PSU OPP Area 1 Safety Survey -

General Survey Information

• Building/Location

• Date Conducted

  Date

• Prepared by

• Work Order / Job / Project #

• Responsible Supervisor

Confined Spaces

• Is this a confined space?

  Yes

  No

  N/A

• Is permit completed correctly?

  Yes

  No

  N/A

• Was gas monitor calibrated by a qualified individual?

  Yes

  No

  N/A

• Are employees knowledgeable about Confined Space Entry procedures?

  Yes

  No

  N/A

• Is the OPP Confined Space Program being followed?

  Yes

  No

  N/A

Designated Work Space

• Is the area clearly defined and identified as a work space?

  Yes

  No

  N/A

• Is the area clear of debris and any unnecessary materials?

  Yes

  No

  N/A

• If areas are restricted, are correct procedures being followed to restrict access?

  Yes

  No

  N/A

Electrical Safety

• Have you identified any electric fences in the work area?

  Yes

  No

  N/A

• Are extension cords being used in lieu of permanent equipment?

  Yes

  No

  N/A

• Are extension cords being run under carpet or through doorways?

  Yes

  No

  N/A

• Are extension cords and power strips plugged directly into wall outlets?

  Yes

  No

  N/A

• Are extension cords daisy chained together?

  Yes

  No

  N/A

• Are powerstrips UL rated?

  Yes

  No

  N/A

• Are power cords in good condition and free from splices?

  Yes

  No

  N/A

• Are grounding prongs being removed from extension cords?

  Yes

  No

  N/A

• Are outlet, switch, and junction box covers in place and in good repair?

  Yes

  No

  N/A

• Are circuit breaker panels and emergency shut-offs unobstructed and labeled?

  Yes

  No

  N/A

• Are electrical outlets overloaded with appliances, etc?

  Yes

  No

  N/A

• Are energized part, circuits, and equipment guarded against accidental contact?

  Yes

  No

  N/A

• Are ground fault interruptors installed, labeled, and operating correctly?

  Yes

  No

  N/A

Elevated Work Surfaces - Ladders (Non-Fixed)

• Are ladders in good condition?

  Yes

  No

  N/A

• Do portable ladders have anti-slip feet?

  Yes

  No

  N/A

Elevated Work Surfaces - Motorized

• Are operators licensed in the safe operation of powered industrial trucks and lifts?

  Yes

  No

  N/A

• Has equipment been inspected?

  Yes

  No

  N/A

• What was the previous inspection date?

  Date

• Is equipment in good working order?

  Yes

  No

  N/A

• Is personal fall arrest system being used for all aerial lifts?

  Yes

  No

  N/A

Elevated Work Surfaces - Scaffolding

• Is scaffolding in good condition?

  Yes

  No

  N/A

• Has scaffolding been erected properly?

  Yes

  No

  N/A

• Are rails or personal fall arrest system in place?

  Yes

  No

  N/A

• Are pics approved for such use?

  Yes

  No

  N/A

• Has area been properly secured and barricaded around scaffolding?

  Yes

  No

  N/A

Floor / Wall openings, Runways, Catwalks (with 4ft or more to next level)

• Are floor openings properly guarded (railing, toe boards) or covered?

  Yes

  No

  N/A

• Are skylights guarded?

  Yes

  No

  N/A

• Are wall openings (including chutes and chases) properly guarded?

  Yes

  No

  N/A

• Are catwalks equipped with railings and toeboards?

  Yes

  No

  N/A

Hazardous Materials

• Have all hazardous materials been identified?

  Yes

  No

  N/A

• All hazardous materials have been abated or controlled?

  Yes

  No

  N/A

Lock Out and Tag Out

• Is lock out and tag out required?

  Yes

  No

  N/A

• Do employees understand the Lock out and Tag out program and it's requirements?

  Yes

  No

  N/A

• Are proper devices being locked and tagged?

  Yes

  No

  N/A

• Are only the approved lock out and tag out (LOTO) locks being used?

  Yes

  No

  N/A

Material Handling and Storage

• Is there safe clearance for equipment through aisles and doorways?

  Yes

  No

  N/A

• Are containers stored, stacked, secured, and of limited height for stability?

  Yes

  No

  N/A

• Are properly rated dock boards used while loading and unloading trailers?

  Yes

  No

  N/A

• Are trucks and trailers secured from movement during loading and unloading?

  Yes

  No

  N/A

• Are shelving and mezzanines properly rated and marked for loads?

  Yes

  No

  N/A

• Are manual palled jacks, hand-trucks, and dollies in good condition?

  Yes

  No

  N/A

• Are forklifts and motorized pallet jacks inspected each shift or prior to use?

  Yes

  No

  N/A

• Are forklift and motorized pallet jack operators licensed?

  Yes

  No

  N/A

• Are proper lifting techniques being used while lifting or moving loads?

  Yes

  No

  N/A

Mechanical Room Safety

• Are mechanical rooms properly illuminated?

  Yes

  No

  N/A

• Are noise levels within acceptable limits or marked as Hearing Protection Required?

  Yes

  No

  N/A

• Are hearing protective devices readily available in mechanical rooms?

  Yes

  No

  N/A

• Are work areas clean, organized, and kept orderly? (Garbage disposed of properly, etc)

  Yes

  No

  N/A

• Is work area properly ventilated for type of equipment or chemicals in use?

  Yes

  No

  N/A

• Are vacuum systems used when possible instead of blowing or sweeping dusts?

  Yes

  No

  N/A

• Do temperature and humidity seem to be within acceptable ranges?

  Yes

  No

  N/A

• Is the area free of visible fungi/mold growth and associated odors?

  Yes

  No

  N/A

• Are walls, ceilings, floors free of signs of mold or moisture damage?

  Yes

  No

  N/A

• Are air intake areas free of odor-causing materials or hazardous chemicals?

  Yes

  No

  N/A

• Is area free from slip, trip, and fall hazards?

  Yes

  No

  N/A

• Are identified tripping hazards clearly marked?

  Yes

  No

  N/A

• Are low clearance areas clearly marked?

  Yes

  No

  N/A

Personal Protective Equipment

• is appropriate head protection available?

  Yes

  No

  N/A

• Are safety glasses being utilized?

  Yes

  No

  N/A

• Is protective clothing available and used if hazards are present(coveralls, aprons, etc)?

  Yes

  No

  N/A

• Is appropriate hand protection available and used if hazards are present?

  Yes

  No

  N/A

• Is appropriate hearing protection available and used if hazard is present?

  Yes

  No

  N/A

• Is appropriate footwear being utilized?

  Yes

  No

  N/A

• Is respiratory protection required the job?

  Yes

  No

  N/A

• Is PPE being properly stored, kept clean, and in good condition?

  Yes

  No

  N/A

Shop Tools

• Do employees understand safe operation of the power tools they are using?

  Yes

  No

  N/A

• Are tools in good working condition?

  Yes

  No

  N/A

• Are power tools grounded or double insulated?

  Yes

  No

  N/A

• Are rotating or moving parts (chains, gears, belts, etc) properly guarded?

  Yes

  No

  N/A

• Are machine guards secure and do not present a hazard in their use?

  Yes

  No

  N/A

• Is fixed machinery guarded to prevent splash, spark, and flying chip injuries?

  Yes

  No

  N/A

• Is equipment and machinery securely in place and anchored to prevent movement?

  Yes

  No

  N/A

• Are guards and safety interlocks in working condition on the equipment in which it is installed?

  Yes

  No

  N/A

• Is equipment and machinery kept clean and properly maintained?

  Yes

  No

  N/A

• Is there sufficient clearance around machines for safe operation and services?

  Yes

  No

  N/A

• Are power shut-off switches within reach of operators position at each machine?

  Yes

  No

  N/A

• Do machine users understand the safe operation of the machine that they are using?

  Yes

  No

  N/A

• Are manually operated control switches and valves clearly identified and accessible?

  Yes

  No

  N/A

• Are emergency stop buttons available, operable, and colored red?

  Yes

  No

  N/A

• Are employees following Trenching and Shoring Guidelines?

  Yes

  No

  N/A

• Has "PA One Call" been notified and is the "one call" up to date for the particular dig?

  Yes

  No

  N/A

• Has a "competent" person been identified for this job?

  Yes

  No

  N/A

• Are employees following OPP Tunnel Entry Procedures?

  Yes

  No

  N/A

• Are employees following OPP Restricted Entry Guidelines?

  Yes

  No

  N/A

Notes/Comments/Actions Required or Taken

• Is corrective action required?

  Yes

  No

  N/A

• Please enter the date corrective actions will be completed

  Date

• Please note corrective actions

• REMINDER - Use the OPP SAFETY REPORT FORM when hazards cannot be immediately corrected.