NJ Fire Department Occupational Health and Safety Audit

• Document No.

• Audit Title

• Client / Site

• Department / Area

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Inspections

• Has there been a previous inspection of the department?

  Yes

  No

  N/A

• Has the the previous inspection been reviewed?

  Yes

  No

  N/A

• Are there any outstanding correction from the previous audit?

  Yes

  No

  N/A

Personal Protective Equipment

Fire Fighting Operations

• Does the PPE protect the following:<br>1. Head, including face and eyes<br>2. Body<br>3. Extremities, that is, the arms, legs, feet and hands?

  Yes

  No

  N/A

• Is all firefighting turnout gear NFPA 1971 "Personal Protective Equipment for Structural Fire Fighting"compliant?<br>(preform random sampling of 15 set of gear)

  Yes

  No

  N/A

• Are all fire fighting turnout boots NFPA 1974 "Protective Footwear for Structural Fire Fighting" compliant?<br>(preform random sampling of 15 set of boots)

  Yes

  No

  N/A

• Are all fire fighting gloves NFPA 1973 "Gloves for Structural Fire Fighting" compliant?<br>(preform random sampling of 15 sets)

  Yes

  No

  N/A

• Are all fire fighting helmets either OSHA 1910.156(e)(5) or NFPA 1972 "Helmets for Structural Fire Fighting" compliant?

  Yes

  No

  N/A

• Do all Self Container Breathing Apparatus comply with OSHA 1910.134 and NFPA 1981 "Open-Circuit Self-Contained Breathing Apparatus"?<br>(preform random sampling of 75% of SCBA on each truck equipped with them)

  Yes

  No

  N/A

• Are all life safety ropes & harnesses NFPA 1983 "Standards on Life Safety Rope and Equipment" compliant?

  Yes

  No

  N/A

• Are all PASS Alarms NFPA 1982 "Standard on Personal Alert Safety Systems" compliant?<br>(preform with SCBA check)

  Yes

  No

  N/A

• Is hearing protection available for use during nonemergency use of power tools and other noise emitting devices above the OSHA threshold of 85 dBA?

  Yes

  No

  N/A

Emergency Medical Response

• Is appropriate PPE available?<br>1. Disposable Examination Gloves<br>2. Face Shields<br>3. Surgical Masks

  Yes

  No

  N/A

Water Rescue

• All all personal floatation devices Coast Guard Approved?

  Yes

  No

  N/A

• Are all helmets approved?

  Yes

  No

  N/A

OSHA Subpart D Walking - Working Surfaces

• Are all stairways protected with rails and guards in accordance with 1910.23(d)?

  Yes

  No

  N/A

• Do railing, toe boards and hole covers meet OSHA 1910.23(e) specifications?

  Yes

  No

  N/A

• Do wooden ladders meet 1910.25 specifications?<br>(If none on site mark N/A)

  Yes

  No

  N/A

• Do metal ladders meet 1910.26 specifications?

  Yes

  No

  N/A

• Do all fix ladders meet 1910.27?<br>(If none on site mark N/A)

  Yes

  No

  N/A

• Does scaffolding meet 1910.28?<br>(If none on site make N/A)

  Yes

  No

  N/A

• Do manually propelled mobile ladders stands and scaffolds meet 1910.29?<br>(If none on site mark N/A)

  Yes

  No

  N/A

OSHA Subpart E - Exit Routes, Emergency Action Plans and Fire Prevention Plans

• Can the organization demonstrate compliance with NFPA 101-2000?<br>(If no make N/A and continue with the questions in this section if Yes make "yes" and N/A the rest of the questions.)

  Yes

  No

  N/A

• Do exit routes meet OSHA 1910.36 standards?

  Yes

  No

  N/A

• Are all exit signs functional in accordance with OSHA 1910.37?

  Yes

  No

  N/A

• Does the employer have a written emergency action plan? (OSHA 1910.38)

  Yes

  No

  N/A

• Does the employer have a Fire Prevention Plan? (OSHA 1910.39)

  Yes

  No

  N/A

• Are all doors that could be confused as exit doors marked "Not an Exit"?

  Yes

  No

  N/A

Subpart F - Powered Platforms, Manlifts, Vehicle Mounted Work Platforms

• Does the employer have have Powered Platforms as outlined in 1910.66?<br>(If none are on location mark N/A)

  Yes

  No

  N/A

• Does the employer have Vehicle-Mounted elevating and rotating work platforms on location as outlined in 1910.67<br>(Does not apply to fire appatatus per 1910.67(b)(3)) (If no mark N/A.)

  Yes

  No

  N/A

• Does the employer have Manlifts on site? (1910.68)

  Yes

  No

  N/A

Subpart H - Hazardous Materials

• What type of Hazardous Materials Incident response is provided by the department?

  Awareness

  Operations

  Technician

• Do all responding employees have the appropriate level of training (preform random sampling of 50% of employees)

  Yes

  No

  N/A

• Is there an Emergency Response Plan for Hazardous Materials Incidents? (Check for required elements below)

  Yes

  No

  N/A

• Pre-emergency planning and coordination with outside parties?

  Yes

  No

  N/A

• Personnel roles, lines of authority, and communications?

  Yes

  No

  N/A

• Emergency recognition and prevention

  Yes

  No

  N/A

• Safe distance and places of refuge

  Yes

  No

  N/A

• Site security and control

  Yes

  No

  N/A

• Evacuation routes and procedures

  Yes

  No

  N/A

• Decontaminstion

  Yes

  No

  N/A

• Emergency medical treatment and first aid

  Yes

  No

  N/A

• Critique of response and follow-up

  Yes

  No

  N/A

• PPE and emergency equipment

  Yes

  No

  N/A

Subpart I - Personal Protective Equipment

• Are all employees trained on the when, how to use PPE, its care and limitations

  Yes

  No

  N/A

• Does the employer provide all required PPE to employee at no cost?

  Yes

  No

  N/A

• Is all face and eye protection ANSI Z87.1 compliant?

  Yes

  No

  N/A

Respiratory Protection

• Is there a written Respiratory Protection Program in place? (Check for the following elements)

  Yes

  No

  N/A

• Procedures for selecting respirators in the workplace.

  Yes

  No

  N/A

• Medical evaluations for employees (at initial assignment and as need per physicians order) 1910.134(e) and prior to initial fit test.

  Yes

  No

  N/A

• Identified a physician to preform medical evaluations either by using OSHA Respirator Medical Evaluation Questionnaire 1910.134 Appendix C

  Yes

  No

  N/A

• Has the physician provided a written medical determination for each employee on their ability to wear respirator?

  Yes

  No

  N/A

• Have each respirator trained employee been fit tested for each make and model respirator that can be used in the department? (quantitative fit testing for SCBA or qualitative fit testing for cartridge respirators and filtering face peices)

  Yes

  No

  N/A

• Does the breathing air used meet the Grade D breathing air description outlined by ANSI / Compressed Gas Association Commodity Specification, G-7-1989

  Yes

  No

  N/A

• Date of last certificate of analysis

• Are all medical evaluation records retained in accordance with 1910.1020?

  Yes

  No

  N/A

• Are all fit testing records maintained in accordance to 1910.134(m)(2)?

  Yes

  No

  N/A

Head Protection 1910.135

• Do all helmets meet ANSI Z81.1?

  Yes

  No

  N/A

Foot Protection 1910.136

• Does all protective foot wear meet ANSI Z41 Standards?

  Yes

  No

  N/A

Electrical Protective Equipment 1910.137

Hand Protection 1910.138

• Are gloves selected based on the protection they will provide the employee?

  Yes

  No

  N/A

Subpart J - General Environmental Controls

Housekeeping 1910.141(a)

• Is the facility as clean as the work will allow?

  Yes

  No

  N/A

• Are the floors well maintained and in a dry condition?

  Yes

  No

  N/A

• Are floors free from protruding nails, splinters, loose boards, and unnecessary holes and openings?

  Yes

  No

  N/A

• Are all waste receptacles constructed so they do not leak and can be thoroughly cleaned in a sanitary condition?

  Yes

  No

  N/A

Water Supply 1910.141(b)

• Does the facility have potable water?

  Yes

  No

  N/A

• Are all non-potable water water sources labeled?

  Yes

  No

  N/A

Toilet Facilities 1910.141(c)

• Does the facility have adequate toilet facilities?

  Yes

  No

  N/A

Washing Facilities 1910.141(c)

Are washing facilities maintained in a sanitary manner?

• Does each lavatory have hot and cold or tepid running water?

  Yes

  No

  N/A

• Is soap and or similar cleansing agents available?

  Yes

  No

  N/A

• Do the lavatories have hand towels or other materials for hand drying available?

  Yes

  No

  N/A

Does the facility have showers available?

• Do the showers have hot and cold water feeding to a common discharge line?

  Yes

  No

  N/A

Consumption of food and beverages on the premises 1910.141(g)

• Are eating areas disignated?

  Yes

  No

  N/A

• Are wastes containers constructed of smooth, corrosion resistant, easily cleanable or disposable material?

  Yes

  No

  N/A

Food Handling 1910.141(h)

• Are all food services operations carried out in accordance with sound hygienic principles?

  Yes

  No

  N/A

OSHA, Safety color code for marking physical hazards.

• Yes

  No

  N/A

Permit Required Confined Spaces 1910.146

• Are there any permit-required confined spaces on the premisis?

  Yes

  No

  N/A

• Does the department respond on to confined space emergencies in a rescue capacity?

  Yes

  No

  N/A

Control of hazardous energy (lockout / tagout) 1910.147

• Yes

  No

  N/A

Subpart K - Medical and First Aid

• Does the department have first aid kits readily available?

  Yes

  No

  N/A

• Do the first aid kits meet at a minimum ANSI Z308.1

  Yes

  No

  N/A

Subpart L - Fire Protection

Portable Fire Extinguishers 1910.157

• Are portable fire extinguishers appropriately throughout the building?<br>Class A within 75 feet of travel<br>Class B within 50 feet of travel <br>Class C within the same distances as Class A and B<br>Class D within 75 feet of combustable metals

  Yes

  No

  N/A

• Are all portable fire extinguishers inspected monthly?

  Yes

  No

  N/A

• Are all fire extinguishers inspected annually by the vendor?

  Yes

  No

  N/A

• Do all stored pressure dry chemical extinguishers have current 12 year hydrostatic test or 6 year maintenance check?

  Yes

  No

  N/A

• Are all portable fire extinguishers within current hydrostatic testing? (Refer to table L-1 OSHA 1910.157)

  Yes

  No

  N/A

• Have all employees been trained on the use of portable fire extinguisher?

  Yes

  No

  N/A

• Have employees received annual refresher training?

  Yes

  No

  N/A

Automatic Sprinkler Systems 1910.159

Fixed Extinguishing Systems, General 1910.160

Fixed Extinguishing Systems 1910.161

Fixed Extinguishing Systems Gaseous Agent 1910.162

Fixed Extinguishing Systems, Water Spray and Foam 1910.163

Fire Detection Systems 1910.164

• Is all maintenance in the sprinkler system performed by qualified personnel?

  Yes

  No

  N/A

Subpart M - Compressed Gas and Compressed Air Equipment

• Are all drain valves frequently check on a regular basis?

  Yes

  No

  N/A

• Do all air receivers have pressure gages installed?

  Yes

  No

  N/A

• Are all pressure gages readily visible?

  Yes

  No

  N/A

• Does the air receiver have a spring loaded safety valve?

  Yes

  No

  N/A

• Are all safety valves tested and frequently and in regular intervals.

  Yes

  No

  N/A

• Are all safety valves in good conditions?

  Yes

  No

  N/A

Subpart N - Materials Handling and Storage

Subpart O - Machinery and Machine Guarding

• Do portable power tools have point of operation guards on them where possible?

  Yes

  No

  N/A

• Do all machines have guards in place to prevent employee injury?

  Yes

  No

  N/A

• Are all free standing machines anchored to prevent "walking"?

  Yes

  No

  N/A

Subpart P - Hand and Portable Powered Tools and Other Hand-Held Equipment

• Are all tools including in this section in a safe condition and in good working order?

  Yes

  No

  N/A

• Are all safety switches in working order?

  Yes

  No

  N/A

• Do all circular saws greater the 2 inches in diameter have a constant pressure safety switch?

  Yes

  No

  N/A

• Are all manufacturers guards in place?

  Yes

  No

  N/A

• Are all applicable rating plates legible? (Max Load Ratings)

  Yes

  No

  N/A

Subpart Q - Welding, Cutting and Brazing

• Yes

  No

  N/A

Subpart R - Special Industries

Subpart S - Electrical

• Is all portable electrical equipment in good condition?

  Yes

  No

  N/A

• Are all extension cords free of damage?

  Yes

  No

  N/A

Subpart Z - Toxic and Hazardous Substances

Bloodborne Pathogens 1910.1030

• Does the department have a Bloodborne Pathogens Exposure Control Plan?

  Yes

  No

  N/A

• Does the department have appropriate engineering and workplace control for prevent exposure?

  Yes

  No

  N/A

• Does the department have appropriate PPE available to employees?

  Yes

  No

  N/A

• Does the department have appropriate decontamination procedures in place for employees and equipment?

  Yes

  No

  N/A

• Does the department offer Hepatitis B Vaccinations to its employees on a regular basis?

  Yes

  No

  N/A

• Are Hepatitis B Vaccination Wavers on file for those who do not have vaccination records on file?

  Yes

  No

  N/A

Hazard Communications 1910.1200

• Does the department have a written hazard communication program?

  Yes

  No

  N/A

• Are all chemical containers labeled either with the manufacturers label or an appropriate label identifying the contents and hazards of the container?

  Yes

  No

  N/A

• Does the department have MSDS / SDS for all chemicals used within the facility?

  Yes

  No

  N/A

• Have employees been trained on the 2012 Global Harmonization for Hazard Communication Standards?

  Yes

  No

  N/A

NJPEOSH Chapter 100 Subchapter 7

• Have all employees been training at the time of there initial assignment and every two years thereafter?

  Yes

  No

  N/A

• Auditor's Signature

  Sign