CMCR Monthly Inspection

• Document No.

• Conducted on

  Date

• Prepared by

• Personnel

• Client / Site

FIRE EXTINGUISHERS/FIRE PROTECTION

• Fire extinguishers inspected not less than monthly for general condition and operability and noted on inspection tag attached to the extinguisher?

  Yes

  No

  N/A

• Is there an adequate amount of Fire Extinguisher for the site/equipment?

  Yes

  No

  N/A

• All fire extinguishers have a minimum of a 3 foot clearance and not blocked?

  Yes

  No

  N/A

• Are fire extinguishers serviceable(pins and nylon ties in place, show charged on<br>gauge, no powder leaking from hose.)?

  Yes

  No

  N/A

• >40lb extinguishers mounted no more than 5 feet above the floor. <40lb extinguishers mounted no more than 3.5 feet above the floor. In all cases they are mounted at least 4 inches above the floor?

  Yes

  No

  N/A

• Are all Flammable cabinets free of combustible materials (cardboard, paper, plastic, etc.)?

  Yes

  No

  N/A

• Are flammable/combustible liquids returned to approved flammable liquid storage cabinets when not in use?

  Yes

  No

  N/A

• Fire Extinguisher/Fire Protection Other Item(s)

  Yes

  No

  N/A

HOUSEKEEPING:

• Is material stacked in a safe manner?

  Yes

  No

  N/A

• Are work area floors free of obstructions and /or slippery areas?

  Yes

  No

  N/A

• Do any areas have trash piling up or trash cans which need emptying?

  Yes

  No

  N/A

• Pallets stored 50+ feet away from any building?

  Yes

  No

  N/A

• Housekeeping Other Item(s)

  Yes

  No

  N/A

OPEN-SIDED WORK AREAS AND FLOOR OPENINGS:

• Do all platforms, floor or deck openings have 42-inch guardrails with midrail and toe boards?

  Yes

  No

  N/A

• Do all stairs have handrails?

  Yes

  No

  N/A

• Are all floor openings guarded?

  Yes

  No

  N/A

• Open-Sided Work Areas & Floor Openings Other Item(s)

  Yes

  No

  N/A

PORTABLE LADDERS(Step Ladders, Rolling Stairs, Dock Steps, Trailer Ladders):

• Are all ladders free of cracked, damaged or broken rungs, cleats, steps, or siderails?

  Yes

  No

  N/A

• Do all, ladders have non-slip feet and a safety chain to prevent the bottom of the ladder from slipping?

  Yes

  No

  N/A

• Steps or Rungs solid in place and free from dirt, grease, and oil?

  Yes

  No

  N/A

• Hand Rails secure on rolling or fixed stairs?

  Yes

  No

  N/A

• Brakes/wheel locks and/or rollers are in proper working order?

  Yes

  No

  N/A

• Are all employees using ladders properly?

  Yes

  No

  N/A

• Portable Ladders Other Item(s)

  Yes

  No

  N/A

PNEUMATIC, AND OTHER HAND TOOLS:

• Are hand tools kept in good condition(not cracked, mushroomed, welded on, etc.)?

  Yes

  No

  N/A

• Are all hand-held power tools' housings in good condition?

  Yes

  No

  N/A

• Do grinders, saws, and other hand tools have the appropriate guards?

  Yes

  No

  N/A

• Hand Tools Other Item(s)

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT(PPE):

• Is head, eye, hand, skin and respiratory protection equipment being used according to Company Policy?

  Yes

  No

  N/A

• Are face-shields being used for all grinding, buffing, and blow off(w/compressed air)?

  Yes

  No

  N/A

• Is damaged/malfunctioning equipment tagged “OUT OF SERVICE”?

  Yes

  No

  N/A

• Is required fall protection available, inspected and being used by authorized users?

  Yes

  No

  N/A

• PPE Other Item(s)

  Yes

  No

  N/A

MACHINE GUARDING:

• Are machine guards in place and in good condition?

  Yes

  No

  N/A

• Are all rotating parts guarded, such as shafts, belt drives, chains and sprockets, gears, etc?

  Yes

  No

  N/A

• Is the point of operation guarded on machines such as shears, punches, etc?

  Yes

  No

  N/A

• Are pedals and activation bars guarded on foot-activated machines to prevent accidental operation?

  Yes

  No

  N/A

• Are unused portions of saw blades guarded?

  Yes

  No

  N/A

• Machine Guarding Other Item(s)

  Yes

  No

  N/A

MATERIAL HANDLING EQUIPMENT:

• Is all yard equipment in good, safe mechanical condition?

  Yes

  No

  N/A

• Are defective forklifts taken out of service and tagged “DO NOT USE”?

  Yes

  No

  N/A

• Is the data plate in place on all yard equipment?

  Yes

  No

  N/A

• Are all lifting devices, chains, spreader beams, nylon, cable slings and wire ropes in good condition?

  Yes

  No

  N/A

• Are Pre-Shift Inspections being conducted, documented and filed?

  Yes

  No

  N/A

• Material Handling Equipment Other Item(s)

  Yes

  No

  N/A

FIRST AID/EMERGENCY ACTION

• Are all First Aid cabinets properly stocked with approved items?

  Yes

  No

  N/A

• Are Emergency Eye Wash Stations inspected, clean and tagged?

  Yes

  No

  N/A

• AED cabinet secured, unobstructed and green light blinking?

  Yes

  No

  N/A

• Emergency lighting in good working order?

  Yes

  No

  N/A

• Emergency evacuation/Emergency Contact Numbers posted in all required areas?

  Yes

  No

  N/A

• Are spill kits accessible and fully stocked per company policy?

  Yes

  No

  N/A

• First Aid/EAP Other Item(s)

  Yes

  No

  N/A

WELDING MACHINES

• Is each welding machine in safe welding operation?

  Yes

  No

  N/A

• Are the leads and electrode holders in good repair?

  Yes

  No

  N/A

• Are all ground and lead connections covered (rubber flaps) to protect against accidental contac?

  Yes

  No

  N/A

• Welding rods cannot be left unattended in the electrode holder; is this regulation being followed?

  Yes

  No

  N/A

• Welding leads cannot have any splices within 10 feet of teh electrode holder or gun. Is this regulation being followed?

  Yes

  No

  N/A

FUEL GAS & OXYGEN CUTTING/COMPRESSED GASES:

• All bottles secured and stored properly to prevent falling over?

  Yes

  No

  N/A

• Empty bottles marked with tag or tagged with EMPTY OR MT?

  Yes

  No

  N/A

• Proper signs Posted and Legible?

  Yes

  No

  N/A

• Are flashback arrestors or approved flashback valves installed on welding equipment?

  Yes

  No

  N/A

• CG Other Item(s)

  Yes

  No

  N/A

ELECTRICAL:

• Are extension cords in good condition and provided with a ground?

  Yes

  No

  N/A

• Are covers plates in place on junction boxes to eliminate exposed wiring?

  Yes

  No

  N/A

• Are electrical outlets in good condition and have cover plates?

  Yes

  No

  N/A

• Is all electrical equipment properly grounded with the power cords in good condition?

  Yes

  No

  N/A

• Is voltage and intended use of switches, circuit breakers, and elect. disconnects clearly labeled on each device?

  Yes

  No

  N/A

• Are all holes in disconnects and other electrical panels filled in with knockouts?

  Yes

  No

  N/A

• Is there a minimum of three (3) feet clearance in front of electrical panels/breaker boxes?

  Yes

  No

  N/A

• GFCI’s used within six (6) feet of water source and in good operating condition?

  Yes

  No

  N/A

• Electrical Other Item(s)

  Yes

  No

  N/A

SAFETY TRAINING:

• Are Pre-Shift safety huddles or crew meetings being held?

  Yes

  No

  N/A

• Are weekly safety meetings being conducted and documented?

  Yes

  No

  N/A

• Safety Training Other Item(s)

  Yes

  No

  N/A

SIGN OFF:

• Auditor's Signature

  Sign