DEFINITIONS

DEFINITIONS

This inspection was graded IAW AFI 91-202 and applicable governing guidance.

4 Tier Safety Program Grading Scale Definitions

Met and Effective:
The rating given that indicates a program or operation complies with governing directives and supports mission accomplishment. Deficiencies may exist but do not impede mission accomplishment.

Met But Needs Minor Improvements:
The rating given that indicates a program or operation complies with most, but not all, governing directives and does not meet some mission requirements. Minor deficiencies exist that impede or limit mission accomplishment.

Met But Needs Significant Improvements:
The rating given that indicates a program or operation does not comply with key elements of governing directives; significant deficiencies exist that could result in legal liabilities, penalties, or significant mission impact.

Not Effective:
The rating given that indicates a program or operation does not comply with any elements of governing directives; critical deficiencies exist that will result in legal liabilities, penalties, or significant mission impact.

3 Tier Program Deficiencies Grading Scale Definitions
A validated deficiency assessed as CRITICAL, Significant, or Minor

CRITICAL:
Any deficiency that results in, or could result in, widespread negative mission impact or failure.

Significant:
A validated deficiency that has or could have negative mission impact.

Minor:
A validated deficiency that does not meet the definition of a Critical or Significant Deficiency but requires corrective action.


5 Tier Hazard Deficiency Grading Scale
A validated hazard is assigned a risk assessment code (RAC) as defined in AFI 91-202. RACs are an expression of the degree of risk associated with a hazard or occupational deficiency that combines hazard severity and mishap probability into a single identifier. RACs are identified as CRITICAL, Serious, Moderate, Minor, or Negligible.


RECOMMENDED IMPROVEMENT AREA (RIA):
An identified process, product, or capability which could be improved by a suggested course of action.

STRENGTHS:
An area that far exceeds compliance directives or mission requirements and/or expectations.

BENCHMARK SUBMISSIONS:
A noteworthy strength, process, unit member, or organization that stands out above others that should be benchmarked, become the new standard, or become a source where another unit can contact or refer to in order to make themselves better; may exist at the wing, MAJCOM and/or Air Force-wide levels.

REPEAT DEFICIENCY:
A deficiency recorded on the most current inspection that still exists from the previous like-inspection. A deficiency resulting from failure to comply with the same guidance that has been noted on a previous inspection (including deficiencies from any limited or no-notice inspections) of the same installation/unit.

EXECUTIVE SUMMARY

Executive Summary

1. Volk Field CRTC SE conducted a safety program assessment and facility inspection to ensure they comply with regulatory requirements according to United States Law, applicable Department of Defense, Air Force and National Guard directives and instructions. The Unit Inspection was conducted IAW AFI 91-202 using the 4 Tier Safety Program Grading Scale; Met and Effective, Met but Needs Minor Improvements, Met but Needs Significant Improvements, or Not Effective.

2. Inspection Overview: The goal of the program assessment was to validate commander and supervisory support, compliance with program directives, and the effectiveness of the mishap prevention program. The goal of the safety inspection was to identify hazards and measure compliance with applicable safety guidance and standards.

3. The Volk Field CRTC SE office will track all deficiencies identified using iAuditor to closure. All program deficiencies and hazards not mitigated in 30 days require the supervisor of the area with the hazard to report the status of the hazard to the Wing SE office. The outcomes are in the following report.

5. Please direct any questions regarding this report to DSN 871-1230 or rebecca.a.bauman.mil@mail.mil.

Overall Unit Score
Commander's Support of Safety
Unit Supervisor's Support of Safety
Weapons Safety Program Score
Squadron Flight Safety Officer's Score

Best Practices

IN-BRIEF

IN-BRIEF RECAP
In-Brief Date/ Time

In-Brief Attendees (Rank, Name, Unit)

Total Number Attended
FY Mishap Trends (Past Year - Current Year)

Mishap Trend Comments

Open Discrepancies

Open Discrepancy Comments

Open Hazards (Hazard Abatement)

Hazard Abatement Comments

PROGRAM ASSESSMENT

Program Assessment?
COMMANDERS SAFETY PROGRAM

Does the commander ensure Risk Management process is integrated in all aspects of on-duty mission activity processes.

Number of Risk Assessments completed:

Does the commander review all open hazards and sign AF Form 3 every six months?

Has the Unit Commander published their safety policy and goals?

UNIT SAFETY REPRESENTATIVE (USR)

USR

Has the Unit Commander appointed a primary and alternate Unit Safety Representative (USR)?

Has USR been trained within 60 days of appointment?

Is the USR appointment letter accurate and up-to-date?

USR SPOT INSP: USRs shall conduct and document monthly spot inspections IAW paragraph 3.5 of this instruction. This will encompass 100% of the workplaces annually. AFI 91-202 para 2.2.2.2.

ADVISE CC: USRs shall advise the commander on safety related matters at least on a quarterly basis or more frequently as necessary and document key elements briefed. AFI 91-202 para 8.5.1.

SAFETY BRIEFING: USRs shall conduct safety briefings and provide unit personnel with educational safety materials. AFI 91-202 para 2.2.2.5.

MOTORCYCLE SAFETY REPRESENTATIVE (MSR)

MSR

Has the Unit Commander appointed at least one Motorcycle Safety Representative (MSR) in writing coordinate the Motorcycle Safety Program?

Has the MSR been trained within 30 days of appointment?

Is the MSR appointment letter accurate and up-to-date?

Is the commander completing annual safety brief for all motorcycle riders?

Are all motorcycle riders tracked in AFSAS/MUSTT?

WEAPONS SAFETY
WEAPONS SAFETY: APPLICABLE/NON-APPLICABLE

ADDITIONAL DUTY WEAPONS SAFETY REPRESENTATIVE (ADWSR)

ADWSR

Has the Unit Commander appointed at least one Additional Duty Weapons Safety Representative (ADWSR) in writing coordinate the Weapons Safety Program?

Has the ADWSR been trained within 30 days of appointment?

Is the ADWSR appointment letter accurate and up-to-date?

ADWSR SPOT INSP: ADWSR's shall conduct and document monthly spot inspections in conjunction with facility managers when possible and IAW paragraph 3.5 of this instruction. This will encompass 100% of the workplaces annually. AFI 91-202 para 2.2.2.2.
- The activity or work are inspected.
- The date and time of the inspection.
- The name of the person conducting the spot inspection.
- Brief description of the area or hazard.
- Applicable RAC, if assigned by Bio, Safety, Fire.
- Corrective actions taken or planned.
- Follow-up actions every 30 days until closed.

SAFETY BRIEFING: USRs shall conduct safety briefings and provide unit personnel with educational safety materials. AFI 91-202 para 2.2.2.5.

ADVISE CC: ADWSR's shall advise the commander on safety related matters at least on a quarterly basis or more frequently as necessary and document key elements briefed. AFI 91-202 para 8.5.1.

WEAPONS SAFETY PROGRAM

Weapons Safety

Are procedures in place to ensure the fire department is notified when explosive hazards change?

Are all explosive safety trainers (except host/tenant WSMs), appointed in writing by their commander or in the case of weapons academics the Wing Weapons Manager appoints the trainers.

Does the Munitions Squadrons Maintain configuration control of their maintenance facilities with respect to the permanent/recurring EME and submit EMR configuration changes to the ISM and safety office?

Do explosive safety lesson plans include the following subjects?

Firefighting guidance for explosive operations and storage. Use of simulators and smoke-producing munitions, if applicable. Storage and compatibility requirements.

Personnel and explosive limits for storage and operations. Emergency procedures to include mishap and evacuation procedures. Mishap reporting procedures.

Transportation requirements to include unique handling precautions of explosives both on and off installation as applicable. Emergency procedures to include mishap and evacuation procedures

Specific hazards involved with handling unit assigned explosives by class/division, to include personal protective equipment

Is the unit explosive safety training specific to the explosives and hazards associated with that unit?

General explosive safety requirements and philosophy. Use of simulators and smoke-producing munitions, if applicable

Are personnel trained on the objectives and principles of RM in accordance with AFI 90-802.

Do Local O.I.'s meet all the requirements listed.

Are locally written procedures developed for all explosives operations not covered by Technical Orders or other safety briefings?

Personnel limits (specifically, Supervisor Workers and Casuals).

Explosives limits, including HD and CG of the explosives involved.

Exact locations where operations are done.

Safety requirements, to include special requirements for personal protective clothing and equipment. Additionally, static grounding requirements per Section 7D of this Manual when handling or storing EIDs.

Step-by-step procedures for doing the task (refer to specific steps in the TO for applicable portions of the operation).

Actions to be taken during an emergency.

Specific hazards involved with handling unit assigned explosives by class/division, to include personal protective equipment

Transportation requirements to include unique handling precautions of explosives both on and off installation as applicable. Emergency procedures to include mishap and evacuation procedures

Personnel and explosive limits for storage and operations.Emergency procedures to include mishap and evacuation procedures. Mishap reporting procedures.

Firefighting guidance for explosive operations and storage. Use of simulators and smoke-producing munitions, if applicable. Storage and compatibility requirements.

Are local written procedures briefed to all workers prior to beginning an explosives operation and do workers understand the instructions prior to beginning the operation.

FLIGHT SAFETY
FLIGHT SAFETY: APPLICABLE/NON-APPLICABLE

SQUADRON FLIGHT SAFETY OFFICER (SFSO)

SFSO

Has the Unit Commander appointed at least one Squadron Flight Safety Officer (SFSO) in writing coordinate the Flight Safety Program?

Has the SFSO been trained within 30 days of appointment?

Is the SFSO appointment letter accurate and up-to-date?

MICT

Has squadron accomplished the following MICT checklists: 1. SE F01 - Aviation Safety/ 2. AMC SEF Sup - Aviation Safety - AMC Sup - AFI90-201, Para. 5.4.

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Recommendation

Reference

Open/Closed
Date Closed
JOB SAFETY TRAINING OUTLINE (JSTO)

Method of documenting safety training:

JSTO

Does the JSTO COVER THE 16 mandatory items from AFI 91-202, Attachment 4?

Does the JSTO cover specific hazards to include both task specific and work environment hazards?

Are all workcenter specific items cover in second section of JSTO?

Supervisor annual review:

When was the review last accomplished?
HAZARDOUS ENERGY CONTROL PROGRAM
OCCUPATIONAL SAFETY: APPLICABLE/NON-APPLICABLE

HAZARDOUS ENERGY CONTROL PROGRAM

LOTO

Is an adequate supply of safety tags and locks available for use? Reference 21.3.3

Are procedures developed and documented for safe and proper use of locks and tags? Reference 21.2.1.4

Has a training plan been developed for initial and recurring training on lockout and tagout procedures? Reference 21.2.1.6

Are LOTO devices (typically locks) used as a positive means of isolating energy sources and preventing unexpected start-up of machines and equipment? Reference 21.2.1.7

Is an inspection of the lockout and tagout program conducted annually? Reference 21.2.1.10

Are all workers responsible for recognizing when LOTO is used, the general reasons for LOTO and the importance of not tampering with or removing LOTO devices? Reference 21.3.4.1

Have equipment-specific, written procedures been developed for use when equipment or machinery undergoes servicing, modification or maintenance? Reference 21.3.8

Was a management above supervisor review accomplished?

Management above supervisor review:

Date of management review
CONFINED SPACE PROGRAM
OCCUPATIONAL SAFETY: APPLICABLE/NON-APPLICABLE

CONFINED SPACE

Confined Space

Has the commander and/or functional manager developed and implemented a written confined space program? Reference 23.2.7

Does the commander and/or functional manager ensure personnel who support the permit-required confined space program are properly trained, equipped and qualified? Reference 23.2.7.2
-Does the organization have an effective training program that incorporates safe work practices and techniques? Reference 23.7.1
-Does the organization ensure all individuals authorized and assigned permit-required confined space entry duties complete site-specific training? Reference 23.7.2
-Is confined space training documented on an AF IMT 55, Employee Safety and Health Record, or an authorized computerized information management system? Reference 23.7.5

Does the commander and/or functional manager ensure required equipment is available and properly maintained? Reference 23.2.7.3

Does the commander and/or functional manager maintain a current list of all confined spaces, both permit-required and non-permit, under the control of their organization? Have all confined spaces been logged into wing safety SharePoint?? Reference 23.2.7.4.

Are entry permits, including those canceled or revoked, retained on file for one year? Reference 23.5.1.2

Does the organization have a MEP, as appropriate? Reference 23.5.4.10

Does the entry supervisor ensure the inspection, testing, maintenance and documentation of safety and rescue equipment are accomplished prior to an operation being performed? Reference 23.6.2

FALL PROTECTION PROGRAM
OCCUPATIONAL SAFETY: APPLICABLE/NON-APPLICABLE

FALL PROTECTION

Fall Protection

Are workers provided fall protection when exposed to falls of four (4) feet or more? Reference 13.2.2

Are all PFAS components marked to indicate compliance with ANSI Z359.1.? Reference 13.4.6.2

Can anchorage connectors withstand a 5000 pound load for each PFAS connected? Reference 13.4.6.7

Does the competent person thoroughly inspect all PFAS components at least quarterly and keep the record of inspection for at least one year? Reference 13.4.6.10.3

Are competent persons trained and appointed in writing by the commander?

Is recurring fall protection training conducted annually, when work conditions change or when new fall protection/fall arrest systems are procured and does it contain a rescue plan developed to assure prompt rescue of fallen workers? Reference 13.6, 13.7

Is there a written rescue plan for each area where workers are exposed to falls from heights? Is the rescue plan posted in the work area?

GOVERNMENT-VEHICLE OPERATOR TRAINING
GOVERNMENT-VEHICLE OPERATOR TRAINING: APPLICABLE/NON-APPLICABLE

GOVERNMENT-VEHICLE OPERATOR TRAINING

Vehicle

Do workers who operate vehicle-mounted elevating and rotating work platforms receive thorough training to include hands-on-training prior to actual on-the-job training tasks? is training documented in individuals training records? (623's, 797's, ARCNET)

Does training meet minimum mandatory requirements for Aerial Lift Training and Training Plans in AFI 91-203, Attachment 2?

Is training/certification documented on AF Form 483

Is the instructor for forklift trucks/MHE qualified as an instructor?

Does the qualified instructor evaluate each operator at least every 3 years and provide refresher training if needed? Is there a written record of each operations evaluation on file for review? Is recertification annotated in operators training record or in TBA?

Does Materials handling and lifting equipment training include:
Reference AFI 91-203 Para. 35.3.3.4

Is training/certification documented on AF Form 2293

Equipment design, to include restrictions, limitations and hazards relative to the environment where used, e.g., steering, maneuvering and visibility.

Operating and maintenance instructions, including manufacturer’s instructions and those contained in this standard.

Safe loading and unloading requirements.

Flight line rules and regulations, when applicable.

Operating techniques inside and outside of warehouses.

Fire extinguisher training (initial and annual). Refer to Chapter 6, Fire Protection and Prevention, for additional guidance.

Use of attachments such as extended forks or tines or personnel lift pallets.

Clearances, heights and limitations.

Safety clothing and equipment. Refer to Chapter 14, Personal Protective Equipment (PPE), for additional guidance.

Fire protection, fuel spills, maintenance of equipment, smoking, etc. Refer to Chapter 6 for additional guidance.

Load composition and stability.

Damage that may be caused by acid or caustic material.

Workplace related topics such as surface condition; local policies on stacking, unstacking, and load manipulation; pedestrian traffic; and narrow aisles.

Applicable information contained in paragraphs 35.2. and 35.3.2.1. of this standard.

OFFICE AREAS

OFFICE AREAS

Office Area

Office

BLDG, Room Number and Responsible Section

Floors and walking surfaces free of potential tripping hazards such as tools, Elec, cords, air hoses, materials and liquids?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Electrical receptacles & cover plates free from cracks and secured in place?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is the prohibition of multiple plug adapters enforced to prevent overloading electrical
circuits?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are receptacles located in damp or wet locations protected by GFCI breakers or receptacles?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are cords that show signs of fraying, cracking, wearing or damage removed from service?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are electrical extension cords used as outlined in the NEC and not used as a substitute for
fixed wiring?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are electrical extension cords not run through holes in ceilings, walls, floors, doorways,
windows or similar openings?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Unless their purpose is evident, are circuit breakers and fuse boxes legibly marked to indicate
their purpose?
Is access to fuses, circuit breakers and electrical controls clear and unobstructed? Reference 10.5.7.6

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are telephone and electrical cords located where they do not pose a tripping hazard?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are all defects, such as floor tiles, broken steps, torn carpet or curled mats identified until
repaired or replaced?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are heavy materials stored in the bottom of file cabinets?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are stepstools or ladders used to access anything above shoulder level? Reference 10.2.2.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are drawers and file cabinets closed when not being used?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are heating appliances, such as coffee makers, plugged directly into a facility outlet and unplugged at the end of the work shift? Reference 10.5.7.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do not place cords under rugs, carpets or other combustible material. AFI 91-203 para 8.4.1.16.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Exit sign: The illuminated surface value of the exit sign should have a value of not less than five foot-candles. 29 CFR 1910.37 ( b )( 6 )

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Exit signs shall be clearly visible from all directions of egress and shall not be obstructed at any time. If occupancy is permitted at night, or if normal lighting levels are reduced at times during working hours, exit signs shall be suitably illuminated by a reliable light source. New exit signs shall be the internally illuminated, light emitting diode (LED) type. Existing signs may be internally or externally illuminated. AFI 91-203 para 25.4.9.5.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Monthly testing of exit lights shall be accomplished IAW NFPA 101, The Life Safety Code. AFI 91-203 para 25.4.9.10.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Fire exits shall be clearly marked and exit paths shall be kept clear of equipment and materials, emergency lighting shall be provided and all workers trained in proper evacuation procedures. AFI 91-203 para 6.3.2.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Floors or means of egress shall be illuminated to at least one (1) foot-candle (measured at all points at the floor), including angles and intersections of corridors and passageways, stairways, landings of stairs and exit doors. AFI 91-203 para 6.3.8.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Doors, passageways or stairways which are neither exits nor ways to an exit but may be mistaken for an exit, shall be clearly marked ―NOT AN EXIT or a sign indicating their actual use; for example, ―STORAGE ROOM or ―BASEMENT. AFI 91-203 para 6.3.3.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Ensure escape routes are kept free of obstruction—to include stairways and office doors. Ensure doors leading outside open easily. AFI 91-203 para 6.2.15.2.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Cause of deficiencies or hazard:

Recommendation

Unit corrective actions:

RAC

INDUSTRIAL AREAS

Industrial Areas (Housekeeping, General Checklists)

Housekeeping

BLDG, Room Number and Responsible Section

Keep areas where personnel walk and work free of potential tripping and slipping hazards such as tools, electrical cords, air lines and packaging materials. AFI 91-203 para 5.1.
Are aisles and passageways kept clear of stacked materials? Reference 5.7

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are fire extinguishers visually inspected by the workcenter supervisor at a minimum of 30-day intervals to detect and correct discrepancies? Reference 6.2.4.7

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are exterior garbage cans securely covered when not actually being filled or emptied? Reference 5.9.1
Are trash and garbage cans leak-proof and adequate in number and size? Reference 5.9.2

Discrepancy:

Recommendation:

Cause of deficiencies or hazard:

Reference:

Unit corrective actions:

RAC

Maintain ceilings in good repair and free of loose plaster. Replace damaged, broken or missing fire rated ceiling tiles. Openings in ceilings can delay activation of smoke detectors and sprinkler heads. AFI 91-203 Para. 5.5

Discrepancy:

Recommendation:

Cause of deficiencies or hazard:

Reference:

Unit corrective actions:

RAC

Are protruding nails, brads and staples removed from packing materials to prevent injury to personnel? Reference 5.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is material stacked less then 15 feet at least 18-inches below ceiling sprinkler heads, joists, rafters, beams and roof trusses. If material is stacked more than 15 feet is there at least 36 inches of clearance from ceiling sprinkler heads, joists, rafters, beams and roof trusses. Is all stacked material positioned to ensure a 18 inch clearance around light or heating fixtures, or follow manufactures instructions, regardless of height. Reference 5.7

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do all fluorescent light fixtures without self-locking tubes have shields, clamps or other devices installed to keep the tubes from falling out of the fixture. AFI 91-203 Para 5.7

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are all surfaces maintained as free as practicable of accumulations of dust, lead, chromium, cadmium or any other foreign particles.? Are floors kept clean and spills cleaned up as soon as possible.? Reference 5.10.9

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is apparel not needed to perform official duties stored in lockers and not stored on top of or under clothing lockers? Reference 5.10.8

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are packing materials such as excelsior (fine wood shavings), packing straw and shredded paper stored in an isolated fire-resistant building? Reference 5.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are cords not placed under rugs, carpets or other combustible material. AFI 91-203 para 8.4.1.16.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Exit sign: The illuminated surface value of the exit sign should have a value of not less than five foot-candles. 29 CFR 1910.37 ( b )( 6 )

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Exit signs shall be clearly visible from all directions of egress and shall not be obstructed at any time. If occupancy is permitted at night, or if normal lighting levels are reduced at times during working hours, exit signs shall be suitably illuminated by a reliable light source. New exit signs shall be the internally illuminated, light emitting diode (LED) type. Existing signs may be internally or externally illuminated. AFI 91-203 para 25.4.9.5.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Monthly testing of exit lights shall be accomplished IAW NFPA 101, The Life Safety Code. AFI 91-203 para 25.4.9.10.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Fire exits shall be clearly marked and exit paths shall be kept clear of equipment and materials, emergency lighting shall be provided and all workers trained in proper evacuation procedures. AFI 91-203 para 6.3.2.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Floors or means of egress shall be illuminated to at least one (1) foot-candle (measured at all points at the floor), including angles and intersections of corridors and passageways, stairways, landings of stairs and exit doors. AFI 91-203 para 6.3.8.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Doors, passageways or stairways which are neither exits nor ways to an exit but may be mistaken for an exit, shall be clearly marked ―NOT AN EXIT or a sign indicating their actual use; for example, ―STORAGE ROOM or ―BASEMENT. AFI 91-203 para 6.3.3.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Ensure escape routes are kept free of obstruction—to include stairways and office doors. Ensure doors leading outside open easily. AFI 91-203 para 6.2.15.2.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Safety Color Coding, Labeling and Marking for Piping Systems

Labeling Piping

BLDG, Room Number and Responsible Section

Is each location evaluated and the number of markings kept at a minimum? Reference 20.3.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are piping systems labeled and color coded IAW guidance in paragraph 20.3.4.? Reference 20.3.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Does the method of identification of piping systems conform to the requirements in paragraph 20.3.5.? Reference 20.3.5.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do the colors used to distinguish the hazard potential of piping systems conform to those in this standard? Reference 20.3.5.5.1

Discrepancy:

Recommendation:

Cause of deficiencies or hazard:

Reference:

Unit corrective actions:

RAC

Are hazardous materials in piping systems clearly identified? Reference 20.3.5.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is a secondary warning color applied to a piping system possessing a secondary hazard? Reference 20.3.5.5.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

Unit corrective actions:

Cause of deficiencies or hazard:

RAC

Personal Protective Equipment

PPE

BLDG, Room Number and Responsible Section

Are workers provided appropriate eye or face protection when exposed to hazards from flying particles, molten metal, liquid chemicals, corrosives, caustics, chemical gases, vapors or potentially injurious radiation? Reference 14.4.2
Do supervisors ensure PPE is provided, used and maintained in a sanitary, serviceable condition? Reference 14.3.2
Is previously used PPE disinfected before reissue to another worker? Reference 14.4.2.15.
Do workers maintain and disinfect eye and/or face protection equipment IAW the following instructions: Reference 14.4.2.16
- Several methods for disinfecting eye-protective equipment are acceptable. The most effective method is to disassemble the goggles or spectacles and thoroughly clean all parts with soap and warm water. Carefully rinse all traces of soap and replace defective parts with new ones. Swab thoroughly or immerse all parts for 10 minutes in a solution of germicidal deodorant fungicide. Remove parts from solution and suspend in clean place after air drying at room temperature or with heated air. Do not rinse after removing parts from the solution because this will remove the germicidal residue.
- Ultraviolet disinfecting equipment or spray type disinfecting solutions may be used in conjunction with the washing procedure.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do management, supervisors and visitors wear appropriate PPE while within a hazardous area? Reference 14.4.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are protective helmets provided for and used by workers exposed to injury from falling or flying objects, bumping head against a fixed object or electrical shock or burns? Reference 14.4.3
Do protective helmets have the manufacturer’s name, ANSI designation and the class identified inside the shell? Reference 14.4.3.1.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are chemical protective gloves worn by personnel handling acids, alkalis, organic solvents and other harmful chemicals? Reference 14.4.7.2
Are workers able to remove gloves without causing skin contamination? Reference 14.4.7.2.4.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is contaminated PPE that cannot be decontaminated disposed of in a manner that protects employees from exposure to hazards? Reference 14.4.7.2.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is protective footwear provided and worn when there is a reasonable possibility of foot injuries? Reference 14.4.10

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do you want to add a discrepancy?

Discrepancy

Reference

Cause of deficiencies or hazard:

Recommendation

Unit corrective actions:

RAC

MATERIALS HANDLING / WAREHOUSE

MATERIALS HANDLING/WAREHOUSE

Materials Handling Checklist

Warehouse

BLDG, Room Number and Responsible Section

Are manual materials handling activities kept to a minimum through the application and use of engineering controls when possible? Reference 4.5.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is PPE provided and used when needed to protect the hands and feet of workers involved in manual materials handling activities? Reference 4.7.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Have training outlines been developed for all material handling equipment? Reference 35.3.3.2
(Forklifts)

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Have qualified personnel been identified as training instructors? Reference 35.3.3.1
(Forklifts)

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Does the instructor provide written certification of training completion to the OR&L? Reference 35.3.3.3. (Forklifts)

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do materials handling and lifting equipment operators conduct daily or prior-to-use inspections and document them on AF Form 1800 per requirements of paragraph 35.1.1? Reference 35.3.6 (Forklifts)

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are inspections of manual hoisting and pulling devices conducted annually? Reference 35.5.2.3.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do Storage Racks have load rating posted on the unit? Reference 35.2.5.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are storage racks/shelving inspected per manufacturer's instructions and is it documented properly. Reference 35.2.5.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

RAC

Unit corrective actions:

Database Reference # (For Internal Use Only)

Add media
Date Closed
Open/Closed

HYDROCARBIN FUELS COMPLEX

HYDROCARBON FUELS

POL

BLDG, Room Number and Responsible Section

Have possible sources of ignition been identified and prohibited from areas where flammable vapor may exist? Reference 36.1.5.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Have all damaged static grounds been repaired and retested for resistance values? Reference 36.1.6.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Have all personnel in work environments where petroleum products are present been instructed on hazards of static electricity? Reference 36.2.2.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are all personnel involved in fuel handling operations trained in minimizing the possibility of fuel spills and proper response procedures if a spill does occur? Reference 36.2.2.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are proper procedures used when entering petroleum storage tanks? Reference 36.2.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are the minimum safety features present in locations where petroleum products are handled or stored? Reference 36.2.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are fuel transport vehicles electrically bonded to the offloading header during fuel handling operations? Reference 36.3.2.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are emergency shower and eyewash units in place IAW Chapter 19? Reference 36.2.4.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are proper procedures utilized for fuel transfer operations, including gauging and temperature measurement? Reference 36.3.2.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is fire protection equipment properly located prior to fuel handling operations? Reference 36.3.2.6

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do local fuel movement procedures include emergency shutdown procedures? Reference 36.3.2.9

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Has a Fuel Servicing Safety Zone (FSSZ) been established for fuel servicing operations? Reference 36.4.1.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are spotters used when backing refueling trucks toward the aircraft? Reference 36.4.2.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are the specific precautions for hydrant system fueling being followed? Reference 36.4.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

Cause of deficiencies or hazard:

RAC

Unit corrective actions:

VEHICLE MAINTENANCE

VEHICLE MAINTENANCE

Vehicle Maintenance

VM

BLDG, Room Number and Responsible Section

Are vehicle maintenance operations, such as painting, welding, battery work, and wheel and tire maintenance operations performed in separate parts of the facility to prevent operations of one kind from being hazardous to another? Reference 32.2.4.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are vented lockers provided for workers‘ clothing? Reference 32.2.4.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do vehicle operators and mechanics ensure roll down or side sliding doors are completely opened before a vehicle enters or exits the maintenance shop? Reference 32.4.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are tools not in use kept in suitable containers? Reference 32.4.15.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are emergency eyewash station(s) provided for workers who may come in contact with corrosive materials? Reference 32.4.7

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do workers remove all items of jewelry before working on or around shop equipment or vehicles? Reference 32.4.8

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is clear, unrestricted access maintained to on-off power control switches and stations? Reference 32.8.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are all compressed gas cylinders stored upright with valves closed and protective caps in place? Reference 32.12.2.5.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are current OSHA tire charts (such as OSHA 3086), rim manuals, and applicable TOs available to ensure extensive damage to equipment and serious or fatal injuries to personnel are prevented? Reference 32.14.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are vehicles with leaking fuel tanks immediately removed from the maintenance shop? Reference 32.15.6.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are open flame and spark-producing devices kept at least 50 feet from the refueling maintenance shop? Reference 32.15.7.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is maintenance of fuel servicing vehicles prohibited in maintenance shops with other vehicular equipment? Reference 32.15.8.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do vehicle operators and mechanics sound vehicle horns before backing, intermittently during backing (unless vehicle is equipped with backup alarms) and prior to entering or leaving the maintenance shop? Reference 32.4.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Where compressed air is used for cleaning, is the discharge end of the air line restricted to less than 30 psi? Reference 32.4.14.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are workers prohibited from storing fuel-contaminated clothing in lockers or other confined areas? Reference 32.7.1.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are workers prohibited from working under vehicles supported only on hydraulic floor jacks, post jacks or mechanical jacks? Reference 32.13.3.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Database Reference # (For Internal Use Only)

COMMUNICATIONS CABLE, ANTENNA and COMMUNICATIONS SYSTEMS

Communications Cable, Antenna and Communications Systems Checklist

Communications Cable, Antenna and Communications Systems Checklist

Computer

BLDG, Room Number and Responsible Section

Are flammable wastes disposed of at the end of each shift in clearly marked metal
containers? Reference 30.1.1.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are electrical circuits de-energized, and locked and tagged out before attempting any
work, unless the work requires the circuits to remain energized? Reference 30.3.5.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are metal workbenches and those that are metal framed or metal legged, which are
used for repairing and testing electronic equipment, grounded? Reference 30.3.14.1.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is the soldering work area free of combustible materials and equipped with fire
extinguishers? References 30.3.15

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is proper face protection used by personnel performing soldering tasks? Reference
30.3.15.1.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is the soldering work area properly ventilated? Reference 30.3.15.2.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Have all workers required to perform duties on communications systems or act as
safety observers received first aid and CPR training? Reference 30.4.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are hard hats issued to personnel who work on and around poles, overhead
structures, tower and antenna construction jobs? Reference 30.5.8.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are all tools and equipment maintained in safe condition? Reference 30.6.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DFAC

Dining Facility

Dining Facility

DFAC

BLDG, Room Number and Responsible Section

Are all food service workers trained in proper lifting, safe use of cutlery and food processing machinery, handling of hot foods, and the dangers of falls? Reference 44.2.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are cleaning supplies kept separate from food products? Reference 44.3.2.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are drain plugs designed so pot and pan sinks can be drained without the employee having to place their hands in hot water? Reference 44.3.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is a by-pass or other type device installed on doors of walk-in freezers or refrigerated spaces to permit escape from inside if an employee is locked in? Reference 44.3.5.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do supervisors ensure outside stairways, entrances, sidewalks, loading docks and ramps are cleared of snow and ice and that abrasive materials are used during inclement weather? Reference 44.4.1.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are floor surfaces kept clean and in good condition, free of water, defects and slippery materials? Reference 44.4.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are defective electrical equipment/cords taken out of service immediately? Reference 44.5.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are all control switches (on and off) accessible to workers at their normal operating positions so workers do not reach over moving machine parts to activate the switch? Reference 44.5.14

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do supervisors maintain manufacturer’s manuals or locally developed guidance for all machinery or equipment under their control? Reference 44.6.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Does the supervisor or a designated trainer train personnel prior to allowing them to operate machinery or equipment? Reference 44.6.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do supervisors ensure all machines are inspected at least every 60 days unless the manufacturer’s manual, use or working environment requires more frequent inspections? Reference 44.7.2.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are all machine guards securely in place and operational? Reference 44.7.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Does the supervisor provide food services personnel fire prevention training initially and annually thereafter? Reference 44.8.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are doors leading to passageways or providing access to rooms blocked only with approval of the installation FES Flight? Reference 44.8.3.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are garbage cans securely covered when not being filled or emptied? Reference 44.10.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are garbage cans washed with hot soapy water and sanitized weekly, or more often if required to control odor or vermin? Reference 44.10.8

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

EMERGENCY SHOWER & EYEWASH UNITS

EMERGENCY SHOWER & EYEWASH

Emergency shower & eyewash

Shower

BLDG, Room Number and Responsible Section

Do supervisors ensure emergency showers and eyewashes are provided, inspected, tested and maintained IAW this standard? Reference 19.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? Reference 19.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? Reference 19.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are emergency showers installed in conjunction with, or in close proximity to, eye and face or eyewash facilities? Reference 19.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are the units connected to a supply of water free from contamination and equal in purity to potable water? Reference 19.6

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is the delivered water temperature in a comfortable range that would not discourage use of the unit? Reference 19.6.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are self-contained units and the water supply lines of permanently-installed units protected from freezing and from sunlight or other heat sources that could cause extremes in water temperature? Reference 19.6.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are permanently-installed and self-contained units installed in a fixed location identified with a highly visible sign and well lighted? Reference 19.6.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? Reference 19.6.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

When actuated, does the water flow remain on without use of the operator’s hands? Reference 19.7.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is the actuating device (pull handle, walk-on treadle, or push handle) readily accessible and easily located? Reference 19.7.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

If audible alarms or blinking lights are installed to show that the unit is in use, are they working properly? Reference 19.8

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do supervisors activate permanently installed shower and eyewash units weekly to verify proper operation? Reference 19.9.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are units installed in unoccupied or infrequently used areas tested prior to commencing any operations that could expose personnel to hazardous substances? Reference 19.9.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do supervisors inspect permanently installed units monthly IAW instructions in paragraph 19.12.? Reference 19.9.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are eyewash bottles and self contained eyewash stations maintained IAW the manufacturer’s instructions? Reference 19.9.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are emergency shower and eyewash actuating devices easy to locate and readily accessible to the user? Reference 19.12.2.1.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is the stored fluid in self-contained units protected against contaminants and temperature extremes, and are instructions permanently affixed to the unit? Reference 19.12.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Have procedures been developed to prevent eyewash bottles from being exposed to extreme temperatures, and are the instructions and expiration dates permanently affixed to the unit? Reference 19.12.6

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

FLAMMABLE COMBUSTABLE

FLAMMABLE AND COMBUSTIBLE

Flammable

BLDG, Room Number and Responsible Section

Cabinets shall be labeled with conspicuous lettering, ―Flammable — Keep Fire Away. Additional guidance for marking storage containers is contained in Chapter 20, Safety Color Coding, Labeling, and Marking. AFI 91-203 para. 22.5.3.2.
Cabinets shall be conspicuously labeled in red letter on contrasting background FLAMMABLE--KEEP AWAY. AFI 91-203 para. 22.5.3.2 & Uniform Fire Code 79.202(c)(3)(a)

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

The combined quantity of Class I and Class II liquids in a cabinet shall not exceed 60 gallons per cabinet, and the total quantities of all liquids shall not exceed 120 gallons. AFI 91-203 22.5.3 & Uniform Fire Code 79.202 (c)(2)

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Doors shall be well fitted, self-closing and equipped with a latch. AFI 22.5.3.4.2 & Uniform Fire Code 79.202 (c)(3)(b)

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

The bottom of the cabinet shall be liquid-tight to a height of at least 2 inches. AFI 91-203 para 22.5.3.4.2 & Uniform Fire Code 79.202 (c)(3)(c)

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Functional Managers and/or Supervisors shall ensure:
- All workers and handlers of flammable or combustibles have accomplished appropriate training associated with tasks and hazards related to the work environment.
- Personnel handling, storing or using hazardous materials are trained IAW AFI 90-821.
- Individuals involved in dispensing of flammable or combustible liquids are instructed on hazards of static electricity.
- Workers handling and storing flammable or combustible liquids are trained in fire prevention and protection as it relates to their duties.
- Appropriate spill and containment control materials are readily available at storage or dispensing areas.
- PPE is available and appropriately worn when handling flammable or combustible liquids.
AFI 91-203 para 22.4.1.6.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

AIRCRAFT FACILITY

Aircraft Maintenance Facilities

BLDG, Room Number and Responsible Section

Are pressure regulators installed to prevent over-pressurization of components being serviced with compressed air? Reference 24.2.5.2.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are suitable fire extinguishers placed throughout maintenance areas? Reference 24.3.3.6

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do parking lines have spots painted where the nose or forward wheel of the aircraft are positioned on aircraft parking spaces on the flight line and in maintenance hangars? Reference 24.5.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

At the end of each day or shift, are flammable waste containers emptied or removed to an approved location outside the shop for pickup and disposal? Reference 24.11.2.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are flammable storage areas kept cool (55o to 80o F) and free from spark or heat-producing equipment? Reference 24.11.2.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are tire cages used when servicing aircraft tires in the tire shop? Reference 24.12.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are FOD Check signs posted at entrances to ramp area/flight line? Reference 24.13.13

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are pintle assemblies and towing connections secured with a pintle hook safety locking device or cotter pin that will positively lock towing connections? Reference 24.7.16

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do facility managers conduct monthly inspections of hangar door operational and safety features? Reference 24.14.8.7

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is temporary or makeshift electrical wiring prohibited in hangars? Reference 24.14.13

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do supervisors prohibit wear of finger rings and loose clothing when they pose a hazard to workers? Reference 24.15.1.6

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are locking pins or other devices, as required, in place IAW manufacturer’s specifications before anyone is allowed to ascend the stairs or ladder? Reference 24.16.7.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is fall protection available and used by workers exposed to a fall of 4 feet/10 feet or more? Reference 24.16

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

POWERED MACHINERY

Does this section have Powered Machinery?

Powered Machinery

Machinery

BLDG, Room Number and Responsible Section

Do the safeguards prevent workers hands, arms, and other body parts from making contact with dangerous moving parts?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are the safeguards firmly secured and not easily removable?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do the safeguards ensure that no objects will fall into the moving parts?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is there evidence that the safeguards have been tampered with or removed?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are there any unguarded gears, sprockets, pulleys, or flywheels on the apparatus?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are there any exposed belts or chain drives?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are starting and stopping controls within easy reach of the operator?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is the machine installed in accordance with National Fire Protection Association and National Electrical Code requirements?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are there loose conduit fittings?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is the machine properly grounded?

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

HAND TOOLS

Hand Tools

Hand Tools

BLDG, Room Number and Responsible Section

Are tools stored on racks or shelves or in boxes when not in use? Reference 12.3.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are power tools unplugged and properly stored when not in use? Reference 12.3.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do workers carry tools in tool belts or other carrying devices such as shoulder bags or backpacks when climbing ladders or while working at elevated heights such as scaffolds, platforms or work stands? Reference 12.3.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are tools inspected for defects, and defective tools immediately removed from service? Reference 12.3.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are chisels, punches and hammers with mushroom heads removed from service? Reference 12.4.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are blades such as knives, razor blades, utility knives, exacto knives, etc., properly protected or sheathed? Reference 12.4.7

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

When power hand tools are used, is care taken to prevent cords and hoses from becoming tripping hazards? Reference 12.5.1.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are power tools equipped with a constant pressure switch or control that shuts off the tools when released? Reference 12.5.2.1
Are switches on power tools protected against accidental start-up or operation? Reference 12.5.2.1
Are portable electric tools with exposed metal parts properly grounded or double insulated? Reference 12.5.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are all portable circular saws with a blade diameter over two (2) inches equipped with guards above and below the base plate shoe? Reference 12.6.1
When the saw is withdrawn from the stock being cut, does the lower guard automatically and instantly return to cover the blade? Reference 12.6.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

BATTERIES

BATTERIES SECTION

Batteries

BLDG, Room Number and Responsible Section

Is appropriate PPE used when charging, maintaining, removing or replacing batteries? Reference 31.2.1
-Do workers wear a face shield, splash resistant chemical goggles and chemical resistant gloves and apron when handling electrolyte? Reference 31.2.1.1
-Do workers wear acid resistant gloves, arm gauntlets, aprons, face protection and ANSI/ISEA Z87.1 approved eye protection with side shields when handling vehicle or support equipment batteries, or working in the battery room or maintenance areas? Reference 31.2.1.2

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Do exit doors of battery shops/rooms swing outwards? Reference 31.3.3

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are warning signs posted inside and outside the battery room prohibiting smoking, sparks, flames and warning of electric shock and slipping hazards? Reference 31.3.9

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Does management ensure vented lead-acid and vented NICAD battery rooms have their own separate ventilation systems? Reference 31.5.3.

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are mechanical lifting devices used on batteries that cannot be safely handled by two people? Reference 31.8.4

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

DISCREPANCY

Discrepancy

Do you want to add a discrepancy?

Discrepancy

Reference

Recommendation

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

WELDING, CUTTING AND BRAZING

WELDING

Welding, cutting and brazing

Welding

BLDG, Room Number and Responsible Section

Do personal protective clothing and equipment meet or exceed the requirements of Chapter 14, Personal Protective Equipment (PPE)? Reference 27.2.3
-Is only approved respirator equipment used when working in atmospheres of hazardous concentrations of airborne contaminants? Reference 27.7.8
-Do all welding helmets meet 29 CFR 1910.252, Welding, Cutting, and Brazing - General Requirements, requirements? Reference 27.7.9.1
-Are goggles or other suitable eye protection used during all gas welding or oxygen cutting operations? Reference 27.7.9.3
-Is eye protection in the form of suitable tinted goggles or spectacles provided for brazing operations? Reference 27.7.9.5
-Are ventilated goggles used to prevent fogging of the lenses? Reference 27.7.10.5

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Are acetylene cylinders used and stored in an upright position? Reference 27.3.1

Discrepancy:

Reference:

Recommendation:

Cause of deficiencies or hazard:

Unit corrective actions:

RAC

Is the fuel gas and oxygen supply to the torch shut off when left unattended or not used for extended periods of time, i.e., when left unattended for 30 minutes or more? Reference 27.3.3

Discrepancy:

Reference:

Recommendation: