Departmental Inspection Form - Shops/Studios/Laboratories

• Audit Title

• Conducted on

  Date

• Contact person/Supervisor

• Ext.:

• Inspection performed by

• Ext.:

• Building and room number(s)
  Address

Signs & Labels

• First aid poster

  Meets Requirements

  Action Required

  N/A

• Fire poster

  Meets Requirements

  Action Required

  N/A

• Emergency call list

  Meets Requirements

  Action Required

  N/A

• Spills poster

  Meets Requirements

  Action Required

  N/A

• Phone 911 poster

  Meets Requirements

  Action Required

  N/A

• Hazards warning signs posted on or beside main entrance

  Meets Requirements

  Action Required

  N/A

First Aid Stations/Kit

• Fully stocked

  Meets Requirements

  Action Required

  N/A

• Names of First Aiders posted

  Meets Requirements

  Action Required

  N/A

• Accessible

  Meets Requirements

  Action Required

  N/A

• Regularly inspected

  Meets Requirements

  Action Required

  N/A

Fire Extinguishers

• Seals unbroken

  Meets Requirements

  Action Required

  N/A

• Accessible

  Meets Requirements

  Action Required

  N/A

• Proper type

  Meets Requirements

  Action Required

  N/A

• Regularly inspected

  Meets Requirements

  Action Required

  N/A

General

• Phone access

  Yes

  No

  N/A

• WHMIS Manual available

  Yes

  No

  N/A

• Fire alarm switch unobsturcted

  Meets Requirements

  Action Required

  N/A

Floors and Aisles

• Clean

  Meets Requirements

  Action Required

  N/A

• Clear of obstructions

  Meets Requirements

  Action Required

  N/A

• Good condition

  Meets Requirements

  Action Required

  N/A

• Cabinets secured

  Meets Requirements

  Action Required

  N/A

Doors and Exits

• Accessible

  Meets Requirements

  Action Required

  N/A

• Identified

  Meets Requirements

  Action Required

  N/A

Lighting

• Adequate

  Meets Requirements

  Action Required

  N/A

• Operating properly

  Meets Requirements

  Action Required

  N/A

Emergency Shower/Eye Wash

• Accessible

  Meets Requirements

  Action Required

  N/A

• Within 10 second travel time

  Meets Requirements

  Action Required

  N/A

• Clearly identified

  Meets Requirements

  Action Required

  N/A

• Working condition

  Meets Requirements

  Action Required

  N/A

• Inspection tags

  Yes

  No

  N/A

Personal Protection

• Footwear signage

  Meets Requirements

  Action Required

  N/A

• Eye protection available /eye protection signage

  Meets Requirements

  Action Required

  N/A

• Hearing protection available /hearing protection signage

  Meets Requirements

  Action Required

  N/A

• Availability of gloves

  Meets Requirements

  Action Required

  N/A

• Fall protection equipment

  Meets Requirements

  Action Required

  N/A

• Shop coats and other protective clothing

  Meets Requirements

  Action Required

  N/A

Electrical

• Panels accessible/identified

  Meets Requirements

  Action Required

  N/A

• Wire conditions

  Meets Requirements

  Action Required

  N/A

• Proper grounding

  Meets Requirements

  Action Required

  N/A

• Adequate outlets

  Meets Requirements

  Action Required

  N/A

• Extension cords are only used on a temporary basis

  Meets Requirements

  Action Required

  N/A

• C.S.A. Approved

  Meets Requirements

  Action Required

  N/A

• Electrical panels are covered

  Meets Requirements

  Action Required

  N/A

• GFI outlets used in wet areas

  Meets Requirements

  Action Required

  N/A

• Lockout/Tagout procedures in place

  Meets Requirements

  Action Required

  N/A

Equipment

• Pre-use inspection records posted and used

  Meets Requirements

  Action Required

  N/A

• Clean

  Meets Requirements

  Action Required

  N/A

• Properly gaurded

  Meets Requirements

  Action Required

  N/A

• Good condition/Undamaged

  Meets Requirements

  Action Required

  N/A

• Lockout/Tagout procedures in place

  Meets Requirements

  Action Required

  N/A

• Anchored/Secured

  Meets Requirements

  Action Required

  N/A

• Handles replaced if damaged

  Meets Requirements

  Action Required

  N/A

• Ladders meet CSA standards

  Meets Requirements

  Action Required

  N/A

• Ladders in good condition

  Meets Requirements

  Action Required

  N/A

Lifting Devices

• Lifting devices inspected annually

  Meets Requirements

  Action Required

  N/A

• Slings and ropes inspected prior to use

  Meets Requirements

  Action Required

  N/A

Ventilation

• Temerature

  Meets Requirements

  Action Required

  N/A

• Dust control

  Meets Requirements

  Action Required

  N/A

• Fume control

  Yes

  No

  N/A

• Equipment maintained/inspected regularly

  Meets Requirements

  Action Required

  N/A

Fume Hoods

• Adequate number and types

  Meets Requirements

  Action Required

  N/A

• Clean

  Meets Requirements

  Action Required

  N/A

• In good condition

  Meets Requirements

  Action Required

  N/A

• Face velocity tested

  Meets Requirements

  Action Required

  N/A

Compressed Gas Cylinders

• Secured at all times

  Meets Requirements

  Action Required

  N/A

• Properly marked

  Meets Requirements

  Action Required

  N/A

• Properly stored

  Meets Requirements

  Action Required

  N/A

• Proper regulators

  Meets Requirements

  Action Required

  N/A

• Cylinder cart used when moving tanks

  Meets Requirements

  Action Required

  N/A

Chemical Storage

• Identification

  Meets Requirements

  Action Required

  N/A

• Segregated by type

  Meets Requirements

  Action Required

  N/A

• Flammable storage cabinet for flammable chemicals

  Meets Requirements

  Action Required

  N/A

• Flammable chemical containers less than 5L

  Meets Requirements

  Action Required

  N/A

• (M)SDS available and up to date

  Meets Requirements

  Action Required

  N/A

• Labels according to WHMIS requirements

  Meets Requirements

  Action Required

  N/A

• Spill kits are appropriate for stored chemicals and readily available

  Meets Requirements

  Action Required

  N/A

Regular Storage

• Materials safely stored

  Meets Requirements

  Action Required

  N/A

• Heavier/common items stored between knuckle and shoulder height

  Meets Requirements

  Action Required

  N/A

• No overloading of shelves

  Meets Requirements

  Action Required

  N/A

• Ladders and large free standing items properly secured when stored

  Meets Requirements

  Action Required

  N/A

• Doors and drawers closed when not in use

  Meets Requirements

  Action Required

  N/A

Chemical Waste

• Proper segregation

  Meets Requirements

  Action Required

  N/A

• Regular disposal

  Meets Requirements

  Action Required

  N/A

• Proper storage

  Meets Requirements

  Action Required

  N/A

Regular Waste Containers

• Adequate type

  Meets Requirements

  Action Required

  N/A

• Labelled broken glass container

  Meets Requirements

  Action Required

  N/A

• Labelled sharps container

  Meets Requirements

  Action Required

  N/A

Benches and Other Work Surfaces

• Clean

  Meets Requirements

  Action Required

  N/A

• Good condition/repair

  Meets Requirements

  Action Required

  N/A

• Adequate space

  Meets Requirements

  Action Required

  N/A

Training Records

• WHMIS training for all personnel that use this shop/studio

  Meets Requirements

  Action Required

  N/A

Other Items/Additional Observations

• Please use this space to comment on any additional items that should be addressed as a part of the inspection and what actions should be taken to correct any deficiencies. Or use this space to add additional comments as necessary.

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