Mechanical Space Safety Rounds

Mechanical Space Safety Rounds

Operations & Maintenance

• Location:

  Select Casey Eye Institute Center of Health and Healing Doernbecher Dillehunt Hall Hatfeild Research Center Kohler Pavilion Multnomah Pavilion Main Hospital Physician's Pavilion Sam Jackson Hall Other

  • Casey Eye Institute
  • Center of Health and Healing
  • Doernbecher
  • Dillehunt Hall
  • Hatfeild Research Center
  • Kohler Pavilion
  • Multnomah Pavilion
  • Main Hospital
  • Physician's Pavilion
  • Sam Jackson Hall
  • Other

• Conducted on

  Date

• Audit Prepared by:

  Matt Stormont

  Jesse Flores

  Other

• Corridors & exit discharges w/o obstructions -all items are on wheels, on the same side and temporary.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Doors are not propped open and in good operational condition. Door entry marked with room ID.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Combustible materials are not in excess of guidelines. Check for rated & non rated containers, trash & recycling bins. Bins > 32 gallons must be in rated room (i.e. storage, trash or soiled utility.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Combustible materials are not stored within 18 inches of the ceiling in sprinklered areas.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Fire extinguishers are in place, visibly marked, with updated logs, and ease of access.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Junction box covers are in place.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• No exposed wires or extension cords. No daisy-chained power strips in any area.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Oily rags are properly contained (closed metal container) and are disposed of appropriately.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Emergency exits are marked, visible/illuminated and free of obstructions.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Emergency Resource Books are posted in visible areas where there are phones.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Fire/Emergency phone number stickers are on each phone.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Chemicals, including those in secondary containers, are properly labeled and legible.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• If present:<br>-Eyewashes are clearly marked<br>-Visible<br>-Free of obstructions<br>-Have ease of access<br>-Operate properly<br>-Activated weekly with completed log.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Area has sufficient and properly operating lighting and ventilation.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Compressed gas cylinders are secured & stored properly. (CHECK STORAGE ROOMS)

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Area in front of electrical panels are clear and panel doors are clearly marked "Do Not Block".

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Equipment panels are secured. Any Work-In-Progress is barricaded, posted with contacts, or attended.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Area is free from HAZARDS of:<br>-TRIP (pipes, objects, lines)<br>-LEAN (ladders, panels, anything that could "slip down")<br>-FALL (unsecured objects stacked & stored high)<br>-ENERGY (Energized sources exposed to common traffic, i.e. uncapped lines, open electrical panels, LO/TO violations, abandoned work site)

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Area is clean, free of debris and spills, neat, well organized, and within utilization requirements (i.e. no carpet surplus stored in electrical room).

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Supplemental inventory (toolboxes, carts, parts, containers, ladders, etc.) is clearly marked, secured to its place, and definitely belongs to the area.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Area is free of unusual odors.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Area owner's (person responsible for compliance) name and number is updated and clearly posted.

  1 - Non-Compliance

  2 - Partial Compliance

  3 - Compliant

  4 - N/A

• Once you have finished your audit, please sign below:

  Sign

• Time/Date

  Date