Title Page

  • Site conducted

  • Conducted on:

  • Audit Type:

  • ***NO RESPONSE NECESSARY*** OR ***PLEASE RESPOND TO FACILITIES MANAGEMENT - SAFETY AND HEALTH LOSS CONTROL OFFICER BY***

  • Location:
  • Prepared by:

  • Department Site Personnel

1.0 Employee OSHA (publication 3165) and U.S. Department of Labor Postings: 29 CFR 1903.2 and Pima County Medical Clinics

  • Are the OSHA (publication 3165) and US Department of Labor Postings posted and available for the employees to read?

  • The OSHA (publication 3165) and the US Department of Labor information is posted in the facility.

  • Is the Pima County Workers Compensation Contacts and Medical Clinics information posted?

  • The Pima County Occupational Medicine information is displayed in the facility.

20.0 CONFINED SPACES

  • 20.2 PERMIT REQUIRED CONFINED SPACES (29 CFR 1910.146 (c)(1)); Has the workplace been evaluated to determine if any spaces are permit-required confined spaces?

  • The workplace has been evaluated to determine if any spaces are permit-required confined spaces.

  • 20.3 CONFINED SPACE "DANGER" SIGNS (29 CFR 1910.146(c)(2)); Are danger signs posted (or other equally effective means of communication) to inform employees about the existence, location, and dangers of the confined space?

  • Danger signs are posted (or other equally effective means of communication) to inform employees about the existence, location, and dangers of the confined space.

  • 20.4 OTHER "OBSERVED" CONDITIONS (29 CFR 1910.146)

30.0 ELECTRICAL

  • 30.1 EXTENSION CORDS/ELECTRICAL STRIPS - MANUFACTURER'S GUIDELINES (29 CFR 1910.303(b)(2)); Are extension cords and electrical strips used in accordance with manufacturer's guidelines?

  • Extension cords and electrical strips are used in accordance with manufacturer's guidelines.

  • 30.2 EXTENSION CORDS/ELECTRICAL STRIPS - DAISY CHAINING (29 CFR 1910.303(b)(2)); Are electrical cords and electrical power strips free from daisy chaining?

  • No daisy chaining was observed anywhere in the facility.

  • 30.3 EXTENSION CORDS NOT USED AS PERMANENT WIRING (29 CFR 1910.305(g)(1)(iv)(A)); Are extension cords used only for immediate use and not as permanent wiring?

  • Extension cords are used only for immediate use and not as permanent wiring.

  • 30.4 ELECTRICAL CORD DAMAGE AND DEFECTS (29 CFR 1910.334(a)(2)(ii)); Are all portable cord and plug connected equipment and extension cords free from damage and defects such as damage to the outer jackets (insulation) or missing grounding pins?

  • All portable cord and plug connected equipment observed is free from damage and fully functional.

  • 30.5 ELECTRICAL CORD STRAIN RELIEF POINTS (29 CFR 1910.305(g)(2)(iii)); Are all strain relief points free from exposed electrical wires?

  • All electrical cord strain relief points are free or have been adjusted to be free from strain and do not have exposed electrical wires.

  • 30.6 ELECTRICAL CONDUCTORS (29 CFR 1910.303(c)(3)(i)); Are all splices and joints and the free ends of conductors covered with an insulation equivalent to that of the conductors or with an insulating device identified for the purpose?

  • All electrical wires are capped or connected.

  • 30.7 UNUSED OPENINGS IN ELECTRICAL OUTLETS, BOXES, CABINETS (29 CFR 1910.303(b)(7)(i) and 29 CFR 1910.305(b)(1)(ii)); Are unused openings in electrical outlets, boxes, equipment casings, cabinets closed to prevent exposure and accidental entry?

  • All electrical boxes and panels are closed to prevent exposure and accidental entry.

  • 30.8 STORAGE 36 INCHES FROM ELECTRICAL PANELS (29 CFR 1910.303(g)(1)(i)(A)); Is storage maintained 36 inches from electrical panels?

  • Storage is maintained at least 36" from the electrical panels throughout the facility.

  • 30.9 COVERS ON ELECTRICAL BOXES, JUNCTION BOXES AND OUTLET FIXTURES (29 CFR 1910.305(b)(2)(i)); Do electrical boxes, junction boxes, and fittings have covers?

  • All electrical boxes, junction boxes, conduits, fittings and outlets are properly covered.

  • 30.10 GFCI PROTECTION OUTDOORS FOR CORD AND PLUG CONNECTED EQUIPMENT (29 CFR 1910.304(B)(3)(ii)(A)); Is GFCI protection provided when an employee is outdoors and operating or using cord and plug connected equipment supplied by 125-volt, 15, 20 or 30 amp circuits?

  • GFCI protected outlets are available at this facility.

  • 30.13 WATERPROOF RECEPTACLES FOR OUTDOOR AND DAMP LOCATIONS (29 CFR 1910.305(j)(2)(v)); Are waterproof receptacles installed (with weather - tight gaskets in place) in outdoor locations or in other damp locations?

  • Waterproof receptacles are installed at this facility.

  • 30.14 SWITCHES, CIRCUIT BREAKERS AND SWITCHBOARDS (29 CFR 1910.305(e)(2)); Are switches, circuit breakers, and switchboards that are installed in wet locations enclosed in weatherproof enclosures?

  • Electrical outlets and enclosures located in damp or wet locations are free from visible damage.

  • 30.15 ELECTRICAL PANELS LABELED WITH VOLTAGE, CURRENT AND PROTECTIVE CLOTHING REQUIREMENTS (29 CFR 1910.303(e)(1)(ii); NFPA 70E 130.5(H)); Are labels providing voltage, current and protective clothing requirements posted and legible, on the outside of electrical panels?

  • The electrical panels are properly labeled with warnings.

  • 30.16 DURABILITY OF LABELS ON ELECTRICAL PANELS 29 CFR 1910.303(e)(2) Is/are the label(s) on the electrical panel made of a material of sufficient durability to withstand the environment involved?

  • Labels on the electrical panel made of a material of sufficient durability to withstand the environment.

  • 30.17 LAMP FIXTURES OR GUARDS (29 CFR 1910.305(a)(2)(ix)); Are all lamps used for general illumination protected from accidental contact or breakage by a suitable fixture or guard?

  • All lamps used for general illumination are protected from accidental contact or breakage by a suitable fixture or guard.

  • 30.18 EXPOSED LIVE PARTS OF FIXTURES, LAMPS, LAMP HOLDERS ROSETTES AND RECEPTACLES (29 CFR 1910.305(j)(1)(i)); Do all fixtures, lamp holders, lamps, rosettes, and receptacles have no live parts exposed to employee contact? (Rosettes and cleat-type lamp holders and receptacles located at least 8 feet above the floor may have exposed parts). Note: receptacle covers are designed to prevent people from coming into contact with (that is, touching) properly installed live electrical parts that are inside the receptacle box

  • All fixtures, lamp holders, lamps, rosettes, and receptacles have no live parts exposed for employee(s) to contact.

  • 30.19 LOTO PERFORMANCE REQUIREMENTS (29 CFR 1910.147(a)(1)(i)); Does the location follow minimum LOTO performance requirements for the control of hazardous energy such as the unexpected energization or startup of the machines or equipment, or the release of stored energy?

  • The location follows minimum LOTO performance requirements.

  • The location follows minimum LOTO performance requirements.

  • 30.20 OTHER "OBSERVED" ELECTRICAL CONDITIONS

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40.0 EMERGENCY EXITS

  • 40.1 EXIT ROUTES FREE AND UNOBSTRUCTED (29 CFR 1910.37(a)(3)); Are exit routes free and unobstructed?

  • All exit routes from the facility are free and unobstructed.

  • 40.2 EXITS CLEARLY VISIBLE AND MARKED "EXIT" (29 CFR 1910.37(b)(2)); Are exits clearly visible and marked by a sign reading "Exit"?

  • All exits from the facility are clearly visible and marked by a sign reading "Exit".

  • 40.3 "EXIT" SIGNS ILLUMINATED (29 CFR 1910.37(b)(6)); Are all "Exit" signs illuminated by a reliable light source distinctive in color, self-luminous or electroluminescent design?

  • All exit signs in the facility are properly illuminated.

  • 40.4 DOORWAY "NOT AN EXIT" (29 CFR 1910.37(b)(5)); Are doorways that could be mistaken for an exit marked "Not an Exit"?

  • Doorways that could be mistaken for an exit are clearly marked “Not an Exit”.

  • 40.5 EMERGENCY LIGHTING TEST (NFPA 101 7.9.3.1.1); Do all emergency lights operate for a minimum of 30 seconds when the test button is pressed?

  • Emergency lights in the facility operate for a minimum of 30 seconds when the button is pushed.

  • 40.6 OTHER "OBSERVED" EMERGENCY EXIT CONDITIONS

50.0 EYE WASH STATIONS

  • 50.1 ACCESS TO EYEWASH STATIONS - SHOWERS (29 CFR 1910.151(c)); Are eye wash stations - showers [where the eyes or body of any person may be exposed to injurious corrosive materials] unblocked and placed within 10 seconds or 55 feet of the hazard?

  • The emergency eyewash station and/or deluge shower is unblocked, readily accessible and immediately adjacent to the work area.

  • 50.2 EYE WASH STATION - SHOWERS TESTING (ANSI Z358.1 2014); Are eye wash stations - showers flow tested on a weekly basis and mechanically tested annually?

  • The emergency eyewash station and/or deluge shower is flow tested on a weekly basis and recorded.

  • 50.3 EYE WASH STATION - TEPID WATER (ANSI Z358.1 2014); Does the eye wash station deliver tepid (between 60 and 100 degrees F) water for 15 minutes?

  • The eyewash station delivers tepid (between 60 and 100 degrees F) water when activated.

  • 50.4 PORTABLE EYE WASH STATION SOLUTION EXPIRATION DATE (ANSI Z358.1 2014); Are the eyewash solutions for portable eye wash stations being inspected for expiration dates?

  • The portable eye wash station is being inspected regularly for expiration dates on the water bottle.

  • 50.5 OTHER "OBSERVED" EYE WASH CONDITIONS

60.0 FALL ARREST SYSTEMS (PERSONAL)

  • 60.1 EMPLOYEE TRAINING (29 CFR 1910.30(a)(1)); Are employees who are required to use personal fall arrest systems properly trained?

  • Employees who are required to use personal fall arrest systems at this site are properly trained.

  • 60.2 PERSONAL FALL ARREST SYSTEM INSPECTIONS (29 CFR 1910.140(c)(18)); Are personal fall arrest systems inspected prior to each use for mildew, wear, damage and other deterioration, and defective components removed from service?

  • Personal fall arrest systems are inspected prior to each use for mildew, wear, damage and other deterioration, and defective components removed from service.

  • 60.3 COMPATABILITY OF ROPES, BELTS, LANYARDS AND HARNESSES; Are ropes, belts, lanyards, and harnesses used for personal fall protection compatible with all connectors used?

  • Ropes, belts, lanyards, and harnesses used for personal fall protection compatible with all connectors used.

  • 60.4 PERSONAL FALL ARREST SYSTEM COMPONENT PROTECTION (29 CFR 1910.140(c)(20)); Are Are Ropes, belts, lanyards, lifelines, and harnesses used for personal fall protection protected from being cut, abraded, melted, or otherwise damaged?

  • Ropes, belts, lanyards, lifelines, and harnesses used for personal fall protection are protected from being cut, abraded, melted, or otherwise damaged.

  • 60.5 OTHER "OBSERVED" FALL ARREST SYSTEMS CONDITIONS

70.0 FIRE EXTINGUISHERS

  • 70.1 FIRE EXTINGUISHER MOUNTING - LOCATION - IDENTIFICATION (29 CFR 1910.157(c)(1)); Are portable fire extinguishers properly mounted, located and identified so they are readily accessible to employees?

  • All observed fire extinguishers in the facility are readily accessible by employees.

  • 70.2 FIRE EXTINGUISHER MONTHLY INSPECTIONS (29 CFR 1910.157(e)(2));

  • All observed fire extinguishers in the facility receive a monthly inspection.

  • 70.3 FIRE EXTINGUISHER ANNUAL INSPECTIONS (29 CFR 1910.157(e)(3)); Do fire extinguishers receive an annual inspection?

  • All fire extinguishers receive an annual inspection.

  • 70.4 OTHER "OBSERVED" FIRE EXTINGUISHER CONDITIONS

80.0 FIRE SAFETY

  • 80.1 COMBUSTIBLE MATERIAL STORAGE AROUND HEATERS OR HEATING DEVICES (International Fire Code 2012:315.3); Are combustible materials in buildings separated from heaters or heating devices by distance or shielding so ignition cannot occur?

  • No combustible materials are stored next to this portable heater.

  • 80.2 STORAGE CLEARANCE OF 24 INCHES FOR NON-SPRINKLED BUILDING (International Fire Code 2012:315.3.1); Is storage maintained 24 inches below the ceiling in non-sprinkled buildings?

  • Storage is maintained at least 24" below the ceiling throughout the facility.

  • 80.3 STORAGE CLEARANCE OF 18 INCHES FOR SPRINKLED BUILDING (29 CFR 1910.159(c)(10); International Fire Code 2012:315.3.1); Is storage maintained 18" from sprinkler heads in buildings which have fire sprinkler systems?

  • Storage is maintained at least 18" below the fire sprinkler heads throughout the facility.

  • 80.4 EXITS AND EXIT ENCLOSURES FREE FROM COMBUSTIBLE MATERIALS (International Fire Code 2012 315.3.2); Are exits and exit enclosures kept free from storage of combustible materials?

  • The exits and exit enclosures at this facility are kept free from the storage of combustible materials.

  • 80.5 BOILER, MECHANICAL AND ELECTRICAL ROOMS FREE FROM COMBUSTIBLE MATERIALS (International Fire Code 2012;315.3.3); Are boiler rooms, mechanical rooms or electrical equipment rooms kept free from the storage of combustible materials? Combustible materials shall not be stored in these areas

  • Boiler rooms, mechanical rooms and/or electrical equipment rooms are kept free from the storage of combustible materials.

  • 80.6 FLAMMABLES AND COMBUSTIBLES STORED IN FLAMMABLE CABINETS (29 CFR 1910.106(e)(2)(ii)(b)); Are flammables and combustibles properly stored in flammable cabinets?

  • All observed flammables and combustible materials are being stored in a flammable cabinet.

  • 80.7 SPRING CLOSING LID AND SPOUT ON FLAMMABLE CONTAINERS (UP TO 5 GAL) (29 CFR 1910.106(a)(29)); Are flammable containers approved containers, of not more than 5 gallons capacity, having a spring-closing lid and spout cover and so designed that it will safely relieve internal pressure when subjected to fire exposure?

  • The flammable containers at this facility are approved containers.

  • 80.8 OTHER "OBSERVED" FIRE SAFETY CONDITIONS

90.0 FIRST AID KITS

  • 90.1 FIRST AID KIT AVAILABILITY (OSHA 29 CFR 1910.151(b)); If emergency medical services are not in near proximity, are first aid kits available?

  • Observed first aid kits and\or supplies are readily available to employees.

  • 90.2 FIRST AID KIT SUPPLIES (OSHA 29 CFR 1910.151 (App A)); Are the First Aid Kits fully supplied with unexpired components?

  • All first aid supplies available to employees are unexpired.

100.0 FORKLIFTS/POWERED INDUSTRIAL TRUCKS

  • 100.1 EMPLOYER TRAINING OF POWERED INDUSTRIAL TRUCK OPERATORS (29 CFR 1910.178(l)(1)(i)); Has the employer ensured that each powered industrial truck operator is properly trained and competent to operate a powered industrial truck safety?

  • Each powered industrial truck operator is properly trained and competent to operate a powered industrial truck safely.

  • 100.2 PRE-TRIP INSPECTIONS (29 CFR 1910.178(q)(7)); Does the employer ensure that the operators perform daily pre-trip inspections prior to using the powered industrial trucks?

  • PIT operators perform daily pre-trip inspections prior to use.

  • 100.3 UNSAFE PIT REMOVED - REPAIRED (29 CFR 1910.178(q)(1) Are any powered industrial trucks, which are not in safe operating condition, removed from service until proper repairs can be made?

  • In the event that a PIT is not operating properly and safely, it is removed from service until proper repairs can be made.

  • 100.4 OBSERVATIONS - SAFE OPERATION OF P.I.T. (29 CFR1910.178(m) and (29 CFR 1910.178(n), 29 CFR 1910.178(o) Are observed powered industrial truck (P.I.T.), at the time of the audit, seen to be operating the equipment in a safe manner?

  • At the time of the audit, personnel were seen to be operating the PIT (s) in a safe manner.

  • 100.5 PIT MODIFICATION OR ALTERATION (29 CFR 1910.178(q)(6) If the PIT is modified or altered, was it done in accordance with the manufacturer's approval?

  • 100.6 APPROVED TESTING LABORATORY LABEL (29 CFR 1910.178(a)(3) Is the Approved Testing Laboratory label present?

  • 100.7 MANUFACTURER'S NAMEPLATES AND MARKINGS (29 CFR1910.178(a)(6) Are the manufacturer's nameplates and markings in place and maintained in a legible condition?

  • The manufacturer's nameplates and markings in place and maintained in a legible condition.

  • 100.8 UNSAFE PIT REMOVED - REPAIRED (29 CFR 1910.178(q)(1)); Are any powered industrial trucks which are not in safe operating condition removed from service until proper repairs can be made?

  • Any powered industrial trucks which are not in safe operating condition removed from service until proper repairs can be made.

  • 100.9 OBSERVATIONS - SAFE OPERATION OF PIT (29 CFR 1910.178(m)(n)(o)); Are observed powered industrial truck operators (at the time of the audit) seen to be operating the equipment in a safe manner?

  • At the time of the audit, personnel were seen to be operating the PIT in a safe manner.

  • 100.10 OTHER "OBSERVED" POWERED INDUSTRIAL TRUCK SAFETY OBSERVATIONS

110.0 GOLF CARTS AND LSV's (LOW SPEED VEHICLES)

  • 110.1 GOLF CART/LSV (LOW SPEED VEHICLE) - INSPECTION - MAINTENANCE - MANUFACTURE'S GUIDELINES; Are golf carts and/or LSV's inspected, maintained and used according to the manufacture's guidelines?

  • The golf cars and gators at this facility are inspected, maintained and used according to the manufacturer’s guidelines. The photograph shows the inspection logs for each golf cart/gator at the facility.

  • 110.2 GOLF CART/LSV (LOW SPEED VEHICLE) - SEATBELTS AND/OR RESTRAINTS; Are seatbelts/restraints present and not altered or modified?

  • Seatbelts/restraints present and not altered or modified.

  • 110.3 OTHER "OBSERVED" GOLF CARTS AND LSV (LOW SPEED VEHICLE)OBSERVED CONDITIONS

120.0 HAND AND PORTABLE POWERED TOOLS AND OTHER HAND HELD EQUIPMENT

  • 120.1 HAND & PORTABLE HAND TOOL SAFE CONDITION (29 CFR 1910.242(a)); Are hand and portable power tools kept in a safe/serviceable condition?

  • All hand and portable tools observed in the shop area are kept in a safe/serviceable condition.

  • 120.2 VERTICLE PORTABLE GRINDER SAFETY GUARDS (29 CFR 1910.243(c)(3)); Do vertical portable grinders (right angle grinders) have the manufacture's safety guards properly installed?

  • Vertical portable grinders (right angle grinders) have the manufacture's safety guards properly installed.

  • 120.3 HAND AND POWER TOOL SAFE STORAGE (Best Management Practice); Are hand tools and power tools stored safely to prevent potential injury to employees?

  • All hand tools and power tools observed were stored safely to prevent potential injury to employees.

  • 120.4 COMPRESSED AIR USED FOR CLEANING (29 CFR 1910.242(b)); Are employees using compressed air for cleaning, only when reduced to less than 30 p.s.i. and then only with effective chip guarding and personal protective equipment?

  • Compressed air used for cleaning is reduced to less than 30 psi.

  • 120.5 OTHER" OBSERVED" HAND AND PORTABLE POWER TOOL SAFETY CONDITIONS

130.0 HAZARD COMMUNICATION

  • 130.1 LIST OF HAZARDOUS CHEMICALS AND SDS SHEETS (29 CFR 1910.1200(e)(1)(i); Is there a list of hazardous chemicals known to be present and are the appropriate safety data sheets available to employees?

  • In addition to the information available online, an SDS binder is kept and maintained at this facility, readily available to employees.

  • 130.2 PROPER CHEMICAL CONTAINER LABELING (29 CFR 1910.1200(f)(6)); Are chemical containers labeled properly?

  • All observed chemical containers are labeled properly throughout the facility.

  • 130.3 OTHER "OBSERVED" HAZARD COMMUNICATION CONDITIONS

150.0 LADDER SAFETY

  • 150.1 ALL MANUFACTURER/WARNING LABELS LEGIBLE (BEST MANAGEMENT PRACTICE); Are manufacturer warning / information labels (weight capacity, Category, etc.) legible?

  • The manufacturer's information and warning labels are on the ladder(s).

  • 150.2 LADDER INSPECTIONS (29 CFR 1910.23(b)(9)); Are ladders inspected before initial use in each work shift, and more frequently as necessary, to identify any visible defects that could cause employee injury?

  • The ladders at this facility are inspected before initial use in each work shift, and more frequently as necessary, to identify any visible defects that could cause employee injury.

  • 150.3 DEFECTIVE LADDERS (29 CFR 1910.23(b)(10)); Is any ladder with structural or other defects immediately tagged "Dangerous: Do Not Use" or with similar language and removed from service until repaired or replaced?

  • Any ladder with structural or other defects is immediately tagged "Dangerous: Do Not Use" or with similar language and removed from service until repaired or replaced.

  • 150.4 LADDERS USED ONLY FOR THE PURPOSES FOR WHICH THEY WERE DESIGNED (29 CFR 1910.23(b)(8)); Are ladders being used only for the purposes for which they were designed?

  • Ladders observed in use are being used only for the purposes for which they were designed.

  • 150.5 LADDERS NOT LOADED BEYOND MAXIMUM INTENDED LOAD (29 CFR 1910.23(c)(3)); Are ladders not loaded beyond the maximum intended load? Includes total load of employee and all tools, equipment, and materials being carried

  • Ladders observed in use at this facility are not being loaded beyond their maximum intended load.

  • 150.6 LADDERS STORED PROPERLY AND SECURED (BEST MANAGEMENT PRACTICE); Are the observed ladders which are not in use stored properly and secured?

  • The observed ladder(s) is/are secured and stored properly, when not in use.

  • 150.7 OBSERVED FIXED LADDERS COMPLY WITH OSHA REGULATIONS (29 CFR 1910.23(d)(1))

  • The observed fixed ladders at this facility comply with OSHA guidelines.

  • 150.8 OBSERVED MOBILE LADDERS COMPLY WITH OSHA REGULATIONS (29 CFR 1910.23(e)); Do "OBSERVED" mobile ladder stands and mobile ladder stand platforms comply with OSHA regulations?

  • The observed mobile ladders at this facility comply with OSHA guidelines.

  • 150.9 OTHER "OBSERVED" LADDER CONDITIONS

160.0 MACHINERY AND MACHINE GUARDING

  • 160.1 TOOLS - MACHINES - PROPER GUARDING AT POINT OF OPERATION (29 CFR 1910.212(a)(1)); Do tools and machines have the proper guarding to protect the operator from hazards at the point of operation?

  • All tools and machines observed have proper guarding to protect the operator from hazards at the point of operation.

  • 160.2 GRINDER WORK REST SET AT 1/8 OF AN INCH (29 CFR 1910.215(a)(4)); Are GRINDER work rests adjusted closely to the wheel with a maximum opening of one eighth (1/8) of an inch?

  • The grinder work rests are adjusted closely to the wheel with a maximum opening of one-eighth (1/8) of an inch.

  • 160.3 GRINDER TONGUE GUARDS SET AT 1/4 OF AN INCH (29 CFR 1910.215(b)(9)); Are GRINDER tongue guards adjusted so as to never exceed one-fourth (1/4) of an inch between the wheel to the tongue guard?

  • Grinder safety guards are adjusted so as to never exceed one-fourth (1/4) of an inch between the wheel to the guard.

  • 160.4 MACHINES ANCHORED TO PREVENT WALKING OR MOVING (ANSI MH26.2-2017; ANSI MH.2-2017; 29 CFR 1910.176(b)); Are machines designed for a fixed location securely anchored to prevent walking or moving?

  • All machines and/or bench tools observed designed for a fixed location, are securely anchored to prevent walking or moving.

  • 160.5 OTHER "OBSERVED" MACHINERY AND MACHINCE GUARDING CONDITIONS

165.0 MATERIAL HANDLING AND STORAGE

  • 165.1 STORAGE ISLES AND PASSAGEWAYS KEPT CLEAR AND IN GOOD REPAIR (29 CFR 1910.176(a)); Where mechanical handling equipment is used, are all isles and passageways kept clear and in good repair with no obstruction that could create a hazard?

  • All aisles and passageways are kept clear and in good repair with no obstruction that could create a hazard.

  • 165.2 MATERIAL SECURELY STORED (29 CFR 1910.176(b)); Is all storage material (i.e. Bags, containers, bundles, etc.), stored in tiers shall be stacked, blocked, interlocked and limited in height so that they are stable and secure against sliding or collapse?

  • All storage material observed is securely stored in tiers that are stacked, blocked, interlocked and limited in height so that they are stable secure against sliding or collapse.

  • 165.3 MANUFACTURER'S RACK WEIGHT/CAPACITY POSTING (ANSI MH16.1-2012: ANI MH26.c-2007); Do storage racks have the manufacture's rack weight limit/capacity clearly posted?

  • Storage racks throughout the facility have the manufacturer’s rack weight limit/capacity clearly posted.

  • 165.4 OTHER "OBSERVED" MATERIAL HANDLING AND STORAGE CONDITIONS

170.0 OVERHEAD AND GANTRY HOISTS/CRANES

  • 170.1 LOAD RATINGS POSTED ON HOIST - CRANES (29 CFR 1910.179(b)(5)); Is the rated load of the hoist/crane plainly marked on each side of the crane [where visible] and is the marking clearly legible from the ground or floor?

  • The rated load of the hoist/crane is plainly marked on each side of the crane the marking is clearly legible from the ground or floor.

  • 170.2 ONLY DESIGNATED PERSONNEL PERMITTED TO OPERATE HOIST/CRANE (29 CFR 1910.179(b)(8)); Are only designated personnel permitted to operate the hoist/crane?

  • Only designated and trained personnel are permitted to operate the hoist/crane.

  • 170.3 HOIST/CRANE FREQUENT/DAILY INSPECTIONS (29 CFR 1910.179(j)(2)); Does the hoist/crane receive frequent/daily inspections?

  • The hoist/crane receives frequent/daily inspections.

  • 170.4 INSPECTIONS FOR CRANE/HOIST IDLE FOR 1 MONTH BUT LESS THAN 6 MONTHS Does a crane/hoist which has been idle for a period of 1 month, but less than 6 months receive an Inspection in accordance with 29 CFR 1910.179(j)(2), 29 CFR 1910.179(j)(3), and 29 CFR 1910.179(m)(3) before being placed in service?

  • Cranes/hoists which have been idle for a period of 1 month, but less than 6 months receive a “Frequent” inspection before being placed in service.

  • 170.5 INSPECTIONS FOR CRANE/HOIST IDLE OVER 6 MONTHS Does a crane/hoist which has been idle for a period of 1 month, but more than 6 months receive an Inspection in accordance with 29 CFR 1910.179(j)(2), 29 CFR 1910.179(j)(3), and 29 CFR 1910.179(m)(3) before being placed in service?

  • Cranes/hoists which have been idle for a period of over 6 months would receive a complete inspection before being placed back into service.

  • 170.6 SIZE OF LOAD 1(29 CFR 1910.179(n)(1)) Is the crane loaded beyond its rated load, except for test purposes as provided in (29 CFR 1910.179(k))?

  • Crane not loaded beyond its rated load, except for test purposes.

  • 170.7 OTHER OBSERVATIONS/INSPECTIONS BY LCO OF HOOKS, LINES, SLINGS, SPLICES, ETC.

  • 170.8 OTHER "OBSERVED" HOIST/CRANE CONDITIONS

200.0 PPE

  • 200.1 REQUIRED PPE PROVIDED AND WORN (29 CFR 1910.132(a)); Is required PPE provided to the employees and do the employees wear the required PPE?

  • PPE in various forms (i.e. shoes, eye protection, ear protection, gloves, etc.) are provided to employees and worn/used when necessary.

  • 200.2 PPE MAINTAINED AND STORED PROPERLY (29 CFR 1910.132(a)); Is the PPE maintained and stored in a sanitary and reliable condition to prevent damage and/or contamination?

  • PPE maintained and stored in a sanitary and reliable condition to prevent damage and/or contamination.

  • 200.3 OTHER "OBSERVED" PPE CONDITIONS

210.0 WALKING WORKING SURFACES: GENERAL REQUIREMENTS - GUARDRAIL SYSTEMS - COVERS FOR HOLES - SIDEWALK SAFETY

  • 210.1 GENERAL REQUIREMENTS PLACES OF EMPLOYMENT (29 CFR 1910.22(a)(1)); Are places of employment kept clean and orderly and in sanitary condition?

  • The facility is kept clean and orderly.

  • 210.2 GENERAL REQUIREMENTS WORKROOM FLOORS (29 CFR 1910.22(a)(2)); Are the floors of every work room maintained in a clean and, so far as possible a dry condition?

  • The floors of this facility are kept clean and dry.

  • 210.3 GENERAL REQUIREMENTS ACCESS AND EGRESS (29 CFR 1910.22(c)); Does the employer provide, and ensure each employee uses a safe means of access and egress to and from walking-working surfaces?

  • Each employee is provided with and uses a safe means of access and egress to and from walking-working surfaces at this location.

  • 210.4 HOUSEKEEPING STORAGE AREAS (29 CFR 1910.176(c)); Are storage areas kept free from accumulation of materials that constitute hazards from tripping, fire, explosion, or pest harborage? (Vegetation control will be exercised when necessary)

  • Storage areas kept free from accumulation of materials (to include vegetation) that constitute hazards from tripping, fire, explosion, or pest harborage.

  • 210.5 GENERAL REQUIREMENTS OTHER "OBSERVED" HOUSEKEEPING CONDITIONS

  • 210.6 COVERS FOR HOLES (29 CFR 1910.29(e)); Do all covers for each hole on a walking-working surface (including skylights) meet the requirements in 1910.29(e)?

  • Observed covers for each hole on a walking-working surface (including skylights) meet the requirements in 1910.29(e)

  • 210.7 SIDEWALK SAFETY SIDEWALK ELEVATION CHANGE Are observed elevation changes on sidewalks 1/4" or less?

  • All sidewalks and/or walkways have no changes in elevation > ¼“.

  • 210.8 HOLES/OPENINGS FOR POINT OF ACCESS - SELF CLOSING GATE REQUIREMENTS (29 CFR 1910.29 (b)(13)(i)) Does the floor opening access point have a self-closing gate that slides or swings away from the hole, and is equipped with a top rail and a mid-rail or equivalent intermediate member that meets the requirements in paragraph (b) of this section? (NOTE: No longer may have chains guarding the opening).

  • Floor opening access point have a self-closing gate that slides or swings away from the hole, and is equipped with a top rail and a mid-rail or equivalent intermediate member that meets the requirements in paragraph (b) of this section.

  • 210.9 STANDARD RAILING UNPROTECTED SIDE OR EDGE (29 CFR 1910.28(b)(1)(i) (A),(B),(C)); Are walking-working surfaces with and unprotected side or edge that is 4 feet or more above a lower level protected from falling by one or more of the following: Guard rail systems: Safety net systems or personal fall protection systems?

  • Walking-working surfaces with an unprotected side or edge that is 4 feet or more above a lower level are protected from falling by one or more of the following: Guard rail systems: Safety net systems or personal fall protection systems.

  • 210.10 HAND RAILS AND STAIR RAILS SYSTEMS - Does the height of the stair rail systems meet the requirements of 29 CFR 1910.29(f)(1)(ii)?

  • Height of the stair rail systems meet the requirements of 29 CFR 1910.29(f)(1)(ii).

  • 210.11 HAND RAILS AND STAIR RAILS SYSTEMS (29 CFR 1910.29(f)(2)) - FINGER CLEARANCE - Is the minimum clearance between handrails and any other object 2.25 inches (5.7 cm)?

  • The minimum clearance between handrails and any other object 2.25 inches (5.7 cm).

  • 210.12 HAND RAILS AND STAIR RAILS SYSTEMS (29CFR 1910.29(f)(3)) - SURFACES - Are the handrails and stair rail systems smooth-surfaced to protect employees from injury, such as punctures or lacerations, and to prevent catching or snagging of clothing?

  • The handrails and stair rail systems smooth-surfaced to protect employees from injury, such as punctures or lacerations, and to prevent catching or snagging of clothing.

  • 210.13 HAND RAILS AND STAIR RAILS SYSTEMS (29 CFR 1910.29(f)(4)) - OPENINGS IN STAIR RAILS - Does any opening in a stair rail system exceeds 19 inches (48 cm) at its least dimension?

  • No opening in a stair rail system exceeds 19 inches (48 cm) at its least dimension.

  • 210.14 HAND RAILS AND STAIR RAILS SYSTEMS (29 CFR 1910.29(f)(5)) - HANDHOLD - Do handrails have the shape and dimension necessary so that employees can grasp the handrail firmly?

  • Handrails have the shape and dimension necessary so that employees can grasp the handrail firmly.

  • 210.15 HAND RAILS AND STAIR RAILS SYSTEMS (29 CFR 1910.29(f)(6)) - PROJECTION HAZARDS - The ends of handrails and stair rail systems do not present any projection hazards.

  • The ends of handrails and stair rail systems do not present any projection hazards.

  • 210.16 HAND RAILS AND STAIR RAILS SYSTEMS (29 CFR 1910.29(f)(7)) - STRENGTH CRITERIA - Are handrails and the top rails of stair rail systems capable of withstanding, without failure, a force of at least 200 pounds (890 N) applied in any downward or outward direction within 2 inches (5 cm) of any point along the top edge of the rail?<br><br>

  • Handrails and the top rails of stair rail systems are capable of withstanding, without failure, a force of at least 200 pounds (890 N) applied in any downward or outward direction within 2 inches (5 cm) of any point along the top edge of the rail.

  • 210.17 OTHER - WALKING WORKING SURFACES: GENERAL REQUIREMENTS - GUARDRAIL SYSTEMS - SAFETY NET SYSTEMS - COVERS FOR HOLES - SIDEWALK SAFETY - FIXED LADDERS CONDITIONS

220.0 WELDING, CUTTING, BRAZING, COMPRESSED GAS CYLINDERS

  • 220.1 PROPER STORAGE FOR OXYGEN AND FUEL GAS CYLINDERS (29 CFR 1910.253(b)(2)(i),(ii)); Are cylinders stored in well protected, well ventilated areas away from radiators and other sources of heat and at least 20 feet from highly combustible materials such as oil or excelsior, with the regulators removed and the caps in place?

  • Compressed gas cylinders are stored in a well-protected, well-ventilated area.

  • 220.2 GAS CYLINDERS IN GOOD CONDITION AND MARKED FOR GAS CONTENT (29 CFR 1910.253(b)(1)(i),(ii)); Are compressed gas cylinders in good condition and legibly marked for the purpose of identifying the gas content?

  • Compressed gas cylinders are in good condition and legibly marked for the purpose of identifying the gas content.

  • 220.3 OXYGEN CYLINDERS PROPERLY STORED AND SEPERATED FROM FUEL-GAS CYLINDERS (29 CFR 1910.253(b)(4)(iii)); Are oxygen cylinders in storage separated from fuel-gas cylinders or combustible materials by a minimum of 20 feet or by a noncombustible barrier at least 5 feet high?

  • Oxygen cylinders in storage separated from fuel-gas cylinders or combustible materials by a minimum of 20 feet or by a noncombustible barrier at least 5 feet high.

  • 220.4 STORED IN UPRIGHT POSITION AND SECURED (29 CFR 1910.101(b); 29 CFR 1910.253(b)(5)(iii)(A); NFPA 55 7.1.8.4.); Are Cylinders stored in upright positions and immobilized by chains or other means to prevent them from being knocked over?

  • Cylinders are stored in upright positions and immobilized by chains or other means to prevent them from being knocked over.

  • 220.5 OTHER "OBSERVED" WELDING, CUTTING, BRAZING, COMPRESSED GAS CYLINDER CONDITIONS

Park Safety - Playground Equipment -Ramadas - Picnic Areas - Ball Fields - Dog Parks

  • 400.1(A) POSTED SIGNS OR LABELS REGARDING INTENDED AGES OF USERS (ASTM F1487-11 para 14.1); Are signs or labels regarding the intended ages of users posted on play equipment?

  • Signs or labels regarding the intended ages of users are posted on play equipment.

  • 400.1(B) POSTED WARNING MESSAGES OF SPECIFIC HAZARDS (ASTM F1487-11 para 14.2.3 - 14.2.5 and ASTM F2373-11 para 12.4.1); When needed, are Warning Messages posted communicating the removal of helmets, drawstrings or accessories around the neck, hot play surfaces and/or surfacing and the hazard of play equipment located over hard surfaces?

  • Warning Messages communicating the removal of helmets, drawstrings or accessories around the neck, hot play surfaces and/or surfacing and the hazard of play equipment located over hard surfaces are posted when needed.

  • 400.1(C) SIGNS OR LABELS REPLACED WHEN ILLEGIBLE, DESTROYED OR REMOVED (ASTM F1487-11 para 14.3.3 and ASTM F2373-11 para 12.5); Are playground equipment signs or labels or both replaced when they become illegible, destroyed or removed?

  • Playground equipment signs or labels or both are replaced when they become illegible, destroyed or removed.

  • 400.2(A) SURFACE MATERIALS IN PLAYGROUND AREA PROPERLY MAINTAINED ((Poured-In-Place Surfacing) ASTM F2223-10 para 10.6, 10.7 and see ASTM F2479 (Engineered Wood Fiber, see ASTM F2075)); Are the surface materials in the playground area appropriate and properly maintained?

  • Surface materials in the playground area appropriate and properly maintained.

  • 400.2(B) MINIMUM OF 9 INCHES OF LOOSE-FILL MATERIAL (Handbook for Public Playground Safety 2.4.2.2 Line 7. See Table 2); Is there at least a minimum of nine (9) inches of loose-fill material?

  • A minimum of nine (9) inches of loose-fill material is present.

  • 400.3(A) PLAYGROUND EQUIPMENT MAINTAINED PROPERLY WITH NO DEFECTS (Handbook for Public Playground Safety 3.2 and Appendix B, B.2.1.1); Is playground equipment maintained properly with no protruding bolts, screws, objects, rusted parts, splinters or other defects?

  • Playground equipment maintained properly with no protruding bolts, screws, objects, rusted parts, splinters or other defects

  • 400.3(B) PLAYGROUND EQUIPMENT MAINTAINED PROPERLY WITH NO DEFECTS (Best Management Practices); Are all shade structures maintained in satisfactory condition?

  • All shade structures maintained in satisfactory condition.

  • 400.4 DEFECTIVE EQUIPMENT REPORTED, REMOVED OR TAKEN OUT OF SERVICE (Handbook For Public Playground Safety 4.1 and 4.2); Are broken, damaged, modified or poorly functioning equipment reported, removed and/or taken out of service until repaired?

  • Broken, damaged, modified or poorly functioning equipment reported, removed and/or taken out of service until repaired.

  • 400.5 EQUIPMENT FREE FROM POTENTIAL HEAD ENTRAPMENT - COMPLETELY BOUNDED OPENINGS (Handbook for Public Playground Safety Appendix B, B.2.5.3); Is the equipment free from any Completely-Bounded Openings that are not bounded by the ground and could be a potential head entrapment?

  • Equipment is free from any Completely-Bounded Openings that are not bounded by the ground and could be a potential head entrapment.

  • 400.6 EQUIPMENT FREE FROM POTENTIAL HEAD ENTRAPMENT - PARTIALLY BONDED OPENINGS (Handbook for Public Playground Safety Appendix B, B.2.5.6); Is the equipment free of any Partially-Bonded openings that have at least one side or portion open, such as a U or V-shaped opening and could be a potential head entrapment?

  • Equipment is free of any Partially-Bonded openings that have at least one side or portion open, such as a U or V-shaped opening and could be a potential head entrapment.

  • 400.7 EQUIPMENT FREE FROM CRUSH OR SHEAR POINTS (Handbook for Public Playground Safety 3.1); Is the equipment free from any crush or shear points within a structure or between structures?

  • Equipment is free from any crush or shear points within a structure or between structures

  • 400.8 GUARDRAILS / PROTECTIVE BARRIERS (CPSC 325 5.1.3 See Table 4); Do elevated surfaces, like platforms and ramps, have guardrails or protective barriers to prevent falls?

  • Elevated surfaces, like platforms and ramps, have guardrails or protective barriers to prevent falls.

  • 400.9 PERIMETER OPENINGS IN A NET STRUCTURE (Handbook for Public Playground Safety 5.3.2.3); Are perimeter openings in a net structure <17 inches or >28 inches to avoid entrapment hazard?

  • Perimeter openings in a net structure <17 inches or >28 inches to avoid entrapment hazard

  • 400.10 OTHER "OBSERVED" CONDITIONS (Handbook for Public Playground Safety); Are other "OBSERVED" conditions of parks, playgrounds and playground equipment free from Public Spaces safety hazards?

  • General conditions of parks, playgrounds and playground equipment free from Public Spaces safety hazards

  • 400.11 RAMADAS (Best Management Practices); Are tables, benches, grills, electrical outlet(s), walking surfaces, and rooftops, as applicable, in satisfactory condition?

  • Tables, benches, grills, electrical outlet(s), walking surfaces, and rooftops, as applicable, in satisfactory condition.

  • 400.12 PICNIC AREAS (Best Management Practices); Are picnic tables, benches, grills and walking surfaces all in satisfactory condition?

  • Picnic tables, benches, grills and walking surfaces all in satisfactory condition.

  • 400.13 BASEBALL FILED(S) (Best Management Practices); Are fields, bleachers, electrical outlet(s), fencing, dugouts, and water fountains all in satisfactory condition?

  • Fields, bleachers, electrical outlet(s), fencing, dugouts, and water fountains all in satisfactory condition.

  • 400.14 BASKETBALL / VOLLEYBALL COURT(S) (Best Management Practices); Are surfacing, poles, backboards and nets in satisfactory condition?

  • Surfacing, poles, backboards and nets in satisfactory condition.

  • 400.15 SOCCER FILED(S) (Best Management Practices); Are playing fields, fencing, soccer goal components, and warning labels in satisfactory condition?

  • Playing fields, fencing, soccer goal components, and warning labels in satisfactory condition.

  • 400.16 DOG PARK(S) (Best Management Practices); Are water fountains (dog minimum), tables, benches, fencing, gates, grassy / dirt areas and regulation postings in satisfactory condition?

  • Water fountains (dog minimum), tables, benches, fencing, gates, grassy / dirt areas and regulation postings in satisfactory condition.

  • 400.17 OTHER "OBSERVED" FIELD CONDITIONS (Best Management Practices); Are other playing field(s) walking surfaces, bleachers, electrical outlets, fencing, gates, nets, parking, etc. in satisfactory condition?

  • Other playing field(s) walking surfaces, bleachers, electrical outlets, fencing, gates, nets, parking, etc. in satisfactory condition.

COMMENTS

  • COMMENTS

  • COMMENTS

SIGNATURES

  • Participating Employee from site audited:

  • Participating Facilities Management LCO:

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