Title Page

  • Location
  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

Program Implementation

  • Do you wish to inspect Program Implementation?

  • Are injuries and property damage reported timely? YOSE Directive 05, Incident Reporting

  • Are incident investigations conducted to determine contributing factors and effective corrective actions? YOSE Directive 05, Incident Reporting

  • Are there current JHAs for routine and non-routine projects or tasks? YOSE Directive 11, Job Hazard Analysis

  • Are JHAs reviewed periodically and updated as necessary? YOSE Directive 11, Job Hazard Analysis

  • Have permanent and term staff attended the required NPS Operational Leadership Basic 16-hour course? Yosemite Safety Policy

  • Are Operational Leadership risk assessment models being conducted and integrated into project planning? NPS OL Mission Analysis

  • Are monthly workplace inspections completed and documented? YOSE Directive 02, Safety and Health Workplace Review - Yosemite Weekly Safety and Wellness Training Program

  • Are the required OSHA and NPS workplace posters displayed in a prominent location where all employees are likely to see it?

  • Are emergency telephone numbers posted where they can be readily found in case of emergency?

  • Are signs concerning "Exiting from buildings," room capacities, floor loading, exposures to harmful substances posted where appropriate?

  • Is the Summary of Occupational Illnesses and Injuries posted February thru April?

General Work Environment

  • Do you wish to inspect General Work Environment?

  • Are all areas (i.e., floors, walkways, storage rooms, restrooms, washing facilities, break areas, etc.) clean and orderly? 29 CFR 1910.22(a)(1), 1910.141(a)(3)(i), 1910.176©

  • Are the minimum numbers of toilets and washing facilities provided? 29 CFR 1910.141©(1)(i)

  • Are work surfaces kept dry or appropriate means taken to assure the surfaces are slip-resistant?

  • Are floors free of spilled materials or liquids? 29 CFR 1910.22(a)(2), 1910.141(a)(3)(ii)

  • Are food and drinks kept only in designated storage areas away from bathrooms and toxic materials? 29 CFR 1910.141(g)(2)

  • Where lunches are eaten on the premises, are they eaten in areas where there is no exposure to toxic materials or other health hazards? 29 CFR 1910.141(g)(2)

  • Has an ongoing and effective pest control program been implemented where the presences of vermin have been detected? YOSE Directive 9, Hantavirus Risk Reduction Program, 29 CFR 1910.141(a)(5)

  • Are combustible scraps, debris, and waste stored safely and removed from the worksite promptly? 29 CFR 1910.141(g)(3)

  • Are storage areas free from accumulations of materials that constitute hazards from tripping, fire, explosion, or pest harborage? 29 CFR 1910.176

  • Are paint spray booths cleaned regularly? 29 CFR 1910.107(g)(2)

  • Are all aisles and walkways adequately illuminated? 29 CFR 1910.22

  • Are pits and floor openings covered or otherwise guarded? 29 CFR 1910.22(c)

Electrical

  • Do you wish to inspect Electrical?

  • Is electrical equipment free from recognized hazards that are likely to cause injury? 29 CFR 1910.303(b)(1)

  • Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates? 29 CFR 1910.305(b)(2()(i)

  • Are portable electrical tools and equipment grounded or of the double insulated type? 29 CFR 1926.302(a)

  • Are electrical appliances such as vacuum cleaners, polishers, vending machines, etc., grounded?29 CFR 1910.305(g)

  • Are extension cords prohibited for use on electrical appliances such as fans, coffee pots, or refrigerators? 29 CFR 1910.303(a)

  • Do extension cords have a grounding conductor? 29 CFR 1910.334(a)(3)(i)

  • Are extension cords and flexible cables free of splices or taps? 29 CFR 1910.305(g)(2)(ii)

  • Are extension cords only used as temporary electrical power during remodeling, maintenance or repair of buildings, or seasonal lighting of to exceed 90 days? 29 CFR 1910.305(a)(2)(i)(B)

  • Is sufficient access and working space (3 feet) provided and maintained about all electrical equipment to permit ready and safe operations and maintenance? 29 CFR 1910.303(g)(1)(i)(A)

  • In wet or damp locations, are electrical tools and equipment appropriate for the use or otherwise protected? 29 CFR 304(b)(3)

Medical and First Aid

  • Do you wish to inspect Medical and First Aid?

  • Does each crew outside of the range of reasonable medical response, 3-5 minutes, have at least one person qualified in CPR and First Aid? 29 CFR 1910.151(b)

  • Are first aid kits easily accessible to each work area, with necessary supplies available, periodically inspected, and replenished as needed? 29 CRFR 1910.151(b)

  • Are means available for quick drenching or flushing of the eyes and body where corrosive liquids or materials are handled? 29 CFR 1910.151©

  • Are plumbed eyewashes and showers activated weekly? ANSI Z358.1-2009

  • Have employees who are expected to respond to medical emergencies as part of their work had bloodborne pathogens training? 29 CFR 1910.1030(d)(2)

Fire Protection

  • Do you wish to inspect Fire Protection?

  • For buildings, is there an established safe evacuation procedures, including evacuation of visitors? 29 CFR 1910.38(c)

  • If you have an alarm system, is it tested at least annually? 29 CFR 1910.165(d)(4)

  • Are all flammable and combustible liquids stored in designated areas and storage containers that are approved for such use and appropriately identified? 29 CFR 1910.106(d)(2)(i)

  • Are flammable material storage cabinets in good condition, with doors and sills intact and operational? 29 CFR 1910.106.(d)(3)

  • Are flammable material storage locker vent holes capped with bungs? NFPA 30, 9.5.4

  • Are portable fire extinguishers provided in adequate number and type? 29 CFR 1910.157(d)

  • Are portable fire extinguishers regularly inspected and noted on the tag? 29 CFR 1910.157(e)(1)

  • Are employees trained in the use of fire extinguishers and fire protection equipment? 29 CFR 1910.157(g)(1)

  • Are covered metal waste cans used for oily and paint-soaked waste? 29 CFR 1910.106(h)(8)(iii), 29 CFR 1910.107(g)(3)

  • Are portable fire extinguishers mounted in a readily accessible location? 29 CFR 1910.157(c)(1)

Exiting or Ergess

  • Do you wish to inspect Exiting or Egress?

  • Are all exits marked with an exit sign and illuminated by a reliable light source? 29 CFR 1910.37(b)

  • Are there sufficient exits to permit prompt escape in case of emergency? 29 CFR 1910.36(b)

  • Are all exits kept free from obstructions? 29 CFR 1910.36(d)

Personal Protective Equipment and Clothing

  • Do you wish to inspect Personal Protective Equipment?

  • Has an assessment been completed which identifies potential exposures and the appropriate PPE for specific job activities? YOSE Directive 03 and 03A, Personnel Protective Equipment, 29 CFR 1910.132(d)

  • Is all protective equipment maintained in a sanitary condition and ready for use? 29 CFR 1910.132(a)

  • Are warning signs posted specifying PPE requirements at entrances to hazardous areas? 29 CFR 1910.145(c)(3)

Hazardous Materials Communication

  • Do you wish to inspect Hazardous Materials Communication?

  • Are SDS readily available for each hazardous substance used? 29 CFR 1910.1200(b)(4)(ii), YOSE Directive 10, Hazardous Materials Communication

  • Is the workplace hazardous chemical inventory up to date? 29 CFR 1910.12009e(1)(i), YOSE Directive 10, Hazardous Materials Communication

  • Are all product containers, i.e. vats. bottles, storage tanks, etc. properly labeled? 29 CFR 1910.1200(f)(6), YOSE Directive 10, Hazardous Materials Communication

  • Are blank Hazardous Materials Identification System (HIMS) labels available for use? YOSE Directive 10, Hazardous Materials Communication

  • Have employees taken the required HazCom/GHS training and/or refresher? 29 CFR 1910.1200(b), YOSE Directive 10, Hazardous Materials Communication

Hazardous Waste

  • Do you wish to inspect Hazardous Waste?

  • Are there any hazardous/universal waste accumulation areas in the work place? If so, note location and associated waste stream.

  • Are all Point of Generation satellite accumulation containers properly labeled and inspected? 40 CFR 262.34, YOSE Hazardous Waste Management Plan.

  • Is there any accumulation of universal waste, i.e. batteries, fluorescent light tubes, thermostats, in the workplace? CCR Title 22, Division 4.5, Chapter 11, 66261, YOSE Hazardous Waste Management Plan.

  • Are universal waste containers properly labeled with the word Universal Waste followed by the contents and the accumulation start date? CCR Title 22, Division 4.5, Chapter 11, 66261, YOSE Hazardous Waste Management Plan.

  • Has someone been assigned the responsibility to manage the worksite accumulation of hazardous or universal waste? CCR Title 22, Division 4.5, Chapter 11, 66261, YOSE Hazardous Waste Management Plan.

  • Has the designated responsible person received hazardous waste training regarding point of generation satellite/universal waste accumulation? CCR Title 22, Division 4.5, Chapter 11, 66261, YOSE Hazardous Waste Management Plan.

Compressed Gas Cylinders

  • Do you wish to inspect Compressed Gas Cylinders?

  • Are cylinders with water weight capacity over 30 pounds, equipped with means for connecting a valve protector device or with a collar or recess to protect the valve? 29 CFR 1910.253(b)(1)(iv)

  • Are cylinders legibly marked to clearly identify the gas contained? 29 CFR 1910.253(b)(1)(ii), CPA Pam P-1-1965

  • Are compressed gas cylinders stored in areas where they will not be damaged by passing or falling objects or subject to tampering by unauthorized persons? 29 CFR 1910.252(b)(2)(ii)

  • Are compressed gas cylinders stored in areas which are protected from external heat sources such as flame impingement, intense radiant heat, electric arcs, or high temperature lines? 29 CFR 1910.253(b)(2)(i-ii)

  • Are cylinders located or stored or transported in a manner to prevent them from creating a hazard by tipping, falling or rolling? 29 CFR 1910.101(b), CPA Pam P-1-1965

  • Are valve protectors always placed on cylinders when the cylinders are not in use or connected for use? 29 CFR 1010.253(b)(5)(ii) (C)

  • Are all valves closed off before a cylinder is moved, when the cylinder is empty, and at the completion of each job? 29 CFR 1910.253(b)(5)(ii) F-H

Motor Vehicles

  • Do you wish to inspect Motor Vehicles?

  • Are vehicles routinely inspected and maintained at regular intervals? YOSE Weekly Safety and Wellness Program

  • Does the supervisor review motor vehicle licenses at least annually and documented?

  • Is unsafe equipment identified and removed from service until fixed? 29 CFR 1910.145(f)(3)

  • Is there a program in place to reduce misuse and abuse of vehicles and motorized equipment? YOSE Directive 1, Use of Government Vehicles

  • Do all drivers receive safe driver training every three years? YOSE Directive 18, Defensive Driving Policy

Signatures

  • Date and Time

  • Front Line Supervisor or Designee

  • Safety Office Inspector

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