Title Page
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Title
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Conducted on
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Prepared by
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Location
Aisles/Exits/Egress
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1. Minimum width of any aisle leading to an exit is at least 44 inches wide
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2. Are exits marked, free of debris and readily accessible at time of inspection?
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3. Is emergency lighting operating? (Test by using test button if you can do so from the ground or floor)
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4. Can you see marked exits or exit signs from the aisles in your area?
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5. Are aisles and doorways kept clear; and free of obstructions with trip hazards minimized to permit visibility and movement?
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6. Are doors not intended for emergency egress (closets, offices, etc) that could incorrectly be thought to be an exit labeled "NOT AN EXIT"?
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7. Are Floor surfaces clean, dry, level, not slippery or sticky and in good condition?
Emergency, Health, and Safety Information
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8. Are area hazard signs visible, legible, understandable and in compliance with regulations? (mandatory PPE requirements, No Open Flames, safe work instructions at workstations, etc)
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9. Are the emergency procedures posted in the area? Do the employees know where to obtain information regarding emergency procedures? Be sure to ask employee to verify your response
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10. Are fire alarm pull station locations marked and unobstructed?
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11. Is the emergency route/map posted in the area?
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12. Do employees know who their Evacuation Coordinators are: (Sweepers/Zone Captains)? Be sure to ask employee to verify your response
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13. Are Emergency Coordinator phone numbers readily available and functional?
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14. Are the employees trained on emergency procedures (primary and secondary routes)? Do they know what zone to report to? Be sure to ask employee to verify your response
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15. Are fire extinguishers and eye wash stations fully charged and have current inspection dates? All previous months should be signed off
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16. Are fire extinguishers and eye wash stations mounted, visible, unblocked and accessible?
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17. Do employees know where the fire extinguishers and eye wash stations are and how to use them?
Fire Prevention
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18. Is there a minimum of 24" clearance between storage and sprinkler heads?
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19. Are "NO SMOKING" areas enforced?
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20. Are electrical outlets or cords not overloaded? Only allowable number of connections (i.e. a 4-way outlet only has 4 pieces of equipment connected and not loaded with additional extension cords)
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21. Are areas below stairwells free of combustible material unless sprinkler heads are present?
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22. Are fire sprinkler heads unobstructed and free of dirt and corrosion?
Flammables/Combustibles
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23. Are hazardous materials properly stored?
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24. Are chemicals returned to appropriate cabinet at end of shift?
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25. Are safety cans in good condition (no corrosion, damage, etc)?
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26. Are flammable cabinets grounded and containers bonded when dispensing flammable liquids? Only cabinets from which flammable liquids are dispensed need to be grounded
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27. Are flammable liquids stored in approved safety containers
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28. Are materials that could burn kept away from ignition sources?
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29. Is the area free of excessive trash or combustibles?
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30. Is heat producing equipment stored properly? (heat guns in holders and turned off when not in use?)
Housekeeping/Work Environment
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31. Are desk/work and storage areas clean, organized, and sanitary?
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32. Are trash containers (large 55 gallon) covered?
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33. Are electrical/network cables organized to eliminate trip hazards?
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34. Are drawers of desks and file cabinets kept closed when not in use?
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35. Are file cabinets arranged so drawers do not open into aisles?
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36. Is only one file drawer opened at a time?
Security Items
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37. Do employees have proper ID badges
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38. Do contractors have proper ID badges
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39. Are visitors escored and have proper ID badges?
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40. Are employees, contractors, and visitors displaying their ID badges above waist on on an outer garment?
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41. Are doors that should be secure not being propped open?
Structures/Racking
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42. Ceiling tiles are not damaged, loose, or missing?
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43. End stops on cantilever racks are in place and secured on racking where an overhead hazard exists?
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44. Material is properly stored on rack and not sticking out obstructing walkways/aisles/access areas?
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45. Racking is in good condition and free of visible damage?
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46. Cantilever racks have material stored with step backs/tiered to prevent falling hazards should load shift?
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47. Where overhead hazards exist, employees are wearing hard hats?
Environmental
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48. Solvent rags are not lying about in the work area?
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49. Are solvent contaminated rags properly disposed of?
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50. Are containers, solvent dispensing containers, paint gun cleaning containers, and solvent dispensing bottles closed when not in use?
Waste
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51. Are hazardous waste containers properly identified and labeled with the words "hazardous waste"
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52. Are controlled and non-hazardous wastes being collected and managed proeprly (i.e. fluorescent lampls, empty aerosol cans, etc.)
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53. Are hazardous waste collection containers fully closed while not in use? Damaged spring lids that spring up and do not close are not acceptable
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54. Are trash cans free of hazardous waste?
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55. Are flammable waste cans in good condition and emptied at the end of each shift?
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56. Do flammable waste cans only contain flammable waste?
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57. Are trash cans free of scrap metal?
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58. Are employees familiar with the waste materials generated in the work area and the proper disposal methods? Be sure to ask employee to verify your response
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59. Are proper absorbent materials on hand for spills that are likely to occur in work area?
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60. Is waste removed in a timely manner?
Machine Safety
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61. Is long hair tiled back when around machinery? (Hair that touches shoulder must be tied back). Aprong strings and non-breakaway badge lanyards etc. should also be secure in some manner
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62. Are protective safety guards in place to protect employees from point of operation, inrunning nip points, rotating parts, flying chips, and sparks?
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63. Are all protective guards (including light curtains and interlocks) in place, effective and checked daily or before use?
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64. Are all controls and emergency stops clearly identified and within reach of operator?
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65. Are grinder wheel gaps 1/8 inch from bottom of wheel and 1/4 inch from top of wheel?
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66. Grinding wheel surface is square and no grinding on side of wheel? Wheel is not damaged or worn?
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67. Are fans free of damage (cracked guards, cords, etc?)
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68. Are heat guns and work light bulbs guarded?
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69. Are all fixed racking bolted to the floor?
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70. Are air disconnects and safety nozzles the correct type (safety relief vents may not be covered or sealed in any way)?
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71. Air lines and hydraulic lines free of damage?
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72. Are machines properly maintained, kept clean, and in good working order?
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73. Are manually operated valves and switches controlling the operation of equipment and machines clearly identfied and readily accessible?
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74. Can each electrical machine be locked out for maintenance/repair?
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75. Are revolving drums, barrels, and containers that are required to be guarded by an enclosure interlocked with the drive mechanism so that revolution cannot occur unless the guard enclosures are in place?
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76. If machinery is cleaned with compressed air, is air pressure controlled to 30 psi or less and PPE or other safe guards utilized to protect operators and other workers from eye and body injury?
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77. All emergency stop buttons are colored red?
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78. Are fan blades protected with a guard having openings no larger than 1/2 inch, when operating within 7 feet of the floor
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79. Are foot operated switches guarded or arranged to prevent accidental actuation by personnel or falling objects?
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80. Is equipment and machinery securely in place and anchored to prevent tipping or other movement that could result in injury?
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81. Is job safety analysis (JSA) information available for employee reference for infrequently performed tasks, high value, or high risk tasks?
Electrical
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82. Do circuit breakers clearly indicate whether they are in the "ON" or "off" position and are switch paneles clearly marked?
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83. Is electrical panel access clear - 36 inches clearance in front of panel
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84. Is equipment intended for long term use hard wired into permanent facility wiring
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85. Are electrical appliances, portable electrical tools, and fixed electrical equipment grounded or UL rated/double insulated and in good repair?
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86. Do extension cords being used have a grounding pin and are in good repair?
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87. Are extension cords used only for temporary wiring applications (60 days max)
Hazcom - Chemical Safety
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88. Do employees know what an SDS (Safety Data Sheet) is, where to find them, and how to use them? Be sure to ask Employee to verify your answer
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89. Is each container of hazardous chemical in the work area properly labeled by identifying the chemical it contains and marked with health hazards?
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90. Food/beverage is not present in the workplace?
Ladders
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91. Are rubber feet on ladders in good repair?
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92. Are all ladders in good condition with no structural damage?
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93. Are there no metal or aluminum ladders in electrical areas?
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94. Are ladders being used properly (only one person on ladder at a time and no one standing above the second step down from the top)?
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95. Are ladders inspected for safety defects prior to use?
PPE
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96. Are employees properly wearing their hearing protection in requried areas?
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97. Are areas clearly marked as a "hearing conservation" area as needed?
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98. Are approved safety glasses, face shields, gloves, aprons, clothing, used in required areas?
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99. Are employees using appropriate respirators for the work being done?
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100. Are respirators clean and stored properly?
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101. Are employees using respirators clean-shaven (so mask seals against face)?
PPE - Fall Protection
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102. Is appropriate fall protection provided and used properly (safety harness, lanyard, and if needed, self-retracting lifeline)?
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103. Is fall protection PPE stored properly, kept clean, and out of direct sunlight?
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104. Is fall protection PPE inspected and certified annually?
