Information
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Document No.
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Audit Title
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Division/Department
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Conducted on
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Prepared by
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Location
Housekeeping
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Select date and time inspection took place.
Housekeeping
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Are aisle ways and exits clear and unobstructed?
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Are offices and storage areas clean, orderly, and free of debris and slipping/tripping hazards?
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Are cabinet tops clean and not used as storage?
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Are mops and brooms stored in a well ventilated area with heads up off the floor?
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Are janitors closets clean and not used for storage?
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Are food appliances and eating areas kept clean?
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Are floors adequately swept, mopped, vacuumed and free of slipping/tripping/fall hazards?
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Are fluorescent light tubes properly disposed of?
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Are filing cabinet drawers evenly loaded to prevent tipping over?
Electrical
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Select date and time inspection took place.
Electrical
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Is the use of extension cords eliminated when possible?
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Are only UL-approved extension cords and/or power strips used?
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Are electric cords in good repair (not spliced or taped, ground prong intact, plug secure on cord)?
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Are electric cords arranged so they do not present tripping or other hazard?
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Are electric cords kept out of doorways and aisles?
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Are breaker boxes and junction boxes securely covered?
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Are heat-producing appliances plugged directly into hard-wired outlets, not extension cords?
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Do portable heat-producing appliances have tip over safety feature?
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Are electrical outlets not overloaded?
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Is emergency lighting operational?
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Do electrical panel boxes lock and close properly?
Sign Posting/Labeling
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Select date and time inspection took place.
Sign Posting/Labeling
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Is a written Emergency/Evacuation Plan posted and up to date?
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Are Bomb Threat procedures posted near doors and phones?
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Are Industrial Hygiene Surveys available and up to date?
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Is the Commanding Officer's Safety Policy Statement posted and up to date?
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Are applicable Safety and Occupational Heath (SOH) and Fire Deficiency Notices posted and up to date?
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Are routine (monthly/quarterly) supervisor workplace safety inspections being conducted and recorded?
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Are Unsafe/Unhealthful report forms readily available to employees?
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Is the DOD Safety & Occupational Health Protection Program poster (DD2272) posted on the official bulletin board?
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When required, are floor loading signs posted? (I.e., mezzanine areas)
Miscellaneous
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Select date and time inspection took place.
Miscellaneous
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Are office furnishings and chairs in good repair?
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Do rolling chairs have 5 casters?
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Are step stools and ladders sturdy and fitted with rubber caps to control movement while in use?
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Are paper cutters equipped with safety latches, finger guards, and stored with the blade locked?
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Are fans equipped with adequate blade guards?
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Are all employees briefed on the office emergency evacuation plan and re-assembly?
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Is ergonomic hazard mitigation being used?
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Are area JHAs up to date, and are they available for worker review?
Fire Protection
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Select date and time inspection took place.
Fire protection
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Are emergency egress lanes clear and unobstructed?
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Are personnel EXIT signs posted and clearly visible?
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Are fire exits kept free of obstructions?
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Are the directions to exits, when not immediately apparent, marked clearly with visible signs?
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Are emergency egress EXIT signs illuminated and in working order?
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Are fire suppression sprinkler heads kept clean?
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Are sprinkler heads protected by metal guards when exposed to physical damage?
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Is proper clearance maintained below sprinkler heads (18 inches)?
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Are appropriate fire extinguishers mounted, located, and identified so they are readily accessible to employees?
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Are all fire extinguishers inspected monthly and recharged regularly and noted on the inspection tag?
Hazardous Material/Training
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Select date and time inspection took place.
Hazardous Material
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If secondary containers are used, are they properly labeled?
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Are MSDS logs current and readily available?
Training
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Are all personnel assigned appropriate (Core) duty/task(s)?
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Are all personnel assigned correct job specific duty/task(s) that correctly identify their training requirements?
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Are all personnel current with required training and medical surveillance?
Signature
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Signature of inspector. (Sign when all sections have been completed.)