City of Tucson's Multi-Agency Inspection Program

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

OSHA GENERAL DUTY CLAUSE: OSHA ACT 5(a)(1)

• Does employer furnish his employees employment and a place of employment which are free from recognized hazards that are causing or likely to cause death or serious physical harm to his employees?

OSHA ACT 5(a)(1): OSHA GENERAL DUTY CLAUSE:

• Does the employer furnish his employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees?

  Yes

  No

  N/A

• Is the structure, furniture and equipment in the area, in good and safe condition?

  Yes

  No

  N/A

• Are floors clean and free of dirt and liquids?

  Yes

  No

  N/A

• Good lighting available?

  Yes

  No

  N/A

• Are restrooms facilities clean?

  Yes

  No

  N/A

BEST MANAGEMENT PRACTICES

• Does the location follow best management practices?

Best Management Practices:

• Does the location follow Best Management Practices?

  Yes

  No

  N/A

Employee OSHA (publication 3165) and U.S. Department of Labor Postings: 29 CFR 1903.2

• Are the OSHA (publication 3165) and the US Department of Labor Postings Posted and available for employees to read?

OSHA publication 3165 & US Dept. of Labor Postings

• Are the OSHA (publication 3165) and US Department of Labor Postings posted and available for the employees to read?

  Yes

  No

  N/A

• Is the Risk Management Contact and Medical Clinics information posted?

Risk Mgt. Contact and Medical Clinics Information

• Are City of Tucson Risk Management Contacts and Medical Clinics information posted?

  Yes

  No

  N/A

HOUSEKEEPING

• Are all places of employment kept clean and orderly and in sanitary condition?

29 CFR 1910(a)(1):

• Are all places of employment kept clean and orderly and in sanitary condition?

  Yes

  No

  N/A

• Are all isles and passageways kept clear with no obstructions across the aisles that could create a hazard?

29 CFR 1910.22(b)

• Are all isles and passageways kept clear with no obstruction across the aisles that could create a hazard.

  Yes

  No

  N/A

• Are all other "OBSERVED" conditions free from Housekeeping hazards?

Other observed Housekeeping hazards

• Are all other "OBSERVED" conditions free from Housekeeping hazards?

  Yes

  No

  N/A

EMERGENCY EXITS

• Are all exit routes free and unobstructed?

29 CFR 1910.37(3):

• Are all exit routes free and unobstructed?

  Yes

  No

  N/A

• Are all exits clearly visible and marked by a sign reading "Exit"?

29 CFR 1910.37(b)(2):

• Are all exits clearly visible and marked by a sign reading "Exit"?

  Yes

  No

  N/A

• Is each doorway which could be mistaken for an exit marked "Not an Exit"?

29 CFR 1910.37(b)(5):

• Is each doorway which could be mistaken for and exit marked "Not an Exit"?

  Yes

  No

  N/A

• Are all "Exit" signs illuminated?

29 CFR 1910.37(b)(6):

• Are all "Exit" signs illuminated?

  Yes

  No

  N/A

• Do all emergency lights operate for a minimum of 30 seconds when the test button is pressed?

life Safety Code 101-67 7.9.3.1.1

• Do all emergency lights operate for a minimum of 30 seconds when the test button is pressed?

  Yes

  No

  N/A

• Are all other "OBSERVED"conditions free from Emergency Exit hazards?

Other observed Emergency Exit hazards

• Are all other "OBSERVED" conditions free from Emergency Exit hazards?

  Yes

  No

  N/A

FIRE SAFETY: FIRE EXTINGUISHERS

• Are all portable fire extinguishers properly mounted, located and identified so they are readily accessible to employees?

29 CFR 1910.157(c)(1)

• Are all portable fire extinguishers properly mounted, located and identified so they are readily accessible to employees?

  Yes

  No

  N/A

• Do all fire extinguishers receive a monthly inspection?

29 CFR 1910.157(e)(2)

• Do all of the fire extinguishers receive a monthly inspection?

  Yes

  No

  N/A

• Do all fire extinguishers receive an annual inspection?

29 CFR 1910.157(e)(3)

• Do all fire extinguishers receive an annual inspection?

  Yes

  No

  N/A

• Are all portable fire extinguishers kept in their designated places at all times except during use?

29 CFR 1910.157(c)(4)

• Are all portable fire extinguishers kept in their designated places at all times except during use?

  Yes

  No

  N/A

• Are all other "OBSERVED" conditions free from Fire Extinguisher hazards?

Other observed Fire Extinguisher Safety Hazards

• Are all other "OBSERVED" conditions free from Fire Extinguisher hazards?

  Yes

  No

  N/A

FIRE ALARM SYSTEMS

• Is testing of the Fire Alarm System conducted in accordance with National Fire Protection Association (NFPA) testing schedule?

NFPA-72, Table 10.4.3 Testing Frequencies

• How often is the system tested/inspected?

  Yes

  No

  N/A

• Is the documentation available upon request?

  Yes

  No

  N/A

• Has the Fire Riser been inspected/tested?

  Yes

  No

  N/A

FIRE SAFETY

• Are combustible materials in buildings separated from heaters or heating devices by distance or shielding so ignition cannot occur?

Fire Code 2006 Chapter 3:315.2

• Are combustible materials in buildings separated from heaters or heating devices by distance or shielding so ignition cannot occur?

  Yes

  No

  N/A

• Are all flammables and combustibles properly stored in flammable cabinets?

29 CFR 1910.106(d)(3)(ii)

• Are all flammables and combustibles properly stored in flammable cabinets?

  Yes

  No

  N/A

• Are "ONLY" flammables and combustibles stored in flammable cabinets?

29 CFR 1910.106(d)(3)(ii)

• Are "ONLY" flammables and combustibles stored in flammable cabinets?

  Yes

  No

  N/A

• Is storage maintained 18 inches from sprinkler heads in buildings which have fire sprinkler systems?

International Fire Code 2006:315.2.1

• Is storage maintained 18" from sprinkler heads in buildings which have fire sprinkler systems?

  Yes

  No

  N/A

• Is storage maintained 24 inches below the ceiling in non-sprinkled buildings?

International Fire Code 2006:315.2.1

• Is storage maintained 24 inches below the ceiling in non-sprinkled buildings?

  Yes

  No

  N/A

• Is the required fire-resistance rating of fire resistance-rated construction (including ceiling tiles) maintained and properly repaired, restored or replaced for any openings including openings made for passage of pipes, electrical conduit, wires, ducts, air transfer openings and any holes made for any other reason?

International Fire Code 2006 703.1

• Is the required fire-resistance rating of fire resistance-rated construction (including ceiling tiles) maintained and properly repaired, restored or replaced for any openings including openings made for passage of pipes, electrical conduit, wires, ducts, air transfer openings and any holes made for any other reason?

  Yes

  No

  N/A

• Are all other "OBSERVED" conditions free from Fire Safety hazards?

Other Observed Fire Safety HazardsAre

• Are all other "OBSERVED" conditions free from Fire Safety hazards?

  Yes

  No

  N/A

ELECTRICAL

• Are extension cords and electrical strips used in accordance with manufacturer's guidelines?

29 CFR 1910.303(b)(2):

• Are extension cords and electrical strips used in accordance with manufacturer's guidelines?

  Yes

  No

  N/A

• Are all extension cords and electrical power strips free from daisy chaining?

29 CFR 1910.304(b)(2);

• Are all electrical cords and electrical power strips free from daisy chaining?

  Yes

  No

  N/A

• Are extension cords used only for immediate use and not as permanent wiring?

29 CFR 1910.304(b)(2)(iv)(B):

• Are extension cords used only for immediate use and not as permanent wiring?

  Yes

  No

  N/A

• Are all portable cord and plug connected equipment and extension cords free from damage and defects such as damage to the outer jackets (insulation) or missing grounding pins?

29 CFR 1910.304(b)((3)(ii)(C)(3):

• Are all portable cord and plug connected equipment and extension cords free from damage and defects such as damage to the outer jackets (insulation) or missing grounding pins?

  Yes

  No

  N/A

• Are all strain relief points free from exposed electrical wires?

29 CFR 1910.305(g)(2)(ii):

• Are all strain relief points free from exposed electrical wiries?

  Yes

  No

  N/A

• Are all electrical wires which have exposed ends capped (or do they need removed)?

29 CFR 1910.303(c)(3)(i):

• Are all electrical wires which have exposed ends capped (or do they need to be removed?).

  Yes

  No

  N/A

• Are all unused openings in electrical outlets, boxes, equipment casings, cabinets closed to prevent exposure and accidental entry?

29 CFR 1910.305(b)(1)(i):

• Are all unused openings in electrical outlets, boxes, equipment casings, cabinets closed to prevent exposure and accidental entry?

  Yes

  No

  N/A

• Do all boxes, junction boxes, fittings....outlet fixtures have covers?

29 CFR 1910.305(b)(2)(i):

• Do all boxes, junction boxes, fittings .....outlet fixtures have covers?

  Yes

  No

  N/A

• Are all electrical outlets installed within 1.8m (6 ft.) of the outside edge of a sink (laundry, utility, and wet bar sinks) GFCI protected?

NFPA 70E 210.8(7)

• Are all electrical outlets installed within 1.8m (6 ft.) of the outside edge of a sink (laundry, utility, and wet bar sinks) GFCI protected?

  Yes

  No

  N/A

• Are all receptacles installed to serve the countertop surfaces in kitchens GFCI protected?

NFPA 70E 210.8(6)

• Are all receptacles installed to serve the countertop surfaces in kitchens GFCI protected?

  Yes

  No

  N/A

• Is GFCI protection provided when an employee is outdoors and operating or using cord and plug connected equipment supplied by 125-volt, 15, 20 or 30 amp circuits?

NFPA 70E 110.4(C)(2)

• Is GFCI protection provided when an employee is outdoors and operating or using cord and plug connected equipment supplied by 125-volt, 15, 20 or 30 amp circuits?

  Yes

  No

  N/A

• Are waterproof receptacles installed in outdoor locations or in other damp locations?

29 CFR 1910.305(j)(2)(iv)&(v):

• Are waterproof receptacles installed in outdoor locations or in other damp locations?

  Yes

  No

  N/A

• Are all electrical outlets and enclosures located in damp or wet locations free from visible damage?

29 CFR 1910.305(e):

• Are all electrical outlets and enclosures located in damp or wet locations free from visible damage?

  Yes

  No

  N/A

• Are labels providing voltage, current and protective clothing requirements posted on electrical panels?

29 CFR 1910.303(e)(1)(ii) NFPA 70E:

• Are labels providing voltage, current and protective clothing requirements posted on outside of electrical panels?

  Yes

  No

  N/A

• Are all lamps used for general illumination protected from accidental contact or breakage by a suitable fixture or guard?

29 CFR 1910.305L(a)(2)(ix):

• Are all lamps used for general illumination protected from accidental contact or breakage by a suitable fixture or guard?

  Yes

  No

  N/A

• Are all other "OBSERVED" conditions free from Electrical hazards?

Other Observed Electrical Hazards

• Are all other "OBSERVED"conditions free from Electrical hazards?

  Yes

  No

  N/A

EYE WASH STATIONS

• Are eye wash stations unblocked and placed within 10 seconds or 55 feet of the hazard?

ANSI Z358.1 2009: 29 CFR 1910.151:

• Are eye wash stations unblocked and placed within 10 seconds or 55 feet of the hazard?

  Yes

  No

  N/A

• Are all eye wash stations flow tested on a weekly basis and mechanically tested annually?

ANSI Z358.1 2009: 29 CFR 1910.151:

• Are all eye wash stations flow tested on a weekly basis and mechanically tested annually?

  Yes

  No

  N/A

• Does the eye wash station deliver tepid (between 60 and 100 degrees F) for 15 minutes?

ANSI Z358.1 : 29 CFR 1910.151:

• Does the eye wash station deliver tepid (between 60 and 100 degrees F) water for 15 minutes?

  Yes

  No

  N/A

• Are eyewash solutions for portable eye wash stations being inspected for expiration dates?

ANSI Z358.1 2009: 29 CFR 1910.151:

• Are the eyewash solutions for portable eye wash stations being inspected for expiration dates?

  Yes

  No

  N/A

• Are all other "OBSERVED" conditions free from Eye Wash Station hazards?

Other Eyewash Station hazards

• Are all other "OBSERVED" conditions free from Eye Wash Station hazards?

  Yes

  No

  N/A

HAZARD COMMUNICATION

• Is there a list of hazardous chemicals know to be present available and are the appropriate safety data sheets available to employees?

29 CFR 1910.1200(e):

• Is there a list of hazardous chemicals known to be present and are the appropriate safety data sheet available to employees?

  Yes

  No

  N/A

• Are all chemical containers labeled properly?

29 CFR 1910.1200(f):

• Are all chemical containers labeled properly?

  Yes

  No

  N/A

• Are all other "OBSERVED" conditions free from Hazard Communication hazards?

Other Hazard Communication hazards

• Are all other "OBSERVED" conditions free from Hazard Communication hazards?

  Yes

  No

  N/A

LADDER SAFETY

• Do the ladders have the ladder manufacturer's information and warning labels in place and are they legible?

29 CFR 1910.25(d)(2)

• Do the ladders have the ladder manufacturer's information and warning labels in place and are they legible?

  Yes

  No

  N/A

• Are all ladders inspected prior to use and taken out of service if any defects are found?

29 CFR 1910.25(d)(1), (d)(1)(x), (d)(2)(v)(iii)

• Are all ladders inspected prior to use and taken out of service if any defects are found?

  Yes

  No

  N/A

• Is the ladder observed in use the correct type of ladder for the job being performed?

29 CFR 1910.25

• Is the ladder observed in use the correct type of ladder for the job being performed?

  Yes

  No

  N/A

• Are the observed ladders which are not in use stored properly and secured?

29 CFR 1910.25

• Are the observed ladders which are not in use stored properly and secured?

  Yes

  No

  N/A

• Are all other observed conditions free from any other ladder safety hazards?

29 CFR 1910.25

• Are all other observed conditions free from any other ladder safety hazards?

  Yes

  No

  N/A

MACHINERY AND MACHINE GUARDING

• Do all tools and machines have the proper machine guarding to protect the operator from hazards at the point of operation?

29 CFR 1910.212(a)(1) :

• Do all tools and machines have the proper machine guarding to protect the operator from hazards at the point of operation? <br>

  Yes

  No

  N/A

• Are all Grinder work rests adjusted closely to the wheel with a maximum opening of one eighth (1/8) of an inch?

29 CFR 1910.215(a)(4)

• Are all GRINDER work rests adjusted closely to the wheel with a maximum opening of one eighth (1/8) of an inch?

  Yes

  No

  N/A

• Are all GRINDER safety guards adjusted so as to never exceed on-fourth (1/4) of an inch between the wheel to the guard?

29 CFR 1910.215(b)(9)

• Are all GRINDER safety guards adjusted so as to never exceed one-fourth (1/4) of an inch between the wheel to the guard?

  Yes

  No

  N/A

• Are all machines designed for a fixed location securely anchored to prevent walking or moving?

29 CFR 1910.305(b)(2)(i)

• Are all machines designed for a fixed location securely anchored to prevent walking or moving?

  Yes

  No

  N/A

• Are all other "OBSERVED" conditions free from Machine Guarding hazards?

Other Machine Guarding hazards

• Are all other "OBSERVED" conditions free from Machine Guarding hazards?

  Yes

  No

  N/A

PPE

• Is required PPE provided to the employees and do the employees wear the required PPE?

29 CFR 1910.132(a):

• Is required PPE provided to the employees and do the employees wear the required PPE?

  Yes

  No

  N/A

• Is the PPE maintained and stored in a sanitary and reliable condition to prevent damage and/or contamination?

29 CFR 1910.132(a):

• Is the PPE maintained and stored in a sanitary and reliable condition to prevent damage and/or contamination?

  Yes

  No

  N/A

• Are all other "OBSERVED" conditions free from PPE hazards?

Other PPE hazards

• Are all other "OBSERVED" conditions free from PPE hazards?

  Yes

  No

  N/A

WELDING, CUTTING, BRAZING

• Are all compressed gas cylinders legibly marked for the purpose of the identifying the gas content?

29 CFR 1910.253(b)(1)(ii):

• Are all compressed gas cylinders legibly marked for the purpose of identifying the gas content?

  Yes

  No

  N/A

• Are oxygen cylinders in storage separated from fuel-gas cylinders or combustible materials by a minimum of 20 feet or by a non-combustible barrier at least five feet high?

29 CFR 1910.253(b)(4)(iii)

• Are oxygen cylinders in storage separated from fuel-gas cylinders or combustible materials by a minimum of 20 feet or by a noncombustible barrier at least 5 feet high?

  Yes

  No

  N/A

• Are all other "OBSERVED" conditions free from Welding, Cutting and Brazing hazards?

Other Welding, Cutting and Brazing hazards

• Are all other "OBSERVED" conditions free from Welding, Cutting and Brazing hazards?

  Yes

  No

  N/A

Other Violations

• Do all other "Observed" conditions at the location provide a safe workplace free from potential hazards to the employees?

OTHER HAZARDS

• Do all other conditions at the location provide a safe workplace free from potential hazards to employees?

  Yes

  No

  N/A

Signatures

• Participating employees:

  Sign

• Participating Risk Management LCO's:

  Sign