Title Page
-
Facility Name
-
Conducted on
Page 1 - OSHA Records
Specific Confined Space Program (1910.146)
-
Facility Name
-
Hazard Evaluation of Each Space
-
Training Certification
Lockout/Tag (1910.147)
-
Annual Lockout Procedure Inspection (App A)
-
Specific MES Lockout Forms Masters (App B)
PPE (1910.132)
-
Hazard Assesments
-
Training Certification
-
Exposure Control Plan (1910.1030)
-
First Report of Injuries (Keep 5 Yrs)
-
Incident Investigation Report
-
OSHA 300 (3 yrs ok, 5 on hand)(1904)
-
Written Housekeeping Plan (1910.272/GMO for FDA)
-
Noise Survey 1910.95
-
OSHA Fed/State posters Posted
-
MSDS binder Current (1910.1200)
-
Location Safety Manual Current & Complete
Page 2 - Safety Equipment Inspections
Passenger Elevator Inspections (Caged Manlift)
-
Monthly Inspection
-
Annual Outside Inspection
-
Portable Electric Tool Inspection (Q)
-
Explosion Vent Insp. (6 mo)
Fall protection Equipment Insp. (6 Mo.)
-
Harness, Lanyard, and Self Retractable Blcok
-
Overhead Fall System Integrity
Fire Extinguisher Insp. (1910.157)
-
Monthly
-
Annual (Copies of Outside Insp.)
-
Lifting Device Insp. (6 Mo.) hoists, come-alongs, web and chain slings)
-
Portable Ladder Inspections (1910.27)(A)
-
Dryer System Controls and Fuel System (A)
-
Annual Electrical Equipment INSP.(A)
-
BBP Kits In Place and Complete
-
BE Safety Devices (motion/Speed switch, Rub Blocks, Bearing Temp, Inspection Doors)
Page 3 - Maintenance
-
Equipment History Cards
-
PM Records (1910.272) (Recod On Work List)!
-
Lubrication Records (1910.272) (Recorded)!
-
PM Manual Up To Date
-
To-Do-List of Work Needed/Done With Action Notations!
-
Equipment Recorded Card (Listing Up-to-date)
Page 4 - Other
-
Electric Switch Gear Inspection (Cleaned & Infrared) (2 yr)
-
New Employee Orientation and 1 Month Evaluation
Fumigation (EPA Rules) (Re: Fum Mgmt. Plan)
-
Check Lists
-
inventory Sheets
-
Characterization Study (See Fum Mgmt Plan)
-
Safety Meeting Minutes (Monthly)
-
Pesticide Records Usage (EPA & USDA)
Page 5 - Permits
-
Bin Entry
-
Blowdown
-
Confined Space
-
Hot Work
-
Lockout Procedure Inspections (A)
Notes:
-
Please Place Any Comments Below:
-
Full Name and Signature Below: