SAFE T FIRST DEALERSHIP MONTHLY INSPECTION - West Herr

• Dealership Name

• Audit Title (Use ADP Logon by Month and Year) example: FH 05/14

• Document No.

• Conducted on (required every 30 days)

  Date

• Dealer Safe T First Contact/Email

  Select Anthony Lazarony alazarony@westherr.com Dominick Farbo dfarbo@westherr.com Doug Emmons demmons@westherr.com Ed Shaffer eshaffer@westherr.com Eric Zimmerman ezimmerman@westherr.com Frank Guagliano fguagliano@westherr.com Geoff Fahrner gfahrner@westherr.com Jeremy Lewis jlewis@westherr.com Jon Kroll jkroll@westherr.com John Floriano jfloriano@westherr.com John Powers jpowers@westherr.com Keith Wiesinger@westherr.com Mark Gonzalez mgonzalez@westherr.com Mark Zeisz mzeisz@westherr.com Mike Ippolito mippolito@westherr.com Mike Walters mwalters@westherr.com Paul Szlis pszlis@westherr.com Sal Zawistowski@westherr.com Steve Heary sheary@westherr.com Terry Wyant twyant@westherr.com Tim Gannon tgannon@westherr.com

  • Anthony Lazarony alazarony@westherr.com
  • Dominick Farbo dfarbo@westherr.com
  • Doug Emmons demmons@westherr.com
  • Ed Shaffer eshaffer@westherr.com
  • Eric Zimmerman ezimmerman@westherr.com
  • Frank Guagliano fguagliano@westherr.com
  • Geoff Fahrner gfahrner@westherr.com
  • Jeremy Lewis jlewis@westherr.com
  • Jon Kroll jkroll@westherr.com
  • John Floriano jfloriano@westherr.com
  • John Powers jpowers@westherr.com
  • Keith Wiesinger@westherr.com
  • Mark Gonzalez mgonzalez@westherr.com
  • Mark Zeisz mzeisz@westherr.com
  • Mike Ippolito mippolito@westherr.com
  • Mike Walters mwalters@westherr.com
  • Paul Szlis pszlis@westherr.com
  • Sal Zawistowski@westherr.com
  • Steve Heary sheary@westherr.com
  • Terry Wyant twyant@westherr.com
  • Tim Gannon tgannon@westherr.com

• Check if you have a Sales Dept

EXIT ROUTES

• Exit signs and emergency lighting in good working condition? (Test)1910.37(b)<br>

  Yes

  No

  N/A

• Exits routes clear?<br>1910.37(a)(3)

  Yes

  No

  N/A

• Is evacuation maps posted?1910.38<br>

  Yes

  No

  N/A

FIRE SAFETY

• Fire extinguishers, fully charged, pin lock in place, 30 day inspection documented, sign posted?1910.157(a)

  Yes

  No

  N/A

• Fire doors closed?

  Yes

  No

  N/A

ELECTRICAL

• Electrical cords on machines in good conditions (not torn,taped or missing grounds)

  Ok

  Needs Repair

  N/A

• Electrical panels-36" clear space, no missing breakers or blanks, circuits labeled?

  Yes

  No

  N/A

• Are extension cords used for temporary use only<br>Surge protectors are not plugged into extension cords or other surge protectors <br>NO non-grounded (household) cords in use?<br>

  Ok

  Needs Repair

  N/A

MISC.

• Are helium tanks secured and spare tanks capped?

  Yes

  No

  N/A

• Are bathrooms kept sanitary condition? (29 CFR 1910.141)

  Poor

  Fair

  Good

  N/A

• Are all containers (spray bottles) of hazardous chemicals properly labeled? (chemical name,hazards,first aid,and emergency number) (29CFR 1910.1200 (f) (5) (i) )

  Yes

  No

  N/A

• General housekeeping ok

  Poor

  Fair

  Good

  N/A

• Notes:

• Check the box if you have a Service Department

EXIT ROUTES

• Exit signs and emergency lighting in good working condition? (Test)<br>

  Yes

  No

  N/A

• Exits routes clear?<br>

  Yes

  No

  N/A

• Is evacuation maps posted?<br>

  Yes

  No

  N/A

FIRE SAFETY

• Fire extinguishers, fully charged, pin lock in place, 30 day inspection documented, sign posted?

  Yes

  No

  N/A

• Emergency doors closed?

  Yes

  No

  N/A

ELECTRICAL

• Electrical cords on machines in good conditions (not torn,taped or missing grounds)

  Safe

  At Risk

  N/A

• Electrical panels-36" clear space, no missing breakers or blanks, circuits labeled?

  Ok

  Needs Repair

  N/A

• Are extension cords used for temporary use only<br>Surge protectors are not plugged into extension cords or other surge protectors <br>NO non-grounded (household) cords in use?<br>

  Safe

  At Risk

  N/A

MACHINES/EQUIPMENT

• Bench grinder, <br>Signage (wear safety glasses...)<br>Grinder securely mounted <br>1/4"spec for spark rest<br>1/8" for work rest

  Ok

  Needs Repair

  N/A

• Parts washers-fusible link?

  Yes

  No

  N/A

• Are Lifts- cables, safety latches, oil level, motors in good working condition?

  Ok

  Needs Repair

  N/A

MISC.

• Used oily rags stored in non-combustible container?

  Yes

  No

  N/A

• Are bathrooms kept sanitary condition? (29 CFR 1910.141)

  Poor

  Fair

  Good

  N/A

• Are all containers (spray bottles) of hazardous chemicals properly labeled? (chemical name,hazards,first aid,and emergency number) (29CFR 1910.1200 (f) (5) (i) )

  Yes

  No

  N/A

• General housekeeping ok

  Poor

  Fair

  Good

  N/A

• Notes:

• Check the box if you have Bulk Storage Tanks

• Select date

  Date

• Is the Tank Permit upto date and posted in the Service Write-up area?

  Yes

  No

  N/A

• Dealership Location Please Choose:

  Select West Herr Chevy of Hamburg (PBS 9-600578) West Herr Chevy of Orchard Park (PBS 9-600537) West Herr Chevy Williamsville (PBS 9-383031) West Herr Dodge (PBS 9-600398) West Herr East Aurora (PBS 9-423416) West Herr Ford Hamburg (PBS 9-222976) West Herr Honda (9-600975) West Herr Nissan Lockport (PBS 9-600147) West Herr KIA (PBS 9-600630) West Herr Nissan OP (PBS 9-601033) West Herr Subaru (PBS 9-601430) West Herr Toyota OP (PBS 9-600628) West Herr Toyota Williamsville (PBS 9-438251)

  • West Herr Chevy of Hamburg (PBS 9-600578)
  • West Herr Chevy of Orchard Park (PBS 9-600537)
  • West Herr Chevy Williamsville (PBS 9-383031)
  • West Herr Dodge (PBS 9-600398)
  • West Herr East Aurora (PBS 9-423416)
  • West Herr Ford Hamburg (PBS 9-222976)
  • West Herr Honda (9-600975)
  • West Herr Nissan Lockport (PBS 9-600147)
  • West Herr KIA (PBS 9-600630)
  • West Herr Nissan OP (PBS 9-601033)
  • West Herr Subaru (PBS 9-601430)
  • West Herr Toyota OP (PBS 9-600628)
  • West Herr Toyota Williamsville (PBS 9-438251)

• Oil/Fuel Storage Tank
  PLEASE CLICK THE BUTTON ON RIGHT TO ADD TANKS

BULK STORAGE TANK

• Tank Idenfication Number. PLEASE INPUT TANK NUMBER AS WRITTEN ON TANK PERMIT!

• Content of the Tank<br>Please choose

  New Motor Oil

  ATF

  Gas

  Waste Oil

• Is the Tank Double Wall

  Yes

  No

• Has the Interstitial Monitoring been checked <br>

  Yes

  No

  N/A

• Tank in good condition ( no rust,cracking,or bulges,paint)

  Yes

  No

  N/A

• Does the tank have a Gauge or High level Alarm and is it functioning properly?

  Yes

  No

  N/A

• Is there a West Herr Tank Labeled with Tank # ,Content and Capacity and posted on the Tank?

  Yes

  No

  N/A

• Tank,Piping and Dispenser free from any visible leaks?

  Yes

  No

  N/A

• Does the Tank have a Dike

  Yes

  No

• Is the Tank clean and is drain valve closed and lock?

  Yes

  No

  N/A

• Please Print Name and Sign

  Sign

• Select date

  Date

• Tank Inspection records must be kept for 10 years

• Check the box if you have a Detail Department

EXIT ROUTES

• Exit signs and emergency lighting in good working condition? (Test)<br>

  Yes

  No

  N/A

• Exits routes clear?<br>

  Yes

  No

  N/A

• Is evacuation maps posted?<br>

  Yes

  No

  N/A

FIRE SAFETY

• Fire extinguishers, fully charged, pin lock in place, 30 day inspection documented, sign posted?

  Yes

  No

  N/A

• Emergency doors closed?

  Yes

  No

  N/A

ELECTRICAL

• Electrical cords on machines in good conditions (not torn,taped or missing grounds)

  Ok

  Needs Repair

  N/A

• Electrical panels-36" clear space, no missing breakers or blanks, circuits labeled?

  Yes

  No

  N/A

• Are extension cords used for temporary use only<br>Surge protectors are not plugged into extension cords or other surge protectors <br>NO non-grounded (household) cords in use?<br>

  Ok

  Needs Repair

  N/A

MISC.

• Are all containers (spray bottles) of hazardous chemicals properly labeled? (chemical name,hazards,first aid,and emergency number) (29CFR 1910.1200 (f) (5) (i) )

  Yes

  No

  N/A

• Are bathrooms kept sanitary condition? (29 CFR 1910.141)

  Poor

  Fair

  Good

  N/A

• General house keeping ok

  Poor

  Fair

  Good

  N/A

• Notes:

• Check the box if you have a Parts Department

EXIT ROUTES

• Exit signs and emergency lighting in good working condition? (Test)<br>

  Yes

  No

  N/A

• Exits routes clear?<br>

  Yes

  No

  N/A

• Is evacuation maps posted?<br>

  Yes

  No

  N/A

FIRE SAFETY

• Fire extinguishers, fully charged, pin lock in place, 30 day inspection documented, sign posted?

  Yes

  No

  N/A

• Emergency doors closed?

  Yes

  No

  N/A

• Does the department avoid storing combustibles under stairs If stairs are metal and enclosed, this question is not applicable; mark N/A (29 CFR 1910.106)

  Yes

  No

  N/A

• Does the Battery storage area have "No Smoking/Caution Corrosive Warning signs and are the batteries stored in a spill-controlled area tote or tray (so corrosives don't leak? (NYSDEC 5 NYCRR 374-3.2 (d) (1) (i)) If stored outside tote must be covered.

  Yes

  No

  N/A

ELECTRICAL

• Electrical cords on machines in good conditions (not torn,taped or missing grounds)

  Ok

  Needs Repair

  N/A

• Electrical panels-36" clear space, no missing breakers or blanks, circuits labeled?

  Yes

  No

  N/A

• Are extension cords used for temporary use only<br>Surge protectors are not plugged into extension cords or other surge protectors <br>NO non-grounded (household) cords in use?<br>

  Ok

  Needs Repair

  N/A

MISC.

• Are bathrooms kept sanitary condition? (29 CFR 1910.141)

  Poor

  Fair

  Good

  N/A

• General house keeping ok

  Poor

  Fair

  Good

  N/A

• Notes:

• Check the box if you have a Bodyshop

EXIT ROUTES

• Exit signs and emergency lighting in good working condition? (Test)<br>

  Yes

  No

  N/A

• Exits routes clear?<br>

  Yes

  No

  N/A

• Is evacuation maps posted?<br>

  Yes

  No

  N/A

FIRE SAFETY

• Emergency doors closed?

  Yes

  No

  N/A

• Fire extinguishers, fully charged, pin lock in place, 30 day inspection documented, sign posted?

  Yes

  No

  N/A

ELECTRICAL

• Electrical cords on machines in good conditions (not torn,taped or missing grounds)

  Ok

  Needs Repair

  N/A

• Are extension cords used for temporary use only<br>Surge protectors are not plugged into extension cords or other surge protectors <br>NO non-grounded (household) cords in use?<br>

  Ok

  Needs Repair

  N/A

• Electrical panels-36" clear space, no missing breakers or blanks, circuits labeled?

  Yes

  No

  N/A

SPRAY BOOTH/PAINT ROOM

• No paint build up?

  Yes

  No

  N/A

• Are filter checked and replace as required?

  Yes

  No

  N/A

• Paint booth fire suppression uptown date.

  Yes

  No

  N/A

MISC.

• Are approved metal safety cans used for dispensing flammable liquids at point of use? (29 CFR 1910.106 (d) )

  Yes

  No

  N/A

• Eye wash station clear and fluid level ok and changed every 90 days

  Yes

  No

  N/A

• Date of last service

  Date

• Are all Containers of hazardous chemicals properly labeled? (chemical name,hazards,first aid,and emergency number) (29CFR 1910.1200 (f) (5) (i) )

  Yes

  No

  N/A

• Are bathrooms kept sanitary condition? (29 CFR 1910.141)

  Poor

  Fair

  Good

  N/A

• General house keeping ok

  Poor

  Fair

  Good

  N/A

• Notes:

MACHINES/EQUIPMENT

• Are Lifts- cables, safety latches, oil level, motors in good working condition?

  Ok

  Needs Repair

  N/A

• Cylinders <br>Secured to cart or wall?<br>Spare tanks have caps on them? (oxygen and acetylene must be separated by 20 feet when not on cart (spares)<br>

  Yes

  No

  N/A

MISC.

• Does the water heater have 36" of clearance?

  Yes

  No

  N/A

• Are carpet runners in place by all exit doors?

  Yes

  No

  N/A

• Eye wash station clear and fluid level ok and changed every 90 days

  Yes

  No

  N/A

• Is the eye wash station not blocked and have a clear pathway.

  Yes

  No

  N/A

• Date of last service

  Date

• Compressors- belts fully guarded, pressure relief valve and gauge?

  Ok

  Needs Repair

  N/A

• Floor grates in good condition? (loose, bent, missing, gaps- greater than 1")

  Ok

  Needs Repair

  N/A

• If you have a gas grille is the propane tank stored outside and 15ft from a exit?

  Yes

  No

  N/A

• Parking lot free from trip hazards (pot holes, etc)<br>

  Yes

  No

  N/A

• First aid kit stocked

  Yes

  No

  N/A

• MINIMUM REQUIREMENTS
  Absorbent Compress 5"x9"
  Adhesive Bandage 1"x3"
  Adhesive Tape 1/2"x10 yds
  Antiseptic Spray 3oz
  Burn Relief Spray 3oz
  Latex Gloves
  Sterile Pads 3"x3"
  Triangular Bandage
  First Aid/Burn Cream
  One Way CPR Valve mask/barrier
  ALL FIRST AID SUPPLIES AVAILABLE FROM NFADA 716-631-8510 ASK FOR A ORDER FORM
  
  
  
  

• Notes:

• Notes

• Reviewed with Safe T First contact (Service, Bodyshop Manager)

  Sign