Section I: General Workspace

  • Building cleanliness (Trash removed, equipment and floor clean, items stored neatly)

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  • Signage (caution, warning, no smoking, exit signs, properly affixed to identify hazards)

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  • Egress (clear of obstructions, free access, doors operate freely)

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  • Equipment/Machinery (Secure/Safe to use, machine guards/panels securely in place)

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  • Tools (Properly cleaned/ stored, free of defects, safety features working/ labeled CBRE)

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  • Safety Station (Proper PPE available, good condition, supplies are stocked and inventoried)

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  • Ladders (Good condition/ non-conductive, properly stored/secured, inspected monthly or prior to use/log available,
    labeled CBRE

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  • Oil Rag Can (Accessible, used only for rags with oil or flammable properties, void of excess rags, laundered weekly)

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  • Confined Space (Plan available, locations identified, signage of locations)

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  • Compressed Gasses (Proper storage location, properly secured, caps on and tight)

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  • Fall Protection (Proper and adequate PPE, inspected monthly or prior to use/log available)

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  • Areas of High Noise (Signage posted, Proper and adequate PPE available)

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  • Overall Average Score for General Workspace:

Section II: Safety Training

  • Safety Training Current for all Staff (attached CBRE Foundation Training Report)

  • First Aid Training (100% Staff is exct and 70% is Poor)

  • Safety Bulletin Boards (Available, current postings, current newsletter posted)

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  • Monthly Safety Meetings (Verify Minutes are maintained, signed)

  • Bloodborne Pathogen Training (Annual training, signed acknowledgements)

  • Storm water Management (Annual Training, signed Acknowledgement)

  • Spill Containment (Annual training, signed acknowledgements)

  • Universal Waste Disposal (Annual training, signed acknowledgements)

  • HazCom (Annual training, signed acknowledgements)

  • Hot Work (Annual training signed acknowledgements)

  • Illness/ Injury Reporting (Annual training, signed acknowledgements)

  • Compressed Gas Mgmt (Annual training, signed acknowledgements)

  • Confined Spaces (Annual Training, signed acknowledgements)

  • Fall Protection (Annual training, signed acknowledgements)

  • Lockout/ Tagout (Annual training, signed acknowledgments)

  • EHS Plan (Schedule of EHS Plan review available, signed acknowledgements are current)

  • Overall Average Score for Safety Training:

Section III: Documentation

  • EHS Policies (IF PRINTED: copies must be current, complete, organized in a book, accessible with signed acknowledgements. IF ELECTRONIC: Staff must be able to locate the newest version on HSE Share Point site, print policies if asked by a regulatory agency or auditor and retain signed acknowledgements

  • CBRE HSE Handbook (IF PRINTED: copies available to all staff. IF ELECTRONIC: Staff must be able to locate the Handbook on the HSE Share Point site, and print if asked by staff/regulatory agency/ auditor)

  • Licenses (All licenses properly displayed, copies on file, easily accessible)

  • Permits (Verify all required permits are posted and compliant)

  • Hot Work Permits (Properly filled out, completed, filed in an organized manner)

  • MSDS (Master Chemical List/MSDSs current, complete & organized, easily accessible, archived MSDSs kept 25 years)

  • Emergency Evacuation Plan (Current, posted, easily accessible, staff knows evacuation accumulation area and their duties during an evacuation)

  • Injury Reporting Plan (Site-specific plan available to all staff, adequate forms available)

  • Emergency Response Plan (Site-specific plan available to all staff)

  • OSHA 300A (Posted Feb 1st thru April 30th, signed copy retained for 5 years)

  • Spill Reporting Plan (Plan available, accurate, acknowledged)

  • SOP: Generator Exercise (Plan available, accurate, acknowledged)

  • SOP: Fire Pump Exercise (Plan available, accurate, acknowledged)

  • Overall Average Score for Documentation:

Section IV: Electrical

  • Electrical Rooms (Clean, organized, no flammables stored in room or within 25' of any electrical panel)

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  • Electrical Distribution (Panel covers installed, 36" clearance in front of each Panel)

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  • Arc Flash (Arc Flash survey complete, proper labels attached to all distribution equipment)

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  • Arc Flash Kit (Adequate amount of arc flash PPE on hand, good condition, properly stored)

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  • Electrical Gloves (Adequate amount of gloves, current test, free of defects)

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  • Extension and portable electrical equipment cords are inspected for torn insulation and missing grounding conductors

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  • Overall Average Score for Electrical:

Section V: Refrigerant Management

  • Site Refrigerant Program Manager:

  • CBRE Chief Engineer Monthly Audit (Records complete and current)

  • CBRE Major Ref. Equip. Form (Records complete and current)

  • CBRE Major Equip. Ref. Usage Log (Records complete and current)

  • CBRE Ref. Cylinder Inventory Log (Records complete and current)

  • CBRE Monthly Refrigerant Report (Records complete and current)

  • CBRE EPA Section 608 Tech. Roster (Records complete and current)

  • CBRE Energy Manager Ref. Program Compliance Grade:

  • Overall Average Score for Refrigerant Management Program:

Section VI: Diesel Fuel Management

  • Diesel Fuel Reporting (Fuel receipts are distributed to CBRE Senior Energy Manager on a monthly basis, receipts are organized and filed at the site)

  • Diesel Fuel Management (Three years of records showing purchase, quantity, amount per piece of equipment)

Section VII: Fire & Life Safety

  • Fire Extinguisher Annual Training (Proof of current training for all staff)

  • Standpipe Inspection (Inspection tags current, marked with MM/DD/YY and initials format)

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  • Fire Extinguishers (Inspection tags current, marked with MM/DD/YY and initials format)

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  • Generator Testing (Copies of monthly, semi-annual and annual tests, retain 2 years)

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  • Fire Pump Testing ( Copies of weekly/monthly and annual flow test, retain 2 years)

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  • Fire Doors (Copies of annual report, retain 5 years)

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  • Sprinkler & Smoke Detection Testing (Copies of all annual reports, signed, retain 5 years)

  • Fume Hood (Copies of all testing reports, signed, retain 2 years, training)

  • Kitchen Hood Testing/ Cleaning (Copies of all testing reports, retain 2 years, training)

  • Overall Average Score for Fire & Life Safety:

Section VIII: Chemical Management

  • HP Prohibited Chemicals (List located in all MSDS books)

  • Chemical Labeling (Verify all chemical containers are properly labeled)

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  • Chemical Disposal (Review site-specific plan, verify we are in compliance)

  • Flammable Cabinet (Accessible, proper cabinet, flammables properly stored)

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  • Corrosives Cabinet (Accessible, proper cabinet, corrosives properly stored)

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  • Spill Kits (In close proximity to all chemical storage, sized properly for spill)

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  • Overall Average Score for Chemical Management:

Section IX: First Aid

  • First Aid Kit (Adequate quantity, properly stocked, ready available to all staff)

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  • Eyewash Stations (Located properly, adequate signage, current PM, signed tag)

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  • Hazard assessments (on file for where PPE must be worn and the types that must be worn)

  • Overall Average Score for First Aid:

Section X: LOTO

  • Assigned Locks & Tags (Each staff has at least one lock/tag, identifiable and all keys)

  • Communal Locks (Available, complete, one key per lock only)

  • Lockout Devices (Adequate supply of various devices used for lockout, per facility req.)

  • Overall Average Score for LOTO:

Section XI: Employee Interview

  • Elevator Entrapment (Explain your role in the event of an elevator entrapment)

  • MSDS (Randomly choose a site chemical, employee must locate MSDS)

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  • Lockout (Employee presents lock and key and explains when to use Lockout and Tagout)

  • Injury Reporting (Employee describes injury reporting plan and where to locate forms)

  • Safety Plan Documentation (Employee shows inspector where all documentation is located)

  • PPE (Employee describes PPE available to them and when they use it)

  • Safety Plans (Random) (Ask employee to explain two randomly selected written plans)

  • Lifting (Employee demonstrates proper way to lift a box from the floor)

  • Spill Kit (Employee shows where the spill kit, identifies content, and describes when to use it)

  • Overall Average Score for Employee Intervies:

Section XII: Scorecard Averages

  • Section I: General Workplace

  • Section II: Safety Training

  • Section III: Documentation

  • Section IV: Electrical

  • Section V: Refrigerant Management

  • Section VI: Diesel Fuel Management

  • Section VII: Fire & Life Safety

  • Section VIII: Chemical Management

  • Section IX: First Aid

  • Section X: LOTO

  • Section XI: Employee Interview

  • Overall Average Site Score:

Inspection Verfication

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