A hazard observed during an inspection must be recorded, even though it is not part of the checklist.

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1 September 13, 2012 LMC Webinar: Find It & Fix It: Getting Started on Mock OSHA Inspections Self-Inspection Checklists Checklists serve as reminders of what to look for and as records of what has been covered. They give self-inspections direction. Without checklists, inspectors can miss things they should see or be unsure, after inspecting an area, that they have covered everything they intended to cover. A hazard observed during an inspection must be recorded, even though it is not part of the checklist. No one sample of a self-inspection form or format is suitable for all employers or all hazards. Each employer must customize the checklist forms to the specific areas in their operations. Failure to do so will give the organization a false analysis and therefore false assessment of the hazards workers are exposed to in the work/ living environment. Table of Contents Area Specific Page Area Interior Inspection 2 Exterior and Security Inspection 4 Cafeteria/ Dining Room & Kitchens/ Food Service Areas 5 Office Areas 7 Includes: Work Areas / Furnace Rooms / Ladders / Postings / Stairways and Walkways - Indoor and Outdoor Shop Inspection 9 Includes: General Maintenance Areas / Vehicle Maintenance Areas / Chemical Storage / Compressed Gas / PPE Life Safety Inspection 13 Includes: Means of Egress / Safety Signage / Fire Extinguishers / Automatic Sprinklers / Alarms / Ventilation Construction / Renovation Inspection 16 Machine Guarding 17 Electrical Systems 19 Recommendations and comments are provided for loss control and risk exposure improvement purposes only in conjunction with the insurance program referenced in this communication. They are not made for the purpose of complying with the requirements of any law, rule or regulation. We do not infer or imply in the making of these recommendations and comments that all sites were reviewed or that all possible hazards were noted. The final responsibility for conducting safety, loss control and risk management programs must rest with the insured.

2 General Safety Self-Inspection Checklist Location Date Completed By OK Action Date General Area Interior Inspection Needed Corrected Floors are clean of debris. _ Floors are clean of spills; wet floors (example, fresh mopped) are clearly marked with a caution sign. _ Floors are, so far as possible, in a dry condition. _ Inspect for presence of rodents, insects & other vermin. _ Places of employment, passageways, storerooms, bathrooms, break-rooms and service rooms are clean, orderly and in a sanitary condition. _ Combustible materials are kept away from sources of flame (gas heaters, etc.). _ A 3 clearance is provided around all heating equipment. _ A 3 clearance is provided around all transformers. _ Floors are free of protrusions or objects that pose a trip hazard: frayed carpet, curled up rugs, holes, loose boards, and nails, loose tiles, etc. _ Oil and gas fired devices are equipped with flame failure controls that will prevent flow of fuel if pilots or main burners are not working. _ Lights bulbs are replaced when burned out. _ Illumination is appropriate for the type of work conducted in the area. _ Pits, wells, shafts and floor openings are appropriately covered or otherwise guarded; and the covering/guard is in good repair. _ Every stairway floor opening is guarded by a standard railing on all exposed sides and it is in good repair. _ A handrail protects every flight of stairs with 4 or more risers and the handrail is in good repair. _ Loading dock edge is marked. _ In areas where corrosive liquids or materials are handled there is a means for quick drenching or flushing of the eyes and body. This is located adjacent to the area-no more than 10 seconds away. _ There is a tag on all eyewash stations that documents the device has been flushed every week. _ If an eyewash fixture is not plumbed in a capacity and flow rate standard must be met. _ This minimum standard must ensure the unit delivers 0.4 gallons of water a minute for 15 minutes. _ The expiration date on the water reservoir is current and outdated units are removed and replaced. _ Emergency eyewash station accessibility is not blocked. _ Each container of hazardous substances, that is not an original container, is labeled with at least the following information; identity of the hazardous substance and an appropriate hazard warning. _ Outlets for water not suitable for drinking are clearly identified as nonpotable. _ Exhaust stacks and air intakes are so located that contaminated air will not be re-circulated within a building or other enclosed area. 2

3 _ The area around air intakes is free of insect, animal and bird debris. _ Guards (or screens having openings of ½ inch or less) on personal cooling fans are intact or the fan is taken out of service until repairs are made. _ Bio-safety Cabinets are labeled, certified by the manufacturer and placed in the room in a position where doors, windows and traffic flow will not create turbulence at the face of the cabinet. _ Extension cords are only used temporarily. An order for permanent wiring has been made where extension cords are currently used. _ Electrical outlets are working. (check outlet with instrument for proper polarity and grounding) _ Ground fault circuit interrupters (GFCI s) are provided on all temporary electrical 15 and 20 ampere circuits, used during construction or remodeling. _ GFCI s are installed in outlets near water sources. _ No smoking areas are designated and observed. _ Slip resistant materials on stairs and floors are in good condition and not showing signs of excessive wear. _ Anti-fatigue mats are in good repair and don t represent a trip hazard. _ Circuit breakers are clearly labeled, easily accessible and the door is closed. _ No ignitable materials are near the panel and the panel is protected from physical damage. _ There is a minimum of 36 maintained between top of storage and ceiling or roof joist in un-sprinklered buildings. _ Floor drains or scuppers are clear of obstruction. _ Sprinkler and standpipe connections are clearly marked. _ The area around them is kept clear of obstructions. _ Exit doors are kept clear and unlocked during hours of operation. _ Lifting equipment is inspected on a scheduled basis and written records are maintained. _ Vehicles used to transport employees are equipped with headlights, brakes, horns, mirrors, windshields and turn signals and they are in good repair. _ A fully charged fire extinguisher is maintained in each transport vehicle. _ Storage on ledges, in corners, tops of cabinets, tops of lockers, radiators has been eliminated. _ Storage of items is at least 4 inches off the floor. _ Storage areas are neat and maintain 4 feet of unobstructed aisle space. _ Storage of chemicals is below shoulder level to prevent injury of spills to eyes. _ Racking in storage areas is free from broken or bent shelves and is set on solid legs. _ Emergency lights: a functional test is conducted on the lights every 30 days for 30 seconds. Lights should be fully operational during the entire test. _ Emergency lights: an annual test is conducted for 1.5 hours each year. Lights should be fully operational during the entire test. _ The constant pressure actuation switch, reversing edge switch, pressure relief mechanism or 3 button control switch is operable on all overhead or sliding doors that have sufficient weight or closing force to cause crushing injury to employees. (test with a 2X4) _ Overhead doors are provided with a functional channel lock or an electric switch lockout. _ Bed Levers are stored beneath beds when not in use to prevent trip hazard. _ Illumination in all areas meets acceptable levels MN OSHA _ Check ceiling tiles and walls etc. for evidence of water leakage and mold / fungus / mildew. 3

4 General Safety Self-Inspection Checklist Location Date Completed By OK Action Date General Exterior and Security Inspection Needed Corrected Security alarms are operational-check at least every 6 months. _ The backup power source to the security alarm is operational. _ Backup power source for exterior lights is working properly. _ Exterior walls are free of cracks or other damage. _ Windows are free from cracks or broken panes. _ Vegetation has been cut back from the building. _ Combustible materials are stored away from the building. _ Driveways and walks are in good repair and unobstructed. _ The building address or identification is clearly visible. _ Fencing is in good repair. _ Gates are properly secured with working locks. _ Exterior lights are working and directed to eliminate shadows and blind spots. _ Doorways are well lit. _ Shrubs are pruned so they do not obstruct views of doors, windows, basement windows and roof accesses. _ All window ledges and roof access is secured. _ Door locks and deadbolts are maintained and working properly. _ Exterior lights have unbreakable lenses or mesh coverings. _ Icicles and/ or snow, etc. would not fall on people below. _ There is no buildup of ice in /around downspouts. _ Appropriate rubber mats/rugs are placed in entranceways during ice/snow season. These are not bunched up and they are in good repair. _ Guardrails and gratings are arranged around areaways and stairwells and they are in good repair. _ Check your company s lock change policy. _ Name tags/picture ID s are worn. 4

5 General Safety Self-Inspection Checklist Location Date Completed By OK Action Date Cafeteria / Dining Room & Kitchens / Food Service Areas Needed Corrected Cafeteria/ Dining Room _ Appliances are clean and in good working order: refrigerators, disposals, and microwaves, dishwashers, steam tables, beverage appliances, etc. (list them specifically on the template) _ All appliances are grounded and the plug has not been tampered with. _ Food preparation, serving and eating surfaces are clean and in good repair. _ Furniture is clean and in good repair. _ Steam tables are working properly and exposure to steam burns has been addressed. _ There are no frayed cords, extension cords or multiple plug adapters on appliances. _ Electrical cords have not been cut, spliced or damaged in any way. _ Microwaves are not dented so as to emit rays while operating. _ Warning signs are posted that microwaves are in use. _ Floors are clean and there are no spill hazards. _ Appliances (dispensers, refrigerators, etc) do not leak fluids on to floors. _ No unauthorized items are in the refrigerators/ freezers (medications, blood, specimens or body fluids). _ There is a Rubber mat in front of ice cube maker and it is in good repair. _ Bus trucks or racks used to remove soiled dishes are in good repair and the wheels are clean and roll freely. _ Knives are in knife rack or specific storage area when not in use. _ Kevlar gloves are used with slicer and they are in good repair. _ Cleaning procedure for slicer is posted. _ Check ceiling tiles and walls etc. for evidence of water leakage and mold / fungus / mildew. Kitchens/ Food Service Areas _ Anti-fatigue mats are in good repair and don t represent a trip hazard. _ Where wet processes are used drainage is maintained by using platforms, mats or other measures. _ Employees wear slip resistant footwear or booties. _ Dietary carts are in good repair and the wheels roll freely. _ Knives are sharp and in good condition. _ Doors on cold storage rooms are provided with an inside release mechanism, which will release the latch and open the door even if it s padlocked or otherwise locked on the outside; and these release mechanisms are in good repair. _ Walk-in refrigerator safety devices are fully operational, such as alarm systems or bypass devices. _ Screen mesh guard is in place over blower fans in walk in refrigerators. _ The light in the walk in refrigerator is working. 5

6 _ Doors that swing in both directions and are located between rooms where there is frequent traffic are provided with viewing panels in each door and these viewing panels are clean and free of obstructions. _ All storage racking is secured. Items over 5lbs are on lower shelves; items less than 5 lbs. Can be stored higher. _ Monthly inspection for faulty equipment has been completed and documented on all pieces of equipment. _ Meat slicers are guarded and the guards are used when the machine is in use. _ Guards are in place and used over garbage disposals. _ Gas intakes for gas burners are properly adjusted. _ There is no dust accumulation behind or under the range. _ Grease filters and range exhaust hoods are cleaned at least once a week. _ Ceramic broiler burners are free from cracks. _ Each container of hazardous substances, that is not an original container, is labeled with at least the following information; identity of the hazardous substance and an appropriate hazard warning. 6

7 General Safety Self-Inspection Checklist Location Date Completed By OK Action Date General Office Areas Needed Corrected Work Areas _ Doors and hallways clear and free of obstructions. _ Extension cords are only used temporarily. An order for permanent wiring has been made where extension cords are currently used. _ Electrical panels are working and cleared from any obstruction. The panel door is closed unless in use. _ Fire extinguishers are up to date on monthly and annual inspections and documented as such on inspection cards. _ No smoking areas are designated and observed. _ Only approved containers are used for disposal of smoking materials or used as ashtrays. _ Storage areas are tidy and have good access to articles. _ There is no unauthorized storage of chemicals or flammables in general storage areas. _ Office fixtures and furniture are in good repair. _ Office machines are in good repair and electrical cords are grounded. _ There are no frayed, cut or spliced cords and the ground prong is intact. _ Appliance and office machine cords are out of the way from becoming a trip hazard. _ Check ceiling tiles and walls etc. for evidence of water leakage and mold / fungus / mildew. Stairways & Walkways - Indoor and Outdoor _ Stairways and landings are free of clutter and in good repair. _ Railings are in good repair. _ Exits are clearly marked. _ The emergency power supply is operating. _ Aisles and walkways are marked as appropriate. _ Wet surfaces are covered with non-slip materials. _ There is safe clearance for walking in aisles where motorized or mechanical handling equipment is necessary. _ Materials and equipment are stored in such a way that sharp projectiles will not interfere with the walkway. _ Changes of direction or elevation are readily identifiable. _ There is adequate headroom provided for the entire length of any aisle or walkway. _ Standard guardrails are provided wherever aisle or walkway surfaces are elevated more than 30 inches above any adjacent floor or the ground. Postings _ The OSHA 2203 workplace poster and the EEOC s Americans With Disabilities poster are displayed in a prominent location where all employees are likely to see it. 7

8 _ All OSHA citations for this area are displayed near where the violation occurred. (if applies) _ Emergency telephone numbers are posted where they can be readily found in case of emergency. _ Emergency telephone numbers are up to date. _ There are postings where employees may be exposed to any toxic substances or harmful physical agents that indicate caution or danger. _ Danger and caution postings are in good repair and easily visible. _ A list of hazardous substances, harmful physical agents, and infectious agents are immediately available in the employee work area. The list can be for the whole workplace or particular to that specific work area. _ Each container of hazardous substances, that is not an original container, is labeled with at least the following information; identity of the hazardous substance and an appropriate hazard warning. _ Equipment or work areas that specifically generates harmful physical agents shall be labeled with the name of the physical agent and the appropriate hazard warning (ex. Noise, heat, radiation, etc.) _ Locations of emergency eyewash and drench showers are posted. _ Locations of fire extinguishers are clearly marked. _ Material safety data sheets are posted in areas that are available to employees. _ Signs concerning exiting from buildings, room capacities, floor loading, exposures to x-ray, microwave or other harmful radiation or substances are posted where appropriate. _ Fire evacuation procedures are posted. _ Tornado shelter areas are posted. _ The OSHA Summary of Occupational Illness and injuries is posted in the month of February. _ A sign is adjacent to all elevators stating that in case of fire the elevator will not operate and exit stairways should be used. Furnace/ Boiler Room _ Combustible and flammable materials are kept away from sources of flame (gas heaters, etc.). _ A 3 clearance is provided around all heating equipment. _ Furnace and boiler rooms are locked. _ Furnace and boiler rooms are free from combustible materials. _ Outside air is provided to all indoor workrooms at the rate of 15 cubic feet per minute, per person. _ Check ceiling tiles and walls etc. for evidence of water leakage and mold / fungus / mildew. Ladders _ Metal and wooden ladders are in a good, useable condition: no damage to rungs, locking mechanisms, foot treads or joints between steps. Side rails are tight, all hardware and fittings are securely attached and moveable parts are operating freely without binding or undue play. _ Non-slip safety feet are provided on each metal or rung ladder. _ Ladder rungs and steps are free of grease and oil. _ Portable metal ladders are marked with signs reading Caution do not use around electrical equipment or equivalent wording. 8

9 General Safety Self-Inspection Checklist Location Date Completed By OK Action Date General Shop Inspection Needed Corrected Maintenance Area(s) _ Compressors are properly guarded, maintained, clear of combustibles and well ventilated. _ Good housekeeping practices in general. _ Steam boilers, other pressure vessels, elevator motors and generators are on a scheduled maintenance program. _ Oil and gas fired devices are equipped with flame failure controls that will prevent flow of fuel if pilots or main burners are not working. _ Doors, aisle-ways and walkways are clear and free of obstructions, spills and debris. _ Storage of chemicals or flammables is in approved safety cabinet. _ Flammable storage cabinets are labeled Flammable Keep fire Away. _ Flammable liquids such as gasoline are kept in approved safety cans. _ Machinery and equipment is kept clean. _ Machinery and equipment are on a regular maintenance schedule. _ Overhead hoist and lifting equipment are on a regular maintenance schedule. _ Grinders, saws and similar equipment are provided with safety guards that effectively guard the point of operation. _ Power tools are used with the correct shields, guards, or attachments recommended by the manufacturer. _ Safety cans are used for dispensing flammable or combustible liquids at point of use. _ No Smoking rules are enforced in areas involving storage and use of hazardous materials. _ All chemical containers are marked with the contents name and hazard. _ All MSDS sheets are available on chemicals used/store on site. _ Combustible scrap, debris, and waste materials (oily rags, etc.) are stored in covered metal receptacles and removed from the work site promptly. _ Rotating or moving parts of equipment are guarded to prevent physical contact. _ All racking is secured. _ Heavy items are stored below waist level. Lighter items (5 lbs. or less) can be stored above shoulder height. _ All chemicals are in labeled and approved containers. _ All flammables are stored in approved storage cabinets. _ All chemicals and hazardous materials have MSDS sheets. _ All containers containing chemicals are labeled as to contents. _ All tools that have developed mushroomed heads during use are taken out of service until reconditioned or replaced. _ Broken or fractured handles on hammers, axes and similar equipment are taken out of service until replaced. _ Worn or bent wrenches are replaced regularly. 9

10 _ Tool handles are wedged tightly in the head of all tools. _ Tool cutting edges are kept sharp. _ Tools are stored in a dry secure place where they won t be tampered with. _ Portable circular saws are equipped with guards above and below the base shoe. _ Rotating or moving parts of equipment are guarded to prevent physical contact and the guards are in good repair. _ All cord-connected, electrically-operated tools and equipment are effectively grounded or of the approved double insulated type. _ Effective guards are in place over belts, pulleys, chains, sprockets, and on equipment such as air compressors, etc. _ Pneumatic and hydraulic hoses on power operated tools are free of deterioration or damage. _ The work rest on an abrasive wheel is kept adjusted to within ¼ inch of the wheel. _ The adjustable tongue on the top side of the grinder is used and kept adjusted to within ¼ inch of the wheel. _ Side guards cover the spindle, nut, flange and 75% of the grinding wheel diameter. _ Bench and pedestal grinders are permanently mounted. _ Each grinder has an individual on and off control switch that is in good working order. _ New abrasive wheels are visually inspected and ring tested before being mounted. _ Splashguards are mounted on any grinders that use coolant to prevent the coolant from reaching the employee. _ Cleanliness is maintained around grinders. _ Compressed gas cylinders have no signs of deep rust or defects. _ Only approved apparatus (torches, regulators, pressure reducing valves, acetylene generators, manifolds) used for welding cutting & brazing. _ There is adequate ventilation where welding or cutting is performed. _ Outside air is provided to all indoor workrooms at the rate of 15 cubic feet per minute, per person. _ Quarterly carbon monoxide testing is completed and levels are acceptable for environments whenever internal combustion engines are operated indoors. _ Check ceiling tiles and walls etc. for evidence of water leakage and mold / fungus / mildew. Vehicle Maintenance Area _ Compressed air for cleaning is under 30 psi with approved safety tips. _ Storage of chemicals or flammables in approved safety cabinet. _ Storage cabinets labeled Flammable Keep fire Away. _ It is prohibited to fuel an internal combustion engine with a flammable liquid while the engine is running. _ If carbon monoxide is present, signs are posted and work procedures are in place to ensure adequate ventilation. _ Combustible scrap, debris, and waste materials (oily rags, etc.) are stored in covered metal receptacles and removed from the work site promptly. _ Safety cans are used for dispensing flammable or combustible liquids at point of use. _ No Smoking rules are enforced in areas involving storage and use of hazardous materials. _ All chemical containers are marked with the contents name and hazard. _ All MSDS sheets are available on chemicals used/store on site. 10

11 _ Check ceiling tiles and walls etc. for evidence of water leakage and mold / fungus / mildew. _ Outside air is provided to all indoor workrooms at the rate of 15 cubic feet per minute, per person. _ Ventilation is provided in all repair garages housing 6 or more vehicles driven by internal combustion engines. _ Quarterly carbon monoxide testing is completed and levels are acceptable for environments whenever internal combustion engines are operated indoors. Chemical Storage (for locations with greater than 120 gallons of flammable liquids onsite) _ In areas where corrosive liquids or materials are handled there is a means for quick drenching or flushing of the eyes and body. This is located adjacent to the area-no more than 10 seconds away. _ There is a tag on all eyewash stations that documents the device has been flushed every week. Or if bottled water is used there is an expiration date and outdated bottles are removed and replaced. _ All solvent wastes and flammable liquids are kept in a fire resistant, covered container until they are removed from the worksite. _ Fuel gas cylinders and oxygen cylinders are separated by distance, fire resistant barriers, etc. while in storage. _ All containers over 30 gallons are stacked individually. _ Combustible scrap, debris, and waste materials (oily rags, etc.) are stored in covered metal receptacles and removed from the worksite promptly. _ All connections on drums and combustible liquid piping are vapor and liquid tight. _ Safety cans are used for dispensing flammable or combustible liquids at point of use. _ No Smoking rules are enforced in areas involving storage and use of hazardous materials. _ All chemical containers are marked with the contents name and hazard. _ All MSDS sheets are available on chemicals used/store on site. _ Storage rooms for flammable and combustible liquids have explosion-proof lights. _ Storage rooms for flammable and combustible liquids have mechanical ventilation. _ Approved containers and tanks are used in the storage and handling of flammable and combustible liquids. Compressed gases, compressed oxygen _ Oxygen cylinders are stored away from heating surfaces. _ Oxygen used outside is shielded from sunlight. _ Storage of oxygen is separated from sources of ignition. _ Storage of oxygen is separated from combustible/flammable materials. _ Cylinders are stored in such a way so as to prevent them from creating a hazard by tipping, falling, or rolling. _ A 5-foot high minimum, non-combustible barrier separates oxygen and acetylene cylinders or a 25-foot distance is maintained. _ Cylinders are protected from mechanical injury. _ Cylinder valves are protected with caps. _ Cylinders are secured in upright position by use of chains or other devices. _ Smoking, use of matches, lighters, etc. are prohibited in use area. _ No smoking signs are posted in oxygen use area. _ Compressed gas storage area is labeled as such. _ Adequate signs are posted for oxygen equipment that is in use. _ Only authorized personnel connect pressure-reducing valves to cylinders. 11

12 _ The use of grease or oil on valve threads prohibited. _ The use of portable electrical equipment (drills, saws) prohibited when oxygen is in use. _ Cylinders are removed from heat producing sources. _ The administration of oxygen is properly supervised. _ Only approved equipment is used for administration. _ Repairs and alterations are made only by authorized staff. _ Cylinders are legibly marked to clearly identify the gas contained in them. _ Valve protectors are on cylinders when they are not in use. _ Compressed gas cylinders are kept away from sources of heat. _ Compressed gas cylinders are not stored by elevators or stairs. _ Empty compressed gas cylinders are appropriately marked and their valves are closed. _ Compressed gas cylinders, cylinder valves, couplings, regulators, hoses and apparatus are free of oily or greasy substances. _ Suitable fire extinguishing equipment is available for immediate use near compressed gas cylinders. _ Fuel gas cylinders and oxygen cylinders are separated by distance, fire resistant barriers, etc. while in storage. Personal Protective Equipment (PPE) Standard , Eye & Face Protection _ Personal Protective Equipment is clean / sanitized. _ Personal Protective Equipment is in good repair. _ All eye & face protection is ANSI approved; i.e. it has an ANSI number assigned and visible. (ANSI Z incorporated by reference) _ Eye and face PPE is distinctly marked to facilitate identification of the manufacturer. _ Goggles or face shields are provided and worn where there is danger of flying particles, liquid chemicals, acids or caustic liquids, chemical gases or vapors, potentially injurious light radiation or corrosive materials. _ Side shields are provided on safety glasses where there is a danger of flying particles. _ Individuals that wear corrective lenses have eye protection that either incorporates the prescription or can be worn over the prescription lenses. _ Approved safety glasses are required to be worn at all times in areas where there is a risk of eye injuries such as punctures, abrasions, contusions or burns. _ Protective aprons, gloves, shields, or other means are provided against cuts, corrosive liquids and chemicals. _ Hand protection is provided and used for exposures to hazards such as skin absorption of harmful substances, severe cuts or lacerations, severe abrasions, punctures, chemical burns, thermal burns, and harmful temperature extremes. _ Reusable PPE (face shields, utility gloves, goggles) are clean, free from damage and are in good working order. 12

13 General Safety Self-Inspection Checklist Location Date Completed By OK Action Date General Life Safety Inspection Needed Corrected Means of Egress (exit) _ Means of egress are continuously maintained free of all obstructions or impediments to full, instant use in the case of fire or other emergency. _ No furnishings, decorations, or other objects are placed so as to obstruct exits, access thereto, egress therefrom, or visibility thereof. _ A readily visible sign marks all exits. _ Any door, passage, or stairway which is neither an exit nor a way of exit access, and which is so located or arranged as to be likely to be mistaken for an exit, is identified by a sign reading "Not an Exit" or similar designation. Or is identified by a sign indicating its actual character, such as "To Basement," "Storeroom," "Linen Closet," or the like. _ A sign reading "Exit", or similar designation, with an arrow indicating the directions, is placed in every location where the direction of travel to reach the nearest exit is not immediately apparent. _ Every exit sign is suitably illuminated. _ Where stairs exit directly into any areas where vehicles may be operated, adequate barriers and warnings are provided to protect employees from stepping into path of traffic. _ A permanent means of access and egress is provided to elevated storage and work surfaces. _ All elevated surfaces (beneath which people or equipment/machinery could be exposed to falling objects) are provided with standard 4 inch toe boards. _ Material on elevated surfaces is piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading. _ Fire evacuation procedures are posted. _ Tornado shelter and fire evacuation locations are posted. _ Special needs (such as visual or hearing impaired) for employees, visitors, have been addressed. Safety Signage _ All safety signs are in good repair and clearly visible. _ Bio hazard biological hazard warning signs / labels are used to signify the actual or potential presence of a biohazard and to identify equipment, containers, rooms, materials, or combinations thereof, which contain, or are contaminated with, viable hazardous agents. _ Caution signs. The background is yellow and the panel black with yellow letters. Any letters used against the yellow background are black. _ Danger signs. The colors are red, black, and white. _ A sign identifies all Confined Space entry areas. _ Safety instruction signs are posted where there is a need for general instructions and suggestions relative to safety measures. 13

14 _ Accident prevention tags are applied to equipment as a temporary measure to identify a hazardous condition. _ Do Not Use or Do Not Start tags contain a signal word and a major message. Tags are affixed as close as safely possible to their respective hazards by a positive means such as string, wire, or adhesive that prevents their loss or unintentional removal. _ If a 3 button control switch is used with a overhead or sliding door there is placard adjacent to the switch that reads Warning-To Prevent Entrapment - Do Not Start door Downward Unless Doorway Is Clear. _ The switch itself is within sight of the doorway. Fire Extinguishers CFR _ Portable fire extinguishers are maintained in a fully charged and operable condition and kept in their designated places at all times except during use. _ Portable fire extinguishers are visually inspected each month and the inspection tag is up to date. _ Portable fire extinguishers are subjected to an annual maintenance check. (Stored pressure extinguishers do not require an internal examination.) _ There is a record of the annual maintenance date that is retained one year after the last entry or the life of the shell, whichever is less. _ Fire extinguishers that require a periodic hydrostatic test are sent to an outside vendor. The frequency of this is determined by the type of extinguisher so follow the vendors recommendations. _ There is a written record that the required hydrostatic testing of fire extinguishers has been performed. _ The record includes the date of the test, the signature of the person who performed the test and the serial number, or other identifier, of the fire extinguisher that was tested. _ These records are kept until the extinguisher is hydrostatically re-tested or until the extinguisher is taken out of service, whichever comes first. _ Interior stand pipes and valves are inspected regularly. _ Outside hydrants are flushed at least once a year and are on a routine preventative maintenance schedule. _ Fire doors are in good operating condition and operate as intended. _ Fire doors are unobstructed and protected against obstructions, including their counterweights. _ Fire door fusible links are in place. _ Appropriate fire extinguishers are mounted within 75 feet of outside areas containing flammable liquids, and within 10 feet of any inside storage area for such materials. _ All fire extinguishers are easily accessible and their locations are clearly designated. Automatic Sprinkler CFR (contact property insurer for more details) _ Automatic sprinkler systems are continuously maintained in reliable operating condition at all times. _ Automatic sprinkler system water control valves, air and water pressure is checked weekly/periodically as required. _ The maintenance of automatic sprinkler systems is assigned to responsible persons or to a sprinkler contractor and a record of the maintenance is kept up to date. _ Metal guards protect sprinkler heads if exposed to the possibility of physical damage. _ The proper clearance of 18 inches is maintained below and around sprinkler heads. 14

15 _ Periodic inspections and tests are made on a quarterly basis to assure proper maintenance. _ A main drain flow test is performed on each system annually and there is a record of this. (Required more frequently in some municipalities) _ The inspector's test valve is opened at least annually to assure that the sprinkler system operates properly. _ Conduct proper acceptance tests on sprinkler systems and record the dates of such tests. _ Fire control sprinkler heads are clean. _ Sprinkler control valves are secured in the open position. _ The main sprinkler control valve is accessible. _ All valves supplying air or water to the system are open. _ Spare sprinkler heads and a sprinkler head wrench are readily accessible. _ Other-list specifically on the template. Alarms _ The fire alarm system is tested bimonthly and documentation is made that the test has been completed. _ A test of the reliability and adequacy of non-supervised employee alarm systems is made every two months and documentation is made that the test has been completed. _ A different actuation device is used in each test of a multi-actuation device system so that no individual device is used for two consecutive tests. _ Test all alarms, detectors and pull station. _ Special needs (such as visual or hearing impaired) for employees, visitors, have been addressed. Ventilation / HVAC System _ The system is checked on a regular basis (annual) for the need to clean or decontaminate mold or other fungal/bacterial growth including: Outside air intakes Fans & coils Condensate pan & drain pans Mixing chamber Filters & filter racks Supply, return & exhaust ducts Internal fiberglass insulation Turning vanes _ Routine mechanical system maintenance is performed. 15

16 General Safety Self-Inspection Checklist Location Date Completed By OK Action Date Construction / Renovation Inspection Needed Corrected Do not count on the contractor to take care of these safety issues!!! _ Exposures to dusts and fumes are controlled. (this may require industrial hygiene sampling) _ Local ventilation has been provided. _ Temporary barricades are in place to restrict traffic-both pedestrian and vehicle. _ No smoking signs are posted in spray areas, paint rooms, paint booths and paint storage areas. _ Containers of chemicals are labeled and MSDS s are available for all chemicals brought on site. _ If an eyewash fixture is not plumbed in a capacity and flow rate standard must be met. This minimum standard must ensure the unit delivers 0.4 gallons of water a minute for 15 minutes. The expiration date on the water reservoir is current and outdated units are removed and replaced. _ Emergency response information has been provided to contractor personnel in the event of a fire, tornado or chemical spill. _ Good housekeeping is maintained. _ Walkways are clearly marked. _ Appropriate Danger signs are posted. _ Warning signs are posted in areas where Asbestos is being disturbed and all asbestos containing waste is labeled as such. (old floor tiles, old roofing, old insulation) _ Warning signs are posted in areas where lead is being disturbed and all lead containing waste is labeled as such. _ The contractors have provided appropriate PPE to their employees. _ Emergency lights: a functional test is conducted on the lights every 30 days for 30 seconds. Lights should be fully operational during the entire test. _ Emergency lights: an annual test is conducted for 1.5 hours each year. Lights should be fully operational during the entire test. 16

17 General Safety Self-Inspection Checklist Location Date Completed By OK Action Date Machine Guarding CFR Needed Corrected One or more methods of machine guarding is provided to protect both the operator and other employees in the machine area from hazards such as those created by point of operation, ingoing nip points, rotating parts, flying chips and sparks. Examples of guarding methods are barrier guards, two-hand tripping devices, electronic safety devices, etc. _ All portable, power-driven circular saws having a blade diameter greater than 2 in. are equipped with guards above and below the base plate or shoe. The upper guard covers the saw to the depth of the teeth, except for the minimum arc required to permit the base to be tilted for bevel cuts. The lower guard covers the saw to the depth of the teeth, except for the minimum arc required to allow proper retraction and contact with the work. _ The lower guard automatically and instantly returns to the covering position when the tool is withdrawn from the work. _ All hand-held powered circular saws having a blade diameter greater than 2 inches, electric, hydraulic or pneumatic chain saws, and percussion tools without positive accessory holding means are equipped with a constant pressure switch or control that will shut off the power when the pressure is released. _ All hand-held gasoline powered chain saws are equipped with a constant pressure throttle control that will shut off the power to the saw chain when the pressure is released. _ Gasoline powered chain saw use has specific PPE requirements Chaps, face, head, hearing protection, and cut resistant footwear or boot covers. _ All hand-held powered drills, tappers, fastener drivers, horizontal, vertical, and angle grinders with wheels greater than 2 inches in diameter, disc sanders with discs greater than 2 inches in diameter, belt sanders, reciprocating saws, saber, scroll, and jig saws with blade shanks greater than a nominal one-fourth inch, and other similarly operating powered tools are equipped with a constant pressure switch or control, and may have a lock-on control provided that so turnoff can be accomplished by a single motion of the same finger or fingers that turn it on. _ All other hand-held powered tools, such as, but not limited to, platen sanders, grinders with wheels 2 inches in diameter or less, disc sanders with discs 2 inches in diameter or less, routers, planers, laminate trimmers, nibblers, shears, saber, scroll, and jig saws with blade shanks a nominal one-fourth of an inch wide or less, may be equipped with either a positive "on-off" control, or other controls as described by paragraph (a)(2)(i) and (ii) of this section, CFR _ Abrasive wheels are used only on a machine provided with safety guards as defined in paragraph (c) (1) through (4) of this section, CFR _ Power lawnmowers of the walk-behind, riding-rotary, and reel power lawnmowers designed for sale to the general public meets the design 17

18 specifications in "American National Standard Safety Specifications for Power Lawnmowers". _ All power-driven chains, belts, and gears are positioned or otherwise guarded to prevent the operator's accidental contact therewith, during normal starting, mounting, and operation of the machine. _ A shutoff device is provided to stop operation of the motor or engine. _ There is a power shut-off switch within reach of the operator s position at each machine. _ The non-current-carrying metal parts of electrically operated machines are bonded and grounded. _ Foot-operated-switches are guarded or arranged to prevent accidental actuation by personnel or falling objects. _ Manually operated valves and switches controlling the operation of equipment and machines are clearly identified and readily accessible. _ All emergency stop buttons are colored red. _ All moving chains and gears are properly guarded. 18

19 General Safety Self-Inspection Checklist Location Date Completed By OK Action Date Electrical CFR Needed Corrected Electrical equipment has been approved for safety by Underwriters Laboratory (UL) or another OSHA approved body. _ The minimum clear working space in front of electric equipment such as switchboards, control panels, switches, circuit breakers, motor controllers, relays, and similar equipment may not be less than 3 feet. Distances are measured from the live parts if they are exposed, or from the enclosure front or opening if the live parts are enclosed. _ Use an instrument to test weather outlets have proper polarity and grounding. _ Electrical appliances such as vacuum cleaners, polishers, vending machines, etc. are grounded. _ Employees are only allowed to bring in appropriately grounded equipment to their rooms or apartments. _ All extension cords being used have a grounding conductor. _ Extension cords are temporary only and a work order has been submitted to hard wire in an appropriate alternative. _ No multiple plug adapters are in use. _ Check exposed wiring and cords for frayed or deteriorated insulation. _ Flexible cords and cables are free from splices or taps. _ Appliance and office machine cords are out of the way from becoming a trip hazard. _ All disconnecting switches and circuit breakers are labeled to indicate their use and / or the equipment served. _ All electrical enclosures such as switches, receptacles, junction boxes, etc. have tight fitting covers or plates. _ All unused openings (including conduit knockouts) in electrical enclosures and fittings are closed with appropriate covers, plugs or plates. _ Electrical panels have 3 of clearance around them at all times. _ Electrical rooms are free from combustible storage. _ Electrical panels are cool to the touch. _ Electrical panels are free from evidence of burning. _ GFCI s have been installed on all circuits in proximity to wet areas. September 13, 2012 LMC Webinar: Find It & Fix It: Getting Started on Mock OSHA Inspections 19

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