Webb County

• Conducted on

  Date

• Prepared by

• Location
  Address

General Housekeeping & Bulletin Board Posting

• All personnel exits accessible and unobstructed?

  Yes

  No

  N/A

• Oily rags kept in approved metal container and emptied daily? Waste properly disposed?

  Yes

  No

  N/A

• Are stairways and aisles clear, well lit, and unobstructed?

  Yes

  No

  N/A

• Are floors free of loose materials, debris, holes, protruding nails, worn carpeting?

  Yes

  No

  N/A

• Is the office clutter free, and organized adequately?

  Yes

  No

  N/A

• Are outside waste receptacles at least 25 feet from buildings?

  Yes

  No

  N/A

• Are extension cords used extensively? Are they exposed in areas where employees walk?

  Yes

  No

  N/A

• Are desk and file drawers kept closed when not in use?

  Yes

  No

  N/A

• Are there stepladders or stepstools to get to materials on higher shelves?

  Yes

  No

  N/A

• Are required postings properly displayed on bulletin board for all employees to view? (Worker's Comp, Insurance Regulations, Wage and hour info., and all other state regulations)

  Yes

  No

  N/A

Smoking Regulations

• No smoking areas prominently posted with "No Smoking" signs?

  Yes

  No

  N/A

• Designated smoking areas are free of combustibles?

  Yes

  No

  N/A

• Designated smoking areas have properly sized receptacles?

  Yes

  No

  N/A

Fire Extinguisher

• Fire extinguisher properly located and accessible?

  Yes

  No

  N/A

• Is safety pin missing?

  Yes

  No

  N/A

• Is hose or nozzle cracked?

  Yes

  No

  N/A

• All extinguishers properly charged and tagged with date of recharge?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Is required PPE provided, maintained, and used properly?

  Yes

  No

  N/A

• Are employees trained on how to properly don and doff PPE?

  Yes

  No

  N/A

• Does PPE meet requirement? Is it reliable?

  Yes

  No

  N/A

• Do employees use PPE whenever it is needed?

  Yes

  No

  N/A

• Are employees trained on how to properly use PPE?

  Yes

  No

  N/A

Emergency Exits

• Are emergency exit doors unobstructed and easily open and close?

  Yes

  No

  N/A

• ADA doors functioning properly?

  Yes

  No

  N/A

• Is fire and security alarm in place, operating, maintained, and tested regularly?

  Yes

  No

  N/A

• Are stair treads slip-resistant?

  Yes

  No

  N/A

• Are stair treads in good condition (not worn down)?

  Yes

  No

  N/A

• Are hand rails on the stairs properly installed and fastened?

  Yes

  No

  N/A

• Is stair way lit properly?

  Yes

  No

  N/A

• Are all emergency exits open? Are emergency exits clearly marked and visible (lit properly)?

  Yes

  No

  N/A

Exterior Inspection

• Are all sidewalks in good condition? No trip hazards?

  Yes

  No

  N/A

• All sand bags are removed, if not needed on the sidewalks and parking areas?

  Yes

  No

  N/A

• Exterior windows and doors are properly maintained?

  Yes

  No

  N/A

• Is entry way accessible and in no need of improvements/repairs?

  Yes

  No

  N/A

Building Inspection

• Are washrooms and food preparation areas clean?

  Yes

  No

  N/A

• Are all emergency exits open? Are emergency exits clearly marked and visible (lit properly)?

  Yes

  No

  N/A

• No unauthorized appliances (heater)?

  Yes

  No

  N/A

• Bathrooms inspected frequently for slippery floors?

  Yes

  No

  N/A

• Annual elevator inspection certificate available for review?

  Yes

  No

  N/A

• Are stair treads slip-resistant?

  Yes

  No

  N/A

• Are stair treads in good condition (not worn down)?

  Yes

  No

  N/A

• Are hand rails on the stairs properly installed and fastened?

  Yes

  No

  N/A

• Is stair way lit properly?

  Yes

  No

  N/A

• Is floor space free of potential slip or trip hazard?

  Yes

  No

  N/A

• Are evacuation procedures posted?

  Yes

  No

  N/A

• Does this department have evacuation procedures in place?

  Yes

  No

  N/A

Machine Guarding

• Are all machines guarded to protect operators from potential hazards?

  Yes

  No

  N/A

• Are point of operation guards in place on all operating equipment?

  Yes

  No

  N/A

Storage and Flammable Liquids

• Is there any spray bottles with chemicals that are not labeled?

  Yes

  No

  N/A

• Flammable and combustible liquids, including aerosols & bulk drums, removed from storage areas and kept in UL- Listed cabinets?

  Yes

  No

  N/A

• Does facility have SDS sheets (Safety Data Sheets) available and accessible to all employees?

  Yes

  No

  N/A

• Are the NFPA-704 labels (National Fire Protection Association) displayed on chemicals?

  Yes

  No

  N/A

• Is chemical stock maintained at leas 18 inches below the ceiling sprinkler heads?

  Yes

  No

  N/A

• Is chemical stock maintained at least 6 inches below in rack sprinkler heads?

  Yes

  No

  N/A

• Are dispensing drums equipped with approved hand operated pumps or check valves?

  Yes

  No

  N/A

Medical & First Aid

• Do all employees know on the job injury procedures?

  Yes

  No

  N/A

• Are any employees trained in first aid and CPR?

  Yes

  No

  N/A

• Are approved first aid supplies readily available?

  Yes

  No

  N/A

• Are supplies replenished as they are used?

  Yes

  No

  N/A

• Are there any items in the first aid kit that are expired?

  Yes

  No

  N/A

• Is there an AED unit in the facility?

  Yes

  No

  N/A

• Is the AED unit in working condition?

  Yes

  No

  N/A

• Are safety meetings held in the department?

  Yes

  No

  N/A

Other

• Alberto R. Oliveros Risk Management Coordinator

  Sign