Information
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Facility
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District
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Conducted on
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Prepared by
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Location
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Report Issued To:
1. Hazard Classification
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A hazard class rating will be inserted by the inspector [Reference: 6709.12, 11.4]. Hazards found during an inspection shall be classified so that managers can allocate time and dollars for their correction in order of priority based on the degree of danger present. Hazards shall be classified as: imminent danger, serious, and non-serious based on the following criteria:
1. Imminent danger hazards risk assessment code 1 (RAC 1) would likely cause death, severe injury or high property losses immediately, or before the hazard can be eliminated through normal procedures. Immediate employee protection and abatement is required. An example is a leaking propane gas cylinder in crew quarters.
2. Serious hazards risk assessment code 2/3 (RAC 2/3) are those in which there is high probability that serious injury, illness, or extensive property damage would result unless corrective action is taken. Abatement shall be accomplished within 14 days. An example is a broken stair tread.
3. Non-serious hazards risk assessment code 4 (RAC 4) are those that could cause injury, illness, or property damage. Abatement shall be accomplished in 30 days. An example is a broken window in a workshop.
Note: In the event a hazard cannot be corrected in the time allotted (contractor not available or contracting issues) a plan must be in place to correct the hazard as soon as possible. All employees must be notified of the hazard to limit exposure.
2. POSTINGS
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Are emergency telephone numbers posted where they can be readily found in case of emergency? 29 CFR 1910.38
3. GENERAL ENVIRONMENT
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Are all area's kept organized and clean? 29 CFR 1910.22.(a)
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Are aisles and passageways kept clear and in good repair? 29 CFR 1910.22(b)(1)
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Are walking surfaces kept dry or appropriate means taken to ensure that surfaces are slip-resistant? 29 CFR 1910.22(a)(2)
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Is combustible scrap, debris, and waste stored safely and removed from the worksite promptly? 29 CFR 1910.106(e)(9) (iii)
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Are toilets and washing facilities sanitary? 29 CFR 1910.141(d)
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Are enclosed workplaces constructed, equipped, and maintained, so far as reasonably practicable, as to prevent the entrance or harbor age of rodents, insects, and other vermin? 29 CFR 1910.141(a)(5)<br><br>
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Are all work areas adequately lighted? 29 CFR 1910.22(a)
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Are safety equipment items available, mounted, and current? (e.g., fire extinguishers, smoke and CO detectors, and first aid kits) 29 CFR 1910.157(c)(1) 29 CFR 1910.151(b)
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Are fire extinguishers mounted 4 inches minimum off the ground maximum of 5 feet from the top of extinguisher weighing less then 40 lbs. and 3.5 feet from the top of extinguisher weighing more then 40 lbs. NFPA 10
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Are there any Hazard tree's or dead branches that could fall?
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Are picnic tables and fire rings serviceable?
4. STAIRWAYS
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Are standard stair rails and handrails present on all stairways having four or more risers? 29 CFR 1910.23(d)(1)
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Do stairs angle no more than 50 degrees and no less than 30 degrees? 29 CFR 1910.24(e)
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Are step risers on stairs uniform from top to bottom, with no riser spacing greater than 9.5 inches? Are these areas well lit? 29 CFR 1910.24(e) 29 CFR 1910.24(f)
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Are steps on stairs and stairways designed or provided with a slip resistant surface? 29 CFR 1910.24(c)
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Are stairway handrails located between 30-34 inches above the leading edge of stair treads? 29 CFR 1910.23(e)(5)(ii)
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Are stairway handrails capable of withstanding a load of 200 pounds applied in any direction? 29 CFR 1910.23(e)(5)(iv) UBC 1607.3.4
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Where stairs or stairways exit directly into any area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic? 29 CFR 1910.23(c)
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Are stairways free of defects, rubbish, slippery substances, loose materials, or obstructions that may cause slips, trips, and falls?
5. ELEVATED SURFACES
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Are elevated surfaces (more than 4 feet above the floor or ground) provided with standard guardrails? 29 CFR 1910.23(c)
6. ELECTRICAL SAFETY
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Are electrical cords free of splices or taps? 29 CFR 1910.305(g)(2)(ii)
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Are multiple plug adaptors prohibited? 29 CFR 1910.334(a)(3)(ii)
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Are all disconnecting switches and circuit breakers each labeled to indicate their use or equipment served? 29 CFR 1910.303(f)
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Do circuit breakers clearly indicate whether they are in the “on” or “off” position? 29 CFR 1910.304(e)(1)(vi)
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Is adequate clearance provided in front of electrical service panels and disconnects? 29 CFR 1910.303(g)(1)(i)
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Are all lights located within 7 feet of the floor, or exposed to being struck or damaged, protected?
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Are replacement bulbs within a fixture’s rating?
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Are electrical enclosures such as switches, receptacles, and junction boxes provided with undamaged, tight-fitting covers, or plates, including plugged unused opening (knockouts)? 29 CFR 1910.305(b)(1) 29 CFR 1910.305(b)(2)
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Are defective components promptly replaced?
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Are electrical outlets prohibited above permanently installed electric heaters? NEC 424.9
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Do you require all electrical work to be performed by a licensed contractor in compliance with NEC and OSHA rules? 29 CFR 1910.303(b)(1)
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Are electrical appliances such as vacuum cleaners, portable heaters, and vending machines grounded? 29 CFR 1910.304(f)(5)
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Do all extension cords have a grounding conductor? 29 CFR 1910.334(a)(3)
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Are extension cords protected from abrasion, crushing, kinking, and pulling?
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Are exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly? 29 CFR 1910.334(a)(2) (I) 29 CFR 1910.303(b)(iii)
7. PLUMBING, HEATING, VENTILATION, AND AIR CONDITIONING
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Are gas appliances accessible for inspection and service? UPC 511.0
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Are temperature/pressure relief valves and drains installed on all water heaters? UPC 608.3 and 608.5
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Are water heaters anchored or strapped (within upper one-third of tank) for seismic protection? UPC 510.5
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Are gas water heaters and connectors protected from physical damage (e.g., in garages)? UPC 510.3
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Are gas system shutoffs identified, and readily accessible? UPC 1211.4 and 1211.18
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Are water system shutoffs identified, accessible and operable? Local Regulation
8. ENVIRONMENTAL CONTROLS
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Is the work area’s ventilation system appropriate for the work being performed?
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Is all water provided for drinking, washing, and cooking potable? Include copies of latest required water test(s). Local Regulation
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Are all outlets for water, not suitable for drinking, clearly identified? 29 CFR 1910.141(b)(2)(i)
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Are hazardous substances identified that may cause harm by inhalation, ingestion, skin absorption, or contact (e.g., lead- based paint)? 29 CFR 1910.145(e)(4) 29 CFR 1910.145(f)(4)-(f)(8)
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Are employees made aware of hazards involved with the various chemicals they may be exposed to in their work environment, such as ammonia, chlorine, epoxies, and caustics? (Right-to-know) 29 CFR 1910.1200(e) 29 CFR 1910.1200(h)
9. FLAMMABLE AND COMBUSTABLE MATERIALS
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Are flammable and combustible liquids stored in approved cabinets or storage buildings? 29 CFR 1910.106(d)(3)
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Are storage cabinets labeled “Flammable- Keep Fire Away”?
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Are liquefied petroleum storage tanks guarded to prevent damage from vehicles? 29 CFR 1910.110(d)(10)
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Are fire extinguishers provided for the type of materials they will extinguish, and placed in areas where they are to be used? CLASS A: Ordinary combustible materials fires; CLASS B: Flammable liquid, gas, or grease fires; CLASS C: Energized-electrical equipment fires. 29 CFR 1910.157(d) H&SC 35.11a
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Are portable fire extinguishers located, mounted, and readily accessible to employees at each work location? 29 CFR 1910.157(c)
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Are all fire extinguishers serviced, maintained, and tagged at intervals not to exceed one year? 29 CFR 1910.157(e)(3)
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Are “NO SMOKING” signs posted in areas where flammable or combustible materials are used/or stored?
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Are “NO SMOKING” signs posted on liquefied petroleum gas tanks? Everyday HazMat Training Guide pg. 89 NFPA 58 5.2.8.1(A)
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Is gasoline kept in Safety Cans? Plastic cans are not allowed for any amount over 1 gallon unless you are with the fire crews. PMS 442 IATG 29 CFR 1910.106(d)(2)(iii)(b) 29 CFR 1926.152(a):
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Are fire extinguishers mounted so that employees do not have to travel more than 75 feet for a Class A fire or 50 feet for a Class B fire? 29 CFR 1910.157(d)(2) 29 CFR 1910.157(d)(4)
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Are all flammable and combustible liquids stored in labeled, approved containers, tanks, or drums? 29 CFR 1910.1200(f)(5) 29 CFR 1910.106(d)(2)
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Are all flammable liquids kept in closed containers when not in use? 29 CFR 1910.106(d)
10. MATERIALS HANDLING
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Are materials stored so as to not create hazards to employees? 29 CFR 1910.176(b)
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Are eye wash stations provided (15 min./ min flow) in areas where caustics (battery charging or corrosive liquids) are used? 29 CFR 1910.151(c)
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Are hazardous materials prohibited from being stored in refrigerators used for storing food? 29 CFR 1910.141(g)(2)
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Are load limits conspicuously posted on storage shelves, bins, and racks?
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Are materials stored in a manner to prevent sprain or strain injuries to employees when retrieving them?
11. HAND TOOLS AND EQUIPMENT
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Are all tools and equipment present on site in good working condition? 29 CFR 1910.242(a)
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Are hand tools such as chisels or punches (that develop mushroomed heads) reconditioned or replaced as necessary? 29 CFR 1910.242(a)
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Are broken or fractured handles on hammers, pulaskis, etc. replaced promptly? 29 CFR 1910.242(a)
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Are tool handles wedged tightly in the head of all tools? 29 CFR 1910.242(a)
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Are tool-cutting edges kept sharp?
12. PORTABLE (POWER) TOOLS AND EQUIPMENT
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Are grinders, saws, and similar equipment provided with appropriate safety guards? 29 CFR 1910.243
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Are power tools used with the shield or guard recommended by the manufacturer? 29 CFR 1910.243(a)
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Are portable circular saws equipped with guards above and below the base shoe? 29 CFR 1910.243(a)
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Are rotating or moving parts of equipment such as sanders guarded at nip points to prevent physical contact? 29 CFR 1910.243(a)(3)
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Are all cord-connected, electrically- operated tools and equipment effectively grounded or of the approved double- insulated type? 29 CFR 1910.243(a)(5)
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Are portable fans provided with full guards having openings of 1/2-inch or less? 29 CFR 1910.21(a)(5)
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Are portable, waterproof ground-fault circuit interrupters (provided on all temporary electrical 15, 20, and 30 ampere circuits) used for outside construction/ maintenance?
13. PORTABLE LADDERS
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Is the use of ladders limited to temporary uses wherever possible?
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Are all ladders inspected for defects before use each day and after any occurrence that could damage the ladder?
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Are all ladders in good condition, joints between steps and side rails tight, all hardware and fittings securely attached, and moveable parts operating freely without binding or undue play? 29 CFR 1910.25(d)(1)(i) 29 CFR 1910.26(c)
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Are nonskid safety feet on all ladders except step ladders? 29 CFR 1910.25(d)(2) (xix)
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When portable rung ladders are used to access elevated surfaces, does the ladder always extend at least 3 feet above that surface? 29 CFR 1910.26(a)(1)(iii)
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Are the rungs of metal ladders uniformly spaced at 12 inches, center to center? 29 CFR 1910.26(a)(1)(iii)
14. HAZCOM PROGRAM
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Is there a "Written hazard communication program." that describes labels and other forms of warning, safety data sheets, and employee information and training that will be met? 29 CFR 1910.1200(e)(1)
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Do you have an inventory list of the chemicals in the work area? 29 CFR 1910.1200(e)(1)(i) H&SC 61.14.1
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Have the Camp Employees been informed of the chemicals in their work areas and all non routine tasks? 29 CFR 1910.1200(e)(1) (ii)
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Do you have a method of informing contractors/contract employees of the chemical hazards in the their work area? 29 CFR 1910.1200(e)(2)
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Do you have a current Hazardous Material Spill Response Plan, as part of a comprehensive Emergency Action Plan, to manage spills in the office and field?
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Is each container for a hazardous substance (vats, bottles, storage tanks) labeled with product identity and a hazard warning that communicates specific health and physical hazards? 29 CFR 1910.1200(f) (5)
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Are employees prohibited from handling hazardous chemicals that do not have an SDS? Are SDS’s readily available to employees at all times?
15. CONFINED SPACE
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Employees do not enter a permit confine space.
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Has the management evaluate the workplace to determine if any spaces are permit-required confined spaces. Do you have an inventory list of all of your permit and non-permit spaces? 29 CFR 1910.146(c)(1)
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Have you posted danger signs or by any other equally effective means, of the existence and location of and the danger posed by the permit spaces. 29 CFR 1910.146(c)(2)
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In the last year have you had to reclassify a non-permit space to a permit required space, due to changes in the use or configuration that might increase the hazards to entrants? 29 CFR 1910.146(c)(6)
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INSPECTION CONDUCTED BY:
