Information
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ROOM NUMBER -
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Conducted on
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INSPECTED BY -
ELECTRICAL SAFETY
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Does electrical equipment have three feet minimum clearance in front of, and 15 inches on the sides?
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Are electrical disconnects labeled?
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Are flexible cords in good condition?<br>
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<br>Is electrical service in wet or damp areas protected by GFCI?<br><br><br>
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Does electrical equipment have all covers, knockout plates, elbows, etc. in place?
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Are extension cords only used temporarily? (30 days, or less)?<br><br>
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Are power strips being used correctly (no piggy-backing)?<br><br>
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Is electrical grounding and bonding used during flammable liquid dispensing?<br><br>
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Are Lockout Tagout procedures developed/ available for pieces of equipment that have more than one source of hazardous energy (i.e., electrical, hydraulic, pneumatic, thermal, potential, chemical, etc.)?<br><br>
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Are employees that are performing equipment maintenance and/or servicing following Lockout Tagout Procedures? (lockout locks must be either red or brass and the tags must say the words “Do Not Operate).<br>
HAND TOOLS / POWER TOOLS / SHOP EQUIPMENT
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Are all machine guards fixed in place, and fully functional?<br>
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<br>Is Robotic equipment guarded?
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Are grinding wheels smooth?
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Are grinding wheel tongue guards set at 1/4 inches, maximum?
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Compressed air guns are designed to prevent pressures in excess of 30 psi when deadheaded.
CHEMICAL STORAGE AND USE
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Are acids and bases stored separately?
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Are Job Safety Analysis(s) posted for hazardous chemical handling operations and operators trained?
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Does handling of hazardous materials (pouring, mixing, spraying, heating) takes place in / under adequate exhaust?
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Are liquids stored below eye level?
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Do all non-vented flammable liquids cabinets have the bung in place?
CHEMICAL HYGIENE / HAZARD COMMUNICATION
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<br>Are MSDS sheets current and available in Sitehawk database?
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Is a current chemical inventory list immediately available?<br>
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Are chemicals labeled with proper HMIS labels?<br><br>
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Are process equipment vessels and tanks (dust collectors, process chemical tanks, etc.) labeled with appropriate hazard warning?<br><br>
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No food and drink is in the lab?<br><br>
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Are refrigerators labeled "No food or drink"?<br><br>
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Are chemical baths, bubblers, vessels, clearly labeled as to their contents?<br><br><br>
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When not in use, are lab fume hood sashes closed?<br><br><br>
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Is all non-fume hood ventilation equipment flow tested semi-annually?<br><br><br>
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Are all lab fume hood sash position sensors securely attached to the hood sash?<br><br><br>
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Are all pipes labeled as to contents and direction of flow of materials?<br><br><br><br>
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Do all labs have updated Lab ownership cards located outside of the main door(s)?<br><br><br>
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Is a Peroxide Formers inventory posted/date received & opened are listed & within S&T Hygiene plan guidelines<br><br><br><br>
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Are lab fume hoods flow tested annually?<br><br><br><br>
EMERGENCY EXITS
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Are all emergency exits labeled (above the door)?<br><br><br><br><br>
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Are emergency evacuation routes posted and current?<br><br><br><br><br><br>
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Is the path to, through, and out of an exit free from obstruction and 28†minimum?<br><br><br><br><br><br><br><br>
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Are exits clearly visible?<br><br><br><br><br><br><br><br><br>
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Is any door or passage that is not an exit and it is likely that it could be mistaken as an exit marked "NOT AN EXIT"?<br><br><br><br><br><br><br><br><br><br>
MATERIAL HANDLING
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Are fork truck inspections performed and documented before every shift?<br><br><br><br><br><br><br><br><br><br><br>
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Are storage racks undamaged and have posted load ratings?<br><br><br><br><br><br><br><br><br><br><br><br>
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Are pallets used to store materials in good condition (i.e. no broken slats)?<br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are palletized materials securely stored in racks (no loose, overhanging, or off-center loads?<br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are stored materials located no closer than 18 inches below sprinkler heads?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
VEHICLE MOUNTED POWERED PLATFORMS
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Are platforms kept in good working condition?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Do employees stand firmly on the floor of the platform?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are platforms not used when elevated?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
HOISTING EQUIPMENT
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Are slings inspected for damage or defects each day prior to use?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are rated load markings visible from the ground on BOTH sides of the crane?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are daily inspections performed on the operating mechanisms, air and hydraulic systems, hooks and hoist chains?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are hooks used for hoisting mechanisms equipped with a safety latch?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
ERGONOMICS
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Are there anti fatigue mats in process areas where there are long periods of standing?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are job rotations built into processes to prevent repetitive motion strains/injuries?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Where applicable, has automation been implemented to reduce repetitive motion activities?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
GAS CYLINDER STORAGE / USE
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Are all single (in use) gas cylinders chained/secured and upright?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are all piping of hazardous gases labeled with contents and direction of flow?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are all hazardous compressed gases (HMIS 3 &4) stored and used from gas cabinets?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are compressed gas cylinders (empty or full) stored separately?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are gas cabinets labeled with their contents?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are pressure release devices installed and maintained?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Does compressed gas container storage have "NO SMOKING" signs posted?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are storage areas well ventilated, dry and of fire resistant construction?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
WALKING / WORKING SURFACES AND HOUSEKEEPING
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Are walking surfaces clean, dry, in good condition, free of obstruction and chemical residue?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are there no floor holes greater than 1 inch?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Do all aisleways have a minimum of 28 inches (recommended 36 inches)?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are all wall openings with a drop of more than 4 feet guarded with a standard guard-rail and toe board where necessary?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are all floor holes guarded with a guardrail and toe board or floor cover?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are all mezzanines used for storage posted with the allowable floor capacity?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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There is no overhead storage of equipment or materials (other than on shelves made specifically for storage purposes)?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are safety showers and eyewashes inspected weekly (check tag)?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Is safety equipment (fire extinguishers, eyewash, shower, pull stations) not blocked?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Is general housekeeping good (floors, aisles, and offices are clean, uncluttered, and dry)?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
ENVIRONMENTAL
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Are all waste containers kept closed except when adding waste?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are all waste containers managed to avoid releases (ie. possible secondary containment or closed top)?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Is the waste compatible with the containers and the container in good condition?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are incompatible wastes separated?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are hazardous waste containers marked with the words hazardous waste and a description that identifies the waste?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are laboratories or process areas containing asbestos countertops, fumehoods, or floor tiles checked monthly for signs of obvious damage, wear, or intentional damage (drilling, grinding, cutting, etc)?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
LADDERS
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Are ladders inspected frequently (prior to each use)?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are ladders being well maintained?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
WELDING, CUTTING AND BRAZING ACTIVITIES
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Is adequate ventilation provided during welding operations?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Are guards used to contain heat, sparks and flag if objects to be welded cannot be removed from the area?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
VALUE BASED SAFETY - SIGHTS AND SOUNDS
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Did you observe any unsafe acts during your inspection?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Did you recognize/ award individual(s) for working safely during your inspection?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
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Did you observe anything to be outstanding safety act(s) during your inspection?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>