RCSCW, Bi-Annual Facility Safety Inspection

• Audit Title:

• Facility:

  Select Beardsley RC Kuentz RC Palm Ridge RC RH Johnson RC Deer Valley Golf Course Desert Trails Golf Course Echo Mesa Golf Course Grandview Golf Course Pebblebrook Golf Course Stardust Golf Course Trail Ridge Golf Course

  • Beardsley RC
  • Kuentz RC
  • Palm Ridge RC
  • RH Johnson RC
  • Deer Valley Golf Course
  • Desert Trails Golf Course
  • Echo Mesa Golf Course
  • Grandview Golf Course
  • Pebblebrook Golf Course
  • Stardust Golf Course
  • Trail Ridge Golf Course

• Site:

  Select Social Hall Administration, Mem. Ser. Sports Pavilion Maintenance Actives Center Men's Club Tennis Courts Pool & Fitness Lecture Hall Arts & Crafts Village Memo's Restaurant Library Metal Shop Pro Shop Arts & Crafts Bldg. Aquatics Center Lawn Bowling/Walking Track Pool / Spa / Fitness Bldg. Club Area / Court Yard Theater Mini Golf / Model RR Cart Barn Soft Ball Field Summit Hall

  • Social Hall
  • Administration, Mem. Ser.
  • Sports Pavilion
  • Maintenance
  • Actives Center
  • Men's Club
  • Tennis Courts
  • Pool & Fitness
  • Lecture Hall
  • Arts & Crafts Village
  • Memo's Restaurant
  • Library
  • Metal Shop
  • Pro Shop
  • Arts & Crafts Bldg.
  • Aquatics Center
  • Lawn Bowling/Walking Track
  • Pool / Spa / Fitness Bldg.
  • Club Area / Court Yard
  • Theater
  • Mini Golf / Model RR
  • Cart Barn
  • Soft Ball Field
  • Summit Hall

• Document No.

Bi-Annual Safety Inspection

• Address:

  Select 14401 W. RH Johnson Blvd. 13800 W. Deer Valley Dr. 19803 N. RH Johnson Blvd. 12702 W. Stardust Blvd. 20349 N. Echo Mesa Dr. 22525 N. Executive Way 17735 N. 128th Ave. 14260 W. Meeker Blvd. 21021 N. 151st Ave. 13975 W. Deer Valley Dr. 12755 W. Beardsley Rd. 13801 W. Meeker Blvd. 13849 W. Camino Del Sol

  • 14401 W. RH Johnson Blvd.
  • 13800 W. Deer Valley Dr.
  • 19803 N. RH Johnson Blvd.
  • 12702 W. Stardust Blvd.
  • 20349 N. Echo Mesa Dr.
  • 22525 N. Executive Way
  • 17735 N. 128th Ave.
  • 14260 W. Meeker Blvd.
  • 21021 N. 151st Ave.
  • 13975 W. Deer Valley Dr.
  • 12755 W. Beardsley Rd.
  • 13801 W. Meeker Blvd.
  • 13849 W. Camino Del Sol

• Conducted on:

  Date

• Prepared by:

• Responsible Party (Manager / Asst. Manager):

FACILITY INFORMATION:

• Facility:

  Select Echo Mesa Maintenance Grandview Maintenance Pebblebrook Maintenance Stardust Maintenance Trail Ridge Maintenance Deer Valley Maintenance Desert Trails Maintenance Land Scape Maintenance

  • Echo Mesa Maintenance
  • Grandview Maintenance
  • Pebblebrook Maintenance
  • Stardust Maintenance
  • Trail Ridge Maintenance
  • Deer Valley Maintenance
  • Desert Trails Maintenance
  • Land Scape Maintenance

• Site:

  Select Social Hall Administration, Mem. Ser. Sports Pavilion Maintenance Actives Center Men's Club Tennis Courts Pool & Fitness Lecture Hall Arts & Crafts Village Memo's Restaurant Library Metal Shop Pro Shop Arts & Crafts Bldg. Aquatics Center Lawn Bowling/Walking Track Pool / Spa / Fitness Bldg. Club Area / Court Yard Theater Mini Golf / Model RR Cart Barn Soft Ball Field Summit Hall

  • Social Hall
  • Administration, Mem. Ser.
  • Sports Pavilion
  • Maintenance
  • Actives Center
  • Men's Club
  • Tennis Courts
  • Pool & Fitness
  • Lecture Hall
  • Arts & Crafts Village
  • Memo's Restaurant
  • Library
  • Metal Shop
  • Pro Shop
  • Arts & Crafts Bldg.
  • Aquatics Center
  • Lawn Bowling/Walking Track
  • Pool / Spa / Fitness Bldg.
  • Club Area / Court Yard
  • Theater
  • Mini Golf / Model RR
  • Cart Barn
  • Soft Ball Field
  • Summit Hall

• Inspection Date:

  Date

WORK AREA

• Are Employees using Personal Protective Equipment (PPE)?

  Yes

  No

  N/A

• Does PPE Meet Requirements?<br> OSHA 1910.132

  Yes

  No

  N/A

• Are Work Areas Free of Slip, Trip & Fall Hazards?<br> OSHA 1910.23

  Yes

  No

  N/A

• Are Floors Dry & Free of Oil?<br> OSHA 1910.22(a)(2)

  Yes

  No

  N/A

• Are work areas neat & orderly?<br> OSHA 1910.22(a)

  Yes

  No

  N/A

• Are Aisles Properly Marked & Maintained?<br> OSHA 1910.22(b)(2)

  Yes

  No

  N/A

• Are Slip Resistant Mats used in Wet Areas?<br> OSHA 1910.22(a)(2)

  Yes

  No

  N/A

• Are Uneven Floor Elevations Marked?<br> IFC 1003.5

  Yes

  No

  N/A

• Are Ladders in Good Repair & Used Properly?<br> OSHA 1910.26(c)(2)(iv)

  Yes

  No

  N/A

• Are Scaffolds being used Properly?<br> OSHA 1910.28

  Yes

  No

  N/A

• Are Safety Vests Provided & Used in Traffic Areas?<br> General Safety Condition

  Yes

  No

  N/A

• Are Compressed Gas Cylinders Secure?<br> OSHA 1910.252

  Yes

  No

  N/A

• Are Hazardous Materials Properly Labeled & Stored?<br> OSHA 1910.1200

  Yes

  No

  N/A

• Are Employees Familiar W/ MSDS & Location?<br> OSHA 1910.1200

  Yes

  No

  N/A

• Are Hand Tools in Working Order & Good Cond.?<br> OSHA 1910.242

  Yes

  No

  N/A

• Are Exit Doors Unlocked & Free of Obstructions?<br> IFC 1003.6

  Yes

  No

  N/A

• Are Ladder-ways & Door Openings Guarded by Railings? <br>OSHA 1910.23

  Yes

  No

  N/A

• Are Floor Openings, Platforms & Runways Protected?<br> OSHA 1910.23(c)(a)

  Yes

  No

  N/A

• Are Parking Lots & Sidewalks Safe?<br> General Safety Condition

  Yes

  No

  N/A

• Comments:

ELECTRICAL

• Are Extension Cords being used as Permanent Wiring?<br> OSHA 1910.305 / IFC 605.5

  Safe

  At Risk

  N/A

• Are Ext. Cords Exposed to Env./Phy. Damage?<br> OSHA 1910.305, IFC 605.5

  Safe

  At Risk

  N/A

• Are Extension Cords in Good Repair?<br> OSHA 1910.305, IFC 605.5.3

  Yes

  No

  N/A

• Is Cord of Proper Size to Power the Appliance?<br> IFC 605.5.2<br>

  Yes

  No

  N/A

• Are Molded or Waterproof Plugs being used?<br> General Safety Condition

  Yes

  No

  N/A

• Comments:

PORTABLE TOOLS & APPLIANCES:

• Are Portable Tools & Appliances Listed for use?<br> OSHA 1910.303(b)

  Yes

  No

  N/A

• Is Grounding Prong Intact?<br> OSHA 1910.305

  Yes

  No

  N/A

• Are Switches Mounted & Secured?<br> OSHA 1910.305

  Yes

  No

  N/A

• Are Proper Receptacles Used?<br> NEC<br>

  Yes

  No

  N/A

• Are Portable Lights Equipped W/ Guards?<br> OSHA 1910.303(b)(2)

  Yes

  No

  N/A

• Comments:

PERMANENT ELECTRICAL FIXTURES:

• Are Circuit Breakers Marked Properly?<br> OSHA 1910.303(f)

  Yes

  No

  N/A

• Are Motors Clean & Free of Grease & Oil?<br> OSHA 1910.305

  Yes

  No

  N/A

• Are Breaker Panel Clearances Maintained?<br> OSHA 1910.305, IFC 605.3

  Yes

  No

  N/A

• Comments:

FIRE PROTECTION:

• Are Fire Extinguishers Inspected Monthly?<br> OSHA 1910.157, NFPA 10

  Yes

  No

  N/A

• Are Fire Ext. Mounted & Readily Accessible?<br> OSHA 1910.157, IFC 906.3

  Yes

  No

  N/A

• Are Portable Fire Ext. Properly Distributed?<br> IFC 906.3<br>

  Yes

  No

  N/A

• Are Extinguishers of Proper Type & Size?<br> IFC 906.3

  Yes

  No

  N/A

• Fire Extinguisher Annual Certification:

  Date

• Is the Fire Alarm Sys. Tested & Certified Annually?<br> IFC 907.8.5

  Yes

  No

  N/A

• Alarm System Service Date: IFC 907.8.5

  Date

• Are Employees apprised of Fire Protection Procedures?<br> RCSCW Policy<br>

  Yes

  No

  N/A

• Is Sprinkler Sys. Tested & Certified Annually?<br> IFC 901.6, NFPA 13

  Yes

  No

  N/A

• Sprinkler System Service Date: IFC 901.6

  Date

• Are Sprinkler Heads Protected where needed?<br> IFC 901, NFPA 25

  Yes

  No

  N/A

• Is Proper Sprinkler Head Clearance Maintained? <br> (18" Below Deflector) NFPA 25

  Yes

  No

  N/A

• Is Means of Egress Maintained?<br> IFC 1003.6

  Yes

  No

  N/A

• Are Exit Lights Adequate & Functional?<br> IFC 1006.6

  Yes

  No

  N/A

• Is Emergency Lighting Adequate & Functional?<br> IFC 1006.2

  Yes

  No

  N/A

• Are All Ceiling Tiles in Place?<br> IFC 1018.1

  Yes

  No

  N/A

• Is Occupancy Load Properly Posted?<br> IFC 1004.3

  Yes

  No

  N/A

• Comments:

ILLUMINATION:

• Is Internal Lighting Adequate?<br> IFC 1006.3<br> <br>

  Yes

  No

  N/A

• Is External Lighting Adequate?<br> IFC 1006.3

  Yes

  No

  N/A

• Is Lighting Protected from Damage where Needed?<br> OSHA 1910.305(a)(2)(iii)(f)

  Yes

  No

  N/A

• Comments:

VENTILATION:

• Is Venting Equipment Functioning Properly?<br> OSHA 1910.305(a)(4)

  Yes

  No

  N/A

• Is Internal Climate Control Functioning Properly?<br> RCSCW General Conditions

  Yes

  No

  N/A

• Is Equipment Properly Vented where Needed?<br> OSHA 1910.94

  Yes

  No

  N/A

• Comments:

SANITATION:

• Are Toilet Facilities Clean & Functional?<br> OSHA 1910.141

  Yes

  No

  N/A

• Are Soap & Hand Towels Adequate & Replenished?<br> OSHA1910.141

  Yes

  No

  N/A

• Are Shower Facilities Clean & in Good Repair?<br> OSHA1910.141

  Yes

  No

  N/A

• Are Eating Areas Clean & Sanitary?<br> OSHA1910.141

  Yes

  No

  N/A

• Is Eating Area Separated from Toxic Chemicals?<br> OSHA 1910.141

  Yes

  No

  N/A

• Are Appliances in Eating Area Clean?<br> OSHA 1910.141

  Yes

  No

  N/A

• Is Pest Control Provided for Eating Areas?<br> OSHA 1910.141

  Yes

  No

  N/A

• Outside Areas Clean & Orderly?<br> OSHA 1910.141

  Yes

  No

  N/A

• Is First Aid Kit in a Convenient Location?<br> OSHA 1910.151

  Yes

  No

  N/A

• Is First Aid Kit kept in a Sanitary Condition?<br> OSHA1910.151

  Yes

  No

  N/A

• Are First Aid Supplies Kept Replenished?<br> OSHA 1910.151

  Yes

  No

  N/A

• Is a Container Provided for Oily Rags?<br> OSHA

  Yes

  No

  N/A

• Comments:

MOTORIZED EQUIPMENT:

• Are Operators Trained in the Use of Motorized Equipment?<br> OSHA 1910.178(L)

  Yes

  No

  N/A

• Are Forklift, Backhoe & Tractor Operators Certified or Supervised when Operating?

  Yes

  No

  N/A

• Are Seat Belts Being Used as Required?<br> RCSCW Policy

  Yes

  No

  N/A

• Comments:

Re-Inspection Requirement:

• Is a Re-Inspection Required?

  No

  Yes

• Re-Inspection Date:

  Date

• Additional Comments:

• Responsible Party (Manager / Asst. Manager) Printed Name: