Methodist University | Office of Environmental Health and Safety
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B. ANNUAL CAMPUS EHS INSPECTION CHECKSHEET [ Office of Institutional Computing ]
Methodist University | Environmental Health and Safety Division
Principal Investigator:
Date:
Area Contact:
Facility Name:
Facility Function:
Per Room or Per Area:
AREA
Department:
Please check “YES,” “NO,” or “NOT APPLICABLE” for each item. Comments may be written next to the question or at the end of the survey. Questions
answered “NO” require follow-up.
#
Y
N
ITEM
NA
Written Safety Policies and Procedures
How close is the nearest telephone to call in case of an emergency ?
1
2
Do employees have ready access to MSDSs ?
3
Is the facilities chemicals used been entered into CID (Chemical Inventory Database)?
4
Has the facilities and contact been updated in CID in the last year ?
EH&S Comments
Employee Training
5
6
7
8
Have employees for this particular area completed required university for their position/location?
(if required)
Have all employees received job specific training? (from supervisor )
Have all employees received instruction of proper use of all PPE's needed? (from
supervisor if needed)
Are training records complete and available upon request to outside inspectors?
Fire and Electrical Safety
9
10
11
12
13
14
15
16
17
18
19
Are aisles, exits, and adjoining hallways maintained free of obstructions ?
Are fire extinguishers easily accessible and free of obstructions?
Have fire extinguishers been inspected in the past year?
Are there 18 inches of clearance between stored items and ceiling/fire sprinklers?
Do suspended ceilings have all of their ceiling tiles in place?
Are extension cords used only as temporary wiring?
Are extension cords or power strips not daisy-chained to each other?
Are electrical cords in good condition with no breaks or exposed wiring?
There are NO space heaters (cermic heaters) plugged in?
There are NO combustible materials like woods being stored in the facility?
Are tall bookcases, filing cabinets, and furnishings near doorways & exits secured ?
E-TRASH
20
All etrash being collected from across campus and stored in a central location until recycling?
Updated: November 2011
EHS - OIC Cheeckheet
Methodist University | Office of Environmental Health and Safety
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All etrash is then disposed of properly not thrown away?
Spent batteries from UPS or other sources are collected and turned over to maintenance for
processing as universal waste?
Comments:
Corrective Action Items:
Inspection Conducted By: (Print)
Supervisor/Instructor/Chair/Dean (Sign, Date)
Updated: November 2011
EHS - OIC Cheeckheet