CTE Safety Survey

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Electrical

• Is there use of three-way recepticles?

  Yes

  No

  N/A

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• Are extension cords in good condition?

  Yes

  No

  N/A

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• Are extension cords used as permanent wiring? (if yes, give corrective action)

  Yes

  No

  N/A

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• Are there missing blanks in electrical panels?

  Yes

  No

  N/A

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• Are ground fault circuit interrupters (GFCI) used within 6 ft. of a water supply?

  Yes

  No

  N/A

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Walking/Working Surfaces

• Are floors clean and dry?

  Yes

  No

  N/A

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• Are floors made of or provided with a non-skid surface?

  Yes

  No

  N/A

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• Is carpeting in good condition and repair?

  Yes

  No

  N/A

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• Are tripping hazards eliminated?

  Yes

  No

  N/A

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• Is there an unobstructed aisle width of 3 ft. leading to an approved egress?

  Yes

  No

  N/A

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Stairs

• Are standard handrails available?

  Yes

  No

  N/A

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• Are stair treads in good condition and free from tripping hazards?

  Yes

  No

  N/A

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• Is there proper illumination on stairs?

  Yes

  No

  N/A

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Ladders

• At a minimum, are ladders checked at least monthly for defects?

  Yes

  No

  N/A

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• Are defective ladders removed from service?

  Yes

  No

  N/A

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• Is the use of the top step of ladders prohibited?

  Yes

  No

  N/A

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Personal Protective Equipment (PPE)

• Are students provided with and instructed in the proper use of PPE?

  Yes

  No

  N/A

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• When protective equipment is required, is it appropriate for the job, in good condition, kept clean and sanitary and stored carefully when not in use?

  Yes

  No

  N/A

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• Do students have the appropriate footgear for the instruction being provided?

  Yes

  No

  N/A

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• Are eye and face protection provided where a flying particle or chemical hazard exist?

  Yes

  No

  N/A

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• If applicable, is there an emergency eye wash/shower station provided?

  Yes

  No

  N/A

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• Is the emergency eye wash/shower station inspected and tested on a monthly basis?

  Yes

  No

  N/A

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Exhust/Ventilation/Heat Producing Units

• Are ventilation systems in proper working condition?

  Yes

  No

  N/A

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• Are there adequate controls to keep mist, vapors or dust below the permissible levels?

  Yes

  No

  N/A

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• Are heat dispensing devices properly located and free from obstruction and flammable materials?

  Yes

  No

  N/A

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Compressed Gases

• Are compressed gases stored, handled and used in an acceptable manner?

  Yes

  No

  N/A

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• Are all cylinders/pressure vessels identified as to contents?

  Yes

  No

  N/A

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• Are cylinders stored in a protected manner to prevent tampering and physical damage?

  Yes

  No

  N/A

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• Are cylinders secured to prevent falling or upset?

  Yes

  No

  N/A

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• Are protective caps in place when cylinders are stored and transported?

  Yes

  No

  N/A

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Machinery

• Do students have the necessary training in how to use the safeguards and know why prior to machine usage?

  Yes

  No

  N/A

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• Is there enforcement of a safe dress code for the job (example: no loose fitting clothing or jewelry, etc)?

  Yes

  No

  N/A

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• Have appropriate measures been taken to safeguard students against noise hazards?

  Yes

  No

  N/A

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• Do all machine safeguards prevent the operator's hands, arms and other body parts from making contact with dangerous moving parts (blades, gears, bits, belts, etc)

  Yes

  No

  N/A

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• Are all starting and stopping controls within easy reach of the operator?

  Yes

  No

  N/A

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• Are guards in place when machinery is in operation?

  Yes

  No

  N/A

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• Are all special guard, enclosures or PPE utilized when necessary to protect students (on or off premises)?

  Yes

  No

  N/A

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• Are all machines properly grounded with proper over current protection?

  Yes

  No

  N/A

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• Is there a minimum 3 ft. clearance in front of panel boxes?

  Yes

  No

  N/A

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• Are panel directories identifying breakers properly located?

  Yes

  No

  N/A

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Fire prevention and protection

• Are fire extinguishers properly located and accessible?

  Yes

  No

  N/A

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• Are fire extinguishers in good working condition?

  Yes

  No

  N/A

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• Are fire pull stations/suppression systems in proper working condition and accessible?

  Yes

  No

  N/A

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• Are fire suppression systems inspected on a regular basis?

  Yes

  No

  N/A

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• Are flammable liquids properly stored and labeled?

  Yes

  No

  N/A

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• Are approved safety cans and cabinets provided for flammable liquids?

  Yes

  No

  N/A

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• Is there proper grounding and bonding on flammable liquid containers?

  Yes

  No

  N/A

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• Are solvent rags stored in self closing containers?

  Yes

  No

  N/A

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• Are waste cans provided and emptied on a daily basis?

  Yes

  No

  N/A

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• Are fire evacuation signs posted near the exit?

  Yes

  No

  N/A

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• Are doors operating properly and not wedged or blocked open?

  Yes

  No

  N/A

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• Are means of egress clear and unobstructed at all times?

  Yes

  No

  N/A

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• Are exit signs illuminated?

  Yes

  No

  N/A

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• Are rescue windows properly identified and clear at all times?

  Yes

  No

  N/A

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Miscellaneous

• Has the Instructor participated in the mandatory right to know, sexual-harassment and blood-borne pathogens training?

  Yes

  No

  N/A

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• Has the Instructor provided a copy and explained the BOCES code of conduct to students?

  Yes

  No

  N/A

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• Are first aid kits provided, stock, and accessible?

  Yes

  No

  N/A

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• Is there documentation of safety training for students?

  Yes

  No

  N/A

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• Are power handtools inspected for proper working order at least monthly?

  Yes

  No

  N/A

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• Have you performed a product inventory to ensure the appropriate safety data sheets are available?

  Yes

  No

  N/A

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• Are safety data sheets available within the work area and up-to-date?

  Yes

  No

  N/A

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• Are products stored in an appropriate manner?

  Yes

  No

  N/A

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• Are all accidents reported within 24 hours?

  Yes

  No

  N/A

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• Has supervision and hazard identification training been provided to playground monitors and staff?

  Yes

  No

  N/A

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• Do combustible decorations exceed 20% of the wall surface when placed in corridors?

  Yes

  No

  N/A

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• Is gym equipment in good repair and inspected on regular intervals?

  Yes

  No

  N/A

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