Canadian Deafblind Association
|
|
- Gervais Bond
- 5 years ago
- Views:
Transcription
1 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 clear of articles? B Moderate C Minor) Are walkways clear of ice/snow/wet leaves? Are there tripping hazards? Are handrails secured? Is there adequate lighting front & back doors? Is the lighting motion activated? Are entrances and exits obscured?
2 INTERIOR COMMON AREAS Is the entrance hall obstructed with: - Boots/shoes/clothing? - Boxes/equipment/garbage? Are handrails secured? Are stairs in good repair? Are halls and stairways well lit? Are bed bug checks being performed? KITCHEN AREA Is there broken or loose flooring? Are small appliances safely away from sinks? Are appliances in good repair? Is the outlet a breaker switch near the sink? Is there a step-stool for hard-to-reach items? Is there baking soda close to the stove? Is there a stove vent?
3 Is there a fire extinguisher? BATHROOM AREA Is the supply of soap/toilet paper/hand towels adequate? Is there a non-slip surface or mat in the tub? Is there a non-slip mat on the floor? Is the outlet a breaker switch? Are there are signs of mold or mildew? BASEMENT Is the lighting adequate for duties performed there? Is the floor congested? Is the floor area damp or slippery? Is there a step-stool for hard-to-reach items? Are the exits clear from obstacles? Do you know where the electrical panel is located? Are there are signs of mold or mildew?
4 LAUNDRY ROOM/AREA Is the electrical panel accessible and free of dust and debris? Is the dryer lint catcher being cleaned regularly? Is the dryer vent tube connected and clear of debris? FIRE SAFETY Are there working smoke detectors? Is there one smoke detector per floor? Were the batteries in the smoke detector(s) changed when the clocks last changed? How many floors are in the house? Is there a carbon monoxide detector in the house? How many fire extinguishers are in the house? When were the fire extinguishers last inspected? Are occupants and staff familiar with the household fire evacuation plan? MATERIAL HANDLING Did you observe any unsafe material handling (poor body mechanics, applying of high force)?
5 Did you observe any unsafe lifting or transferring? Are there are lifting devices in place? If YES, when was the last annual inspection? Are lifting device maintenance records available? VEHICLE INSPECTIONS Is there an emergency kit in the vehicle? If YES, is it fully stocked? Are vehicles inspections being completed at all times? Are inspection forms being filled out properly? Are vehicles undergoing regular maintenance? WHMIS Are Material Safety Data Sheets (MSDS) available and accessible to staff? Are the MSDS less than three (3) years old? Are all containers clearly labelled to meet WHMIS standards? GENERAL Are power bars and proper extension cords used extensively? Are emergency telephone numbers posted in a clear location near a telephone?
6 Is there a copy of the Act (OHSA) posted? If YES, where is it posted? Are the names of all JHSC members posted? Is there an emergency/72 hour kit? If YES, have expiry dates been checked on all food items? When the first aid kit was last checked? Are employees aware of the location of the first aid kit? Is the Health & Safety Policy Statement posted? If YES, has it been signed within the last year? Is the Workplace Violence & Harassment Policy posted? If YES, where is it posted? Are mobility aids and Snoezelen equipment being cleaned? 2 staff questions or discussion items please record. E.G. (Where are policies posted, who do you inform if you have had an incident, who is your JHSC representative) Staff Member Interviewed onsite (name) Actions/Recommendations Inspector(s) Signature(s) Inspector(s) Signature(s) Supervisor s Signature Health and Safety Officer Signature
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
More informationWorkplace Inspection Checklist (Office)
Workplace Inspection Checklist (Office) Office location: Inspected by: Worker contacts: Management contacts: Inspection Checklist Areas inspected: Date of inspection: Section 1 Walking Surfaces 1.1 Area
More informationMONTHLY SAFETY INSPECTION REPORT
MONTHLY SAFETY INSPECTION REPORT Date of Inspection: Company: Persons Participating in Inspection: POSSIBLE HAZARDS RATE HAZARD NOTES/COMMENTS: Are all parking spots and walkways well lit at night? Are
More informationHome 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,
More informationQuarterly 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
More informationHome 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
More informationA Home Safety Checklist
For more information, call: Stay on Your Feet Algoma 1-705-942-4646 1-866-892-0172 A Home Safety Checklist Stay Active, Stay Independent and Stay On Your Feet! Did you know? Falls are not a normal part
More informationHome Safety Checklist From Adaptive Remodeling Solutions, LLC Monona, WI
Home Safety Checklist From Adaptive Remodeling Solutions, LLC 608-234-7440 Monona, WI Are you able to use every part of your home efficiently and safely? Take a good look at the rooms in your home and
More informationSafe at Home. A Home Safety Inspection Guide Brought to you by Madison Area Firefighters Local 311 local311.org (608)
Safe at Home A Home Safety Inspection Guide Brought to you by Madison Area Firefighters Local 311 local311.org (608) 257-2030 Safe at Home Purpose Statement The Safe at Home program was designed by Firefighters
More informationAging-in-Place Safety Checklist
Aging-in-Place Safety Checklist Use the checklist to find the hazardous conditions or safety risks for every room/area in your home: Entrance to Front Door and Front Yard: 1. Lack of railing or unstable
More informationSample 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
More informationAGING 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
More informationEnki 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
More informationStaying Independent. A Fall Prevention Checklist
Staying Independent A Fall Prevention Checklist Did you know? 4 Falls are predictable and can be prevented 4 Most falls happen in and around the home 4 Fear of falling and inactivity can lead to the loss
More informationFamily 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
More informationA Home Safety Checklist
For more information or to obtain copies of the Home Safety Checklist, contact your local public: health unit: A Home Safety Checklist Stay Active, Stay Independent & Stay On Your Feet! Did you know? Falls
More informationDESTINY 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
More informationFIRE PREVENTION, MAINTENANCE AND EVACUATION POLICY AND PROCEDURES
FIRE PREVENTION, MAINTENANCE AND EVACUATION POLICY AND PROCEDURES Updates Who Updated Comments Every 6 months Jan/July Lewis TABLE OF CONTENTS 1.1 Fire Ignition Points... 3 1.2 Maintenance... 3 1.3 Fire
More informationSample 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
More informationSAFETY. 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.
More informationSafe at Home. Suggestions for Homeowner Created in partnership with the Administration on Aging. Assessor: Assessor: Homeowner Name: Address:
Assessor: Assessor: 1. EXTERIOR ENTRANCES AND EXITS Do you any difficulty getting in and out of your home? Which entrance(s) do you use the most? Have you had any falls or safety concerns? I want you to
More informationWORKPLACE INSPECTION CHECKLIST FOR INDUSTRIAL ENVIRONMENTS
WORKPLACE INSPECTION CHECKLIST FOR INDUSTRIAL ENVIRONMENTS Standard OHS Workplace Inspection Checklist Review Date: Next Review: Inspection Site: Inspection Team: Contacts: Bookcase/Shelves/Cabinets Secured
More informationFire and burn safety at home
Fire and burn safety at home Safe signals in the home Kitchen safety Bathroom safety Bedroom safety Living area safety Storage or utility safety Smoke and carbon monoxide detectors Doors and windows Fire
More informationRENTAL INSPECTION CHECKLIST
CITY OF WEST ORANGE, TEXAS CODE ENFORCEMENT DEPARTMENT Dean Fuller, Code Enforcement Official 2700 Western Avenue West Orange, Texas 77630-6136 Ph (409)883-3468 *** Fax (409)882-0652 dfuller@cityofwestorange.com
More informationINSTRUCTIONS 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
More informationSeptember 1, Sincerely, Mike Montgomery Fire Marshal. M.S. Montgomery Fire Marshal
M.S. Montgomery Fire Marshal September 1, 2010 This document describes rules changes affecting the operation and fire safety in foster homes licensed and regulated by the Texas Department of Family and
More informationSection 8 Housing Choice Voucher Program. Housing Quality Standards (HQS) Inspection Checklist
Section 8 Housing Choice Voucher Program Housing Quality Standards (HQS) Inspection Checklist SECTION 8 PROGRAM RESIDENT AND OWNER'S HQS GUIDE THE HOUSING QUALITY STANDARDS INSPECTION The unit must pass
More informationManufactured Home Community Self-Inspection Checklist
Manufactured Home Community Self-Inspection Checklist Facility Inspector Location Date The following items should be regularly inspected and maintained to help ensure safety in your mobile home community.
More informationEmergency Evacuation Plan
Emergency Evacuation Plan Scope and Applicability This procedure applies to a wide variety of emergencies both man-made and natural which may require a workplace to be evacuated. These emergencies include
More informationThamesWater Metering Managed Service. Office SHEQ Induction
ThamesWater Metering Managed Service Office SHEQ Induction Vennsys Safety Vision, Value and Principles Vision We will have a culture in which we only deem ourselves successful if everything we do is achieved
More informationFor the Lifespan: The Caregiver Guide Module 4 The Accessible Home
For the Lifespan: The Caregiver Guide Module 4 The Accessible Home Objectives After completing this module, participants will be able to: Describe what a home modification is and when changes should be
More informationTHE 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
More informationSCOUT 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
More informationPARISH SELF-INSPECTION GUIDE
PARISH SELF-INSPECTION GUIDE Gallagher Bassett Services, Inc. Risk Control Consulting Division June 2008 Gallagher Bassett Services, Inc. The information contained in this report was obtained from sources,
More informationUniversity of Maryland FIRE EVACUATION PLAN NATIONAL DENTAL MUSEUM POLICE FIRE MEDICAL EMERGENCY Anyone discovering excessive heat,
University of Maryland FIRE EVACUATION PLAN NATIONAL DENTAL MUSEUM POLICE - 711 FIRE - 711 MEDICAL EMERGENCY - 711 Anyone discovering excessive heat, smoke, or fire inside your building will immediately
More informationOffice 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
More informationA GUIDE TO THE ROCK ISLAND HOUSING CODE. Prepared By: The City of Rock Island Inspection Division
A GUIDE TO THE ROCK ISLAND HOUSING CODE Prepared By: The City of Rock Island Inspection Division 2 P a g e THIS QUICK GUIDE TO ROCK ISLAND S PROPERTY MAINTENANCE CODE IS INTENDED FOR THE USE OF ALL RESIDENTS
More information2012 SunTrust Center ERT Annual Review. 919 East Main St. Richmond, VA
2012 SunTrust Center ERT Annual Review 919 East Main St. Richmond, VA 1 & 2 Purpose of Emergency Response Program Emergency Response Team, Members and Responsibilities Evacuation Procedures Other Emergency
More informationSchool 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
More informationWarehouse 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
More informationChecklist. Your Home Safety. Staying On Your Feet. A few simple steps can make your home safer and help prevent you from falling
Your Home Safety Checklist A few simple steps can make your home safer and help prevent you from falling Staying On Your Feet Your Home Safety Checklist Everyone is at risk of falling, but older adults
More information-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
More informationShort-Term & Accessory Short-Term Rental Safety Certification
Short-Term & Accessory Short-Term Rental Safety Certification Permit Application Center (City Hall) 555 Liberty St. SE, Room 320 Salem, OR 97301 503-588-6213 (For office use only) License #: If you need
More informationThe Social Accountability International (SAI) Fire Safety Checklist
The Social Accountability International (SAI) Fire Safety Checklist Introduction The Social Accountability International (SAI) Fire Safety Checklist is a guidance tool prepared for SA8000 & BSCI Auditors
More informationFacility 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
More informationProperty 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
More informationThe Basement Risk Assessment Form
The Basement Risk Assessment Form Location: The Basement Activity: General Risk Assessment Date: July 2011 Name of Assessor: Claire Mackay Position: Venue manager Review date: July 2012 Hazards Who is
More informationBuilding 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,
More informationMANAGEMENT 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?
More informationRental Housing Inspection Guide
BOONE FIRE DEPARTMENT Rental Housing Division 515-432-3446 www.boonegov.com/rental BUILDING DEPARTMENT Rental Housing Inspection Guide Boone Fire Department Welcome to the Rental Housing Inspection Guide
More informationSafe at Home. Suggestions for Homeowner Created in partnership with the Administration on Aging. Assessor: Assessor: Homeowner Name: Address:
Assessor: Assessor: Homeowner Name: Address: 1. EXTERIOR ENTRANCES AND EXITS Do you any difficulty getting in and out of your home? Which entrance(s) do you use the most? Have you had any falls or safety
More informationBuilding 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
More informationHousing and Fire Safety Tips for Your Home & Property. Micki Jones, SFFD Rosemary Bosque, DBI May 6, 2015, SF Main Library
Housing and Fire Safety Tips for Your Home & Property Micki Jones, SFFD Rosemary Bosque, DBI May 6, 2015, SF Main Library What you should know about: Residential Fires General Statistics Fire Safety Workshop
More informationHome Safety Assessment For Owners
This tool is yours to keep. It does not need to be returned. Home Safety Assessment For Owners This tool is to help you make your home safer for you and your family. To complete this tool, take it to each
More informationBALTIMORE CITY RENTAL LICENSE INSPECTION FORM RENTAL LICENSING INSPECTOR GUIDANCE
BALTIMORE CITY RENTAL LICENSE INSPECTION FORM RENTAL LICENSING INSPECTOR GUIDANCE Checklist items A - L may receive a result of Pass or Fail A. Railing is present for interior and exterior steps with more
More informationFire Safety Education in Multi- Unit Residential Buildings
Earthquake Safety Fair Fire Safety Education in Multi- Unit Residential Buildings Jamie Sanbonmatsu, DBI Fernando Juarez, Fire Department June 15, 2017 Fire Safety Workshop Agenda What you should know
More informationGroup Organizers: Let s Get Started!
Group Organizers: Let s Get Started! AARP Create The Good SM has a new idea that will enable your group (faith group, social, service, school, or another civic organization) to help friends, neighbors,
More informationHome Safety Checklist *
(PG 1 OF 16) Home Safety Checklist * Yes No 2. Are small rugs and runners slip resistant? *Home Safety Checklist is adapted from Safety for Older Consumers Home Safety Checklist that is a publication of
More informationP1 Inspection of Parish Properties and Risk Assessment Declaration
Diocesan Office Use Only Fwd to Property Dept For The Year Ended 30 April 2016 PARISH/WORSHIPPING COMMUNITY OF:... PLEASE NOTE: Section 60.2 of The Ordering of Worshipping Communities Statute 2007 requires
More informationMulch fires, trash can fires, or other fire outside a building should be reported by the following methods:
University of Maryland FIRE EVACUATION PLAN HEALTH SCIENCE FACILITY I (HSF I) POLICE - 711 FIRE - 711 MEDICAL EMERGENCY - 711 Anyone discovering excessive heat, smoke, or fire inside your building will
More informationWARM WELCOME RISK ASSESSMENTS & HOMESTAY FIRE/GAS SAFETY
WARM WELCOME RISK ASSESSMENTS & HOMESTAY FIRE/GAS SAFETY @warmwelcomehomestays Page 1 All homestay accommodation must comply with current law regarding the accommodation of paying guests This includes
More informationUniversity of Maryland FIRE EVACUATION PLAN Columbus Center POLICE FIRE MEDICAL EMERGENCY - 911
University of Maryland FIRE EVACUATION PLAN Columbus Center POLICE - 911 FIRE - 911 MEDICAL EMERGENCY - 911 Anyone discovering excessive heat, smoke, or fire will immediately sound an alarm and report
More informationa) Establishment of emergency procedures to be followed at the time of an emergency;
5.10 Fire Safety 5.10.1 Introduction The Corporation is responsible for carrying out the provisions of the Ontario Fire Code. This section outlines our responsibilities as well as inspections and testing
More informationCertificate of Inspection CHECKLIST
Neptune Township Code Enforcement 25 Neptune Boulevard Neptune, NJ 07753 732-988-5200 X211 Inspections@neptunetownship.org Rev. 05/23/18 Certificate of Inspection CHECKLIST For Residential & Commercial
More information(Inspector) Scott Ullrich Mailing Address (if Different from Business Location): Address. (FIRE) David Topping City State Zip
CITY OF BARTLESVILLE CHILD CARE HOME BASED BUSINESS LICENSE APPLICATION 401 S. Johnstone, Bartlesville, OK 74003 Phone (918) 338-4233 or (918) 338-4244 INSTRUCTIONS: Please complete application (print
More informationTable 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
More informationHome Safety Checklist For Older Adults
Home Safety Checklist For Older Adults Inspect all lamps and light fixtures: Is lighting adequate and equally distributed throughout the home? Several light sources with lower-wattage light bulbs are better
More informationGeneral Workplace Safety Checklist
Company or Division Name: Workplace Location: Checklist Prepared by: Date of Preparation: General Safety Is the OSHA Job Safety and Health Protection Poster (if required) displayed in a prominent location
More informationFIRE 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
More informationExit Routes. Introduction/Overview. OSHA Regulations. Exit Route
Exit Routes Introduction/Overview Knowing how to evacuate your workplace is very important for your safety. An evacuation may be required for a number of different emergencies, including: Fire or smoke
More informationLOS ANGELES UNIFIED SCHOOL DISTRICT OFFICE OF ENVIRONMENTAL HEALTH AND SAFETY PROCEDURE
TITLE: ISSUER: Occupancy Inspections for New Schools and Modernization Projects John Sterritt, Director Office of Environmental Health and Safety ROUTING Office of Environmental Health & Safety Staff DATE:
More informationSunny Oaks, Inc. Safety & Sanitation Checklist
Sunny Oaks, Inc. Safety & Sanitation Checklist Home: Inspector: Date: This inspection is to be done monthly & a response made to each item needing attention. PLEASE CIRLE APPROPRIATE NUMBERT OF LOCATIONS,
More informationFINLEY HALL EMERGENCY EVACUATION PLAN
FINLEY HALL EMERGENCY EVACUATION PLAN Revised: September 16, 2010 SECTION 1. RESPONSIBILITIES I. Overview of Hall Staff A. Professional Staff B. Residential Life Staff C. Other Important Numbers O.S.P.
More informationFLOORS & 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
More informationGENERAL 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
More informationSAFETY 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%
More informationFIRE SAFETY POLICY LEEDS METHODIST MISSION. Oxford Place Centre
FIRE SAFETY POLICY LEEDS METHODIST MISSION Oxford Place Centre P a g e 2 8 Version Draft 1 Name of responsible (ratifying) committee Leeds Methodist Mission Council Date ratified Document Manager (job
More informationFire Safety Plan Training 2017
Fire Safety Plan Training 2017 1.1 Title Notes: A Fire Safety Plan provides participants with the knowledge necessary to prevent fires in the workplace and also focuses on the basic elements of fire prevention
More information16.11 PARISH INSPECTION CHECKLIST
16.11 PARISH INSPECTION CHECKLIST Parish: Date of Inspection: Is the Parish Council Safety Delegate involved? Location: Name of Person Completing Inspection Name of Person Completing Inspection Walkways
More informationSmoke Alarm and Carbon Monoxide Alarm Installation
Smoke Alarm and Carbon Monoxide Alarm Installation 2014 1 Protocol Before Installing the Alarm Make sure the resident signs the contract located in the packet. Senior citizens are considered to be those
More informationCHURCH SELF-INSPECTION FORM
Questions about safety or risk control? Contact our specialists at customercare@adventistrisk.org CHURCH: INSPECTOR: DATE: TITLE: NOTE: The following list of inspection topics provides a form for identifying
More informationFIRE 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
More informationDEPARTMENT OF CONSUMER AND INDUSTRY SERVICES DIVISION OF ADULT FOSTER CARE LICENSING ADULT FOSTER CARE FACILITIES
DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES DIVISION OF ADULT FOSTER CARE LICENSING ADULT FOSTER CARE FACILITIES (By authority conferred on the department of social services by section 9 of Act No. 380
More informationDutchess Community College. Emergency Action Plan. Conklin Hall College Residence
Dutchess Community College Emergency Action Plan Conklin Hall College Residence June 2014 1 TABLE OF CONTENTS Purpose Page 3 Introduction Page 3 Evacuation Page 4 Fire Emergencies Page 5 Evacuating Individuals
More informationWorkplace Safety Observation Tour Notes
Workplace Safety Observation Tour Notes The following summary report highlights key observation findings noted during the 2012 COR Safety Audit. The intent of this document is to share the 2012 observation
More informationSafety Manual: Emergency Response
Safety Manual: Emergency Response January, 2017 6.0 Emergency Preparedness Introduction This Chapter provides guidelines for dealing with Emergencies. Fires, no matter how small, must be reported to management
More informationEmergency Planning and Preparedness
Emergency Planning and Preparedness Writing an Emergency Evacuation Plan A thorough emergency plan will include the following components: The procedure for reporting emergencies The procedure for relocating
More informationUniversity 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
More informationSEVERITY FACTOR (SF) 0 = No Hazard 1 = Trivial Injury 2 = Minor Injury 3 = Minor Injury to several persons 4 = Major Injury to One Person
Pitt Rivers Museum, University of Oxford ASSESSMENT Workplace/Task/Activity Description: Booked Group Visits to the Pitt Rivers Museum PAGE 1 OF 6 ISSUE FEBRUARY 2018 PRM/RA/009 This risk assessment forms
More informationEMERGENCY ACTION PLAN (EAP) UAF
EMERGENCY ACTION PLAN (EAP) FOR UAF Building name: Murie Bldg Date EAP adopted: November 1, 2015 Date EAP revised: March 23, 2017 EAP prepared by: Jeanette Moore jtmoore2@alaska.edu Emergency Action Plan
More informationLaboratory Inspection Checklist
Laboratory Inspection Checklist Principal Investigator _ Department Building and Room Inspected By Date SUMMARY OF INSPECTION FINDINGS A. No items of non-compliance or unsafe conditions were identified.
More informationRisk Management for an Event example
Risk Management for an Event example Name of school:... Person co-ordinating of event:... School Principal:... Principal s Signature & date:... Date of event:... Approximate number of Participants:...
More informationFire 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
More informationNew School Construction: Safe School Opening. OAR and IOR Joint Training February 17, 2005
New School Construction: Safe School Opening OAR and IOR Joint Training February 17, 2005 1 Purpose Provide information on process moving from construction to occupancy and opening schools 2 School Opening
More informationPathways to Home: Home Safety Checklist
Living Well Senior Care, LLC. Web: LivingWellSeniorCare.com Email: info@livingwellseniorcaretxcare.com Pathways to Home: Home Safety Checklist This checklist is provided to assist you with removing safety
More informationWorkplace Safety North
Workplace Safety North North Bay Office EMERGENCY PLAN June 2018 690 McKeown Avenue North Bay, Ontario HS-018-A WSN EMERGENCY PLAN TABLE OF CONTENTS Emergency Contacts... 2 Introduction... 3 SECTION A
More informationCHURCH SAFETY SELF-INSPECTION FORM (ABRIDGED)
12501 Old Columbia Pike - Silver Spring, MD 20904 OFFICE: (301) 680-6870 FAX: (301) 680-6878 EMAIL: claims@adventistrisk.org CHURCH: INSPECTOR: DATE: TITLE: NOTE: THE FOLLOWING LIST OF INSPECTION TOPICS
More informationRisk Assessment for the Faculty of Music s use of the Holywell Music Room
Risk Assessment for the Faculty of Music s use of the Holywell Music Room Introduction This risk assessment has been drawn up in line with University Policy Statement S1/02 "The Management of Health and
More informationFire Safety in Communal Areas Policy
Fire Safety in Communal Areas Policy Date approved by senior management team 27 th July 2017 Board of Management / Committee name Board of Management Approval date 2 nd October 2017 Implementation date
More informationFIRE 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
More information