Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Aisles/Walkways
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Aisles/walkways are kept clean and orderly (1910.22)
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Aisles/walkways are kept dry (to extent feasible) / in wet operations, drainage or dry standing mats are provided (1910.22)
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Aisles/walkways are kept in good repair/free of hazards (1910.22)
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Aisles/walkways are kept in good repair/free of hazards (1910.22)
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Permanent aisles/passageways are appropriately marked
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There is sufficient aisle width for pedestrians and/or equipment in work areas where mechanical handling equipment is used
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Changes in elevation are marked/delineated to minimize trip hazards (Best Practice)
Behaviors
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Workers observed keeping eyes on path (i.e. looks in direction of travel)
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Workers observed looking back prior to stepping backwards
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Workers observed pushing (when possible) as opposed to pulling
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Workers avoid overhead work when possible
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Workers observed lifting with legs not back
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Workers observed forming a bridge with free hand when lifting
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Workers avoid lifting more than one can lift safely
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Workers observed keeping load close to body when lifting
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Workers observed using a lift assist device for heavy loads
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Workers avoid lifting unstable loads
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Workers observed working at safe pace/not rushed
Bloodborne Pathogens
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PPE is readily accessible and appropriate sizes are available as needed (1910.1030)
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Contaminated sharps are discarded in an approved container (1910.1030)
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Sharps containers are readily accessible as needed (1910.1030)
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Contaminated laundry is placed in approved bags or containers that are properly labeled (1910.1030)
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Warning labels are affixed to containers used to store, transport or ship regulated waste (1910.1030)
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Employees with occupation exposure to BBP have been properly trained at time of hire and annually thereafter (1910.1030)
Compressed Air
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Compressors are equipped with a safety relief valve (1910.169)
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Compressed air have safety nozzles (under 30 psi) and are not used to clean clothes
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Compressors are equipped with working pressure gauges (1910.169)
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Compressors are periodically drained of moisture/oil (1910.169)
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Air nozzles are equipped with relief ports to discharge air when nozzle tip is obstructed (1910.242)
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Airhose connections are designed for rated pressure/service (1910.243)
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Safety cables are used on compressed air hose connections to prevent hose ends from whipping if the coupling blows out of the hose (Best Practice)
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Compressed Gas Cylinders
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Cylinders are protected from ignition sources (1910.101)
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Cylinders are stored in vertical position (1910.101)
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Cylinders are secured to prevent tipping (1910.101)
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Cylinders are stored away from vehicular traffic (1910.101)
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Valve caps are replaced when cylinders are not in use (1910.101)
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Valves on gas cylinder are closed when work is finished (1910.253)
Confined Space
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The employer has evaluated the workplace to determine if Permit Required Confined Spaces exist (1910.146)
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Danger signs are posted at or near entry to permit spaces (1910.146)
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There is a written program available for employees who enter permit spaces (1910.146)
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Air monitoring is completed prior to entry (1910.146)
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Periodic air sampling is completed as required (1910.146)
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Forced air ventilation is used for duration of entry (1910.146)
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Entrants are protected from external hazards by barricades as needed (1910.146)
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Proper illumination is provided (1910.146)
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Attendant is on duty outside the permit space (1910.146)
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Rescue plan/procedures have been established (1910.146)
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Entry permit is completed and signed (1910.146)
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Employees with assigned PRCS duties are properly trained (1910.146)
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Attendant only performs monitoring duties (1910.146)
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Rescue team is trained and readily available (1910.146)
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Retrieval system is available/utilized (1910.146)
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Entrants are attached to retrieval line (1910.146)
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Electrical Safety
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The top of electrical equipment is kept clear / no items are allowed stored on equipment (1910.303)
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Electrical equipment is installed/used as listed or per manufacturer specifications (1910.303)
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Extension cords and/or power strip cords are not connected to one another (i.e. not "daisy-chained") (1910.303)
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Extension cords and/or power strip cords are not connected to one another (i.e. not "daisy-chained") (1910.303)
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Unused openings in electrical equipment are closed (1910.303)
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Electrical equipment is free of significant damage (1910.303)
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Electrical equipment is firmly secured to surface (1910.303)
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Splices/free ends of conductors are properly insulated (1910.303)
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Warning labels/decals are placed on electrical equipment indicating the voltage, current, wattage, etc.
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Breaker switches are identified/legibly marked to indicate their purpose (1910.303)
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Proper clearance is maintained around breaker panels, disconnects, etc. (1910.303)
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Access to breaker panels, disconnects, etc. are not obstructed (i.e. proper clearance not maintained) and/or the area around transformers and other electrical equipment is not kept clear (1910.303)
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All live parts of electrical equipment were protected against accidental contact(1910.303)
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All live parts of electrical equipment were protected against accidental contact(1910.303)
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Electrical equipment is adequately guarded/protected from damage (1910.303)
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GFCI receptacles are used/located within 6 feet of water source (1910.304)
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The use of multi-plug outlet devices is discouraged and/or prohibited (except for temporary use of low powered loads) (1910.304)
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Cord-and-plug electrical equipment is either grounded (i.e. 3 prong cord) or double-insulated (1910.304)
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Light bulbs/lamps are protected from accidental damage (1910.305)
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Electrical cords/conductors entering boxes/panels are protected from abrasion (1910.305)
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Pull/Junction Boxes (over 600V) are completely enclosed (1910.305)
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Pull/Junction Boxes (over 600V) are enclosed with a suitable cover that is securely fastened (1910.305)
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Panel boards/dead fronts are installed on electrical enclosures (1910.305)
Exits/Egress
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Exit pathways are at least 28 inches wide (1910.36)
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All exit discharges lead directly outside the facility (1910.36)
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Exit doors are kept unlocked when building is occupied, no latches or special tools are needed to open door (1910.36)
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Exit doors in high occupancy/high hazard areas open out in direction of travel (1910.36)
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There are at least two exit doors in high occupancy rooms (1910.36)
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The direction of travel to exits is marked when not apparent (1910.37)
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All exit signs are illuminated (1910.37)
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Non-exit doors are marked NOT AN EXIT as required (1910.37)
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Exits are clearly visible and marked by EXIT signs (1910.37)
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Exits and pathway to exits are all free of obstructions (1910.37)
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Exit routes avoid high hazard areas (1910.37)
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Flammable/combustible liquids not stored next to exits (1910.106)
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Emergency lights are provided and functional (1910.37)
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Employee alarm system is functional and audible throughout the facilities (1910.38)
Fire Safety
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Containers are located to minimize exposure to temp rise, damage and/or tampering (1910.110)
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Portable fire extinguishers are mounted (1910.157)
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Portable fire extinguisher(s) were found to be unobstructed (1910.157)
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Portable fire extinguishers identified by signage (1910.157)
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When fire extinguishers are relocated, fire extinguisher signs are removed (1910.157)
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Fire extinguishers are kept fully charged and operable (1910.157)
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Fire extinguishers are kept in their designated locations (1910.157)
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The travel distance to the nearest fire extinguisher is within 75 feet (1910.157)
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Portable fire extinguishers are inspected monthly (1910.157)
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Portable fire extinguishers are maintained annually (1910.157)
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A minimum clearance of 18 inches is maintained below sprinkler heads (1910.159)
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Sprinkler heads are protected by metal guards when needed (1910.159)
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The sprinkler system is inspected annually (1910.160)
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Fire doors are in good operating condition (NFPA 80)
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Fire doors are unobstructed (NFPA 80)
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The fire alarm system is tested annually (NFPA 25)
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Smoke alarms are functional when test button is depressed (NFPA 72)
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Outside hydrants are tested annually (NFPA 25/291)
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Combustible items are kept at least 3 feet away from heating equipment (NFPA 86)
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Proper clearance is maintained around water heaters (NFPA 54 & 70]
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Dust collectors and ductwork are properly grounded (NFPA 664)
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The space on floor directly below fire extinguishers is marked/striped (Best Practice)
Flammable Liquids
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Flammable liquids are kept in closed containers when not in use (1910.106)
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Containers are bonded when transferring flammables (1910.106)
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No Smoking signs are posted in flammable storage areas (1910.106)
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Ignition sources are controlled/eliminated near flammable storage areas (1910.106)
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Fire extinguishers are located near flammable storage areas (1910.106)
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Combustible waste (i.e. oily rags) is stored in covered metal containers (1910.106)
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Spill response/cleanup supplies are readily available (1910.106)
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Spill containment is provided in bulk transfer/storage areas (i.e. tank farms) (1910.106)
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Ventilation is provided at bulk storage areas when transferring flammables (1910.106)
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Flammable storage cabinets meet OSHA’s minimum design/construction requirements (1910.106)
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Flammable storage cabinets labeled properly (1910.106)
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Self-closing valve is used when dispensing flammables (1910.106)
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A fill pipe is used when top filling containers to minimize splashing (1910.106)
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Air is exchanged 6 times/hour in inside chemical storage rooms (1910.106)
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The aisle width in chemical storage room is maintained at a minimum of 3 feet (1910.106)
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Outside flammable storage areas are secured (1910.106)
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Good housekeeping is maintained in outside storage areas (1910.106)
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Spill containment is provided for outdoor storage areas (1910.106)
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No more than 25 gallons of Category 1 flammable liquids are stored outside of an approved storage cabinet or flammable storage room (1910.106)
Grinders (Bench/Pedestal)
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Work rest is adjusted to within 1/8 inch of wheel (1910.215)
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The tongue guard is adjusted to within 1/4 inch of wheel (1910.215)
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Side guards cover 75 percent of wheel diameter (1910.215)
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Bench/pedestal grinders are permanently mounted (1910.212)
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Safety glasses/faceshield are worn when grinding (1910.132)
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Wheel RPM ratings are compatible with motor RPM ratings (1910.215)
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Abrasive wheels are ring tested before mounting (1910.215)
Hazard Communication
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A chemical inventory list or index is maintained (1910.1200)
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Safety Data Sheets (SDS) for hazardous chemicals are kept on site (1910.1200)
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Safety Data Sheets (SDS's) for hazardous chemicals are readily accessible to all employees/all shifts (1910.1200)
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Chemicals in supplier containers are properly labeled (1910.1200)
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Secondary chemical containers are properly labeled and/or legible (1910.1200)
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Hazcom training has been completed and employees demonstrate knowledge of Hazcom requirements (1910.1200)
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Noncompatible chemicals are segregated in storage (1910.1200)
Housekeeping
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Work areas are kept generally clean and orderly (1910.141)
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Working surfaces are kept in good repair and level to minimize slip/trip/fall hazards (1910.141)
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Work surfaces are kept reasonably dry as work allows (1910.141)
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Waste/garbage is removed regularly (1910.141)
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Entrance or harborage of vermin to workplace is controlled and maintained (1910.141)
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Employees are not allowed to consume food and beverages in areas exposed to a toxic material(1910.141)
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Positive Finding Restrooms are maintained in a clean and sanitary condition (1910.141)
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Break areas are clean and sanitary (1910.141)
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Potable water is provided as required (1910.141)
Personal Protective Equipment
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PPE Hazard Assessment has been completed and certified (1910.132)
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PPE was maintained in good condition, there were no obvious signs of damage or defects (1910.132)
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ANSI approved safety glasses with side protection are worn as required (1910.133)
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Face shields are worn when there is danger of flying particles (1910.133)
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Goggles are worn as needed for protection against splashing chemicals (1910.133)
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Filter/shaded lenses are used as required (1910.133)
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Eye/face protection is ANSI approved (1910.133)
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Hard hats are worn where there is danger of falling objects (1910.135)
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Hard hats are rated (E or G) for electrical hazards as required (1910.135)
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Appropriate footwear is being worn as required (1910.136)
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Hearing protection is being used as required (1910.95)
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Hearing protection is being worn properly (1910.95)
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Appropriate hand protection is used as required (1910.138)
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FR clothing/gear worn when danger of arc flash exists (NFPA70e)
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All harnesses/lanyards are maintained in good condition (1910.132)
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Signage requiring use of PPE (i.e. Safety Glasses required beyond this point) is posted near entrances to areas where policy requires PPE to be used (Best Practice)
Stairs and Stairways
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Stairs have uniform riser height/tread depth (1910.25)
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Stair landings and /or platforms are at least 30 inches in depth (1910.25)
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Standard stairs are minimum 22 inches wide (1910.25)
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Standard stair tread is at least 9.5 inches deep, and stair riser is limited to 9.5 inches in height (1910.25)
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Exposed or unprotected sides of stairway landings (4 or more feet high) are protected by guardrail system (1910.28)
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Stairways having 3 treads and 4 risers are equipped with a handrail system (1910.28)
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Handrails are at a proper height of 30-38 in. as measured from leading edge of stair to top of rail (1910.29)
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Stair railings are installed at proper height (30 in. before 1/17/17 and 42 in. after 1/17/17) (1910.29)
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The top rail of a stair rail system is 36-38 in. in height when used as handrail
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Handrail has min. 2.25 in. finger clearance (1910.29)
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Handrails are capable of withstanding 200 lb. force (1910.29)
Tools (Hands & Power)
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Angle grinders are equipped with safety guards (1910.243)
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Explosive actuated tools are properly guarded (1910.243)
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Explosive actuated fastening tools are unloaded when unattended (1910.243)
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Load capacities are identified on hydraulic jacks (1910.244)
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Loads are cribbed or blocked after being raised (1910.244)
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Load limits are legibly marked on jack stands (1910.244)
Walking-Working Surfaces
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Surfaces are kept in dry condition to the extent feasible (1910.22)
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Surfaces are free of hazards (loose boards, spills, etc.) (1910.22)
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Surfaces are free of hazards (loose boards, spills, etc.) (1910.22)
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Surfaces support the maximum intended load (1910.22)
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Safe access/egress to surfaces is provided/used (1910.22)
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Surfaces are inspected regularly/as needed (1910.22)
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Access to hazardous surfaces is guarded until hazard fixed (1910.22)