Information

  • ROOM NUMBER -

  • Conducted on

  • INSPECTED BY -

ELECTRICAL SAFETY

  • Does electrical equipment have three feet minimum clearance in front of, and 15 inches on the sides?

  • Are electrical disconnects labeled?

  • Are flexible cords in good condition?<br>

  • <br>Is electrical service in wet or damp areas protected by GFCI?<br><br><br>

  • Does electrical equipment have all covers, knockout plates, elbows, etc. in place?

  • Are extension cords only used temporarily? (30 days, or less)?<br><br>

  • Are power strips being used correctly (no piggy-backing)?<br><br>

  • Is electrical grounding and bonding used during flammable liquid dispensing?<br><br>

  • 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>

  • 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

  • Are all machine guards fixed in place, and fully functional?<br>

  • <br>Is Robotic equipment guarded?

  • Are grinding wheels smooth?

  • Are grinding wheel tongue guards set at 1/4 inches, maximum?

  • Compressed air guns are designed to prevent pressures in excess of 30 psi when deadheaded.

CHEMICAL STORAGE AND USE

  • Are acids and bases stored separately?

  • Are Job Safety Analysis(s) posted for hazardous chemical handling operations and operators trained?

  • Does handling of hazardous materials (pouring, mixing, spraying, heating) takes place in / under adequate exhaust?

  • Are liquids stored below eye level?

  • Do all non-vented flammable liquids cabinets have the bung in place?

CHEMICAL HYGIENE / HAZARD COMMUNICATION

  • <br>Are MSDS sheets current and available in Sitehawk database?

  • Is a current chemical inventory list immediately available?<br>

  • Are chemicals labeled with proper HMIS labels?<br><br>

  • Are process equipment vessels and tanks (dust collectors, process chemical tanks, etc.) labeled with appropriate hazard warning?<br><br>

  • No food and drink is in the lab?<br><br>

  • Are refrigerators labeled "No food or drink"?<br><br>

  • Are chemical baths, bubblers, vessels, clearly labeled as to their contents?<br><br><br>

  • When not in use, are lab fume hood sashes closed?<br><br><br>

  • Is all non-fume hood ventilation equipment flow tested semi-annually?<br><br><br>

  • Are all lab fume hood sash position sensors securely attached to the hood sash?<br><br><br>

  • Are all pipes labeled as to contents and direction of flow of materials?<br><br><br><br>

  • Do all labs have updated Lab ownership cards located outside of the main door(s)?<br><br><br>

  • Is a Peroxide Formers inventory posted/date received & opened are listed & within S&T Hygiene plan guidelines<br><br><br><br>

  • Are lab fume hoods flow tested annually?<br><br><br><br>

EMERGENCY EXITS

  • Are all emergency exits labeled (above the door)?<br><br><br><br><br>

  • Are emergency evacuation routes posted and current?<br><br><br><br><br><br>

  • Is the path to, through, and out of an exit free from obstruction and 28” minimum?<br><br><br><br><br><br><br><br>

  • Are exits clearly visible?<br><br><br><br><br><br><br><br><br>

  • 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

  • Are fork truck inspections performed and documented before every shift?<br><br><br><br><br><br><br><br><br><br><br>

  • Are storage racks undamaged and have posted load ratings?<br><br><br><br><br><br><br><br><br><br><br><br>

  • 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>

  • 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>

  • 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

  • Are platforms kept in good working condition?<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>

  • 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>

  • 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

  • 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>

  • 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>

  • 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>

  • 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

  • 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>

  • 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>

  • 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

  • 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>

  • 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>

  • 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>

  • 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>

  • 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>

  • 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>

  • 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>

  • 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

  • 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>

  • 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>

  • 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>

  • 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>

  • 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>

  • 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>

  • 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>

  • 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>

  • 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>

  • 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

  • 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>

  • 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>

  • 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>

  • 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>

  • 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>

  • 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

  • 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>

  • 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

  • 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>

  • 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

  • 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>

  • 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>

  • 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>

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