Southwes Complex

• Kent County Road Commission Central Complex

• Building Audit

• Conducted on

  Date

• Contact person name and title

• Prepared by

General

• Is there a copy of the MIOSHA Occupational Safety and Health Act accessable to employees?

  Yes

  No

  N/A

• Is the MIOSHA workplace poster displayed where all employees are likely to see it?

  Yes

  No

  N/A

• Are workplace injury and illness records being kept as required by OSHA?

  Yes

  No

  N/A

• I the OSHA annual summary of workplace injuries and illnesses posted between February 1 through April 30?

  Yes

  No

  N/A

Safety program

• Is there a formal written safety program?

  Yes

  No

  N/A

• Is there a safety committee of both managment and union employees utilized?

  Yes

  No

  N/A

• Safety committee frequency

  never

  yearly

  quarterly

  monthly

• Employee safety Training frequency

  never

  yearly

  twice a year

  monthly

  weekly

• Is the safety training documented?

  Yes

  No

  N/A

• Is there a formal accident investigation procedures?

  Yes

  No

  N/A

• Is there self inspections / safety inspections performed?

  Yes

  No

  N/A

• Is self inspections documented?

  Yes

  No

  N/A

Emergency Preparedness Plan

• Is there an Evacuation Plan displayed and understood by employees?

  Yes

  No

  N/A

• Are evacuation procedures discussed regularly ( 3 - 4 times a year)?

  Yes

  No

  N/A

• Are AED's in place and in working order?

  Yes

  No

  N/A

• Fire alarm functioning properly

  Yes

  No

  N/A

• Are First Aid Kits stocked properly?

First Aid Kit

• Location of first aid kit

• 6 - 4" x 4" Gauze pads

• 2 - 8" x 10" Gauze pads

• 16 Adhesive Bandages (Bandaids)

• 2 - Rolls of 2" cling or wider

• 2 Triangle bandages

• 6 Individual use packets containing 1/32oz of burn treatment

• 10 Packets of antiseptic wipes

• 2 Elastic wraps

• 1 Splint

• 1 Roll of adhesive tape

• 1 Pair of scissors

• 1 Blanket

• 1 pair of tweezers

• Resuscitation mask

• 2 pair of medical grade gloves

• Directions to emergency assistance

• Fire Extinguishers

Extinguisher

• Location of fire extinguisher

• Are employees periodically instructed in the use of extinguishers?

  Yes

  No

  N/A

• Have fire extinguishers recently been serviced (every 6 months)

  Yes

  No

  N/A

• Are Fire extinguishers in place and clearly marked?

  Yes

  No

  N/A

• Exits

Exit

• Location of exit

• Are fire exits and directional signs clearly marked?

  Yes

  No

  N/A

• Is Emergency lighting Operable?

  Yes

  No

  N/A

• Do all exit doors open from the inside?

  Yes

  No

  N/A

• Are all exits clear from obstructions

  Yes

  No

  N/A

• Is the exits free of any hazardous materials or fuel tanks (can't bee within 50' of exit)

  Yes

  No

  N/A

Building Safety

• Electrical Panals and Junction box's

Electrical panal

• Please note location of box's and panals

• Are electrical panals and junction box's secured properly?

  Yes

  No

  N/A

• Is there clear access to electrical panals?

  Yes

  No

  N/A

• Are electrical panals labeled correctly?

  Yes

  No

  N/A

• Are all electrical panal free of debris being piled on them?

  Yes

  No

  N/A

• Do all electrical panals and junction box's have all punchouts plugged?

  Yes

  No

  N/A

• Does all metalic cable and conduit systems have the proper grounding?

  Yes

  No

  N/A

• Stairways

Stairway

• Please note location of stairs

• Is the area under the steps free of any hazardous material for fuel tanks?

  Yes

  No

  N/A

• Are the stringers and stair treads in good shape and secure?

  Yes

  No

  N/A

• Are all the railings in good shape?

  poor

  average

  above average

• Is the stairway kept clear?

  Yes

  No

  N/A

• Fall Prevetion measures

Fall Prevetion

• Please not location

• prevention measures in place

  Yes

  No

  N/A

• All holes greater than 2" in their least dimendion protected by covers

  Yes

  No

  N/A

• railing in good shape and hold 200 lb of foce 2" from the top

  Yes

  No

  N/A

• Are floor surfaces even and uncluttered?

  poor

  average

  above average

• Are walkways adequately and clearly marked?

  Yes

  No

  N/A

Exterior conditions

• What condition is the parking lot in?

  poor

  average

  above average

• What condition is the walk leading into complex in?

  poor

  average

  above average

• Are walkways maintained clear of ice, snow, and debris?

  Yes

  No

  N/A

Main office area

• What conditon is the furniture in?

  poor

  average

  above average

• Are office rugs and runners flat?

  Yes

  No

  N/A

• What condition is the General Housekeeping?

  poor

  average

  above average

• Are the restrooms facilities clean and in working order?

  poor

  average

  above average

• Are the record storage racks secured and stable?

  Yes

  No

  N/A

• Are the record storage area clean and organized

  Yes

  No

  N/A

Breakrooms

• Breakrooms

Room

• Please note location

• How is the house keeping?

  poor

  average

  above average

• Is all food in fridge edible for consumption?

  Yes

  No

  N/A

• All apliances in good working order?

  poor

  average

  above average

Individual offices

• Individual Offices

Office

• Please note who's office

• Are office runners and rugs laying flat?

  Yes

  No

  N/A

• In what condition is the office furniture in?

  poor

  average

  above average

• How is the house keeping?

  poor

  average

  above average

• Is there adequate lighting?

  poor

  average

  above average

• Are record storage racks secured and stable?

  Yes

  No

  N/A

• Are floors free of obstructions?

  Yes

  No

  N/A

• Are drawers kept shut when not using?

  Yes

  No

  N/A

Office ergonomics

• Is there ergonomics awareness training?

  Yes

  No

  N/A

• How are adjustable key board positions?

  poor

  average

  above average

• How is adjustable computer screen height?

  poor

  average

  above average

• How is the height of adjustable office chairs?

  poor

  average

  above average

Weight Room

• Exits marked properly

  Yes

  No

  N/A

• Floors clear of obstructions

  Yes

  No

  N/A

• How is the housekeeping?

  poor

  average

  above average

• Are all containers marked?

  Yes

  No

  N/A

• Is there sanitization of equipment available?

  poor

  average

  above average

Mechanical Room

• Mechanical rooms

Room

• Please not location of mechanical room

• Are exits marked properly?

  Yes

  No

  N/A

• Are fire extinguishers in place

  Yes

  No

  N/A

• How is the house keeping?

  poor

  average

  above average

• Are emergency shut off in place and marked properly?

  Yes

  No

  N/A

• Are all pipes clearly identified?

  Yes

  No

  N/A

• Is there guarding in place for all moving equipment?

  Yes

  No

  N/A

Storage Closets

• Storage Closet

closet

• Please not location of storage closet

• Are floors clear of obstructions?

  Yes

  No

  N/A

• Are tools secured from falling?

  Yes

  No

  N/A

• How is the house keeping

  poor

  average

  above average

• Are all containers labeled?

  Yes

  No

  N/A

General

• Is there a responsible person available?

  Yes

  No

  N/A

• Is there employee emergency contact information where employees have access to it?

  Yes

  No

  N/A

• Is there a copy of the MIOSHA Occupational Safety and Health Act accessable to employees?

  Yes

  No

  N/A

• Is the MIOSHA workplace poster displayed where all employees are likely to see it?

  Yes

  No

  N/A

• I the OSHA annual summary of workplace injuries and illnesses posted between February 1 through April 30?

  Yes

  No

  N/A

• Is the new revised SDS sheet poster posted and filled out?

  Yes

  No

  N/A

• Are there SDS books available, organized, and up to date?

  Yes

  No

  N/A

• Is there self inspections / safety inspections performed and documented?

  Yes

  No

  N/A

• Is Lockout tagout utilized?

  Yes

  No

  N/A

• Is board up to date?

  Yes

  No

  N/A

• Does each authorized employee have their own lock and tags?

  Yes

  No

  N/A

• Are the procedures posted on board?

  Yes

  No

  N/A

• Are employees using LOTO?

  Yes

  No

  N/A

• Is there an Evacuation Plan displayed and understood by employees?

  Yes

  No

  N/A

• Are evacuation procedures discussed regularly ( 3 - 4 times a year)?

  Yes

  No

  N/A

• Are AED's in place and in working order?

  Yes

  No

  N/A

• Are fire alarm functioning properly?

  Yes

  No

  N/A

Offices

• Individual Offices

Office

• Please identify who's office

• Are office runners and rugs laying flat?

  Safe

  At Risk

  N/A

• What is the furniture in sound condition?

  poor

  average

  above average

• Is there good house keeping?

  poor

  average

  above average

• Is there adequate lighting?

  poor

  average

  above average

• Are record storage racks secured and stable?

  Safe

  At Risk

  N/A

• Are floors free of obstructions?

  poor

  average

  above average

• Are all drawers kept shut when not using?

  Safe

  At Risk

  N/A

• How is the adjustable key board positions?

  poor

  average

  above average

• How is the adjustable computer screen height?

  poor

  average

  above average

Mechanics bay, Blade pit, fab shop, and stockroom

• Mechanics bay, Blade pit, fab shop, and stockroom

Room

• Please identify which area you are auditing

Building Safety

• How is the break room housekeeping?

  poor

  average

  above average

• Are all restrooms facilities clean and in working order?

  poor

  average

  above average

• Are all walkways adequately and clearly marked?

  Yes

  No

  N/A

• Are all aisles defined and clear?

  Yes

  No

  N/A

• Is there a need for fall prevention? (holes deeper than 36" or heights grater than 4' above any floor)

  Yes

  No

  N/A

• Fall Prevetion measures

Fall Prevetion

• Please identify location

• prevention measures in place

  Yes

  No

  N/A

• Are all holes greater than 2" in their least dimendion protected by covers or railings?

  Yes

  No

  N/A

• Are all railing in good shape and hold 200 lb of foce 2" from the top?

  Yes

  No

  N/A

• Are there any stairways?

  Yes

  No

  N/A

• Stairways

Stairway

• Please identify location

• Are all hazerdous chemicals and fuel tanks kept 50' away from stairs?

  Yes

  No

  N/A

• Are all stair treads and stringers in good shape and secure?

  Yes

  No

  N/A

• Are railing 42" high+/- 3" and have a mid rail 21" or half way in between the top rail and the working surface?

  Yes

  No

  N/A

• Are stairways kept clear?

  Yes

  No

  N/A

• Are there any electrical panels?

  Yes

  No

  N/A

• Electrical Panals and Junction box's

Electrical panal

• Please identify location

• Are electrical panals and junction box's secured properly?

  Yes

  No

  N/A

• Is there clear access to electrical panels?

  Yes

  No

  N/A

• Are all electrical panals marked and labeled?

  Yes

  No

  N/A

• Are all electrical panals free from debris being piled on them?

  Yes

  No

  N/A

• Are all electrical panals and junction box's have all punchouts plugged?

  Yes

  No

  N/A

• Are all metalic cable and conduit systems properly grounded?

  Yes

  No

  N/A

Emergency Preparedness Plan

• Is there a eyewash station?

  Yes

  No

  N/A

• Eye wash stations

Eye wash station

• Please identify location

• Is the eye wash station path accessible?

  Yes

  No

  N/A

• Is the eye wash station clean?

  Yes

  No

  N/A

• Has the eye wash station been tested regularly (turn on and the caps should come off)?

  Yes

  No

  N/A

• Are exits marked?

  Yes

  No

  N/A

• Exits

Exit

• Please identify location of exit

• Are fire exit and directional signs clearly marked?

  Yes

  No

  N/A

• Is all emergency lighting operable?

  Yes

  No

  N/A

• Do all exit doors all open from inside?

  Yes

  No

  N/A

• Are all exits clear of obstructions?

  Yes

  No

  N/A

• Are all hazardous materials or fuel tanks stored 50' or more from the exit?

  Yes

  No

  N/A

• Are there any fire extinguishers?

  Yes

  No

  N/A

• Fire Extinguishers

Extinguisher

• Please identify location of fire extinguisher

• Are employees periodically instructed in the use of extinguishers?

  Yes

  No

  N/A

• Has extinguishers recently serviced ( every 6 months )?

  Yes

  No

  N/A

• Are extinguishers in place and clearly marked?

  Yes

  No

  N/A

• Is there a first aid kit?

  Yes

  No

  N/A

• Are First Aid Kits stocked properly?

First Aid Kit

• Please identify location of first aid kit

• 6 - 4" x 4" Gauze pads

• 2 - 8" x 10" Gauze pads

• 16 Adhesive Bandages (Bandaids)

• 2 - Rolls of 2" cling or wider

• 2 Triangle bandages

• 6 Individual use packets containing 1/32oz of burn treatment

• 10 Packets of antiseptic wipes

• 2 Elastic wraps

• 1 Splint

• 1 Roll of adhesive tape

• 1 Pair of scissors

• 1 Blanket

• 1 pair of tweezers

• Resuscitation mask

• 2 pair of medical grade gloves

• Directions to emergency assistance

Operational

• How is the housekeeping?

  poor

  average

  above average

• Is there adequate lighting?

  poor

  average

  above average

• Are benches set to adequat height for the work being done?

  poor

  average

  above average

• Are work area free from shap edges?

  Safe

  At Risk

  N/A

• Are all tool are being used for thier intended purpose?

  Yes

  No

  N/A

• Are all hand tools are free of any damaged?

  Safe

  At Risk

  N/A

• Are all container labeld with Product identifyer, Hazard statement, First Aid measures, and symbol?

  Yes

  No

  N/A

• Are all used shop rags contained properly in metal container with lid?

  Yes

  No

  N/A

• Are the battery shutoff's in the off position when not it use?<br>

  Yes

  No

  N/A

• Are floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Are all Jacks and Jack Stands marked with capacity?

  Yes

  No

  N/A

• Are the air compressor relief valve inspection tag up to date (monthly)?

  Yes

  No

  N/A

• Do all compressed air wands have pressure release holes?

  Yes

  No

  N/A

• Are all extension cords free of damage, have the proper grounding, and stored properly (not hanging off nails and hooks)?

  Safe

  At Risk

  N/A

• Is ther an overhead crane?

  Yes

  No

  N/A

• Has there been an overhead crane inspection in past 12 months and documented?

  Yes

  No

  N/A

• Is the overhead crane hoist main power accessible and marked?

  Yes

  No

  N/A

• Are hoist controls marked?

  Yes

  No

  N/A

• Is the overhead crane capacity marked on both sides of the beam support, headace ball, and motor?

  Yes

  No

  N/A

• Does the hook have a safety latch?

  Yes

  No

  N/A

• Are there Ladders?

  Yes

  No

  N/A

• Ladders

Ladder

• Please identify ladder

• Are ladders Industrial Strength?

  Yes

  No

  N/A

• Are ladders being inspected monthly and documented?

  Yes

  No

  N/A

• Are all beams and rungs free of cracks, gouges, dents, splits, splinters, or missing rungs and ware?

  Yes

  No

  N/A

• Are ropes, pulley's, and ground cleats in good shape?

  Yes

  No

  N/A

• Are ladders being used properly?

  Yes

  No

  N/A

• Are ladders secured when being stored?

  Yes

  No

  N/A

• Are there slings, chains, ropes?

  Yes

  No

  N/A

• Sling, chains, ropes

equipment

• Please identify sling, chains, ropes, or cables

• Have slings been inspected monthly and documented?

  Yes

  No

  N/A

• Are all unions and cleaveses in good shape and secured?

  Yes

  No

  N/A

• Are they free from fraying, stretching, kinks, or pinching?

  Yes

  No

  N/A

• Do slings have MIOSHA tag with capacity and are legible?

  Yes

  No

  N/A

• Are lifting hooks in good repair (less than 10 Degree twist or 15 Degree bend outward on hook)?

  Yes

  No

  N/A

• Are there Power tools?

  Yes

  No

  N/A

• Power tool inspection

Power tool

• Please identify which power tool

• Are all The proper guards in place?

  Safe

  At Risk

  N/A

• Is the casing in good shape?

  poor

  average

  above average

• Are cords free of freys or nicks?

  Yes

  No

  N/A

• Does the tool have the proper grounding?

  Yes

  No

  N/A

• Are ther Machines (drill press, lathe, etc.)?

  Yes

  No

  N/A

• Drill press, Lathe, Band Saws, and other Machines

Machine

• Please identify which machine

• Is the machine kept clean?

  poor

  average

  above average

• Are the floors around the machine kept clean?

  poor

  average

  above average

• Are all the proper guards in place on machine and adjusted properly?

  Safe

  At Risk

  N/A

• Are all vises secured to machine?

  Safe

  At Risk

  N/A

• Is the starting and stopping device within easy reach?

  Safe

  At Risk

  N/A

• Is the stopping device a red button?

  Yes

  No

  N/A

• Is that machine able to be LOTO?

  Safe

  At Risk

  N/A

• Are there Storage Racks?

  Yes

  No

  N/A

• Storage racks

storage rack

• Please identify location of storage racks

• Are all materials stored on racks and in bins when possible?

  Safe

  At Risk

  N/A

• Is material stored so proper lifting techniques can be used?

  Safe

  At Risk

  N/A

• Are floors around racks free of rubbish?

  poor

  average

  above average

• What is the general condition of racks and bins?

  poor

  average

  above average

• Are materials stored on pallets sucured when elevated?

  Safe

  At Risk

  N/A

• Are there compressed cylinders storage?

  Yes

  No

  N/A

• Are tanks clearly labeled?

  Yes

  No

  N/A

• Do they have valve protection caps in place?

  Yes

  No

  N/A

• Are tanks secured to prevent tipping?

  Yes

  No

  N/A

• Are the empty isolated from filled and labeled (empty or full)?

  Yes

  No

  N/A

• Are Oxygen Cylinders segregated by 20' from any fuel gas, or flammable or combustible liquids, or other highly combustible materials?

  Yes

  No

  N/A

• Is there a torch in this area?

  Yes

  No

  N/A

• Torches

Tourch

• Please identify torch

• When not is use have torches been shut off and lines bleed off?

  Safe

  At Risk

  N/A

• Is there anything hanging on gauges or valve shut offs?

  Safe

  At Risk

  N/A

• Are the lines in good shape with no cracks, burns, or bubbles?

  Safe

  At Risk

  N/A

• Are the tanks secured from falling?

  Yes

  No

  N/A

• Are there flash-back arrestors in place?

  Yes

  No

  N/A

• Are all fitting in good shape and secure?

  Safe

  At Risk

  N/A

• Are valve protecting caps in place?

  Safe

  At Risk

  N/A

• Are the pressure gages free from damage

  poor

  average

  above average

• Is there any welding takes place in this area?

  Yes

  No

  N/A

• Welding

Welding area

• Please identify location

• Is all welding being done away from any heat or source of ignition?

  Safe

  At Risk

  N/A

• Are safety glasses being worn under helmets?

  Safe

  At Risk

  N/A

• Are PPE being used ( gloves, helmets, aprons, capes, etc.) as conditions require?

  Safe

  At Risk

  N/A

• Is there proper ventelation where welding occurs?

  poor

  average

  above average

PPE

• Are inspections being done on the following PPE?

  Yes

  No

  N/A

• Are hard hats being worn whenever there is an overhead hazard?

  Safe

  At Risk

  N/A

• Are Safety Glasses available, being used and in good repair?

  Safe

  At Risk

  N/A

• Are ther goggles available, being used and in good repair?

  Safe

  At Risk

  N/A

• Are welders helmets available, being used, and in good repair?

  Safe

  At Risk

  N/A

• Are face shields available, being used, and in good repair?

  Safe

  At Risk

  N/A

• Are there 2 types of Hearing protection availble and being used?

  Safe

  At Risk

  N/A

• Are all employees wearing safety toed shoes?

  Safe

  At Risk

  N/A

• Are aprons available for welders, being used, and in good repair?

  Safe

  At Risk

  N/A

• Gloves available, being used, and in good repair?

  Safe

  At Risk

  N/A

General

• Is there a responsible person available?

  Yes

  No

  N/A

• Is there employee emergency contact information where employees have access to it?

  Yes

  No

  N/A

• Is there a copy of the MIOSHA Occupational Safety and Health Act accessable to employees?

  Yes

  No

  N/A

• Is there an evacuation plan displayed?

  Yes

  No

  N/A

• Is the MIOSHA workplace poster displayed where all employees are likely to see it?

  Yes

  No

  N/A

• I the OSHA annual summary of workplace injuries and illnesses posted between February 1 through April 30?

  Yes

  No

  N/A

• Is the new revised SDS sheet poster posted and filled out?

  Yes

  No

  N/A

• Are there SDS books available, organized, and up to date?

  Yes

  No

  N/A

• Is there self inspections / safety inspections performed and documented?

  Yes

  No

  N/A

Emergency Preparedness Plan

• Is there an Evacuation Plan displayed and understood by employees?

  Yes

  No

  N/A

• Are evacuation procedures discussed regularly ( 3 - 4 times a year)?

  Yes

  No

  N/A

• Are AED's in place and in working order?

  Yes

  No

  N/A

• Is fire alarm functioning properly?

  Yes

  No

  N/A

• Is there a first aid kit?

  Yes

  No

  N/A

• Are First Aid Kits stocked properly?

First Aid Kit

• Please identify location of first aid kit

• 6 - 4" x 4" Gauze pads

• 2 - 8" x 10" Gauze pads

• 16 Adhesive Bandages (Bandaids)

• 2 - Rolls of 2" cling or wider

• 2 Triangle bandages

• 6 Individual use packets containing 1/32oz of burn treatment

• 10 Packets of antiseptic wipes

• 2 Elastic wraps

• 1 Splint

• 1 Roll of adhesive tape

• 1 Pair of scissors

• 1 Blanket

• 1 pair of tweezers

• Resuscitation mask

• 2 pair of medical grade gloves

• Directions to emergency assistance

• Are there fire extinguishers?

  Yes

  No

  N/A

• Fire Extinguishers

Extinguisher

• Please identify location of fire extinguisher

• Are employees periodically instructed in the use of extinguishers?

  Yes

  No

  N/A

• Has extinguishers recently serviced ( every 6 months )?

  Yes

  No

  N/A

• Are extinguishers in place and clearly marked?

  Yes

  No

  N/A

• Are exits marked?

  Yes

  No

  N/A

• Exits

Exit

• Please identify location of exit

• Are fire exit and directional signs clearly marked?

  Yes

  No

  N/A

• Is all emergency lighting operable?

  Yes

  No

  N/A

• Do all exit doors all open from inside?

  Yes

  No

  N/A

• Are all exits clear of obstructions?

  Yes

  No

  N/A

• Is there any hazardous materials or fuel tanks within 50' of exit?

  Yes

  No

  N/A

Building Safety

• How is the break room housekeeping?

  poor

  average

  above average

• Are all restroom facilities clean and in working order?

  poor

  average

  above average

• Are all walkways adequately and clearly marked?

  Yes

  No

  N/A

• Are all aisles defined and clear?

  Yes

  No

  N/A

• Are there any electrical panels or junction box's?

  Yes

  No

  N/A

• Electrical Panals and Junction box's

Electrical panal

• Please identify location

• Are electrical panals and junction box's secured properly?

  Yes

  No

  N/A

• Is there clear access to electrical panels?

  Yes

  No

  N/A

• Are all electrical panals marked and labeled?

  Yes

  No

  N/A

• Are all electrical panals free from debris being piled on them?

  Yes

  No

  N/A

• Are all electrical panals and junction box's have all punchouts plugged?

  Yes

  No

  N/A

• Are all metalic cable and conduit systems properly grounded?

  Yes

  No

  N/A

• Are there any stairways?

  Yes

  No

  N/A

• Stairways

Stairway

• Please identity location

• Are all hazardous chemicals or fuel stored 50' from any stairways?

  Yes

  No

  N/A

• Are the stair treads and stringer in good shape and secure?

  Yes

  No

  N/A

• Are railing 42" high+/- 3" and have a mid rail 21" or half way in between the top rail and the working surface?

  Yes

  No

  N/A

• Are stairways kept clear?

  Yes

  No

  N/A

• Is there a need for fall prevention? (hole deeper than 36" or height grater than 4')

  Yes

  No

  N/A

• Fall Prevetion measures

Fall Prevetion

• Please identify location

• prevention measures in place

  Yes

  No

  N/A

• Are all holes greater than 2" in their least dimendion protected by covers or railings?

  Yes

  No

  N/A

• Are all railing in good shape and hold 200 lb of foce 2" from the top?

  Yes

  No

  N/A

Truck bay and balcony

• Truck bay and balcony

Room

• Please identify location

• How is the housekeeping?

  poor

  average

  above average

• Is there adequate lighting?

  poor

  average

  above average

• Are benches set to adequat height for the work being done?

  poor

  average

  above average

• Are work area free from shap edges?

  Safe

  At Risk

  N/A

• Are all tool are being used for thier intended purpose?

  Yes

  No

  N/A

• Are all hand tools are free of any damaged?

  Safe

  At Risk

  N/A

• Are all container labeld with Product identifyer, Hazard statement, First Aid measures, and symbol?

  Yes

  No

  N/A

• Are all used shop rags contained properly in metal container with lid?

  Yes

  No

  N/A

• Are all trucks free from clutter and everything secured?

  Safe

  At Risk

  N/A

• Employees using 3 points of contact to enter and exit trucks?

  Safe

  At Risk

  N/A

• Are the battery shutoff's in the off position when not it use?<br>

  Yes

  No

  N/A

• Are floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Are all Jacks and Jack Stands marked with capacity?

  Yes

  No

  N/A

• Are the air compressor relief valve inspection tag up to date (monthly)?

  Yes

  No

  N/A

• Do all compressed air wands have pressure release holes?

  Yes

  No

  N/A

• Are all extension cords free of damage, have the proper grounding, and stored properly (not hanging off nails and hooks)?

  Safe

  At Risk

  N/A

• Is ther an overhead crane?

  Yes

  No

  N/A

• Has there been an overhead crane inspection in past 12 months and documented?

  Yes

  No

  N/A

• Is the overhead crane hoist main power accessible and marked?

  Yes

  No

  N/A

• Are hoist controls marked?

  Yes

  No

  N/A

• Is the overhead crane capacity marked on both sides of the beam support, headace ball, and motor?

  Yes

  No

  N/A

• Does the hook have a safety latch?

  Yes

  No

  N/A

• Are there Ladders?

  Yes

  No

  N/A

• Ladders

Ladder

• Please identify ladder

• Are ladders Industrial Strength?

  Yes

  No

  N/A

• Are ladders being inspected monthly and documented?

  Yes

  No

  N/A

• Are all beams and rungs free of cracks, gouges, dents, splits, splinters, or missing rungs and ware?

  Yes

  No

  N/A

• Are ropes, pulley's, and ground cleats in good shape?

  Yes

  No

  N/A

• Are ladders being used properly?

  Yes

  No

  N/A

• Are ladders secured when being stored?

  Yes

  No

  N/A

• Are there slings, chains, ropes?

  Yes

  No

  N/A

• Sling, chains, ropes

equipment

• Please identify sling, cable, rope, or cable

• Have slings been inspected monthly and documented?

  Yes

  No

  N/A

• Are all unions and cleaveses in good shape and secured?

  Yes

  No

  N/A

• Are they free from fraying, stretching, kinks, or pinching?

  Yes

  No

  N/A

• Do slings have MIOSHA tag with capacity and are legible?

  Yes

  No

  N/A

• Are lifting hooks in good repair (less than 10 Degree twist or 15 Degree bend outward on hook)?

  Yes

  No

  N/A

• Are there Power tools?

  Yes

  No

  N/A

• Power tool inspection

Power tool

• Please identify which power tool

• Are all The proper guards in place?

  Safe

  At Risk

  N/A

• Is the casing in good shape?

  poor

  average

  above average

• Are cords free of freys or nicks?

  Yes

  No

  N/A

• Does the tool have the proper grounding?

  Yes

  No

  N/A

• Are ther Machines (drill press, lathe, etc.)?

  Yes

  No

  N/A

• Drill press, Lathe, Band Saws, and other Machines

Machine

• Please identify which machine

• Is the machine kept clean?

  poor

  average

  above average

• Are the floors around the machine kept clean?

  poor

  average

  above average

• Are all the proper guards in place on machine and adjusted properly?

  Safe

  At Risk

  N/A

• Are all vises secured to machine?

  Safe

  At Risk

  N/A

• Is the starting and stopping device within easy reach?

  Safe

  At Risk

  N/A

• Is the stopping device a red button?

  Yes

  No

  N/A

• Is that machine able to be LOTO?

  Safe

  At Risk

  N/A

• Are there Storage Racks?

  Yes

  No

  N/A

• Storage racks

storage rack

• Please identify location of storage racks

• Are all materials stored on racks and in bins when possible?

  Safe

  At Risk

  N/A

• Is material stored so proper lifting techniques can be used?

  Safe

  At Risk

  N/A

• Are floors around racks free of rubbish?

  poor

  average

  above average

• What is the general condition of racks and bins?

  poor

  average

  above average

• Are materials stored on pallets sucured when elevated?

  Safe

  At Risk

  N/A

• Are there compressed cylinders storage?

  Yes

  No

  N/A

• Are tanks clearly labeled?

  Yes

  No

  N/A

• Do they have valve protection caps in place?

  Yes

  No

  N/A

• Are tanks secured to prevent tipping?

  Yes

  No

  N/A

• Are the empty isolated from filled and labeled (empty or full)?

  Yes

  No

  N/A

• Are Oxygen Cylinders segregated by 20' from any fuel gas, or flammable or combustible liquids, or other highly combustible materials?

  Yes

  No

  N/A

• Is there a torch in this area?

  Yes

  No

  N/A

• Torches

Tourch

• Please identify location of torch

• When not is use have torches been shut off and lines bleed off?

  Safe

  At Risk

  N/A

• Is there anything hanging on gauges or valve shut offs?

  Safe

  At Risk

  N/A

• Are the lines in good shape with no cracks, burns, or bubbles?

  Safe

  At Risk

  N/A

• Are the tanks secured from falling?

  Yes

  No

  N/A

• Are there flash-back arrestors in place?

  Yes

  No

  N/A

• Are all fitting in good shape and secure?

  Safe

  At Risk

  N/A

• Are valve protecting caps in place?

  Safe

  At Risk

  N/A

• Are the pressure gages free from damage

  poor

  average

  above average

• Is there any welding takes place in this area?

  Yes

  No

  N/A

• Welding

Welding area

• Please identify location of welding area

• Is all welding being done away from any heat or source of ignition?

  Safe

  At Risk

  N/A

• Are safety glasses being worn under helmets?

  Safe

  At Risk

  N/A

• Are PPE being used ( gloves, helmets, aprons, capes, etc.) as conditions require?

  Safe

  At Risk

  N/A

• Is there proper ventelation where welding occurs?

  poor

  average

  above average

PPE

• Are inspections being done on the following PPE?

  Yes

  No

  N/A

• Are hard hats being worn whenever there is an overhead hazard?

  Safe

  At Risk

  N/A

• Are Safety Glasses available, being used and in good repair?

  Safe

  At Risk

  N/A

• Are ther goggles available, being used and in good repair?

  Safe

  At Risk

  N/A

• Are welders helmets available, being used, and in good repair?

  Safe

  At Risk

  N/A

• Are face shields available, being used, and in good repair?

  Safe

  At Risk

  N/A

• Are there 2 types of Hearing protection availble and being used?

  Safe

  At Risk

  N/A

• Are all employees wearing safety toed shoes?

  Safe

  At Risk

  N/A

• Are aprons available for welders, being used, and in good repair?

  Safe

  At Risk

  N/A

• Gloves available, being used, and in good repair?

  Safe

  At Risk

  N/A

Offices

• Individual Offices

Office

• Who's office

• Are office runners and rugs laying flat?

  Safe

  At Risk

  N/A

• What is the furniture in sound condition?

  poor

  average

  above average

• Is there good house keeping?

  poor

  average

  above average

• Is there adequate lighting?

  poor

  average

  above average

• Are record storage racks secured and stable?

  Safe

  At Risk

  N/A

• Are floors free of obstructions?

  poor

  average

  above average

• Are all drawers kept shut when not using?

  Safe

  At Risk

  N/A

• How is the adjustable key board positions?

  poor

  average

  above average

• How is the adjustable computer screen height?

  poor

  average

  above average

OUT BUILDINGS

• Out Building

Building

• Please note which out building

• Is there a first aid kit?

  Yes

  No

  N/A

• Are First Aid Kits stocked properly?

First Aid Kit

• Please identify location of first aid kit

• 6 - 4" x 4" Gauze pads

• 2 - 8" x 10" Gauze pads

• 16 Adhesive Bandages (Bandaids)

• 2 - Rolls of 2" cling or wider

• 2 Triangle bandages

• 6 Individual use packets containing 1/32oz of burn treatment

• 10 Packets of antiseptic wipes

• 2 Elastic wraps

• 1 Splint

• 1 Roll of adhesive tape

• 1 Pair of scissors

• 1 Blanket

• 1 pair of tweezers

• Resuscitation mask

• 2 pair of medical grade gloves

• Directions to emergency assistance

• Are there fire extinguishers?

  Yes

  No

  N/A

• Fire Extinguishers

Extinguisher

• Please identify location of fire extinguisher

• Are employees periodically instructed in the use of extinguishers?

  Yes

  No

  N/A

• Has extinguishers recently serviced ( every 6 months )?

  Yes

  No

  N/A

• Are extinguishers in place and clearly marked?

  Yes

  No

  N/A

• Are exits marked?

  Yes

  No

  N/A

• Exits

Exit

• Please Identify location of exit

• Are fire exit and directional signs clearly marked?

  Yes

  No

  N/A

• Is all emergency lighting operable?

  Yes

  No

  N/A

• Do all exit doors all open from inside?

  Yes

  No

  N/A

• Are all exits clear of obstructions?

  Yes

  No

  N/A

• Is there any hazardous materials or fuel tanks within 50' of exit?

  Yes

  No

  N/A

Building Safety

• Are there electrical panels?

  Yes

  No

  N/A

• Electrical Panals and Junction box's

Electrical panal

• Please identify location of electrical panals

• Are electrical panals and junction box's secured properly?

  Yes

  No

  N/A

• Is there clear access to electrical panels?

  Yes

  No

  N/A

• Are all electrical panals marked and labeled?

  Yes

  No

  N/A

• Are all electrical panals free from debris being piled on them?

  Yes

  No

  N/A

• Are all electrical panels and junction box's have all punch-outs plugged?

  Yes

  No

  N/A

• Are all metallic cable and conduit systems properly grounded?

  Yes

  No

  N/A

• Are there stairways?

  Yes

  No

  N/A

• Stairways

Stairway

• Please identify location

• Is there any hazardous chemicals or fuel stored under stairways?

  Yes

  No

  N/A

• Are the stair treads and stringer in good shape and secure?

  Yes

  No

  N/A

• Are railing 42" high+/- 3" and have a mid rail 21" or half way in between the top rail and the working surface?

  Yes

  No

  N/A

• Are stairways kept clear?

  Yes

  No

  N/A

• Is there a need for fall prevention? ( hole deeper than 36" or height greater than 4')

  Yes

  No

  N/A

• Fall Prevetion measures

Fall Prevetion

• Please identify location

• prevention measures in place

  Yes

  No

  N/A

• Are all holes greater than 2" in their least dimendion protected by covers or railings?

  Yes

  No

  N/A

• Are all railing in good shape and hold 200 lb of foce 2" from the top?

  Yes

  No

  N/A

• Are all aisles defined and clear?

  Yes

  No

  N/A

• Are all walkways adequately and clearly marked?

  Yes

  No

  N/A

• How is the housekeeping?

  poor

  average

  above average

• Is there adequate lighting?

  poor

  average

  above average

• Are work area free from shap edges?

  Safe

  At Risk

  N/A

• Are all container labeld with Product identifyer, Hazard statement, First Aid measures, and symbol?

  Yes

  No

  N/A

• Are the battery shutoff's in the off position when not it use?<br>

  Yes

  No

  N/A

• Are floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Are all Jacks and Jack Stands marked with capacity?

  Yes

  No

  N/A

• Are the air compressor relief valve inspection tag up to date (monthly)?

  Yes

  No

  N/A

• Do all compressed air wands have pressure release holes?

  Yes

  No

  N/A

• Are all extension cords free of damage, have the proper grounding, and stored properly (not hanging off nails and hooks)?

  Safe

  At Risk

  N/A

• Is ther an overhead crane?

  Yes

  No

  N/A

• Has there been an overhead crane inspection in past 12 months and documented?

  Yes

  No

  N/A

• Is the overhead crane hoist main power accessible and marked?

  Yes

  No

  N/A

• Are hoist controls marked?

  Yes

  No

  N/A

• Is the overhead crane capacity marked on both sides of the beam support, headace ball, and motor?

  Yes

  No

  N/A

• Does the hook have a safety latch?

  Yes

  No

  N/A

• Are there Ladders?

  Yes

  No

  N/A

• Ladders

Ladder

• Please identify ladder?

• Are ladders Industrial Strength?

  Yes

  No

  N/A

• Are ladders being inspected monthly and documented?

  Yes

  No

  N/A

• Are all beams and rungs free of cracks, gouges, dents, splits, splinters, or missing rungs and ware?

  Yes

  No

  N/A

• Are ropes, pulley's, and ground cleats in good shape?

  Yes

  No

  N/A

• Are ladders being used properly?

  Yes

  No

  N/A

• Are ladders secured when being stored?

  Yes

  No

  N/A

• Are there slings, chains, ropes?

  Yes

  No

  N/A

• Sling, chains, ropes

equipment

• Please identify sling, rope, chain, or cable

• Have slings been inspected monthly and documented?

  Yes

  No

  N/A

• Are all unions and cleaveses in good shape and secured?

  Yes

  No

  N/A

• Are they free from fraying, stretching, kinks, or pinching?

  Yes

  No

  N/A

• Do slings have MIOSHA tag with capacity and are legible?

  Yes

  No

  N/A

• Are lifting hooks in good repair (less than 10 Degree twist or 15 Degree bend outward on hook)?

  Yes

  No

  N/A

• Are there Power tools?

  Yes

  No

  N/A

• Power tool inspection

Power tool

• Please identify which power tool

• Are all The proper guards in place?

  Safe

  At Risk

  N/A

• Is the casing in good shape?

  poor

  average

  above average

• Are cords free of freys or nicks?

  Yes

  No

  N/A

• Does the tool have the proper grounding?

  Yes

  No

  N/A

• Are ther Machines (drill press, lathe, etc.)?

  Yes

  No

  N/A

• Drill press, Lathe, Band Saws, and other Machines

Machine

• Please identify which machine

• Is the machine kept clean?

  poor

  average

  above average

• Are the floors around the machine kept clean?

  poor

  average

  above average

• Are all the proper guards in place on machine and adjusted properly?

  Safe

  At Risk

  N/A

• Are all vises secured to machine?

  Safe

  At Risk

  N/A

• Is the starting and stopping device within easy reach?

  Safe

  At Risk

  N/A

• Is the stopping device a red button?

  Yes

  No

  N/A

• Is that machine able to be LOTO?

  Safe

  At Risk

  N/A

• Are there Storage Racks?

  Yes

  No

  N/A

• Storage racks

storage rack

• Please identify location

• Are all materials stored on racks and in bins when possible?

  Safe

  At Risk

  N/A

• Is material stored so proper lifting techniques can be used?

  Safe

  At Risk

  N/A

• Are floors around racks free of rubbish?

  poor

  average

  above average

• What is the general condition of racks and bins?

  poor

  average

  above average

• Are materials stored on pallets sucured when elevated?

  Safe

  At Risk

  N/A

• Are there compressed cylinders storage?

  Yes

  No

  N/A

• Are tanks clearly labeled?

  Yes

  No

  N/A

• Do they have valve protection caps in place?

  Yes

  No

  N/A

• Are tanks secured to prevent tipping?

  Yes

  No

  N/A

• Are the empty isolated from filled and labeled (empty or full)?

  Yes

  No

  N/A

• Are Oxygen Cylinders segregated by 20' from any fuel gas, or flammable or combustible liquids, or other highly combustible materials?

  Yes

  No

  N/A

• Are there a torch in this area?

  Yes

  No

  N/A

• Torches

Tourch

• Please identify torch

• When not is use have torches been shut off and lines bleed off?

  Safe

  At Risk

  N/A

• Is there anything hanging on gauges or valve shut offs?

  Safe

  At Risk

  N/A

• Are the lines in good shape with no cracks, burns, or bubbles?

  Safe

  At Risk

  N/A

• Are the tanks secured from falling?

  Yes

  No

  N/A

• Are there flash-back arrestors in place?

  Yes

  No

  N/A

• Are all fitting in good shape and secure?

  Safe

  At Risk

  N/A

• Are valve protecting caps in place?

  Safe

  At Risk

  N/A

• Are the pressure gages free from damage

  poor

  average

  above average

• Is there any welding takes place in this area?

  Yes

  No

  N/A

• Welding

Welding area

• Please identify location

• Is all welding being done away from any heat or source of ignition?

  Safe

  At Risk

  N/A

• Are safety glasses being worn under helmets?

  Safe

  At Risk

  N/A

• Are PPE being used ( gloves, helmets, aprons, capes, etc.) as conditions require?

  Safe

  At Risk

  N/A

• Is there proper ventelation where welding occurs?

  poor

  average

  above average