Accident and Illness Prevention Program Manual CHURCH NAME HERE. Prepared By: CHURCH NAME HERE. Applies to: All Locations Page 1 of 9

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CHURCH NAME HERE Policy Title: Facility Inspections Policy No. 14 Prepared By: CHURCH NAME HERE Date: Applies to: All Locations Page 1 of 9 Definition A facility inspection is a planned and organized process to identify and correct unsafe conditions that could lead to injuries, illnesses and/or property damage. Policy Facility inspections are considered to be an integral part of our safety management program. This will be a continuing safety activity to help maintain acceptable standards of control over ever changing physical conditions. At a minimum, facility inspections will consist of a scheduled inspection using inspection checklists. Checklists help to guide the inspection through the facility or property, to serve as a reminder of what to look for and as a record of what has been covered. A comprehensive interior/exterior inspection is provided for creation of a church specific program. Actions Required 1. Establish specific dates for Inspections to be conducted. 2. Determine who will complete the facility inspection(s) (i.e., Business Manager/Risk Manager, Supervisor, Safety Committee). Inspectors should have the following qualifications. A. Knowledge of the facilities accident experience. B. Familiarity with accident potentials and related safety standards. C. Authority to make suggestions for corrective action(s). D. Diplomacy in handling persons and situations. E. Knowledge of facility operations. 3. Review all pertinent previous inspections for outstanding items to determine where failures in hazard control may exist. 4. Consider all changes in the working environment to include new facilities, processes, materials and equipment. 5. Whenever possible, speak to the staff in the area to gain their input. 30.1

6. Correct anything under your control immediately or take temporary precautions when correction is delayed. 7. Promptly report conditions beyond your authority and suggest solutions. 8. Maintain the completed facility inspection report in file for at least five (5) years. 9. Ensure that the hazards found are reported and assigned for correction. Ensure that a timetable is established. Documentation Required A. Copies of internal inspection report(s) B. Copies of external inspection report(s) C. Correspondence and timeline related to hazard correction. Responsibilities and Accountabilities The CHURCH NAME HERE believes that safety and health is an integral part of operations which makes compliance with this policy a responsibly at all levels. Organized safety programs require a teamwork approach as no person can do the job alone. Our teamwork approach means a proper division of responsibilities with everyone doing what is necessary for our policies and procedures to be effective and rewarding. Church Self-Inspection Checklist Name of Church: Address: Instructions: Answer each item with YES, NO, or N/A (not applicable). Support all NO items in the COMMENTS section, and indicate the date when corrective action has been implemented. Walking/Driving Surfaces 1. Are parking lots/sidewalks free of slip, trip and fall hazards? 2. Are stairs/ramps in good condition and provided with handrails? 3. Are snow/ice/leaf removal procedures in place? 4. Are water absorbent mats used at entrances? 5. Is exterior lighting adequate throughout premises? 30.2

6. Are interior stairwells properly illuminated and equipped with handrails and non-slip treads? 7. Are interior floor surfaces in good condition? 8. Are non-slip finishes/waxes used on floors? 9. Are walk area free of appliance, lamp or phone cords? 10. Are the edges of outdoor steps marked with white or bright yellow paint to increase step visibility at night? 11. Do the handrails extend the full length of the stairs? 12. Is abrasive paint or non-skid tape used for outside steps? 13. Have all potholes, uneven walkways or parking areas been patched to eliminate falling hazards? 14. Are doormats positioned properly at all entryways? 15. Is double-faced tape used on the underside of all rugs and runners to prevent mat slippage? 16. Is stairway carpeting firmly attached to each step? 17. Is snow removal equipment available (i.e., snow blower, shovel, ice pick, salt, de-icing solutions, etc.)? 18. Are spills promptly wiped up? 19. Are Caution Wet Floor signs used for freshly mopped areas or spills? 20. Is the bottom of all bathtubs/showers provided with a non-skid tape or abrasive surface? 21. Are all step and extension ladders in good condition? 22. Are extension ladders tied off to prevent slipping or held at the base by someone reliable? 23. Are stairways kept free of clutter? Life Safety 1. Exit doors equipped with illuminated exit signs? 2. Are exit doors equipped with panic hardware? 3. Are facilities equipped with emergency lighting? 4. Are doorways/halls/aisles free from obstruction? 5. Have emergency preparedness procedures been implemented, including staff training and drills? 6. Are emergency phone numbers posted throughout? 7. Are employees/volunteers trained in first aid/cpr? 8. Are facility inspected by the fire department? Homeless Shelters 1. Does the number of beds meet state code for placement and air space? 2. Are doors/exits unblocked and easily accessible? 30.3

3. Do bunk beds have guardrails and ladders? 4. Do cribs meet current safety standards? 5. Are sink/shower hot/cold faucets clearly marked? 6. Are anti-scald procedures in place for hot water use? 7. Do showers have non-skid floors and grab bars? Youth Activities 1. Is a child abuse prevention policy in effect? 2. Are applicable personnel adequately screened? 3. Are alleged incidents properly documented? 4. Are procedures in place for response to allegations? 5. Are activities adequately supervised by at least two competent adults? 6. Is a youth disciplinary policy in effect? 7. Are appropriate day care staff/child ratios used? 8. Are windows in all classroom doors? 9. Are day care operations licensed by the state or local authority having jurisdiction? Transportation Safety 1. Has a personal use policy been implemented for church vehicles? 2. Has a business use policy for personal vehicles been implemented? 3. Are Certificates of Insurance obtained from drivers? 4. Are Motor Vehicle Reports obtained at least annually for all drivers? 5. Are vehicles maintained as per manufacturer? 6. Are pre-trip inspection procedures in place? 7. Are vehicles equipped with emergency equipment (e.g., extinguisher, fuses, reflectors, first aid kit)? 8. Are vehicles equipped with accident report forms? 9. Is periodic driver safety training provided? 10. Is a safety belt use policy in place for all passengers? Physical Premises 1. Are heating boilers and pressure vessels properly inspected, maintained and safely arranged? 2. Are furnaces/boilers located in separate rooms with fire resistive walls and ceilings and a self-closing fire door? Is the room free of combustible materials storage? 3. Has the electrical system been inspected by a qualified electrical contractor within the past year? 4. Are there adequate outlets for electrical service? 30.4

5. Are extension cords limited to temporary use only? 6. Is responsibility assigned for disconnection of all electrical appliances when not in use? 7. Are all electrical appliances UL listed/grounded? 8. Is a lightning protection system (especially for steeples, spires and towers) in place and inspected annually by a qualified contractor? 9. Is cooking equipment protected by an automatic extinguishing system and fuel shut-off and inspected semi-annually? 10. Is refrigeration equipment adequately maintained? 11. Are fire extinguishers properly located and inspected annually by a qualified contractor? 12. Are sprinklers, standpipes and hoses inspected and tested at least annually by a qualified contractor? 13. Are facilities equipped with heat/smoke detectors, which are inspected at least quarterly? 14. Have facilities been inspected for lead/asbestos? 15. Have underground storage tanks been registered with the state and monitored for leakage? 16. Are flammable (not latex) paints thinners, gasoline, and other products stored in a garage or shed If they should be stored inside the church, are they kept in metal cabinets? 17. Is the building kept free of accumulations of combustible materials 18. Is solvent, stain, or oil-soaked rags kept in closed metal containers and disposed of promptly? Security 1. Are facilities inspected annually by the police department? 2. Are facilities protected by a UL listed burglar alarm system connected to a central station? 3. Is church property protected by measures for: A) Key Control? B) Storage in buildings during modifications? C) Protection of valuables? 4. Are facilities protected with exterior lighting and natural surveillance (e.g., trimmed trees, shrubs)? 5. Are non-exit doors equipped with double cylinder deadlocks? 6. Are controls in place to protect computers, data processing equipment and software? 7. Are church valuables photographed, documented and appraised with off site storage of records? 30.5

8. Are cash deposits handled in a timely and secure manner? 9. Have arrangements been made with the police department to conduct periodic nighttime surveillance? Kitchen Fire Safety 1. Are all hoods, exhaust ducts and fans clean? 2. If grease filters are used in hoods are they in place? 3. Is portable fire extinguishing equipment provided and is it in good order? 4. Are refrigeration equipment motors and coils clean with ventilation unobstructed? 5. Is all combustible material near cooking equipment and appliances properly spaced to avoid a fire hazard? 6. Is collection of and disposal of rubbish safety handled in a manner avoiding hazardous accumulations at any point? 7. Are the cooking equipment, exhaust hood and duct protected by an automatic dry or wet chemical extinguishing system? 8. Has the automatic extinguishing system been serviced within the last 6 months, as indicated by a current service tag? 9. Do all deep fat fryers have a manual reset excess temperature limit switch? 10. Are Microwave in Use warning signs provided where appropriate? 11. Are all electrical appliances grounded and wiring in good conditions? 12. Are all work areas clean, sanitary, and orderly? 13. Other Water Front 1. Are camp employees adequately screened and supervised? 2. Are swimming areas clearly marked? 3. Are state standards met for lifeguard/swimmer ratio? 4. Are all lifeguards properly certified? 5. Are equipment and watercraft properly maintained? 6. Is the water front used only under supervision? 7. Are personal flotation devices required in watercraft? 30.6

Health And Safety Accident and Illness Prevention Program Manual 1. Are camp medical personnel properly licensed? Are camp employees adequately screened and supervised? 2. Are arrangements confirmed with local medical and emergency response authorities? 3. Is the water supply tested on a regular basis? 4. Is the sewage disposal system operating properly? Quarters 1. Does the number of beds meet state code for placement and air space? 2. Are doors/exits unblocked and easily accessible? 3. Does the number of beds used for each event meet accepted counselor/camper ratio standards? 4. Do bunk beds have guardrails and ladders? 5. Do cribs meet current safety standards? 6. Are sink/shower hot/cold faucets clearly marked? 7. Are anti-scald procedures in place for hot water use? 8. Do showers have non-skid floors and grab bars? Heating Equipment 1. Is all heating equipment including chimneys, flue connectors, hot air ducts and parsonage heating appliances: A) In good serviceable condition and well maintained? B) Properly insulated and separated from all combustible material by a safe distance? C) Serviced by a qualified person within the past year? Lighting And Electrical Equipment 1. Has the electrical system been inspected by a competent electrical contractor recently? 2. Are alterations of electrical installations made only by a qualified electrician 3. If any fuses or circuit breakers require frequent replacement or restoration, have these circuits been checked by a competent electrician for overloading? 4. Are all fixtures, outlets and extension cords in safe condition? 5. Are extension cords used only for temporary situations? 6. Are air conditioning units properly wired? 30.7

Appliances Accident and Illness Prevention Program Manual 1. Are kitchen range ventilating hoods, filters and ducts free of grease accumulation? 2. Are refrigerators, freezers, stoves, microwaves, washers and dryers properly wired? 3. Is manufacturer-recommended air space provided around all large appliances? 4. Are appliance exhaust systems properly vented? Protection 1. Are there a sufficient number of proper fire extinguishers provided? 2. Have fire extinguishers been inspected or recharged within a period of one year? 3. Is the date of inspection or recharge shown on a tag attached to each extinguisher? 4. IS UL listed automatic fire and smoke detection devices installed and operational? 5. Are smoke detector batteries checked semi-annually where warranted? 6. Are spaces beneath stairs, in attics and basements free of combustible material? Public Liability Exposures 1. Are all walkways and floor surfaces safe (free of holes, uneven surfaces, cracks, carpet tears, etc.)? 2. Are sidewalks kept free of snow and ice? 3. Are all steps in good repair and provided with handrails? 4. Has the parsonage been inspected for asbestos, and proper safeguards taken? Furnishing And Equipment 1. Are all church-owned furnishings and equipment properly maintained and stored? 2. Are mowers, snow blowers, hedge trimmers and combustibles safely stored? 3. Are computer systems properly wired? Contractual Agreements 1. Are Certificates of Insurance obtained from contractors and reviewed for adequate limits and effective dates? 2. Are Certificates of Insurance obtained from outside users of conference facilities? 30.8

3. Do the conference and/or occupant maintain adequate property and liability insurance on the conference-owned parsonage and furnishings? 4. Does the conference maintain adequate property and liability insurance on all conference owned, leased, or rented offices, vehicles, camps, or other facilities? 5. Is there a video or written inventory of all conference owned personal property stored off site? 6. Are all persons at the conference and district level with cash handling responsibilities bonded? Comments: (Use additional sheets as necessary) Completed By: Review By: Date: Date: 30.9