EQUIPMENT OPERATIONS SHOP INSPECTION CHECKLIST. Satisfactory Unsatisfhcbry N/A V - - b J - _sl - - V v r/ - t/ -

Size: px
Start display at page:

Download "EQUIPMENT OPERATIONS SHOP INSPECTION CHECKLIST. Satisfactory Unsatisfhcbry N/A V - - b J - _sl - - V v r/ - t/ -"

Transcription

1 EQUIPMENT OPERATIONS SHOP INSPECTION CHECKLIST BUILDING: DO() ROOM: DATE: 59 (\ Instructions: Check each item below as "Satisfactory"or "Unsatishry." Add any pertinent comments and the location of hazards in the space provided for each item checked "Unsaiisthctory." GENERAL SAFETY No aisles obstructed Area fke of Mling hazards First aid materials available Emergency lighting functioning Lighting ok Ladders/stools in good conditioning Housekeeping is good Emergency phone numbers posted STAIRSRAMPS Lighting adequate Nonslip surface Handrails available and secure SAFETY EQUIPMENT Emergency eye wash station functioning Eye protection in use Gloves in use Fire blanket properly hung and accessible FIRE EQUIPMENTIEXITS Fire extinguisher accessible Fire extinguishers tagged, serviced Exits properly illuminated Exits clear and unobstructed FIRE HAZARDS Flammable aerosols and liquids stored and handled properly Storage areas labeled No defective electrical cords Satisfactory Unsatisfhcbry N/A J v b 77 4 J _sl V v V v r/ r/ t/ J J J J J J J w Comment/Location WJN ~ G ~ ( OFU&!CA)(O~ P C

2 I MACHINE GUARDING Gears, pulleys, machine parts guarded Points of operation guarded Interlocking mechanism in use Lockouflagout procedures in place EQUIPMENT (If applicable) Guards in place and adjusted Equipment secured Cords in safe condition Air compressor guarded and labeled Drill press Band saws Bench grinders Hand grinders Radial arm saws Lathes Table saw Jointer Hydraulic presses Arc welding COMPRESSED GAS CYLINDERS Contents identified Stored properly (secured, chained, capped) Handling procedures identified GAS WELDING Eye protection in use Waning sign present for arc welding Adequate ventilation Cylinders kept separated Approved curtain or screen in place CORRECTIVE ACTION TAKEN (Indicate work order has been initiated) w 4 w Inspector's Signature Print Name

3 AUTOMOTIVE SHOP INSPECTION CHECKLIST BUILDING: 2400 ROOM: 2410 DATE: s(q (r \ INSTRUCTOR: Raleigh Ross hstructions: Check each item below as "Satisfactory" or "Unsatisfactory." Add any pertinent comments and the location of hazards in the space provided fir each item checked "Unsatisfactory." r GENERAL SAFETY No aisles obstructed Area free of falling bazards First aid materials available Emergency lighting functioning Lighting ok Ladders/stuols in good conditioning Housekeeping is good Emergency phone numbers posted STAIRSRAMPS Lighting adequate Nonslip su&w Handrails available and secure SAFETY EQUIPMENT Gloves in use Fire blanket properly hung and accessible FIRE EQUIPMENTEXITS Fire extinguisher accessible Fire extinguishers tagged, serviced Exits properly illuminated Exits clear and unobstructed FIRE HAZARDS Flammable aerosols and liquids stored and handled properly Storage areas labeled No defective electrical cords Satisfkctory Urnatiswry NIA v 4 c/ t/ L v V r/ t d v v v L d u 4 d d & 4 r/ LL CommentLocation

4 Building 2400 Room Safety Report MACHINE GUARDING Gears, pulleys, machine parts guarded Points of operation guarded Interlocking mechanism in use Lockoflagout procedures in place EQUIPMENT (If applicable) Guards in place and adjusted Equipment secured Cords in safe condition Air compressor guarded and labeled Drill press Band saws Bench grinders Hand grinders Radial arm saws Lathes Table saw Jointer d v I/ v d t/ r/ 0 d V V v V 1 1L d C/ Adequate ventilation m 4% Inspector's Signature Chs;s (#P Print Name

5 MACHINE SHOP INSPECTION CHECKLIST BUILDING: 2500 ROOM: 2501 DATE: s\qi (I INSTRUCTOR: Fred Drollinger Instructions: Check each item below as "Satis~ry'' or ' wry." Add any pertinent comments and the location of hazards in the space provided for each item checked "Unsary." GENERAL SAFETY No aisles obstructed Area fkee of Mling b d s First aid materials available Emergency lightmg functioning Lighting ok Ladderststools in good conditioning Housekeeping is good Emergency phone numbers posted STAIRSRAMPS Lighting adequate Nonslip surf;ice Handrails available and secure SAFETY EQUIPMENT Gloves in use Fire blanket properly hung and accessible FIRE EQUIPMENT/EXITS Fire extinguisher accessible Fire extinguishers tagged, serviced Exits properly illuminated Exits clear and unobstructed FIRE HAZARDS Flammable aerosols and liquids stored and handled properly Storage areas labeled No defective electrical cords Satisfactory Unsatisfactory N/A J r/ v J r/ v v 77 J d r/ V L/ il i7 d d d r/ d L/ L, Comment/Locaton

6 Building 2500 Room 2501 Safety Report MACHINE GUARDING Gears, pulleys, machine parts guarded Points of operation guarded Interlocking mechanism in use Lockout~Tagout procedures in place EQUIPMENT (If applicable) Guards in place and adjusted Equipment secured Cords in safe condition Air compressor guarded and labeled Drill press Band saws Bench grinders Hand grinders Radial arm saws Lathes Table saw Jointer Hydraulic presses Arc welding COMPRESSED GAS CYLINDERS Contents identified Stored properly (secured, chained, capped) Handling procedures identified GAS WELDING Eye protection in use Waming sign present for arc welding Adequate vedation Cylinders kept separated Approved curtain or screen in place CORRECTIVE ACTION TAKEN (Indicate work order has been initiated) V v A 2 4 J v V AL d 4 v r/ v d 7 2 V 3 d 2 u AL r/ d v V Inspector's Signature Print Name

7 DIESEL SHOP INSPECTION CHECWST BUILDING: 2500 ROOM: DATE: INSTRUCTOR: Ray Nicholas Instructions: Check each item below as "Satisfactory" or bbunsatishcbry." Add any pertinent comments and the location of hazards in the space provided for each item checked ''Undslktory." in good conditioning

8 MACHINE GUARDING Gears, pulleys, machine parts guarded Points of operation guarded Interlocking mechanism in use Lockout/Tagout procedures in place EQUIPMENT (If applicable) Guards in place and adjusted Equipment secured Cords in safe condition Air compressor guarded and labeled Drill press Band saws Bench grinders Hand grinders Radial arm saws Lathes Table saw Jointer AL v b & 5 v V V v V L r/ d V _(L 1/ Adequate ventilation Inspector's Si'mture b v i ~ d 6 ~ Print Name

9 WELDING SHOP INSPECTION CHECKLIST BUILDING: 2500 ROOM: 2520 DATE: 21911( INSTRUCTOR: Mark Smith hstructions: Check each item below as "Satis~ry" or "Unsatisfactory." Add any pertinent comments and the location of hazards in the space provided for each item checked "Unsatisfhctory." GENERAL smm No aisles obstructed Area free of falling hazards First aid materials available Emergency lighting functioning Lighting ok Ladders/stools in good conditioning Housekeeping is good Emergency phone numbers posted STAIRSRAMPS Lighting adequate Nonslip surface Handrails available and secure SAFETY EQUIPMENT Emergency eye wash station bctioning Wepkl I Wqk2 I Week3 I W.eek4 I I.tr~cl I 4 1s Eye protection m use Gloves in use Fire blanket properly hung and accessible FIRE EQUIPMENTIEXITS Fire extinguisher accessible Fire extinguishers tagged, serviced Exits properly illuminated Exits clear and unobstructed FIRE HAZARDS Flammable aerosols and liquids stored and handled properly Storage areas labeled No defective electrical cords Satishry Unsatisfiwry NJA v d v J d v r/ v d J J A v L r/ 1L _\L d d r/ s/ w v CommentLodon

10 Building 2500 Room 2520 Safety Report MACHINE GUARDMG Gears, pulleys, machine parts guarded Points of operation guarded Interlocking mechanism in use LockouVTagout procedures in place EQUIPMENT (If applicable) Guards in place and adjusted Equipment secured Cords in safe condition Air compressor guarded and labeled Drill press Band saws Bench grinders Hand grinders Radial arm saws Lathes Table saw Jointer Hydraulic presses Arc welding COMPRESSED GAS CYLINDERS Contents identified Stored properly (secured, chained, capped) Handling procedures identified GAS WELDMG Eye protection in use Warning sign present for arc welding Adequate ventilation Cylinders kept separated Approved curtain or screen in place CORRECTIVE ACTION TAKEN (Indicate work order has been initiated) _tl d. JL d J d J 7 J J v V J V 3 r/ J d J A L u 1L J d Inspector's Signature h s gre Print Name

11 WOOD SHOP INSPECTION CHECKLIST BUILDING: 2600 ROOM: 2608 DATE: 59 1 ( INSTRUCTOR: Wyatt Paxton Instructions: Check each item below as "Satishry7' or "Unsatishcbry." Add any pertinent comments and the location of hazards in the space provided for each item checked "UnsatisWxy." First aid materials available Housekeeping is good Exits properly illuminated, I I I

12 MACHINE GUARDING Gears, pulleys, machine parts guarded Points of operation guarded Interlocking mechanism in use Lockoflagout procedures in place EQUIPMENT (If applicable) Guards in place and adjusted Equipment secured Cords in safe condition Air compressor guarded and labeled Dril press Band saws Bench grinders Hand grinders Radial arm saws Lathes Table saw Jointer Hydraulic presses Arc welding COMPRESSED GAS CYLINDERS Contents identified Stored properly (secured, chained, capped) Handling procedures identitied GAS WELDING Eye protection in use Waming sign present for arc welding Adequate ventilation Cylinders kept separated Approved curtain or screen in place CORRECTIVE ACTION TAKEN (Indicate work order has been initiated) JL v v _IL A v V r/ V L' 7 v 4 7 b1 L' u d v r/ 0 I/ J r/ r/ r/ d &S& Inspector's Signature hi& r k ~ Print Name

13 pp Building 1600 Monthly Safety Inspection Sheet Date: Name: b.z? // ~a?de~+ LIGHTING FUNCTIONAL FLOORS CLEAR OF TRIPPING HAZARDS AISLES, DOORWAYS UNOBSTRUCTED No EXPOSED WIRING ON ELECTRICAL OUTLETS OR CORDS EYEWASH ACCESSIBLE, FUNCTIONAL Week1 Week2 S;he15 Week3 3dbe$~ Week4 FIRE EXTINGUISHER ACCESSIBLE, TAGGED, CURRENT FIRST AID KIT, ACCESSIBLE, COMPLETE FM,2q EMERGENCY SHOWER ACCESSIBLE, FUNCTIONAL Room 4 m O r m m m m C n o w m b 7 w e m ( D w N w w w w 0 (D(D(D(D(D$,cD$(D(D 7 7,7 7 7,7, T 7 7 dd$dd4d~'6l$d:$~'d$$d / nj$~d6d~$$dbd~!@ dld d ti ~!d,di.b ddd dd,d 4 d d~ddhd(dddd6dddd~ 1 MI I 4, d d d (D$$$(D'D I d dn dh SPILL KIT ACCESSIBLE FUME HOOD FUNCTIONAL FIRE BLANKET ACCESSIBLE EMERGENCY GAS SHUTOFF LOCATION POSTED I / I h MSDS AVAILABLE EMERGENCY EVACUATION GUIDE POSTED BLUE PHONE FUNCTIONING Explanatjons: S~OW~V Z?? [I \LZ\ ;r p o t CU~t:on\ d',/e C/ ~ub+:iced a 1 k rxder (6/to///\. c S I ' LAM/SCl tnctlbldg1600m osftylnsp.xls Rev. 8/09 MEWED JUN 2 9 REC'D 1ANG.BRTSISOC.SCI

Laboratory Inspection Checklist

Laboratory 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 information

MONTHLY SAFETY INSPECTION REPORT

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 information

Honolulu Community College Health & Safety Inspection Checklist for Shops Tech I. Program: Conducted by: Date: Reference 29 CFR 1910.

Honolulu Community College Health & Safety Inspection Checklist for Shops Tech I. Program: Conducted by: Date: Reference 29 CFR 1910. Program: Conducted by: Date: Means of Egress/Escape Are exits provided to permit the prompt escape of occupants in case of fire or other emergency? Is every exit, way of approach, and way to travel from

More information

Machine and Power Tool Safety Checklist. Version 1.2 January Chestnut Street, Suite 400, Philadelphia, PA

Machine and Power Tool Safety Checklist. Version 1.2 January Chestnut Street, Suite 400, Philadelphia, PA Machine and Power Tool Safety Checklist Version 1.2 January 2018 3160 Chestnut Street, Suite 400, Philadelphia, PA 19104 215-898-4453 Machine and Power Tool Safety Checklist Overview The purpose of this

More information

1. Researchers are familiar with the location and contents of: The lab s Chemical Hygiene Plan YES NO

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

More information

Machine and Power Tool Safety Checklist. Version 1.1 March Chestnut Street, Suite 400, Philadelphia, PA

Machine and Power Tool Safety Checklist. Version 1.1 March Chestnut Street, Suite 400, Philadelphia, PA Machine and Power Tool Safety Checklist Version 1.1 March 2017 3160 Chestnut Street, Suite 400, Philadelphia, PA 19104 215-898-4453 Machine and Power Tool Safety Checklist Overview The purpose of this

More information

A. General Safety LAB/ROOM: INSPECTED BY: DATE:

A. General Safety LAB/ROOM: INSPECTED BY: DATE: A. General Safety Item Subject Yes, No, A1 Exits are not obstructed, fastened or locked with keys A2 EXIT signs, if installed are clear and illuminated A3 A4 A5 A6 Fire extinguishers and fire blankets

More information

HEALTHCARE SAFETY INSPECTION

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?

More information

WORKPLACE SAFETY INSPECTION CHECKLIST

WORKPLACE SAFETY INSPECTION CHECKLIST WORKPLACE SAFETY INSPECTION CHECKLIST (To be done once every 2 weeks) This form is to be submitted electronically in PDF format to TANCY@ntu.edu.sg A different form is to be filled for each room, for PIs

More information

LABORATORY INSPECTION CHECKLIST

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

More information

WORKPLACE INSPECTION CHECKLIST FOR LABORATORY ENVIRONMENTS

WORKPLACE INSPECTION CHECKLIST FOR LABORATORY ENVIRONMENTS WORKPLACE INSPECTION CHECKLIST FOR LABORATORY ENVIRONMENTS Standard OHS Workplace Inspection Checklist Review Date: Next Review: Inspection Site: Inspection Team: Contacts: Written Laboratory Safety Policies/Procedures/Records

More information

WTAMU Academic Research Environmental Health and Safety (AR-EHS) Laboratory Inspection Checklist

WTAMU Academic Research Environmental Health and Safety (AR-EHS) Laboratory Inspection Checklist WTAMU Academic Research Environmental Health and Safety (AR-EHS) Laboratory Inspection Checklist Date of Inspection: Location (room # & building): Conducted By: Laboratory Title: Principal Investigator/Supervisor:

More information

GENERAL GROUNDS. Inspector Name: Inspector Signature:

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

More information

University of California, Davis Laboratory Self-Inspection Checklist

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

More information

Laboratory Information

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

More information

Sample Safety Inspection Checklist

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

More information

Quarterly Safety/Building Inspection Form

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

More information

Safety Best Practices Manual

Safety Best Practices Manual CHAPTER 24 OSHA Compliance Checklist te: This is not a comprehensive checklist. It is designed for a typical corporate aviation maintenance department. You must consult the OSHA 1910 Regulations for specific

More information

Laboratory Safety Laboratory Inspection Checklist

Laboratory Safety Laboratory Inspection Checklist Laboratory Safety Laboratory Inspection Checklist Date Lab Information Department Principal investigator (PI) PI telephone number PI email address Building Lab room numbers Lab phone number Radiation Biosafety

More information

INSTRUCTIONS TO COMPLETE INSPECTION FORM:

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

More information

SCHOOL SELF-INSPECTION FORM

SCHOOL SELF-INSPECTION FORM SCHOOL SELF-INSPECTION FORM School Evaluators Section A General 1. Written Disaster Plan (fire, earthquake, hurricane, tornado, violence, as applicable) 2. Evacuation Plans posted 3. Assembly room occupant

More information

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/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

More information

General Industry Safety and Health Checklist Guidelines. Building and Premises. Loss Control Bulletin

General Industry Safety and Health Checklist Guidelines. Building and Premises. Loss Control Bulletin The purpose of a monthly self-inspection program is to identify unsafe conditions in the work environment and unsafe employee actions. Management can then correct these safety hazards, reducing the potential

More information

Laboratory Inspection (version 3) Criteria Action Plan

Laboratory Inspection (version 3) Criteria Action Plan Laboratory Inspection (version 3) Criteria Action Plan Auditor: Jane Knipe Assigned Date: 7 Aug 2015 Audit Date: - Closure Date: - Comments: Category: Entity Workplace Inspections The University of Adelaide

More information

Millard Refrigerated Services Monthly Health and Safety Observations

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

More information

WORKPLACE SAFETY INSPECTION CHECKLIST

WORKPLACE SAFETY INSPECTION CHECKLIST AIR EMISSIONS CHEMICALS COMPRESSED GASES WORKPLACE SAFETY INSPECTION CHECKLIST Are odors, dusts, and emissions from painting, roof repair, and other contaminantproducing activities isolated? Are signs

More information

Laboratory Safety Audit

Laboratory Safety Audit Laboratory Safety Audit Principal Investigator: Building: Room #: Auditor: Date: Lab Safety Plan 1. Lab Safety Plan available 2. Plan reviewed/evaluated annually 3. Current Lab Safety Guide available Personnel

More information

-SAMPLE- Safety Inspection Checklist: Manufacturing

-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 information

Sample Safety Inspection Checklist for Schools

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

More information

WORKPLACE INSPECTION CHECKLIST FOR INDUSTRIAL ENVIRONMENTS

WORKPLACE 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 information

MONTHLY SAFETY INSPECTION REPORT

MONTHLY 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 information

If there are emergency situations they should be reported to Maintenance Department immediately.

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

More information

Warehouse Operations Safety Inspection Checklist

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

More information

Business License Pre-inspection Checklist

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

More information

OH&S WORKPLACE ASSESSMENT INSPECTION CHECKLIST

OH&S WORKPLACE ASSESSMENT INSPECTION CHECKLIST OH&S WORKPLACE ASSESSMENT INSPECTION CHECKLIST Organisational Unit / Workplace: Person undertaking inspection: Date inspected: The findings from workplace inspections and safety audits should be submitted

More information

MANAGEMENT WORKPLACE SPECIFIC INSPECTION CHECKLIST Department: Burwash Dining Hall/Ned s Cafe

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?

More information

FLORIDA INSTITUTE OF TECHNOLOGY DEPARTMENT OF CHEMISTRY SAFETY MANUAL

FLORIDA INSTITUTE OF TECHNOLOGY DEPARTMENT OF CHEMISTRY SAFETY MANUAL FLORIDA INSTITUTE OF TECHNOLOGY DEPARTMENT OF CHEMISTRY SAFETY MANUAL INTRODUCTION Safety is important to all members of the Florida Institute of Technology community. The Florida Tech Department of Chemistry

More information

Facility Risk Assessment Questionnaire

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

More information

INDIAN INSTITUTE OF TECHNOLOGY BOMBAY

INDIAN INSTITUTE OF TECHNOLOGY BOMBAY INDIAN INSTITUTE OF TECHNOLOGY BOMBAY SAFETY AUDIT CHECKLIST Biosafety Audit Checklist Yes No NA Whether lab coats used for laboratory work are full sleeve and with snap buttons? Are there enough lab coats

More information

Insight a closer look at Classroom safety

Insight a closer look at Classroom safety Insight a closer look at Classroom safety Education Education Classroom safety contents Introduction 1 The basics 2 Classroom specifics 2 Summary and recommendations 4 Also in the Education range: Bully

More information

WORKPLACE EVALUATION CHECKLIST & REPORT

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

More information

SCOUT HALL INSPECTION CHECKLIST

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

More information

Department Of Public Works: Internal Operations

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

More information

HARDWOOD INDUSTRY FACILITY & SAFETY INSPECTION CHECKLIST

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

More information

SCHOOL SELF-INSPECTION FORM

SCHOOL SELF-INSPECTION FORM Questions about safety or risk control? Contact our specialists at customercare@adventistrisk.org SCHOOL: EVALUATOR: DATE: NUMBER OF STUDENTS: DORM STUDENTS: SECTION A: GENERAL CHECKLIST DESCRIPTION LOCATION

More information

IWEA SAFETY COMMITTEE PLANT SAFETY AUDIT (Revised 03/2016)

IWEA SAFETY COMMITTEE PLANT SAFETY AUDIT (Revised 03/2016) IWEA SAFETY COMMITTEE PLANT SAFETY AUDIT (Revised 03/2016) Name and Address of contact persons for IWEA: Inspector: Date: Name of Facility for Plaque: Place a "1" in the Column That Applies OFFICE, PROGRAMS,

More information

Comprehensive Safety Evaluation Facility: Period: Mid-Year Year: 2012 Date: Evaluator: Jamie Williams

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

More information

Laser Class 4 Laser Type Nd-YAG Laser Manufacturer New Wave Research Laser Model SoloII-30 PIV Laser Serial / Id # Serial number 16582

Laser Class 4 Laser Type Nd-YAG Laser Manufacturer New Wave Research Laser Model SoloII-30 PIV Laser Serial / Id # Serial number 16582 THIS IS AN EXAMPLE OF A STANDARD OPERATING PROCEDURES RECOMMENDED OR REQUIRED FOR YOUR LABORATORY. YOU CAN USE THIS DOCUMENT AS A GUIDELINE. IF YOU HAVE ANY QUESTIONS, CONTACT CARINE VANPETEGHEM AT CVANPETE@UOTTAWA.CA

More information

LABORATORY CHEMICAL HYGIENE AND SAFETY PLAN

LABORATORY CHEMICAL HYGIENE AND SAFETY PLAN LABORATORY CHEMICAL HYGIENE AND SAFETY PLAN Laboratory Room Number (s) Building Principle Investigator or Responsible Individual (s) Date Review / Revision Date INTRODUCTION Kent State University has made

More information

Laboratory Safety Audit

Laboratory Safety Audit Laboratory Safety Audit Principal Investigator: Building: Room #: Auditor: Date: Lab Safety Plan 1. Lab safety plan available 2. Plan reviewed/evaluated annually 3. Current Lab Safety Guide available 4.

More information

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 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

More information

DISASTER PREVENTION & SAFETY CHECKLIST

DISASTER PREVENTION & SAFETY CHECKLIST 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

More information

B.) Accident -- Any suddenly occurring unintentional event which causes injury or property damage.

B.) Accident -- Any suddenly occurring unintentional event which causes injury or property damage. Staunton River High School Technology Education Bedford County Public Schools Terms and Definitions Terms and Definitions A.) Safety State or condition of being safe; freedom from danger, risk or injury.

More information

Emergency Action and Fire Prevention

Emergency Action and Fire Prevention Emergency Action and Fire Prevention History Triangle Shirtwaist Factory Fire New York City: March 25, 1911 8 th, 9 th and 10 th floor of Asch building Shirtwaists (women s blouses) Fire broke out at 4:40

More information

GARDEN GROVE FIRE DEPARTMENT

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

More information

Facility Manager Training

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

More information

Fire Safety Log Book. Safety through knowledge East Coast Safety Training. Kevin James (Proprietor) 99 Johnson Estate Wheatley Hill Durham DH6 3LH

Fire Safety Log Book. Safety through knowledge East Coast Safety Training. Kevin James (Proprietor) 99 Johnson Estate Wheatley Hill Durham DH6 3LH Safety through knowledge East Coast Safety Training Fire Safety Log Book Kevin James (Proprietor) 99 Johnson Estate Wheatley Hill Durham DH6 3LH Tel: 07904163350 Website: Safety through knowledge East

More information

SCHOOL: SELF-INSPECTION FORM SECTION A - GENERAL

SCHOOL: SELF-INSPECTION FORM SECTION A - GENERAL SCHOOL SELF-INSPECTION FORM 12501 Old Columbia Pike - Silver Spring, MD 20904 OFFICE: 1 - (888) 951-4276 SCHOOL: EVALUATOR: DATE: NUMBER OF STUDENTS: DORM STUDENTS: SECTION A - GENERAL 1. Written Disaster

More information

TECHNICAL EDUCATION FACILITY SAFETY AUDIT

TECHNICAL EDUCATION FACILITY SAFETY AUDIT TECHNICAL EDUCATION FACILITY SAFETY AUDIT PLATTEVILLE HIGH SCHOOL FEBRUARY 3, 2009 PREPARED FOR: PLATTEVILLE SCHOOL DISTRICT 780 NORTH 2 ND STREET PLATTEVILLE, WI 53818 PREPARED BY: ENVIRONMENTAL MANAGEMENT

More information

Refurbishment or New Site Spot Check Checklist

Refurbishment or New Site Spot Check Checklist Refurbishment or New Site Spot Check Checklist Site: Date: Coles Group representative: Contractor s name: Where the answer to a question or a number of questions is No, raise a Corrective Action Report

More information

WTAMU Academic Research Environmental Health and Safety (AR-EHS) Laboratory Inspection Checklist

WTAMU Academic Research Environmental Health and Safety (AR-EHS) Laboratory Inspection Checklist WTAMU Academic Research Environmental Health and Safety (AR-EHS) Laboratory Inspection Checklist Date of Inspection: Laboratory Title: Location (room # & building): Principal Investigator/Supervisor: Site/Lab

More information

Public Works Department Safety Checklist

Public Works Department Safety Checklist Public s Department Safety Checklist Condition: Write line s and comments on back for all listings Building, Housekeeping and Sanitary Conditions 1 Stairs clean, floors & aisles clean 2 Exits marked, signs

More information

Checklist For Life Safety

Checklist For Life Safety INSPECTION CHECKLIST Date of Inspection: Location/Address: Weather Condition: Inspector: AFTER COMPLETING YOUR INSPECTION, TRANSFER YOUR CONCERNS/OBSERVATIONS TO THIS AREA Facility: Name: Staff Contact:

More information

HEALTH/LIFE SAFETY ANNUAL INSPECTION CHECKLIST (ROE)

HEALTH/LIFE SAFETY ANNUAL INSPECTION CHECKLIST (ROE) HEALTH/LIFE SAFETY ANNUAL INSPECTION CHECKLIST (ROE) Administrative and General Building Requirements Safety reference plans (1) Fire alarm audibility (10) Alcohol hand-rub-dispensers (19) School safety

More information

FLOORS & WALKING SURFACES Y N N/A Corrective Actions Are ALL employees wearing approved slip-resistant footwear?

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

More information

Ten-Point Checklist for Emergency Preparedness

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

More information

ATTACHMENT B FIRE CODE REQUIREMENTS FOR EXHIBITS AND SPECIAL EVENTS

ATTACHMENT B FIRE CODE REQUIREMENTS FOR EXHIBITS AND SPECIAL EVENTS ATTACHMENT B FIRE CODE REQUIREMENTS FOR EXHIBITS AND SPECIAL EVENTS DALLAS FIRE-RESCUE DEPARTMENT Inspection and Life Safety Education Division Special Events Section 1551 Baylor Street, Suite 400, Dallas,

More information

Chemical Science Lab High Risk Workspace Inspection Form

Chemical Science Lab High Risk Workspace Inspection Form Chemical Science Lab High Risk Workspace Inspection Form 1. High Risk Chemical Science Lab Workspace College Pierre Elliot Trudeau Science Department (CPET-SCI) Kildonan East Collegaite Science Department

More information

Outlines. 1. Introduction of Safety at Laboratories. 2. Emergency Situations. 3. Basic Safety Rules for All the Labs (Engg.

Outlines. 1. Introduction of Safety at Laboratories. 2. Emergency Situations. 3. Basic Safety Rules for All the Labs (Engg. Outlines 1. Introduction of Safety at Laboratories 2. Emergency Situations 3. Basic Safety Rules for All the Labs (Engg. And Science Labs) 4. Safety Rules for Engineering Labs I. Chemical Engineering Lab

More information

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. 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

More information

1. Conduct yourself in a responsible manner at all times in the laboratory.

1. Conduct yourself in a responsible manner at all times in the laboratory. LAB SAFETY GENERAL RULES 1. Conduct yourself in a responsible manner at all times in the laboratory. THIS INCLUDES: Staying OFF of your cell phone. Help your Lab Partners, don t just sit back and let them

More information

Workplace FIRE SAFETY

Workplace FIRE SAFETY Workplace FIRE SAFETY 18 1 FIRE! Fire claims the lives of over 5,000 people each year in the United States. Fire also causes thousands of disabling injuries, millions of dollars of property damage and

More information

Workplace Inspection Checklist (Office)

Workplace 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 information

CHM 130LL: Lab Safety Name: Answer Key _ Section:

CHM 130LL: Lab Safety Name: Answer Key _ Section: Introduction: CHM 130LL: Lab Safety Name: Answer Key _ Section: Safety in the chemistry laboratory is the primary concern of all scientists. Everyone who works in a chemistry lab is responsible for keeping

More information

Evaluating Your Property and Work for Safety Hazards

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

More information

AUDIT 20: FIRE AND SECURITY

AUDIT 20: FIRE AND SECURITY AUDIT 20: FIRE AND SECURITY Facility: Date of Audit: Compliance Rate: Name of Auditor: Date of previous Audit: Previous Compliance Rate: Complete the Location of Fire Fighting Equipment for your facility

More information

SAFETY INSPECTION REPORT

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%

More information

7 Hazard assessment 8 Worker participation 9 Hazard elimination and control

7 Hazard assessment 8 Worker participation 9 Hazard elimination and control This document is a guideline only. Employers have a responsibility of assessing all applicable occupational health and safety legislation, for the tasks they are performing. The prime activity in this

More information

CHECKLISTS ORGANIZED BY EXPOSURE CATEGORIES (SPECIFIC AGENTS OR HAZARDS; MIXTURES; MULTIMEDIA; OTHER (PROCEDURES, PROGRAMS)

CHECKLISTS ORGANIZED BY EXPOSURE CATEGORIES (SPECIFIC AGENTS OR HAZARDS; MIXTURES; MULTIMEDIA; OTHER (PROCEDURES, PROGRAMS) CHECKLISTS ORGANIZED BY EXPOSURE CATEGORIES (SPECIFIC AGENTS OR HAZARDS; MIXTURES; MULTIMEDIA; OTHER (PROCEDURES, PROGRAMS) CHECKLIST TOPIC/TITLE PAGE NUMBERS Biological Agents Blood (Handling and Disposal)

More information

FIRE SAFETY INSPECTION REPORT

FIRE SAFETY INSPECTION REPORT FIRE SAFETY INSPECTION REPORT DANNY'S KNITWEAR LTD. ACCORD ID: 12228 SURABARI, GAZIPUR, SADAR, GAZIPUR Other Factories: ne October 17, 2015 Page 2 Fire Safety Inspection Report Introduction manufacturing

More information

SAFETY. USE OF SAFETY CHECK LISTS A safety check for compliance with current regulations should be performed yearly.

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.

More information

Checklist For Building Inspection & Fire Safety

Checklist For Building Inspection & Fire Safety INSPECTION CHECKLIST Date of Inspection: Location/Address: Weather Condition: Inspector: AFTER COMPLETING YOUR INSPECTION, TRANSFER YOUR CONCERNS/OBSERVATIONS TO THIS AREA Facility: Name: Staff Contact:

More information

Employee Health Protection

Employee Health Protection Osha Self-Inspection Checklist for General Industry General Is there a copy of the Maryland Occupational Safety and Health Law in your place of business, and is it accessible to all employees? Is the "MOSH

More information

FACTORY VISIT REPORT. Rimso Battery & Company Private Limited Masabo, Borpa, Rupjong, Narayangonj. Infrastructure Development Company Limited

FACTORY VISIT REPORT. Rimso Battery & Company Private Limited Masabo, Borpa, Rupjong, Narayangonj. Infrastructure Development Company Limited FACTORY VISIT REPORT Rimso Battery & Company Private Limited Masabo, Borpa, Rupjong, Narayangonj Infrastructure Development Company Limited August 2018 1. BACKGROUND RIMSO Battery & Co. PVT Limited (RIMSO)

More information

Clackamas Fire District #1 Self Inspection Program. Oregon Fire Code (OFC)

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

More information

Safety Checklist for Science Instruction, Preparation and Storage Area

Safety Checklist for Science Instruction, Preparation and Storage Area Safety Checklist for Science Instruction, Preparation and Storage Area School: Date: Teacher(s): Room or Area: The Science Center of the Boston Public Schools would like to acknowledge both the Science

More information

Item Referenced and Amendments Building 1 Building 2 Analysis, Review and Remarks. Page 1 of 15

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

More information

Osceola County Department of Fire Rescue and Emergency Medical Services

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

More information

City of Cleveland. Division of Fire Fire Prevention Bureau 1645 Superior Avenue Cleveland, Ohio Standard Operating Procedure 18

City of Cleveland. Division of Fire Fire Prevention Bureau 1645 Superior Avenue Cleveland, Ohio Standard Operating Procedure 18 City of Cleveland Division of Fire Fire Prevention Bureau 1645 Superior Avenue Cleveland, Ohio 44114 216.664.6664 Standard Operating Procedure 18 Cleveland Fire Prevention Fire Safety Regulations for Displays

More information

STUDENT SAFETY RULES

STUDENT SAFETY RULES STUDENT SAFETY RULES Purpose Science is a hands-on laboratory class. You will be doing many laboratory activities that require the use of hazardous chemicals. Safety in the science classroom is the #1

More information

EAST TENNESSEE STATE UNIVERSITY LABORATORY/CLINIC SAFETY INSPECTION PROGRAM

EAST TENNESSEE STATE UNIVERSITY LABORATORY/CLINIC SAFETY INSPECTION PROGRAM EAST TENNESSEE STATE UNIVERSITY LABORATORY/CLINIC SAFETY INSPECTION PROGRAM Scope: People who work in scientific laboratories are exposed to many potential hazards. Laboratories involve a greater variety

More information

Chemistry Basic Lab-Safety Guidelines

Chemistry Basic Lab-Safety Guidelines Chemistry Basic Lab-Safety Guidelines The Chemistry Basic Lab Safety Guidelines is aimed to minimize or eliminate hazards in the laboratories of Chemistry Department. Where the scope of hazards is not

More information

CHURCH SELF-INSPECTION FORM

CHURCH 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 information

HEALTH AND SAFETY INDUCTION CHECKLIST

HEALTH AND SAFETY INDUCTION CHECKLIST LIST Listed below is a checklist of health & safety matters, some general and some applicable only to certain jobs. page 1 Section A Mandatory for all Staff 1. HEALTH, SAFETY & ENVIRONMENTAL (HSE) POLICIES

More information

SCHOOL RISK MANAGEMENT SURVEY

SCHOOL RISK MANAGEMENT SURVEY SCHOOL RISK MANAGEMENT SURVEY Name of School School No. Address: Date of visit: Phone number: Loss Control Contact: Principal: Assistant Principal: Building Engineer: NTA/Security Person: Teachers: Clerical:

More information

Facility Hazard Surveillance of JLab Facilities

Facility Hazard Surveillance of JLab Facilities Facility Hazard Surveillance of JLab Facilities Submitted by JSA, LLC May 2006 Facility Hazard Surveillance of JLab Facilities May 2006 I. Purpose: In accordance with I.117 (c) contract number DEAC05-06OR23177

More information

QUARTERLY LABORATORY INSPECTION FORM

QUARTERLY LABORATORY INSPECTION FORM Instructions: Checklist items should be answered Yes, No, or Not applicable. For every item answered No, provide the Corrective Action. Once corrected, provide the date the correction is completed. Items

More information

DESTINY MANAGEMENT Comprehensive Safety & Health Inspection Checklist - AFLs

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

More information

Office Inspection Checklist Offices/Classrooms/General Office Areas

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

More information

General Workplace Safety Checklist

General 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 information