Title Page
Purpose of Inspection
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This inspection is used to identify potential environmental, health, and safety compliance issues. Please review each finding.
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Conducted on
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Prepared by
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Site Name
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Location
General Industry Safety Orders
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Do handwashing facilities provide an adequate supply of running potable water, soap and single use towels or hot air drying machine?
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Specific Location
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Please ensure handwashing facilities provide an adequate supply of running potable water, soap and single use towels or hot air drying machine.
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8 CCR § 5193(d)(3)(I)(1)
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“Handwashing Facilities” means a facility providing an adequate supply of running potable water, soap and single use towels or hot air drying machines. Employers shall provide handwashing facilities which are readily accessible to employees.
Egress
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Are exit paths and signs clearly visible?
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Specific Location:
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Ensure all exit paths and signs are clearly visible.
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8 CCR § 3215(e)
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Whenever the building is occupied, exit paths shall be lighted so that they may be easily recognized and all exit and directional signs shall be clearly visible.
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Are emergency exits kept clear?
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Specific Location:
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Ensure emergency exits are clear.
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8 CCR § 3225(a)(1)
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Every required exit shall be maintained free of all obstructions or impediments to full instant use in the case of fire or other emergency.
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Are aisles or walkways free of obstruction?
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Specific Location:
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Ensure aisles or walkways are free of obstruction to allow easy passage.
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8 CCR §3272(b)
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Where aisles or walkways are required, machinery equipment, parts, and stock shall be so arranged and spaced as to provide clear walkways or aisles of not less than 24 inches in width and 6 feet 8 inches clear headroom to a safe means of egress from the building.
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Are workplace areas kept clean, orderly and sanitary?
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Specific Location:
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Please ensure general housekeeping is maintained in workplaces.
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8 CCR § 3362(a)
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To the extent that the nature of the work allows, workplaces, storerooms, personal service rooms and passageways shall be kept clean, orderly and in a sanitary condition.
Emergency Preparedness and Response
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Is emergency contact information up-to-date and posted clearly for employees to see?
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Specific Location:
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Post up-to-date emergency contact information.
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8 CCR § 9881
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(a) Every employer shall post and keep posted in a conspicuous location frequented by employees during the hours of the workday a Notice to Employees.
(c) The Notice to Employees poster shall include the following information
(2) How to get emergency medical treatment, if needed.
(3) Emergency telephone number(s), for hospital, ambulance, police and firefighting services. -
Are first aid kits on site and adequately stocked?
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Specific Location:
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Ensure inspections are completed and documented as well as making the materials readily available.
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8 CCR §3400
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(c) There shall be adequate first-aid materials, approved by the consulting physician, readily available for employees on every job. Such materials shall be kept in a sanitary and usable condition. A frequent inspection shall be made of all first-aid materials, which shall be replenished as necessary.
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Are AEDs (automated or automatic external defibrillator) maintained and regularly tested?
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Specific Location:
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Please ensure AEDs are maintained and all requirements are met in Section 1797.196
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HSC § 1797.196
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Any person or entity that acquires an AED is not liable for any civil damages...if that person or entity does all of the following: (1) Complies with all regulations governing the placement of an AED.(2) Ensures all of the following: (A) That the AED is maintained and regularly tested according to the operation and maintenance guidelines set forth by the manufacturer, the American Heart Association, and the American Red Cross...and any other applicable state and federal authority.
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Are spill kits on site and adequately stocked?
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Specific Location
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Please ensure spill control equipment is available and can be accessed easily.
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22 CCR § 66265.32 (c)
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All facilities shall be equipped with the following, unless it can be demonstrated to the Department that none of the hazards posed by waste handled at the facility could require a particular kind of equipment specified below: … (c) spill control equipment.
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Are emergency eyewash stations and/or showers accessible within 10 seconds and free of obstructions?
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Specific Location:
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Please keep areas around eyewash stations and showers clear for ease of use and ensure they are within 10 or less seconds for the potentially injured.
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8 CCR § 5162(c)
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The area of the eyewash and shower equipment shall be maintained free of items which obstruct their use. Emergency eyewash facilities and deluge showers shall be in accessible locations that require no more than 10 seconds for the injured person to reach. If both an eyewash and shower are needed, they shall be located so that both can be used at the same time by one person.
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Are all fire extinguishers readily accessible and free from obstructions?
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Specific Location:
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Please ensure access to all fire extinguishers is not blocked or hindered.
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8 CCR § 6151(c)
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The employer shall provide portable fire extinguishers and shall mount, locate and identify them so that they are readily accessible to employees without subjecting the employees to possible injury.
Hazard Communication
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Are employees using appropriate and required PPE (Personal Protective Equipment) and is it kept in a safe and sanitary condition?
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Specific Location:
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Please ensure that employees use appropriate PPE when required.
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8 CCR § 3380
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The employer shall assess the workplace to determine if hazards are present, or are likely to be present, which necessitate the use of personal protective equipment (PPE). If such hazards are present, or likely to be present, the employer shall: (A) Select, and have each affected employee use, the types of PPE that will protect the affected employee from the hazards identified in the hazard assessment; (B) Communicate selection decisions to each affected employee; and, (C) Select PPE that properly fits each affected employee.
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Are all containers containing chemicals/materials adequately labeled?
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Specific Location:
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Please ensure that the hazard identification (hazard communication) is clearly displayed on the container.
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8 CCR § 5194(f)(10)
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The employer shall ensure that workplace labels or other forms of warning are legible, in English, and prominently displayed on the container.
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Are hazardous materials stored in compatible containers?
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Specific Location:
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Ensure hazardous materials are stored in compatible containers.
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8 CCR §5164 (b)
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Hazardous substances shall be stored in containers which are chemically inert to and appropriate for the type and quantity of the hazardous substance.
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Are hazardous chemicals segregated properly?
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Specific Location:
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Please ensure proper storage of all hazardous materials, including segregation of incompatible materials.
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8 CCR § 5164(a)
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Substances which, when mixed, react violently, or evolve toxic vapors or gases, or which in combination become hazardous by reason of toxicity, oxidizing power, flammability, explosibility, or other properties, shall be evaluated for compatibility before storing. Incompatible substances shall be separated from each other in storage by distance, or by partitions, dikes, berms, secondary containment or otherwise, so as to preclude accidental contact between them.
Note: Some typical examples of such incompatible substances are: Mineral acids and oxidizing agents; mineral acids and cyanides; oxidizing agents and combustible materials; acids and alkalis
Storage
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Do racks and shelves have secure storage of materials, especially on the highest level?
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Specific Location:
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Please ensure storage of materials on shelves and racks is secure to prevent potential injury from materials falling.
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29 CFR § 1910.176(b)
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Storage of material shall not create a hazard. Bags, containers, bundles, etc., stored in tiers shall be stacked, blocked, interlocked and limited in height so that they are stable and secure against sliding or collapse.
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Are food and/or beverages not stored or consumed in areas where there may be toxic materials (including a toilet room)?
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Specific Location:
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Please prohibit the storage and consumption of food and beverages in areas where there may be contaminated by toxic materials.
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8 CCR § 3368(b)
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Food and beverages shall not be stored or consumed in a toilet room or in an area where they may be contaminated by any toxic material.
Laboratory
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Are fume hoods being used properly (Close hood sash when not in use, not used for permanent storage, etc.)?
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Specific Location:
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Ensure the fume hoods are used properly - if they do not meet the requirements, prohibit the use of the hoods.
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8 CCR § 5154.1(e) (1)
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The face velocity required by subsection (c) should be obtainable with the movable sashes fully opened. Where the required velocity can only be obtained by partly closing the sash, the sash and/or jamb shall be marked to show the maximum opening at which the hood face velocity will meet the requirements of subsection (c). Any hood failing to meet requirements of subsection (c) and this paragraph shall be considered deficient in airflow and shall be posted with placards, plainly visible, which prohibit use of hazardous substances within the hood.
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Are food and/or beverages not kept in refrigerators, freezers, shelves, cabinets or on countertops or benchtops where blood or OPIM are present and is there signage in applicable areas?
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Specific Location
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Please ensure food and/or beverages are not kept in refrigerators, freezers, shelves, cabinets or on countertops or benchtops where blood or OPIM are present and there is signage in applicable areas.
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8 CCR § 5193 (d)(3)(B)(10)
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Food and drink shall not be kept in refrigerators, freezers, shelves, cabinets or on countertops or benchtops where blood or OPIM are present.
Electrical
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Is there 3 feet of clearance about electrical equipment (panels, etc.)?
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Specific Location:
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Please maintain 3 feet of clearance for electrical panels.
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8 CCR § 2340.16
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Sufficient access and working space shall be provided and maintained about all electric equipment to permit ready and safe operation and maintenance of such equipment.
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Electrical equipment free from recognized hazards?
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Specific Location:
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Ensure electrical equipment is free from recognized hazards.
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8 CCR § 2340.1
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Electrical equipment shall be maintained free from recognized hazards that are likely to cause death or serious physical harm to employees.
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Are all electrical boxes/outlets properly covered and no wires exposed?
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Specific Location:
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Please ensure there are no faceplates missing or exposed wires.
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8 CCR § 2473.2
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All pull boxes, junction boxes, and fittings shall be provided with covers identified for the purpose. If metal covers are used, they shall be grounded. In completed installations, each outlet box shall have a cover, faceplate, or fixture canopy.
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Are flexible cords used properly (Not used as permanent source of power, run through holes/doorways/windows, concealed, etc.)?
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Specific Location:
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Please ensure the use of flexible cords are used in accordance with § 2500.7, "Uses Permitted". Install permanent solutions such as a power strip as long as they are installed and used in accordance with instructions from the manufacturer and included in the listing or labeling on the device from a certified source.
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8 CCR § 2500.8
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Flexible cords and cables shall not be used: (1) as a substitute for the fixed wiring of a structure; (2) where run through holes in walls, ceilings, or floors; (3) where run through doorways, windows or similar openings; (4) where attached to building surfaces; (5) where concealed behind building walls, ceilings, or floors; or (6) Where installed in raceways, except as otherwise permitted in these Electrical Safety Orders.
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Are flexible cords NOT connected or “daisy chained” to other flexible cords?
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Specific Location:
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Please do not connect power strips and/or extension cords into other power strips and/or extension cords.
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29 CFR § 1910.303(b)
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Listed or labeled equipment shall be installed and used in accordance with
any instructions included in the listing or labeling.
Compressed Gas
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Are compressed gas cylinders secured against movement?
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Specific Location
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Please ensure all compressed gas cylinders secured against movement.
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8 CCR § 4650 (h)
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Compressed gas cylinders in portable service shall be conveyed by suitable trucks to which they are securely fastened; and all gas cylinders in service shall be securely held in substantial racks or secured to other rigid structures so that they will not fall or be knocked over.
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Are compressed gas cylinders capped with valve protection when not in use?
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Specific Location
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Please ensure cylinders capped when not in use.
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8 CCR § 4650 (f)
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All cylinders which are designed to accept valve protection devices shall be equipped with such devices when the cylinders are not in use or connected for use.
Flammable Materials
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Are flammable liquid storage cabinets being kept clear of materials being stored on/around the unit?
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Specific Location:
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Please ensure that "flam cabinets" are clear of any stored supplies on and around the unit.
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29 CFR § 1910.106(e)(9)
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Flammable liquid storage areas shall have a "clear zone" maintained, kept free of...unnecessary combustible materials.
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Are there no ignition sources near flammable liquids?
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Specific Location:
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Ensure no ignition sources are near areas where flammable liquids are managed.
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8 CCR § 5416
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No source of ignition shall be permitted in or near a pit or sump in a location near which flammable liquids are regularly and frequently, or have recently been, used, handled or stored in other than closed containers unless tests have been made which indicate that the concentration of flammable vapor is less than 25 percent of the lower explosive limit.
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Are adequate precautions taken to prevent ignition of flammable vapors?
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Specific Location:
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Ensure you take adequate precautions to prevent ignition of flammable vapors.
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8 CCR § 5549(a)
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Adequate precautions shall be taken to prevent the ignition of flammable vapors by open flames; lightning; smoking; cutting and welding; hot surfaces; frictional heat; static, electrical and mechanical sparks; spontaneous ignition, including heat-producing chemical reactions; radiant heat; or other sources of ignition.
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Are flammable liquids kept in covered containers when not in use?
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Specific Location:
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Please ensure flammable or combustible liquids are stored in closed containers.
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8 CCR § 5545 (c)
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Category 1 or 2 flammable liquids, or Category 3 flammable liquids with a flash point below 100F (37.8C), shall be kept in covered containers when not actually in use.
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Are containers bonded and grounded when flammable or combustible liquids are transfered?
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Specific Location:
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Ensure containers are bonded and grounded when transferring flammable or combustible liquids.
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8 CCR §5451 (p)
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Whenever flammable or combustible liquids are transferred from one container to another, both containers shall be effectively bonded and grounded to dissipate static electricity.
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Are flammable liquids not stored in domestic refrigerators?
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Specific Location:
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Please store flammable liquids in approved flammable liquids storage cabinets or explosion-proof, “laboratory-safe”, or “modified domestic” refrigerator.
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NFPA 45 § (a)12.2.2.2.1
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The use of domestic refrigerators for the storage of typical laboratory solvents presents a significant hazard... Refrigerator temperatures are almost universally higher than the flash points of the flammable liquids most often stored in them. In addition to vapor accumulation, a domestic refrigerator contains readily available ignition sources, such as thermostats, light switches, and heater strips, all within or exposed to the refrigerated storage compartment. Furthermore, the compressor and its circuits are typically located at the bottom of the unit, where vapors from flammable liquid spills or leaks could easily accumulate. The words "Do not store flammable solvents
in this refrigerator" should be placed on outside of domestic refrigerators. -
Are in-use flammable liquids stored in quantities no less than 16 oz (500 mL)?
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Specific Location:
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Please ensure that Class 1B and 1C flammable liquids are not stored in containers larger than 16 oz if they are not poly-coated, jacketed or stored in a flammable storage cabinet at all times.
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24 CCR § 5704.3.6
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In sprinklered buildings, an aggregate quantity of 120 gallons (454 L) of water-miscible Class IB and Class IC liquids is allowed in nonmetallic containers, each having a capacity of 16 ounces (0.473 L) or less
Hazardous Waste
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Is the Hazardous Waste Central Accumulation area inspected weekly (within 7 calendar days)?
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Specific Location
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Please ensure the hazardous waste storage areas are inspected at least weekly (within 7 calendar days).
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CCR Title 22 § 66265.174
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The owner or operator shall inspect areas used for container storage or transfer, at least weekly, looking for leaking containers and for deterioration of containers and the containment system caused by corrosion or other factors.
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Are hazardous waste containers properly labeled (Accumulation date, "Hazardous Waste", Physical State, Hazardous Properties, Name and Address of Generator)?
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Specific Location:
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Please properly label all hazardous waste as soon as accumulation begins.
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22 CCR § 66262.34(f)
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All hazardous waste containers and/or tanks must be fully labeled at all times with: the date upon which each period of accumulation begins shall be clearly marked and visible for inspection on each container and portable tank, each container and tank used for onsite accumulation of hazardous waste shall be labeled or marked clearly with the words, “Hazardous Waste.” Additionally, all containers and portable tanks shall be labeled with the following information:
(A) composition and physical state of the wastes;
(B) statement or statements which call attention to the particular hazardous properties of the waste (e.g., flammable, reactive, etc.);
(C) name and address of the person producing the waste. -
Are hazardous waste containers properly closed (vapor tight)?
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Specific Location:
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Please ensure hazardous waste containers are kept securely closed.
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22 CCR § 66265.173(a)
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A container holding hazardous waste shall always be closed during transfer and storage, except when it is necessary to add or remove waste.
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Is hazardous waste stored over 180 days of the accumulation start date?
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Specific Location:
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Please ensure that hazardous waste is removed from the site by the applicable accumulation time limit.
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22 CCR § 66262.34(d)
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Hazardous waste may be accumulated onsite only in compliance with the applicable time limits specified (90 days, 180 days,
270 days or 365 days).
Universal Waste
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Is universal waste properly stored to preclude release to the environment (segregated, closed when not in use, stored in appropriate containers to prevent leakage, etc.)?
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Specific Location:
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Please ensure proper management of universal waste to prevent leakage, spillage, or damage.
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22 CCR § 66273.33.5(a)(B)
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Manage electronic devices in a way that prevents releases of any universal waste or component of a universal waste to the environment under reasonably foreseeable conditions, as follows:
A universal waste handler shall contain any electronic device in a manner that prevents breakage and release of components to the environment. If a container is used, such a container shall prevent leakage, spillage or damage that could cause leakage under reasonably foreseeable conditions.
A universal waste handler shall immediately clean up and place in a container any electronic device that is accidentally or unintentionally broken and may be expected to cause a release of hazardous constituents to the environment under reasonably foreseeable conditions. The container shall be structurally sound, compatible with the contents of the electronic devices and shall prevent releases of components to the environment under reasonably foreseeable conditions. -
Is universal waste properly labeled (Accumulation start date, "Universal Waste", Generators Name and Address, Contents of container?
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Specific Location:
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Please ensure that universal waste is properly labeled as soon as accumulation begins.
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22 CCR § 66273.34
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A universal waste handler shall label or mark universal waste to identify the type of universal waste as specified:
(a) Batteries (i.e., each battery), or a container in which the batteries are contained, shall be labeled or marked clearly with the following phrase: “Universal Waste-Battery(ies)”.
(b) Mercury-containing equipment (i.e., each individual mercury-containing equipment), or a container in which the mercury-containing equipment is contained, shall be labeled or marked clearly with the following phrase: “Universal Waste -Mercury-Containing Equipment”.
(c) Lamps (including M003 wastes that contain lamps) (i.e., each lamp), or a container or package in which the lamps are contained, shall be labeled or marked clearly with the following phrase: “Universal Waste-Lamp(s)”.
(d) Electronic devices (i.e., each electronic device), or a container or pallet in or on which the electronic devices are contained, shall be labeled or marked clearly with the following phrase: “Universal Waste-Electronic Device(s)”.
(e) CRTs (i.e., each CRT), or a container or pallet in or on which the CRTs are contained, shall be labeled or marked clearly with the following phrase: “Universal Waste-CRT(s)”.
(f) A container of CRT glass shall be labeled or marked clearly with the following phrase: “Universal Waste-CRT glass”.
(g) In lieu of labeling individual electronic devices, CRTs, and/or containers of CRT glass pursuant to subsections (d) through (f) of this section, a universal waste handler may combine, package, and accumulate those universal wastes in appropriate containers or within a designated area demarcated by boundaries that are clearly labeled with the applicable portion(s) of the following phrase: “Universal Waste-Electronic Device(s)/Universal Waste -CRT(s)/Universal Waste-CRT Glass”.
Medical Waste
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Are medical sharps accumulated in appropriate sharps container(s)?
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Specific Location:
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Ensure sharps waste is contained in appropriate sharps container.
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MWMA §118285
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To containerize sharps waste, a person shall do all of the following: (a) Place all sharps waste into a sharps container (b) Tape closed or tightly lid full sharps containers ready for disposal to preclude loss of contents (c) Store sharps containers ready for disposal for not more than thirty days without the written approval of the enforcement agency (d) Label sharps containers with the words “sharps waste” or with the international biohazard symbol and the word “BIOHAZARD.”
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Are sharps containers kept tightly closed when sharp materials are stored in them?
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Specific Location:
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Ensure sharps containers are closed, taped or stored with a tight lid on.
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HSC § 118285
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To containerize sharps waste, a person shall do all of the following: (b)Tape closed or tightly lid full sharps containers ready for disposal to preclude loss of contents.
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Are all Medical Waste containers properly labeled ("Biohazardous Waste" and international biohazard symbol on lid and on sides)?
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Specific Location:
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Ensure all containers of Medical Waste are properly labeled.
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Warning labels shall be affixed to containers of regulated waste, refrigerators and freezers containing blood or other potentially infectious material; and other containers used to store, transport or ship blood or other potentially infectious materials... Containers storing Medical Waste (biohazardous) must be labeled with the words "Biohazardous Waste" or with the international biohazard symbol and the word "BIOHAZARD" on the lid and on the sides so as to be visible from any lateral direction.
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8 CCR § 5193(g)(1)(A) and MWMA § 118280
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Are biohazard bags containerized in rigid, leak resistant, and covered containers or bins when placed for storage, handling, or transport?
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Specific Location:
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Please ensure all biohazard bags are used with proper containers.
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HSC § 118280(b)and(c)
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Biohazardous waste shall be bagged and placed for storage, handling, or transport in a rigid container that may be disposable, reusable, or recyclable. Containers shall be leak resistant, have tight-fitting covers, and be kept clean and in good repair.
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Are biohazard bags tied off to prevent leakage/expulsion of contents during handling and storage?
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Specific Location:
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Please properly tie biohazard bags using the overhand or goose-neck methods.
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HSC § 118280(a)
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The bags shall be tied to prevent leakage or expulsion of contents during all future storage and handling.
Additional Findings or Comments
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Were there other non-compliance findings (1 or more) observed that are not accounted for in this template?
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Describe the non-compliance observation:
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Specific Location:
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Recommendation:
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Regulatory reference/citation:
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Regulatory/citation excerpt (short hand if necessary):
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Is there another non-compliance observation that needs to be added?
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Describe the non-compliance observation:
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Specific Location:
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Recommendation:
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Regulatory reference/citation:
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Regulatory/citation excerpt (short hand if necessary):
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Is there another non-compliance observation that needs to be added?
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Describe the non-compliance observation:
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Specific Location:
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Recommendation:
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Regulatory reference/citation:
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Regulatory/citation excerpt (short hand if necessary):
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Additional comments, notes, or Best Management Practices (BMPs)?
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Describe: