Program Area Inspection Checklist

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FACILITY/PROGRAM AREA SAFETY INSPECTION CHECKLIST

Teacher:___________________________________ Inspection Completed By:____________________ School:____________________________________ Date:_____________________________________ NOT Corrective Satisfactory Action/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 safety activities preformed (meetings, inspections, training) ____

___________

Life Safety Issues/Housekeeping:

1. Walkways maintained, aisles defined, uncluttered ____ ____________ 2. Emergency exits clearly identified; uncluttered ____ ____________ 3. Stairs/aisle ways free from material storage and debris; clearance > 28”wide ____ ____________ 4. Good housekeeping is evident in area ____ ____________ 5. Storage stacks lean and stable ____ ____________ 6. Burned out/missing light blubs replaced ____ ____________

Emergency Medical:

1. Emergency contact information posted 2. First Aid responders available for each period 3. Blood borne pathogens exposure potential adequately addressed 4. First aid supplies adequate and available 5. Transportation available for injured students and staff/plan in place ____ _____________ ____ ____ ____ ____ _____________ _____________ _____________ _____________

Slip/Trip/Fall Hazards:

1. Portable ladders equipped with non-slip feet. Metal ladders marked- “Do Not Use Around Electrical Equipment” 2. Stairways in good repair with handrails, treads and risers in proper proportion and non-slip 3. Work areas, aisle ways, storage areas are orderly 5. Illumination adequate for normal conditions, emergency lighting in place ____ ____ _____________ 4. Storage over 5 foot tall must have approved step stool/ladder accessible ____ _____________ _____________ 6. External walking areas free of hazards, well maintained ____ _____________ 7. Warning signs posted for wet floors or spills 8. Anti-slip mats and flooring used where appropriate ____ ____ ____ ____ _____________ _____________ _____________ _____________ (09/2013)resources: selective.com; cdc.gov/niosh

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NOT Corrective Satisfactory Action/Date

Hand Tools/Appliances:

1. Power tools/appliances properly grounded/have safety power switch 2. Defective tools/appliances are removed from service (no frayed, cut or ____ ____ _____________ _____________ damaged electrical cords) 3. Proper guards are provided, tools electrically grounded or double insulated ____ 4. There is a preventive maintenance/inspection program _____________ ____ _____________ 5. Students/staff are trained in the safe use of hand tools/appliances ____ _____________

_____________________________________________________________________________ Fire Safety:

1. Portable fire extinguishers or proper type are mounted properly, accessible, and inspected (nothing stored/obstructing within a 3 ft. perimeter) ____ 2. Approved safety containers are used for flammable liquids ____ ____________ ____________ 3. Combustible debris disposed of regularly i.e. oily/greasy rags stored in ____ ____________ a covered metal container 4. Compressed gas cylinders capped and chained ____ ____________ 5. Sprinkler system functional/inspected/documented 6. Smoke/heat detectors functional and inspected 7. Minimum 18” clearance below sprinkler heads 8. Sprinkler valves locked open ____ ____ ____ ____ ____________ ____________ ____________ ____________ 9. Safe clearance around heaters/heat source (nothing stored/obstructing within a 3 ft. perimeter) ____ ____________

Electrical Hazards:

1. Machinery and equipment are grounded 2. Electrical panels clear for 36” access 3. Electrical panels clearly marked (nothing stored/obstructing within 3 ft. perimeter) 4. Outlets, switches and boxes have covers 5. Permanent wiring in place-no extension cords 6. Exposure of overhead electrical lines controlled 7. Emergency stops and critical electrical controls are identified ____ ____ ____ ____ ____ ____ ____ 8. Appropriate electrical systems designed for hazardous locations have been Installed in spray booths and flammable liquid storage rooms ____ 9. Three (3) pronged grounded extension cords used (ground prong in place) ____

Mechanical and Manual Material Handling and Storage:

1. Hoist chains, cables, and slings are inspected regularly and documented 2. Storage piles are stable and secured from falling or collapse 3. Load limits are displayed on all hoists 4. Manual handling aids available and used 5. Weight limits set for manual lifting, carrying, pushing, pulling 6. Student/staff trained in proper lifting techniques/ergonomics ____ ____ ____ ____ ____ ____ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ___________ ____________ (09/2013)resources: selective.com; cdc.gov/niosh

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NOT Corrective Satisfactory Action/Date

Machinery:

1. Lockout/tagout program in place, locks available, students/staff trained 2. Hazardous areas painted bright colors 3. Guards are provided for “point of operation” of machinery 8. Compressed air systems are not used for cleaning clothing. 9. Welding equipment in good condition 10. Compressed gas cylinders are secured to prevent falling 11. Overhead hazards from equipment, conveyors, and process pipes, are guarded below 7 ft. from floor ____ ____ ____ 4. Clothing and hair restrictions in place to prevent entanglement in machinery ____ 5. Power transmission guards are in place ____ 6. Noise exposures adequately addressed 7. Warnings displayed in obvious locations ____ ____ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____ ____________ ____ ____________ ____ ____________ ____ ____________

Chemicals:

1. Hazardous materials containers labeled (incompatible chemicals must be stored separately) ____ ____________ 2. Materials Safety Data Sheet (MSDS)/(SDS) available 3. Hazard Communication Training program in place 4. Chemical absorption spill control kit available 5. Eyewash/emergency shower available and functional 6. Eyewash/emergency shower flushed weekly (chart available) 7. Proper ventilation available and operational ____ ____ ____ ____ ____________ ____________ ____________ ____________ ____ ____________ ____ ____________

Personal Protective Equipment:

1. PPE assessment performed—PPE requirements in place 2. Students/staff trained in the use and maintenance of PPE— training documented 3. Hard hat areas designated and enforced 4. Hearing protecting utilized in required areas 5. Face/eye protection in place where needed 6. Safety foot protection required where appropriate 7. Protective clothing, gloves, aprons, boots, face shields, and goggles are used when handling hazardous materials 8. First aid kit available ____ ____________ ____ ____ ____________ ____________ ____ ____________ ____ ____________ ____ ____________ ____ ____________ ____ ____________

Inspectors Comments:

Inspector Signature:_____________________________________________Date:___________________ Teacher Signature:______________________________________________Date:___________________

(09/2013)resources: selective.com; cdc.gov/niosh

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(09/2013)resources: selective.com; cdc.gov/niosh

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