3)]

  Yes

  No

  N/A

• Is regulated waste discarded according to applicable laws and regulations? [29 CFR 29 CFR 1910.1030]

  Yes

  No

  N/A

First Aid

• Is the Facility required to have a First Aid Kit?

  Yes

  No

  N/A

• Are adequately stocked first aid kits easily accessible to each work area, periodically inspected, and replenished as needed? [29 CFR 1910.151(b) and (ANSI) Z308.1-1998]

  Yes

  No

  N/A

• Are first aid supplies removed when they have reached their expiration date or have otherwise become unserviceable? [29 CFR 1910.151(b) and (ANSI) Z308.1-1998]

  Yes

  No

  N/A

AED

• Does the Facility have an assigned AED Machine?

  Yes

  No

  N/A

• Are AED machines readily available, unobstructed, and in good working order with the green charge indicator flashing? [29 CFR 1910.151(b)]

  Yes

  No

  N/A

• Are AED Machines inspected monthly and documented appropriately?

  Yes

  No

  N/A

• Are AED machines equipped with one or more sets of pads that have not yet reached their expiration date? [29 CFR 1910.151(b)]

  Yes

  No

  N/A

• Are AED battery packs within date and maintained with a working charge?

  Yes

  No

  N/A

Eye Wash / Emergency Shower

• Does the facility have Eye Wash stations or Emergency Showers?

  Yes

  No

  N/A

• Are eyewash stations and emergency showers readily available and un-obscured where corrosive liquids or materials are handled? [29CFR 1910.151(c)]

  Yes

  No

  N/A

• Are eyewash stations and emergency showers inspected weekly and documented appropriately?

  Yes

  No

  N/A

• Do eyewash stations and emergency showers have an adequate water flow rate. [29 CFR 1910.151(c) and 29 CFR 1926.50(g)]

  Yes

  No

  N/A

Fire Protection

• Are all portable fire extinguishers approved? [29 CFR 1910.157(c)(2)]

  Yes

  No

  N/A

• Are portable fire extinguishers fully charged, operable, and kept in their designated places at all times? [29 CFR 1910.157(c)(4)]

  Yes

  No

  N/A

• Are approved fire extinguishers mounted, located, and identified so that they are readily accessible to employees? 29 CFR 1910.157(c)(1)-(c)(2)

  Yes

  No

  N/A

• Are portable fire extinguishers inspected monthly? [29 CFR 1910.157(e)(2)]

  Yes

  No

  N/A

• Are portable fire extinguishers subjected to an annual maintenance check? [29 CFR 1910.157(e)(3)]

  Yes

  No

  N/A

• When portable fire extinguishers are removed from service for maintenance or recharging is alternate equivalent protection provided? 1910.157(e)(5)

  Yes

  No

  N/A

• Is adequate clearance maintained between stored materials and light fixtures to prevent possible ignition? [NFPA 231]

  Yes

  No

  N/A

• Is the clearance between stored materials and unit heaters, radiant space heaters, furnace ducts, and flues not less than three feet in all directions or in accordance with the clearances shown on the approval agency label? [NFPA 231]

  Yes

  No

  N/A

• Does the facility utilize a fire sprinkler system?

  Yes

  No

  N/A

• Are the facility sprinkler Annual inspections current? 1910.160(b) and [NFPA 25]

  Yes

  No

  N/A

• What is the Date of the last Annual Inspection?

  Date

• Are the facility sprinkler Five Year inspections current? 1910.160(b) and[NFPA 25]

  Yes

  No

  N/A

• What is the Date of the last Five Year Inspection?

  Date

• Does the facility utilize a fire pump?

  Yes

  No

  N/A

• Is the facility Fire Pump Annual Inspection Current? [NFPA 25]

  Yes

  No

  N/A

• What is the date of the last Fire Pump Annual Inspection?

  Date

• Is the vertical clearance between sprinklers and material below at least 18 inches? [29 CFR 1910.159(c)(10)]

  Yes

  No

  N/A

• Do all sprinkler heads in ceilings or walls have properly fitting Escutcheon Rings? [NFPA 13-6.2.7.2, NFPA 25-5.2.1.1.5 and NFPA101]

  Yes

  No

  N/A

• Does the facility utilize a fire alarm system?

  Yes

  No

  N/A

• Are alarms distinctive and recognizable as a signal to evacuate the building or to perform actions designated under the emergency action plan? [29 CFR 1910.165(b)(3)]

  Yes

  No

  N/A

• Can the alarm be perceived above ambient noise or light levels by everyone in the area? [29 CFR 1910.165(b)(2)]

  Yes

  No

  N/A

• Are fire-detection systems that are installed outdoors or in corrosive atmospheres protected from corrosion? [29 CFR 1910.164(d)(1)]

  Yes

  No

  N/A

• Are manually operated actuation devices that are used in conjunction with alarm systems unobstructed, conspicuous, and readily accessible? [29 CFR 1910.165(e)]

  Yes

  No

  N/A

• Is fire-detection equipment protected from any mechanical or physical impact that might render it inoperable? [29 CFR 1910.164(d)(2)]

  Yes

  No

  N/A

• Are all alarm system inspections current?

  Yes

  No

  N/A

• What is the date of the last Fire Alarm System Inspection

  Date

• Are all alarm and fire-detection systems maintained in operating condition except when undergoing repair or maintenance? [29 CFR 1910.164(c)(1) and 1910.165(d)(1)]

  Yes

  No

  N/A

• Are the servicing, maintenance, and testing of fire-detection systems (including cleaning and necessary sensitivity adjustments) performed only by people trained in the operation and function of the system? [29 CFR 1910.164(c)(4)]

  Yes

  No

  N/A

• Does the facility utilize fire doors, shutters, or windows as part of the fire protection system?

  Yes

  No

  N/A

• Are fire doors and shutters maintained and inspected regularly? [NFPA 80 and NFPA 101]

  Yes

  No

  N/A

• What is the date of the last fire doors and shutters Inspection

  Date

• Are fire doors free of alterations that may affect their operation in an emergency? [NFPA 80.5.2.4 and NFPA 101]

  Yes

  No

  N/A

• Are the windows in fire doors of the appropriately rated and approved glass? [NFPA 80 and NFPA 101]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to life safety? Please note any other notable deficiencies.

  Yes

  No

  N/A

Walkways

• Are walkways properly marked? [29 CFR 1910.21 - .30]

  Yes

  No

  N/A

• Are aisles and passageways kept clear and clean? [29 CFR 1910.22 (a)(1)]

  Yes

  No

  N/A

• Are work surfaces kept dry to the extent possible and appropriate means taken to assure the surfaces are slip-resistant (such as utilizing non-slip materials to cover or coat slippery surfaces)? [29 CFR 1910.22 (a)(2)]

  Yes

  No

  N/A

• Is adequate headroom provided for the entire length of each walkway? [29 CFR 1910.36(g)(1)]

  Yes

  No

  N/A

• Are aisles and walkways passing near moving or operating machinery, welding operations, or similar operations arranged to minimize potential hazard exposure? [29 CFR 1910.21 - .30]

  Yes

  No

  N/A

Elevated Surfaces / Mezzanines

• Does this facility have elevated walking surfaces or mezzanines?

  Yes

  No

  N/A

• Are signs posted showing the surface load capacity? [29 CFR 1910.22(d)]

  Yes

  No

  N/A

• Is a permanent means of access and egress provided to elevated storage and work surfaces? [29 CFR 1910.22(c)

  Yes

  No

  N/A

• Do walking and working surfaces have the strength and structural integrity to support people safely? [29 CFR 1926.501(a)(2)]

  Yes

  No

  N/A

• Is the material on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading? [29 CFR 1910.176(b)]

  Yes

  No

  N/A

• Are standard guardrails provided when the walkway surface is elevated more than 30 inches above any adjacent floor or ground? [29 CFR 1910.21(b)(5) and NFPA 101 ]

  Yes

  No

  N/A

Floor and Wall Openings

• Does the facility have any ladder-ways, hatchways, chutes, pits, or manholes?

  Yes

  No

  N/A

• Are all floor openings to stairways, ladder-ways, hatchways, chutes, pits, or manholes guarded by a standard railing or equivalent (on all sides except the entrance) and toe-boards or other protective covers where persons may pass below the opening? [29 CFR 1910.23(a)(1), (2), (3), (5), and (6)] and [29 CFR 1910.23(a)(8)]

  Yes

  No

  N/A

• Are grates or similar type floor covers designed so that foot traffic or rolling equipment will not be affected by their placement? [29 CFR 1910.22(a)(3)]

  Yes

  No

  N/A

• Are portions of pits not actually in use either covered or protected by guardrails or equivalent? [29 CFR 1910.28(b)(3)(i)(A)]

  Yes

  No

  N/A

• Is every floor hole into which a person could not fall (because of fixed machinery, equipment, or walls) protected by a cover that leaves no openings more than 1 inch wide? [29 CFR 1910.23(a)(9)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to walking surfaces? Please note any other notable deficiencies.

  Yes

  No

  N/A

Fixed Stairs

• Does this facility have fixed stairs?

  Yes

  No

  N/A

• Are fixed stairs (rather than ladders or other means of access) provided where access to elevation is necessary on a daily or regular basis? [29 CFR 1910.24(b)]

  Yes

  No

  N/A

• Do fixed stairs have a minimum width of 22 inches? [29 CFR 1910.24(d)]

  Yes

  No

  N/A

• Do stairs angle no more than 50 degrees and no less than 30 degrees? [29 CFR 1910.24(e)]

  Yes

  No

  N/A

• Do fixed stairs have a uniform rise height and tread width throughout the flight of stairs? [29 CFR 1910.24(f)]

  Yes

  No

  N/A

• Are stairs of hollow-pan type treads and landings filled to the top edge of the pan with solid material? [1910.25]

  Yes

  No

  N/A

• Are all treads reasonably slip-resistant with the front protruding edge of the tread of a nonslip finish? [29 CFR 1910.24(f)]

  Yes

  No

  N/A

• Is a vertical clearance above the stair tread to an overhead obstruction that is at least 7 feet measured from the leading edge of the tread? [29 CFR 1910.24(i)]

  Yes

  No

  N/A

• Are standard stair rails or handrails on all stairways with four or more risers and stair platforms? [29 CFR 1910.24(h)]

  Yes

  No

  N/A

• Are handrails located between 30 and 34 inches above the stair treads? [29 CFR 1910.25(b)(1) and 29 CFR 1910.28]

  Yes

  No

  N/A

• Do handrails have at least 3 inches of clearance between the handrail and the wall surface they are mounted on? [1910.28(b)(1)(i)(A)]

  Yes

  No

  N/A

• Are handrails capable of withstanding a load of 200 pounds, applied within 2 inches of the top edge? [29 CFR 1910.25(b)(1) and 29 CFR 1910.28]

  Yes

  No

  N/A

• Where doors or gates open directly on a stairway, is there a platform provided so the swing of the door does not reduce the width of the platform to less than 21 inches? [29 CFR 1910.25(b)(5)]

  Yes

  No

  N/A

• Are stair landing platforms not less than 30 inches in the direction of travel and extending 22 inches in width at every 12 feet or less of vertical rise? [29 CFR 1910.24(g)]

  Yes

  No

  N/A

Ladder Stands

• Does any area of the facility utilize ladder stands?

  Yes

  No

  N/A

• Are mobile ladder stands with more than five steps equipped with handrails? [29 CFR 1910.29(f)(4)(i)]

  Yes

  No

  N/A

• Are the handrails at least 29 inches high? [29 CFR 1910.29(f)(4)(ii)]

  Yes

  No

  N/A

• Is the maximum work level height less than or equal to four times the minimum or least base dimension of the mobile ladder stand? [29 CFR 1910.29(a)(3)(i)]

  Yes

  No

  N/A

• Are all exposed surfaces of mobile ladder stands free from sharp edges, burrs, or other safety hazards? [29 CFR 1910.29(a)(2)(v)]

  Yes

  No

  N/A

• Are the steps of ladder stands fabricated from slip-resistant treads? [29 CFR 1910.29(a)(3)(iv)]

  Yes

  No

  N/A

• Are steps of mobile ladder stands uniformly spaced? [29 CFR 1910.29(f)(3)]

  Yes

  No

  N/A

• Is the minimum step width for ladder stands 16 inches? [29 CFR 1910.29(a)(3)(ii)]

  Yes

  No

  N/A

• Are steps of mobile ladder stands sloped, with a rise that is not less than 9 and not more than 10 inches, and a depth of at least 7 inches?<br>[29 CFR 1910.29(f)(3)]

  Yes

  No

  N/A

• Are at least two of the four casters equipped with a swivel lock to prevent movement? [29 CFR 1910.29(a)(4)(ii)]

  Yes

  No

  N/A

Fixed Ladders

• Are there any fixed ladders at this facility?

  Yes

  No

  N/A

• Are all fixed ladders inspected regularly and maintained in a safe condition? [29 CFR 1910.27(f)]

  Yes

  No

  N/A

• Are metal ladders painted or treated to protect them from corrosion and rusting when location demands? [29 CFR 1910.27(b)(7)(i)]

  Yes

  No

  N/A

• Are the side rails of ladders extended at least 3-1/2 feet above the landing? [29 CFR 1910.27(d)(3)]

  Yes

  No

  N/A

• Do side rails that might be used as a climbing aid provide adequate gripping surface without sharp edges, splinters, or burrs? [29 CFR 1910.27(b)(2)]

  Yes

  No

  N/A

• Are the rungs of metal ladders at least three-fourths of one inch in diameter? [29 CFR 1910.27(b)(1)(i)]

  Yes

  No

  N/A

• Is the distance between rungs 12 inches or less and uniform throughout the length of the ladder? [29 CFR 1910.27(b)(1)(ii)]

  Yes

  No

  N/A

• Is the perpendicular distance from the center line of the rungs to the nearest permanent object on the climbing side of the ladder 36 inches for a pitch of 76o and 30 inches for a pitch of 90o? [29 CFR 1910.27(c)(1)]

  Yes

  No

  N/A

• Is the distance from the center line of the rung, cleat, or step to the nearest permanent object behind the ladder at least 7 inches? [29 CFR 1910.27(c)(4)]

  Yes

  No

  N/A

• Is the minimum clear length of rungs or cleats at least 16 inches? [29 CFR 1910.27(b)(1)(iii)]

  Yes

  No

  N/A

• Is the step-across distance from the nearest edge of the ladder to the nearest edge of the equipment or structure not more than 12 inches and not less than 2-1/2 inches? [29 CFR 1910.27(c)(6)]

  Yes

  No

  N/A

• Are the rungs of ladders designed so that the foot cannot slip off the end? [29 CFR 1910.27(b)(1)(v)]

  Yes

  No

  N/A

• Are the rungs, cleats, and steps free of splinters, sharp edges, burrs, or other projections that are hazards? [29 CFR 1910.27(b)(1)(iv)]

  Yes

  No

  N/A

• Are rungs kept free of grease and oil? [29 CFR 1910.25(d)(1)(xi)]

  Yes

  No

  N/A

Portable Ladders

• Are portable ladders used or stored at this facility?

  Yes

  No

  N/A

• Do portable ladders have nonconducting side rails when they could contact exposed, energized parts? [29 CFR 1910.333(c)(7)]

  Yes

  No

  N/A

• Are the rungs and steps of portable metal ladders corrugated, knurled, dimpled, coated with skid-resistant material, or otherwise treated to minimize slipping? [29 CFR 1926.1053(a)(6)(ii)]

  Yes

  No

  N/A

• Are ladder rungs, cleats, and steps parallel, level, and uniformly spaced when the ladder is in position for use? [29 CFR 1926.1053(a)(2)]

  Yes

  No

  N/A

• Are rungs, cleats, and steps of step stools at least 8 but not more than 12 inches apart (as measured between center lines of the rungs,<br>cleats, and steps)? [29 CFR 1926.1053(a)(3)(ii)]

  Yes

  No

  N/A

• Are rungs, cleats, and steps of portable ladders (other than step stools and extension trestle ladders) spaced at least 10 but not more than 14 inches apart (as measured between center lines of the rungs, cleats, and steps)? [29 CFR 1926.1053(a)(3)(i)]

  Yes

  No

  N/A

• Is the clear distance between side rails for all portable ladders at least 11-1/2 inches? [29 CFR 1926.1053(a)(4)(ii)]

  Yes

  No

  N/A

• Are ladders maintained free of oil, grease, and other slipping hazards? [29 CFR 1926.1053(b)(2)]

  Yes

  No

  N/A

• Is a metal spreader or locking device in good working condition provided on each stepladder to hold the front and back sections in an open position when the ladder is being used? [29 CFR 1926.1053(a)(8)]

  Yes

  No

  N/A

• Are ladders with broken, missing steps, rungs, or cleats, broken side rails, or faulty equipment removed from service? [29 CFR 1910.23(b)(10), 29 CFR 1910.145, and 29 CFR 1910.22(d)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to ladders or stairs? Please note any other notable deficiencies.

  Yes

  No

  N/A

General

• Is PPE currently or regularly required in any area of this facility?

  Yes

  No

  N/A

• Are all entrances to areas or access points to equipment requiring the use of PPE devices posted with a sign indicating this requirement? [29 CFR 1910.145(c)(3)]

  Yes

  No

  N/A

• Are employees trained in the use, limitations, maintenance, storage, and inspection requirements of PPE? [29 CFR 1910.1030 and 1910.132(f)(1)]

  Yes

  No

  N/A

• If PPE is necessary to prevent injury or impairment by exposure to chemical hazards, radiological hazards, or mechanical irritants through absorption, inhalation, or physical contact, is it provided? [29 CFR 1910.132(a) and 1926.95(a)]

  Yes

  No

  N/A

• Are employees who work in areas where electrical hazards exist provided with and required to use protective equipment that is appropriate for the body parts to be protected and the work to be performed? [29 CFR 1910.335(a)(1)(i)]

  Yes

  No

  N/A

• Is the protective equipment maintained in good working condition, in a sanitary and reliable condition, and periodically inspected or tested? [29 CFR 1910.335(a)(1)(ii),29 CFR 1910.132(a), and 1926.95(a) and (b)]

  Yes

  No

  N/A

• Are appropriate procedures in place for disposing of or decontaminating PPE? [29 CFR 1910.1030]

  Yes

  No

  N/A

• Does the facility have work areas where the use of dust masks or respirators is required?

  Yes

  No

  N/A

• Has a worksite-specific, written respiratory protection program been developed, updated as<br>necessary? [1910.134(c)(1)]

  Yes

  No

  N/A

• Are filtering face piece respirators (dust masks) which are clean and uncontaminated provided to the employee ? [29 CFR 1910.134(c)(2)]

  Yes

  No

  N/A

• Have NIOSH-approved respirators appropriate for workplace hazards and exposures been offered in a sufficient number of models and sizes to fit the user? 1910.134 (d)(1)

  Yes

  No

  N/A

• Have employees been given a fit test prior to wearing the respirator for the first time and at least annually thereafter? 1910.134(f)(1) & (f)(2)

  Yes

  No

  N/A

• Prior to being fit tested or required to wear a respirator, has the employee been provided with a medical evaluation to determine fitness to wear a respirator? 1910.134(e)(1)

  Yes

  No

  N/A

• Have respirators, training, and medical evaluations been provided at no cost for employees required to wear respiratory protection? 1910.134 (c)(4)

  Yes

  No

  N/A

• Is training provided at least annually and when changes are made in the work area or if employees appear to need retraining? 1910.134(k)(5)

  Yes

  No

  N/A

• Are records of medical evaluations and fit tests retained? 1910.134(m)

  Yes

  No

  N/A

• Where a respirator is used, is the design of the respirator such that it does not interfere with the individual's ability to work safely? [29 CFR 1910.134(c)(2)]

  Yes

  No

  N/A

• Are respirators stored so as to be protected from damage, contamination, dust, sunlight, extreme temperatures, excessive moisture, or damaging chemicals? [29 CFR 1910.134(h)(2)(i)]

  Yes

  No

  N/A

• Are respirators which are issued for the exclusive use of an individual cleaned and disinfected as often as necessary to be maintained in a sanitary condition?[29 CFR 1910.134(h)(1)(i)]

  Yes

  No

  N/A

• Are respirators which are issued to more than one individual cleaned and disinfected before being worn by different individuals? [29 CFR 1910.134(h)(1)(ii)]

  Yes

  No

  N/A

• Are there areas of this facility where eye-protective devices such as safety glasses, face shields, or welding shields are regularly worn or required?

  Yes

  No

  N/A

• Are individuals issued and required to wear appropriate eye or face protection while participating or observing activities that present a potential eye safety hazard or when otherwise exposed to eye or face hazards from flying particles, molten metal, liquid chemicals, acids or caustic liquids, chemical gases or vapors, or potentially injurious light radiation? [29 CFR 1910.133(a) and 1926.102(a) and ANSI Z87.1-2010 ]

  Yes

  No

  N/A

• Does protective eye equipment used in areas, where hazards from flying objects occur, have side shields? (clip-on, affixed or slide-on side shields) 1910.133(a)(2)

  Yes

  No

  N/A

• Are welding shields available to employees who weld, braze, solder, or use a torch for cutting? [29 CFR 1910.133(a)5

  Yes

  No

  N/A

• Are there any areas of this facility where specialized or protective apparel such as gloves, aprons, or shields are required?

  Yes

  No

  N/A

• Are protective gloves, aprons, shields, or other means provided where employees could be cut or where there is reasonably anticipated exposure to; harmful substances, severe cuts or lacerations, severe abrasions, punctures, chemical burns, thermal burns, and harmful temperature extremes, or other potentially injurious materials? [29 CFR 1910.1030(b), 29 CFR 1910.132, 29 CFR 1910.133, 29 CFR 1910.135, 29 CFR 1910.136, 29 CFR 1910.137 and 29 CFR 1910.138]

  Yes

  No

  N/A

• Are protective helmets used wherever there is the possible danger of head injury from impact, or from falling or flying objects, or from electrical shock and burns? [29 CFR 1910.132(a), 1910.135(a), 1926.95(a),

  Yes

  No

  N/A

• Are hard hats inspected periodically for damage to the shell and suspension system? [29 CFR 1910.135, ANSI Z89.1-2009]

  Yes

  No

  N/A

• Is protective footwear used wherever there is the danger of foot injuries due to falling or rolling objects, or objects piercing the sole, and where feet are exposed to electrical hazards? [29 CFR 1910.136(a)]

  Yes

  No

  N/A

• Is appropriate foot protection provided as required? [29 CFR 1910.136 ANSI Z41.1-1999 ]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to personal protective equipment (PPE)? Please note any other notable deficiencies.

  Yes

  No

  N/A

Policy and Procedure

• Does the employer have an Energy Control Program requiring all hazardous energy sources to be de-energized, disengaged, blocked, or locked-out during cleaning, servicing, adjusting, setting-up operations, or any time that the employee can be exposed to the unexpected re-energizing, startup, or release of hazardous energy? [29 CFR 1910.147 and 29 CFR 1910.333]

  Yes

  No

  N/A

• Does the employer have and utilize procedures for control of hazardous energy with specific requirements for securing machines, placement, transfer, and removal of lockout devices, and testing locked machinery? [1910.147(c)(4)]

  Yes

  No

  N/A

• Are periodic reviews to assure compliance with the program conducted and certified? [1910.147(c)(6)]

  Yes

  No

  N/A

• Is it required that only the employee exposed to the hazard place or remove the safety lock? [29 CFR 1910.147(c)(5)(iii) and 29 CFR 1910.147 App A (5)]

  Yes

  No

  N/A

• Are all energy-isolating devices operated only by authorized persons or under the direct supervision of an authorized person? [29 CFR 1910.147(c)(8)]

  Yes

  No

  N/A

• Are locks and tags placed on each disconnecting means used to de-energize circuits?<br>[1910.333(b)(2)(iii)(A)]

  Yes

  No

  N/A

• Are employees required to keep personal control of their key(s) while they have safety locks in use? [29 CFR 1910.147]

  Yes

  No

  N/A

• If a lock cannot be applied, is the disconnecting means tagged and at least one additional safety measure taken? [1910.333(b)(2)(iii)(D)]

  Yes

  No

  N/A

Protective Materials and Hardware

• Are locks, tags, chains, adapter pins, or other hardware stored or issued from this facility?

  Yes

  No

  N/A

• Are locks, tags, chains, adapter pins, or other hardware that is durable, standardized,<br>substantial, and identifiable provided by the employer and available for securing or blocking energy sources? [29 CFR 1910.147(c)(5)(i)]

  Yes

  No

  N/A

• Are these devices durable and substantial? [29 CFR 1910.147(c)(5)(ii)(A)]

  Yes

  No

  N/A

• Are these devices standardized in either color, shape, size, or format? [29 CFR 1910.147(c)(5)(ii)(B)]

  Yes

  No

  N/A

• Do these devices have a provision for identifying the person applying the device? [29 CFR 1910.147(c)(5)(ii)(D)]

  Yes

  No

  N/A

• Do tag-out devices or danger tags warn against hazardous conditions if the equipment is re-energized? [29 CFR 1910.147(c)(5)(iii)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to the control of hazardous energy? Please note any other notable deficiencies.

  Yes

  No

  N/A

Fixed or Portable Compressors

• Are air compressors utilized at this facility?

  Yes

  No

  N/A

• Do all new and existing air compressor tanks installed after 1971 meet applicable design codes? [29 CFR 1910.169(a)(2)]

  Yes

  No

  N/A

• Note: Equipment purchased from reputable dealers can be assumed to meet applicable codes if the equipment was designed as an air receiver; otherwise, the product literature will have to be consulted. The tank should have an American Society of Mechanical Engineers (ASME) label.

• Are air compressor tanks installed above ground and in an accessible location? [29 CFR 1910.169(b)(1)]

  Yes

  No

  N/A

• Are safety valves located and installed so that they cannot easily be made inoperative by any means, including the elements? [29 CFR 1910.169(b)(3)(iii)]

  Yes

  No

  N/A

• Are safety valves tested frequently and at regular intervals to determine whether they are in good condition? [29 CFR 1910.169(b)(3)(iv)

  Yes

  No

  N/A

• Is the design such that no valve is located between the air compressor tank and the safety valve(s)? [29 CFR 1910.169(b)(3)(ii)]

  Yes

  No

  N/A

• Is every air compressor tank equipped with a readily visible pressure gauge and with one or more spring-loaded safety valves? [29 CFR 1910.169(b)(3)]

  Yes

  No

  N/A

• Are compressor air intakes installed and equipped to ensure only clean uncontaminated air enters? [29 CFR 1910.169]

  Yes

  No

  N/A

• Is a drainpipe and valve installed at the lowest point of every air compressor tank so accumulated oil and water can be removed? [29 CFR 1910.169(b)(2)]

  Yes

  No

  N/A

• Are air compressor tanks installed such that all drains, hand holes, and manholes are easily accessible? [29 CFR 1910.169(b)(1)]

  Yes

  No

  N/A

• Are all belt drive systems totally enclosed? [29CFR 1910.219(e)(3)(i)]

  Yes

  No

  N/A

• Are signs posted warning of the automatic starting feature of the compressors? [29 CFR 1910.169]

  Yes

  No

  N/A

• When compressed air is used with abrasive blast cleaning equipment, is the opening valve a type that must be held open manually? [CFR 1910.244(b)]

  Yes

  No

  N/A

• Is it strictly prohibited to direct compressed air toward a person? [29 CFR 1910.242(b)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to air compressors? Please note any other notable deficiencies.

  Yes

  No

  N/A

Storage

• Are compressed gas cylinders stored at this facility?

  Yes

  No

  N/A

• Are cylinders stored in upright positions and immobilized by chains or other means to prevent them from being knocked over? [CGA 3.4.4 and 29 CFR 1910.101(b)]

  Yes

  No

  N/A

• Are all compressed gas cylinder valve covers in place when cylinders are not in use? [29 CFR 1910.101(b)]

  Yes

  No

  N/A

• Are cylinders stored away from electrical connections, gas flames, or other sources of ignition, and substances such as flammable solvents and combustible waste material? [29 CFR 1910.253(b)(2)(i)]

  Yes

  No

  N/A

• Are cylinders always maintained at temperatures below 125ºF? [29 CFR 1910.101]

  Yes

  No

  N/A

• Are all compressed gas cylinders stored so they do not interfere with exit paths? [29 CFR 1910.101(b)]

  Yes

  No

  N/A

• Are cylinders located or stored in areas where they will not be damaged by passing or falling objects or tampered with by unauthorized persons? [29 CFR 1910.253(b)(2)(ii)]

  Yes

  No

  N/A

• Are compressed gas cylinders always moved, even short distances, by a suitable hand truck to prevent them from creating a hazard by slipping, falling, or rolling? [29 CFR 1910.253]

  Yes

  No

  N/A

Cylinders

• Are compressed gas cylinders of any type used at this facility?

  Yes

  No

  N/A

• Do all compressed gas cylinders have their contents and precautionary labeling clearly marked on their exteriors? [29 CFR 1910.101(b)]

  Yes

  No

  N/A

• Are in-service cylinders adequately supported to prevent them from falling over? [29 CFR 1910.253(b)(2)(ii)]

  Yes

  No

  N/A

• Are cylinder valves closed at all times, except when the valve is in use? [29 CFR 1910.253(b)]

  Yes

  No

  N/A

• Are cylinders with a water capacity of over 30 pounds equipped with means for connecting a valve protector device, or with a collar or recess to protect the valve? [29 CFR 1910.253(b)(1)(i) and 49 CFR Parts 171-179]

  Yes

  No

  N/A

• Do all compressed gas cylinders have safety pressure relief valves? [29 CFR 1910.101(c)]

  Yes

  No

  N/A

• Are cylinders maintained with current hydro inspection dates? [29 CFR 1910.1200]

  Yes

  No

  N/A

• Are all compressed gas cylinder connections such as pressure regulators, manifolds, hoses, gauges, and relief valves checked for integrity and tightness? [29 CFR 1910.101(a)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to compressed gas cylinders? Please note any other notable deficiencies.

  Yes

  No

  N/A

• Are there areas of this facility where flammable or combustible liquids or materials are used or stored?

  Yes

  No

  N/A

• Is storage of flammable and combustible liquids limited to that required for current activities and maintenance? [NFPA 30]

  Yes

  No

  N/A

• Are only approved containers used for storing flammable or combustible liquids? [29 CFR 1910.106(d)(2)(i)]

  Yes

  No

  N/A

• Are flammable and combustible liquids stored in their original container or in an approved safety can? [NFPA 30]

  Yes

  No

  N/A

• Are containers of flammable and combustible liquids closed when not in use? [29 CFR 1910.106(e)(2)(ii) and 29 CFR 1926.152(f)(1)]

  Yes

  No

  N/A

• Outside of approved cabinets or storage rooms, are containers of Class I liquids limited to a capacity of one gallon, or two gallons, if safety cans are used? [NFPA 30: 4-5.5.2]

  Yes

  No

  N/A

• Are fewer than 10 gallons of Class I and Class II liquids stored outside of an approved storage cabinet or interior storage room (except in safety cans)? [NFPA 30 4-5.5.3]

  Yes

  No

  N/A

• Are fewer than 25 gallons of flammable liquids stored in safety cans outside of an approved storage cabinet or interior storage room? [NFPA 30: 4-5.5.4 and 29 CFR 1926.152(b)(1)]

  Yes

  No

  N/A

• Are no more than 60 gallons of Category 1, 2, or 3 flammable liquids, or more than 120 gallons of Category 4 flammable liquids stored in a storage cabinet? 29 CFR 1910.106(d)(3)(i)

  Yes

  No

  N/A

• Are power shut-off controls for fuel pumps remotely located, clearly identified, and readily accessible? 1910.106(g)(3)(iii)

  Yes

  No

  N/A

• Are bulk drums of flammable liquids grounded and bonded to containers during dispensing? [29 CFR 1910.106(e)(6)(ii)]

  Yes

  No

  N/A

• Are portable fire extinguishers available at locations where flammable or combustible liquids are stored? [29 CFR 1910.106(d)(7) and (g)(9) and 29 CFR 1926.152(d)(1)]

  Yes

  No

  N/A

• Are storage areas for flammable or combustible liquids kept free from combustible materials? [29 CFR 1910.106(d)(iv)]

  Yes

  No

  N/A

• Do flammable liquid storage cabinets meet applicable design and construction requirements? 29 CFR 1910.106(d)(3)(ii)-(d)(3)(ii)(b)

  Yes

  No

  N/A

• Are metal cabinets constructed so that the top, sides, and door are at least #18 gauge sheet iron and double-spaced wall with 1-1/2 inch air space? [29 CFR 1910.106(d)(3)(ii)(a)]

  Yes

  No

  N/A

• Are all cabinets labeled in conspicuous lettering? [29 CFR 1910.106(d)(3)(ii) and 29 CFR 1926.152(b)(2)(iii)]

  Yes

  No

  N/A

• Are no more than three (3) cabinets located in one fire area? [NFPA 30]

  Yes

  No

  N/A

• Are cabinet vents sealed unless vented to the outdoors? [NFPA 30]

  Yes

  No

  N/A

• Is the door provided with a three-point lock and a sill raised at least 2 inches above the bottom of the cabinet? [29 CFR 1910.106(d)(3)(ii)(a)]

  Yes

  No

  N/A

• Are spills of flammable or combustible liquids cleaned up promptly? [29 CFR 1910.120(a)(2)(i)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to flammable or combustible liquids or materials? Please note any other notable deficiencies.

  Yes

  No

  N/A

Hazardous Chemicals

• Are there any hazardous chemicals, compounds, or other substances in use or stored at this facility?

  Yes

  No

  N/A

• Do you have a written hazard communication program dealing with Material Safety Data Sheets (MSDSs), labeling, employee training, etc., that meets the OSHA standard? [29 CFR 1910.1200(e)(1)]

  Yes

  No

  N/A

• Are employees informed and trained on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard is introduced into their work area? [29 CFR 1910.1450(f) and 1910.1200(h)]

  Yes

  No

  N/A

• Has a list of known hazardous chemicals at the facility been prepared? [29 CFR 1910.1200(e)(1)(i)]

  Yes

  No

  N/A

• Are safety data sheets on hand and readily accessible for each of the hazardous chemicals used and identified on the hazardous chemicals list? [29 CFR 1910.1200(g)(1)]

  Yes

  No

  N/A

• Are adequate means readily available for containing spills or overflows properly and safely? [29 CFR 1910.106 (e)(2)(iii)] and [Uniform Fire Code - Division IV, Section 80.402 (b)(2)(F)]

  Yes

  No

  N/A

• Are all containers of hazardous chemicals in the workplace labeled, tagged, or marked with the appropriate information? [29 CFR 1910.1200(f)(1)]

  Yes

  No

  N/A

• The identity of the hazardous chemical(s)?

  Yes

  No

  N/A

• The name and address of the chemical manufacturer, importer, or other responsible parties?

  Yes

  No

  N/A

• The appropriate hazard warning (communication of the specific health hazards and physical hazards)?

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to hazardous chemicals? Please note any other notable deficiencies.

  Yes

  No

  N/A

General Requirements

• Does each outlet box have a cover, face plate, or fixture canopy? [29 CFR 1910.305(b)(2) and 1926.405(b)(2)]

  Yes

  No

  N/A

• Are all pull boxes, junction boxes, and fittings provided with covers approved for the purpose?[1910.305(b)(2)(i)]

  Yes

  No

  N/A

• Are all unused openings in cabinets, junction boxes, and fittings effectively closed? [29 CFR 1910.305(b)(1) and 1926.405(b)(1)]

  Yes

  No

  N/A

• Is all electrical equipment free from recognized hazards that are likely to cause death or serious physical harm? [29 CFR 1910.303(b)(1) and 1926.403(b)(1)]

  Yes

  No

  N/A

• Are access and working space around electrical equipment sufficient to provide ready and safe operation and maintenance? [29 CFR 1910.303(g)(1) and 1926.403(i)(1)]

  Yes

  No

  N/A

• Is illumination provided for all working spaces around service equipment, switchboards, panel boards, and motor control centers installed indoors? [29 CFR 1910.303(g)(1)(v)]

  Yes

  No

  N/A

• In areas where electrical equipment may be exposed to physical damage, are the enclosures or guards arranged and of such strength to prevent such damage? [29 CFR 1910.303(g)(2)(ii) and 1926.403(i)(2)(ii)]

  Yes

  No

  N/A

• Are exposed live electrical parts operating at 50 volts or more guarded against accidental contact by approved cabinets or enclosures, by location, or by limiting access to qualified persons? [1910.303(g)(2)(i)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to general electrical requirements? Please note any other notable deficiencies.

  Yes

  No

  N/A

Wiring and Connections

• Are all devices connected with a permanent power supply or connected with or to temporary wiring connections for the shorter of a period no longer than 90 days or completion of construction or repair requiring such a connection? 29 [CFR1910.305(a)(2)(i)(B) / NFPA 70 Section 590.3 (B)

  Yes

  No

  N/A

• Are only approved conductors and equipment used for electrical installations? [29 CFR 1910.303(a) and 1926.403(a)]

  Yes

  No

  N/A

• Are flexible cords and cables protected from damage? [29 CFR 1910.305(a)(2)(iii)(G) and 1926.405(a)(2)(ii)(I)]

  Yes

  No

  N/A

• Are flexible cords used only in continuous lengths without splices or tap? [29 CFR 1910.305(g)(2)(ii) and 1926.405(g)(2)(iii)]

  Yes

  No

  N/A

• Are flexible cords connected to devices and fittings, so strain relief is provided to prevent pull from being directly transmitted to joints or terminal screws? [29 CFR 1910.305(g)(2)(iii) and 1926.405(g)(2)(iv)]

  Yes

  No

  N/A

• Are conductors entering boxes, cabinets, or fittings protected from abrasion? [29 CFR 1910.305(b)(1) and 1926.405(b)(1)]

  Yes

  No

  N/A

• Do all extension cords on site have a grounding conductor?

  Yes

  No

  N/A

• Are exposed wiring and cords with frayed or deteriorated insulation repaired/replaced promptly?

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to electrical wiring or connections? Please note any other notable deficiencies.

  Yes

  No

  N/A

Disconnecting Means and Circuits

• Are overcurrent devices readily accessible to all authorized personnel? [29 CFR 1910.304(e)(1)(iv) and 1926.404(e)(1)(iv)]

  Yes

  No

  N/A

• Is each service, feeder, and branch circuit at its disconnecting means or overcurrent device (Breaker / Fuse) legibly marked to indicate its purpose, unless located and arranged so the purpose is evident? [29 CFR 1910.303(f) and 1926.403(h)]

  Yes

  No

  N/A

• Are fuses and circuit breakers located or shielded so that people will not be burned or otherwise injured by their operation? [29 CFR 1910.304(e)(1)(v) and 1926.404(e)(1)(v)]

  Yes

  No

  N/A

• Are the overcurrent devices located so that they will not be exposed to physical damage nor located near easily ignitable material? [29 CFR 1910.304 and 1926.404]

  Yes

  No

  N/A

• Are circuit breakers clearly indicated whether they are in the open (off) or closed (on) position? [29 CFR 1910.304(e)(1)(vi)(A) and 926.404(e)(1)(vi)(A)]

  Yes

  No

  N/A

• When circuit breaker handles on switchboards are operated vertically rather than horizontally or rotationally, is the up position the closed (on) position? [29 CFR 1910.304(e)(1)(vi)(B) and 1926.404(e)(1)(vi)(B)]

  Yes

  No

  N/A

• Are single-throw knife switches connected so that the blades are dead when the switch is in the open position? [29 CFR 1910.305(c)(1) and 1926.405(c)]

  Yes

  No

  N/A

• Are single-throw knife switches placed so that gravity will not cause them to close? [29 CFR 1910.305(c)(1) and 1926.405(c)]

  Yes

  No

  N/A

• Is each motor disconnecting switch or circuit breaker located within sight of the motor control device?

  Yes

  No

  N/A

• Is each disconnecting means for motors and appliances legibly marked to indicate its purpose, unless located and arranged so the purpose is evident? [29 CFR 1910.303(f) and 1926.403(h)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to electrical disconnecting means or circuits? Please note any other notable deficiencies.

  Yes

  No

  N/A

Spray Booth

• Are spraying operations conducted at this facility?

  Yes

  No

  N/A

• Are spray booths substantially constructed with securely and rigidly supported steel, concrete, or masonry? [29 CFR 1910.107(b)(1)]

  Yes

  No

  N/A

• Are floor and baffle plates in spray booths constructed of noncombustible material? [29 CFR 1910.94(c)(3)(iii)]

  Yes

  No

  N/A

• Do all spray booths have independent exhaust stacks to the outside? [29 CFR 1910.107(d)(3)]

  Yes

  No

  N/A

• Are exhaust ventilation systems well-constructed and in good working order? [29 CFR 1910.94(a)(5),(6),(7)]

  Yes

  No

  N/A

• Is the spray area at least 20 feet from flames, sparks, operating electrical motors, and other ignition sources? [29 CFR 1910.107(c)(2)]

  Yes

  No

  N/A

• Are spraying operations and booths separated from other operations by at least three feet or a partition or wall to reduce the hazard? [29 CFR 1910.107(b)(8)]

  Yes

  No

  N/A

• Are spray booths installed so that all portions are readily accessible for cleaning? [NFPA 1 and 33]

  Yes

  No

  N/A

• Are spray booth interiors smooth and continuous, without edges, and designed to prevent accumulation of residues? [29 CFR 1910.107(b)(2)]

  Yes

  No

  N/A

• Are spray booth interiors kept clean of combustible residue and free from accumulated deposits? [29 CFR 1910.107(b)(2) and (g)(2)]?

  Yes

  No

  N/A

• Are residue scrapings and debris immediately removed from the premises and disposed of properly? [29 CFR 1910.107(g)(3)]

  Yes

  No

  N/A

• Are tools used for scraping residues and debris non-sparking? [29 CFR 1910.107(g)(2)]

  Yes

  No

  N/A

• Do solvents used for cleaning have a flash point of 100 degrees F. or more? [29 CFR 1910.107(g)(5)]

  Yes

  No

  N/A

• Is at least 3 feet on all sides of a spray booth maintained free of any stored combustible materials? [NFPA 33]

  Yes

  No

  N/A

• Are fire control sprinkler heads kept clean and free of accumulated deposits? [29 CFR 1910.107(f)(3)]

  Yes

  No

  N/A

• Is adequate ventilation assured before spray operations are started? [29 CFR 1910.107(d)(2)]

  Yes

  No

  N/A

• Are spray booths completely ventilated before using drying apparatus? [29 CFR 1910.107(j)(3)(i)]

  Yes

  No

  N/A

• When mechanical ventilation is provided during spraying operations, does it properly vent contaminated air? [29 CFR 1910.107(d)(3)]

  Yes

  No

  N/A

• Is approved respiratory equipment provided and used during spraying operations? [29 CFR 1910.134(a)(2)]

  Yes

  No

  N/A

• Are portable lamps used to illuminate spray areas suitable for use in hazardous locations? [29 CFR 1910.107(c)(8)]

  Yes

  No

  N/A

• Are hot surfaces such as space heaters, appliances, and steam pipes located away from spray-finishing operations? [29 CFR 1910.107(c)(3)]

  Yes

  No

  N/A

• Is the infrared drying apparatus kept out of the spray area during spraying operations? [29 CFR 1910.107(j)(4)(ii)]

  Yes

  No

  N/A

• Is electric drying equipment properly grounded? [29 CFR1910.107(j)(4)(iv)]

  Yes

  No

  N/A

• Is an adequate supply of portable fire extinguishers near all spraying areas? [29 CFR 1910.107(f)(4)]

  Yes

  No

  N/A

• Are “No Smoking” signs conspicuously posted at all paint spraying areas and paint storage rooms? 1910.107(g)(7)

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to spraying operations? Please note any other notable deficiencies.

  Yes

  No

  N/A

General

• Are there any areas of the facility where noise levels exceed a time-weighted average of 85 decibels or more? [29 CFR 1910.95(c)(2)]

  Yes

  No

  N/A

• Are noise levels being measured with a dosimeter or an octave band analyzer and records being kept? [29 CFR 1910.95(m)(1)]

  Yes

  No

  N/A

• Is there an ongoing preventive health program to educate employees on safe levels of noise exposures, effects of noise on their health, and the use of personal protective equipment? [29-CFR 1910.95(k)(2)]

  Yes

  No

  N/A

• Are engineering controls being used to reduce excessive noise levels? [29 CFR 1926.95 and 29 CFR 1910.95]

  Yes

  No

  N/A

• Where engineering controls are determined to be not feasible, are administrative controls (i.e., worker rotation) being used to minimize individual employee exposure to noise? [29 CFR 1926.95 and 29 CFR 1910.95]

  Yes

  No

  N/A

• Is approved hearing protection equipment (noise attenuating devices) available to every employee working in noisy areas? [29 CFR 1910.95(i)(1)]

  Yes

  No

  N/A

• Are employees properly fitted and instructed in the use of hearing protectors? [29 CFR 1910.95(g)(8)(ii)(A)

  Yes

  No

  N/A

• Are employees in high noise areas given periodic audiometric testing to ensure effective hearing protection systems are in place? [29 CFR 1910.95(g)(1)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to noise protection? Please note any other notable deficiencies.

  Yes

  No

  N/A

Powered Industrial Trucks

• Does this facility utilize any powered industrial truck (forklifts, tractors, platform lift trucks, motorized hand trucks, tow motors, or other specialized industrial trucks powered by electric motors or internal combustion engines? [29 CFR 1910.178 and ANSI B56.1-1969]

  Yes

  No

  N/A

• Are only trained and certified drivers permitted to operate powered industrial trucks? Has training and evaluation been conducted by a person with the training knowledge and experience to evaluate the operators' competence? 1910.178(l)

  Yes

  No

  N/A

• Are unauthorized personnel prohibited from riding as a passenger on powered industrial trucks or only allowed when provided a safe place to ride? [1910.178(m)(3)]

  Yes

  No

  N/A

• Are industrial trucks, motorized vehicles, and mechanized equipment inspected by the operator prior to each shift? [29 CFR 1910.178(m)(2)]

  Yes

  No

  N/A

• Are brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded? [29 CFR 1910.178]

  Yes

  No

  N/A

• Does the industrial truck's parking brake effectively prevent the vehicle from moving when unattended? [29 CFR 1910.178]

  Yes

  No

  N/A

• Do industrial trucks have warning horns or other devices that can be clearly heard above normal noise in the areas where they are operated?

  Yes

  No

  N/A

• Are all forklifts and other powered industrial trucks removed from service when not in safe operating condition? 1910.178(q)(1)

  Yes

  No

  N/A

• Are unattended industrial trucks shut off, loads lowered, and brakes set? [29 CFR 1910.178(m)(5)(i)]

  Yes

  No

  N/A

• Are the drive motors shut off and are brakes applied when any motorized hand and hand/rider trucks control grip is released? [29 CFR 1910.178]

  Yes

  No

  N/A

• Are all hand trucks maintained in safe operating condition? [29 CFR 1910.176,178]

  Yes

  No

  N/A

• Are all nameplates and markings in place and maintained in a legible condition? [29 CFR 1910.178(a)(6)]

  Yes

  No

  N/A

Loading / Unloading

• Does the facility receive bulk materials or other deliveries that require the use of bridging devices (dock boards, dock plates, bridge plates, etc)?

  Yes

  No

  N/A

• Are dock boards (bridge plates) used when loading or unloading operations are taking place between vehicles and docks? [29 CFR 1910.178(j) and 29 CFR 1910.178(j) Sub-Part D]

  Yes

  No

  N/A

• Are dock plates and loading ramps constructed and maintained with sufficient strength to support any imposed loading? [29 CFR 1910.178(j) and 29 CFR 1910.178(j) Sub-Part D]

  Yes

  No

  N/A

Material Storage

• Does this facility store materials on racks or shelves, or in other places designated for storage?

  Yes

  No

  N/A

• Are shelves secured to prevent tipping or falling? [29 CFR 1910.176(b)]

  Yes

  No

  N/A

• Are stacked materials interlaced to prevent sliding or tipping? [29 CFR 1926.250(a)(1) and 29 CFR 1910.176(b)]

  Yes

  No

  N/A

• Is material stored so as not to create a hazard? [29 CFR 1910.176(b)]

  Yes

  No

  N/A

• Are aisles properly marked and kept clear? [29 CFR 1910.176(a)]

  Yes

  No

  N/A

• Is there safe clearance for equipment through all aisles and doorways? [29 CFR 1910.176(a)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to material handling? Please note any other notable deficiencies.

  Yes

  No

  N/A

Jacks and Hoists

• Does this facility utilize jacks, hoists, or other lifting equipment?

  Yes

  No

  N/A

• Are jacks checked periodically to ensure they are in good operating condition? [29 CFR 1910.244(a)(2)(vi)]

  Yes

  No

  N/A

• Do jacks in use have a rating sufficient to lift and sustain the loads? [29 CFR 1910.244(a)(1)(i)]

  Yes

  No

  N/A

• Is the rated load legibly and permanently marked in a prominent location on the jack by casting, stamping, or other suitable means? [29 CFR 1910.244(a)(1)(ii) and 1926.305(a)(1)]

  Yes

  No

  N/A

• Do all jacks have a positive stop to prevent over-travel? [29 CFR 1926.305(a)(2)]

  Yes

  No

  N/A

• Are only employees who have been trained in the proper use of hoists allowed to use them? [13 NCAC 07F .0609(f)(g)1], [CFR 1910.179] and [29 CFR 1926, Subpart N]

  Yes

  No

  N/A

• Is hoisting equipment available and used for lifting heavy objects, and are hoist ratings and characteristics appropriate for the task? [29 CFR 1910.179]

  Yes

  No

  N/A

• Is the safe working load of an overhead hoist, as determined by the manufacturer, indicated on the hoist? [29 CFR 1926.554(a)(1)], [1910.179(b)(5)], and [ANSI/ASME B30.2 (2005)]

  Yes

  No

  N/A

• Will each hoist automatically stop and hold any load up to 125 percent of its rated load if its actuating force is removed? [1910.179(f)(2)(i)(a)] and [ANSI/ASME B30.2 (2005)]

  Yes

  No

  N/A

• Are all hoist chains or ropes of sufficient length to handle the full range of movement of the application while still maintaining two full wraps on the drum at all times? 29 CFR 1910.179(h)(2)(iii)(a)]

  Yes

  No

  N/A

• Is each overhead electric hoist equipped with a limit device to stop the hook travel at its highest and lowest point of safe travel? [29 CFR 1910.179(g)(5)(iv)]

  Yes

  No

  N/A

• Are stops provided at the safe limits of travel for hoists? [29 CFR 1910.179]

  Yes

  No

  N/A

• Are controls of the hoists plainly marked to indicate the direction of travel or motion? [29 CFR 1910.179] and [ANSI B30.2.0-1967]

  Yes

  No

  N/A

• Are hoists and load-bearing structures load tested and annually certified? [29 CFR 1910.179(j)(3)]

  Yes

  No

  N/A

• When hoisting material or equipment, are provisions made to ensure that no one will be passing under the suspended loads? [29 CFR 1910.179(n)(3)(vi)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to jacks, hoists, and other lifting equipment? Please note any other notable deficiencies.

  Yes

  No

  N/A

General

• Are portable hand or power tools used at this facility?

  Yes

  No

  N/A

• Is all necessary personal protective equipment provided whenever the use of hand and power tools could create falling, flying, or splashing debris, or harmful dust, fumes, mists, vapors, or gases. [29 CFR 1926.300(c)]

  Yes

  No

  N/A

• Are all portable hand or power tools maintained in a safe condition? [29 CFR 1926.300(a)]

  Yes

  No

  N/A

• Are the wooden handles of tools kept free of splinters or cracks and are they fixed tightly in the tool? [29 CFR 1926.301(d)]

  Yes

  No

  N/A

• Are broken or fractured handles on hammers, mauls, and similar equipment replaced promptly? [29 CFR 1910.242(a)]

  Yes

  No

  N/A

• Are worn or bent wrenches replaced regularly? [29 CFR 1910.242(a)]

  Yes

  No

  N/A

• Are appropriate handles used on files and similar tools? [29 CFR 1910.242(a)]

  Yes

  No

  N/A

• On hand-held power tools, is the operating control located so as to minimize the possibility of accidental operation? [29 CFR 1910.243(a)(2)(iv)]

  Yes

  No

  N/A

• Are all hand-held power tools equipped with a constant pressure switch that shuts off power when released? [29 CFR 1910.243(a)(2)(i); and 1926.300(d)(3)]

  Yes

  No

  N/A

• Are all cord-connected, electrically-operated tools and equipment effectively grounded or of the approved double insulated type? [29 CFR 1910.242 and 1910.304(g)(6)(vi)]

  Yes

  No

  N/A

• Are grinders, saws, and similar equipment provided with appropriate safety guards, and are they used as recommended by the manufacturer? [29 CFR 29 CFR 1910.243]

  Yes

  No

  N/A

• Are pneumatic power tools secured to the hose or whip by some positive means, so as to prevent the tool from being accidentally disconnected? [29 CFR 1926.302(b)(1)]

  Yes

  No

  N/A

• Are safety clips or retainers used on pneumatic impact (percussion) tools to prevent attachments from being accidentally expelled? [29 CFR 1910.243(b)(1) and 1926.302(b)(2)]

  Yes

  No

  N/A

• Are all compressed air hoses and hose connections designed for the pressure and service to which they are subjected? [29 CFR 1910.243(b)(2) and 1926.302(b)(5)]

  Yes

  No

  N/A

• Are pneumatic and hydraulic hoses on power-operated tools checked regularly for deterioration or damage? [29 CFR 1910.242]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to hand tools, power tools, and pneumatic equipment? Please note any other notable deficiencies.

  Yes

  No

  N/A

General

• Are abrasive wheel machines or equipment utilized at this facility?

  Yes

  No

  N/A

• Does the facility ventilation system adequately remove toxic dust, vapors, and gases from the working environment? [1910.94, 1910.1000(e) and 1910.107(d)]

  Yes

  No

  N/A

• Is each electrically operated grinder effectively grounded? [29CFR 1910.304(f)(4)]

  Yes

  No

  N/A

• Before new abrasive wheels are mounted, are they visually inspected and ring tested? [29 CFR 1910.215(d)(1)]

  Yes

  No

  N/A

• Is the maximum RPM rating on each abrasive wheel compatible with the RPM rating of the grinder motor? [29 CFR 1910.215(d)(1)]

  Yes

  No

  N/A

• Do grinding wheels fit freely on the spindle? [29 CFR 1910.215(d)(2); 1910.243(c)(5)(ii) and 1926.303(c)(8)]

  Yes

  No

  N/A

• Are all grinding machines equipped with sufficient power to maintain the spindle speed at safe levels under all conditions of normal operation? [29 CFR 1926.303(a)]

  Yes

  No

  N/A

• Are all contact surfaces of the wheel, blotters, and flanges flat and free of foreign material? [29 CFR 1910.215(d)(3) and 1920.243(c)(5)(iii)]

  Yes

  No

  N/A

• Are all abrasive wheel operators required to use eye protection? [29 CFR 1926.303(c)(9)]

  Yes

  No

  N/A

• Are floor or bench grinders present?

  Yes

  No

  N/A

• Does each grinder have an individual on/off control switch? [29 CFR 1910.305(j)(4)(ii)(F)]

  Yes

  No

  N/A

• Are bench and pedestal grinders permanently mounted? [29 CFR 1910.212(b)]

  Yes

  No

  N/A

• Are fixed or permanently mounted grinders connected to their electrical supply system with metallic conduit or other permanent wiring methods? [29 CFR 1910.305(g)(1)(iii)(A) ]

  Yes

  No

  N/A

• Are all floor- and bench-mounted abrasive wheels equipped with safety guards? [29 CFR 1910.215(a)(1) and 1926.303(a)]

  Yes

  No

  N/A

• Do side guards cover the spindle, nut, and flange and 75 percent of the wheel diameter? [29 CFR 1910.215(a)(2)]

  Yes

  No

  N/A

• Are the guard and its fastenings strong enough to retain fragments of the wheel in case of breakage? [29 CFR 1926.303(c)(5)]

  Yes

  No

  N/A

• Are guards mounted to maintain proper alignment with the wheel? [29 CFR 1910.243(c)(ii) and 1926.303(c)(5)]

  Yes

  No

  N/A

• Is the maximum angular exposure of the grinding wheel and sides 90º or less? [29 CFR 1910.215(b)(3) and 1926.303(c)(1)]

  Yes

  No

  N/A

• Are work rests provided that are rigidly supported and readily adjustable? [29 CFR 1910.215(a)(4) and 1926.303(c)(2)]

  Yes

  No

  N/A

• Are work rests installed and kept adjusted to within 1/8 inch of the wheel? [29 CFR 1910.215(a)(4)]

  Yes

  No

  N/A

• Are tongue guards at the top of the wheel of the bench, floor stand, and cylindrical grinders adjusted to the decreasing diameter of the wheel so that the gap is never more than one-fourth (1/4) of an inch? [29 CFR 1910.215(b)(9)]

  Yes

  No

  N/A

• Is cleanliness maintained around grinders? [29 CFR 1910.22(a)]

  Yes

  No

  N/A

• Are portable grinders or other forms of abrasive wheels utilized?

  Yes

  No

  N/A

• Do all machines with abrasive wheels greater than 2 inches in diameter have safety guards? [29 CFR 1910.243(c)(1)]

  Yes

  No

  N/A

• When in use, is the guard on right angle head or vertical portable grinders located between the operator and the wheel? [29 CFR 1910.243(c)(3)]

  Yes

  No

  N/A

• Is the top half of the wheel on other grinders always enclosed? [29 CFR 1910.243(c)(4)]

  Yes

  No

  N/A

• Is the guard on the right angle head or vertical portable grinders adjusted so that pieces of a broken wheel will be deflected away from the operator? [29 CFR 1910.243(c)(3)]

  Yes

  No

  N/A

• Is the maximum exposure angle on all grinding wheels 180º or less? [29 CFR 1910.243(c)(3) and (4) and 1926.303(c)(5)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to abrasive wheel equipment? Please note any other notable deficiencies.

  Yes

  No

  N/A

• Are welding, cutting, or brazing operations conducted at this facility?

  Yes

  No

  N/A

• Have all fire hazards in the vicinity of welding or cutting been removed or guarded? [1910.252(a)(1)(i-ii)]

  Yes

  No

  N/A

• Are the welder and any helpers or attendants using properly selected helmets, goggles, or face shields during any welding, cutting, or brazing operation? [1910.252(b)(2)]

  Yes

  No

  N/A

• Are workers in areas adjacent to welding areas protected by shields or screens or required to wear goggles? [1910.252(b)(2)(iii)]

  Yes

  No

  N/A

• Is first aid equipment available at all times during welding operations? [1910.252(c)(13)]

  Yes

  No

  N/A

• Is mechanical ventilation provided as required in welding or cutting areas? [1910.252(c)(2)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to welding, cutting, or brazing? Please note any other notable deficiencies.

  Yes

  No

  N/A

General

• Is any form of powered machinery used at this facility?

  Yes

  No

  N/A

• Is there adequate supervision to ensure that employees are following safe machine operating procedures? [OSHA 3170-02R]

  Yes

  No

  N/A

• Is sufficient clearance provided around and between machines to allow for safe operations, servicing, material handling, and waste removal? [ 29 CFR 1910.217(f)(3)]<br>

  Yes

  No

  N/A

• Is there a regular program of safety inspections of machinery and equipment?

  Yes

  No

  N/A

• Is all machinery and equipment kept clean and properly maintained?

  Yes

  No

  N/A

• Are methods provided to protect the operator and other employees in the machine areas from hazards created at the point of operation, nip points, rotating parts, flying chips, and sparks? [1910.212(a)(1)]<br>

  Yes

  No

  N/A

• Are effective guards in place over belts, pulleys, chains, belt drives, and sprockets? [29 CFR 1910.213(a)(9 and 1910.219]

  Yes

  No

  N/A

• Are machinery guards secure and arranged so they do not offer a hazard when in use? [29 CFR 1910.212(a)(2)]

  Yes

  No

  N/A

• Are all pulleys and belts that are within 7 feet of the floor or working level properly guarded? [29 CFR 1910.212(a)(5)]

  Yes

  No

  N/A

• Are fan blades protected with a guard having openings no larger than 1/2 inch when operating within 7 feet of the floor? [29 CFR 1910.212(a)(5)]

  Yes

  No

  N/A

• Are all moving chains and gears properly guarded? [29 CFR 1910.219(f)(1)]

  Yes

  No

  N/A

• Are all motor keys, set screws, and other projections guarded? [1910.219(h)(1) & 1910.219(k)(1)]

  Yes

  No

  N/A

• Are splash guards mounted on machines that use coolant to prevent the coolant from reaching the employees? [29 CFR 1910.133(a)(1)]

  Yes

  No

  N/A

• Do table saws have proper hood-type guards with spreaders and dogs intact? [1910.213(c)(1-3)]

  Yes

  No

  N/A

• Are all portions of bandsaw blades enclosed or guarded, except for that portion between the bottom of guide rolls and the table? [1910.213(i)(1)]

  Yes

  No

  N/A

• Is equipment and machinery securely placed and anchored when necessary, to prevent tipping or other movements that could result in personal injury? [29 CFR 1910.212(b)]

  Yes

  No

  N/A

• Are all emergency stop buttons brightly colored or placarded? [29 CFR 1910.145, ANSI Z535.1, Z535.2 and Z535.5

  Yes

  No

  N/A

• Is the power shut-off switch within reach of the operator's position at each machine? [29 CFR 1910.213(b)(4)]

  Yes

  No

  N/A

• Are manually operated valves and switches controlling the operation of equipment and machines clearly identified and readily accessible? [29 CFR 1910.218(c)]

  Yes

  No

  N/A

• Are foot-operated switches guarded or arranged to prevent accidental actuation by personnel or falling objects? [29 CFR 1910.212(a)( 1 )]

  Yes

  No

  N/A

• Can electric power to each machine be locked out for maintenance, repair, or security? [1910.213(a)(10)]

  Yes

  No

  N/A

• Are non-current-carrying metal parts of electrically operated machines bonded and grounded? [29 CFR 1910.213(a)(11)]

  Yes

  No

  N/A

• Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown? [29 CFR 1910.213 (b) (3) and NFPA 70 National Electrical Code, 1990 Edition #430-43

  Yes

  No

  N/A

• Do arbors and mandrels have firm and secure bearings and are they free from play? [29 CFR 1910.213(a)(2)]

  Yes

  No

  N/A

• Are machines constructed so as to be free from excessive vibration when the largest-sized tool is mounted and run at full speed? [29 CFR 1910.213(a)(1)]

  Yes

  No

  N/A

• If machinery is cleaned with compressed air, is air pressure controlled and personal protective equipment or other safeguards utilized to protect operators and other workers from eye and body injury? [29 CFR 1910.242(b)]

  Yes

  No

  N/A

• Is the facility maintained in a manner free of any other notable deficiencies related to machine safety? Please note any other notable deficiencies.

  Yes

  No

  N/A

Other Safety Related items

• Is the facility maintained in a manner free of any other notable deficiency or deficiencies? Please note any other notable deficiencies

  Yes

  No

  N/A

• Signature of Inspector

  Sign

• Select date

  Date