Title Page
-
Center Name
- Albuquerque JCC - 1500 Indian School Road NW, Albuquerque, NM. 87104
- David L. Carrasco JCC - 1115 Gateway Blvd, El Paso, TX. 79935
- Denison JCC - 10 Opportunity Drive, Denison, IA. 51442
- Jacksonville JCC - 4811 Payne Stewart Drive, Jacksonville, FL. 32209
- Old Dominion JCC - 1073 Father Judge Road, Monroe, VA. 24574
- Paul Simon JCC - 3348 S. Kedzie Avenue, Chicago, IL. 60623
- Pinellas County JCC - 500 22nd Street S., St. Petersburg, FL. 33712
- Pittsburgh JCC - 7175 Highland Drive, Pittsburgh, PA. 15206
- Potomac JCC - 1 DC Village Lane SW, Washington, D.C. 20032
- Turner JCC - 2000 Schilling Avenue, Albany, GA. 31705
-
Inspection Date
-
Prepared by
-
Name of the WBL Site:
-
Address of WBL Site
-
WBL Site supervisor:
-
WBL Site supervisor phone number:
-
Note: Centers are responsible for ensuring that students are placed in healthful working conditions at work-based learning locations. However, Job Corps' responsibility will not extend to reviewing or inspecting private employer businesses for compliance with OSHA standards because this authority rest only with OSHA.
General Safety
-
The work site clean and orderly
-
The site has proper lighting
-
The site is free of trip hazards
-
Steps, ramps and handrails are maintained
-
PPE is available and in use
-
Electrical equipment is grounded
-
Proper safety measure are taken for the use and storage of hazardous materials
Fire Safety
-
Fire extinguishers are available
-
Emergency exits are assessible
-
Exit signs are illuminated
-
First aid kits available
-
Additional Information (if needed):
Completion
-
Center Safety Officer:
-
Name of others involved in inspection
-
Name of others involved in inspection