DISASTER PREVENTION & SAFETY CHECKLIST
|
|
|
- Jeffry Moody
- 5 years ago
- Views:
Transcription
1 DISASTER PREVENTION & SAFETY CHECKLIST Note: If an item does not apply, write N/A (not appropriate) in the Remarks column. DO NOT leave any items blank. ELECTRICAL YES NO DATE INSPECTOR REMARKS All necessary extension cords of proper rating? Electrical cords free of splices, cuts, and other damage? Electrical switches, plugs, and surge suppressors operate properly? Electrical equipment properly grounded? Appliances (coffee pots, radios, etc.) properly maintained and turned off when not in use unplugged at end of workday? Electrical equipment disconnected during maintenance? Adequate lighting available? Electrical boxes easily accessible with no storage within 3 feet minimum? Preservation Services, 2005 Page 1
2 ELECTRICAL (Continued) YES NO DATE INSPECTOR REMARKS Multiple-outlet sockets avoided? Extension cord position to avoid tripping hazards? Circuit breakers in electrical panel clearly labeled? STORAGE AREAS YES NO DATE INSPECTOR REMARKS Area clean and orderly? Aisles uncluttered? Items accessible without undue risk? No materials stored on top of shelving? All materials, except those expendable, stored at least 3 above floor level? No water sources located above collections? Shelving securely anchored to wall or floor? Lighting adequate? Step stools or ladders available and safe to use? Materials stacked or piled appropriately? Preservation Services, 2005 Page 2
3 FIRE AND SAFETY FEATURES YES NO DATE INSPECTOR REMARKS Fire extinguishers available and properly charged? (note last date inspected) Fire extinguishers are proper type? Fire extinguishers available within 75 ft. of any place in area? Emergency exit signs illuminated? Emergency lights functional? Smoke detectors operable? (last date checked) Fire alarms operable? (last date checked) Sprinkler system operable? (note type of system and last date checked) At least 18 of clearance exists between sprinkler heads and anything beneath? Emergency exits easily opened? Alarm sounds when emergency exits opened? (last date checked) Signs indicating fire extinguisher placement obvious? Smoking prohibited? Preservation Services, 2005 Page 3
4 STRUCTURE YES NO DATE INSPECTOR REMARKS Windows and exterior doors seal properly? Good drainage around doors? Any previous water damage noted? New water damage discovered? Exposed pipes and joints dry? Handrails secure and adequate? Steps include non-slip surface? Walking surfaces secured to floor? Non-public areas secured? Air ducts unobstructed? Ceiling panels in place? EXTERIOR YES NO DATE INSPECTOR REMARKS Railings, benches, planters, light/flag poles well anchored? Overhanging trees/branches trimmed? Preservation Services, 2005 Page 4
5 EXTERIOR (Continued) YES NO DATE INSPECTOR REMARKS Building exterior well lighted? Intrusion detectors/alarms present and monitored 24 hours? OFFICE AREAS AND EQUIPMENT YES NO DATE INSPECTOR REMARKS Equipment properly maintained? Furniture stable and safe for intended use? Carts and other handling equipment in good repair? File cabinets stabilized to prevent tipping? Shelving units securely anchored? Portable partitions secure? HOUSEKEEPING YES NO DATE INSPECTOR REMARKS Cleaning supplies and other flammables stored safely? Trash removed nightly? Staff lounge areas cleaned daily? Preservation Services, 2005 Page 5
6 HOUSEKEEPING (Continued) Food and drink prohibited? Prohibition enforced? YES NO DATE INSPECTOR REMARKS Pest management strategies in place and effective? STAFF YES NO DATE INSPECTOR REMARKS Trained in proper use of office equipment? Instructed in proper lifting techniques? Trained in use of fire extinguishers? (Note date of last training session.) Aware of location of water main and have appropriate tools (if needed) to shut-off? Aware of emergency exits and procedures? (Note date of last fire drill) Instructed in overall safety program? Have established routines and duties for closing office to ensure building vacant? Adapted from: McColgin, Michael. Disaster Prevention/Safety Checklist from Disaster Planning for Government Agencies in Arizona Preservation Services, 2005 Page 6
NOTICE th Street, NW. Suite 320. Washington, D.C
NOTICE Authorization to Reproduce Materials Any person may reproduce any portion of this material subject to the following conditions: The material may be used for non-commercial purposes only. The material
Warehouse Operations Safety Inspection Checklist
An essential part of loss prevention is the recognition and removal or correction of hazards before a loss occurs. This checklist should serve as a tool, indicating those areas needing attention. This
HARDWOOD INDUSTRY FACILITY & SAFETY INSPECTION CHECKLIST
Company: Inspection Completed By: Date: Administrative: 1. Written safety rules/safe job procedures in place 2. OSHA log updated/safety posters displayed 3. Management Safety Policy in place 4. All planned
CHRISTIAN BROTHERS RISK MANAGEMENT SERVICES Self Inspection Checklist
CHRISTIAN BROTHERS RISK MAGEMENT SERVICES Self Inspection Checklist Building: Date: Inspected By: Time Began: Time Ended: PARKING LOTS Are gates operable? Condition of striping? Condition of parking lot
GENERAL GROUNDS. Inspector Name: Inspector Signature:
Inspector Name: Inspector Signature: Date: Concessions and Dining Areas 1 Are all walking surfaces in good condition and free of slip, trip, and fall 2 Are nonslip materials placed where appropriate? 3
Building and Grounds Self-Inspection Program
www.alterisus.com Building and Grounds Self-Inspection Program Each building and its accompanying grounds should be inspected at regular intervals, ideally on a monthly or quarterly basis. In this way,
Skilled Healthcare Documentation Requirements Life Safety and Fire Protection
DATE OF EVALUATION: FACILITY NAME: FACILITY ADDRESS: ADMINISTRATOR: MAINTENANCE DIRECTOR: All required documentation must be written and saved for at least 2 years and some documentation may be required
Camden County Fire Rescue Office of the Fire Marshal 125 N. Gross Road, Kingsland, GA
Camden County Fire Rescue Office of the Fire Marshal 125 N. Gross Road, Kingsland, GA 31548 912-510-4302 February 9, 2011 Greetings Camden County Businesses, As always, our department is working vigilantly
Building Self-Inspection Program
Building Self-Inspection Program www.tridentinsurance.net Lines of Business: Property, General Liability, Worker s Compensation, Public Official Liability Risk Control Strategy/Key Issues: Reduce physical
Fraternity, Sorority and Dormitory Buildings R-2 Fire and Life Safety Standards Inspection Form Fire Code of New York State (19 NYCRR Part 1225.
Fraternity, Sorority and Dormitory Buildings R-2 Fire and Life Safety Standards Inspection Form Fire Code of New York State (19 NYCRR Part 1225.1) House Name Date Address Inspector(s) No. of Residents
ILLINOIS INSTITUTE OF TECHNOLOGY SAFETY POLICY COMMITTEE OFFICE SAFETY POLICY
ILLINOIS INSTITUTE OF TECHNOLOGY SAFETY POLICY COMMITTEE OFFICE SAFETY POLICY Approved: October 10, 2013 Reviewed and Modified: April 27, 2015 Reviewed: April 23, 2018 TABLE OF CONTENTS 1.0 INTRODUCTION...1
FLOORS & WALKING SURFACES Y N N/A Corrective Actions Are ALL employees wearing approved slip-resistant footwear?
SAMPLE RESTAURANT SAFETY INSPECTION CHECKLIST (Worker Injury Prevention) This Restaurant Safety Inspection Checklist is designed to help assist your organization identify and initiate corrective actions
Facility Risk Assessment Questionnaire
Facility Risk Assessment Questionnaire ServiceMaster anytime provides this safety information free of charge. These materials are provided as a service to our clients and 866 Recover enrollees and is for
Office Safety: Housekeeping
Office Safety: Housekeeping March 2017 Housekeeping Safety Simple changes in basic housekeeping practices can go a long way towards keeping our office safe. Use our tips on the following topics to keep
Quarterly Safety/Building Inspection Form
Date: Quarter: (Check one) Jan - March, April - June, July - September, Oct - Dec, Campus: Program Name/Building/Room Number: Inspector's Name: 3 4 5 Fire Safety and Emergency Equipment Are all fire extinguishers
HEALTHCARE SAFETY INSPECTION
Facility/Location: HEALTHCARE SAFETY INSPECTION Inspected By: Date: OPERATING ROOM YES NO HAZARD CORRECTIVE ACTION Initial & Date 1. Has a designated safety person been appointed to oversee OR safety issues?
Business Fire Inspection. City of Guadalupe
Business Fire Inspection City of Guadalupe Intent Provide general information on the California Fire Code (CFC) and City of Guadalupe Municipal Code (GMC) requirements. Provide information and the most
Apartment Fire & Safety Inspection. City of Guadalupe
Apartment Fire & Safety Inspection City of Guadalupe Intent Provide information and the most common violation. It is NOT the intent to Identify all hazards a building may experience. It is NOT intended
-SAMPLE- Safety Inspection Checklist: Manufacturing
-SAMPLE- Safety Inspection Checklist: Manufacturing Prepared by: Midwest Builders Casualty The following procedures are not intended to be an exhaustive treatment of the subject, and should not be interpreted
MANAGEMENT WORKPLACE SPECIFIC INSPECTION CHECKLIST Department: Burwash Dining Hall/Ned s Cafe
Department: Burwash Dining Hall/Ned s Cafe KITCHEN SAFETY CHECKLIST YES NO N/A Has the staff received Safe Food Handling and WHMIS training? Are all floors kept clear of water, grease and food additives?
FIRE INSPECTORS GUIDELINES FOR PLAN REVIEWS AND INSPECTIONS OF NEW CONSTRUCTION / ADDITIONS AND CHANGE OF OCCUPANCY
FIRE INSPECTORS GUIDELINES FOR PLAN REVIEWS AND INSPECTIONS OF NEW CONSTRUCTION / ADDITIONS AND CHANGE OF OCCUPANCY PLAN REVIEWS SITE PLANS: 1) Access to buildings (Volume V NC Building Code sections 602.6.1
If there are emergency situations they should be reported to Maintenance Department immediately.
To: From: Re: Mercer County Schools Principals Mercer County Schools Safety Committee Required Safety Reports Date: October 30, 2010 In order to work toward safer schools, two reports are required to be
Sample Safety Inspection Checklist
INSPECTION HEALTH AND CHECKLIST SAFETY COMMITTEES 1 Sample Safety Workplace: Date: Inspected By: Each No answer may indicate a problem. Yes No FLOORS AND WALKWAYS Are walkways and stairways kept clear
INSTRUCTIONS TO COMPLETE INSPECTION FORM:
INSTRUCTIONS TO COMPLETE INSPECTION FORM: The online version of this form is official. Therefore, all printed versions of this document are unofficial copies. 1. The checklist shall be completed monthly
August Safety Subject
August Safety Subject Housekeeping Don t overload the top drawers of a file cabinet or open more than one drawer at a time. Do not leave drawers open while unattended. All cords, cables and wires should
COUNTY OF SACRAMENTO DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PERMITS & INSPECTION DIVISION
COUNTY OF SACRAMENTO DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PERMITS & INSPECTION DIVISION Document # GI-16 Page 1 of 7 Large Family Day Care Homes Large family day care homes are licensed for day
Fire Safety Audit: Part B - Questionnaire (Questionnaire Devised By Mr.R.R.Nair) Yes No x
Fire Safety Audit: Part B - Questionnaire (Questionnaire Devised By Mr.R.R.Nair) Yes No x Name & Address of the Society IDENTIFY PEOPLE AT RISK 01 Have you identified who is at risk? 02 Have you identified
WORKPLACE EVALUATION CHECKLIST & REPORT
Work Center: Supervisor: Telephone Number: Building & Room Number: Date of Last Evaluation: Date: WORKPLACE EVALUATION CHECKLIST & REPORT ITEM YES NO N/A COMMENTS Has this area been surveyed in the last
Enki Health and Research Systems, Inc. WORKPLACE INSPECTION CHECKLIST AND CORRECTIVE ACTION FORM
Quarterly Checklist and Corrective Action Form Instructions Required to be completed quarterly. To ensure that all areas of clinic inspected, Safety Committee members should inspect a minimum of 1/3 area
Facility Manager Training
Joint Base Elmendorf-Richardson I n t e g r i t y - S e r v i c e - E x c e l l e n c e Facility Manager Training OVERVIEW Fire Safety Deficiencies Facility Manager Responsibilities Fire Prevention Folder
THE UNIVERSITY OF THE WEST INDIES Mona Campus Human Resource Management Division (HRMD) SECTION I GENERAL SAFETY
EOHS 01-004 Office and Classroom Safety Introduction Though offices and classrooms are thought of as relatively safe working environments, they can present potential risks that are often overlooked. Blocked
South Davis Metro Fire Agency
Agency Proudly Serving the Communities of Bountiful - Centerville - Davis County - North Salt Lake - West Bountiful - Woods Cross Fire Prevention Division Dear Business Owner: We are committed to the safety
Office Safety Inspection Checklist
Office Safety Inspection Checklist Assess your office s safety performance based using criteria from AECOM s SH&E Management System. Location: Business Group: Business Unit: Prepared by (name/title): Project:
Office Inspection Checklist Offices/Classrooms/General Office Areas
CONCORDIA UNIVERSITY Office Inspection Checklist Offices/Classrooms/General Office Areas SCOPE The Office Inspection Checklist is a tool to identify workplace hazards and as well as to provide a system
School Fire Safety Checklist
Community Risk Reduction The (SFSC) includes many of the most common fire prevention and life safety issues found in schools. The SFSC is not intended to be an all inclusive list, but rather highlights
Fire and Life Safety Review Form
Exits/Egress Fire and Life Safety Review Form 1. Doors shall swing in the direction of egress travel where serving and occupancy load of 50 or more. IFC 1010.1.2.1 2. Egress shall be readily openable from
West Chester Fire Dept. Fire Code Maintenance Handbook. Fire Prevention Saves Lives and Property
Fire Code Maintenance Handbook Fire Prevention Saves Lives and Property 8/10/2006 Our Mission The West Chester Fire Department Loss Prevention Bureau is committed to the safety of its firefighters, and
LABORATORY INSPECTION CHECKLIST
LABORATORY INSPECTION CHECKLIST Date of Inspection: Conducted by: Department: Building/Room #: Principal Investigator: PI Present? Yes No Type of Inspection: Semi-Annual (scheduled) Complaint Follow Up
School Property REVIEWING YOUR BUILDINGS & GROUNDS
School Property REVIEWING YOUR BUILDINGS & GROUNDS Risk Management CHECKLIST Instructions: Use this checklist to record issues that may affect your school s security and safety. Check needs attention and
Property REVIEWING YOUR BUILDINGS & GROUNDS
Property REVIEWING YOUR BUILDINGS & GROUNDS Ministry Risk Management CHECKLIST Instructions: Use this checklist to record issues that may affect your ministry s security and safety. Check needs attention
Sample Safety Inspection Checklist for Schools
INSPECTION Health and CHECKLIST Safety Committees 1 Sample Safety for Schools School: Date: Inspected By: Each No answer may indicate a problem. Floors and Walkways Are walkways and stairways kept clear
Washoe County Department of Social Services
SECTION 30 FIRE AND LIFE SAFETY REQUIREMENTS 30.1 Authority to inspect. The facility shall meet all fire and life safety standards. Fire department inspectors shall have authority to enter, for purposes
Common Fire Code Violation Checklist. Listed are some of the most commonly found fire code violations and should not be considered as all inclusive.
Common Fire Code Violation Checklist Listed are some of the most commonly found fire code violations and should not be considered as all inclusive. Exterior Features All fire access roads signed per TFD
SCOUT HALL INSPECTION CHECKLIST
Scouts Australia NSW Level 1, Quad 3 102 Bennelong Parkway Sydney Olympic Park 2127 P O Box 125 Lidcombe NSW 1825 Ph: 02 9735 9000 Fax: 02 9735 9001 SCOUT HALL INSPECTION CHECKLIST Please complete all
DESTINY MANAGEMENT Comprehensive Safety & Health Inspection Checklist - AFLs
Date: Site: 1. DMI will complete this checklist annually at each AFL site. 2. The AFL staff is responsible for correcting any deficiencies/problems/concerns. 3. On an annual basis, the appropriate MCO
RETAIL SAFETY AUDIT EMPLOYEE SAFETY
RETAIL SAFETY AUDIT EMPLOYEE SAFETY GENERAL INFORMATION Store Number: Auditor: Store Location: Date: Store Manager: Yes responses indicate compliance with the safety standard. Please comment on all No
SANTA ROSA FIRE DEPARTMENT FIRE PREVENTION BUREAU STANDARD
July 2017 SANTA ROSA FIRE DEPARTMENT FIRE PREVENTION BUREAU STANDARD SPECIAL EVENT PUBLIC ASSEMBLY PURPOSE This standard is applicable to any public event, exhibit space, booth, festival or any other similar
Organization: Inspector (print): Building/area inspected: Building Manager or POC: SIGNATURE of INSPECTOR: PHONE: ITEM YES NO N/A
Checklist for SASOHI of Low Hazard Facilities This is a general checklist for use when inspecting low hazard administrative and barracks facilities. It does not include all possible hazards. Some items
Fire/Life Safety Policy
Fire/Life Safety Policy On Campus Student Housing A. Purpose The University supports and maintains a strong commitment to the safety and health of each student living in On Campus Student Housing. The
Millard Refrigerated Services Monthly Health and Safety Observations
Millard Refrigerated Services Monthly Health and Safety Observations Completed by: Date: Facility: Page 1 of 6 Y/N State Substandard Conditions and Location Responsibility Dock Area: 1. The overhead dock
CHAPTER 56 EXPLOSIVES AND FIREWORKS SECTION FIREWORKS 1.4G RETAIL STORAGE, DISPLAY, AND SALE
CHAPTER 56 EXPLOSIVES AND FIREWORKS SECTION 5609 is amended, to read as follows, with the entire section being an addition to the Fire Code: SECTION 5609. FIREWORKS 1.4G RETAIL STORAGE, DISPLAY, AND SALE
Is the address of your property clearly visible and marked in large numbers that can be easily seen from the street?
PRE-INSPECTION CHECKLIST THE FOLLOWING INFORMATION IS PROVIDED TO YOU TO ASSIST YOUR FACILITY IN BECOMING COMPLIANT WITH THE NEW YORK STATE FIRE CODE, LOCAL LAWS, AND ORDINANCES GOVERNING THE TOWN OF BABYLON.
Fort Bragg Fire and Emergency Services Division Fire Safety Survey For use of this form, see FB Reg 420-1, the proponent agency for this form is DES.
Fort Bragg Fire and Emergency Services Division Fire Safety Survey For use of this form, see FB Reg 420-1, the proponent agency for this form is DES. Date of Survey: Building Number: UNIT / Organization:
Department Of Public Works: Internal Operations
Department Of Public Works: Internal Operations A Checklist There are over 800 municipalities in the Michigan Municipal League s Pool and Fund Programs. Most perform public works functions of one type
C i t y o f G r o v e r B e a c h ADMINISTRATIVE SERVICES DEPARTMENT
C i t y o f G r o v e r B e a c h ADMINISTRATIVE SERVICES DEPARTMENT BUSINESS TAX CERTIFICATE NEW AND RENEWALS Frequently Asked Questions The following are answers to some commonly asked questions regarding
Clackamas Fire District #1 Self Inspection Program. Oregon Fire Code (OFC)
Clackamas Fire District #1 Self Inspection Program Oregon Fire Code (OFC) Access Access No parking in the fire access lanes at any time. Even if they are not painted red. An unobstructed width of not less
Evaluating Your Property and Work for Safety Hazards
Evaluating Your Property and Work for Safety Hazards One of the best ways to reduce the potential for insurable losses arising on or from your premises is to ensure that unsafe conditions and practices
Fire Risk Assessment
Fire Risk Assessment Premises Description Address Area Post Code Tel no. Num of Employees Normal Occupancy Max Allowed Use of Premises Building Length Building Breadth Area 0.00 M² Floors Storeys Below
Table of Contents CHAPTER 10 ADMINISTRATIVE RULES FOR CERTIFICATION OF CHILD CARE FACILITIES FIRE STANDARDS FOR FAMILY CHILD CARE HOME
Table of Contents CHAPTER 10 ADMINISTRATIVE RULES FOR CERTIFICATION OF CHILD CARE FACILITIES FIRE STANDARDS FOR FAMILY CHILD CARE HOME Section No. Subject Page No. 1 Authority and Purpose 10-1 2 Definitions
1. Researchers are familiar with the location and contents of: The lab s Chemical Hygiene Plan YES NO
Safety Self-Inspection Checklist for Laboratories One Inspection form per Laboratory Room DATE: BUILDING: ROOM: INSPECTOR: Professor Inspector s Signature Professor s Signature: Answer each question by
SAFETY INSPECTION REPORT
855.2.ehsInc 855.234.7462 TM ENVIRONMENTAL, HEALTH, AND SAFETY SAFETY INSPECTION REPORT Client Name ABC Company Conducted at Maintenance Yard Conducted by ehsinc Conducted on 01/15/2016 Final Grade 98%
Fire/General Safety Review Program Key Performance Indicators Environmental Health and Safety
Fire/General Safety Review Program Key Performance Indicators Environmental Health and Safety Fire and CO Detection Systems Fire alarm pull station obstructed. Annunciation panel obstructed. Lack of approved
Business License Pre-inspection Checklist
Business License Pre-inspection Checklist August, 2016 Alberta Fire Code business license pre-inspection and annual checklist This checklist provides business owners with Alberta Fire Code requirements
7370 E 38 th St, Tulsa, OK Worksheet for Outlining A Disaster Plan
7370 E 38 th St, Tulsa, OK 74145 918-664-6164 www.datastorageinc.com Worksheet for Outlining A Disaster Plan A. Institutional Information: Name of Institution Date of Completion Date of Next Update of
Fire Department HEADQUARTERS Cathedral Oaks Road Santa Barbara, CA (805) FAX: (805) CODE SUMMARY
Fire Department HEADQUARTERS 4410 Cathedral Oaks Road Santa Barbara, CA 93110-1042 (805) 681-5500 FAX: (805) 681-5563 Michael W. Dyer Fire Chief County Fire Warden Eric Peterson Deputy Fire Chief CODE
SAFETY. USE OF SAFETY CHECK LISTS A safety check for compliance with current regulations should be performed yearly.
SAFETY GENERAL Buildings must be designed according to building and fire safety codes and other regulatory standards at the time of construction. However, such codes and standards are continuously changing.
FIRE SAFETY MAINTENANCE INFORMATION for Agricultural Livestock Structures
FIRE SAFETY MAINTENANCE INFORMATION for Agricultural Livestock Structures Building Name: Building Address: Plan Prepared By (please print): Date: Revision Date Comments Approval FIRE SAFETY MAINTENANCE
Safety Tips for the Office
Safety Tips for the Office An office fire can be devastating - resulting in business interruption or permanent closure, loss of lives, jobs, property and information. Offices are loaded with combustible
Special attention should be given to new students, to students with special needs and to students enrolled in visiting classes.
Fire Prevention Administrative Procedure 8.90 Board Governance Policy Cross Reference: 1, 2, 3, 4, 12, 13, 16, 17 Legal Reference: E10-468R, Section 36, Manitoba Fire Code Date Adopted: January, 1983 Date
CTH-II HOUSE MANAGER S MONTHLY SELF-INSPECTION Program: Date: SAFETY: Item Met Not Met (document action required)
CTH-II HOUSE MANAGER S MONTHLY SELF-INSPECTION Program: Date: SAFETY: 1. Fire exits are unobstructed (including windows) 2. Fire equipment checked monthly/annually 3. Smoke detectors operable (all smoke
Home Assessment: Prevent Falls At Home
Home Assessment: Prevent Falls At Home 1-866-739-2372 (Toll Free) www.youradrcresource.org Most falls that cause serious injury occur within the home. Use this home assessment checklist to assess the safety
Operations Maintenance and Evaluations
Operations Maintenance and Evaluations Adequate exterior maintenance of a chapter house should include annual evaluations, using the following guidelines. The roof should be reviewed with regard to years
Fire Risk Assessment (FRA) Checklist
Fire Risk Assessment (FRA) Checklist Assessed by: Job Title: Department/Location: Date Document Downloaded: Date of Assessment: Duty Holder Name: FRA. Description / Comments FHRA. 1. MANAGEMENT, PLANNING
MONTHLY SAFETY INSPECTION REPORT
MONTHLY SAFETY INSPECTION REPORT Date of Inspection: Company: Persons Participating in Inspection: POSSIBLE S EXTERIOR / PARKING LOT Are all parking areas well lit? Are parking areas free of snow, ice
AGING IN PLACE CHECKLIST Use this checklist to identify fall hazards and accessibility for the homeowner and family members.
AGING IN PLACE CHECKLIST Use this checklist to identify fall hazards and accessibility for the homeowner and family members. EXTERIOR ENTRANCES AND EXITS: Note condition of walk and drive surface; existence
UPMC Hamot. Safety Rounds. conducted for. Document No Audit Title 3 Main / West. Conducted on 8:15 10/23/12. Prepared by Ramsey
Safety Rounds conducted for UPMC Hamot Document No. Audit Title 3 Main / West Conducted on 8:15 10/23/12 Prepared by Ramsey Personnel Ramsey, Moryc Completed on 13:52 10/26/12 Table of Contents SAFETY
Ten-Point Checklist for Emergency Preparedness
Ten-Point Checklist for Emergency Preparedness This checklist was developed by Dr. Susan M. Smith, and graduate students participating in a UT Safety Workshop graduate class. NOTE: Evaluators should indicate
Home Safety Checklist
Home Safety Checklist This Home Safety Checklist is to help identify home hazards, make recommended safety changes, and prevent injuries in the home. Start in the main room of your home and walk through,
University of Maryland FIRE EVACUATION PLAN
University of Maryland FIRE EVACUATION PLAN PLAZA PARKING GARAGE POLICE - 711 FIRE - 711 MEDICAL EMERGENCY - 711 Anyone discovering excessive heat, smoke, or fire inside your building will immediately
Canadian Deafblind Association
Canadian Deafblind Association L Association Canadienne de la Surdicécité Ontario Chapter WORKPLACE INSPECTION CHECKLIST Program Name Date Completed Inspector(s) Name(s) EXTERNAL ENVIRONMENT Are walkways
Wausau Fire Department Inspection Violation Code Listing (Modified) All Applicable Records
VIOLATION Code AISLES/EXITS NFPA 1-14.13.2.1 NFPA 1-14.4.1 NFPA 1-14.4.2.1 NFPA 101-7.10.9 Violation Codes Description Aisles and Exits Emergency Lighting Working Required emergency lighting systems shall
Osceola County Department of Fire Rescue and Emergency Medical Services
St. Number Dir Street Name Street Type Inspected Time of Day to be Re-inspected Zip Code Occupancy Type Emergency Contact Phone (Inc. Area Code) Building Owner Building Owner Mailing Address Bldg. Owner
Life Safety Code Common Discepancies Course# LSC102. EZpdh.com All Rights Reserved
Life Safety Code Common Discepancies Course# LSC102 EZpdh.com All Rights Reserved 1. K147 Electrical - Electrical wiring and equipment shall be in accordance with NFPA 70, National Electrical Code. 9.1.2
GARDEN GROVE FIRE DEPARTMENT
GARDEN GROVE FIRE DEPARTMENT PRE-INSPECTION CHECKLIST PROGRAM FOR SCHOOLS The Garden Grove Fire Department provides an annual school life safety inspection each year to protect lives and property in the
Family Foster Home Fire Safety Evaluation Checklist Instructions
Family Foster Home Fire Safety Evaluation Checklist Instructions Please read these instructions prior to commencing your inspection. This checklist is provided to specific Foster Family Homes for the purpose
Procedure DESCRIPTION/OVERVIEW
Applies To: UNMH Responsible Department: Life Safety Revised: 07.08.16 Procedure Patient Age Group: (X ) N/A ( ) All Ages ( ) Newborns ( ) Pediatric ( ) Adult DESCRIPTION/OVERVIEW To assure the safety
Informational Bulletin
Informational Bulletin Date Issued: July 11, 2010 Bulletin No: 2010-11N Topic: Code Reference For Use By: Inspection Guide - General Sonoma County Code California Fire Code California Health and Safety
UNIVERSITY OF ROCHESTER ENVIRONMENTAL HEALTH & SAFETY
Revision No.: 11 Page 1 of 12 I. PURPOSE This procedure establishes a tool to help maintain a safe environment for all patients, visitors and staff by evaluating the loss of a life safety feature during
Fire Safety Guide. Emergency Number:
Fire Safety Guide Emergency Number: +39-055-5007450 In Case of Fire Emergency, Call: 115 In Case of Police Emergency, Call: 112 or 113 In Case of Medical Emergency, Call: 118 July 2015 Edition Table of
Laboratory Information
Laboratory Information Lab Information Department Room number and function Principal investigator (PI) PI telephone number PI email address Lab Safety contact person Lab Safety contact telephone number
Site Address: Bldg./Suite #: Departments Phone Date Approval Signature A) Planning COMMENTS:
Development Services Department 135 N. 'D' Street P) 951-943-5003 F) 951-943-6504 www.cityofperis.org STEP 1: Prepare for your permit Before you can start this application/permit you will need the following:
FIRE SAFETY GUIDELINES
FIRE SAFETY GUIDELINES Assembly Events PRINCE WILLIAM COUNTY FIRE MARSHAL S OFFICE 5 County Complex Ct Prince William, Virginia 22192 TELEPHONE: 703-792-6360 The following fire safety guidelines have been
INITIAL FIRE SAFETY ASSESSMENT
INITIAL FIRE SAFETY ASSESSMENT Assessor: 28 S.S. Tower, Vogra, Joydebpur, Gazipur Joydebpur, Gazipur Dhaka Uttaron The Alliance for Worker Safety Page 1/17 12 Apr 2015 Introduction to the Report The following
University of California, Davis Laboratory Self-Inspection Checklist
University of California, Davis Laboratory Self-Inspection Checklist Principal Investigator/Laboratory Supervisor: Laboratories Reviewed: Date: Reviewer: Revised 11/2014 I. SAFETY PROGRAM ADMINISTRATON
Fire Safety Guide. Emergency Numbers:
Fire Safety Guide Emergency Numbers: In Case of Fire Emergency, Call: 000 In Case of Police Emergency, Call: 000 In Case of Medical Emergency, Call: 000 July 2015 Edition Table of Contents Introduction
Item Referenced and Amendments Building 1 Building 2 Analysis, Review and Remarks. Page 1 of 15
N/A N/A 2015 International Fire Code 2015 International Building Code Codes Jurisdictions for Fire and Building Codes Source of Information Building Fire Plumbing Mechanical Electrical Energy Code Accessibility
Institutions NUMBER: Food Service Safety And Sanitation
Page 2 of 6 PROCEDURES: I. Safety: General safety guidelines for FSMs include: A. Handling of Supplies: When handling or storing supplies, food service staff and prisoners must: 1. Use proper lifting techniques.
FIRE EVACUATION PLAN PRATT STREET PARKING GARAGE AND ATHLETIC CENTER POLICE FIRE MEDICAL EMERGENCY
University of Maryland FIRE EVACUATION PLAN PRATT STREET PARKING GARAGE AND ATHLETIC CENTER POLICE - 711 FIRE - 711 MEDICAL EMERGENCY - 711 Anyone discovering excessive heat, smoke, or fire inside your
Comprehensive Safety Evaluation Facility: Period: Mid-Year Year: 2012 Date: Evaluator: Jamie Williams
Comprehensive Safety Evaluation Facility: Period: Mid-Year Year: 2012 Evaluator: Jamie Williams SAFETY CULTURE DEVELOPMENT Items Noted Point Factor Total Points 1 Safety Commitment 0 1.0 Max = 10 0.0 2
Burien/Normandy Park Fire Department 900 SW 146 th ST PO Box Burien, WA BP (206) Fax (206)
Burien/Normandy Park Fire Department 900 SW 146 th ST PO Box 66029 Burien, WA 98166 BP (206) 242-2040 Fax (206) 433-6042 HOME DAYCARE SELF-INSPECTION CHECKLIST ` Complete the following daycare checklist,