Information
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Facility
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District
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Conducted on
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Prepared by
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Location
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Report Issued To:
1. Hazard Classification
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A hazard class rating will be inserted by the inspector [Reference: 6709.12, 11.4]. Hazards found during an inspection shall be classified so that managers can allocate time and dollars for their correction in order of priority based on the degree of danger present. Hazards shall be classified as: imminent danger, serious, and non-serious based on the following criteria:
1. Imminent danger hazards risk assessment code 1 (RAC 1) would likely cause death, severe injury or high property losses immediately, or before the hazard can be eliminated through normal procedures. Immediate employee protection and abatement is required. An example is a leaking propane gas cylinder in crew quarters.
2. Serious hazards risk assessment code 2/3 (RAC 2/3) are those in which there is high probability that serious injury, illness, or extensive property damage would result unless corrective action is taken. Abatement shall be accomplished within 14 days. An example is a broken stair tread.
3. Non-serious hazards risk assessment code 4 (RAC 4) are those that could cause injury, illness, or property damage. Abatement shall be accomplished in 30 days. An example is a broken window in a workshop.
Note: In the event a hazard cannot be corrected in the time allotted (contractor not available or contracting issues) a plan must be in place to correct the hazard as soon as possible. All employees must be notified of the hazard to limit their exposure.
2. GENERAL ENVIRONMENT
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Are all area's kept organized and clean? 29 CFR 1910.22.(a)
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Are aisles and passageways kept clear and in good repair? 29 CFR 1910.22(b)(1) H&SC 39.13.2
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Are walking surfaces kept dry or appropriate means taken to ensure that surfaces are slip-resistant? 29 CFR 1910.22(a)(2) H&SC 39.13.2
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Is combustible scrap, debris, and waste stored safely and removed from the worksite promptly? 29 CFR 1910.106(e)(9) (iii) H&SC 34.2.8
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Are toilets and washing facilities sanitary? 29 CFR 1910.141(d)
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Are all areas adequately lighted? 29 CFR 1910.22(a) H&SC 37.23
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Are safety equipment items available, mounted, and current? (e.g., fire extinguishers, smoke and CO detectors, and first aid kits) 29 CFR 1910.157(c)(1) 29 CFR 1910.151(b) H&SC 34.2.1
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Are fire extinguishers mounted 4 inches minimum off the ground maximum of 5 feet from the top of extinguisher weighing less then 40 lbs. and 3.5 feet from the top of extinguisher weighing more then 40 lbs. NFPA 10
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Are enclosed workplaces constructed, equipped, and maintained, so far as reasonably practicable, as to prevent the entrance or harbor age of rodents, insects, and other vermin? 29 CFR 1910.141(a)(5)<br><br>
3. WALKWAYS
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Are aisles and passageways kept clear and in good repair?29 CFR 1910.22(b)(1) H&SC 39.13.2
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Are non-slip materials available in areas with wet surfaces? 29 CFR 1910.22(a)(2) H&SC 39.13
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Are standard guardrails provided wherever aisle or walkway surfaces are elevated more than 4 feet above any adjacent floor or the ground? 29 CFR 1910.23(c)
4. FLOOR AND WALL OPENINGS
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Are guards used where openings in floors, porches, abrupt edges of loading docks, etc. are present? H&SC 39.13.5
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Are grates or similar covers over floor openings, such as floor drains, of such design that the grate spacing will not catch foot traffic or rolling equipment? 29 CFR 1910.123(a)(9)
5. STAIRWAYS
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Are standard stair rails and handrails present on all stairways having four or more risers? 29 CFR 1910.23(d)(1) H&SC 39.13.6.c
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Are all stairways at least 22 inches wide? 29 CFR 1910.24(d)
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Do stairs have at least 6.5 feet of overhead clearance? 29 CFR 1910.24(i)
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Do stairs angle no more than 50 degrees and no less than 30 degrees? 29 CFR 1910.24(e)
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Are step risers on stairs uniform from top to bottom, with no riser spacing greater than 9.5 inches? Are these areas well lit? 29 CFR 1910.24(e) 29 CFR 1910.24(f) H&SC 39.13.6.d
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Are steps on stairs and stairways designed or provided with a slip resistant surface? 29 CFR 1910.24(c) H&SC 39.13.6.a
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Are stairway handrails located between 30-34 inches above the leading edge of stair treads? 29 CFR 1910.23(e)(5)(ii)
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Do stairway handrails have at least 3 inches clearance between handrails and the wall or surface they are mounted on? 29 CFR 1910.23(e)(5)(iii)
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Are stairway handrails capable of withstanding a load of 200 pounds applied in any direction? 29 CFR 1910.23(e)(5)(iv) UBC 1607.3.4
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Where stairs or stairways exit directly into any area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic? 29 CFR 1910.23(c)
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Are stairways free of defects, rubbish, slippery substances, loose materials, or obstructions that may cause slips, trips, and falls? H&SC 39.13.6b
6. ELEVATED SURFACES
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Are elevated surfaces (more than 4 feet above the floor or ground) provided with standard guardrails? 29 CFR 1910.23(c)
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Is material on elevated surfaces piled, stacked, or secured in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?29 CFR 1910.176(b)
7. EXIT DOORS AND ROUTES
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Is a fire prevention/evacuation plan prepared for the site? Is an appropriately- detailed scale plan of the site posted in conspicuous location(s) at the site? H&SC 34.11
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Are all personnel familiar with the plan, and are fire drills scheduled at least twice per year?H&SC 34.11.3
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Are the directions to exits, if not immediately apparent, marked with visible signs? 29 CFR 1910.37(b)(4) H&SC 34.11.6
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Are doors, passageways, or stairways that are neither exits nor access to exits, and which could be mistaken for exits, appropriately marked “NOT AN EXIT,” or “TO BASEMENT,” “STOREROOM,” etc.? 29 CFR 1910.37(b)(5) H&SC 34.11.6.a
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Are exit signs provided with the word “EXIT” in lettering at least 6 inches high and the stroke of the lettering at least 3⁄4-inch wide? 29 CFR 1910.37(b)(7)
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Are exit doors able to open from the direction of exit travel without the use of a key or any special knowledge or effort? 29 CFR 1910.36(d) H&SC 34.11.6.b
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Are exit doors side-hinged? 29 CFR 1910.36(e)
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Are there sufficient exit routes to permit prompt escape in case of emergency? 29 CFR 1910.36(b) H&SC 34.11.5
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Are exit routes free of obstructions? 29 CFR 1910.37(a)(3)
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Are exit accesses at least 28 inches in width? 29 CFR 1910.36(g)
8. ELECTRICAL SAFETY
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Are electrical cords free of splices or taps? 29 CFR 1910.305(g)(2)(ii)
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Are multiple plug adaptors prohibited? 29 CFR 1910.334(a)(3)(ii)
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Are all disconnecting switches and circuit breakers each labeled to indicate their use or equipment served? 29 CFR 1910.303(f) H&SC 36.13.11
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Do circuit breakers clearly indicate whether they are in the “on” or “off” position? 29 CFR 1910.304(e)(1)(vi)
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Is adequate clearance provided in front of electrical service panels and disconnects? 29 CFR 1910.303(g)(1)(i) H&SC 36.13.12.a
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Are all lights located within 7 feet of the floor, or exposed to being struck or damaged, protected? H&SC 37.23a.1
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Are replacement bulbs within a fixture’s rating? H&SC 37.23a.2
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Are electrical enclosures such as switches, receptacles, and junction boxes provided with undamaged, tight-fitting covers, or plates, including plugged unused opening (knockouts)? 29 CFR 1910.305(b)(1) 29 CFR 1910.305(b)(2)
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Are defective components promptly replaced? H&SC 36.13
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Are electrical outlets prohibited above permanently installed electric heaters? NEC 424.9
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Do you require all electrical work to be performed by a licensed contractor in compliance with NEC and OSHA rules? 29 CFR 1910.303(b)(1) H&SC 36.1 and 36.12
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Are electrical appliances such as vacuum cleaners, portable heaters, and vending machines grounded? 29 CFR 1910.304(f)(5)
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Do all extension cords have a grounding conductor? 29 CFR 1910.334(a)(3)
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Are extension cords protected from abrasion, crushing, kinking, and pulling? H&SC 36.13.6
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Are exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly? 29 CFR 1910.334(a)(2) (I) 29 CFR 1910.303(b)(iii)
9. PLUMBING, HEATING, VENTILATION, AND AIR CONDITIONING
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Does your HVAC system provide at least the quantity of outdoor air designed into the system at the time the building was constructed? H&SC 37.12
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Is preventive maintenance performed as recommended by the manufacturer, and records kept with the equipment? H&SC 37.12.3
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Are chimneys, flues, and masonry inspected at least annually? H&SC 34.33
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Are air filters inspected monthly and changed as needed, or as recommended by the manufacturer? H&SC 37.12.7
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Are indoor air quality complaints investigated with results effectively communicated to employees? MLA, Article 27.6
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Are gas appliances accessible for inspection and service? UPC 511.0 H&SC 39.9
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Are temperature/pressure relief valves and drains installed on all water heaters? UPC 608.3 and 608.5 H&SC 39.9
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Are water heaters anchored or strapped (within upper one-third of tank) for seismic protection? UPC 510.5 H&SC 39.9
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Are gas water heaters and connectors protected from physical damage (e.g., in garages)? UPC 510.3 H&SC 39.9
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Are gas system shutoffs identified, and readily accessible? UPC 1211.4 and 1211.18 H&SC 37.12.6
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Is all water provided for drinking, washing, and cooking potable? Include copies of latest required water test(s). Local Regulation
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Are water system shutoffs identified, accessible and operable? Local Regulation
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INSPECTION CONDUCTED BY
