GoodwillJax Monthly Safety Inspection

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  • January
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• Location

• Conducted on

  Date

• IF YOU ARE REPORTING ANY FACILITIES RELATED ISSUES PLEASE CC:FACILITES@GOODWILLJAX.ORG WHEN SENDING YOUR E-MAIL.
  
  THANK YOU

Chemicals

• All chemicals on site are listed on the location's Authorized Chemicals List

  Yes

  No

  N/A

• Inventory of hazardous chemicals is current (within one year)

  Yes

  No

  N/A

• All containers are properly labeled with product identified and hazard warning

  Yes

  No

  N/A

• MSDS are readily available for each hazardous material on inventory

  Yes

  No

  N/A

• Chemicals stored properly: Insecticides, detergents/sanitizes and caustics/acids

  Yes

  No

  N/A

• Proper personal protective equipment used when handling chemicals (see MSDS)

  Yes

  No

  N/A

• Chemical hazard communication training received by all employees and documentation in personnel files (current within one year)

  Yes

  No

  N/A

Facilities

• Step ladder of sufficient height to reach top of storage without standing on the top 2 steps

  Yes

  No

  N/A

• All ladders are in good condition

  Yes

  No

  N/A

• Lighting is adequate

  Yes

  No

  N/A

• Please explain.

Exits/Fire Protection

• Exit routes unobstructed

  Yes

  No

  N/A

• Exits clearly marked with illuminated signs

  Yes

  No

  N/A

• Please be sure to provide a photo by using the "Media" button.

• Emergency lighting provided for all occupied areas and tested monthly

  Yes

  No

  N/A

• Emergency evacuation plans posted

  Yes

  No

  N/A

• All doors in exit path kept closed

  Yes

  No

  N/A

• Adequate number of exits provided

  Yes

  No

  N/A

• Do all emergency exit doors have "panic" bars

  Yes

  No

  N/A

• Handrails provided on all stairs/ramps

  Yes

  No

  N/A

Fire Protection

• Fire extinguishers are properly mounted, accessible and maintained

  Yes

  No

  N/A

• All fire alarms are unobstructed

  Yes

  No

  N/A

• Fire doors are in proper operational condition and unobstructed

  Yes

  No

  N/A

• Do employees know how to report a fire

  Yes

  No

  N/A

• All employees familiar with the location of portable extinguishers, manual controls on extinguishing systems and fire alarms

  Yes

  No

  N/A

• Minimum of 18" clearance under sprinkler heads

  Yes

  No

  N/A

Housekeeping

• All child restraints on shopping carts are in good condition and in working order

  Yes

  No

  N/A

• How many need to be fixed/replaced

• Please include any photos of broken/non-working child restraints

  Media

• All floors are clear of debris and dry

  Yes

  No

  N/A

• Aisles clear and floors clean

  Yes

  No

  N/A

• Wet floor signs being used properly

  Yes

  No

  N/A

• All areas free of excessive trash/storage

  Yes

  No

  N/A

• Work sites are clean and orderly

  Yes

  No

  N/A

• Sharp edges identified and eliminated

  Yes

  No

  N/A

• Bump hazards are eliminated

  Yes

  No

  N/A

• Falling hazards are eliminated

  Yes

  No

  N/A

• Walk off mats are used where needed

  Yes

  No

  N/A

• All mats are in good condition

  Yes

  No

  N/A

• Shelves and racks are of adequate strength and are secured

  Yes

  No

  N/A

Electrical

• Electrical panels have a minimum 36" of unobstructed work space in front & are closed

  Yes

  No

  N/A

• Switches and circuit breakers are marked to indicate equipment/areas controlled

  Yes

  No

  N/A

• All electrical cords are in good condition

  Yes

  No

  N/A

• Extension cords are not used in lieu of permanently installed fixed wiring

  Yes

  No

  N/A

• Cover plates, switches, outlets, etc. are in good condition

  Yes

  No

  N/A

• Equipment is grounded or double insulated

  Yes

  No

  N/A

• Ground plugs on equipment in good condition

  Yes

  No

  N/A

Personal Protective Equipment & Training

• Eye, face and hand personal protection equipment is available and in good condition

  Yes

  No

  N/A

• Employees frequently receive training on correct lifting techniques

  Yes

  No

  N/A

Documentation

• A current and complete Goodwill Safety Manual is readily accessible in the manager's office

  Yes

  No

  N/A

First Aid Kit

• Are all first aid ointments (including eyewash) within the expiration date?

  Yes

  No

  N/A

• First Aid Kit readily available and stocked

  Fully Stocked

  Not Fully Stocked

• Please indicate with a checkmark the first aid items that you need.

• 1 First Aid Guide

• 1 Absorbent Compress, 4x8 in. minimum

• 16 Adhesive Bandages, 1x3 in.

• How many do you need?

• 1 Adhesive Tape 2.5 yd.

• 10 Antiseptic applications

• How many do you need?

• 6 Burn Treatment applications, 1/32 oz. each

• How many do you need?

• 4 Sterile Pads, 3x3 in. minimum

• How many do you need?

• 2 Pair Medical Exam Gloves

• 1 Triangular Bandage, 40x40x56 in. minimum

• 6 Antibiotic Treatment Applications

• How many do you need?

• Alcohol Prep Pads

• How many do you need?

• Conforming gauze roll bandage, 2"

• Please be sure to provide any other related photos here.

  Media

• Comments:

• Prepared by

  Sign

• Please contact Dane McGraw @ ext 4605 if any immediate concerns are found or you have additional questions.