Title Page
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Document No.
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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
Walking/Working Surfaces:
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Work center floors clean and dry?
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Hangar decks clear of FOD and spills?
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Unprotected/unidentified trip hazards
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Stairs safe (secure rails, treads)
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Scaffolding/maintenance stands <5 ft have top & mid rails, toe boards, wheel locks
Electrical:
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All disconnects and circuit breakers labeled
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36" clearance around circuit breaker panels (No obstructions)
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No exposed live wires or circuits
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Circuit breaker panels / receptacles have no holes, open slots or removed knockouts
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All receptacles, switches and boxes have covers in place and in good condition
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No permanent extension cords used in place of fixed wiring
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Explosive proof lighting / machinery in use where needed
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GFCI circuits used in wet areas
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Plug ends do not have ground pins removed
Machinery Guarding:
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Barrier guards on moving machinery parts, belts and pulleys
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Point of operation and pinch points guarded and mart
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Fan blades guarded (<1/2" opening)
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Fixed machinery anchored to deck / workbench to prevent movement
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Bench grinders (1/8 "to rest and 1/4"tongue adjusted from wheel)
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Band saw blades guarded above guide rollers
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Safety zones around shop equipment
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Abrasive wheels in good condition with no evidence of side grinding or non-Ferrous materials being ground
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On / off / kill switch easily accessible
Hazardous material:
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Only approved lockers in use (three point locking mechanisms and bungs installed)
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Hazmat lockers properly identified (flammables, oxidizers, corrosives)
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Hazmat labeled with approved labels. No NFPA labels (diamond shaped)
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Lockers contain only material listed on a AUL, inventory and have SDS
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No smoking signs posted and observed
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Are SDS readily available and accessible (no physical or administrative barriers)
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Rooms used to store flammable properly ventilated and use explosive approve equipment and lighting
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Are refrigerators properly labeled as to contents (either " food only" or HAZMAT "No Food)
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Are dispensing containers (55 gallon drums) grounded to prevent static discharge
General Safety
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Plumbed eyewash stations showers flushed weekly (verify inspection record)
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Portable eyewash stations purged monthly (verify inspection record)
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Safety zones painted around eyewash stations (suggest green) and kept clear
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Firefighting equipment inspected monthly, clear of obstacles and has painted red zone
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PPE in good condition (elastic, lenses material integrity)
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Weight handling equipment ( WHE ) inspected and load tested
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Space heaters have approved auto trip over protection
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Coffee makers approved by fire marshal and on metal surface/trey
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Industrial hygienist survey posted in workcenters
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DOD / NAVOSH placard and policy statement posted (current CO)
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Unstable shelving secured to prevent tripping hazard
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Our members smoking in designated areas only
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Are applicable warning signs posted (hearing, sight, foot )
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Comments and/or notes: