Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Ratings 1. Federal, state, local regulation (to include OSHA's General Duty Clause) or code violation that could lead to a monitory fine. 2. Non-compliance with a Corporate, EHS Work Instruction, Procedure or Work Practice. 3. A Best Practice action that would take the company beyond compliance. (Decreasing the risk of experiencing an adverse event.)
1.0 Emergency Preparedness
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1.1 “Emergency Contact Numbers” visibly posted and current?
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Status
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Rating
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Responsible Party/Assigned To
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1.2 Fire doors, corridors, exits, and stairways are unobstructed; corridors and stairwells are not used for storage?
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Status
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Rating
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Responsible Party/Assigned To
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1.3 18” vertical clearance is maintained below all sprinkler heads?
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Status
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Rating
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Responsible Party/Assigned To
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1.4 Sprinklers - escutcheon plates are in place?
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Status
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Rating
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Responsible Party/Assigned To
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1.5 Fire alarms, pull stations, and fire extinguishers are visible, charged, and accessible?
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Status
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Rating
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Responsible Party/Assigned To
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1.6 Large and heavy objects are stored on lower shelves or storage areas? Overhead storage is minimized and restrained from falling?
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Status
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Rating
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Responsible Party/Assigned To
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1.7 Bookcases, filing cabinets, racks, storage cabinets and similar items over 5 feet are anchored to the wall if they could block an exit? (California)
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Status
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Rating
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Responsible Party/Assigned To
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1.8 Shelves have lips or other seismic restraints? Cabinets and lockers containing hazardous materials equipped with positive latching or sliding doors? (California)
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Status
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Rating
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Responsible Party/Assigned To
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1.9 Emergency Action Plan up to date and documented?
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Status
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Rating
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Responsible Party/Assigned To
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1.10 Staging, refuge, or rally point signs posted?<br>
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Status
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Rating
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Responsible Party/Assigned To
2.0. Hazardous Materials
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2.1 Containers of non-hazardous materials (e.g., water) labeled explicitly to avoid confusion.
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Status
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Rating
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Responsible Party/Assigned To
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2.2 Prelabeled wash bottles contents match the manufactured label.
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Status
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Rating
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Responsible Party/Assigned To
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2.3 Secondary containment provided for liquid chemicals where appropriate and needed.
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Status
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Rating
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Responsible Party/Assigned To
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2.4 No hazardous materials stored next to or above sinks or floor drains.
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Status
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Rating
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Responsible Party/Assigned To
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2.5 Hazardous liquids are not stored above eye level and/or are stored in appropriate storage cabinets.
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Status
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Rating
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Responsible Party/Assigned To
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2.6 Incompatible chemicals segregated properly.
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Status
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Rating
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Responsible Party/Assigned To
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2.7 Peroxide forming chemicals (i.e., THF, ether, vinyl acetate, etc.) are dated upon opening and discarded after 6 months.
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Status
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Rating
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Responsible Party/Assigned To
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2.8 Chemical Storage cabinets are labeled with the wording "CHEMICAL STORAGE" or “ACID” or “BASE” or “CORROSIVE”, as appropriate. Flammable cabinets are labeled with the word “FLAMMABLE”.
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Status
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Rating
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Responsible Party/Assigned To
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2.9 All chemical containers are closed when not in use.<br>
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Status
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Rating
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Responsible Party/Assigned To
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2.10 Hazardous materials are replaced with less hazardous materials when appropriate (e.g. replace mercury thermometers with non-mercury type)
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Status
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Rating
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Responsible Party/Assigned To
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2.11 Flammables stored in plastic containers are ≤4 L in size (DOT approved plastics) with the exception of 500ml wash bottles. Flammables liquids in glass containers > 1 liter in size are plastic coated or stored in bottle jacket. Glass containers > 4 liters in size are not allowed.
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Status
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Rating
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Responsible Party/Assigned To
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2.12 Refrigerators with flammables are Flammable Material type or Explosion-proof type.
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Status
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Rating
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Responsible Party/Assigned To
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2.13 Ether and other highly flammable liquids are stored away from sources of heat and ignition.
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Status
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Rating
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Responsible Party/Assigned To
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2.14 Flammable chemicals are stored in flammable storage cabinets when not in use.
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Status
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Rating
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Responsible Party/Assigned To
3.0 Hazardous Waste & Satellite Accumulation Areas
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3.1 Containers are labeled with a hazardous waste label containing: Chemical Composition, Physical State, hazards, and Accumulation start date.
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Status
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Rating
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Responsible Party/Assigned To
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3.2 Waste disposed of within allowed days of the accumulation start date.<br>VSQG or CESQG = Unlimited <2200lbs of storage onsite SQG = 180-days; LQG = 90-days
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Status
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Rating
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Responsible Party/Assigned To
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3.3 Bottles/Chemical Containers have the labels defaced and the caps removed prior to disposal. (California only)
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Status
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Rating
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Responsible Party/Assigned To
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3.4 Containers are capped and sealed, except when actively adding or removing materials from them (i.e., no funnels sticking out of the container).
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Status
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Rating
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Responsible Party/Assigned To
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3.5 Satellite station appropriately labeled?
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Status
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Rating
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Responsible Party/Assigned To
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3.6 Full satellite container removed from the collection area within appropriate time. (depending on State regulations)
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Status
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Rating
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Responsible Party/Assigned To
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3.7 Satellite station container dated when it becomes full?
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Status
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Rating
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Responsible Party/Assigned To
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3.8 Manifests are returned from disposal facility.
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Status
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Rating
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Responsible Party/Assigned To
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3.9 Inspections documented
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Status
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Rating
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Responsible Party/Assigned To
4.0 Universal Waste
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4.1 Universal waste is not disposed of in the trash.
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Status
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Rating
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Responsible Party/Assigned To
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4.2 Universal Waste labeled appropriately.
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Status
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Rating
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Responsible Party/Assigned To
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4.3 Universal Waste labeled with accumulation start date
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Status
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Rating
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Responsible Party/Assigned To
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4.4 Universal waste accumulation start date within one year.
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Status
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Rating
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Responsible Party/Assigned To
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4.5 Universal waste stored in appropriate containers.
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Status
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Rating
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Responsible Party/Assigned To
5.0 Recycling (E-Waste, Pallets, Cardboard, Scrap, Heavy Metals, Hard Drives, etc)
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5.1 Recycled materials stored in a designated area
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Status
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Rating
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Responsible Party/Assigned To
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5.2 Recycled materials segregated properly
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Status
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Rating
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Responsible Party/Assigned To
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5.3 Recycled material documentation/certificate of destruction is maintained and in a designated area.
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Status
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Rating
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Responsible Party/Assigned To
6.0 Laboratory Fume Hoods
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6.1 Certified within the last year (check certification on front).
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Status
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Rating
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Responsible Party/Assigned To
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6.2 Storage within the hood is minimized. Vents not blocked?
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Status
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Rating
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Responsible Party/Assigned To
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6.3 Front sash is lowered to appropriate level when hood is in use. Airflow indicator is operating properly.
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Status
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Rating
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Responsible Party/Assigned To
7.0 Biological Safety
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7.1 Appropriate disinfectant is readily available.
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Status
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Rating
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Responsible Party/Assigned To
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7.2 Biological waste bags and sharps containers are labeled with company address and phone number.
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Status
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Rating
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Responsible Party/Assigned To
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7.3 Biological waste, including biological sharps, are disposed of within 7 days of generation. (California)
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Status
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Rating
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Responsible Party/Assigned To
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7.4 Biological waste is properly contained (rigid container; red bags with biohazard warning symbol.)
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Status
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Rating
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Responsible Party/Assigned To
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7.5 Biological waste containers are labeled “BIOHAZARD”, have biohazard symbol and are not more than 3/4 full
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Status
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Rating
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Responsible Party/Assigned To
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7.6 Needles and sharps are disposed of directly into sharps containers.
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Status
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Rating
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Responsible Party/Assigned To
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7.7 Entrance to lab area clearly marked with biohazard information.
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Status
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Rating
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Responsible Party/Assigned To
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7.8 Biohazard warning labels are on all refrigerators and freezers that store potentially infectious materials.
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Status
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Rating
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Responsible Party/Assigned To
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7.9 All human pathogens or infectious materials are being handled in certified biological safety cabinets.
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Status
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Rating
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Responsible Party/Assigned To
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7.10 Aspiration flasks used for biohazards have a biohazard warning label, contain a disinfectant solution, have secondary containment and vacuum line has in-line filter trap.
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Status
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Rating
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Responsible Party/Assigned To
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7.11 Appropriate gowning procedures are followed when entering biohazard area.
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Status
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Rating
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Responsible Party/Assigned To
8.0 Biological Safety Cabinets
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8.1 Certified within the last year or 6 months (check certification on front). Magnehelic gauge is operating.
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Status
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Rating
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Responsible Party/Assigned To
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8.2 Storage within the BSC is minimized.
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Status
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Rating
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Responsible Party/Assigned To
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8.3 Marked with a UV warning sign/label, if so equipped.
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Status
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Rating
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Responsible Party/Assigned To
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8.4 Is work within the BSC done with the sash down.
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Status
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Rating
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Responsible Party/Assigned To
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8.5 Is all equipment/tools labeled and left in the BSC or decontaminated before removal from the BSC.
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Status
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Rating
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Responsible Party/Assigned To
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8.6 Is the exhaust fan running while in use.
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Status
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Rating
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Responsible Party/Assigned To
9.0 General Safety - Non-Office Areas
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9.1 No food or drink in restricted areas.
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Status
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Rating
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Responsible Party/Assigned To
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9.2 Laboratory refrigerators and freezers labeled with the words "NOT FOR FOOD OR DRINK STORAGE” or similar wording?
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Status
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Rating
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Responsible Party/Assigned To
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9.3 Soap dispensers and paper towels are available near sinks.
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Status
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Rating
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Responsible Party/Assigned To
10.0 Personal Protective Equipment (PPE)
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10.1 Safety glasses or other eye protection is readily available and used where needed?
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Status
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Rating
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Responsible Party/Assigned To
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10.2 Lab coats/protective garments are readily available and used where needed?
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Status
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Rating
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Responsible Party/Assigned To
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10.3 Protective gloves (latex, nitrile, rubber, etc.) are readily available and used where needed?
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Status
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Rating
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Responsible Party/Assigned To
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10.4 Hearing protection is readily available for high noise areas (e.g., sonicators, grinders, slide manufacturing, etc).
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Status
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Rating
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Responsible Party/Assigned To
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10.5 WAREHOUSE - Employees wearing proper PPE (Steel toed boots, Gloves when handling dry ice).
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Status
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Rating
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Responsible Party/Assigned To
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10.6 Respiratory Protection
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Status
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Rating
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Responsible Party/Assigned To
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10.7 Air-purifying respirators (i.e., respirator with chemical cartridge) are not being used. N95 respirators used in approved areas.
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Status
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Rating
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Responsible Party/Assigned To
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10.8 Respiratory Protection program in place where respirators are being used?
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Status
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Rating
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Responsible Party/Assigned To
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10.9 Wearers of respirators are properly trained and have passed the respirator physical?<br>
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Status
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Rating
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Responsible Party/Assigned To
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10.10 Wearers of respirators have been fit tested within the past year?
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Status
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Rating
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Responsible Party/Assigned To
11.0 Emergency Equipment
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11.1 Approved safety shower and eye wash(es) provided within the work area (10 seconds) for immediate use and access is unobstructed.
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Status
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Rating
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Responsible Party/Assigned To
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11.2 Units inspected periodically for proper functioning (see tag).
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Status
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Rating
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Responsible Party/Assigned To
12.0 Compressed Gas Cylinders
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12.1 Cylinders labeled appropriately whether full or empty.
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Status
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Rating
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Responsible Party/Assigned To
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12.2 Cylinder secured to a rigid structural component of the building (Chains at 2/3 and 1/3 of cylinder's height).
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Status
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Rating
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Responsible Party/Assigned To
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12.3 Protective caps in place while not in use.
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Status
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Rating
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Responsible Party/Assigned To
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12.4 Stored away from heat sources.
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Status
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Rating
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Responsible Party/Assigned To
13.0 Housekeeping
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13.1 Bench tops clean and organized and lab area maintained to eliminate harmful exposures or unsafe conditions.
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Status
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Rating
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Responsible Party/Assigned To
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13.2 Floors are clean and/or slip resistant.
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Status
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Rating
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Responsible Party/Assigned To
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13.3 Lighting adequate.
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Status
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Rating
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Responsible Party/Assigned To
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13.4 Hazard warning labels are posted at lab entrance (e.g., NFPA, biohazard, radiation, etc.).
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Status
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Rating
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Responsible Party/Assigned To
14.0 Machine Guarding
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14.1 Work rests adjusted to wheel with a maximum opening of 1/8”. Safety guards adjusted so distance between adjustable tongue of guard and abrasive wheel never exceeds ¼”. Protective housing around grinding wheel is in place.<br>
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Status
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Rating
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Responsible Party/Assigned To
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14.2 Restrained to minimize hazards caused by moving, walking, breakage, release of energy, loosening or falling (using bolts; not C-clamps).
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Status
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Rating
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Responsible Party/Assigned To
15.0 Electrical Safety
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15.1 Extension cords not used as permanent wiring (over 90-days)
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Status
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Rating
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Responsible Party/Assigned To
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15.2 Equipment plugs and cords are free of splices and frays.
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Status
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Rating
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Responsible Party/Assigned To
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15.3 Electrical panels, outlets and fittings are covered to protect against electrical shock.
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Status
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Rating
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Responsible Party/Assigned To
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15.4 Household-type appliances are UL listed or CSA certified (markings located on equipment).
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Status
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Rating
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Responsible Party/Assigned To
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15.5 Control boxes, electrical panels and emergency power cabinets are free of obstructions & have 36” clearance.
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Status
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Rating
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Responsible Party/Assigned To
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15.6 Electrical Panels contain “blanks” and legend is filled out correctly.
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Status
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Rating
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Responsible Party/Assigned To
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15.7 Electrical outlets do not seem overloaded.
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Status
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Rating
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Responsible Party/Assigned To
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15.8 Extension cords and power strips are not “daisy chained”.
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Status
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Rating
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Responsible Party/Assigned To
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15.9 Electrical Rooms - ceiling tiles and escutcheon plates are in place; no items are being stored.
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Status
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Rating
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Responsible Party/Assigned To
16.0 Powered Industrial Trucks
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16.1 Inspected daily prior to use and records maintained<br>
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Status
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Rating
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Responsible Party/Assigned To
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16.2 Equipped with working warning alarms, horns and lights
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Status
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Rating
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Responsible Party/Assigned To
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16.3 Operators slow down and sound their horns at corners and blind spots
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Status
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Rating
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Responsible Party/Assigned To
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16.4 Operators come to a complete stop before entering the warehouse from Broadway (California only)
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Status
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Rating
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Responsible Party/Assigned To
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16.5 Personal fall protection in good condition and used as required
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Status
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Rating
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Responsible Party/Assigned To
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16.6 Seat belts in good condition and used on sit down trucks.
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Status
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Rating
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Responsible Party/Assigned To
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16.7 Operators observe traffic regulations including facility speed limit
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Status
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Rating
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Responsible Party/Assigned To
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16.8 Forks are fully lowered, power shut off and brake set when unattended
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Status
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Rating
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Responsible Party/Assigned To
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16.9 Operators maintain a safe distance when following another Industrial truck
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Status
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Rating
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Responsible Party/Assigned To
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16.10 Fire extinguishers on lifts have been inspected.
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Status
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Rating
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Responsible Party/Assigned To
17.0 Loading Dock
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17.1 Caution markings placed at the edges of the loading dock.
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Status
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Rating
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Responsible Party/Assigned To
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17.2 Dock area free of obstructions, clutter and spills
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Status
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Rating
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Responsible Party/Assigned To
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17.3 Trailers have chocks properly placed when loading and unloading
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Status
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Rating
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Responsible Party/Assigned To
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17.4 Dock plates are used when loading and unloading trucks
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Status
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Rating
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Responsible Party/Assigned To
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17.5 Loading Dock doors are closed and secured when not loading or unloading
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Status
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Rating
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Responsible Party/Assigned To
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17.6 Guards on trailer lights are intact and the lights work.
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Status
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Rating
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Responsible Party/Assigned To
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17.7 Safety mirrors in good condition.
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Status
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Rating
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Responsible Party/Assigned To
18.0 Material Handling
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18.1 Adequate clearance through aisles for industrial trucks
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Status
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Rating
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Responsible Party/Assigned To
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18.2 Aisle ways designated, permanently marked and kept clear to allow unhindered passage
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Status
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Rating
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Responsible Party/Assigned To
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18.3 Industrial trucks and material handling equipment in good condition
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Status
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Rating
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Responsible Party/Assigned To
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18.4 Material stacked in an interlocking fashion to avoid collapse
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Status
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Rating
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Responsible Party/Assigned To
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18.5 Pallets securely placed on rack so they will not tip over
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Status
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Rating
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Responsible Party/Assigned To
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18.6 Pallets, racks and shelving in good condition;
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Status
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Rating
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Responsible Party/Assigned To
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18.7 Material stored on racks in a secure and stable fashion
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Status
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Responsible Party/Assigned To
19.0 Radiation Safety
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19.1 All employees wearing dosimeters and in the appropriate locations
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Status
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Rating
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Responsible Party/Assigned To
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19.2 Employees wearing PPE where necessary (leaded apron, thyroid collar, etc)
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Status
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Rating
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Responsible Party/Assigned To
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19.3 Radiation Warning signage or some other warning method (red bulbs) posted and visible
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Status
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Rating
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Responsible Party/Assigned To
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19.4 Designated radiation work areas permanently marked and aisleways kept clear to allow unhindered and unexposed personnel passage
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Status
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Rating
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Responsible Party/Assigned To
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19.5 Radiation workers trained to Radiation Safety in OLM
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Status
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Rating
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Responsible Party/Assigned To
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19.6 Lead shielding being used where appropriate.
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Status
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Rating
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Responsible Party/Assigned To
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19.7 Most up to date Radiation exposure results posted on employee bulletin board and intranet.
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Status
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Rating
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Responsible Party/Assigned To
20.0 Office Safety/Ergonomics
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20.1 The area is free of laboratory chemicals, radioactive material or biological material?
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Status
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Rating
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Responsible Party/Assigned To
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20.2 Workplace clean and orderly?
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Status
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Rating
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Responsible Party/Assigned To
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20.3 Exits cleared of obstructions and accessible?
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Status
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Rating
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Responsible Party/Assigned To
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20.4 Exit signs visible from a reasonable distance?
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Status
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Responsible Party/Assigned To
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20.5 Floors are clean and/or slip resistant.
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Status
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Rating
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Responsible Party/Assigned To
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20.6 Emergency lights tested monthly?
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Status
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Rating
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Responsible Party/Assigned To
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20.7 Employees use proper lifting techniques.
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Status
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Rating
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Responsible Party/Assigned To
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20.8 Designated Outside Smoking areas away from building entrances?
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Status
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Rating
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Responsible Party/Assigned To
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20.9 Parking lots and walkways clear of snow and ice?
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Status
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Rating
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Responsible Party/Assigned To
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20.10 Workstations are organized in a manner that promotes adequate ergonomic postures and positions?
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Status
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Rating
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Responsible Party/Assigned To
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20.11 Lighting seems adequate for the task at hand?
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Status
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Rating
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Responsible Party/Assigned To
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20.12 Ergonomic equipment maintained and in good condition
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Status
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Rating
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Responsible Party/Assigned To
INVENTORIES:
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Dewars (type, size & count):
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Compressed Gases (count; type if non-inert; size if non-standard):
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Chemical Containers (20L or greater; size, type & count):
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Waste Containers (10 gal or greater; size, type & count):
Observations/Comments:
Repeat Findings from Previous EHS Audits
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