Title Page

  • Pima County Department\Site Name:

File Name

  • File Name

  • Conducted on:

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

  • Location:
  • Prepared by:

  • Facilities Management Personnel and Department Site Personnel:

  • Score: XX/XX - XX%

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

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

  • 1.2 COMPENSATION CONTACTS AND MEDICAL CLINICS (Best Management Practices); Is the Pima County Workers Compensation Contacts and Medical Clinics information posted?

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

  • 2.1 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?

3.0 BEST MANAGEMENT PRACTICES

  • 3.1 Does the location follow Best Management Practices?

4.0 OTHER VIOLATIONS (OSHA Act of 1970 - General Duty Clause and ARS 23-403)

  • 4.1 Do all other conditions at the location provide a safe workplace free from potential hazards to employees?

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?

  • 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?

  • 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?

  • 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

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

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

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

6.0 Covid-19 Worker Safety & Health

  • 6.1 Use and distribution of masks; Does the main office entrance have a supply of masks available for employees and the public as necessary?

  • 6.2 Purchase, storage, and use of hygiene supplies; Does the location have adequate hygiene supplies and are they properly stored?

  • 6.3 Facilities guidance [policies] and signage; Does the location have guidance policies and signage posted [break rooms, elevators, entry ways, bathrooms, etc.]?

10.0 Automated External Defibrillator (AED)

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

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

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

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

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?

  • 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?

  • 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?

  • 20.4 OTHER "OBSERVED" CONDITIONS (29 CFR 1910.146); Are all other "OBSERVED" conditions free from Confined Space hazards?

  • 20.5 OTHER "OBSERVED" CONDITIONS (29 CFR 1910.146); Are all other "OBSERVED" conditions free from Confined Space hazards?

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?

  • 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?

  • 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?

  • 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?

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

  • 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)?

  • 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?

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

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

  • 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?

  • 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?

  • 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?

  • 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?

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

  • 30.15 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?

  • 30.16 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.

  • 30.17 LOCKOUT TAGOUT (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?

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

  • 30.19 OTHER "OBSERVED" ELECTRICAL CONDITIONS; Are all other "OBSERVED" conditions free from Electrical hazards?

  • 30.20 OTHER "OBSERVED" ELECTRICAL CONDITIONS; Are all other "OBSERVED" conditions free from Electrical hazards?

  • 30.21 OTHER "OBSERVED" ELECTRICAL CONDITIONS; Are all other "OBSERVED" conditions free from Electrical hazards?

40.0 EMERGENCY EXITS

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

  • 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"?

  • 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?

  • 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"?

  • 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?

  • 40.6 OTHER "OBSERVED" EMERGENCY EXIT CONDITIONS (1910.37 Maintenance, safeguards, and operational features for exit routes); Are all other "OBSERVED" conditions free from Emergency Exit hazards?

  • 40.7 OTHER "OBSERVED" EMERGENCY EXIT CONDITIONS; Are all other "OBSERVED" conditions free from Emergency Exit hazards?

  • 40.8 OTHER "OBSERVED" EMERGENCY EXIT CONDITIONS; Are all other "OBSERVED" conditions free from Emergency Exit hazards?

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?

  • 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?

  • 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?

  • 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?

  • 50.5 OTHER "OBSERVED" EYE WASH CONDITIONS (ANSI Z358.1 2014); Are all other "OBSERVED" conditions free from Eye Wash Station hazards?

  • 50.6 OTHER "OBSERVED" EYE WASH CONDITIONS (ANSI Z358.1 2014); Are all other "OBSERVED" conditions free from Eye Wash Station hazards?

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?

  • 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?

  • 60.3 PERSONAL FALL ARREST SYSTEM COMPONENT PROTECTION (29 CFR 1910.140(c)(20)); Are personal fall arrest systems stored properly when not in use? Are Are Ropes, belts, lanyards, lifelines, and harnesses used for personal fall protection protected from being cut, abraded, melted, or otherwise damaged?

  • 60.4 OTHER "OBSERVED" FALL ARREST SYSTEMS CONDITIONS (1910.66 Appendix C - Personal Fall Arrest System); Are other "OBSERVED" conditions free from Personal Fall Arrest System hazards?

  • 60.5 OTHER "OBSERVED" FALL ARREST SYSTEMS CONDITIONS; Are other "OBSERVED" conditions free from Personal Fall Arrest System hazards?

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?

  • 70.2 FIRE EXTINGUISHER MONTHLY INSPECTIONS (29 CFR 1910.157(e)(2)); Do all of the fire extinguishers receive a monthly inspection?

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

  • 70.4 OTHER "OBSERVED" FIRE EXTINGUISHER CONDITIONS; Are all other "OBSERVED" conditions free from Fire Extinguisher hazards?

  • 70.5 OTHER "OBSERVED" FIRE EXTINGUISHER CONDITIONS; Are all other "OBSERVED" conditions free from Fire Extinguisher hazards?

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?

  • 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?

  • 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?

  • 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?

  • 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

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

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

  • 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?

  • 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?

  • 80.10 FIRE RISER SAFETY (FM Global); Are all fire protection control valves in the "OPEN" and "LOCKED" position?

  • 80.11 MANUALLY ACTUATED ALARM-INITIATING DEVICES (NFPA 72 [2019] 17.15.9.4); Are Manual fire alarm boxes located within 5 ft (1.5m) of each exit doorway on each floor?

  • 80.12 OTHER "OBSERVED" FIRE SAFETY CONDITIONS; Are all other "OBSERVED" conditions free from Fire Safety hazards?

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?

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

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?

  • 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?

  • 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?

  • 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?

  • 100.5 OTHER "OBSERVED" POWERED INDUSTRIAL TRUCK SAFETY OBSERVATIONS (29 CFR 1910.178); Are all other "OBSERVED" conditions free from Powered Industrial Truck Safety hazards?

  • 100.6 OTHER "OBSERVED" POWERED INDUSTRIAL TRUCK SAFETY OBSERVATIONS (29 CFR 1910.178); Are all other "OBSERVED" conditions free from Powered Industrial Truck Safety hazards?

  • 100.7 OTHER "OBSERVED" POWERED INDUSTRIAL TRUCK SAFETY OBSERVATIONS (29 CFR 1910.178); Are all other "OBSERVED" conditions free from Powered Industrial Truck Safety hazards?

110.0 GOLF CARTS, GATORS AND MULTI-USE UTILITY VEHICLES

  • 110.1 GOLF CART GATOR INSPECTION - MAINTENANCE (Manufacturer's Guidelines); Are golf carts and gators inspected, maintained and used according to the manufacture's guidelines? Are pre-trip inspection checklists (daily, weekly, monthly, as used, etc.) maintained?

  • 110.2 MULTI-USE UTILITY VEHICLES INSPECTION - MAINTENANCE (Manufacturer's Guidelines); Are multi-use utility vehicles inspected, maintained and used according to the manufacture's guidelines? Are pre-trip inspection checklists (daily, weekly, monthly, as used, etc.) maintained?

  • 110.3 OTHER "OBSERVED" GOLF CARTS AND GATORS OBSERVED CONDITIONS (Manufacturer's Guidelines); Are all other "OBSERVED" conditions free from Golf Cart and Gator hazards?

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?

  • 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?

  • 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?

  • 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?

  • 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?

  • 120.6 OTHER" OBSERVED" HAND AND PORTABLE POWER TOOL SAFETY CONDITIONS (29 CFR 1910.242(b)); Are all other "OBSERVED" conditions free from Hand and Portable Power Tool hazards?

  • 120.7 OTHER" OBSERVED" HAND AND PORTABLE POWER TOOL SAFETY CONDITIONS (29 CFR 1910.242(b)); Are all other "OBSERVED" conditions free from Hand and Portable Power Tool hazards?

130.0 HAZARD COMMUNICATION

  • 130.1 LIST OF HAZARDOUS CHEMICALS AND SAFETY DATA SHEETS (SDS) (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?

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

  • 130.3 SAFETY DATA SHEET RETRIEVAL (BEST MANAGEMENT PRACTICE); Can employee(s) find an SDS for a given product in a reasonable amount of time (<= 3 minutes) to use in case of emergency? Note: Hard Copy, computer, cell phone may be used to find information.

  • 130.4 OTHER "OBSERVED" HAZARD COMMUNICATION CONDITIONS (29 CFR 1910.1200); Are all other "OBSERVED" conditions free from Hazard Communication hazards?

  • 130.5 OTHER "OBSERVED" HAZARD COMMUNICATION CONDITIONS (29 CFR 1910.1200); Are all other "OBSERVED" conditions free from Hazard Communication hazards?

150.0 LADDER SAFETY

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

  • 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?

  • 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?

  • 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?

  • 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

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

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

  • 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?

  • 150.9 OTHER "OBSERVED" LADDER CONDITIONS (29 CFR 1910.23); Are all other "OBSERVED" conditions free from any other Ladder hazards?

  • 150.10 OTHER "OBSERVED" LADDER CONDITIONS (29 CFR 1910.23); Are all other "OBSERVED" conditions free from any other Ladder hazards?

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?

  • 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?

  • 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?

  • 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?

  • 160.5 OTHER "OBSERVED" MACHINERY AND MACHINE GUARDING CONDITIONS (29 CFR 1910.212 and 1910.215); Are all other "OBSERVED" conditions free from Machine Guarding hazards?

  • 160.5 OTHER "OBSERVED" MACHINERY AND MACHINE GUARDING CONDITIONS (29 CFR 1910.212 and 1910.215); Are all other "OBSERVED" conditions free from Machine Guarding hazards?

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?

  • 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?

  • 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?

  • 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?

  • 165.5 OTHER "OBSERVED" MATERIAL HANDLING AND STORAGE CONDITIONS (29 CFR 1910.176); Are all other OBSERVED conditions free from Material Handling and Storage hazards?

  • 165.5 OTHER "OBSERVED" MATERIAL HANDLING AND STORAGE CONDITIONS (29 CFR 1910.176); Are all other OBSERVED conditions free from Material Handling and Storage hazards?

170.0 OVERHEAD CRANES, HOISTS (DEVICE) AND GANTRY HOISTS / LIFTS

  • 170.1 LOAD RATINGS POSTED ON CRANES , HOISTS (DEVICE) AND GANTRY HOISTS / LIFTS (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?

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

  • 170.3 HOIST/CRANE/LIFT DAILY / AS USED FREQUENT INSPECTIONS (29 CFR 1910.179(j)(2)); Does the hoist/crane/lift receive daily or as used "Frequent" inspections?

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

  • 170.5 PERIODIC INSPECTIONS FOR CRANE/HOIST/LIFT IDLE OVER 6 MONTHS (29 CFR 1910.179(j)(4)(ii)); Does a crane/hoist/lift which has been idle for a period of over 6 months receive a complete inspection conforming with requirements of paragraphs (j) (2) and (3) of this section and (m)(2) of this section before placing in service?

  • 170.6 OTHER "OBSERVED" HOIST/CRANE/LIFT CONDITIONS (29 CFR 1910.179); Are all other "OBSERVED" conditions free from Hoist/Crane hazards?

  • 170.6 OTHER "OBSERVED" HOIST/CRANE/LIFT CONDITIONS (29 CFR 1910.179); Are all other "OBSERVED" conditions free from Hoist/Crane hazards?

200.0 PERSONAL PROTECTIVE EQUIPMENT (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?

  • 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?

  • 200.3 OTHER "OBSERVED" PPE CONDITIONS (29 CFR 1910.132); Are all other "OBSERVED" conditions free from PPE hazards?

  • 200.3 OTHER "OBSERVED" PPE CONDITIONS (29 CFR 1910.132); Are all other "OBSERVED" conditions free from PPE hazards?

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?

  • 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?

  • 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?

  • 210.4 GENERAL REQUIREMENTS - STORAGE AREAS [HOUSEKEEPING] (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)

  • 210.5 GENERAL REQUIREMENTS - OTHER "OBSERVED" HOUSEKEEPING CONDITIONS

  • 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: Guardrail Systems, Safety Net Systems or Personal Fall Protection Systems (See section 60.0)?

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

  • 210.8 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)?

  • 210.9 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)?

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

  • 210.11 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).

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

220.0 WELDING, CUTTING, BRAZING, COMPRESSED GAS CYLINDERS

  • 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

  • 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?

  • 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?

  • 220.4 STORED IN UPRIGHT POSITION AND SECURED (CGA 3.4.4 and 29 CFR 1910.101(b)); Are Cylinders stored in upright positions and immobilized by chains or other means to prevent them from being knocked over?

  • 220.5 LIQUID PETROLEUM GAS (LPG) CONTAINER(s) DISTANCE FROM BUILDINGS (29 CFR 1910.110(b)(6)(ii)); Are Liquid Petroleum Gas (LPG) container(s) maintained a minimum distance from buildings IAW Table H-23?

  • 220.6 LPG CONTAINER MARKINGS (29 CFR 1910.110(c)(2)); Are LPG containers [systems specifically utilizing containers constructed in accordance with DOT Specifications] marked in accordance with DOT regulations?<br>

  • 220.7 OTHER "OBSERVED" WELDING, CUTTING, BRAZING, COMPRESSED GAS CYLINDER CONDITIONS (29 CFR 1910.253 and CGA Pamphlet P-6-1968); Are other "Observed" conditions for welding, cutting, brazing and compressed gas cylinders free from potential safety hazards?

COMMENTS

  • COMMENTS

  • COMMENTS

  • COMMENTS

SIGNATURES

  • Participating Employee(s):

  • Participating Facilities Management LCO:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.