Information

  • Document No.

  • Audit Title

  • Location

  • Zone

  • Conducted on

  • Prepared by

  • Personnel

Administrative

Administrative

  • 1. Is the departmental Health and Safety Plan in a location known and accessible to all employees?

  • 2. Is there a Safety Corner/Bulletin Board established with the following displayed (in terminology and language understood by the employees)?

  • OSHA Posters <br>

  • The Emergency Phone Number poster<br>

  • Other health and safety material/information

  • 3. Are training records maintained and available for review by employees, EH&S, and outside agencies?

  • 4. Are departmental safety inspection reports and corrections maintained and available for review by employees, EH&S, and outside agencies?

  • 5. Are Material Safety Data Sheets (MSDSs) and an inventory sheet of all office products used in the workplace on file and accessible to employees?

  • 6. Does the departmental Emergency Operations Plan include a floor plan/map of the department, including emergency evacuation site, procedures, and routes? Are employees/students instructed in emergency procedures (i.e., location of exits, location and use of fire extinguishers)?

General Safety Concerns

  • 1. Are the exits (doorways), exit aisles, or corridors free of obstacles and combustible storage?

  • 2. Are the fire doors closed securely at all times?

  • 3. Are light fixtures working and are diffuses installed?

  • 4. Have all loose rugs or mats been secured or removed?

  • 5. Have missing or loose ceiling tiles been repaired?

Electrical Cords & Outlets

  • 1. Are extension cords, multiple outlet strips, or cube taps plugged directly into a wall outlet?

  • 2. Are cords in good condition without splices, deterioration, taping, damage, or being sharply bent or pinched?

  • 3 Are employees instructed not to use extension cords in place of permanent wiring?

  • 4. Are extension cords prevented from running through walls, ceilings, or doors?

  • 5. Are extension cords grounded when servicing a grounded appliance or fixture?

  • 6. Are cord guards provided across an aisle or other passageway?

  • 7. Does the multiple outlet strip have a circuit breaker?

  • 8. Are multiple outlet strip cords 6' or under?

  • 9. Is clear access (36" clearance) provided to electrical panels?

  • 10. Are electrical cover plates provided on all electrical switches or outlets?

Heaters & Fans

  • 1. Do all heaters have a working tipover switch?

  • 2. Are combustibles kept 24" from all sides and tops of heaters?

  • 3. Are fine finger guards provided on fans?

  • 4. Are all electric space heaters plugged directly into the wall?

  • 5. Are all fans below head level or secured?

Bracing

  • 1. Are furnishings more than four feet high braced? (This includes file cabinets, bookcases, desk hutches, etc.)

  • 2. Is all shelving secured?

  • 3. Are projection screens, maps, blackboards, etc., fastened with a closed hook system or bolted to walls?

  • 4. Is overhead storage of heavy items or plants prevented?

  • 5. Are hanging planters or other objects prohibited?

Signature

  • Inspector Signature

  • Add media

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