Compliance Assistance Inspection - duplicate

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

ADMINISTRATION

• Are written procedures for injury reporting posted and visible to employees?

  Yes

  No

  N/A

• Are emergency evacuation procedures posted in a prominent area visible to employees?

  Yes

  No

  N/A

• Are training records available for review? Fall Protection; Lock Out/Tag Out; Hazard Communication; Bloodborne Pathogens; Powered Industrial Vehicles

  Yes

  No

  N/A

• Are powered industrial vehicle pre-operation inspection checklists available for review (1 year retention)?

  Yes

  No

  N/A

• Are cranes/lift equipment inspected at least annually and records available for review?

  Yes

  No

  N/A

• Are safety messaging (e.g. Safety Starts With Me) information relevant and current?

  Yes

  No

  N/A

• Do employees know where to find safety policies and Job Safety Analyses (JSAs)?

  Yes

  No

  N/A

• Do employees know how to report safety concerns?

  Yes

  No

  N/A

• Do employees know how to utilize fire extinguishers?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

WORKING AREAS & WALKING SURFACES

• Are wet floor signs used and placed appropriately every time a hard surface floor is mopped and whenever the floor becomes wet due to adverse weather conditions?

  Yes

  No

  N/A

• Is proper housekeeping maintained in all work areas? For example, excessive materials not stored in working areas/blocking aisles?

  Yes

  No

  N/A

• Are mop buckets emptied after each use with mop heads stored in a clean and sanitary condition and hung to properly dry between uses?

  Yes

  No

  N/A

• Are the tops of lockers maintained free of debris and storage?

  Yes

  No

  N/A

• Are sidewalks, drives, and parking lots free of hazards?

  Yes

  No

  N/A

• Is walking surface free of trip/slip hazards (e.g. tools/materials do not pose a hazard?

  Yes

  No

  N/A

• Are stairwells free of obstructions and handrails properly installed, where applicable?

  Yes

  No

  N/A

• Are all floor openings (holes, sewers, skylights) protected by barriers, banners, and/or other warnings?

  Yes

  No

  N/A

• Are all handrails, chains, and/or doors in place and in a closed position when provided on service platforms, mezzanines, or upper level storage areas every time a train is not present or the upper area opening is not being used?

  Yes

  No

  N/A

• Overhead platforms, lofts, and balconies are guarded with a standard four-inch toe board?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Is Amtrak provided PPE utilized as required, clean, properly stored when not in use, and in good condition?

  Yes

  No

  N/A

• Are employees wearing respirators in accordance to Amtrak's policy (employee does not have facial hair that interferes with respirator's seal, employee has been fitted for type of respirator)?

  Yes

  No

  N/A

• Is arc flash rated clothing used where required?

  Yes

  No

  N/A

• Is hearing protection worn by employees where required?

  Yes

  No

  N/A

• Are hardhats provided and worn where required and when there is a danger of falling objects?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

LIFE SAFETY EQUIPMENT

• AED is readily available, stored properly, unobstructed and accessible at all times (not locked in office)?

  Yes

  No

  N/A

• AED is in good condition and batteries are not low and/or pads are not expired?

  Yes

  No

  N/A

• Is first aid kit available and fully stocked?

  Yes

  No

  N/A

• Are eyewash stations and emergency showers readily accessible, properly marked, and maintained?

  Yes

  No

  N/A

• Are eyewash stations and emergency showers inspected monthly?

  Yes

  No

  N/A

• Are portable eyewash stations fluid changed at least every 90 days? If eyewash solution bottles are used, are they within the expiration date?

  Yes

  No

  N/A

• Are fire extinguishers inspected monthly and are current with the annual inspection?

  Yes

  No

  N/A

• Are fire extinguishers mounted and unobstructed?

  Yes

  No

  N/A

• Are emergency exit signage adequately illuminated and pointed in the right direction? Are those with the emergency lighting checked once a month?

  Yes

  No

  N/A

• Is there a minimum of 18" clearance between storage and sprinkler heads?

  Yes

  No

  N/A

• Are fire alarm pull boxes unobstructed?

  Yes

  No

  N/A

• Are non-smoking signs/areas enforced?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

MATERIAL HANDLING & STORAGE

• Is proper material lifting operations observed?

  Yes

  No

  N/A

• Are racks and shelves in good condition? Look for dents, or any damage in the vertical supports; and are shelves not sagging.

  Yes

  No

  N/A

• Is storage of materials stable and secured against collapsing or shifting?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

POWERED INDUSTRIAL VEHICLES

• Are vehicles in good condition?

  Yes

  No

  N/A

• Are electric vehicle charging locations clear of combustible/flammable materials?

  Yes

  No

  N/A

• Is proper powered industrial vehicle operation observed, including wearing of seatbelt, not leaving vehicle unattended while running?

  Yes

  No

  N/A

• Are forklifts properly stored with forks lowered to the ground, parking brakes applied and key removed?

  Yes

  No

  N/A

• Are daily inspections performed prior to first use and log entry completed?

  Yes

  No

  N/A

• Do all operators have current qualification?

  Yes

  No

  N/A

• Are all traffic signs observed during operation?

  Yes

  No

  N/A

• Are pedestrians given the right-of-way?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

MACHINERY & MACHINE GUARDING

• Is machinery permanently affixed to floor/bench for stability?

  Yes

  No

  N/A

• Is the point of operation exposing employees to injury guarded and functioning?

  Yes

  No

  N/A

• Are rotating parts recessed or covered with collars?

  Yes

  No

  N/A

• Abrasive machinery - do side guards cover spindle, nut, flange and 75% of the wheel diameter?

  Yes

  No

  N/A

• Abrasive machinery- is work rest in place and adjusted to within 1/8 inch of wheel face?

  Yes

  No

  N/A

• Abrasive machinery - are wheel surfaces kept smooth, flat and free of foreign materials?

  Yes

  No

  N/A

• Are mechanical or electrical power controls (shut off button) provided on each machine for the operator to cut the power off from each machine without leaving their position at the point of operation? Button to be placarded or red in color.

  Yes

  No

  N/A

• Is long hair tied back when around machinery? (Hair that touches shoulder must be tied back). Apron strings and non-breakaway badge lanyards, etc. should also be secured in such a manner.

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

LADDERS

• Are ladders maintained in good condition at all times?

  Yes

  No

  N/A

• Are fixed ladders equal to or greater than 20 feet in height have a cage or ladder safety device installed and used during climbing?

  Yes

  No

  N/A

• Are ladder rungs and steps corrugated, ridged, dimpled, or coated with skid resistant materials to minimize slipping?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

FALL PROTECTION

• Is guarding provided to protect employees from falling through/from open stairways, wall openings, open sided floors or platforms greater than 4 feet above surfaces?

  Yes

  No

  N/A

• Is a rescue plan in place to provide for prompt rescue of employees in the event of a fall, or assurances that employees are able to rescue themselves with provided self rescue equipment?

  Yes

  No

  N/A

• Are personal fall arrest systems, harnesses, lanyards, self retracting lanyards, anchors, snaphooks, and equipment inspected prior to each use for wear, damage, illegible or missing labels and other defects? Defective components removed from service?

  Yes

  No

  N/A

• Are harnesses and lanyards properly stored and in good condition? Harnesses are to be hung.

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

HAZARDOUS MATERIALS

• Are flammable cabinets closed/secured?

  Yes

  No

  N/A

• Do employees know how to locate a Safety Data Sheet (SDS)?

  Yes

  No

  N/A

• Are spill kits provided where spills can occur? Are staff knowledgeable on location, how to use them, and obtain replacement?

  Yes

  No

  N/A

• Are employees utilizing eye and face protection when handling chemicals?

  Yes

  No

  N/A

• Are chemical containers closed when not in use?

  Yes

  No

  N/A

• Are chemical containers clearly labeled?

  Yes

  No

  N/A

• Are waste containers labeled and stored in the proper location?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

FACILITY

• Are walls and structural supports in good condition?

  Yes

  No

  N/A

• Is there evidence of leaks in the roof or basement?

  Yes

  No

  N/A

• Does the facility have sufficient lighting to safely operate in and around building?

  Yes

  No

  N/A

• Are stairways clear, unobstructed and in good condition?

  Yes

  No

  N/A

• Is the minimum width of any aisle leading to an exit at least 44 inches?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

ELECTRICITY

• Are extension cords used only to power mobile equipment/tools? Extension cords are not to be used for permanent wiring or used to power permanent machines/equipment.

  Yes

  No

  N/A

• Are all extension cords and equipment cords run so as to prevent damage to the cord insulation?

  Yes

  No

  N/A

• Are all extension cords and equipment cords placed in such a manner to prevent trip/fall incidents?

  Yes

  No

  N/A

• Are all power strips/extension cords plugged directly into an outlet and not connected (or daisy-chained) to other power cords?

  Yes

  No

  N/A

• Do electrical panels have a clear area at least 36-inches in front?

  Yes

  No

  N/A

• Are receptacles near water sources protected by a GFCI and is functional?

  Yes

  No

  N/A

• Are faceplates on switches, receptacles, and junction boxes present, and are they tight fitting with no exposed wiring?

  Yes

  No

  N/A

• Are cords and plugs free from damage? Check for frays, kinks, etc.

  Yes

  No

  N/A

• Are all openings in circuit panels/boxes covered or used? Observe a representative sample throughout the facility.

  Yes

  No

  N/A

• Are electrical rooms free from excessive storage? Ladders and small tools are okay.

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

LOCKOUT/TAGOUT

• Are the applicable department and site procedures for the application of lockout/tagout adhered to?

  Yes

  No

  N/A

• Have all potentially hazardous stored or residual energy sources been identified, rendered safe, and positively verified prior to affixing lockout/tagout controls?

  Yes

  No

  N/A

• Are employees aware of lockout/tagout and associated procedures?

  Yes

  No

  N/A

COMPRESSED GAS CYLINDERS

• Are cylinders legibly marked to clearly identify content?

  Yes

  No

  N/A

• Are cylinders stored away from heat source and do they have separation between flammables and oxidizers? For example, separate acetylene from oxygen cylinders.

  Yes

  No

  N/A

• Are all cylinders properly secured with straps or chains to prevent tipping/falling?

  Yes

  No

  N/A

• Are protective valve caps in place when cylinder is not in use?

  Yes

  No

  N/A

HOISTS, CRANES, AND LIFTING DEVICES

• Are all slings, hoists, chains, jacks, and supports certified and tagged with load limits and inspection dates?

  Yes

  No

  N/A

• Is the weight of all loads known and is the crane inspected before use?

  Yes

  No

  N/A

• Is there full, unrestricted view for operator before lifting load? Or does operator have assistance if view is obstructed?

  Yes

  No

  N/A

• Are outriggers used, all loads being lifted overhead secured, and area beneath clear of people?

  Yes

  No

  N/A

• Are alarms working and audible?

  Yes

  No

  N/A

• Does the crane operator have a current license of certificate?

  Yes

  No

  N/A

ERGONOMICS

• Are potential ergonomic problems (strains, excessive twists, reaching) observed with workstation, keyboard, or job tasks?

  Yes

  No

  N/A

• Are employees using safe lifting techniques?

  Yes

  No

  N/A

• Are mechanical lifting aids available for heavy or awkward items?

  Yes

  No

  N/A