Safety Audit

• File Name:

• Pima County Department\Site Name:

• Conducted on:

  Date

• ***NO RESPONSE NECESSARY*** OR ***PLEASE RESPOND TO FACILITIES MANAGEMENT - SAFETY AND HEALTH LOSS CONTROL OFFICER BY***

• Location:
  Address

• Prepared by:

• Facilities Management Personnel and Department Site Personnel

1.0 Employee OSHA (publication 3165) and U.S. Department of Labor Postings: 29 CFR 1903.2 and Pima County Medical Clinics

• Are the OSHA (publication 3165) and US Department of Labor Postings posted and available for the employees to read?

  Yes

  No

  N/A

• Is the Pima County Workers Compensation Contacts and Medical Clinics information posted?

  Yes

  No

  N/A

2.0 OSHA GENERAL DUTY CLAUSE: OSHA ACT 5(a)(1)

• Does the employer furnish employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to employees?

  Yes

  No

  N/A

3.0 BEST MANAGEMENT PRACTICES

• Does the location follow Best Management Practices?

  Yes

  No

  N/A

5.0. ADMINISTRATIVE QUESTIONS

• 5.1. SITE SAFETY AND HEALTH POLICY (OSHA Recommended Practice); Has the site established a written Safety and Health policy and is it conspicuously posted?

  Yes

  No

  N/A

• 5.2. WRITTEN SAFETY PROGRAMS AND/OR PROCESSES (OSHA Recommended Practice); Does the site have updated written Safety programs/processes available for employees to review?

  Yes

  No

  N/A

• 5.3. ANNUAL REVIEW OF SAFETY PROGRAMS AND/OR PROCESSES BY MANAGEMENT; Are written Safety programs/processes reviewed, updated and signed by management on an annual basis?

  Yes

  No

  N/A

• 5.4. REGULAR SAFETY TAILGATE OR TEAM MEETINGS; Does the site hold regular Safety tailgate or team meetings? Are the Safety tailgate or team meetings documented? Documentation should include: date, location, presenter's name, subject matter and signatures of participating employees

  Yes

  No

  N/A

• 5.5. ROUTINE SAFETY INSPECTIONS OF WORK AREA; Does the site perform routine Safety inspections of the work area?

  Yes

  No

  N/A

• 5.6. ROUTINE SAFETY INSPECTION DOCUMENTATION; Are the routine Safety inspections documented using some form of customized checklist?

  Yes

  No

  N/A

• 5.7. UNSAFE CONDITIONS ADDRESSED AND ABATED; Are unsafe conditions documented during the routine Safety inspections addressed and abated?

  Yes

  No

  N/A

10.0 AED

• 10.1 MONTHLY AED INSPECTIONS (PC Admin. Procedure 30-18, ARS 36-2262); Is the location performing the monthly AED inspection?

  Yes

  No

  N/A

• 10.2 AED PADS : EXPIRATION DATE (PC Admin. Procedure 30-18, ARS 36-2262); Are the AED pads still within their expiration date?

  Yes

  No

  N/A

• 10.3 AED BATTERY : EXPIRATION DATE (PC Admin. Procedure 30-18, ARS 36-2262); Is the AED battery still within its expiration date?

  Yes

  No

  N/A

• 10.4 AED KIT CONTENTS (PC Admin. Procedure 30-18, ARS 36-2262); Does the kit still contain the pocket mask with one-way valve, examination gloves, razor, and absorbent hand towel?

  Yes

  No

  N/A

• 10.4 OTHER AED CONDITIONS

  Yes

  No

  N/A

• 10.4 OTHER AED CONDITIONS

  Yes

  No

  N/A

20.0 CONFINED SPACES

• 20.1 CONFINED SPACES INVENTORY (29 CFR 1910.146 (c)(1)); Have confined spaces been identified and documented in a confined space inventory?

  Yes

  No

  N/A

• 20.2 PERMIT REQUIRED CONFINED SPACES (29 CFR 1910.146 (c)(1)); Has the workplace been evaluated to determine if any spaces are permit-required confined spaces?

  Yes

  No

  N/A

• 20.3 CONFINED SPACE "DANGER" SIGNS (29 CFR 1910.146(c)(2)); Are danger signs posted (or other equally effective means of communication) to inform employees about the existence, location, and dangers of the confined space?

  Yes

  No

  N/A

• 20.4 OTHER "OBSERVED" CONDITIONS (29 CFR 1910.146)

  Yes

  No

  N/A

• 20.4 OTHER "OBSERVED" CONDITIONS (29 CFR 1910.146)

  Yes

  No

  N/A

• 20.4 OTHER "OBSERVED" CONDITIONS (29 CFR 1910.146)

  Yes

  No

  N/A

30.0 ELECTRICAL

• 30.1 EXTENSION CORDS/ELECTRICAL STRIPS - MANUFACTURER'S GUIDELINES (29 CFR 1910.303(b)(2)); Are extension cords and electrical strips used in accordance with manufacturer's guidelines?

  Yes

  No

  N/A

• 30.2 EXTENSION CORDS/ELECTRICAL STRIPS - DAISY CHAINING (29 CFR 1910.303(b)(2)); Are electrical cords and electrical power strips free from daisy chaining?

  Yes

  No

  N/A

• 30.3 EXTENSION CORDS NOT USED AS PERMANENT WIRING (29 CFR 1910.305(g)(1)(iv)(A)); Are extension cords used only for immediate use and not as permanent wiring?

  Yes

  No

  N/A

• 30.4 ELECTRICAL CORD DAMAGE AND DEFECTS (29 CFR 1910.334(a)(2)(ii)); Are all portable cord and plug connected equipment and extension cords free from damage and defects such as damage to the outer jackets (insulation) or missing grounding pins?

  Yes

  No

  N/A

• 30.5 ELECTRICAL CORD STRAIN RELIEF POINTS (29 CFR 1910.305(g)(2)(iii)); Are all strain relief points free from exposed electrical wires?

  Yes

  No

  N/A

• 30.6 ELECTRICAL WIRE EXPOSED ENDS - CAPPED OR REMOVED (29 CFR 1910.303(c)(3)(i)); Are electrical wires which have exposed ends capped (or do they need to be removed)?

  Yes

  No

  N/A

• 30.7 UNUSED OPENINGS IN ELECTRICAL OUTLETS, BOXES, CABINETS (29 CFR 1910.305(b)(1)(i)); Are unused openings in electrical outlets, boxes, equipment casings, cabinets closed to prevent exposure and accidental entry?

  Yes

  No

  N/A

• 30.8 STORAGE 36 INCHES FROM ELECTRICAL PANELS (29 CFR 1910.303(g)(1)(ii)); Is storage maintained 36 inches from electrical panels?

  Yes

  No

  N/A

• 30.9 COVERS ON ELECTRICAL BOXES, JUNCTION BOXES AND OUTLET FIXTURES (29 CFR 1910.305(b)(2)(i)); Do electrical boxes, junction boxes, and fittings have covers?

  Yes

  No

  N/A

• 30.10 GFCI OUTLETS INSTALLED WITHIN 6 FT OF OUTSIDE EDGE OF A SINK (NFPA 70E 210.8(A)); Are electrical outlets installed within 1.8m (6 ft.) of the outside edge of a sink (laundry, utility, and wet bar sinks) GFCI protected?

  Yes

  No

  N/A

• 30.11 GFCI RECEPTACLES ON KITCHEN COUNTERTOP SURFACES (NFPA 70E 210.8(A)(9)); Are receptacles installed to serve the countertop surfaces in kitchens GFCI protected?

  Yes

  No

  N/A

• 30.12 GFCI PROTECTION OUTDOORS FOR CORD AND PLUG CONNECTED EQUIPMENT (NFPA 70E 110.4(C)(2)); Is GFCI protection provided when an employee is outdoors and operating or using cord and plug connected equipment supplied by 125-volt, 15, 20 or 30 amp circuits?

  Yes

  No

  N/A

• 30.13 WATERPROOF RECEPTACLES FOR OUTDOOR AND DAMP LOCATIONS (29 CFR 1910.305(j)(2)(v)); Are waterproof receptacles installed in outdoor locations or in other damp locations?

  Yes

  No

  N/A

• 30.14 VISIBLE DAMAGE TO OUTLET AND COVERS OF DAMP OR WET LOCATIONS (29 CFR 1910.305(e)); Are switches, circuit breakers, and switchboards installed in wet locations enclosed in weatherproof enclosures?

  Yes

  No

  N/A

• 30.15 ELECTRICAL PANELS LABELED WITH VOLTAGE, CURRENT AND PROTECTIVE CLOTHING REQUIREMENTS (29 CFR 1910.303(e)(1)(ii) NFPA 70E); Are labels providing voltage, current and protective clothing requirements posted on outside of electrical panels?

  Yes

  No

  N/A

• 30.16 LAMP FIXTURES OR GUARDS (29 CFR 1910.305(a)(2)(ix)); Are all lamps used for general illumination protected from accidental contact or breakage by a suitable fixture or guard?

  Yes

  No

  N/A

• 30.17 EXPOSED LIVE PARTS OF FIXTURES, LAMPS, LAMP HOLDERS ROSETTES AND RECEPTACLES (29 CFR 1910.305(j)(1)(i)); Do all fixtures, lamp holders, lamps, rosettes, and receptacles have no live parts exposed to employee contact? (Rosettes and cleat-type lamp holders and receptacles located at least 8 feet above the floor may have exposed parts). Note: receptacle covers are designed to prevent people from coming into contact with (that is, touching) properly installed live electrical parts that are inside the receptacle box

  Yes

  No

  N/A

• 30.18 LOTO PERFORMANCE REQUIREMENTS (29 CFR 1910.147(a)(1)(i)); Does the location follow minimum LOTO performance requirements for the control of hazardous energy such as the unexpected energization or startup of the machines or equipment, or the release of stored energy?

  Yes

  No

  N/A

• 30.19 ELECTRICAL DRINKING FOUNTAINS (NFPA 70 2020 - 422.5 (A)(1)); Are all electric drinking fountains protected with ground fault circuit interrupter (GFCI) protection?

  Yes

  No

  N/A

• 30.20 OTHER "OBSERVED" ELECTRICAL CONDITIONS

  Yes

  No

  N/A

• 30.20 OTHER "OBSERVED" ELECTRICAL CONDITIONS

  Yes

  No

  N/A

• 30.20 OTHER "OBSERVED" ELECTRICAL CONDITIONS

  Yes

  No

  N/A

40.0 EMERGENCY EXITS

• 40.1 EXIT ROUTES FREE AND UNOBSTRUCTED (29 CFR 1910.37(3)); Are exit routes free and unobstructed?

  Yes

  No

  N/A

• 40.2 EXITS CLEARLY VISIBLE AND MARKED "EXIT" (29 CFR 1910.37(b)(2)); Are exits clearly visible and marked by a sign reading "Exit"?

  Yes

  No

  N/A

• 40.3 "EXIT" SIGNS ILLUMINATED (29 CFR 1910.37(b)(6)); Are all "Exit" signs illuminated by a reliable light source distinctive in color, self-luminous or electroluminescent design?

  Yes

  No

  N/A

• 40.4 DOORWAY "NOT AN EXIT" (29 CFR 1910.37(b)(5)); Are doorways that could be mistaken for an exit marked "Not an Exit"?

  Yes

  No

  N/A

• 40.5 EMERGENCY LIGHTING TEST (Life Safety Code 101-67 7.9.3.1.1); Do all emergency lights operate for a minimum of 30 seconds when the test button is pressed?

  Yes

  No

  N/A

• 40.6 OTHER "OBSERVED" EMERGENCY EXIT CONDITIONS

  Yes

  No

  N/A

• 40.6 OTHER "OBSERVED" EMERGENCY EXIT CONDITIONS

  Yes

  No

  N/A

• 40.6 OTHER "OBSERVED" EMERGENCY EXIT CONDITIONS

  Yes

  No

  N/A

50.0 EYE WASH STATIONS

• 50.1 ACCESS TO EYEWASH STATIONS - SHOWERS (ANSI Z358.1 2014: 29 CFR 1910.151); Are eye wash stations - showers [where the eyes or body of any person may be exposed to injurious corrosive materials] unblocked and placed within 10 seconds or 55 feet of the hazard?

  Yes

  No

  N/A

• 50.2 EYE WASH STATION - SHOWERS TESTING (ANSI Z358.1 2014); Are eye wash stations - showers flow tested on a weekly basis and mechanically tested annually?

  Yes

  No

  N/A

• 50.3 EYE WASH STATION - TEPID WATER (ANSI Z358.1 2014); Does the eye wash station deliver tepid (between 60 and 100 degrees F) water for 15 minutes?

  Yes

  No

  N/A

• 50.4 PORTABLE EYE WASH STATION SOLUTION EXPIRATION DATE (ANSI Z358.1 2014); Are the eyewash solutions for portable eye wash stations being inspected for expiration dates?

  Yes

  No

  N/A

• 50.5 OTHER "OBSERVED" EYE WASH CONDITIONS

  Yes

  No

  N/A

• 50.5 OTHER "OBSERVED" EYE WASH CONDITIONS

  Yes

  No

  N/A

• 50.5 OTHER "OBSERVED" EYE WASH CONDITIONS

  Yes

  No

  N/A

60.0 FALL ARREST SYSTEMS (PERSONAL)

• 60.1 EMPLOYEE TRAINING (29 CFR 1910.30(a)(1)); Are employees who are required to use personal fall arrest systems properly trained?

  Yes

  No

  N/A

• 60.2 PERSONAL FALL ARREST SYSTEM INSPECTIONS (29 CFR 1910.140(c)(18)); Are personal fall arrest systems inspected prior to each use for mildew, wear, damage and other deterioration, and defective components removed from service?

  Yes

  No

  N/A

• 60.3 PERSONAL FALL ARREST SYSTEM COMPONENT PROTECTION (29 CFR 1910.140(c)(20)); Are Are Ropes, belts, lanyards, lifelines, and harnesses used for personal fall protection protected from being cut, abraded, melted, or otherwise damaged?

  Yes

  No

  N/A

• 60.4 OTHER "OBSERVED" FALL ARREST SYSTEMS CONDITIONS

  Yes

  No

  N/A

• 60.4 OTHER "OBSERVED" FALL ARREST SYSTEMS CONDITIONS

  Yes

  No

  N/A

• 60.4 OTHER "OBSERVED" FALL ARREST SYSTEMS CONDITIONS

  Yes

  No

  N/A

70.0 FIRE EXTINGUISHERS

• 70.1 FIRE EXTINGUISHER MOUNTING - LOCATION - IDENTIFICATION (29 CFR 1910.157(c)(1)); Are portable fire extinguishers properly mounted, located and identified so they are readily accessible to employees?

  Yes

  No

  N/A

• 70.2 FIRE EXTINGUISHER MONTHLY INSPECTIONS (29 CFR 1910.157(e)(2));

  Yes

  No

  N/A

• 70.3 FIRE EXTINGUISHER ANNUAL INSPECTIONS (29 CFR 1910.157(e)(3)); Do fire extinguishers receive an annual inspection?

  Yes

  No

  N/A

• 70.4 OTHER "OBSERVED" FIRE EXTINGUISHER CONDITIONS

  Yes

  No

  N/A

• 70.4 OTHER "OBSERVED" FIRE EXTINGUISHER CONDITIONS

  Yes

  No

  N/A

• 70.4 OTHER "OBSERVED" FIRE EXTINGUISHER CONDITIONS

  Yes

  No

  N/A

80.0 FIRE SAFETY

• 80.1 COMBUSTIBLE MATERIAL STORAGE AROUND HEATERS OR HEATING DEVICES (Fire Code 2012 Chapter 3:315.3.1); Are combustible materials in buildings separated from heaters or heating devices by distance or shielding so ignition cannot occur?

  Yes

  No

  N/A

• 80.2 STORAGE CLEARANCE OF 24 INCHES FOR NON-SPRINKLED BUILDING (International Fire Code 2012:315.3.1); Is storage maintained 24 inches below the ceiling in non-sprinkled buildings?

  Yes

  No

  N/A

• 80.3 STORAGE CLEARANCE OF 18 INCHES FOR SPRINKLED BUILDING (International Fire Code 2012:312.3.1); Is storage maintained 18" from sprinkler heads in buildings which have fire sprinkler systems?

  Yes

  No

  N/A

• 80.4 EXITS AND EXIT ENCLOSURES FREE FROM COMBUSTIBLE MATERIALS (International Fire Code 2012 315.3.2); Are exits and exit enclosures kept free from storage of combustible materials?

  Yes

  No

  N/A

• 80.5 BOILER, MECHANICAL AND ELECTRICAL ROOMS FREE FROM COMBUSTIBLE MATERIALS (International Fire Code 2006 315.2.3); Are boiler rooms, mechanical rooms or electrical equipment rooms kept free from the storage of combustible materials? Combustible materials shall not be stored in these areas

  Yes

  No

  N/A

• 80.6 FLAMMABLES AND COMBUSTIBLES STORED IN FLAMMABLE CABINETS (29 CFR 1910.106(d)(3)(ii)); Are flammables and combustibles properly stored in flammable cabinets?

  Yes

  No

  N/A

• 80.7 "ONLY" FLAMMABLES AND COMBUSTIBLES STORED IN FLAMMABLE CABINETS (29 CFR 1910.106(d)(3)(ii))

  Yes

  No

  N/A

• 80.8 CONSTRUCTION FIRE-RESISTANCE RATING (International Fire Code 2012 703.1); Is the required fire-resistance rating of fire resistance-rated construction (including ceiling tiles) maintained and properly repaired, restored or replaced for any openings including openings made for passage of pipes, electrical conduit, wires, ducts, air transfer openings and any holes made for any other reason?

  Yes

  No

  N/A

• 80.9 SPRING CLOSING LID AND SPOUT ON FLAMMABLE CONTAINERS (UP TO 5 GAL) (29 CFR 1910.106(a)(29)); Are flammable containers approved containers, of not more than 5 gallons capacity, having a spring-closing lid and spout cover and so designed that it will safely relieve internal pressure when subjected to fire exposure?

  Yes

  No

  N/A

• 80.10 OTHER "OBSERVED" FIRE SAFETY CONDITIONS

  Yes

  No

  N/A

• 80.10 OTHER "OBSERVED" FIRE SAFETY CONDITIONS

  Yes

  No

  N/A

• 80.10 OTHER "OBSERVED" FIRE SAFETY CONDITIONS

  Yes

  No

  N/A

90.0 FIRST AID KITS

• 90.1 FIRST AID KIT AVAILABILITY (OSHA 29 CFR 1910.151(b)); Are First Aid Supplies (Kits) readily available to employees?

  Yes

  No

  N/A

• 90.2 FIRST AID KIT SUPPLIES (OSHA 29 CFR 1910.151 (App A)); Are the First Aid Kits fully supplied with unexpired components?

  Yes

  No

  N/A

100.0 FORKLIFTS/POWERED INDUSTRIAL TRUCKS

• 100.1 EMPLOYER TRAINING OF POWERED INDUSTRIAL TRUCK OPERATORS (OSHA 29 CFR 1910.178(l)(1)); Has the employer ensured that each powered industrial truck operator is properly trained and competent to operate a powered industrial truck safety?

  Yes

  No

  N/A

• 100.2 PRE-TRIP INSPECTIONS (29 CFR 1910.178(q)(7): ANSI B56.1-1993: OSHA General Duty Clause); Does the employer ensure that the operators perform daily pre-trip inspections prior to using the powered industrial trucks?

  Yes

  No

  N/A

• 100.3 UNSAFE PIT REMOVED - REPAIRED (29 CFR 1910.178(q)); Are any powered industrial trucks which are not in safe operating condition removed from service until proper repairs can be made?

  Yes

  No

  N/A

• 100.4 OBSERVATIONS - SAFE OPERATION OF PIT (29 CFR 1910.178(l)(1)); Are observed powered industrial truck operators (at the time of the audit) seen to be operating the equipment in a safe manner?

  Yes

  No

  N/A

• 100.5 OTHER "OBSERVED" POWERED INDUSTRIAL TRUCK SAFETY OBSERVATIONS

  Yes

  No

  N/A

• 100.5 OTHER "OBSERVED" POWERED INDUSTRIAL TRUCK SAFETY OBSERVATIONS

  Yes

  No

  N/A

• 100.5 OTHER "OBSERVED" POWERED INDUSTRIAL TRUCK SAFETY OBSERVATIONS

  Yes

  No

  N/A

110.0 GOLF CARTS AND GATORS

• 110.1 GOLF CART INSPECTION - MAINTENANCE - MANUFACTURE'S GUIDELINES; Are golf carts and gators inspected, maintained and used according to the manufacture's guidelines?

  Yes

  No

  N/A

• 110.2 OTHER "OBSERVED" GOLF CARTS AND GATORS OBSERVED CONDITIONS

  Yes

  No

  N/A

• 110.2 OTHER "OBSERVED" GOLF CARTS AND GATORS OBSERVED CONDITIONS

  Yes

  No

  N/A

• 110.2 OTHER "OBSERVED" GOLF CARTS AND GATORS OBSERVED CONDITIONS

  Yes

  No

  N/A

120.0 HAND AND PORTABLE POWERED TOOLS AND OTHER HAND HELD EQUIPMENT

• 120.1 HAND & PORTABLE HAND TOOL SAFE CONDITION (29 CFR 1910.242(a)); Are hand and portable power tools kept in a safe/serviceable condition?

  Yes

  No

  N/A

• 120.2 VERTICLE PORTABLE GRINDER SAFETY GUARDS (29 CFR 1910.243(c)(3)); Do vertical portable grinders (right angle grinders) have the manufacture's safety guards properly installed?

  Yes

  No

  N/A

• 120.3 HAND AND POWER TOOL SAFE STORAGE (Best Management Practice); Are hand tools and power tools stored safely to prevent potential injury to employees?

  Yes

  No

  N/A

• 120.4 COMPRESSED AIR - NOT USED FOR CLEANING EMPLOYEES (29 CFR 1910.242(b)); Are employees prevented from using compressed air for cleaning themselves or their clothing?

  Yes

  No

  N/A

• 120.5 COMPRESSED AIR >30PSI USED FOR CLEANING (29 CFR 1910.242(b)); Is compressed air used for cleaning only when reduced to less than 30 psi and then only with effective chip guarding and personal protective equipment?

  Yes

  No

  N/A

• 120.6 OTHER" OBSERVED" HAND AND PORTABLE POWER TOOL SAFETY CONDITIONS

  Yes

  No

  N/A

• 120.6 OTHER" OBSERVED" HAND AND PORTABLE POWER TOOL SAFETY CONDITIONS

  Yes

  No

  N/A

• 120.6 OTHER" OBSERVED" HAND AND PORTABLE POWER TOOL SAFETY CONDITIONS

  Yes

  No

  N/A

130.0 HAZARD COMMUNICATION

• 130.1 LIST OF HAZARDOUS CHEMICALS AND SDS SHEETS (29 CFR 1910.1200(e)); Is there a list of hazardous chemicals known to be present and are the appropriate safety data sheets available to employees?

  Yes

  No

  N/A

• 130.2 PROPER CHEMICAL CONTAINER LABELING (29 CFR 1910.1200(f)); Are chemical containers labeled properly?

  Yes

  No

  N/A

• 130.3 OTHER "OBSERVED" HAZARD COMMUNICATION CONDITIONS

  Yes

  No

  N/A

• 130.3 OTHER "OBSERVED" HAZARD COMMUNICATION CONDITIONS

  Yes

  No

  N/A

• 130.3 OTHER "OBSERVED" HAZARD COMMUNICATION CONDITIONS

  Yes

  No

  N/A

150.0 LADDER SAFETY

• 150.1 ALL MANUFACTURER/WARNING LABELS LEGIBLE (BEST MANAGEMENT PRACTICE); Are manufacturer warning / information labels (weight capacity, Category, etc.) legible?

  Yes

  No

  N/A

• 150.2 LADDER INSPECTIONS (29 CFR 1910.23(b)(9)); Are ladders inspected before initial use in each work shift, and more frequently as necessary, to identify any visible defects that could cause employee injury?

  Yes

  No

  N/A

• 150.3 DEFECTIVE LADDERS (29 CFR 1910.23(b)(10)); Is any ladder with structural or other defects immediately tagged "Dangerous: Do Not Use" or with similar language and removed from service until repaired or replaced?

  Yes

  No

  N/A

• 150.4 LADDERS USED ONLY FOR THE PURPOSES FOR WHICH THEY WERE DESIGNED (29 CFR 1910.23(b)(8)); Are ladders being used only for the purposes for which they were designed?

  Yes

  No

  N/A

• 150.5 LADDERS NOT LOADED BEYOND MAXIMUM INTENDED LOAD (29 CFR 1910.23(c)(3)); Are ladders not loaded beyond the maximum intended load? Includes total load of employee and all tools, equipment, and materials being carried

  Yes

  No

  N/A

• 150.6 LADDERS STORED PROPERLY AND SECURED (BEST MANAGEMENT PRACTICE); Are the observed ladders which are not in use stored properly and secured?

  Yes

  No

  N/A

• 150.7 OBSERVED FIXED LADDERS COMPLY WITH OSHA GUIDELINES (29 CFR 1910.23(d)(1)); Do "OBSERVED" fixed ladders comply with OSHA guidelines?

  Yes

  No

  N/A

• 150.8 OBSERVED MOBILE LADDERS COMPLY WITH OSHA GUIDELINES (29 CFR 1910.23(e)); Do "OBSERVED" mobile ladder stands and mobile ladder stand platforms comply with OSHA guidelines?

  Yes

  No

  N/A

• 150.9 OTHER "OBSERVED" LADDER CONDITIONS

  Yes

  No

  N/A

• 150.9 OTHER "OBSERVED" LADDER CONDITIONS

  Yes

  No

  N/A

• 150.9 OTHER "OBSERVED" LADDER CONDITIONS

  Yes

  No

  N/A

160.0 MACHINERY AND MACHINE GUARDING

• 160.1 TOOLS - MACHINES - PROPER GUARDING AT POINT OF OPERATION (29 CFR 1910.212(a)(1)); Do tools and machines have the proper guarding to protect the operator from hazards at the point of operation?

  Yes

  No

  N/A

• 160.2 GRINDER WORK REST SET AT 1/8 OF AN INCH (29 CFR 1910.215(a)(4)); Are GRINDER work rests adjusted closely to the wheel with a maximum opening of one eighth (1/8) of an inch?

  Yes

  No

  N/A

• 160.3 GRINDER SAFETY GUARDS SET AT 1/4 OF AN INCH (29 CFR 1910.215(b)(9)); Are GRINDER safety guards adjusted so as to never exceed one-fourth (1/4) of an inch between the wheel to the guard?

  Yes

  No

  N/A

• 160.4 MACHINES ANCHORED TO PREVENT WALKING OR MOVING (29 CFR 1910.212(b)); Are machines designed for a fixed location securely anchored to prevent walking or moving?

  Yes

  No

  N/A

• 160.5 OTHER "OBSERVED" MACHINERY AND MACHINCE GUARDING CONDITIONS

  Yes

  No

  N/A

• 160.5 OTHER "OBSERVED" MACHINERY AND MACHINCE GUARDING CONDITIONS

  Yes

  No

  N/A

• 160.5 OTHER "OBSERVED" MACHINERY AND MACHINCE GUARDING CONDITIONS

  Yes

  No

  N/A

165.0 MATERIAL HANDLING AND STORAGE

• 165.1 STORAGE ISLES AND PASSAGEWAYS KEPT CLEAR AND IN GOOD REPAIR (29 CFR 1910.176(a)); Where mechanical handling equipment is used, are all isles and passageways kept clear and in good repair with no obstruction that could create a hazard?

  Yes

  No

  N/A

• 165.2 MATERIAL SECURELY STORED (29 CFR 1910.176(b)); Is all storage material securely stored in tiers that are stacked, blocked, interlocked and limited in height so they are stable and secure against sliding or collapse?

  Yes

  No

  N/A

• 165.3 STORAGE AREAS KEPT HAZARD FREE FROM TRIPPING - FIRE - EXPLOSION - PESTS (29 CFR 1910.176(c)); Are storage areas kept free from accumulation of materials that constitute hazards from tripping, fire, explosion, or pest harborage?

  Yes

  No

  N/A

• 165.4 MANUFACTURE'S RACK WEIGHT/CAPACITY POSTING (ANSI MH16.1-2012: ANI MH26.c-2007); Do storage racks have the manufacture's rack weight limit/capacity clearly posted?

  Yes

  No

  N/A

• 165.5 OTHER "OBSERVED" MATERIAL HANDLING AND STORAGE CONDITIONS

  Yes

  No

  N/A

• 165.5 OTHER "OBSERVED" MATERIAL HANDLING AND STORAGE CONDITIONS

  Yes

  No

  N/A

• 165.5 OTHER "OBSERVED" MATERIAL HANDLING AND STORAGE CONDITIONS

  Yes

  No

  N/A

170.0 OVERHEAD AND GANTRY HOISTS/CRANES

• 170.1 LOAD RATINGS POSTED ON HOIST - CRANES (29 CFR 1910.179(b)(5)); Is the rated load of the hoist/crane plainly marked on each side of the crane [where visible] and is the marking clearly legible from the ground or floor?

  Yes

  No

  N/A

• 170.2 ONLY DESIGNATED PERSONNEL PERMITTED TO OPERATE HOIST/CRANE (29 CFR 1910.179(b)(8)); Are only designated personnel permitted to operate the hoist/crane?

  Yes

  No

  N/A

• 170.3 HOIST/CRANE FREQUENT/DAILY INSPECTIONS (29 CFR 1910.179(j)(2)); Does the hoist/crane receive frequent/daily inspections?

  Yes

  No

  N/A

• 170.4 INSPECTIONS FOR CRANE/HOIST IDLE FOR 1 MONTH BUT LESS THAN 6 MONTHS (29 CFR 1910.179(j)(4)(i), (j)(2)); Does a crane/hoist which has been idle for a period of 1 month, but less than 6 months receive a "Frequent" Inspection before being placed in service?

  Yes

  No

  N/A

• 170.5 INSPECTIONS FOR CRANE/HOIST IDLE OVER 6 MONTHS (29 CFR 1910.179(j)(4)(ii)); Does a crane/hoist which has been idle for a period of over 6 months receive a complete inspection before being placed in service?

  Yes

  No

  N/A

• 170.6 OTHER "OBSERVED" HOIST/CRANE CONDITIONS

  Yes

  No

  N/A

• 170.6 OTHER "OBSERVED" HOIST/CRANE CONDITIONS

  Yes

  No

  N/A

• 170.6 OTHER "OBSERVED" HOIST/CRANE CONDITIONS

  Yes

  No

  N/A

200.0 PPE

• 200.1 REQUIRED PPE PROVIDED AND WORN (29 CFR 1910.132(a)); Is required PPE provided to the employees and do the employees wear the required PPE?

  Yes

  No

  N/A

• 200.2 PPE MAINTAINED AND STORED PROPERLY (29 CFR 1910.132(a)); Is the PPE maintained and stored in a sanitary and reliable condition to prevent damage and/or contamination?

  Yes

  No

  N/A

• 200.3 OTHER "OBSERVED" PPE CONDITIONS

  Yes

  No

  N/A

• 200.3 OTHER "OBSERVED" PPE CONDITIONS

  Yes

  No

  N/A

• 200.3 OTHER "OBSERVED" PPE CONDITIONS

  Yes

  No

  N/A

• 200.3 OTHER "OBSERVED" PPE CONDITIONS

  Yes

  No

  N/A

• 200.3 OTHER "OBSERVED" PPE CONDITIONS

  Yes

  No

  N/A

• 200.3 OTHER "OBSERVED" PPE CONDITIONS

  Yes

  No

  N/A

210.0 WALKING WORKING SURFACES: GENERAL REQUIREMENTS - GUARDRAIL SYSTEMS - SAFETY NET SYSTEMS - COVERS FOR HOLES - SIDEWALK SAFETY - FIXED LADDERS

• 210.1 GENERAL REQUIREMENTS PLACES OF EMPLOYMENT (29 CFR 1910.22(a)(1)); Are places of employment kept clean and orderly and in sanitary condition?

  Yes

  No

  N/A

• 210.2 GENERAL REQUIREMENTS WORKROOM FLOORS (29 CFR 1910.22(a)(2)); Are the floors of every work room maintained in a clean and, so far as possible a dry condition?

  Yes

  No

  N/A

• 210.3 GENERAL REQUIREMENTS ACCESS AND EGRESS (29 CFR 1910.22(c)); Does the employer provide, and ensure each employee uses a safe means of access and egress to and from walking-working surfaces?

  Yes

  No

  N/A

• 210.4 HOUSEKEEPING STORAGE AREAS (29 CFR 1910.176(c)); Are storage areas kept free from accumulation of materials that constitute hazards from tripping, fire, explosion, or pest harborage? (Vegetation control will be exercised when necessary)

  Yes

  No

  N/A

• 210.5 GENERAL REQUIREMENTS OTHER "OBSERVED" HOUSEKEEPING CONDITIONS

  Yes

  No

  N/A

• 210.5 GENERAL REQUIREMENTS OTHER "OBSERVED" HOUSEKEEPING CONDITIONS

  Yes

  No

  N/A

• 210.5 GENERAL REQUIREMENTS OTHER "OBSERVED" HOUSEKEEPING CONDITIONS

  Yes

  No

  N/A

• 210.6 STANDARD RAILING UNPROTECTED SIDE OR EDGE (29 CFR 1910.28(b)(1)(i) (A),(B),(C)); Are walking-working surfaces with and unprotected side or edge that is 4 feet or more above a lower level protected from falling by one or more of the following: Guard rail systems: Safety net systems or personal fall protection systems?

  Yes

  No

  N/A

• 210.7 GUARDRAIL SYSTEMS REQUIREMENTS (29 CFR 1910.29(b)); Do all guardrail systems meet requirements set forth in 1910.29(b)?

  Yes

  No

  N/A

• 210.8 GUARDRAIL SYSTEMS OTHER "OBSERVED" GUARDRAIL SYSTEMS CONDITIONS (29 CFR 1910.29(b)); Are other "OBSERVED" conditions free from Guardrail System hazards?

  Yes

  No

  N/A

• 210.9 SAFETY NET SYSTEMS (29 CFR 1910.29(c) 29 CFR part 1926 Subpart M); Do all safety net systems meet the requirements set forth in 1910.29(c)?

  Yes

  No

  N/A

• 210.10 SAFETY NET SYSTEMS OTHER "OBSERVED" GUARDRAIL SYSTEM CONDITIONS (29 CFR 1910.29(c)); Are other "OBSERVED" conditions free from Safety Net System hazards?

  Yes

  No

  N/A

• 210.11 COVERS FOR HOLES (29 CFR 1910.29(e)); Do all covers for each hole on a walking-working surface meet requirement in 1910.29(e)?

  Yes

  No

  N/A

• 210.12 SIDEWALK SAFETY SIDEWALK ELEVATION CHANGE (ADA 4.3.6); Are observed elevation changes on sidewalks 1/4" or less?

  Yes

  No

  N/A

• 210.13 FIXED LADDER SELF CLOSING GATE REQUIREMENTS (29 CFR 1910.29 (b)(13)(i)); Does the fixed ladder have a self-closing gate that slides or swings away from the hole, and is equipped with a top rail and mid-rail or equivalent intermediate member that meets the requirements in paragraph (b) of this section? (NOTE: No longer may have chains guarding the opening)

  Yes

  No

  N/A

• 210.14 OTHER - WALKING WORKING SURFACES: GENERAL REQUIREMENTS - GUARDRAIL SYSTEMS - SAFETY NET SYSTEMS - COVERS FOR HOLES - SIDEWALK SAFETY - FIXED LADDERS CONDITIONS

  Yes

  No

  N/A

• 210.14 OTHER - WALKING WORKING SURFACES: GENERAL REQUIREMENTS - GUARDRAIL SYSTEMS - SAFETY NET SYSTEMS - COVERS FOR HOLES - SIDEWALK SAFETY - FIXED LADDERS CONDITIONS

  Yes

  No

  N/A

• 210.14 OTHER - WALKING WORKING SURFACES: GENERAL REQUIREMENTS - GUARDRAIL SYSTEMS - SAFETY NET SYSTEMS - COVERS FOR HOLES - SIDEWALK SAFETY - FIXED LADDERS CONDITIONS

  Yes

  No

  N/A

220.0 WELDING, CUTTING, BRAZING, COMPRESSED GAS CYLINDERS

• Yes

  No

  N/A

• 220.1 PROPER CYLINDER STORAGE (29 CFR 1910.253(b)(2)(i),(ii)); Are cylinders stored in well protected, well ventilated areas away from radiators and other sources of heat and at least 20 feet from highly combustible materials such as oil or excelsior

  Yes

  No

  N/A

• 220.2 GAS CYLINDERS IN GOOD CONDITION AND MARKED FOR GAS CONTENT (29 CFR 1910.253(b)(1)(i),(ii)); Are compressed gas cylinders in good condition and legibly marked for the purpose of identifying the gas content?

  Yes

  No

  N/A

• 220.3 OXYGEN CYLINDERS PROPERLY STORED AND SEPERATED FROM FUEL-GAS CYLINDERS (29 CFR 1910.253(b)(4)(iii)); Are oxygen cylinders in storage separated from fuel-gas cylinders or combustible materials by a minimum of 20 feet or by a noncombustible barrier at least 5 feet high?

  Yes

  No

  N/A

• 220.4 STORED IN UPRIGHT POSITION AND SECURED (CGA 3.4.4 and CFR 1910.101(b)); Are Cylinders stored in upright positions and immobilized by chains or other means to prevent them from being knocked over?

  Yes

  No

  N/A

• 220.5 OTHER "OBSERVED" WELDING, CUTTING, BRAZING, COMPRESSED GAS CYLINDER CONDITIONS

  Yes

  No

  N/A

• 220.5 OTHER "OBSERVED" WELDING, CUTTING, BRAZING, COMPRESSED GAS CYLINDER CONDITIONS

  Yes

  No

  N/A

• 220.5 OTHER "OBSERVED" WELDING, CUTTING, BRAZING, COMPRESSED GAS CYLINDER CONDITIONS

  Yes

  No

  N/A

420.0 PUBLIC SPACES: CONCESSION AREAS

• 420.1 "OBSERVED" CONDITIONS THIRD PARTY ISSUES: CONCESSION AREAS

  Yes

  No

  N/A

COMMENTS

• COMMENTS

  Yes

  No

  N/A

• COMMENTS

  Yes

  No

  N/A

• COMMENTS

  Yes

  No

  N/A

• COMMENTS

  Yes

  No

  N/A

• COMMENTS

  Yes

  No

  N/A

• COMMENTS

  Yes

  No

  N/A

SIGNATURES

• Participating Employee(s):

  Sign

• Participating Facilities Management LCO:

  Sign