Safety Risk Assessment-US Offices

• Office Name

• Address
  Address

• Multi tenant?

  Yes

  No

  N/A

• What floor(s) does CDW occupy?

• How many floors does the Office have?

• About how many coworkers work at this location currently?

• Conducted on

  Date

• Conducted by

• Risk Matrix Reference

  

• Risk - An estimate of the probability of a hazard-related incident or exposure occurring and the severity of harm or damage that could result. (ANSI/ASSE Z590.3-2011)
  
  Level of Risk - Magnitude of a risk or combination of risks, expressed in terms of the combination of consequences and their likelihood. (ISO Guide 73/ANSI/ASSE Z690.1- 2011)
  
  Likelihood - Chance of something happening. (ISO Guide 73/ANSI/ASSE Z690.1- 2011)
  
  Risk Matrix - Tool for ranking and displaying risks by defining ranges for consequence and likelihood. (ISO Guide 73/ANSI/ASSE Z690.1-2011)
  
  Hierarchy of Controls - A systematic approach to avoiding, eliminating, controlling, and reducing risks, considering steps in a ranked and sequential order, beginning with avoidance
  

• Hierarchy of Controls Reference
  

Fire Safety Equipment

• Fire extinguishers are mounted in an easily accessible and visible location with no debris or material stacked in front of them

  Safe

  At Risk

  N/A

• All extinguishers are mounted on the wall, on a hanger, on a bracket that has releasing straps or in an extinguisher cabinet or wall recess (the top of the unit must be no higher than 3.5 feet)

  Safe

  At Risk

  N/A

• The extinguishers (tag valid), fire alarm panels, and fire sprinklers have been serviced and inspected within the previous 12 months

  Safe

  At Risk

  N/A

• No signs of leakage, physical damage or corrosion on any of the equipment

  Safe

  At Risk

  N/A

• Label, extinguisher type, and instructions are easy to read. Safety pins are in place & intact and Handle is not broken

  Safe

  At Risk

  N/A

• Pressure gauges are in the green and is not damaged or showing “recharge”

  Safe

  At Risk

  N/A

• Location of extinguisher is easily identifiable by signs

  Safe

  At Risk

  N/A

• There is adequate clearance around fire sprinklers (at least 18 inches, according to the NFPA).

  Safe

  At Risk

  N/A

Exit Routes

• Aisles are unobstructed

  Safe

  At Risk

  N/A

• The paths to the exits are well lit and clearly marked

  Safe

  At Risk

  N/A

• The pathway that leads to exit doors is wide enough (at least 28 inches wide)

  Safe

  At Risk

  N/A

• All fire exits can be easily opened in case of emergency

  Safe

  At Risk

  N/A

Data Center Room, IDF/MDF Room

• HVAC systems in room maintains a cool environment for servers

  Safe

  At Risk

  N/A

• Fire suppression system working and inspected within the last 12 months

  Safe

  At Risk

  N/A

• No moisture or water intrusion present/visible

  Safe

  At Risk

  N/A

• No combustible material stored in the room

  Safe

  At Risk

  N/A

• No stored material in the room blocking electrical equipment (36" clearance required) or fire sprinklers (18" clearance required)

  Safe

  At Risk

  N/A

Furniture & Office Equipment

• In good mechanical condition

  Safe

  At Risk

  N/A

• Properly assembled and adjusted

  Safe

  At Risk

  N/A

• Items secured from tipping

  Safe

  At Risk

  N/A

• Free from sharp edges and corners

  Safe

  At Risk

  N/A

Bookcases, Shelves & Cabinets

• Secured from tipping

  Safe

  At Risk

  N/A

• In good condition

  Safe

  At Risk

  N/A

• Drawers closed when not in use

  Safe

  At Risk

  N/A

• Material safely stacked and stored

  Safe

  At Risk

  N/A

• Step stools/ ladder available if needed

  Safe

  At Risk

  N/A

Seating/Desk

• Ergonomic chair used (armrests, vertically adjustable, on a 5-point base, lumbar support)

  Safe

  At Risk

  N/A

• What kind of Chair is used? (Herman Miller, Humanscale, etc.)

• The desk has sit stand capability

  Safe

  At Risk

  N/A

Monitor

• There is a monitor arm(s)

  Safe

  At Risk

  N/A

• Monitor located at least arm's length away

  Safe

  At Risk

  N/A

• Monitors in a location that eliminates glare on the screen which might cause one to assume an awkward position to read screen? (Answer "safe" if there is any glare on your screen)

  Safe

  At Risk

  N/A

• Screen placed at right angles away from windows and task lights to avoid glare and bright light directly behind the screen?

  Safe

  At Risk

  N/A

Keyboard & Mouse

• Keyboard trays

  Safe

  At Risk

  N/A

• Weight bearing support for your arm (chair arm or wrist rest) when you are using your keyboard and mouse.

  Safe

  At Risk

  N/A

• Mouse location allows you to keep your upper arm and elbow close to body (arm not extended outward beyond 45 degrees)?

  Safe

  At Risk

  N/A

• The placement of the mouse allows for a neutral wrist posture so your hand is in a straight line with forearm (not bent up/down or sideways toward little finger)?

  Safe

  At Risk

  N/A

Other

• Adequate desktop space available to perform job tasks without twisting, side vending, or reaching?

  Safe

  At Risk

  N/A

• Enough clearance for ones feet, knees, and legs?

  Safe

  At Risk

  N/A

• Adequate space that allows one to swivel your chair (without leg obstruction) to perform work tasks?

  Safe

  At Risk

  N/A

• Computer workstation, components and accessories are maintained in serviceable condition and function properly.

  Safe

  At Risk

  N/A

• Correct ergonomic workstation setup guide posted somewhere coworkers can see it

  Safe

  At Risk

  N/A

• Designated Severe Weather Shelter Areas exist (Away from windows, external walls, clearly marked)

  Safe

  At Risk

  N/A

• Designated Emergency Response Team (ERT) members

  Safe

  At Risk

  N/A

• ERT up to date and accurate with who is on site

  Safe

  At Risk

  N/A

• ERT Uploaded/Posted on the SharePoint

  Safe

  At Risk

  N/A

• Coworkers know and are trained on the evacuation procedures

  Safe

  At Risk

  N/A

• Emergency Maps posted and up to date

  Safe

  At Risk

  N/A

• Designated Evacuation Assembly area(s), Located at safe distance(s)

  Safe

  At Risk

  N/A

• Site Emergency contact list up to date

  Safe

  At Risk

  N/A

• Site Emergency contact list posted on SharePoint

  Safe

  At Risk

  N/A

• Date of the last time the facility had a drill

  Date

First Aid

• First aid kit(s) available and in good condition

  Safe

  At Risk

  N/A

• How many First Aid Kits: (should be 1 on each floor)

• Who checks the First Aid Kit:

• How often is the First Aid Kit checked:

• Sufficient supplies<br>*See OSHA Link below for First Aid Kit Requirements*

  Safe

  At Risk

  N/A

• https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.266AppA

• First aid kit doesn't contain prescription or over-the-counter medications such as aspirin, Ibuprofen, decongestants, sinus relief, etc. (Liability Risk)

  Safe

  At Risk

  N/A

• Nothing out-of-date/expired

  Safe

  At Risk

  N/A

AEDs

• At least 1 AED on each floor

  Safe

  At Risk

  N/A

• How many AEDs at the site total:

• AEDs Make/Model used at site:

• AEDs inspected monthly and in good condition (pads not expired, no missing prep and response pack)

  Safe

  At Risk

  N/A

• Who inspects the AEDs at the site:

Air Quality

• Temperature, ventilation, and lighting are adequate

  Safe

  At Risk

  N/A

• Ventilation systems regularly inspected, tested and maintained

  Safe

  At Risk

  N/A

• Air inlets and exhaust free of accumulation of dust and mold

  Safe

  At Risk

  N/A

Waste

• Universal Waste recycling location set up and maintained (accurate signage)

  Safe

  At Risk

  N/A

• Office recycles: Bottles/Cans, Paper, Batteries, Toner

  Safe

  At Risk

  N/A

• Who is responsible for the Universal Waste in the building?

• Coworkers know what to do with old/used batteries and equipment

  Safe

  At Risk

  N/A

• All stairs with four or more steps are equipped with handrails

  Safe

  At Risk

  N/A

• Carpets are well secured to the floor and free of frayed or worn seams

  Safe

  At Risk

  N/A

• Surface dust levels low

  Safe

  At Risk

  N/A

• The waste containers are sufficient and there is no overflowing garbage

  Safe

  At Risk

  N/A

• Floor and aisles are free of litter and spilled liquids (water, pens, paper, etc.)

  Safe

  At Risk

  N/A

• Aisles are free of cords, boxes, chairs and other tripping hazards

  Safe

  At Risk

  N/A

• Desks or file drawers are closed when not in use and only one drawer is used at a time

  Safe

  At Risk

  N/A

• Office areas cleaned & maintained regularly

  Safe

  At Risk

  N/A

• What is the name of the cleaning company?

• Storage rooms & recycling areas neatly maintained

  Safe

  At Risk

  N/A

• Area is tidy and well kept

  Safe

  At Risk

  N/A

• Walkways free of obstacles

  Safe

  At Risk

  N/A

• REFERENCE: This walkway is free from obstacles
  [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections]

  

• Cords anchored or covered

  Safe

  At Risk

  N/A

• Floor coverings in good condition

  Safe

  At Risk

  N/A

• Signage posted if floors are wet

  Safe

  At Risk

  N/A

• Sufficient electrical outlets are accessible

  Safe

  At Risk

  N/A

• Equipment is turned off when not in use

  Safe

  At Risk

  N/A

• Phone lines and electrical cords are secured under a desk or along wall, and away from heat sources

  Safe

  At Risk

  N/A

• Electrical cords in good condition

  Safe

  At Risk

  N/A

• Access to electrical panels is clear and unobstructed

  Safe

  At Risk

  N/A

• Extension cords are not used as replacement of permanent wiring

  Safe

  At Risk

  N/A

• Faulty equipment is tagged out

  Safe

  At Risk

  N/A

• Electrical Faceplates secure

  Safe

  At Risk

  N/A

• Parking lot clear of debris

  Safe

  At Risk

  N/A

• Sidewalks, ramps and walking surfaces in good repair

  Safe

  At Risk

  N/A

• Mirrors or STOP signs posted at blind spots

  Safe

  At Risk

  N/A

• Directional signs posted and legible

  Safe

  At Risk

  N/A

• Lot paved, lines & directional arrows legible

  Safe

  At Risk

  N/A

• Vegetation trimmed away from walkways & entrances

  Safe

  At Risk

  N/A

• No tripping hazards (Curbs, Holes, Debris)

  Safe

  At Risk

  N/A

• Designated pedestrian walkways

  Safe

  At Risk

  N/A

• Designated handicapped parking spots (ADA compliant: 8 foot wide with 5 foot access aisle between parking spaces? Signage?)

  Safe

  At Risk

  N/A

• Ramp slopes to entrance provided

  Safe

  At Risk

  N/A

• Lot bumpers secured and easily identified

  Safe

  At Risk

  N/A

Disability Equality

• Emergency preparedness/ business continuity plan for coworkers includes ways in which assistance for people with disabilities are addressed/ Site has a designated ERT member for Special Needs

  Safe

  At Risk

  N/A

• Is this building/facility built before 1991?

  Yes

  No

  N/A

• Evaluate building for access issues. Create Actions for any issues and take necessary steps to remove any barriers (Discuss/work with Building Engineers).

• Walkways wide enough for wheelchair users and ramps or lifts where there is stair access.

  Safe

  At Risk

  N/A

• Adjustments made for employees with sight or hearing impairments (Brail, Audit visual for emergencies, etc.)

  Safe

  At Risk

  N/A

• State, Federal law and OSHA “Job Safety and Health - It’s the Law” Poster posted in easily accessible location where coworkers will see them

  Safe

  At Risk

  N/A

• OSHA 300A (injury and illness summary data) Log signed and posted from 02/01 until 04/01 each year, in a common area where any coworker can easily see it

  Safe

  At Risk

  N/A

Worker Awareness

• Coworkers know who to report a safety incident or injury to

  Safe

  At Risk

  N/A

• Coworkers know where they can find the CDW Safety Information and Programs

  Safe

  At Risk

  N/A

• Coworkers know to notify GSOC if a Medical Emergency occurs

  Safe

  At Risk

  N/A

Visitor Safety

• Visitors Safety Guide Brochure or information sheet available at entrance and current/up to date

  Safe

  At Risk

  N/A

• There is building security on site

  Safe

  At Risk

  N/A

• Name of the Security company:

• There are cameras that cover this office

  Safe

  At Risk

  N/A

• Ask GSOC if all cameras are operational for the site.

  Safe

  At Risk

  N/A

• Any other observations or recommendations

• Full Name and Signature of the Inspector

  Sign