Audit

Unit Safety Representative
Commander's Support

Has the unit CC implemented a proactive safety, health and mishap prevention program with elements that include proper use of PPE and facility compliance with OSHA and AF standards? MICT Item 1.01
REF AFI 91-202 para 1.5.20.4

On MICT checklist (Commander below installation level and USR)

Has the unit CC appointed a primary and alternate unit safety representative (USR)? MICT Item 1.02
REF AFI 91-202 para 1.5.20.1

Both MICT item and virtual inspection item

Has the unit CC communicated safety and health expectations (policy letter) to personnel in their command? MICT Item 1.09
REF AFI 91-202 para 1.5.20.12

Both MICT item and virtual inspection item

Does the commander ensure an AF Form 457, USAF Hazard Report, or equivalent product is available to all personnel?
REF AFI 91-202 para 4.3

USR Training

Have the primary & alternate USRs for active duty units completed training from the Installation Safety Staff within 30 working days of appointment? (Training certificate will be maintained by the USR) MICT Item 2.01, 2.02 & 2.03
REF AFI 91-202 para 2.2

Both MICT item and virtual inspection item

Has the USR completed any Air Force level RM course? (Training certificate will be maintained by the USR) MICT Item 2.04
REF AFI 91-202 para 2.2.1

Both MICT item and virtual inspection item

If the unit augments the primary and alternate USRs at the flight level, have the flight level representatives been trained by the USR?
REF AFI 91-202 para 2.2.3

Program Management

Does the USR advise/keep the unit CC and supervisors informed of safety matters and assist them with hazards associated with the unit mission on a quarterly basis? MICT Item 2.05
REF AFI 91-202 para 2.2.4.1, 2.2.4.6 & 8.5.1

Both MICT item and virtual inspection item

Does the USR verify that (supervisors) monthly spot inspections of work areas are being performed and documented?
REF AFI 91-202 para 8.5.6

Does the USR perform and document at least one monthly spot inspection of work areas? MICT Item 2.06
REF AFI 91202 para 3.5.2

Both MICT item and virtual inspection item

Does the Commander ensure all appropriate hazard abatement actions and follow up actions are completed? (Does the USR keep the safety staff informed of status of open findings?) MICT Item 1.06
REF AFI 91-202 para 1.5.20.5

On MICT checklist (Commander below installation level and USR)

Does the USR support the installation safety program and attend USR meetings?
REF AFI 91-202 para 8.5.8

Virtual inspection item--source documents should be loaded on SharePoint.

Does the USR ensure all required documents are posted on the unit's safety bulletin board?
REF AFI 91-202 para 8.5.9

Does the USR conduct safety briefings and provide unit personnel with educational safety materials and verify that safety briefings are being conducted? MICT Item 1.03
REF AFI 91-202 para 2.2.4.5 & 8.5.5

Both MICT item and virtual inspection item

Is AFVA 91-209, Air Force Occupational Safety and Health Program,posted in a conspicuous location readily accessible by all employees?
REF AFI 91-202 para 8.5.9

Mishaps

Have mishap notification procedures been established in the unit? MICT Item 2.07
REF AFI 91-202 para 8.5.3

On MICT checklist (Commander below installation level and USR)

Local Purchase Requests

Does the unit have a process for reviewing local purchase requests to ensure potential safety and health impacts are considered? MICT Item 1.07
REF AFI 91-202 para 1.5.20.6 & 8.3.7

On MICT checklist (Commander below installation level and USR)

Are GPC purchases of hazardous chemicals, munitions and industry equipment coordinated through the safety office prior to purchase?
REF AFI 91-202 para 1.5.20.6

Traffic Safety and GOV Operations

Does the commander promote traffic safety by ensuring traffic safety briefings or other proactive measures are taken prior to major holidays, extended weekends and other high risk periods to reinforce responsible driving behaviors?
REF AFI 91-207 para 1.3.4.9.3

Does the commander ensure a minimum competency level for vehicle (GOV) competency has been achieved?
REF AFI 91-207, AFMC Sup, para 1.3.4.8

Unit Motorcycle Safety Representative
Program Management

Has the commander appointed, in writing, at least one Motorcycle Safety Representative (MSR) to coordinate the motorcycle safety program? NOTE: Units with a limited number of riders may establish a common MRS across multiple organizations. MICT Item 1.10
REF AFI 91-207 para 1.3.4.3

On MICT checklist (Commander below installation level and USR)

Has the MSR been trained within 30 working days of appointment?
REF AFI 91-207 para 1.3.5.7

Does the commander take appropriate administrative or disciplinary actions for personnel who fail to attend scheduled training, including restricting operation of the motorcycle on or off base for military personnel and on base for AF civilians?
REF AFI 91-207 para 1.3.4.8

Does the commander manage their high-risk motorcycle riders (history of traffic violations, observed unsafe activitiy, motorcycle mishap, etc.)? The Commander's Initial Briefing at Attch 4 of AFI 91-207, AFMC Supplement provides a minimum guide.
REF AFI 91-207, AFMC Sup, para 1.3.4.7

Rider Training and Briefings

Has the commander or designated MSR provided an initial briefing to all new or newly assigned motorycle riders within 30 days from initial assignment, identification as a rider or purchase of a motorcyle? MICT Item 1.12
REF AFI 91-207 para 1.3.4.5

On MICT checklist (Commander below installation level and USR)

Has the commander or designated representative conducted an annual/pre-season motorcycle riders' briefing? MICT Item 1.13
REF AFI 91-207 para 1.3.4.6

On MICT checklist (Commander below installation level and USR)

Does the commander ensure personnel complete approved training training (MSF or DUSD(I&E) endorsed)?
REF AFI 91-207 para 1.3.4.8

MUSTT

Has the commander established procedures to have personnel in and out-process through MSR for identification and documentation of riders in AFSAS/MUSTT module?
REF AFI 91-207 1.3.4.4

Have all military riders been identified to the MSR and their required information loaded in the MUSTT database? (Review each rider's data in MUSTT (licensing, training, cc brief, annual brief, motorcycle loaded) MICT Item 1.11
REF AFI 91-207 para 1.3.9.1 & 1.3.10.4

On MICT checklist (Commander below installation level and USR)

Does the MSR monitor unit riders' AFSAS/MUSTT accounts for accuracy and training/briefing requirements?
REF AFI 91-207 para 1.3.9.2

Does the MSR coordinate with the CSS to establish procedures for personnel to in and out-process through MSR for maintenance of unit rider's account in AFSAS/MUSTT module?
REF AFI 91-207 para 1.3.9.3

Do all transferring riders update their AFSAS/MUSTT module account to the gaining unit of assignment prior to departing?
REF AFI 91-207 para 1.3.10.5

Do all riders retiring or separating close their AFSAS/MUSTT module account prior to separating?
REF AFI 91-207 para 1.3.10.5

Training Requirements:
Initial--prior to operation (Basic Rider Course 1)
Intermediate--within 60 days to 1 year from initial training (Experienced Rider Course, Basic Rider Course 2, Advanced Rider Course or Sport Bike Course) NOTE: Sport bike riders must complete the ARC or Sport Bike Course as their intermediate training.
Refresher--every five years

Supervisor Safety
Spot Inspections

Do supervisors conduct and document monthly spot inspections of their work areas and keep documentation on file for one year? MICT Item 1.06 (1) & 04 (2)
REF AFI 91-202 para 1.5.21.15 & AFI 91-202, AFMC Sup, para 1.5.21.15.1

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Safety Meetings

Do supervisors conduct and document, at least quarterly, occupational safety and health meetings and keep documentation on file for one year?
REF AFI 91-202, AFMC Sup, para 1.5.21.20

Hazard Analysis

Do supervisors use risk management techniques to analyze the work environment and job tasks for hazards and conduct a JSA for each work task not governed by TO or other definitive guidance? MICT Item 01 (2)
REF AFI 91-202 para 1.5.21.2

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Has a Job Safety Analysis (JSA) been conducted to identify tasks where the wearing of finger rings should be restricted? MICT Item 06 (2)
REF AFI 91-203 para 9.1.2

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Has the supervisor conducted and documented a hazard assessment in each workplace where their employees are performing duties to determine if PPE is required? MICT Item 10 (2)
REF AFI 91-203 para 14.3.2

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Safety Training

Have supervisors developed a work center specific Job Safety Training Outline (JSTO) based on safety, fire protection/prevention and health requirements? MICT Item 15 (2)
REF AFI 91-202 para 1.5.21.4 & Attch 5- See below

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Is the JSTO reviewed annually and/or when there is a change in equipment, processes or safety, fire and health requirements? NOTE: JSTO reviews will be accomplished by the supervisor and documented with the date of the review and the person conducting review. MICT Item 15(2)
REF AFI 91-202 para 1.5.21.4 & 2.3.3.2

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Have supervisors conducted job safety training (JSTO)? MICT Item 1.03 (1)
REF AFI 91-202 para 1.5.21.3 & 2.3.3.1

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Is job safety training documented on the AF Form 55, Employee Safety and Health Record, or equivalent product? MICT Item 15 (2)
REF AFI 91-202 para 1.5.21.4.1 & 1.5.21.4.2

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Is the JSTO updated to include hazards identified by an AF Form 1118, Notice of Hazard, and are employees trained on the interim control measures (training must be documented)?
REF AFI 91-202 para 1.5.21.8

Have supervisors attended Air Force Supervisor Safety Training (SST)? MICT Item 03 (2)
REF AFI 91-202 para 1.5.21.14

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Is SST documented on AF Form 55 or equivalent product?
REF AFI 91-202 para 2.3.2.3

Have first-term Airmen (including officers) attended Course III, Traffic Safety Training?
REF AFI 91-207 para 4.4

JSTO Mandatory Item from Attachment 5
A5.1.1. Hazards of the job and specific safety guidance that applies to their workplace.
A5.1.2. Hazards of the work area environment to include awareness of the Hazard Communication Program requirement, i.e., Employee’s Right to Know.
A5.1.3. Proper personal lifting techniques (Refer to AFI 91-203, Air Force Consolidated Occupational Safety Instruction).
A5.1.4. Location of medical facilities and procedures for obtaining treatment.
A5.1.5. Location and use, as appropriate, of emergency and fire protection equipment.
A5.1.6. Emergency procedures that apply to the workplace, including evacuation, fire reporting, emergency numbers, alarm and extinguisher location(s).
A5.1.7. Requirements and procedures for reporting mishaps, occupational injury and occupational illness.
A5.1.8. Reporting unsafe equipment, conditions or procedures to supervisor immediately.
A5.1.9. Requirements of Air Force Traffic Safety Program, including mandatory use of seat belts and helmets, speed limits, local traffic hazards, personal risk management and cell phone prohibition while operating a GMV or PMV on base. If applicable, discuss motorcycle safety training requirements before riding a motorcycle.
A5.1.10. Purpose and location of AF Form 457, USAF Hazard Report.
A5.1.11. Location and content of Air Force Visual Aid (AFVA) 91-209, Air Force Occupational Safety and Health Program.
A5.1.12. Purpose of the AF Form 1118, Notice of Hazard.
A5.1.13. Risk management awareness training.
A5.1.14. CA 10, What a Federal Employee Should do When Injured at Work
A5.1.15. Fire Extinguisher Use. Reference: AFI 91-203 and 29 CFR 1910.157.
A5.1.16. Fetal Protection Program Awareness. Reference: AFI 48-145, Occupational and Environmental Health Program. Note: Air Force Reserve – AFRCI 41-104, Pregnancy of Air Force Reserve Personnel

JSTO Job specific Training Item from Attachment 5
A5.2.1. Personal Protective Equipment (use, location, fit, care, limitations). Reference: 29 CFR 1910.132, AFI 91-203, Chapter 14, Personal Protective Equipment (PPE), and other directives.
A5.2.2. Hazardous Energy Control (Lockout/Tagout). Reference: 29 CFR 1910.147 and AFI 91-203, Chapter 21, Hazardous Energy Control (Lockout and Tagout).
A5.2.3. Hazard Communication. Reference: AFI 90-821, Hazard Communication, and 29 CFR 1910.1200.
A5.2.4. Bloodborne Pathogens. Reference: 29 CFR 1910.1030.
A5.2.5. Hearing Conservation. Reference: AFOSH Standard 48-20, Occupational Noise and Hearing Conservation Program.
A5.2.6. Confined Space Program (Entrant, Attendant, Supervisor, Monitor and Rescue Team). Reference: AFI 91-203, Chapter 23, Confined Spaces, and 29 CFR 1910.146.
A5.2.7. Manual and Powered Hoist. Reference: AFI 91-203, Chapter 35, Material Handling Equipment.
A5.2.8. Respiratory Protection Program. Use AF Form 2767, Occupational Health Training and Protective Equipment Fit Testing (LRA). Reference: AFOSH Standard 48-137, Respiratory Protection Program.
A5.2.9. Vehicle Mounted Elevated Work Platforms, Self-Propelled and Manual Platforms. Reference: AFI 91-203, Chapter 16, Mobile Elevating Work Platforms.
A5.2.10. Fall Arrest System(s). Reference: AFI 91-203, Chapter 13, Fall Protection, 29 CFR 1910.66 and 29 CFR 1926.503.
A5.2.11. Forklift (Material Handling Equipment). Reference: AFI 91-203, Chapter 35, and 29 CFR 1910.178.
A5.2.12. Explosives Safety Training. Reference: AFMAN 91-201, Explosives Safety Standards, and this instruction.
A5.2.13. Pole/Tower Climbing. Reference: AFI 91-203, Chapter 30, Communication Cable, Antenna and Communication Systems, or current T.O. guidance.
A5.2.14. Wearing Jewelry in the workplace. Reference: AFI 91-203, Chapter 9, Jewelry, and applicable technical data.
A5.2.15. Portable and fixed ladder safety. Reference: AFI 91-203, Chapter 7, Walking Surfaces, Guarding Floor and Wall Openings, Fixed Industrial Stairs, and Portable and Fixed Ladders.
A5.2.16. Cardio Pulmonary Resuscitation (CPR) Training. Reference: AFI 91-203, Chapter 1, Introduction.
A5.2.17. Flight Line Driving. Reference: AFI 91-203, Chapter 24, Aircraft Flight Line – Ground Operations and Activities, and other governing directives.
A5.2.18. Fetal Protection Program. Job Specific. Reference: AFI 48-145. Note: Air Force Reserve – AFRCI 41-104, Pregnancy of Air Force Reserve Personnel.
A5.2.19. Medical Surveillance Examination (Scheduling, Administration, Reporting and Follow-up). Reference: AFI 48-145.

Mishap Reporting

Are all military and civilian mishaps that occur in work areas, off-duty mishaps involving assigned military personnel, and related subsequent employee absences reported to the supporting safety office? Is the AF Form 978, Supervisor Mishap Report, sent within 5 duty days? MICT Item 02 (2)
REF AFI 91-202 para 1.5.21.7 & AFI 91-204 para 1.3.3.1

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Office Safety
Lifting/Storage Areas

Are stepstools or ladders used to access anything above shoulder level?
REF AFI 91-203 para 10.2.2.4

Is team lifting considered when lifting heavy (more than 25lbs) or awkward objects?
REF AFI 91-203 para 10.4

Are heavy objects not stored on tops or edges of tall cabinets, bookshelves or desks where they may fall?
REF AFI 91-203 para 10.5.3

Are materials stored in an orderly fashion, stack in a stable and logical order to prevent collapsing or falling? Are the heaviest and largest items on the bottom of the stack?
REF AFI 91-203 para 10.8.2

When materials are stacked to a height less than 15 feet, is an 18-inch clearance below ceiling sprinkler deflectors, joists, rafters, beams and roof trusses maintained? If the stack is over 15 feet in height, is the clearance increased to 36 inches?
REF AFI 91-203 para 5.6

Is the load size and rating posted on the storage rack/shelving units?
REF AFI 91-203 para 35.2.5.2

Electrical

Are heating appliances, such as toasters, toaster ovens and coffee makers, plugged directly into a facility outlet and unplugged at the end of the work shift?
REF AFI 91-203 para 10.5.7.3 & 8.4.7

Is access to fuses, circuit breakers and electrical controls clear and unobstructed?
REF AFI 91-203 para 10.5.7.6

Are frayed electrical cords, broken electrical wires and outlet covers repaired or removed from service immediately?
REF AFI 91-203 para 10.5.7.6

Are electrical panel doors kept closed to prevent ―electrical flashover if a malfunction occurs?
REF AFI 91-203 para 10.5.7.7

Are extension cords, power strips and UPS devices not piggy-backed (daisy chained)‖or plugged into each other?
REF AFI 91-203 para 37.2.8, 8.4.1.12 & 10.5.7.2

Are power strips (portable power taps or surge protectors) only used to power computers and related equipment, such as lights or fans? NOTE: High current items, such as coffee makers, refrigerators, microwave ovens, heaters, food preparation equipment, etc. shall not be plugged into power strips.
REF AFI 91-203 para 37.2.8

Are electrical extension cords used in temporary locations only and not as a substitute for fixed wiring?
REF AFI 91-203 para 8.4.1.3

Interior and Exterior Walkways

Are all floor areas kept clean, dry and free of refuse?
REF AFI 91-203 para 10.2.2.1

Are telephone and electrical cords located where they do not pose a tripping hazard?
REF AFI 91-203 para 10.2.2.1

Are all defects, such as floor tiles, broken steps, torn carpet or curled mats identified until repaired or replaced?
REF AFI 91-203 para 10.2.2.2

Are aisles, exits and doorways kept clear at all times?
REF AFI 91-203 para 10.2.2.1

Has snow and ice been removed from all walkways, sidewalks and work areas expediently where they may create a hazard or interfere with the work? Note: If ice cannot be readily removed, sand or other approved materials shall be applied.
REF AFI 91-203 para 5.10

Have snow and icicles above walkways been removed?
REF AFI 91-203 para 5.10

Space Heaters

Are space heaters UL-listed, equipped with automatic shut-off devices that will shut off the heater if it tips over, an overheat protection device, an automatic thermostat control and disconnected when not in use?
REF AFI 91-203 para 6.2.10.1

Are space heaters plugged directly into a wall receptacle?
REF AFI 91-203 para 6.2.10.2

Is a 36 inch minimum distance between the space heater and combustibles maintained?
REF AFI 91-203 para 6.2.10.3

Are space heaters never left unattended when in use?
REF AFI 91-203 para 6.2.10.5

Exits and Exit Markings

Are exit paths and doors kept clear of equipment and materials?
REF AFI 91-203 para 6.3.2 & 6.3.7

Are doors, passageways or stairways which are neither exits nor ways to an exit but may be mistaken for an exit, clearly marked ―NOT AN EXIT‖ or a sign indicating their actual use; for example, ―STORAGE ROOM‖ or ―BASEMENT?
REF AFI 91-203 para 6.3.3

Portable Ladders

Are personnel who use ladders at any working height trained in the care and use of different types of ladders? Is the training part of the JSTO? MICT Item 05
REF AFI 91-203 para 7.5.27 & AFI 91-202 para A5.2.15

On MICT checklist-"Supervisor Occupational Safety Responsibilities Communicator"

Does the training include hands-on instruction to include inspection of ladders for defects, possible electrocution hazards, proper positioning and placement of ladders for various job sites? MICT Item 05
REF AFI 91-203 para 7.5.2.7

On MICT checklist-"Supervisor Occupational Safety Responsibilities Communicator"

Is ladder training documented?
REF AFI 91-203 para 7.5.2.7

Are wood ladders stored in a location free from exposure to the elements and excessive heat or dampness?
REF AFI 91-203 para 7.5.2.5.3

Are ladders with conductive side rails marked (manufacturer labeling) for electrical hazards? NOTE: Ladders not already marked with safety use instructions by the manufacturer shall be stenciled, ―DANGER — DO NOT USE AROUND ELECTRICAL EQUIPMENT,‖ in two-inch high red letters or the largest letters the surface will allow (minimum letter size is one inch)
REF AFI 91-203 para 7.5.2.2.6

Are ladders equipped with rubber safety feet to prevent slipping?
REF AFI 91-203 para 7.5.2.5.15

Risk Management

Is RM incorporated into job safety training outlines (JSTOs) and on-the-job (OJT) awareness training? Note: Review JSTO for specific RM content to include specific work areas RM concerns and discussion. Ensure all appropriate personnel have reviewed the JSTO as required. MICT Item 1.3 & 1.5 (2)
REF AFI 90-802 para 4.8.3

On MICT checklists (1-"Commander below installation level and USR" and 2-"Risk Management All Levels")

Are all AF personnel trained in AF RM Fundamentals? MICT Item 1.2 (2)
REF AFI 90-802 para 4.8.1 & 4.8.2

On MICT checklists (1-"Commander below installation level and USR" and 2-"Risk Management All Levels")

Do commanders/directors Ensure RM principles, processes, tools and techniques are established, as appropriate, to address specific operations, missions, and activities (on- and off-duty)? Note: Look for evidence of formal risk assessments and other processes specifically tied to on- and off-duty operations/activities that are directly related to the unit's mission and local conditions, etc. MICT Item 1.04 (1) & 1.0-1.1, 1.6 (2)
REF AFI 90-802 para 4.8.4

On MICT checklists (1-"Commander below installation level and USR" and 2-"Risk Management All Levels")

Do commanders/directors ensure assigned personnel receive periodic RM refresher briefings/presentations? MICT Item 1.7 (2)
REF AFI 90-802 para 4.8.5

On MICT checklists (1-"Commander below installation level and USR" and 2-"Risk Management All Levels")

Confined Space
Commander/Director/Supervisor Support

Has the commander/director developed and implemented a written confined space program?
REF AFI 91-203 para 23.2.7

Does the commander/director ensure personnel who support the permit-required onfined space program are properly trained, equipped and qualified?
REF AFI 91-203 para 23.2.7.2

Does the commander/director ensure required equipment is available and properly maintained?
REF AFI 91-203 para 23.2.7.3

Does the commander/director maintain a current list of all confined spaces, both permit-required and non-permit, under the control of their organization (on and off the installation)?
REF AFI 91-203 para 23.2.7.4 & 23.3.2

Does the commander/director ensure non-permit required confined spaces are reviewed periodically (but no less than annually)?
REF AFI 91-203 para 23.5.6.2

Does the supervisor annually assess the section's confined space workplaces to evaluate for PPE requirements, and ensure personnel are trained and certified in the use, calibration and care of atmospheric testing and monitoring equipment? MICT Item 12
REF AFI 91-203 para 23.2.11.1 & 23.2.11.3

On MICT checklist-"Supervisor Occupational Safety Responsibilities Communicator"

Training

Prior to the start of entry operations, does the entry supervisor ensure workers are properly trained and qualified in safe operating, emergency and egress procedures, and the use of PPE?
REF AFI 91-203 para 23.2.8.5

Is confined space training documented on an AF IMT 55, Employee Safety and Health Record, or an authorized computerized information management system?
REF AFI 91-203 para 23.7.5

Entry Permits

Does the entry supervisor ensure workers obtain an AF Form 1024, Confined Space Entry Permit, prior to entering a permit-required confined space?
REF AFI 91-203 para 23.5.1

Are entry permits, including those revoked or canceled, retained on file for one year?
REF AFI 91-203 para 23.5.1.2

Does the confined space attendant maintain an accurate account of all entrants by name and time in and out of the permit-required space?
REF AFI 91-203 para 23.2.9.1

Rescue Team Training

Do all rescue team members receive initial and annual hands-on training in removing simulated victims from actual or representative confined spaces?
REF AFI 91-203 para 23.7.3.1

Lock out and Tag out
Procedures

Are procedures developed and documented for safe and proper use of locks and tags? MICT Item 11
REF AFI 91-203 para 21.2.1.4

On MICT checklist-"Supervisor Occupational Safety Responsibilities Communicator"

Is equipment not under active maintenance locked with a service/administrative lock rather than a LOTO lock?
REF AFI 91-203 para 21.3.4.3.2

Does the work area supervisor of the equipment or machinery initiate application of service/administrative locks and do these devices remain in place until CE or contract repair personnel repair the equipment or machinery?
REF AFI 91-203 para 21.3.4.3.3

Has the supervisor designated specific equipment or categories of equipment and develop control procedures?
REF AFI 91-203 para 21.3.5.5.1

Does the supervisor keep accurate LOTO logs?
REF AFI 91-203 para 21.3.5.7

Are all LOTO operations conducted using written procedures?
REF AFI 91-203 para 21.3.6.3

Has the supervisor developed equipment-specific written energy control procedures with input from authorized workers most familiar with the equipment or machine?
REF AFI 91-203 para 21.3.9.1

Has the supervisor ensured the procedures are posted on equipment or readily available to workers authorized to LOTO the equipment?
REF AFI 91-203 para 21.3.9.2

Are personnel directly affected by the operation or shutdown of the equipment or machine notified of LOTO devices? Note: Notification shall be given before controls are applied and after they are removed.
REF AFI 91-203 para 21.4

Are procedures for emergency removal of LOTO devices developed, documented and incorporated into the shop energy control program which demonstrate safety equivalent to removal of the device by the authorized worker who applied it?
REF AFI 91-203 para 21.4.6.1

Training

Has a training plan been developed for initial and recurring training on lockout and tagout procedures? MICT Item 11
REF AFI 91-203 para 21.2.1.6

On MICT checklist-"Supervisor Occupational Safety Responsibilities Communicator"

Is the supervisor trained as an authorized worker?
REF AFI 91-203 para 21.3.5.12

Do workers with duties in the areas where LOTO procedures may be used receive General Awareness Training during their initial job safety training? (Incorporated in JSTO)
REF AFI 91-203 para 21.5.1.1

Are authorized workers trained and authorized by the supervisor to perform LOTO procedures?
REF AFI 91-203 para 21.5.2

Is recurring training performed at least annually? Does it include a proficiency evaluation?
REF AFI 91-203 para 21.5.3

Is all training documented on the AF Form 55 or equivalent product?
REF AFI 91-203 para 21.5.5

Program Evaluations

Are shop level LOTO self-assessments conducted by an authorized worker or supervisor at least annually?
REF AFI 91-203 para 21.6.1

Does the self-assessment provide for a demonstration of the procedures and include, as a minimum: identification of equipment and machinery for which the LOTO program applies, a review of LOTO log books for equipment or machinery in LOTO program, a review of each worker‘s responsibilities under the program, that all necessary training has been conducted, is current and properly documented, the date of the inspection and the unit representative conducting the self-inspection?
REF AFI 91-203 para 21.6.1.1-21.6.1.5

Has the commander ensured an annual inspection of LOTO procedures within their organization are conducted by an individual above the shop level supervisor to verify and document effectiveness of the energy control procedures?
REF AFI 91-203 para 21.6.2

Does the inspection include: a review of LOTO procedures with authorized workers, observation of LOTO procedures to ensure workers understand and follow procedures, a review of training and self-assessment documentation to ensure LOTO requirements are met and out-brief of shop or unit supervisor or, as appropriate, documented in the written report?
REF AFI 91-203 para 21.6.2.1-21.6.24

Material Handling
Manual Material Handling
Training

Do supervisors instruct workers on use of hand trucks, dollies, multi-wheel trucks and wheelbarrows?
REF AFI 91-203 para 4.4 &4.9.2

Do supervisors provide thorough instruction and training on proper manual lifting techniques, to include required PPE?
REF AFI 91-203 para 4.4

Does the training include both verbal and written materials that explain how to do the task correctly with practice and proper motions?
REF AFI 91-203 para 4.4

Is training documented IAW with 91-202? NOTE: Method of documentation may include, but are not limited to, the AF Form 55, Employee Safety and Health Record, electronic mediums such as AFFORMs/MAF LOG C2/CAS-B/G081 or locally developed products.
REF AFI 91-203 para 4.4

PPE

Have supervisors identified the need for PPE for manual material handling tasks?
AFI REF 91-203 para 4.11

Is protective footwear provided and worn when there is a reasonable possibility of foot injuries?
REF AFI 91-203 para 4.11.1

Do personnel wear leather or leather-palmed gloves when manually handling objects that have sharp or burred edges or splintered surfaces?
REF AFI 91-203 para 4.11.2

Do workers wear goggles and/or safety glasses with side shields and gloves when cutting strapping?
REF AFI 91-203 para 4.11.7

Inspections

Is manual MHE (hand trucks, wheelbarrows, dollies, pallet jacks and similar unpowered equipment) checked visually before use?
REF AFI 91-203 para 4.12

Is manual MHE (hand trucks, wheelbarrows, dollies, pallet jacks and similar unpowered equipment) inspected IAW the manufacturer's instructions?
REF AFI 91-203 para 4.12

Storage Racks/Shelving

Is the load size and rating posted on the storage rack/shelving units?
REF AFI 91-203 para 35.2.5.2

Material Handling Equipment (MHE)
Powered Industrial Trucks (Forklifts)

If gasoline-or diesel-powered material handling equipment is parked in general purpose warehouses is written approval from the installation commander with recommendations by the installation Fire Emergency Services (FES) Flight and Ground Safety office on file?
REF AFI 91-203 para 35.2.1

Training

Have qualified instructors been designated and provided to the vehicle operations officer who shall thoroughly screen each for background and experience in the type of equipment for which instruction shall be given?
REF AFI 91-203 para 35.3.3.1

Is a list of approved instructors retained on file by the using agency and the vehicle operations section?
REF AFI 91-203 para 35.3.3.1

Are lesson plans for each vehicle accomplished IAW AFI 24-301, Vehicle Operations? Content shall include: formal instruction, hands-on demonstrations by the instructor with practical exercises performed by the trainee and an evaluation of the trainee‘s performance to confirm their knowledge of equipment operations and service instructions.
REF AFI 91-203 para 35.3.3.1

Does the lesson plan include: -Equipment design, to include restrictions, limitations and hazards relative to the environment where used, e.g., steering, maneuvering and visibility.
-Operating and maintenance instructions, including manufacturer‘s instructions and those contained in this standard.
-Safe loading and unloading requirements. Operating techniques inside and outside of warehouses.
-Flight line rules and regulations, when applicable.
-Fire extinguisher training requirements
-Use of attachments such as extended forks or tines or personnel lift pallets.
-Clearances, heights and limitations.
-Safety clothing and equipment.
-Fire protection, fuel spills, maintenance of equipment, smoking, etc.
-Operating restrictions in potentially hazardous storage areas, which include flammable, toxic, lumber, coal, etc.
-Load composition and stability.
-Damage that may be caused by acid or caustic material.
-Workplace related topics such as surface condition; local policies on stacking, un-stacking, and load manipulation; pedestrian traffic; and narrow aisles.
REF AFI 91-203 para 35.3.3.4

Is initial and, as required, refresher training documented in appropriate records, e.g., AF Form 623, Individual Training Record Folder, AF Form 971, Supervisor’s Employee Brief, AF Form 1098, Special Task Certification and Recurring Training, AF IMT 55, Employee Safety and Health Record, or MAJCOM directed record system?
REF AFI 91-203 para 35.3.3.5

Are all operators evaluated at least once every three years and any time there is reason to believe there is a need? NOTE: This is a hands on evaluation and is not a part of the written training.
REF AFI 91-203 para 35.3.3.6

Does the evaluation, at a minimum, include: changes in types of equipment in use, change in operating environment; direct observation of performance; reportable mishaps, reports of near-misses; complaints regarding an operator‘s bad driving habits; physical fitness; and other indications that an operator is not capable of safely performing assigned duties.
REF AFI 91-203 para 35.3.3.6

Is a written/automated record of each operator‘s evaluation kept on file by the instructor for review?
REF AFI 91-203 para 35.3.3.6

Does the instructor provide written certification of training completion to the Operator Records and Licensing staff with written certification on the AF Form 171, Request for Driver's Training and Addition to US Government Driver's License?
REF AFI 91-203 para 35.3.3.3

Is a MAJCOM or locally devised paper or automated system, with dated and signed record of all periodic inspections, repairs and tests maintained indefinitely?
REF AFI 91-203 para 35.6.3.8

Slings

Are alloy steel chain slings permanently marked with size, manufacturer‘s grade, rated capacity and angle upon which the rating is based, its reach, number of legs and manufacturer‘s name?
REF AFI 91-203 para 35.7.2.2.1

Are wire rope slings marked with the rated capacity and manufacturer?
REF AFI 91-203 para 35.7.2.2.2

Do metal mesh slings have a durable marking permanently attached that states the rated capacity for vertical basket hitch and choker hitch loadings, and marked with the manufacturer‘s name?
REF AFI 91-203 para 35.7.2.2.3

Are synthetic web slings permanently marked with the name of the manufacturer, the manufacturer‘s code or stock number, the rated capacity for types of hitches used and the type of synthetic material used?
REF AFI 91-203 para 35.7.2.2.4

Hoists

Is the rated capacity permanently marked on the hoist or its load block and legible from the operating position?
REF AFI 91-203 para 35.6.3.2.9

Are latch-type safety hooks installed on all hoists?
REF AFI 91-203 para 35.6.3.2.8

Is information concerning operating procedures posted by all hoists or displayed on a label affixed to the hoist, controls or block? Are the following cautions included: Lifting more than the rated capacity, operating the hoist when the hook is not centered under the hoist, operating a damaged or malfunctioning hoist, operating a rope hoist with a rope not properly seated in its groove, lifting people or loads over people, operating the hoist with twisted, kinked or damaged chain or rope and removing or obscuring the warning label?
REF AFI 91-203 para 35.6.3.2.10

Are upper limit switches installed and operable on all powered hoists?
REF AFI 91-203 para 35.6.3.2.16

Are personnel trained and qualified prior to using manually operated hoists?
REF AFI 91-203 para 35.6.3.3

Does power operated hoist training include the warnings on the hoist, manufacturer's instructions and requirements and the items listed in paragraphs 35.6.3.4.1 and 35.6.3.4.2?
REF AFI 91-203 para 35.6.3.3

Is hoist locked out prior to adjustments or repairs being started/conducted? NOTE: Ensure a LOTO program is established.
REF AFI 91-203 para 35.6.3.6.5

Has a preventive maintenance program been established and documented?
REF AFI 91-203 para 35.6.3.6.1

Have inspections been conducted at appropriate intervals?
REF AFI 91-203 para 35.6.3.5

Are Frequent and Periodic Inspections of hoists and related equipment performed and documented an are records of repairs and tests maintained? MICT Item 13
REF AFI 91-203 para 35.6.3.5.1-.2 & 35.6.8

On MICT checklist-"Supervisor Occupational Safety Responsibilities Communicator"

Are wire rope and hoist chain inspections being performed as required and is documentation of inspections maintained for a minimum of one year? MICT Item 14
REF AFI 91-203 para 35.11.2.2.1 & 35.11.3.1.4

On MICT checklist-"Supervisor Occupational Safety Responsibilities Communicator"

Personal Protective Equipment
General Use and Training

Has the supervisor conducted and documented a hazard assessment in each workplace where their employees are performing duties to determine if PPE is required? MICT Item 10 (2)
REF AFI 91-203 para 14.3.2

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Do supervisors ensure PPE is provided, used and maintained in a sanitary, serviceable condition? MICT Item 1.05 (1)
REF AFI 91-203 para 14.3.2

On MICT checklists (1-"Commander below installation level and USR" and 2-"Supervisor Occupational Safety Responsibilities Communicator")

Is PPE training documented (JSTO)?
REF AFI 91-203 para 14.3.2

Do supervisors review MSDS requirements, then verify proper selection of chemical protective clothing with BE before original issue?
REF AFI 91-203 para 14.4.11.1

Eye and Face Protection

Are employees provided and required to use appropriate eye or face protection, as directed by applicable technical data or as determined by an appropriate risk assessment, when exposed to hazards from flying particles, molten metal, liquid chemicals, corrosives, caustics, chemical gases, vapors or ionizing and non-ionizing radiation?
REF AFI 91-203 para 14.4.2

Are face shields only used as secondary eye and face protection in areas where splashing, rather than hazardous impact, is the problem? NOTE: In the case of primary protection, other protective devices such as safety goggles shall be worn.
REF AFI 91-203 para 14.4.2.12

Is eye protection with pitted or scratched lenses removed from service?
REF AFI 91-203 para 14.4.2.13

Is previously used PPE disinfected before reissue to another worker?
REF AFI 91-203 para 14.4.2.15

Head Protection

Are personnel working in areas where there is a potential for injury from falling or flying objects, bumping head against a fixed object or electrical shock or burns provided and use protective helmets?
REF AFI 91-203 para 14.4.3

Are chinstraps used on hard hats when working on elevated surfaces where there is a possibility of the hard hat falling off and impacting workers on the lower level?
REF AFI 91-203 para 14.4.3.2

Hand and Arm Protection

Is hand or arm protection used when an employee‘s hands or arms are exposed to hazards, such as skin absorption of harmful substances, severe cuts, lacerations, abrasions, punctures, chemical burns or harmful temperature extremes?
REF AFI 91-203 para 14.4.7

Foot and Leg Protection

Is protective footwear provided and worn when there is a reasonable possibility of foot injuries from heavy or sharp objects and electrical and/or static electricity?
REF AFI 91-203 para 14.4.10

Hazardous Communiction
Training Plan

Has the work center supervisor developed and implemented a written work area specific HAZCOM program?
REF AFI 90-821 para 2.6.9.1

Has the work center's HAZCOM training plan been reviewed and approved by base safety?
REF AFI 90-821 para 2.6.8

Have assigned personnel received and understand work area specific HAZCOM training?
REF AFI 90-821 para 2.6.9.1.4

Is HAZCOM training documented on the AF Form 55, Employee Safety and Health Record, in another electronic form or in the AF EESOH-MIS?
REF AFI 90-821 para 2.6.9.1.6

Emergency Showers and Eyewash Stations
Location/Accessibility

Has the base safety office evaluated each emergency shower and/or eyewash station to determine the need for the unit? NOTE: Letter must be on file.
REF AFI 91-203 para 19.3

Are eyewash stations accessible? NOTE: Travel distances to eyewash stations shall not exceed 100 feet and shall not take more than 10 seconds to reach and must be free of obstructions that may inhibit immediate use of the equipment. EXCEPTION: Facilities for quick drenching of eyes and body shall be provided within 25 feet (7.62 m) of battery handling areas.
REF AFI 91-203 para 19.5 & 19.2.4

Are eyewash stations not located where the water spray will contact electrical circuits? NOTE: Energized circuits located within two (2) feet of emergency eyewash stations and within five (5) feet of emergency shower stations shall be protected by ground fault circuit interrupters (GFCI).
REF AFI 91-203 para 19.5

Are permanently-installed units and self-contained units installed in fixed locations identified with a highly visible sign?
REF AFI 91-203 para 19.6.2

If shutoff valves are installed in the water line for maintenance purposes, have provisions to prevent accidental shutoff been made? NOTE: Is a tag at the valve indicating the water supply is for emergency use posted/attached?
REF AFI 91-203 para 19.6.3

Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature?
REF AFI 91-203 para 19.6.1

Maintenance and Testing

Are permanently-installed shower and eyewash units activated by the weekly to verify proper operation? EXCEPTION: Units installed in unoccupied or infrequently used areas are exempt from this testing requirement, but shall be tested prior to commencing operations that could expose personnel to hazardous operations.
REF AFI 91-203 para 19.9.1

Are permanently-installed units inspected monthly and is the inspection documented? NOTE: Documentation must include: date and name of individual performing inspection. Documentation may be kept in a log, computerized or affixed to the equipment.
REF AFI 91-203 para 19.9.2

Are self-contained units tested and inspected IAW the manufacturer‘s instructions? Fluid levels shall be checked monthly.
REF AFI 91-203 para 19.9.3

If tap water is used, is fluid replaced at least monthly? NOTE: Less frequent intervals of fluid change, as recommended by the manufacturer, are acceptable where a solution or water additive is used. NOTE: Tags or labels shall be attached to the unit or adjacent to it, indicating the fluid change schedule.
REF AFI 91-203 para 19.9.3

Do eyewash bottles instructions and expiration dates permanently affixed to the unit?
REF AFI 91-203 para 19.9.4

Are eyewash bottles tested, refilled, maintained and disposed of IAW the manufacturer‘s instructions?
REF AFI 91-203 para 19.9.4

Training

Are all workers exposed to conditions that may use this emergency equipment instructed in its use as a part of their job safety training? NOTE: Is it spelled out in the JSTO?
REF AFI 91-203 para 19.10

Installation Specifications for Permanent Units

Is the face of the emergency shower head shall be installed no less than 82 inches nor more than 96 inches in height from the surface on which the user stands?
REF AFI 91-203 para 19.12.1.1

Are shower actuating devices readily accessible to the user?

Are hand pull devices shall be located not more than 69 inches nor less than 55 inches above the surface on which the user stands?
REF AFI 91-203 para 19.12.1.3.1

Are push handles and/or paddles shall be approximately 40 inches above the surface on which the user stands?
REF AFI 91-203 para 19.12.1.3.2

Are foot treadles shall not be more than six (6) inches above the walking surface?
REF AFI 91-203 para 19.12.1.3.3

Are eyewash units positioned with water nozzles 33 inches to 45 inches from the surface on which the user stands?
REF AFI 91-203 para 19.12.2.1.3

Are combination units installed so all components can be operated individually from a common water supply line and does each meet the previously stated performance and installation criteria for each component? NOTE: It is not necessary for all components to operate simultaneously (individual conditions may dictate this requirement).
REF AFI 19-203 para 19.12.4

Self Contained Units Specifications

Are self-contained units constructed of non-corrosive materials and provide a minimum of 15 minutes continuous flow?
REF AFI 91-203 para 19.12.5

Government Owned Vehicle
General Training for LRS Vehicle Operations Only

Are the following documented on (132 LRS Vehicle Operations) vehicle operators' AF Form 55? Supervisor Safety Training (SST), Hazardous Material (HAZMAT) Training, Forklift/MHE initial and certification training, Federal Hazard Communication (HAZCOM) brief, National Highway Traffic Safety Administration (NHTSA) 15-Passenger Van, Warning/Safety brief, Fire Extinguisher safety, usage, and storage and explosives safety programs.
AFI 24-301, para 11.3.9

ATV/Off-Road Motorcycle

Have operators of government owned off-road motorcycles completed the Military Motorcycle Operator Training Program (MILMO) or the MSF's Dirt Bike School (DBS)?
REF AFI 91-207 para 4.5.8.2

Have operators of government owned ATV's completed the Specialty Vehicle Institute of America's ATV Rider course?
REF AFI 91-207 para 4.5.8.3

Does the commander of units whose personnel operate government owned ATVs and/or off-road motorcycles fund and obtain required operator training?
REF AFI 91-207 para 4.5.8.4

Emergency Vehicle

Have candidate operators successfully completed a localized emergency vehicle operator training to ensure competency in the safe operation of the vehicle under emergency conditions?
REF AFI 91-207 para 4.7.1

Have emergency vehicle operators completed refresher training every two years or when an event or mishap indicates the operator did not adhere to minimum safe operating practices?
REF AFI 91-207 para 4.7.1

Does initial and refresher training (sponsored/provided by the vehicle owning or operating organization) include: applicable laws and regulations, safe operating practices under normal and emergency conditions, and operator inspection and primary preventive maintenance?
REF AFI 91-207 para 4.7.2-4.7.4

Government Off-Road Vehicles (GORMVS & OGMVC)

Did the unit complete a written RM evaluation prior to operating off-road vehicles in traffic, industrial or pedestrian environments?
REF AFI 91-207 para 2.2.5.3

At a minimum the RM evaluation shall include:

Operator and passenger requirements such as: minimum age, training or licensing. All training will require lesson plans, documentation and be in addition to requirements of this Instruction, state, local or host nation requirements.
REF ARI 91.207 para 2.2.5.3.1

Operator and passenger PPE, as necessary (e.g., helmets, eye protection, gloves, long pants, long-sleeved shirt, pads, sturdy footwear, etc.)
REF AFI 91-207 para 2.2.5.3.1

Vehicle safety devices and equipment (e.g. seatbelts, rollover protection, taillights, reflectors, brakes etc.)
REF AFI 91-207 para 2.2.5.3.3

Authorized operating areas, environments, times and any specific restrictions, including seasonal or weather operating restrictions.
REF AFI 91-207 para 2.2.5.3.4

Are purchase requests for OGMVCs processed through the Wing/Base Ground Safety Office (coordination), Contracting (coordination), Vehicle Management (coordination)
and LRS Equipment Accountability Office (approval) prior to purchase?
REF AFI 94-302 para 3.17.1.2

Government Vehicle Other (GVO)

Has the commander ensured development and implementation of vehicle-specific training requirements for operators of government owned, leased or rented vehicles IAW AFI 24-301, Vehicle Operations?
REF AFI 91-207 para 1.3.4.10

Does the training include: specific vehicle type, content of initial training required, quantity of supervised driving experience, certification procedures, driving restrictions for operators awaiting training and certification, frequency and content of refresher training, and remedial training for observed undesirable driving behaviors?
REF AFI 91-207 para 4.9.1

Passenger Vans Operator Training

Has the commander ensured development and implementation of vehicle-specific training, stressing the unique handling characteristics of these vehicles? Does the training include at a minimum: improper vehicle loading, gross vehicle weight, weight balance, mismatched tires and tire pressures at variance with manufacturers’ recommendations, tire blowouts, risk of rollover and requirements for passengers to use safety belts at all times?
REF AFI 91-207 para 4.10

Have operators of 15 passenger or more vans completed hands-on familiarization training?
REF AFI 91-207 para 4.10.3

Duty Related Operator Driving Time

Does the commander establish and enforce duty hour limits for operators of motor vehicles to reduce the potential for traffic mishaps caused by operator fatigue?
REF AFI 91-207 para 3.3.1

Does the commander conduct a risk assessment for missions that exceed a singular shift or duty day? The RA must include: time on duty, operator's physical condition, driving conditions, duty requirements and length of travel.
REF AFI 91-207 para 3.3.3

Fall Protection

Is a rescue plan included in each fall protection plan to assure prompt rescue of fallen workers? MICT Item 09
REF AFI 91-203 para 13.7

On MICT checklist-"Supervisor Occupational Safety Responsibilities Communicator"

Do supervisors ensure workers using a PFAS can be properly rescued or can rescue themselves should a fall occur? Warning: Hanging in a harness for an extended period of time can be fatal.
REF AFI 91-203 para 13.4.6.11.9

Do supervisors prepare and accomplish a self-inspection checklist annually IAW TO 00-25-245? Does it shall include all relevant information on fall protection/fall arrest systems, i.e., proper care, maintaining and inspection of fall protection/fall arrest systems equipment, training program, etc? Is the self-inspection documented and maintained until the next self-inspection is performed?
REF AFI 91-203 para 13.5.1.5

Machinery, Hand and Power Tools
General

Are racks, shelves or tool boxes provided for storing tools when not in use?
REF AFI 91-203 para 12.3.1

Hand Tools

Are tools kept in good repair?
REF AFI 91-203 para 12.3.3

Do workers carrying hand tools while on ladders, scaffolds, platforms or work stands use carrying bags, i.e., shoulder bags or backpacks, or tool belts for tools that are not in use?
REF AFI 91-203 para 12.3.4

Are handles securely fastened by wedges or other acceptable means? Wedges are always used in pairs.
REF AFI 91-203 para 12.3.5.1

Are fiberglass handles free of etching?
REF AFI 91-203 para 12.3.5.1

Screwdrivers

Do straight blade screwdrivers have working edges square and free from chipped areas?
REF AFI 91-203 para 12.4.1.1

Are screwdriver handles free of cracked or loose handles?
REF AFI 91-203 para 12.4.1.1

Chisels and Punches

Are chisels kept sharp with the edge ground true?
REF AFI 91-203 para 12.4.2

Are safety goggles worn when using a chisel or punch?
REF AFI 91-203 para 12.4.2

Hammers

Are hammers with loose or damaged handles removed from service? NOTE: A hammer shall be discarded if it shows dents, cracks, chips, mushrooming or excessive wear.
REF AFI 91-203 para 12.4.4

Saws

Are saws with broken teeth or broken or cracked handles removed from service?
REF AFI 91-203 para 12.4.5.1.1

When not in use, are saws wiped off with an oil moistened rag and kept in racks or hung by the handle to prevent damage to the teeth?
REF AFI 91-203 para 12.4.5.1.4

Power Portable Hand Tools

Are personnel required to use portable power tools in their work thoroughly trained in safe operating practices?
REF AFI 91-203 para 12.5

Are all power tool cords grounded or double insulated?
REF AFI 91-203 para 12.5.1.3

Are hand-held powered circular saws with a blade diameter over two (2) inches, electric, pneumatic or hydraulic chain saws, all hand-held gasoline-powered chain saws and percussion tools without positive accessory holding means equipped with a constant-pressure switch or control that will shut off power when the pressure is released?
REF AFI 91-203 para 12.5.2.1

Are GFCI devices used when electric powered tools are used in damp or wet locations?
REF AFI 91-203 para 12.5.5

Portable Circular Saws

Are all portable, power-driven circular saws with a blade diameter over two (2) inches equipped with guards above and below the base plate shoe?
REF AFI 91-203 para 12.6.1

When the tool is withdrawn from the work, does the lower guard automatically and instantly return to cover the blade?
REF AFI 91-203 para 12.6.1

Are circular saws with a sticking spring-operated guard removed from service and repaired before workers are allowed to use it?
REF AFI 91-203 para 12.6.1.1

Powder Actuated Tools

Are workers thoroughly instructed in the safe use of any powder-actuated tool before being permitted to operate it?
REF AFI 91-203 para 12.6.3.1

At the end of training did the worker satisfactorily complete a written examination provided by the manufacturer of the tool?
REF AFI 91-203 para 12.6.3.1

Do all operators have a qualified operator's card issued to them and have in their possession while using the tool?
REF AFI 91-203 para 12.6.3.1

Are signs, at least 20 cm x 25 cm (8‖ x 10‖), using boldface type that is not less than 2.5 cm (1‖) in height, posted in plain sight where powder-actuated tools are used and in areas adjacent to tool use where walls, floors or working surface penetration may pose a hazard? Does the sign, at a minimum, bear wording similar to the following: DANGER: POWDER-ACTUATED TOOL IN USE?
REF AFI 91-203 para 12.6.3.2

Are these tools, their ammunition and charges secured?
REF AFI 91-203 para 12.6.3.3

Is each tool equipped with a steel muzzle guard at least 3-1/2 inches in diameter, mounted perpendicular to the barrel and designed to confine flying fragments or particles that might create a hazard?
REF AFI 91-203 para 12.6.3.4

PPE for Power Tools

Do operators, if necessary, wear caps or other garments to keep their hair from contact with rotating or moving parts of the tool?
REF AFI 91-203 para 12.7.1

Are workers prohibited from wearing loose sleeves, neckties, rings or other clothing or jewelry that could become tangled in a hand power tool?
REF AFI 91-203 para 12.7.1

Do operators wear protective eyewear and/or face shields when using hand power tools that may cause flying particles?
REF AFI 91-203 para 12.7.2.1

Machinery

Are machines designed for fixed locations or that may tip over securely fastened to the floor or other suitable foundation to eliminate all movement or walking?
REF AFI 91-203 para 18.3.2

Are personnel trained by the supervisor or a designated trainer on all machinery or equipment they are required to use prior to use?
REF AFI 91-203 para 18.3.3

Is training documented in the worker‘s AF Form 623, Individual Training Record Folder, for military personnel, and the Standard Form (SF) 182, Authorization, Agreement and Certification of Training, for government civilian workers?
REF AFI 91-203 para 18.3.3

Do supervisors maintain manufacturers‘ manuals for all machinery or equipment under their control? EXCEPTION: In the absence of these, supervisors shall develop local OIs, to include job safety, maintenance (including cleaning and sanitizing as required), lubrication and inspection. Such instructions shall identify operator and maintenance technician responsibilities.
REF AFI 91-203 para 18.3.4.1.1

Do supervisors periodically evaluate machinery or equipment operators to ensure they are following proper and safe operating procedures?
REF AFI 91-203 para 18.3.4.1.3

Are one or more methods of machine guarding provided to protect the operator and other employees or patrons in the machine area from hazards such as those created by point of operation, in-running nip points, rotating parts, flying chips, power transmission apparatus and sparks?
REF AFI 91-203 para 18.3.4.3

Is the power cord disconnected or the machinery turned off, locked out and tagged out any time guards are removed?
REF AFI 91-203 para 18.3.4.4

Are records of supervisor inspections and any machine maintenance maintained?
REF AFI 91-203 para 18.3.5.8

Woodworking Machinery

Are table saws equipped with a hood that covers the blade and automatically adjusts itself to the thickness of the material upon which it rides?
REF AFI 91-203 para 18.4.2.1.1

Are radial saws equipped with a hood that encloses the saw blade and the arbor ends? Is the lower section of the hood hinged so it rises and falls, adjusting itself automatically to the thickness of the material as the saw passes through it?
REF AFI 91-203 para 18.4.2.2.1

Are anti-kickback devices installed on saws used for ripping?
REF AFI 91-203 para 18.4.2.1.4 & 18.4.2.2.2

Are both upper and lower wheels on band saws completely enclosed on both sides?
REF AFI 91-203 para 18.4.2.3.1

Are lathes used for turning long pieces of material equipped with guards that will contain the work piece if it separates from its anchorage?
REF AFI 91-203 para 18.4.2.7.6

Are sanding machines equipped with guards at nip points and in-running rolls?
REF AFI 91-203 para 18.4.2.8

Do boring and mortising machines have guards provided which will enclose all portions of the bit chuck above the material being worked?
REF AFI 91-203 para 18.4.2.9.2

Are control switches located so workers will not need to reach over moving parts of machinery?
REF AFI 91-203 para 18.4.2.11.3

Are stop control switches identified by a printed word or color coded red?
REF AFI 91-203 para 18.4.2.11.3

Are machines safe guarded with under-voltage protection?
REF AFI 91-203 para 18.4.2.11.4

Metal Working Machinery

Do supervisors ensure either a fixed barrier guard, safeguard device or combination of both is installed and used on power presses during every operation when the opening between the die (tool) and base (anvil) is more than 1/4 inch?
REF AFI 91-203 para 18.5.2.1.1

Are barrier guards or guarding devices installed and used on drilling, milling and boring machines when machines are operated in an automatic or semi-automatic mode, cutting devices are exposed or any part of the operator‘s body is within one (1) foot of the cutting device?
REF AFI 91-203 para 18.5.2.7

Permanently Installed Grinding Machines

Is the spindle rpm of grinders shown on the machine in a location readily visible to the operator?
REF AFI 91-203 para 18.6.2.2.1

Do all grinding wheels have the operating speed affixed to the wheel? Are those without a rating tagged and removed from service until the rpm rating is validated?
REF AFI 91-203 para 18.6.2.2.2

Are tongue guards positioned so the opening between the wheel and the guard is no more than 1/4 inch?
REF AFI 91-203 para 18.6.2.3.2

Are work rests adjusted closely to the wheel with a maximum opening of 1/8 inch to prevent the work being jammed between the wheel and rest?
REF AFI 91-203 para 18.6.2.3.3.1

Is side wheel grinding limited only on wheels designed for that purpose?
REF AFI 91-203 para 18.6.2.3.9

Are shatter-resistant transparent shields provided as an added margin of safety on grinding machines?
REF AFI 91-203 para 18.6.2.6.6

Interior Spray Finishing
Personal Protective Equipment (PPE)

Do personnel engaged in the application of dopes and paints wear an apron or equivalent protection impervious to paints, solvents and dopes?
REF AFI 91-203 para 28.2.5

Are aprons kept clean and, when not in use, hung in ventilated metal lockers?
REF AFI 91-203 para 28.2.5

Do personnel engaged in painting and paint removal wear protective clothing, respiratory devices (if required) and appropriate face, eye and hand protection?
REF AFI 91-203 para 28.2.5

Housekeeping

Are solvent or paint-soiled rags, paper towels and Kraft paper placed in approved self-closing metal containers plainly marked to indicate the contents?
REF AFI 91-203 para 28.4.8

At the end of each shift or at least once daily, are these containers emptied or removed to an approved location outside the shop for pickup and disposal?
REF AFI 91-203 para 28.4.8

Electrical

Is electrical wiring located in spray areas in rigid metal conduit, Type MI cable, or in metal boxes or fitting containing no taps, splices or terminal connections?
REF AFI 91-203 para 28.7.1

Is electrical equipment outside, but within 20 feet horizontally and 10 feet vertically, of any spraying area and not separated from it by partitions extending at least to the boundary of the Division 2 location of a non-spark-producing design?
REF AFI 91-203 para 28.7.2

Are portable electric lamps prohibited in any spraying area during spraying operations?
REF AFI 91-203 para 28.7.3

Are all metal parts of spray booths, exhaust ducts and piping systems conveying flammable or combustible liquids or aerated combustible solids electrically grounded in an effective and permanent manner?
REF AFI 91-203 para 28.7.4

MISC

Is the floor of paint spray booths covered with a noncombustible mat, removable for cleaning or disposal?
REF AFI 91-203 para 28.9.5

Is the use of carrying matches, lighters or other spark or flame-producing devices in or adjacent to paint spray booths prohibited?
REF AFI 91-203 para 28.9.6

Battery Maintenance, Handling & Storage
Personal Protective Equipment (PPE)

Is ANSI Z87.1 approved eye protection with side shields worn when cleaning batteries, battery connection points and/or cables, servicing fluid level, connecting or disconnecting a battery charger at the battery, jump-starting a battery installed in a vehicle or piece of equipment?
REF AFI 91-203 para 31.2.1.1

Do workers wear a face shield, splash resistant chemical goggles and chemical resistant gloves and apron when handling electrolyte?
REF AFI 91-203 para 31.2.1.1

Do workers wear acid resistant gloves, arm gauntlets, aprons, face protection and ANSI Z87.1 approved eye protection with side shields when handling vented lead acid vehicle or support equipment batteries, or working in the battery room or maintenance areas?
REF AFI 91-203 para 31.2.1.2

Is a permanent eyewash station installed in areas where battery maintenance is performed on a regular basis?
REF AFI 91-203 para 31.2.3

Battery Shops/Rooms

Do exit doors of battery shops/rooms swing outwards?
REF AFI 91-203 para 31.3.3

Are warning signs posted inside and outside the battery room prohibiting smoking, sparks, flames and warning of electric shock and slipping hazards?
REF AFI 91-203 para 31.3.9

Do lead-acid and vented NICAD battery rooms have their own separate ventilation systems?
REF AFI 91-203 para 31.5.3

Are only qualified personnel or those accompanied by qualified personnel allowed access to battery shops, rooms or areas?
REF AFI 91-203 para 31.2.5

Are racks used to support batteries during charging made of or coated with non-sparking materials and designed to permit free access for servicing batteries?
REF AFI 91-203 para 31.3.6

Are three-foot wide non-slip matting installed in front of all charging benches?
REF AFI 91-203 para 31.3.8

Training

Are personnel trained and qualified before being permitted to change, maintain, service or charge batteries? Is training documented?
REF AFI 91-203 para 31.2.5 & 31.2.6

Battery Equipment and Charging Operations

Are chargers turned off before a battery is connected or disconnected?
REF AFI 91-203 para 31.3.10.1

To prevent ignition of accumulated gases, is work prohibited to be conducted on batteries while they are being charged or discharged unless otherwise specified by the applicable TO?
REF AFI 91-203 para 31.3.10.4

Are chargers in the battery charging area located so they have ample ventilation and protection from damage by nearby vehicles, hand trucks or batteries?
REF AFI 91-203 para 31.3.10.6

Are charger leads kept off the floor and out of aisles to avoid damage and potential tripping hazards?
REF AFI 91-203 para 31.3.10.6

Is acid shall poured into water when charging batteries? Warning: water shall NOT be poured into acid. A severe reaction occurs when water is poured into acid and splattering of the acid can cause acid burns on exposed personnel.
REF AFI 91-203 para 31.3.10.8

Compressed Gases
Training

Do supervisors ensure only trained personnel handle or use compressed gas cylinders?
REF AFI 91-203 para 40.1.2.1

Testing

Are compressed gas cylinders hydrostatically tested every five years?
REF AFI 91-203 para 40.2.1

Storage

Are cylinders, whether in use or in storage, full or empty, secured by using a chain or other fastening device to a solid fixture (wall, stanchion, etc.)? Synthetic, i.e., nylon, straps shall not be used to secure cylinders of flammable gases or oxygen.
REF AFI 91-203 para 40.2.5 & 40.3.1

Are the anchor points of the chain or strap about 2/3 the way up the tank?
REF AFI 91-203 para 40.3.2.3

Are cylinder valves closed when the cylinder is not in use or when it is empty? Are safety covers and dust caps on the cylinder?
REF AFI 91-203 para 40.2.10 & 40.3.1

Are gauges on oxygen regulators marked, ―USE NO OIL?
REF AFI 91-203 para 40.2.15

Are acetylene cylinders always in the upright position? NOTE: They will never be placed on their sides, or laid down for any reason.
REF AFI 91-203 para 40.2.16.2

Are cylinders that are located work area in use? Cylinders not in use shall be stored in a designated storage area.
REF AFI 91-203 para 40.2.17

Are doors or gates for gas cylinder supply areas locked?
REF AFI 91-203 para 40.3.1.1

Is the storage area posted as a ―No Smoking Area?
REF AFI 91-203 para 40.3.1.4

Are flammable gases stored away from electrical wires, batteries or other conductors or sources of electricity?
REF AFI 91-203 para 40.3.2.1

Are empty cylinders plainly marked ―EMPTY and stored in a separate area, segregated, if possible, from full cylinders?
REF AFI 91-203 para 40.3.2.2

Are cylinders stored in a well ventilated area?
REF AFI 91-203 para 40.3.2.5

Welding
Training/Qualifications

Are welder's qualified to perform welding/cutting tasks? NOTE: They must have satisfactorily demonstrated their skill or proficiency to their supervisor prior to being considered trained and qualified. Supervisor must provide written documentation.
REF AFI 91-203 para 27.8

Have all welder's completed HAZCOM training?
REF AFI 91-203 para 27.8.2

PPE

Has protective clothing and equipment been approved by bioenvironmental and ground safety?
REF AFI 91-203 para 27.2.3

Is shielding provided to protect personnel from heat, sparks, slag, light and ultraviolet (UV) radiation?
REF AFI 91-203 para 27.4.3

Do all welders and cutters wear protective flame-resistant gloves?
REF AFI 91-203 para 27.7.2

Does each welder have their own (not shared) eye and face protectors?
REF AFI 91-203 para 27.7.9.2

Operating Practices/Procedures

Is acetylene only used at pressures of 15 psig or less?
REF AFI 91-203 para 27.3.1

Is fuel gas and oxygen supply shut off when not in use for extended periods, i.e., 30 minutes or more, or when unattended (no one in the vicinity for observation)?
REF AFI 91-203 para 27.3.1

Is work to be welded or heated never placed on a concrete floor?
REF AFI 91-203 para 27.3.9

Are indoor cutting and welding operations only conducted in areas approved by installation Fire Emergency Services (FES) Flight, Ground Safety office and BE? NOTE: Look for written documentation: Posted certificate for welding areas or AF Form 592 for welding outside designated areas.
REF AFI 91-203 para 27.3.12.1

Are cutting and welding operations not conducted within 50 feet of flammable liquids, i.e., flashpoint below 100°F?
REF AFI 91-203 para 27.3.12.4

Are AF Forms 592, USAF Hot Work Permit, used/approved whenever there is cutting, welding or brazing being accomplished outside of the designated shop area? NOTE: These forms are not required if welding is accomplished in approved designated area--see item 8 above.
REF AFI 91-203 para 27.3.13

Have procedures been established to prevent personnel entering welding areas and from inadvertently being exposed to welding hazards? These procedures shall include, as a minimum, warning signs posted at all personnel entryways of designated welding areas. These signs shall mandate the use of PPE before entering a welding environment.
REF AFI 91-203 para 27.5.1.4

Equipment

Are electrode connections and insulation on holders, hoses and hose connections in serviceable condition?
REF AFI 91-203 para 27.4.2 & 27.10.13.1

Are the correct hoses used? Welding hoses are color coded: oxygen hoses are green, fuel gases are red and inert-gases or air are black.
REF AFI 91-203 para 274.2

Is a fully charged and operable fire extinguisher, appropriate for the task, kept at the work area at all times while welding operations are in progress?
REF AFI 91-203 para 27.5.1.6

Portable Gas Welding Units

Do compressed gas cylinders have pressure reducing regulators installed?
REF AFI 91-203 para 27.13.1

Are cylinders in use or transport stored in an upright position and secured to prevent them from falling?
REF AFI 91-203 para 27.13.2

Are oxygen cylinders and fittings kept free of grease and oil at all times?
REF AFI 91-203 para 27.13.4

If the cart is not used several times a week, have the regulators been removed and the cylinders properly stored?
REF AFI 91-203 para 40.3.6

Miscellaneous Industrial
Housekeeping

Are areas where personnel walk and work free of potential tripping and slipping hazards such as tools, electrical cords, air lines and packaging materials?
REF AFI 91-203 para 5.1

Are metal or noncombustible containers with vapor tight and spill proof lids used for disposal or recycling of combustible wastes, rags or other items contaminated with combustible or flammable materials?
REF AFI 91-203 para 5.2

When materials are stacked to a height less than 15 feet, is an 18-inch clearance below ceiling sprinkler deflectors, joists, rafters, beams and roof trusses maintained? If the stack is over 15 feet in height, is the clearance increased to 36 inches?
REF AFI 91-203 para 5.6

Is access to disconnect switches, distribution panels and alarm supply boxes free of obstructions that would prevent ready access?
REF AFI 91-203 para 5.9.5

Are aisles at least 36 inches wide to permit free movement of workers, equipment and supplies and a minimum of 18 inches for passageways formed by or between movable obstructions?
REF AFI 91-203 para 7.2.1.3

Are signs that identify floor loading capacity posted on all above grade storage areas?
REF AFI 91-203 para 7.2.1.3

Exterior Walking and Working Surfaces

Are edges of loading docks marked with four-inch wide yellow lines?
REF AFI 91-203 para 7.2.2.1.1

Are loading docks higher than four feet equipped with removable railings?
REF AFI 91-203 para 7.2.2.1

Fixed Ladders

Are fixed ladders, available to public access, secured/guarded to prevent unauthorized access? Is a warning sign posted prohibiting access by unauthorized persons? Note: Typically, the bottom seven (7) feet shall be guarded.
REF AFI 91-203 para 7.4.2.6

Are formal, fully documented inspection of all fixed ladders accomplished upon installation and at least every three (3) years thereafter?
REF AFI 91-203 para 7.4.3.1

Portable Ladders

Are personnel who use ladders at any working height trained in the care and use of different types of ladders? Is the training part of the JSTO? MICT Item 05
REF AFI 91-203 para 7.5.2.7 & AFI 91-202 para A5.2.15

On MICT checklist-"Supervisor Occupational Safety Responsibilities Communicator")

Does the training include hands-on instruction to include inspection of ladders for defects, possible electrocution hazards, proper positioning and placement of ladders for various job sites? MICT Item 05
REF AFI 91-203 para 7.5.2.7

On MICT checklist-"Supervisor Occupational Safety Responsibilities Communicator")

Is ladder training documented?
REF AFI 91-203 para 7.5.2.7

Are wood ladders stored in a location free from exposure to the elements and excessive heat or dampness?
REF AFI 91-203 para 7.5.2.5.3

Are ladders with conductive side rails marked (manufacturer labeling) for electrical hazards? NOTE: Ladders not already marked with safety use instructions by the manufacturer shall be stenciled, ―DANGER — DO NOT USE AROUND ELECTRICAL EQUIPMENT,‖ in two-inch high red letters or the largest letters the surface will allow (minimum letter size is one inch)
REF AFI 91-203 para 7.5.2.2.6

Are ladders equipped with rubber safety feet to prevent slipping?
REF AFI 91-203 para 7.5.2.5.15

Flammable Storage

Are flammable materials stored in approved containers in approved areas?
REF AFI 91-203 para 5.9.7

Are cabinets conspicuously labeled ―Flammable — Keep Fire Away?
REF AFI 91-203 para 22.5.3.2

Does electrical wiring and equipment located within flammable or combustible storage rooms meet the requirements of NFPA 70 for hazardous location as determined by the class of materials stored?
REF AFI 91-203 para 22.5.5

Is every inside storage room provided with a gravity or mechanical exhaust ventilation system?
REF AFI 91-203 para 22.5.6

Are 3-foot aisles maintained in all inside storage areas?
REF AFI 91-203 para 22.5.7

Are flammable paints, oils and varnishes in 1 to 5 gallon containers, used for building maintenance purposes, only stored temporarily in closed containers outside approved storage cabinets or rooms if kept at the job site for less than 10 calendar days?
REF AFI 91-203 para 22.5.8.5

Are boiler rooms, equipment rooms and other utility rooms not utilized as storage areas for gasoline powered equipment?
REF AFI 91-203 para 22.8.6

When stored, is gasoline powered equipment isolated from potential ignition sources?
REF AFI 91-203 para 22.8.7

Compressed Air

Are face shields and safety goggles worn when cleaning with compressed air?
REF AFI 91-203 para 25.6.1

Is cleaning using compressed air limited to the following parameters: the downstream pressure of compressed air remains below 30 psi whenever the nozzle is dead-ended and then only when effective chip guarding and PPE are used?
REF AFI 91-203 para 25.6.1

Is the maximum working pressure of compressed air lines identified in psi? Are pipeline outlets tagged or marked showing maximum working pressure immediately adjacent to the outlet?
REF AFI 91-203 para 25.6.3.5

Jewelry

Is the wearing of finger rings worn by personnel engaged in the following activities prohibited: climbing, ascending or descending activities, material handling operations, working around moving machinery, exposed to an energized electrical circuit, maintaining or inspecting aircraft or AGE, performing maintenance (CE or Transportation type maintenance)?
REF AFI 91-203 para 9.1.1.5

Are metal eyeglasses secured by a band or cord to prevent them from falling into energized electrical circuits or moving industrial machinery?
REF AFI 91-203 para 9.2

Are workers prohibited from wearing rings, earrings, bracelets, wristwatches or necklaces in the vicinity of operating machinery and power tools?
REF AFI 91-203 para 9.3

Weather

When lightning is detected or observed in the immediate vicinity, do personnel seek shelter in protected buildings or shelters? (Applicability for most is Unit PT, some units have employees who work outdoors i.e., CE, etc.)
REF AFI 91-203 para 11.2.1.1

Do all outside activities cease and personnel seek adequate shelter during a lightning warning? (Applicability for most is Unit PT, some units have employees who work outdoors i.e., CE, etc.)
REF AFI 91-203 para 11.2.3.2.1

Civil Engineering
Mobile and Elevating Work Platforms

Are aerial ladders inspected and tested annually or immediately following any activity when it is known, or suspected, to have been loaded beyond its maximum load capacity, or immediately following any repair of any ladder assembly structural or mechanical component?
REF AFI 91-203 para 16.4.5.1

Are articulating and extendible boom platforms inspected and tested annually?
REF AFI 91-203 para 16.4.5.2

Are manufacturer's manuals of aerial devices readily available (stored in weather resistant compartment provided by manufacturer) to workers?
REF AFI 91-203 para 16.4.6.1

Are workers required to use vehicle-mounted elevating and rotating work platforms thoroughly trained in all aspects of the job before using this equipment? Does the training include ―hands-on-training‖ prior to actual ―on-the-job‖ training tasks? Is the training documented?
REF AFI 91-203 para 16.4.6.3

Does each bucket or platform occupant wear a full body harness and lanyard (sized to limit free fall distance to six (6) feet or less, or the free fall distance permitted by the system, whichever is less)?
REF AFI 91-203 para 16.4.6.11

Are work platforms equipped with guardrails, midrails and toe boards on all four (4) sides of the platform, including the access opening to the platform?
REF AFI 91-203 para 16.5.1

Are the steps of all ladder stands constructed of slip-resistant materials or covered with a slip-resistant coating?
REF AFI 91-203 para 16.5.3.4

Are protective guardrails and mid-rails (when required), installed and secured with bolts, pins or other locking devices on mobile work platforms and ladder stands for work four (4) feet or more above ground or floor?
REF AFI 91-203 para 16.5.11.3

Scaffolding

Are scaffolds constructed and erected only by qualified and trained personnel?
REF AFI 91-203 para 17.3.1

Do workers wear hard hats during erection, maintenance and teardown of overhead scaffolding?
REF AFI 91-203 para 17.3.15

Agricultural tractors and Implement Attachments

Are operators trained?
REF AFI 91-203 para 26.2.2.1

Is the operator‘s manual accessible?
REF AFI 91-203 para 26.2.2.6

Are all tractors with engines exceeding 20 horsepower fitted with ROPS?
REF AFI 91-203 para 26.2.6

Are all ROPS-equipped tractors fitted with seatbelts?
REF AFI 91-203 para 26.2.6

CPR Training

Are all electrical, power production and Heating, Air Conditioning and Ventilation (HVAC) personnel are trained in cardiopulmonary resuscitation (CPR) procedures?
REF AFI 91-203 para 25.1.2

Shoring and Trenching

Are the walls and faces of excavations and trenches over five (5) feet in depth, where workers may be exposed to danger of a cave-in, guarded by a shoring system, sloping and benching system or some other equivalent means consistent with 29 CFR 1926, Subpart P – Excavations?
REF AFI 91-203 para 25.8

Are trenches less than five (5) feet deep with hazardous soil conditions, effectively protected?
REF AFI 91-203 para 25.8

Are tools, equipment and excavated material kept two (2) feet or more from the lip of the trench?
REF AFI 91-203 para 25.8.2

Is an adequate means of exit such as ladders or steps provided (within 25 feet of travel) where workers are required to be in or work in trenches 4-feet deep or more?
REF AFI 91-203 para 25.8.2

Are trenches and excavations over five (5) feet deep or more inspected daily by the supervisor to ensure there are adequate slopes, shoring, benching and bracing, and no evidence of possible slides or cave-ins? Is inspection(s) documented and signed by the supervisor and a copy of the inspection document(s) maintained on the site at all times?
REF AFI 91-203 para 25.8.3

Equipment Operations and Pavements

Are training plans developed and operators trained on each piece of equipment?
REF AFI 91-203 para 25.12

Are backhoe operations under energized electrical lines permitted only where absolutely necessary, approved by the commander, and a spotter used to constantly check clearance?
REF AFI 91-203 para 25.12.1

Are dump truck operators trained IAW Air Force Qualification Training Package (AFQTP) 3E2X1-15 prior to operating any dump truck in the performance of his or her duties?
REF AFI 91-203 para 25.12.3

Are spotters used when backing sweepers?
REF AFI 91-203 para 25.12.7

Central Heating Plant

Are written operating procedures and detailed checklists for operator guidance posted in all equipment rooms with boilers?
REF AFI 91-203 para 25.17.1

Is the boiler, the flame safeguard supervisory system, and other safety controls inspected at least once per year during a scheduled shutdown by an authorized inspector who is accompanied by the plant supervisor?
REF AFI 91-203 para 25.17.3.3

Water and Wastewater Treatment

Has a plan or OI been developed for operations under emergency conditions to include, but not limited to, safe venting of toxic gases, neutralization, air sampling, evacuation of non-essential personnel and a respiratory protection program?
REF AFI 91-203 para 25.18.3

Are all guards and screens are firmly in place on shredding (pulverizing) and grinding equipment?
REF AFI 91-203 para 25.18.3.2.3

Electrical

Do workers remove jewelry, such as rings, earrings, bracelets and watches, and secure metal framed eyeglasses with a band or cord when they work on or near live electrical equipment?
REF AFI 91-203 para 8.8

Are only qualified operators who are designated in writing by the supervisor allowed to work on electrical installations and equipment?
REF AFI 91-203 para 8.9.2

Has a flash hazard analysis (FHA) been performed for all Air Force operations exposing personnel to energized parts greater than 50 volts?
REF AFI 91-203 para 8.18.2.3

Do individuals required to work on or near (within 8 feet of) exposed energized equipment over 50 volts wear long sleeved, Arc Thermal Performance Value (ATPV) rated PPE IAW UFC 3-560-01?
REF AFI 91-203 para 8.18.2.4

Do individuals operating or servicing electrical switch-gear over 15 kV wear an appropriately ATPV-rated blast suit with hood and polycarbonate face shield and individuals located 8 to 21 feet from the equipment during these operations wear ATPV rated flash suits or be adequately protected by a substantial part of the building structure (wall, floor or ceiling, etc.)? NOTE: Sheet metal and gypsum building materials do not provide the required minimum level of blast protection.
REF AFI 91-203 para 8.18.2.5

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.