SVPHT Plant Room Safety Inspection

• SVPHT Plant Room Safety Inspection

• Document No.

• Plant Room #

• Conducted on

  Date

• Prepared by

• Personnel Conducting Audit & Managers Name

Safety Management

• All entrance and exit doors close and latch?

  Yes

  No

  N/A

• Signage displayed? Plant Id #, Restricted access, Haz-chem, Confined space?

  Yes

  No

  N/A

• Plant room lighting adequate?

  Safe

  At Risk

  N/A

• Plant room tidy and free of combustible materials and excess parts?

  Yes

  No

  N/A

• Electrical tag & test in date? Check 3 items

  Yes

  No

  N/A

• Electrical cords and plugs in a safe condition?

  Yes

  No

  N/A

• Electrical panels accessible? Check

  Yes

  No

  N/A

• Extension cords are not in use?

  Yes

  No

  N/A

• Equipment requiring repair clearly display out of service tag or lock out?

  Yes

  No

  N/A

• Lifting equipment available?

  Yes

  No

  N/A

• Step stools or platform ladders available?

  Yes

  No

  N/A

• Emergency codes available?

  Yes

  No

  N/A

• Flashlights available?

  Yes

  No

  N/A

• Fire alarms accessible?

  Yes

  No

  N/A

• Fire extinguishers accessible?

  Yes

  No

  N/A

• Flammables stored appropriately?

  Yes

  No

  N/A

• Fire extinguishers tested 6 monthly?

  Yes

  No

  N/A

• Medical gas stored appropriately and secured?

  Yes

  No

  N/A

• Appropriately Use of bulk medical gas storage rooms?

  Yes

  No

  N/A

• Smoke detectors unobstructed?

  Yes

  No

  N/A

• Sprinklers unobstructed?

  Yes

  No

  N/A

• Fire plans on display and accurate depicting exits, assembly points, extinguishers etc,

  Yes

  No

  N/A

• Stairwells clear?

  Yes

  No

  N/A

• Oxygen, Medical Air, Scavenger, LPG Gas, Stream shut off valves labeled? And Accessible?

  Yes

  No

  N/A

• Products properly labeled and stored?

  Yes

  No

  N/A

• PPE available?

  Yes

  No

  N/A

• PPE required has signage displayed?

  Yes

  No

  N/A

• Safety data sheets are accessible?

  Yes

  No

  N/A

• Chemical spill kits are accessible? Where are they located

  Yes

  No

  N/A

• Appropriate items in general trash?

  Yes

  No

  N/A

• Appropriate handling of waste streams?

  Yes

  No

  N/A

Sign Off?

• Manager Sign Off

  Sign

• WHS Rep Sign Off

  Sign