Information
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Site conducted
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Select Month
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Location
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Conducted on
Monthly Safety Inspection Checklist
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IF YOU ARE REPORTING ANY FACILITIES RELATED ISSUES PLEASE CC:FACILITES@GOODWILLJAX.ORG WHEN SENDING YOUR E-MAIL.
THANK YOU
Chemicals
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All chemicals on site are listed on the location's Authorized Chemicals List
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Inventory of hazardous chemicals is current (within one year)
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All containers are properly labeled with product identified and hazard warning
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MSDS are readily available for each hazardous material on inventory
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Chemicals stored properly: Insecticides, detergents/sanitizes and caustics/acids
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Proper personal protective equipment used when handling chemicals (see MSDS)
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Chemical hazard communication training received by all employees and documentation in personnel files (current within one year)
Facilities
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Step ladder of sufficient height to reach top of storage without standing on the top 2 steps
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All ladders are in good condition
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Lighting is adequate
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Please explain.
Exits/Fire Protection
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Exit routes unobstructed
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Exits clearly marked with illuminated signs
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Please be sure to provide a photo by using the "Media" button.
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Emergency lighting provided for all occupied areas and tested monthly
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Emergency evacuation plans posted
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All doors in exit path kept closed
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Adequate number of exits provided
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Do all emergency exit doors have "panic" bars
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Handrails provided on all stairs/ramps
Fire Protection
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Fire extinguishers are properly mounted, accessible and maintained
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All fire alarms are unobstructed
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Fire doors are in proper operational condition and unobstructed
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Do employees know how to report a fire
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All employees familiar with the location of portable extinguishers, manual controls on extinguishing systems and fire alarms
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Minimum of 18" clearance under sprinkler heads
Housekeeping
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All child restraints on shopping carts are in good condition and in working order
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How many need to be fixed/replaced
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Please include any photos of broken/non-working child restraints
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All floors are clear of debris and dry
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Aisles clear and floors clean
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Wet floor signs being used properly
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All areas free of excessive trash/storage
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Work sites are clean and orderly
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Sharp edges identified and eliminated
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Bump hazards are eliminated
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Falling hazards are eliminated
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Walk off mats are used where needed
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All mats are in good condition
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Shelves and racks are of adequate strength and are secured
Electrical
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Electrical panels have a minimum 36" of unobstructed work space in front & are closed
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Switches and circuit breakers are marked to indicate equipment/areas controlled
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All electrical cords are in good condition
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Extension cords are not used in lieu of permanently installed fixed wiring
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Cover plates, switches, outlets, etc. are in good condition
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Equipment is grounded or double insulated
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Ground plugs on equipment in good condition
Personal Protective Equipment & Training
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Eye, face and hand personal protection equipment is available and in good condition
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Employees frequently receive training on correct lifting techniques
Documentation
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A current and complete Goodwill Safety Manual is readily accessible in the manager's office
First Aid Kit
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Are all first aid ointments (including eyewash) within the expiration date?
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First Aid Kit readily available and stocked
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Please indicate with a checkmark the first aid items that you need.
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1 First Aid Guide
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1 Absorbent Compress, 4x8 in. minimum
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16 Adhesive Bandages, 1x3 in.
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How many do you need?
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1 Adhesive Tape 2.5 yd.
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10 Antiseptic applications
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How many do you need?
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6 Burn Treatment applications, 1/32 oz. each
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How many do you need?
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4 Sterile Pads, 3x3 in. minimum
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How many do you need?
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2 Pair Medical Exam Gloves
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1 Triangular Bandage, 40x40x56 in. minimum
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6 Antibiotic Treatment Applications
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How many do you need?
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Alcohol Prep Pads
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How many do you need?
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Conforming gauze roll bandage, 2"
Infectious Disease Control
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Temperature Logs are being used?
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Employees are wearing face masks/face shields?
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Disinfectant and hand sanitizer is available?
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Carts and work stations are being wiped down regularly?
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6' of social distancing is being used when applicable?
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Please be sure to provide any other related photos here.
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Comments:
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Prepared by
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Please contact Paul Boike @ (904) 910-0186 if any immediate concerns are found or you have additional questions.