Methodist University | Office of Environmental Health and Safety
B. ANNUAL CAMPUS EHS INSPECTION CHECKSHEET
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[ OUTDOOR FACILITIES & ATHLETIC FIELDS ]
Methodist University | Environmental Health and Safety Division
Principal Investigator:
Date:
Area Contact:
Facility Name:
Facility Function:
Other:
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
1
How close is the nearest telephone to call in case of an emergency ?
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 facilities workers / chemical applicators completed Annual Training class?
Have all employees received facility specific safety training ? (from supervisor)
Have all employees received instruction of proper use of all PPE's needed? (from
supervisor)
Are training records complete and available upon request to outside inspectors?
Emergency Kits/Safety Equipment
9
Does the outdoor facility have access to first aid kit and chemical/biological spill kits ?
Outdoor Structures / Sheds
10
11
Does the facilities structures look to be in good structural state ?
If any chemicals are being stored inside structures or sheds, are they meeting all requirements
of stored chemicals? (secondary containment/sealed)
Fire and Electrical Safety
12
13
14
15
16
17
18
Are fire extinguishers easily accessible and free of obstructions? (if needed)
Have fire extinguishers been inspected in the past year? (if present)
Are there 18 inches of clearance between stored items and ceiling?
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?
Hazardous Material Safety
Updated: November 2011
EHS - Outdoor Checksheet
Methodist University | Office of Environmental Health and Safety
19
20
21
22
23
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Are all containers clearly labeled with their contents and primary hazard(s)?
Are all containers in good condition (not corroded or leaking)?
Do all containers have secondary containment ?
Are chemical containers kept away from sinks and floor drains ?
Do spill/cleanup kits have tamper seals in tack?
Hazardous Chemical Wastes
24
25
There are NO labeled Hazardous Waste containers present?
There are NO emply spray cans / paint containers present at the facility?
26
Is the facility free of chemicals that are expired or unneeded? (including all
paints/dyes/thinners)
27
There are NO signs of chemicals being discharged down the drains ?
Athletic Field Specific
28
Do All Pesticide Applicators (person spraying) have current Pesticide Licences for the state of
North Carolina?
29
All used pesticide containers are being triple rinsed, with rinse being collected as hazardous
waste, and containers being punctured prior to being put into standard waste stream?
30
If spray cans are being used to mark lines, are they being disposed of correctly?
Personal Protective Equipment
31
32
has the proper PPE been outlined to anyone coming into contact with chemicals in relation to
this facility? (by supervisor)
Is all proper PPE being provided by the university and available to employees in this facility?
Comments:
Corrective Action Items:
Facility Inspection Conducted By: (Signature)
Updated: November 2011
EHS - Outdoor Checksheet
Methodist University | Office of Environmental Health and Safety
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Supervisor/Instructor/Chair/Dean (Sign, Date)
Updated: November 2011
EHS - Outdoor Checksheet