Title Page

  • Facility Name

  • Facility /Manager

  • Date

  • Previous years facility inspection on file? §3203. Injury and Illness Prevention Program https://www.dir.ca.gov/title8/3203.html

  • As noted in chapter 3 of the Caltrans Safety Manual, per (Cal/OSHA § 3203(b)(1) GISO.) keep this inspection on file for no less than one year and until the next annual inspection when the documents will be requested for review.

  • Are there any open actions from last year's inspection?

  • Provide description and explaination

  • All items noted in the inspection are required to be abated in a timely manner and all repairs must be documented as completed to achieve compliance with Caltrans Injury and Illness Prevention Plan and Cal/OSHA regulations.

  • Any issues arising from the inspection will result in a follow-up "Action Item" email being sent to you. When the issue has been resolved indicate "Complete" in the "Status" drop-down menu in the email.

    iAuditor Directions.PNG
  • For additional information please use the links provided. If one or two safety orders cover an entire section, the links will be listed at the top of the section.

Facility Inspection Areas

Area of Inspection

  • Select Areas (Select all that apply)

EMPLOYER POSTING

  • Current All-in-One Federal, State, & OSHA Poster?

  • District 3 Poster

  • Employment Development Department Notice? https://www.edd.ca.gov/Disability/Employer_Requirements.htm

  • CT. Haz. Mat. Communications Program? §5194. Hazard Communication: https://www.dir.ca.gov/title8/5194.html

  • Industrial Welfare Commission Wage Orders? https://www.dir.ca.gov/IWC/WageOrderIndustries.htm

  • Hearing Preservation Chapter?

  • Employee Guide to the State Fund MPN?

  • Listing - Doctor's and Clinics? §1512. Emergency Medical Serviceshttps://www.dir.ca.gov/Title8/1512.html §3400. Medical Services and First Aid https://www.dir.ca.gov/title8/3400.html

  • Emergency Action Plan - Prev. Program? §3220. Emergency Action Plan https://www.dir.ca.gov/title8/3220.html §3221. Fire Prevention Plan https://www.dir.ca.gov/title8/3221.html

  • Cal OSHA 300 (February 1 - April 30)? California Occupational Safety and Health Act of 1973 and Title 8 of the California Code of Regulations https://www.dir.ca.gov/dosh/EmployerInformation.htm

  • Employee Assistance Program poster?

  • Safety and Health in the Workplace notice?

  • Is the supervisor name current?

  • Was a new Safety and Health in the Workplace posted?

  • Valley Fever Poster?

  • Safety Suggestion Hotline Poster?

  • Asbestos notification posted?

  • Forklift Operating Rules (if applicable)? §3664. Operating Rules https://www.dir.ca.gov/title8/3664.html

  • Other Employee Posting

  • Notes

RECORDKEEPING

  • Hazardous materials inventory? §5194. Hazard Communication https://www.dir.ca.gov/title8/5194.html

  • Safety Data Sheets (SDS) on site? §5194. Hazard Communication https://www.dir.ca.gov/title8/5194.html

  • Were the Safety Data Sheets found for 3 random products?

  • Provide the name(s) of the missing products

  • IIPP Elements Available? §3203. Injury and Illness Prevention Program https://www.dir.ca.gov/title8/3203.html §1509. Injury and Illness Prevention Program https://www.dir.ca.gov/title8/1509.html

  • Safety meeting reports on file? §3203. Injury and Illness Prevention Program https://www.dir.ca.gov/title8/3203.html §1509. Injury and Illness Prevention Program https://www.dir.ca.gov/title8/1509.html

Training records maintained?

  • Training records maintained? §3203. Injury and Illness Prevention Program https://www.dir.ca.gov/title8/3203.html §1509. Injury and Illness Prevention Program https://www.dir.ca.gov/title8/1509.html

  • Employee Information
  • Name

  • Training Needed

  • Cal OSHA permit from LPG? §470. Permit to Operate (d) The permit to operate, or an acceptable copy, shall be kept readily available on the premises upon which the tank is located and shall be available at all times to any qualified inspector.) https://www.dir.ca.gov/title8/470.html

  • Has a request for inspection been made?

  • Date of request

  • Other Recordkeeping

  • Notes

MEDICAL SERVICES AND FIRST AID

  • §1512. Emergency Medical Services https://www.dir.ca.gov/title8/1512.html - §3400. Medical Services and First Aid https://www.dir.ca.gov/title8/3400.html

  • First Aid kit available?

  • Qualified person available?

  • Field staff trained?

  • Employee First Aid Training Needed
  • Employee Name

  • Other Medical Services and First Aid?

  • Notes

GENERAL WORK AREA

  • Exterior walkways in good condition? §3273. Working Area https://www.dir.ca.gov/title8/3273.html

  • Facility free from cracks in walls and/or support structure?

Worksites, Passageways, Aisles etc.

  • Worksites, Passageways, Aisles etc.
  • Worksites, passageways, etc., are clean and orderly? §3362. General Requirements https://www.dir.ca.gov/title8/3362.html §3273. Working Area https://www.dir.ca.gov/title8/3273.html

  • Walkways are free of tripping and slipping hazards? §3273. Working Area https://www.dir.ca.gov/title8/3273.html

  • Aisles and passageways free from obstruction? §3273. Working Area https://www.dir.ca.gov/title8/3273.html

  • Aisles and passageways kept clear and proper width; corridor 44", adequate headroom of 6'8 and marked as needed? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Work surfaces are dry or slip resistant, and no tripping hazards? §3273. Working Area https://www.dir.ca.gov/title8/3273.html

  • If facility has: Pits and floor openings are covered or guarded? §3213. Service Pits and Yard Surface Openings https://www.dir.ca.gov/title8/3213.html

  • Is the work area adequately illuminated? §3317. Illumination https://www.dir.ca.gov/title8/3317.html

Storage racks, Cabinets & Material Storage

  • Storage racks, Cabinets, & Material Storage
  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Secure materials properly to prevent injury

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Secure racks and shelves to building to prevent injury

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Secure cabinet to wall/floor/each other to prevent injury

Toilets and Washing Facilities

  • Toilets and Washing Facilities
  • Type

  • Location or Photo

  • Are toilets for single use identified as "all gender" facilities, complete with compliant signage? §3364. Sanitary Facilities https://www.dir.ca.gov/title8/3364.html

  • Place compliant signage for all-gender facility

  • All toilets and washing facilities are clean and sanitary? §3364. Sanitary Facilities https://www.dir.ca.gov/title8/3364.html

  • Clean toilet and washing facility

  • Water closet equipped with door and latch? (Lockable or separate if used by men and women?) §3365. Toilet Rooms. https://www.dir.ca.gov/title8/3365.html

  • Place lock on door

  • Location

  • All toilets and washing facilities are clean and sanitary? §3364. Sanitary Facilities https://www.dir.ca.gov/title8/3364.html

  • Water closet equipped with door and latch? (Lockable or separate if used by men and women?) §3365. Toilet Rooms. https://www.dir.ca.gov/title8/3365.html

  • Location

  • All toilets and washing facilities are clean and sanitary? §3364. Sanitary Facilities https://www.dir.ca.gov/title8/3364.html

  • Water closet equipped with door and latch? (Lockable or separate if used by men and women?) §3365. Toilet Rooms. https://www.dir.ca.gov/title8/3365.html

  • Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points<br>within the upper one third and lower one-third of its vertical dimensions. At the lower point, a minimum distance of 4” inches shall be<br>maintained above the controls with the strapping. (2010 CPC 508.2) https://www.buildingincalifornia.com/wp-content/uploads/2014/01/WaterHeaterChecklist1.pdf

  • No toxic or hazardous materials in the lunchroom? §3368. Consumption of Food and Beverages https://www.dir.ca.gov/title8/3368.html

  • No eating near toxic or hazardous materials? §3368. Consumption of Food and Beverages https://www.dir.ca.gov/title8/3368.html

  • Spills cleaned-up immediately? §3362. General Requirements https://www.dir.ca.gov/title8/3362.html

  • Are covered metal waste cans used for oily and paint soaked waste? §5551. Housekeeping https://www.dir.ca.gov/title8/5551.html §5433. Operations and Maintenance https://www.dir.ca.gov/title8/5433.html

  • Is combustible dust cleaned up with a vacuum? §5174. Combustible Dusts--General https://www.dir.ca.gov/title8/5174.html

  • Is combustible debris and waste stored safety and removed promptly? §3221. Fire Prevention Plan https://www.dir.ca.gov/title8/3221.html

  • Is metallic or combustible dust prevented from entering or accumulating on or around electrical enclosures or equipment? §5174. Combustible Dusts--General https://www.dir.ca.gov/title8/5174.html

  • Are accumulations of combustible dust routinely removed from enclosed areas? §5174. Combustible Dusts--General https://www.dir.ca.gov/title8/5174.html

  • Dip tanks, etc. cleaned regularly and inspected? §5433. Operations and Maintenance https://www.dir.ca.gov/title8/5433.html

  • Are all oil and gas fired devices equipped with flame failure controls that prevent the flow of fuel if pilots and main burners are not working?

Suspended Ceiling Tiles

  • Does the facility have suspended ceiling tiles

  • Suspended Ceiling tiles in proper condition? OSHA requires that safeguards designed to protect employees during an emergency—including displaced ceiling tiles—must be in proper working order at all times (29 CFR §1910.37(a)(4)). <br>OSHA requires employee alarm systems to provide warning necessary for reaction time for safe escape of employees from the workplace or the immediate work area, or both. Missing or displaced ceiling tiles would delay the activation of detection and alarm systems, thereby decreasing the time for safe evacuation (29 CFR §1910.165(b)(1)). https://www.osha.gov/laws-regs/regulations/standard number/1910/1910.165. Broken ceiling tiles §5208. Asbestos. https://www.dir.ca.gov/title8/5208.html

  • Select the description of ceiling tiles
  • Location

  • Select the description of ceiling tiles

Bay Doors

  • Does the facility have bay doors

  • Are the entrapment protection devices on bay doors functional? Entrapment protection devices ensure that a motorized door or grille will not close on an object. If an object enters path of closure, the entrapment protection device will stop the door or grille from closing and return it to the fully open position.

  • Provide bay door number
  • Door number or location

  • Add media

BATTERY CHARGING

  • Does the facility have a battery charging area?

  • §5185. Changing and Charging Storage Batteries https://www.dir.ca.gov/title8/5185.html

  • Designated area?

  • Smoking prohibited?

  • Eyewash and quick drench shower available?

  • Other Battery Charging

  • Notes

PORTABLE LADDERS

  • §3276. Portable Ladders https://www.dir.ca.gov/title8/3276.html

  • Does the facility have any Portable ladders?

  • Portable Ladders
  • Approved stickers affixed?

  • Contact ladder manufacture to order new stickers

  • Used safely?

  • Condition - no cracks, breaks, or loose rungs?

  • Repair, remove from service, and/or destroy ladder

  • No grease/oil on rungs & steps?

  • Equipped with non slip feet?

  • Extend three feet above upper landing?

  • Metal ladders not used around electrical equipment?

  • Wooden ladders not painted?

  • Other Portable Ladders

  • Notes

FIXED LADDERS

  • §3277. Fixed Ladders https://www.dir.ca.gov/title8/3277.html

  • Does the facility have any fixed ladders?

  • Fixed Ladders
  • Securely attached?

  • Good condition?

  • 12 inches between rungs?

  • The minimum clear length of rungs or cleats shall be 16 inches?

  • The distance from the center line of rungs, cleats, or steps to the nearest permanent object in back of the ladder shall be not less than 7 inches?

  • Extends at least 36" above top landing?

  • Has cage or landing if over 20 feet high or landing at 20 foot intervals?

  • Other Fixed Ladders

  • Notes

ELEVATED LOCATIONS

  • Does the facility have any elevated locations?

  • Elevated Loations
  • Load capacity marked on elevated storage areas? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Place sign with load capacity

  • Permanent ladder or stairs frequently used to access elevated locations? §3270. Access General https://www.dir.ca.gov/title8/3270.html

  • 4" toeboards installed if needed? §3210. Guardrails at Elevated Locations https://www.dir.ca.gov/title8/3210.html

  • Standard guardrails (top rail at 42-45" plus mid-rail) installed at all locations over 30" above ground (48" for installations built before 01/01/1967)? §3210. Guardrails at Elevated Locations https://www.dir.ca.gov/title8/3210.html - §3209. Standard Guardrails https://www.dir.ca.gov/title8/3209.html

  • Other Elevated Locations

  • Notes

FIRE PROTECTION

  • Emergency plan kept at the workplace? §3220. Emergency Action Plan https://www.dir.ca.gov/title8/3220.html §3221. Fire Prevention Plan https://www.dir.ca.gov/title8/3221.html

  • Employees trained in the Emergency Action Plan/Fire Prevention Plan? §3220. Emergency Action Plan https://www.dir.ca.gov/title8/3220.html §3221. Fire Prevention Plan https://www.dir.ca.gov/title8/3221.html

Evacuation Plans

  • Evacuation plans posted? §3220. Emergency Action Plan https://www.dir.ca.gov/title8/3220.html

  • Evacuation Plans
  • Location or photo

  • Post evacuation plan - Include evacuation routes and assembly area

  • Evacuation drills held periodically?

  • Employee alarm system tested every two months? §6184. Employee Alarm Systems https://www.dir.ca.gov/title8/6184.html

  • Smoke detectors and smoke activated door closures tested annually? <br>§ 904. Required Inspection, Testing, and Maintenance Frequencies. 19 CA ADC § 904 https://govt.westlaw.com/calregs/Document/I9D1640A036D611E48CC4E1036123025E?contextData=%28sc.Default%29&bhcp=1&transitionType=Default

Fixed Extinguishing Systems/Automatic Sprinklers

  • Does this facility have Fixed Extinguishing systems or Automatic Sprinkler systems?

  • Fixed extinguishing systems checked semi-annually and inspected annually? §6175. Fixed Extinguishing Systems https://www.dir.ca.gov/title8/6175.html

  • Standpipe systems serviced every five years? §6175. Fixed Extinguishing Systems https://www.dir.ca.gov/title8/6175.html

  • Fire hoses and hose cabinets inspected? §6175. Fixed Extinguishing Systems https://www.dir.ca.gov/title8/6175.html

  • Automatic fire sprinkler system maintenance inspection quarterly? § 904. Required Inspection, Testing, and Maintenance Frequencies. 19 CA ADC § 904 https://govt.westlaw.com/calregs/Document/I9D1640A036D611E48CC4E1036123025E?contextData=%28sc.Default%29&bhcp=1&transitionType=Default

  • Automatic system main drain flow tested annually? §6170. Automatic Sprinkler Systems https://www.dir.ca.gov/title8/6170.html

  • Automatic sprinkler systems serviced every five years? § 904. Required Inspection, Testing, and Maintenance Frequencies. 19 CA ADC § 904 https://govt.westlaw.com/calregs/Document/I9D1640A036D611E48CC4E1036123025E?contextData=%28sc.Default%29&bhcp=1&transitionType=Default

Halon and Co2 Systems

  • Does this facility have Halon or C02 systems?

  • Halon systems - employees trained? (A halon system is a type of gaseous fire suppression system which operates with halon gas. Halon gas is a chemical compound that is often used in fire suppression systems.) §6175. Fixed Extinguishing Systems https://www.dir.ca.gov/title8/6175.html

  • Halon and Co2 systems serviced? §6181. Gaseous Systems https://www.dir.ca.gov/title8/6181.html

  • Fire hydrants inspected and serviced? § 901.6. Inspection, Testing, and Maintenance https://govt.westlaw.com/calregs/Document/I9D1640A036D611E48CC4E1036123025E?contextData=%28sc.Default%29&transitionType=Default

  • Other Fire Protection

  • Notes

Portable Fire Extinguishers

    Portable Fire Extinguishers
  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select Issue

  • Location

  • Other Portable Fire Extinguishers?

  • Notes

EXITING AND EGRESS

  • Exits properly marked with an exit sign and illuminated by a reliable light source? §3216. Exit Signs https://www.dir.ca.gov/title8/3216.html

  • Emergency lighting functional?

  • Are exit signs provided with the word "Exit" in lettering at least 5" high and the stroke of the lettering at least 1/2" wide? §3216. Exit Signs https://www.dir.ca.gov/title8/3216.html

  • Are there sufficient exits to permit prompt escape in case of emergency? §3228. Number of Exits https://www.dir.ca.gov/title8/3228.html

  • Is there a floor or landing on each side of the door (<than or = to 1" lower than the threshold)?

  • Is the number of exits from each floor of the building and the number of exits from the building itself appropriate for the building occupancy load? §3228. Number of Exits https://www.dir.ca.gov/title8/3228.html

  • Are exits kept clear? §3219. Maintenance of Fire Protection Equipment, Materials and Assemblies https://www.dir.ca.gov/title8/3219.html

  • Are the directions to exits, when not immediately apparent, marked with visible signs? §3216. Exit Signs https://www.dir.ca.gov/title8/3216.html

  • Are doors, passageways, or stairways, that are neither exits nor access to exits and which could be mistaken for exits, appropriately marked "NOT AN EXIT" or "TO BASEMENT" or "STOREROOM"? §3216. Exit Signs https://www.dir.ca.gov/title8/3216.html §3340. Accident Prevention Signs https://www.dir.ca.gov/title8/3340.html

  • Place sign to identify door

  • Are exit doors side hinged? §3225. Maintenance and Access to Exits https://www.dir.ca.gov/title8/3225.html

  • Are doors that are required to serve as exits designed and constructed so that the way of travel is obvious and direct? §3235. Doors https://www.dir.ca.gov/title8/3235.html

  • Are exit doors openable from the direction of exit travel without the use of a key or special knowledge or effort when the building is occupied? §3235. Doors https://www.dir.ca.gov/title8/3235.html

  • Where panic hardware is installed on a required exit door, will it allow the door oo pen by applying a force of 15 lbs. or less in the direction of the exit traffic? §3235. Doors https://www.dir.ca.gov/title8/3235.html

  • Are there viewing panels in doors that swing in both directions and are located between rooms where there is frequent traffic? §3235. Doors https://www.dir.ca.gov/title8/3235.html

  • Where exit doors open directly onto any street, alley, or other area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic? §3227. Discharge from Exits https://www.dir.ca.gov/title8/3227.html

  • When ramps are used as part of required exiting from a building, is the ramp slope limited to 1 foot rise in 12 feet of horizontal run? §3231. Stairways https://www.dir.ca.gov/title8/3231.html

  • Stairways at least 36" wide with a handrail 34-38" above the leading edge of tread? Uniform risers, 4" minimum, maximum 7 1/2", 10" minimum run, slip resistant steps? 3/8" riser max variance? §3231. Stairways https://www.dir.ca.gov/title8/3231.html §3214. Stair Rails and Handrails https://www.dir.ca.gov/title8/3214.html

  • Fixed industrial stairs >22" wide with treads in compliance to Table IS-1? §3234. Fixed Industrial Stairs https://www.dir.ca.gov/title8/3234.html

  • Tread nose 1/2" to 1" beyond lower riser? §3234. Fixed Industrial Stairs https://www.dir.ca.gov/title8/3234.html

  • Uniform leading edge?

  • Are exit stairways that are required to be separated from other parts of a building enclosed by not less than one hour fire resistive construction? §3231. Stairways https://www.dir.ca.gov/title8/3231.html

  • Other Exiting and Egress

  • Notes

  • Does the facility have an Elevator?

  • Elevator inspection Current? §3000. Application https://www.dir.ca.gov/title8/3000.html §3001. Permit to Operate https://www.dir.ca.gov/Title8/3001.html

  • Has a request for inspection been made?

  • Date of request for inspection:

  • Does the facility have an Escalator?

  • Escalator inspection current? §3000. Application https://www.dir.ca.gov/title8/3000.html §3001. Permit to Operate https://www.dir.ca.gov/Title8/3001.html

  • Has a request been for inspection been made?

  • Date of request for inspection:

  • Service contract in place? §3001. Permit to Operate https://www.dir.ca.gov/Title8/3001.html

LOCK OUT PROGRAM

  • §3314. The Control of Hazardous Energy for the Cleaning, Repairing,Servicing, Setting-Up, and Adjusting Operations of Prime Movers, Machinery and Equipment, Including Lockout/Tagout https://www.dir.ca.gov/title8/3314.html

  • Employees trained in procedure?

  • Warning tags and locks provided and available?

  • Order warning tags and/or locks for lock-out program

  • Other Lock Out Program

  • Notes

ELECTRICAL

  • Electrical Breaker Boxes
  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

Extension Cords

  • Extension Cords
  • Are extension cords in good condition?

  • Extension cords are not to be used as a substitute for fixed wiring. Are flexible cords being used in continuous lengths without a splice or tap? §2500.8. Uses Not Permitted https://www.dir.ca.gov/title8/2500_8.html

  • Are hard service flexible cords No. 12 or larger being replaced with a splice which retains the insulation or outer sheathing? §2500.9. Splices https://www.dir.ca.gov/title8/2500_9.html

  • Do portable electric heaters shut off when tilted or turned over?

  • Do portable handlamps have molded handle and substantial guard?

  • Portable handlamps - repair garages - handle lamp holder hook and guard. Are all exterior surfaces non-conductive or insulated? No switch or receptacle plugs, unless arranged so lamp cannot reach within 18: of floor. They must b approved for class 1, Div. 1 or 2. §2540.5. Commercial Garages, Repair and Storage https://www.dir.ca.gov/title8/2540_5.html

Other Electrical

  • Notes

  • Description of issue or concern

PERSONAL PROTECTIVE EQUIPMENT

  • Does this facility use PPE?

  • PPE
  • Proper equipment provided? §3380. Personal Protective Devices https://www.dir.ca.gov/title8/3380.html

  • Employees trained in use? §3203. Injury and Illness Prevention Program https://www.dir.ca.gov/title8/3203.html §3380. Personal Protective Devices https://www.dir.ca.gov/title8/3380.html

  • Inspected regularly and before use? §3380. Personal Protective Devices https://www.dir.ca.gov/title8/3380.html

  • Kept clean and in good repair? §3387. Sanitation https://www.dir.ca.gov/title8/3387.html

  • Other PPE

  • Notes

Eye Wash

  • §5162. Emergency Eyewash and Shower Equipment https://www.dir.ca.gov/title8/5162.html §3400. Medical Services and First Aid https://www.dir.ca.gov/title8/3400.html

  • Does the facility have an eye wash station?

  • Eye Wash Station
  • Approved shower and/or eyewash?

  • Inspected monthly and noted on tag?

  • Emergency eyewash facilities and deluge showers in accessible locations that require no more than 10 seconds for the injured person to reach?

  • The area of the eyewash and shower equipment is maintained and free of items which obstruct their use?

  • Other Eye Wash

  • Notes

RESPIRATORY PROTECTION

  • §5144. Respiratory Protection https://www.dir.ca.gov/title8/5144.html

  • Does the facility perform work that requires respiratory protection?

  • Annual medical exam, training, and fit test?

  • Proper type for exposure?

  • Use record properly maintained and stored? (cartridges match brand of respirator)

  • Other Respiratory Proection

  • Notes

AIR COMPRESSORS

  • Does this facility have an air compressor?

  • Air Compressors
  • Signage "WARNING COULD START AT ANYTIME" (if automatically controlled) §3320. Warning Signs https://www.dir.ca.gov/title8/3320.html

  • Cal OSHA "permit to operate" posted and up to date? §461. Permits to Operate https://www.dir.ca.gov/title8/461.html

  • Has a request for inspection been made?

  • Date new permit was requested

  • Are belts fully enclosed? §4070. Guarding https://www.dir.ca.gov/Title8/4070.html

  • No PVC pipe for air lines? §462. Field Inspections and Reports https://www.dir.ca.gov/title8/462.html

  • Air hose connections secure? §3300. Live Steam and Air Hoses https://www.dir.ca.gov/title8/3300.html

  • Do safety air nozzles generate (less than) <10 PSI? §3301. Use of Compressed Air or Gases https://www.dir.ca.gov/title8/3301.html

  • Other Air Compressors

  • Notes

HAND TOOLS

  • §3556. General https://www.dir.ca.gov/title8/3556.html

  • Does this facility use hand tools?

  • Hand Tools
  • Maintained and in good condition?

  • Select issue (s)

  • Location or Photo

  • Proper tool used for job?

  • Other Hand Tools

  • Notes

EQUIPMENT AND POWER TOOLS

  • Does this facility use power tools?

  • Equipment and Power Tools
  • Good condition, operable switch?

  • Grounded or double insulated? §2395.45. Equipment Connected by Cord and Plug https://www.dir.ca.gov/Title8/2395_45.html

  • Secured against movement? §3328. Machinery and Equipment https://www.dir.ca.gov/Title8/3328.html

  • Power transmission components (gear sprockets, belts, shafts, clutches, pulleys, etc.) & moving parts guarded against contact? §3995. Flywheels https://www.dir.ca.gov/Title8/3995.html §4075. Gears and Sprockets https://www.dir.ca.gov/Title8/4075.html §3944. Guard Clearances https://www.dir.ca.gov/title8/3944.html

  • Point of operation (punching, shearing, squeezing, cutting, mixing, etc.) guarded against contact? §4184. Guarding Required https://www.dir.ca.gov/Title8/4184.html (for specific equipment see General Industry Safety Orders 4187-4647)

  • Other Equipment and Power Tools

  • Notes

Grinders and Saws

  • Does the facility have grinders and saws?

  • Bench Grinder.PNG
  • Grinders
  • Stationary grinders securely mounted? §3576. General Machine Requirements https://www.dir.ca.gov/title8/3576.html

  • Pedestal or bench mounted: spindle end and nut covered, wheel enclosed, (75% of wheel diameter) except grinding opening: tool rest adjusted within 1/8", tounge guard adjusted within 1/4", securely mounted? §3577. Protection Devices https://www.dir.ca.gov/title8/3577.html

  • Buffers and wheels: acorn nut on spindle? §4237. Abrading, Buffing and Polishing Machines (Class A). https://www.dir.ca.gov/title8/4237.html

  • RPM rating of grinder motor does not exceed RMP rating of abrasive wheel? §3583. Portable Abrasive Wheels https://www.dir.ca.gov/title8/3583.html

  • Portable right angle: maximum wheel exposure 180 degrees, guard between wheel and operator? §3583. Portable Abrasive Wheels https://www.dir.ca.gov/title8/3583.html

  • Skill saw - lower guard works auto, no wedge? §4307. Portable Power Driven Circular Hand Saws https://www.dir.ca.gov/Title8/4307.html

  • Table saw - guard installed, anti-kickback? §4300. Circular Ripsaws Manual Feed (Class B) https://www.dir.ca.gov/Title8/4300.html

  • Radial arm - upper half and arbor end of blade covered? Cannot pull out past end of the table, automatic return to rear of table, anti-kickback when ripping? §4309. Horizontal Pull Saws (Radial Arm Saw) https://www.dir.ca.gov/Title8/4309.html

  • Band saw - upper and lower wheels covered, unused portion of blade guarded? §4310. Band Knives and Band Saws https://www.dir.ca.gov/Title8/4310.html

  • Chain saw - good condition, at least two anti-kickback devices? ANSI B175.1-1985

  • Are weed eaters and power pole pruners stored properly?

  • Other Grinders and Saws

  • Notes

Overhead Hoists

  • Does the facility have overhead hoists?

  • Overhead Hoists
  • Operators trained?

  • Regularly inspected by qualified operator, annually certified if capacity is over 3 tons? Documentation available on-site? §5021. Equipment over Three Tons Rated Capacity https://www.dir.ca.gov/title8/5021.html §5031. Inspection https://www.dir.ca.gov/title8/5031.html

  • Operating controls labeled?

  • Equipped with safety latch hook? §5002. Overhead Loads https://www.dir.ca.gov/title8/5002.html

  • Rated capacity plainly marked? §4907. Capacity Marking and Load Indication https://www.dir.ca.gov/title8/4907.html

  • Load slings and chains labeled with capacity? §5044. Alloy Steel Chain Slings https://www.dir.ca.gov/title8/5044.html

  • Cables (hoisting) Cable clamps applied properly; at least 3 camps spaced 6 rope diameters apart, with the saddle on the load side? Larger cables require more clamps.

  • Other

  • Description of issue or concern

Automotive Lifts

  • ANSI/ALI ALOIM:2008 (R2013) – “Standard for Automotive Lifts – Safety Requirements for Operation, Inspection and Maintenance”
    This standard covers the safety requirements for the operation, inspection and maintenance of installed automotive lifts.

  • Does the facility have automotive lifts?

  • Automotive lifts
  • Legible label with: manufactures name, capacity, date of installation, Cal OSHA approval or ANSI B153.1 compliance?

  • Annual vehicle lift inspection?

  • Regularly inspected by qualified operator?

  • Controls nearby, automatically return to off?

  • Chassis and axel support designed for lift, no makeshift devices?

  • Floor surface under lift clear of oil/grease?

  • Other

  • Description of Issue or Concern

Jacks

  • §3562. Jacks https://www.dir.ca.gov/title8/3562.html

  • Does the facility have jack stands?

  • Jacks
  • Rated load permanently marked?

  • No one allowed under load unless also blocked or cribbed?

  • Other

  • Description of Issue or Concern

CONTROL OF HARMFUL SUBSTANCES BY VENTILATION

  • §5142. Mechanically Driven Heating, Ventilating and Air Conditioning (HVAC) Systems to Provide Minimum Building Ventilation https://www.dir.ca.gov/title8/5142.html §5143. General Requirements of Mechanical Ventilation Systems https://www.dir.ca.gov/title8/5143.html

  • Are HVAC systems inspected annually by a qualified person?

  • Is a log kept of inspections and maintenance?

  • Are records of HVAC system inspections, maintenance, and filter changes available? (5-year retention)

  • Are clean-out ports or doors provided at intervals not to exceed 12 feet in all horizontal runs of exhaust ducts?

  • Are exhaust inlets, ducts, and plenums designed, constructed, and supported to prevent collapse or failure of any part of the system?

  • Is the intake for makeup air located so that only clean, fresh air, which is free of contamination, will enter the work environment?

  • Is adequate makeup air provided to areas where exhaust systems are operating?

  • Where two or more ventilation systems are serving a work area; is their operation such that one will not offset the functions of the other?

  • Where two or more different types of operations are being controlled through the same exhaust system; will the combination of substances being controlled constitute a fire, explosion, or chemical reaction hazard in the duct?

  • Are ventilation hoods tested annually to ensure proper air flow?

  • Is the volume of air in each exhaust system sufficient to gather the dust, fumes, mists, vapors, or gasses to be controlled and to convey them to a suitable point of disposal?

  • Other Control of Harmful Substances by Ventilation

HAZARDOUS MATERIALS

  • §5194. Hazard Communication https://www.dir.ca.gov/title8/5194.html Caltrans Safety Manual Chapter 16 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Employees fully trained on material they use?

  • Proper Labeling
  • All hazardous material containers labeled with contents where substance has been transferred from original container for temporary use?

  • Container in good condition?

  • Appropriate protective equipment available?

  • Inventory list and SDS on hand?

  • Employees have asbestos awareness training?

  • Employees have lead awareness training certificate?

  • Other Hazardous Materials

  • Notes

FLAMMABLE LIQUIDS STORAGE

  • §5415. Definitions https://www.dir.ca.gov/title8/5415.html

    Flammable liquids are divided into four categories as follows:

    (A) Category 1 shall include liquids having flashpoints below 73.4oF (23oC) and having a boiling point at or below 95oF (35oC).

    (B) Category 2 shall include liquids having flashpoints below 73 73.4oF (23oC) and having a boiling point above 95oF (35oC).

    (C) Category 3 shall include liquids having flashpoints at or above 73.4o F (23o C) and at or below 140oF (600C). When a Category 3 liquid with a flashpoint at or above 100oF (37.8oC) is heated for use to within 30oF (16.7oC) of its flashpoint, it shall be handled in accordance with the requirements for a Category 3 liquid with a flashpoint below 100oF (37.8oC).

    (D) Category 4 shall include liquids having flashpoints above 140oF (60oC) and at or below 199.4oF (93oC). When a Category 4 flammable liquid is heated for use to within 30 30oF (16.7oC) of its flashpoint, it shall be handled in accordance with the requirements for a Category 3 liquid with a flashpoint at or above 100oF (37.8oC).

    (E) When liquid with a flashpoint greater than 199.4oF (93oC) is heated for use to within 30oF (16.7oC) of its flashpoint, it shall be handled in accordance with the requirements for a Category 4 flammable liquid.

  • FLAMMABLE LIQUID CONTAINERS

  • Distinctive colors or labeled? §5417. Flammable Liquids—General https://www.dir.ca.gov/title8/5417.html

  • Approved type only (safety can or original container)? §5532. Design, Construction, and Capacity of Containers https://www.dir.ca.gov/title8/5532.html

  • Bonded during filling (metal containers)? §5549. Sources of Ignition https://www.dir.ca.gov/title8/5549.html

  • Closed when not in use? §5417. Flammable Liquids—General https://www.dir.ca.gov/title8/5417.html §5545. General https://www.dir.ca.gov/title8/5545.html

FLAMMABLE STOTAGE CABINET

  • FLAMMABLE STORAGE CABINET §5533. Design, Construction, and Capacity of Storage Cabinets https://www.dir.ca.gov/title8/5533.html

  • (Maximum capacity 120 gallons., 60 gallon Category I-III.) No more than 3 in an area; labeled "Flammable - Keep Fire Away."

  • Auto Closing/Lock

  • Secured to wall, floor, or ground?

STORAGE INSIDE BUILDING

  • STORAGE INSIDE BUILDING §5538. Office, Educational and Institutional Occupancies https://www.dir.ca.gov/title8/5538.html
    §5545. General https://www.dir.ca.gov/title8/5545.html

  • OFFICE: No container of Category I-III over one gallon except in safety cans where less than <2 gallons is allowed?

  • Less than <10 gallons of Category I-III in safety cans?

  • Less than <25 gallons outside of a storage room or cabinet?

  • Less than <60 gallons of combustible liquids outside of a storage cabinet?

  • SHOP: In one area outside storage cabinet cannot exceed: Category 1 = 25 gallons, Category II- IV = 120 gallons, Category II-IV Portable tank less than <660 gallons.

  • SERVICE STATIONS

SERVICE STATIONS

  • Category I less than <25 gallons in container

  • Category II-IV Tanks less than <120 gallons each

  • No smoking or open flame within storage area?

  • FIRE EXTINGUISHERS §5543. Fire Control https://www.dir.ca.gov/title8/5543.html §5545. General https://www.dir.ca.gov/title8/5545.html

  • 10:B rating: Outside within 10 feet of door to storage area?

  • 10:B rating: 10-25 feet from Category I or II storage area that is outside of storage room but inside of building?

  • Are self closing valves or top mounted pumps on containers of Category I or II liquids? Use of air pressure prohibited. §5543. Fire Control https://www.dir.ca.gov/title8/5543.html §5545. General https://www.dir.ca.gov/title8/5545.html

  • Are liquid handling areas separated from other operations, spill control, and ventilation provided?

  • Other Flammable Liquid Storage

  • Notes

COMPRESSED GAS CYLINDERS

  • Does this facility have compressed gas cylinders?

  • Compressed Gas Cylinders
  • Labeled as to contents? §4649. Construction and Marking of Cylinders https://www.dir.ca.gov/title8/4649.html

  • Stored with protective cap installed? §4650. Storage, Handling, and Use of Cylinders https://www.dir.ca.gov/title8/4650.html

  • Secured against tipping or falling? §4650. Storage, Handling, and Use of Cylinders https://www.dir.ca.gov/title8/4650.html

  • Cylinder valves closed when not in use and before moving? §4650. Storage, Handling, and Use of Cylinders https://www.dir.ca.gov/title8/4650.html

  • Cylinders in use secured in racks or carts? §4650. Storage, Handling, and Use of Cylinders https://www.dir.ca.gov/title8/4650.html

  • Stored >20 feet from highly combustible material? §4650. Storage, Handling, and Use of Cylinders https://www.dir.ca.gov/title8/4650.html

  • Other Compressed Gas Cylinders

  • Notes

GAS WELDING AND CUTTING

  • Does the facility have gas welding and cutting equipment?

  • Gas Cutting and Welding
  • Cutter or welders and supervisors suitably trained? §4848. Fire Prevention and Suppression Procedure https://www.dir.ca.gov/title8/4848.html

  • Work in firesafe areas, separate if possible? §4848. Fire Prevention and Suppression Procedure https://www.dir.ca.gov/title8/4848.html

  • Friction lighter or torches; no matches? §4845. General Precautions https://www.dir.ca.gov/title8/4845.html

  • Anti-flashback devices on fuel and oxygen hoses? §4845. General Precautions https://www.dir.ca.gov/title8/4845.html

  • Fuel gas cylinder stored and used with valve up? §4845. General Precautions https://www.dir.ca.gov/title8/4845.html

  • Regulators and hose well maintained; no oil or grease? §4839. Hose https://www.dir.ca.gov/title8/4839.html §4845. General Precautions https://www.dir.ca.gov/title8/4845.html

  • Ventilation provided; local exhaust required for brazing or silver soldering?

  • Other Gas Welding and Cutting

  • Notes

ARC WELDING AND CUTTING

  • Does this facility have ARC welding and cutting equipment?

  • Arc Welding and Cutting
  • §4851. Arc Welding and Cutting https://www.dir.ca.gov/title8/4851.html

  • Work in shielded booth or with welding screens?

  • Other workers in area shielded or wearing goggles?

  • Leads in good condition; well insulated?

  • Electrodes removed when not in use?

  • Machine off when moved or not in use?

  • Ventilation provided; local exhaust required for MIG or wire feed on stainless steel?

  • Other Arc Welding and Cutting

  • Notes

FORKLIFTS

  • Does the facility have forklifts?

  • Are operators trained? §3664. Operating Rules https://www.dir.ca.gov/title8/3664.html

  • Forklift
  • Equipment maintained in safe conditions? §3661. Brakes and Warning Devices https://www.dir.ca.gov/title8/3661.html - §3663. Maintenance of Industrial Trucks https://www.dir.ca.gov/title8/3663.html - §3653. Seat Belts https://www.dir.ca.gov/title8/3653.html

  • Capacity visible to operator? §3660. Rated Capacity https://www.dir.ca.gov/title8/3660.html

  • Equipped with overhead guard? §3655. Overhead Guards for High-Lift Rider Trucks https://www.dir.ca.gov/title8/3655.html

  • Other Forklift

  • Notes

SERVICE STATION

  • Does the facility have a service station?

  • "No Smoking" signs posted in fueling areas, motors stopped? §3319. Fueling https://www.dir.ca.gov/title8/3319.html §5580. Sources of Ignition https://www.dir.ca.gov/title8/5580.html

  • Spilled liquid prevented from running into building? §5579. Drainage and Waste Disposal https://www.dir.ca.gov/title8/5579.html

  • Spills cleaned up promptly? §3319. Fueling https://www.dir.ca.gov/title8/3319.html

  • Fire extinguisher of 5B, C rating within 100' of pumps? §5581. Fire Control. https://www.dir.ca.gov/title8/5581.html

  • Approved self-closing nozzle, approved hose? §3319. Fueling https://www.dir.ca.gov/title8/3319.html §5576. Fuel Delivery Nozzles https://www.dir.ca.gov/title8/5576.html

  • PUMPS

  • Emergency power shutoff; clearly identified, easily accessible, remote location?

  • Anchored, protected from physical damage? §5573. Fuel Dispensing Units https://www.dir.ca.gov/title8/5573.html §5574. Electrical Equipment https://www.dir.ca.gov/title8/5574.html

  • At least 20' from any fixed ignition source? §5573. Fuel Dispensing Units https://www.dir.ca.gov/title8/5573.html

  • Sealed electrical wiring (class 1, Div. 1)? §5571. Fuel Dispensing System https://www.dir.ca.gov/title8/5571.html

  • Outside: at least 5 feet from any building opening? §5570. Remote Pumping Systems https://www.dir.ca.gov/title8/5570.html

  • Inside; Installed after January 1, 1976 must be separated by a one hour fire wall and have adequate ventilation? §5571. Fuel Dispensing System https://www.dir.ca.gov/title8/5571.html

  • Other Service Station

  • Notes

Exterior Structures

  • Does the facility have exterior structures?

  • Exterior Structures
  • Select type of Structure

  • Add media

  • Supplies stored properly?

  • Hoses stored to prevent tripping hazard?

  • No water leaks?

  • Other

  • Notes

  • Add media

  • Does the storage unit have electricity?

ELECTRICAL

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select issue(s)

  • Other

  • Description of issue or concern

  • Add media

  • Does the pole barn have electricity?

ELECTRICAL

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select issue(s)

  • Other

  • Description of issue or concern

  • Add media

  • Does the Shed have electricity?

ELECTRICAL

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select issue(s)

  • Other

  • Description of issue or concern

  • Add media

  • Does the structure have electricity?

ELECTRICAL

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select issue(s)

  • Other

  • Description of issue or concern

  • Add media

  • Does the brine mixing structure have electricity?

ELECTRICAL

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select issue(s)

  • Other

  • Description of issue or concern

  • Add media

  • Does the sea train have electricity?

ELECTRICAL

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select issue(s)

  • Other

  • Description of issue or concern

  • Add media

  • Does the Open Air Barn have electricity?

ELECTRICAL

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select issue(s)

  • Other

  • Description of issue or concern

  • Add media

  • Does the storage unit have electricity?

ELECTRICAL

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select issue(s)

  • Other

  • Description of issue or concern

  • Add media

  • Does the cottage and garage have electricity?

ELECTRICAL

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select issue(s)

  • Other

  • Description of issue or concern

  • Add media

  • Does the detached garage have electricity?

ELECTRICAL

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Do cords etc., create a tripping hazard?

  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select issue(s)

  • Other

  • Description of issue or concern

Sand House

  • Is there a Sand House associated with this facility?

  • Sand House
  • Select Location

  • Add media

  • Facility free from cracks in walls and/or support structure?

Portable Fire Extinguishers

    Portable Fire Extinguishers
  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select Issue

  • Location

  • Other Portable Fire Extinuisher

  • Notes

Electricity

  • Does the sand house have electricity?

  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and opening in electrical boxes covered or plugged?

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Do cords etc., create a tripping hazard?

  • Other Sand House

  • Notes

Off Site Facilities

  • Is there an off-site facility associated with this location?

  • Off Site Location
  • Select Location

GENERAL WORK AREA

  • Exterior walkways in good condition? §3273. Working Area https://www.dir.ca.gov/title8/3273.html

  • Facility free from cracks in walls and/or support structure?

Worksites, Passageways, Aisles etc.

    Worksites, Passageways, Aisles etc.
  • Worksites, passageways, etc., are clean and orderly? §3362. General Requirements https://www.dir.ca.gov/title8/3362.html §3273. Working Area https://www.dir.ca.gov/title8/3273.html

  • Walkways are free of tripping and slipping hazards? §3273. Working Area https://www.dir.ca.gov/title8/3273.html

  • Aisles and passageways free from obstruction? §3273. Working Area https://www.dir.ca.gov/title8/3273.html

  • Aisles and passageways kept clear and proper width; corridor 44", adequate headroom of 6'8 and marked as needed? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Work surfaces are dry or slip resistant, and no tripping hazards? §3273. Working Area https://www.dir.ca.gov/title8/3273.html

  • If facility has: Pits and floor openings are covered or guarded? §3213. Service Pits and Yard Surface Openings https://www.dir.ca.gov/title8/3213.html

  • Is the work area adequately illuminated? §3317. Illumination https://www.dir.ca.gov/title8/3317.html

Storage racks, Cabinets & Material Storage

    Storage racks, Cabinets, & Material Storage
  • Material piled, racked, stacked, or stored properly? §3241. Live Loads https://www.dir.ca.gov/title8/3241.html

  • Secure materials properly to prevent injury

  • Storage racks and shelves properly attached to building? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Secure racks and shelves to building to prevent injury

  • All cabinets >5' secured to walls, floors or each other? Caltrans Safety Manual Chapter 5, Section 5.05 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Secure cabinet to wall/floor/each other to prevent injury

Toilets and Washing Facilities

    Toilets and Washing Facilities
  • Type

  • Location

  • Are toilets for single use identified as "all gender" facilities, complete with compliant signage? §3364. Sanitary Facilities https://www.dir.ca.gov/title8/3364.html

  • Place compliant signage for all-gender facility

  • All toilets and washing facilities are clean and sanitary? §3364. Sanitary Facilities https://www.dir.ca.gov/title8/3364.html

  • Clean toilet and washing facility

  • Water closet equipped with door and latch? (Lockable or separate if used by men and women?) §3365. Toilet Rooms. https://www.dir.ca.gov/title8/3365.html

  • Place lock on door

  • Location

  • All toilets and washing facilities are clean and sanitary? §3364. Sanitary Facilities https://www.dir.ca.gov/title8/3364.html

  • Water closet equipped with door and latch? (Lockable or separate if used by men and women?) §3365. Toilet Rooms. https://www.dir.ca.gov/title8/3365.html

  • Location

  • All toilets and washing facilities are clean and sanitary? §3364. Sanitary Facilities https://www.dir.ca.gov/title8/3364.html

  • Water closet equipped with door and latch? (Lockable or separate if used by men and women?) §3365. Toilet Rooms. https://www.dir.ca.gov/title8/3365.html

  • Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points<br>within the upper one third and lower one-third of its vertical dimensions. At the lower point, a minimum distance of 4” inches shall be<br>maintained above the controls with the strapping. (2010 CPC 508.2) https://www.buildingincalifornia.com/wp-content/uploads/2014/01/WaterHeaterChecklist1.pdf

  • No toxic or hazardous materials in the lunchroom? §3368. Consumption of Food and Beverages https://www.dir.ca.gov/title8/3368.html

  • No eating near toxic or hazardous materials? §3368. Consumption of Food and Beverages https://www.dir.ca.gov/title8/3368.html

  • Spills cleaned-up immediately? §3362. General Requirements https://www.dir.ca.gov/title8/3362.html

SUSPENDED CEILING TILES

  • Does the facility have suspended ceiling tiles

  • Suspended Ceiling tiles in proper condition? OSHA requires that safeguards designed to protect employees during an emergency—including displaced ceiling tiles—must be in proper working order at all times (29 CFR §1910.37(a)(4)). <br>OSHA requires employee alarm systems to provide warning necessary for reaction time for safe escape of employees from the workplace or the immediate work area, or both. Missing or displaced ceiling tiles would delay the activation of detection and alarm systems, thereby decreasing the time for safe evacuation (29 CFR §1910.165(b)(1)). https://www.osha.gov/laws-regs/regulations/standard number/1910/1910.165. Broken ceiling tiles §5208. Asbestos. https://www.dir.ca.gov/title8/5208.html

  • Select the description of ceiling tiles
  • Location

  • Select the description of ceiling tiles

ELECTRICAL

    Electrical Breaker Boxes
  • Is there space around electrical equipment (30"W x 36"w) panel clearance? §2340.16. Work Space About Electric Equipment https://www.dir.ca.gov/title8/2340_16.html

  • Is electrical equipment protected from physical damage? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Are energized parts of electrical circuits and equipment guarded against accidental contact? §2340.17. Guarding of Energized Parts https://www.dir.ca.gov/title8/2340_17.html

  • Is electrical equipment approved for all locations (including wet/damp locations)? §2510.5. Wet and Damp Locations https://www.dir.ca.gov/title8/2510_5.html §2540.3. Electrical Installations https://www.dir.ca.gov/title8/2540_3.html

  • Are disconnecting switches and circuit breakers labeled? §2340.22. Identification of Equipment https://www.dir.ca.gov/title8/2340_22.html

  • Location

  • Issue

  • Circuit number

  • Are abandoned circuits treated as live? §2340.24. Discontinued Circuits https://www.dir.ca.gov/title8/2340_24.html

  • Location

  • Are holes and openings in electrical boxes covered or plugged?

  • Are all electrical receptacles of grounded type (no two pole in three hole adapters)? §2510.7. Receptacles https://www.dir.ca.gov/title8/2510_7.html §2510.58. Grounding-Type Receptacles, Adapters, Cord Connectors, and Attachment Plugs https://www.dir.ca.gov/title8/2510_58.html

  • Are all plugs insulated or dead front type? §2510.56. Receptacles, Cord Connectors and Attachment Plugs (Caps) https://www.dir.ca.gov/title8/2510_56.html

  • Extension Cords
  • Are extension cords in good condition?

  • Extension cords are not to be used as a substitute for fixed wiring. Are flexible cords being used in continuous lengths without a splice or tap? §2500.8. Uses Not Permitted https://www.dir.ca.gov/title8/2500_8.html

  • Do cords etc., create a tripping hazard?

  • Are hard service flexible cords No. 12 or larger being replaced with a splice which retains the insulation or outer sheathing? §2500.9. Splices https://www.dir.ca.gov/title8/2500_9.html

  • Do portable electric heaters shut off when tilted or turned over?

  • Other Electrical

  • Notes

FIRE PROTECTION

  • Emergency plan kept at the workplace? §3220. Emergency Action Plan https://www.dir.ca.gov/title8/3220.html §3221. Fire Prevention Plan https://www.dir.ca.gov/title8/3221.html

  • Employees trained in the Emergency Action Plan/Fire Prevention Plan? §3220. Emergency Action Plan https://www.dir.ca.gov/title8/3220.html §3221. Fire Prevention Plan https://www.dir.ca.gov/title8/3221.html

Evacuation Plans

    Evacuation Plans
  • Evacuation plans posted? §3220. Emergency Action Plan https://www.dir.ca.gov/title8/3220.html

  • Location or photo

  • Post evacuation plan - Include evacuation routes and assembly area

  • Evacuation drills held periodically?

  • Employee alarm system tested every two months? §6184. Employee Alarm Systems https://www.dir.ca.gov/title8/6184.html

  • Smoke detectors and smoke activated door closures tested annually? <br>§ 904. Required Inspection, Testing, and Maintenance Frequencies. 19 CA ADC § 904 https://govt.westlaw.com/calregs/Document/I9D1640A036D611E48CC4E1036123025E?contextData=%28sc.Default%29&bhcp=1&transitionType=Default

Fixed Extinguishing Systems/Automatic Sprinklers

  • Does this facility have Fixed Extinguishing systems or Automatic Sprinkler systems?

  • Fixed extinguishing systems checked semi-annually and inspected annually? §6175. Fixed Extinguishing Systems https://www.dir.ca.gov/title8/6175.html

  • Standpipe systems serviced every five years? §6175. Fixed Extinguishing Systems https://www.dir.ca.gov/title8/6175.html

  • Fire hoses and hose cabinets inspected? §6175. Fixed Extinguishing Systems https://www.dir.ca.gov/title8/6175.html

  • Automatic fire sprinkler system maintenance inspection quarterly? § 904. Required Inspection, Testing, and Maintenance Frequencies. 19 CA ADC § 904 https://govt.westlaw.com/calregs/Document/I9D1640A036D611E48CC4E1036123025E?contextData=%28sc.Default%29&bhcp=1&transitionType=Default

  • Automatic system main drain flow tested annually? §6170. Automatic Sprinkler Systems https://www.dir.ca.gov/title8/6170.html

  • Automatic sprinkler systems serviced every five years? § 904. Required Inspection, Testing, and Maintenance Frequencies. 19 CA ADC § 904 https://govt.westlaw.com/calregs/Document/I9D1640A036D611E48CC4E1036123025E?contextData=%28sc.Default%29&bhcp=1&transitionType=Default

Halon and Co2 Systems

  • Does this facility have Halon or C02 systems?

  • Halon systems - employees trained? (A halon system is a type of gaseous fire suppression system which operates with halon gas. Halon gas is a chemical compound that is often used in fire suppression systems.) §6175. Fixed Extinguishing Systems https://www.dir.ca.gov/title8/6175.html

  • Halon and Co2 systems serviced? §6181. Gaseous Systems https://www.dir.ca.gov/title8/6181.html

  • Fire hydrants inspected and serviced? § 901.6. Inspection, Testing, and Maintenance https://govt.westlaw.com/calregs/Document/I9D1640A036D611E48CC4E1036123025E?contextData=%28sc.Default%29&transitionType=Default

Portable Fire Extinguishers

    Portable Fire Extinguishers
  • Portable extinguishers? §6151. Portable Fire Extinguishers https://www.dir.ca.gov/title8/6151.html

  • Select Issue

  • Location

  • Other Portable Fire Extinguishers?

  • Notes

EXITING AND EGRESS

  • Exits properly marked with an exit sign and illuminated by a reliable light source? §3216. Exit Signs https://www.dir.ca.gov/title8/3216.html

  • Emergency lighting functional?

  • Are exit signs provided with the word "Exit" in lettering at least 5" high and the stroke of the lettering at least 1/2" wide? §3216. Exit Signs https://www.dir.ca.gov/title8/3216.html

  • Are there sufficient exits to permit prompt escape in case of emergency? §3228. Number of Exits https://www.dir.ca.gov/title8/3228.html

  • Is there a floor or landing on each side of the door (<than or = to 1" lower than the threshold)?

  • Is the number of exits from each floor of the building and the number of exits from the building itself appropriate for the building occupancy load? §3228. Number of Exits https://www.dir.ca.gov/title8/3228.html

  • Are exits kept clear? §3219. Maintenance of Fire Protection Equipment, Materials and Assemblies https://www.dir.ca.gov/title8/3219.html

  • Are the directions to exits, when not immediately apparent, marked with visible signs? §3216. Exit Signs https://www.dir.ca.gov/title8/3216.html

  • Are doors, passageways, or stairways, that are neither exits nor access to exits and which could be mistaken for exits, appropriately marked "NOT AN EXIT" or "TO BASEMENT" or "STOREROOM"? §3216. Exit Signs https://www.dir.ca.gov/title8/3216.html §3340. Accident Prevention Signs https://www.dir.ca.gov/title8/3340.html

  • Place sign to identify door

  • Are exit doors side hinged? §3225. Maintenance and Access to Exits https://www.dir.ca.gov/title8/3225.html

  • Are doors that are required to serve as exits designed and constructed so that the way of travel is obvious and direct? §3235. Doors https://www.dir.ca.gov/title8/3235.html

  • Are exit doors openable from the direction of exit travel without the use of a key or special knowledge or effort when the building is occupied? §3235. Doors https://www.dir.ca.gov/title8/3235.html

  • Where panic hardware is installed on a required exit door, will it allow the door oo pen by applying a force of 15 lbs. or less in the direction of the exit traffic? §3235. Doors https://www.dir.ca.gov/title8/3235.html

  • Are there viewing panels in doors that swing in both directions and are located between rooms where there is frequent traffic? §3235. Doors https://www.dir.ca.gov/title8/3235.html

  • Where exit doors open directly onto any street, alley, or other area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic? §3227. Discharge from Exits https://www.dir.ca.gov/title8/3227.html

  • When ramps are used as part of required exiting from a building, is the ramp slope limited to 1 foot rise in 12 feet of horizontal run? §3231. Stairways https://www.dir.ca.gov/title8/3231.html

  • Stairways at least 36" wide with a handrail 34-38" above the leading edge of tread? Uniform risers, 4" minimum, maximum 7 1/2", 10" minimum run, slip resistant steps? 3/8" riser max variance? §3231. Stairways https://www.dir.ca.gov/title8/3231.html §3214. Stair Rails and Handrails https://www.dir.ca.gov/title8/3214.html

  • Fixed industrial stairs >22" wide with treads in compliance to Table IS-1? §3234. Fixed Industrial Stairs https://www.dir.ca.gov/title8/3234.html

  • Tread nose 1/2" to 1" beyond lower riser? §3234. Fixed Industrial Stairs https://www.dir.ca.gov/title8/3234.html

  • Uniform leading edge?

  • Are exit stairways that are required to be separated from other parts of a building enclosed by not less than one hour fire resistive construction? §3231. Stairways https://www.dir.ca.gov/title8/3231.html

  • Other Exiting and Egress

  • Notes

Powder Actuated Tools

  • Does facility have Powder Actuated tools?

  • Operator trained and had a valid card? §1685. Operator and Instructor Qualifications https://www.dir.ca.gov/title8/1685.html

  • Tools stored in a locked box when not in use? §1689. Maintenance and Storage https://www.dir.ca.gov/title8/1689.html §1687. Container and Label Requirements https://www.dir.ca.gov/title8/1687.html

  • Other Powder Actuated Tools

  • Notes

CONFINED SPACES

  • Does facility or staff - have or enter confined spaces?

  • §5157. Permit-Required Confined Spaces https://www.dir.ca.gov/title8/5157.html §5158. Other Confined Space Operations https://www.dir.ca.gov/title8/5158.html Caltrans Safety Manual Chapter 14 https://hs.onramp.dot.ca.gov/downloads/hs/files/Safety%20Manual%20May2018.pdf

  • Confined Space Training?

  • Employees trained in policy and specific hazards of location & use of instruments?

  • Instruments recently identified and inventoried (permit/non-permit required)?

  • Instruments recently calibrated?

  • Location signed or otherwise identified?

  • Rescue and communication equipment available?

  • Entry permit file and record keeping?

  • Other Confined Speces

  • Notes

TIRE REPAIR AND INFLATION

  • Does facility perform tire repairs or inflation?

  • §3325. Tire Inflation https://www.dir.ca.gov/title8/3325.html §3326. Servicing Single, Split and Multi-Piece Rims or Wheels https://www.dir.ca.gov/title8/3326.html

  • Clip-on chuck with 24" hose, in line valve or gauge?

  • Employees thoroughly trained?

  • Restraining device available?

  • A current split and multi-piece rim or wheel matching chart, a typical rim contours and marking location chart, and a current Rim Manual or equivalent available?

  • Other Tire Repair and Inflation

  • Notes

Inspector Information

  • Inspected by

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  • Headquarters/Districts may add additional inspection items for unique facility conditions that are not addressed in this document. The Facility Inspection Program Checklist shall be utilized when conducting formal facility inspections. The checklist may also be used for informal or special inspections.

  • ADA Notice: For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or write: Records and Forms Management 1120 N Street MS-89 Sacramento, CA 95814

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