Petra Risk Solutions IIPP Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SAFETY PLANS:

• IIPP PLAN?

  Yes

  No

  N/A

• HAZCOM PLAN?

  Yes

  No

  N/A

• BLOODBORNE PLAN?

  Yes

  No

  N/A

• LOCKOUT/TAGOUT PLAN?

  Yes

  No

  N/A

• EMERGENCY RESPONSE PLAN?

  Yes

  No

  N/A

• HEP B SHOTS?

  Yes

  No

  N/A

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SAFETY TRAINING:

• SAFETY COORDINATOR?

  Yes

  No

  N/A

• SAFETY TRAINING?

  Yes

  No

  N/A

• SAFETY COMMITTEE?

  Yes

  No

  N/A

• SAFETY TRAINING RECORDS?

  Yes

  No

  N/A

• SAFETY VIDEOS/DVD'S?

  Yes

  No

  N/A

• OSHA 300 LOG?

  Yes

  No

  N/A

• ACCOUNTABILITY/WHO IS RESPONSIBLE?

  Yes

  No

  N/A

HK/LAUNDRY DEPT:

• MSDS AVAILABLE?

  Yes

  No

  N/A

• CONTAINERS LABELED?

  Yes

  No

  N/A

• EYEWASH STATION?

  Yes

  No

  N/A

• DRYER LINT FILTERS CLEAN?<br>

  Yes

  No

  N/A

• SHARPS CONTAINER?

  Yes

  No

  N/A

• INDIVIDUAL SHARPS CONTAINER?

  Yes

  No

  N/A

• HAZMAT CONTAINER?

  Yes

  No

  N/A

• RED HAZMAT BAGS?

  Yes

  No

  N/A

• BLOOD CLEAN KITS?

  Yes

  No

  N/A

• BLEACH SOLUTION?

  Yes

  No

  N/A

• SAFETY GLASSES?

  Yes

  No

  N/A

• GLOVES USED?

  Yes

  No

  N/A

• FIRE SPRINKLERS CLEAN?

  Yes

  No

  N/A

• HAZMAT PROCEDURE?

  Yes

  No

  N/A

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ENGINEERING:

• MSDS AVAILABLE?

  Yes

  No

  N/A

• EYEWASH STATION?

  Yes

  No

  N/A

• ELECTRICAL ROOM CLEAR?

  Yes

  No

  N/A

• LO/TO EQUIPMENT TAGS?

  Yes

  No

  N/A

• SAFETY GLASSES/GLOVES?

  Yes

  No

  N/A

• CLEAN SHOP/STORAGE?

  Yes

  No

  N/A

• FLAMMABLE CABINET?

  Yes

  No

  N/A

• FIRE SPRINKLERS CLEAR?

  Yes

  No

  N/A

• FIRE EXTINGUISHERS INSPECTED?

  Yes

  No

  N/A

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BANQUETS:

• HALLWAY CLEAR/HAZARDS?

  Yes

  No

  N/A

• SPILL STATIONS?

  Yes

  No

  N/A

• IN/OUT DOORS MARKED?

  Yes

  No

  N/A

• FOLDING TABLE TRAINING?

  Yes

  No

  N/A

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POOL/SPA/FITNESS:

• DECK, SURFACES, GATE?

  Yes

  No

  N/A

• SHEPHERDS HOOK MOUNTED?

  Yes

  No

  N/A

• THROW RING?

  Yes

  No

  N/A

• NO LIFEGUARD SIGNS?

  Yes

  No

  N/A

• CHEMICALS LABELED?

  Yes

  No

  N/A

• SPA SHUTOFF SWITCH WORKING?

  Yes

  No

  N/A

• DEPTH MARKERS VISIBLE & CORRECT?

  Yes

  No

  N/A

• EMERGENCY PHONE AVAILABLE?

  Yes

  No

  N/A

• POOL LIFT AVAILABLE AND MOUNTED? BATTERY AND REMOTE ON THE LIFT?

  Yes

  No

  N/A

• VIRGINIA GRAEME BAKER?

  Yes

  No

  N/A

• POOL/PH LOGS DAILY READINGS?

  Yes

  No

  N/A

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GENERAL:

• PROP 65 WARNING SIGNAGE

  Yes

  No

  N/A

• ALCOHOL WARNING SIGNAGE?

  Yes

  No

  N/A

• FISH/SHELLFISH WARNING SIGNAGE?

  Yes

  No

  N/A

• EMPLOYEE POSTERS?

  Yes

  No

  N/A

• GYM RULES?

  Yes

  No

  N/A

• ELEVATOR PHONES?

  Yes

  No

  N/A

• EMERGENCY RESPONSE TEAM CURRENT NUMBERS AVAILABLE?

  Yes

  No

  N/A

• MATS IN FRONT OF THE ICE MACHINES

  Yes

  No

  N/A

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KITCHEN:

• MSDS AVAILABLE?

  Yes

  No

  N/A

• FLOOR CLEAN/NON-SLIP?

  Yes

  No

  N/A

• ANSUL HOOD DUCTS?

  Yes

  No

  N/A

• FIRE SPRINKLERS CLEAR?

  Yes

  No

  N/A

• EYEWASH STATION?

  Yes

  No

  N/A

• GENERAL HOUSEKEEPING?

  Yes

  No

  N/A

• DISH & GLASS RACKS?

  Yes

  No

  N/A

• 40 LB. FIRE EXTINGUISHER (K CLASS)?

  Yes

  No

  N/A

• FLOOR MATS?

  Yes

  No

  N/A

• GREASE TRAP CLEANING?

  Yes

  No

  N/A

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CCTV SYSTEM:

• 24 HOUR RECORDING?

  Yes

  No

  N/A

• 31 DAY TAPE/DVR RECORDING/PLAYBACK?

  Yes

  No

  N/A

• ALL CAMERAS WORK?

  Yes

  No

  N/A

• POOL AREA CAMERA?

  Yes

  No

  N/A

• CAMERA DISCLAIMER VERBIAGE AVAILABLE?

  Yes

  No

  N/A

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