City Of Perrysburg Safety Inspection

• Date Of Inspection

  Date

• Prepared by

• Location
  Address

Fire Safety

• Extinguishers are signed and have clear access

  Yes

  No

  N/A

• Exit signs and emergency lights are all operational

  Yes

  No

  N/A

• Fire extinguishers are Current and Dated

  Yes

  No

  N/A

• Are all of the exits clear and well marked

  Yes

  No

  N/A

• Are there any damaged or discharged fire extinguishers

  Yes

  No

  N/A

• Fire equipment inspected periodically ( sprinklers, alarms ) PROOF

  Yes

  No

  N/A

• Fire department connection clear to building

  Yes

  No

  N/A

• Flammables stored correctly and in proper containers

  Yes

  No

  N/A

Eye Wash and first aid

• Eye washes are current with dates of last refresh

  Yes

  No

  N/A

• Eye washes are accessible

  Yes

  No

  N/A

• Emergency showers operational

  Yes

  No

  N/A

• If equipped with AED, is it accessible

  Yes

  No

  N/A

• If Equipped with AED, is it charged and ready

  Yes

  No

  N/A

• First Aid Kits are Accessible and stocked

  Yes

  No

  N/A

• Blood bourn pathogen kits are stocked

  Yes

  No

  N/A

Electrical Safety

• Electrical extension cords properly used and in good working order

  Yes

  No

  N/A

• Electrical panels covered and closed properly

  Yes

  No

  N/A

• Electrical panels clear of all objects front

  Yes

  No

  N/A

• Electrical outlets covered and operational

  Yes

  No

  N/A

• High Energy and arc flash signs present and legible

  Yes

  No

  N/A

Other Key Safety Items

• Spill kits are easy to find

  Yes

  No

  N/A

• If applicable, spill kits are present and stocked

  Yes

  No

  N/A

• Evacuation routes posted

  Yes

  No

  N/A

• Emergency service numbers are posted in the appropriate places

  Yes

  No

  N/A

• PPE that applies to the work in this location being worn and available

  Yes

  No

  N/A

• LOTO Kits available and stocked

  Yes

  No

  N/A

• Tornado shelters marked with signage

  Yes

  No

  N/A

• Yes

  No

  N/A

• Hand tools are all properly guarded and not altered

  Yes

  No

  N/A

• Wood shop tools have all of the safety devices and guards in place

  Yes

  No

  N/A

Automotive Equipment Only

• Automotive and truck lift inspection tags present and up to date

  Yes

  No

  N/A

• Automotive and truck hoists operational with no signs of leaking

  Yes

  No

  N/A

• Floor jacks and stand in good working order

  Yes

  No

  N/A

Welders and Torches

• Welding and torch equipment in good working order

  Yes

  No

  N/A

• Fire Extinguisher on torch cart or welding cart

  Yes

  No

  N/A

• Welding Helmet and torch goggles available in location

  Yes

  No

  N/A

• Empty cylinders secured to the wall and separated by type

  Yes

  No

  N/A

• Torch hoses free from cracking and cuts

  Yes

  No

  N/A

Tire Service Area Only

• Tire changers and balancers in good working order

  Yes

  No

  N/A

• Air compressor functioning properly

  Yes

  No

  N/A

• Air Hoses properly crimped with no hose clamps

  Yes

  No

  N/A

• Commercial truck tire cage clear and free of dents or cracks

  Yes

  No

  N/A

• All employees certified on commercial tire service

  Yes

  No

  N/A

Forklift Only

• Forklift free of any visible leaks

  Yes

  No

  N/A

• Safety features all in good working order

  Yes

  No

  N/A

• Service being performed at least 2 times per year

  Yes

  No

  N/A

• Daily forklift inspections being performed

  Yes

  No

  N/A

• All drivers certified

  Yes

  No

  N/A

• Proper PPE being worn for the job employee might have

  Yes

  No

  N/A

• Proper certification and training for the job or machine

  Yes

  No

  N/A

• Confined space safety equipment certified and calibrated to standard

  Yes

  No

  N/A

• Employees wearing proper clothing for the job

  Yes

  No

  N/A

• Safety signage and reminders are adequate and in good shape

  Yes

  No

  N/A

• All items stock high in racks strapped down

  Yes

  No

  N/A

• Flotation safety devices accessible

  Yes

  No

  N/A

• All visible air quality warning lights appear to be operating

  Yes

  No

  N/A

• Remote location emergency communication in place along with noted process

  Yes

  No

  N/A

Fall Protection and Equipment

• Fall protection inspected at least quarterly

  Yes

  No

  N/A

• Fall protection in place for areas that apply

  Yes

  No

  N/A

• Ladders in good working order

  Yes

  No

  N/A

• Slip and trip hazards indicated and marked well

  Yes

  No

  N/A

• Stairways clear

  Yes

  No

  N/A

• Federal and State labor law posters posted and current

  Yes

  No

  N/A

• SDS sheets accessible and current

  Yes

  No

  N/A

• Safety Score Card Posted

  Yes

  No

  N/A

• PERRP Logs

  Yes

  No

  N/A

Automotive Shop Only

• OSHA poster for commercial tire repair and installation

  Yes

  No

  N/A

• Gates and fencing in good shape

  Yes

  No

  N/A

• Unattended gate openings

  Yes

  No

  N/A

• Any security breaches to mention on this inspection

  Yes

  No

  N/A