Safety Inspection Report - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Conditions Codes: S = Satisfactory N = Needs Improvement U = Unsatisfactory - not acceptable

Section 1 - Campus Facility Condition

• Previous inspection reports are available

  Yes

  No

  N/A

• Previous inspection findings and issues have been addressed

  S

  N

  U

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• Adequate work space is provided for personnel

  S

  N

  U

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• Floors & aisles are in good conditions, clean, free of debris, uncluttered,

  S

  N

  U

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  Media

• Door locks and handles are in good conditions

  S

  N

  U

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• Portable electric heaters have at 3ft of clearance from combustible materials (ex - paper)

  S

  N

  U

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Section 2 - Safety Education

• Would staff like to have safety education

  Yes

  No

  N/A

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  Sign

• Other

  Yes

  No

  N/A

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  Sign

• What topics are important?

  Yes

  No

  N/A

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  Sign

Section 3 - Fire Safety

• Are fire alarms and fire extinguishers visible and accessible.

  S

  N

  U

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• Are wall,floor, and ceiling penetrations for cables, wires, pipes, and mechanical systems (such as ductwork) seal to prevent the spread of fire and smoke?<br><br>Sealed wall penetrations prevent the spread of fire and smoke from one room to another. <br><br>Penetrations can be sealed with drywall, fire retardant pipe seal or fire stop pillows

  S

  N

  U

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• Have the facility's sprinklers and/or fire alarm systems been inspected in the past 12 months? Is the fire suppression system tagged to verify this inspection?

  S

  N

  U

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• Fire doors (ex: stairways) are kept closed unless equipped with automatic closing device

  S

  N

  U

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• 18" vertical clearance from material stored below sprinkler heads<br><br>This clearance is required by OSHA and is necessary for proper functioning of the sprinkler system.

  S

  N

  U

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• Are fire extinguishers visible, readily accessible,and serviced every 12 months

  S

  N

  U

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• Exits signs are clearly marked and equipped with emergency lighting

  S

  N

  U

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• Emergency lighting is regularly tested and available

  S

  N

  U

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• Emergency evacuation plans are posted (stairway, elevators landing, entrances areas)

  S

  N

  U

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• Emergency exits are not blocked

  S

  N

  U

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• Corridors & Stairwells are kept free of obstruction and not blocked or used for storage.

  S

  N

  U

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• Other

  Yes

  No

  N/A

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  Media

Section 4 - Electrical Safety

• Lock-out procedures are utilized prior to any work on electrically energized systems or equipment

  Yes

  No

  N/A

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• Are electrical panels and circuit breaker labeled. <br><br>The wording on the label of a panel or circuit should adequately identify the panel and circuits so emergency personnel or the operating engineer can rapidly identify them for emergency shutdown or disaster recovery.

  S

  N

  U

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• 36" clearance maintained for electrical panels

  S

  N

  U

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• Electrical outlets, cords, and plugs are in good condition with proper grounding<br><br>OSHA and National Electric Code do not allow extension cords to be used as permanent wiring. Only use surge protectors on equipment (computers, printers, etc) when recommended by the manufacturer. <br><br><br><br><br><br>

  S

  N

  U

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  Media

• Electrical equipment and power cords are in good condition and properly maintained

  S

  N

  U

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  Media

• Personnel staff are aware of electrical hazards in the work environment

  S

  N

  U

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  Media

• Extension cords and power strips are not daisy chained and not used for permanent use<br><br>

  S

  N

  U

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• Other

  Yes

  No

  N/A

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Section 5 - Tool Safety

• Personnel staff are appropriately educated in the use of equipment

  S

  N

  U

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  Media

• Personnel staff are aware of the hazards associated with the use of the equipment

  S

  N

  U

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  Media

• Equipment/tools are in good operating conditions and properly maintained

  S

  N

  U

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  Media

• Are drive mechanism guarded (no open belts, gears, chains, and shafts)

  S

  N

  U

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  Media

• Is equipment/tools turned off when not in use or unattended

  Yes

  No

  N/A

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• Elevating device capacities are posted on equipment & inspected regularly and maintained

  S

  N

  U

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• Is proper PPE worn during operations that create hazards from flying particles, liquid chemicals, or potentially injurious light radiation. <br><br>Eye protection should be worn while performing any cutting, grinding, nailing, spraying or welding operations. The ANSI Z87.1 designation on the eyewear indicates approved eye protection

  S

  N

  U

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• Machine guarding is in place and not modified

  S

  N

  U

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  Media

Section 6 - Personal Protective Equipment

• Personnel staff are aware of requirements regarding PPE

  Yes

  No

  N/A

• Personnel are wearing appropriate clothing and PPE for the type of work being conducted

  Yes

  No

  N/A

• PPE is in good condition, readily available and properly maintained

  Yes

  No

  N/A

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• Personnel requiring the use of respiratory protection are fit tested

  Yes

  No

  N/A

• Respirators are appropriately maintained after every use (examples: cleaned and stored in a convenient, clean, and sanitary location)

  Yes

  No

  N/A

Section 7 - Hazardous Materials Safety

• Yes

  No

  N/A