Title Page

  • Site conducted

  • Conducted on

  • Inspected By

  • Accompanied By

  • Location
  • Inspection Code:
    Yes
    No
    Not Reviewed

Environmental Safety

  • Daily cleaning and sanitation procedures being followed and documented? <br>29 CFR 1910.141; 29 CFR 1926.51; 29 CFR 1928.110; OSHA guidance on Mitigating & prevention of COVID-19 updated 06-10-21

  • General housekeeping is neat and orderly?                                                                                                <br>1910.22, 1926.25

  • Safety bulletin board contains up to date information?                                                                          <br>1903.2

  • Area free from clutter with materials properly stored safely to prevent fire, tripping or pest hazards <br>29 CFR 1910.22; 29 CFR 1926.25; FSH 6709.11 38.33

  • Clean drinking water provided (from a fountain or with individual drinking cups) and are the containers clean

  • Ventilation adequate to prevent odors?

  • Waste containers kept clean and emptied as needed?

  • Spills cleaned up promptly?

  • Walking/work surfaces free from carpeting damage, holes or cracks (slip/trip/fall hazards)? <br>29 CFR 1910.22(a)(3)

  • Ceilings free from damage or missing tiles? 1910.37(a)(4). NFPA 101 8.5.1

  • Lighting fully functional and in good repair?<br>29 CFR 1910.269

  • Area free from damaged, worn or unsafe messaging?

RESTROOM FACILITIES

  • Toilets and washing facilities clean and stocked with supplies (soap, towels, toilet paper)?

  • Fixtures in toilets and washing facilities working and in good repair?

  • Tilework clean and free from damage?

  • Showers, sinks and toilets free from leaks?

  • Free from mold and mildew?

STORAGE

  • Storage racks tightly assembled and free of sagging from overload or damage?

  • Storage areas kept free of tripping and fire hazards?

  • Do employees have a safe way to stock and unstock the shelves?

  • Cleaning supplies properly labeled?

  • Mopping supplies properly cleaned and stored?

  • Universal waste stored properly, labeled and dated? 40 CFR part 273; FSH 6709-11 61.18

HAZARDOUS CHEMICALS

  • SDS inventory contains all items and is up to date?                                                 <br>1910.1200(b)(3)(ii)

  • All hazardous containers labeled appropriately?                                                                                     <br>1910.1200(b)(4)(i)

  • Procedures in place and being followed for obtaining and returning hazardous chemicals?

  • Secondary containers labeled?             <br>1910.1200(f)(6)

  • Supplies on hand for incidental chemical spills?                                                                                     <br>1910.12

  • Personal protective clothing and equipment used (gloves, eye protection, etc.) when handling chemicals?

  • Signage prohibiting eating in areas where hazardous chemicals are present?

ELECTRICAL SAFETY

  • Extension cords used only for temporary use with correct voltage and rated for usage? <br>CFR 1910.269

  • Power cords free of splices, taps, and damaged insulation?

  • Electrical parts on tools, equipment, building wiring, and electrical panels enclosed to prevent contact?

  • Circuit overload occurring? If so why?

  • Breaker boxes clear and accessible?

  • Electrical cords and equipment used at wet locations have waterproof covers or seals to keep moisture out?

  • Outlets and covers in good condition with GFCI circuits used in wet locations?  <br>CFR 1910.303(b)(1), 1910.304, 1926.404(b)(1), NEC Section 210.52

FIRST AID

  • First aid kit and BBP kit available and stocked using a list of required items?           <br>1910.151(b), 1926.50( c ), ANSI/ISEA Z3-8.1, 1926.50(d)(1), PRH Exhibit 5-4

  • EPI Pen available?                                                                                                                                                <br>1910.151 , 1926.50(d)(1), ANSI/ISEA Z3-8.1

  • AED machines inspected with unexpired batteries? <br>1910.151 , 1926.50(d)(1), ANSI/ISEA Z3-8.1

EMERGENCY EVACUATION & EXITS

  • Occupancy loads posted with adequate exit discharge routes that lead outside? <br> 20 CFR 1910.36 (c)

  • Evacuation routes posted in each area with emergency numbers, two-colored coding and are in good repair? <br>29 CFR 1910.38(c)(2), PRH 5.1R17(b)(6)(7)

  • Exits clearly marked and doors that could be mistaken for a way of exit marked “Not an Exit” or with the name of the adjoining room?

  • Exits and exit paths clear and free of obstructions? <br>CFR 29 1910.36, 1910.37, NFPA 101

  • Emergency lighting properly illuminated? 29 CFR 1910.36, 1910.37, NFPA 101

  • Fire alarm panel functioning properly?   <br>29 CFR 1910.164(b)(2), NFPA 72, PRH 5.1 R17(3)

  • Exits opened from the inside without a key?

  • Documented emergency evacuation drill within the last 30 days?

Gymnasium

  • Lights adequately protected from breakage

  • Courts and surrounding areas free from obstructions

  • Court floors in good repair

  • Basketball goals and surrounding wall properly padded

  • Bleachers and other seating in good repair

  • Equipment is stored properly

Weight Room

  • Weight machines and Fitness equipment in good repair, surfaces intact and cleanable/tears?

  • Vinyl free from rips/tares?

  • Weights and equipment properly stored when not in use

  • Adequate spacing exists between machines and equipment

  • Sanitation station is available and stocked?

Tennis Courts/Ball Field

  • Tennis Court playing surface free from debris and in good repair

  • Outside GFCI outlets in good repair

  • Fencing around Tennis Court in good repair

Sign Off

  • Name and Signature

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