Methodist University | Office of Environmental Health and Safety
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B. ANNUAL CAMPUS EHS INSPECTION CHECKSHEET [ THEATER ]
Methodist University | Environmental Health and Safety Division
Principal Investigator:
Date:
Room Contact:
Room Number:
Lab Name/Function:
Building:
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 Laboratory Safety Policies and Procedures
Is there a current MU Lab Chemical Hygiene Plan accessible to every worker in the lab?
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2
Are Emergency Phone Numbers posted in lab near telephone?
3
Do employees/student workers have ready access to MSDSs ?
4
Is the room's inventory entered into CID (Chemical Inventory Database)?
5
Has the room's room number and contact been updated in CID in the last year ?
EH&S Reference
Employee Training
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7
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9
Have instructors and lab assistants attended Annual Training class?
Have all participants received theater specific safety training ? (from instructor)
Have all participants received instruction of proper use of all PPE's needed? (from
Instructor)
Are training records complete and available upon request to outside inspectors?
Emergency Kits/Safety Equipment
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12
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15
Does the laboratory have access to first aid kit and chemical/biological spill kits ?
Are eyewash/showers accessible within 10 seconds (approx 50 ft)?
Are emergency eyewash and shower stations free of obstructions ?
Are tests current for the emergency shower (annually) and eyewash (weekly)?
Can ALL chemical (including painting) be completed in fresh air?
Are appropriate hazard warning signs (chem/bio) posted in lab?
Fire and Electrical Safety
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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?
Updated: November 2011
EHS - Theater Cheeckheet
Methodist University | Office of Environmental Health and Safety
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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?
Are tall bookcases, filing cabinets, and furnishings near doorways & exits secured ?
Hazardous Material Safety
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27
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29
30
31
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33
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 hazardous materials storage cabinets properly labeled ?
Is the amount of flammable liquids outside of storage cabinets under 10 gallons ?
Are chemical & waste containers kept away from sinks and floor drains ?
Are incompatible hazardous materials segregated?
Do spill/cleanup kits have tamper seals in tack?
Are compressed gas cylinders secured to prevent them from falling or tipping?
Hazardous Chemical Wastes
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35
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Are chemical waste containers closed ?
Are chemical waste containers labeled with MU Hazardous Waste label (MU-HAZLBL)?
Is the lab free of chemicals that are expired or unneeded? (including all paints/dyes/thinners)
Are there any signs of chemicals being discharged down the drains ?
Theater Specific
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41
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43
All trash cans are free of paint containers (oil based), cleanup rags, and used spray cans?
(Absolutly NO spray cans, they need to go to maintenance even if empty)
If sizzors lift is present or used, a 5 point harness is available?
All electrical wiring has been performed by a licenced electrician ?
No combustible materials including wood materials are inside of general use buildings?
All users of power tools have been specifically trained on their use?
Dust from saws and other wood cutting objects is collected?
Personal Protective Equipment
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Is PPE identified in the lab SOPs available to all people present and in good condition?
Is all proper PPE being provided by the university and available in the lab ?
Comments:
Updated: November 2011
EHS - Theater Cheeckheet
Methodist University | Office of Environmental Health and Safety
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Corrective Action Items:
Room Inspection Conducted By: (Sign)
Supervisor/Instructor/Chair/Dean (Sign, Date)
Updated: November 2011
EHS - Theater Cheeckheet