Site Inspection Forms _download Microsoft Excel file_ by xiuliliaofz


									Please note that this spread sheet contains inspection forms for many locations. To select a page click on the tab below

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                            MONTHLY SITE INSPECTIONS

OccupationalHealth and Safety Regulationsrequire that employerscarry out regular safety inspectionsof their worksites. The
frequency of the inspectionsis determinedby the nature and hazard of the work. The purpose of worksiteinspectionsis to:
 –

     Discover any unsafe conditions.
     Prevent accidents and propertydamage.
     Identifyexistingand potentialhazards.
     Identifysafety code violations,reinforce and promotesafe work practices.
     Help prevent loss of tools,equipmentand materials
     Identifyand prevent loss BEFORE they happen.

Inspection Procedures
When conductingmonthlyinspectionsit is importantto review previousinspectionreports and make a listof previouslyidentified
hazards and their locationbefore starting.Thiswillensure that hazards are rectifiedina timelymanner. Make sure that you are
familiarwiththe area to be inspectedand be aware of healthand safety problemsbefore hand. Learn whichcriticaljobsinthe area
have been associated witha highaccident frequency or have a highpotentialfor severe loss. Make sure you lookfor "offthe floor"
hazards as wellas "onthe floor"hazards. Be methodicaland thoroughon every site inspection.
Site Solutions
Correct as much as you can duringthe inspectionand documentthat it was corrected duringthe inspection.Write down what you see,
where and when you see it and don't try to remember details.
Report High Risk Safety Items
Shouldan itemor issue be deemed as a highrisk safety item,report it to the Supervisoror the DistrictSafety Supervisor.
Submit Safety items needing attention for entering as Work Orders
Work orders are usuallyentered by the locationseceratery or the supervisor.After completingthe inspection,listthe items that could
not be solvedon site and submitthose items as a work orders, prioritizedas safety. Distributeand post the report and followup on
items requiringactionto ensure they are completed.

Hazard Classification
The most importantfeature of hazard classificationis the prioritygivento hazards once they have been identified.The hazards posing
the greatest risks must be givenfirst positioninthe correctionprocess. The followinghazard classificationscan be used to describe the
potentialseverity of loss from a substandardpractice or condition:

Class "A" Hazard: A practice or conditionlikelyto cause permanent disability, oss of lifeor bodypart, and/or extensiveloss of
structure, equipmentor material.

Class "B" Hazard A practice or conditionlikelyto cause serious injuryor illness(resultingintemporarydisability)or property
damage that is disruptive,but less severe than Class "A".

Class "C" Hazard                                                                  i
                        A practice or conditionlikelyto cause minor(non-disability)njuryor illnessor non-disruptivepropertydamage.

Use of thisclassificationsystem willhelpto put remedialplanningand actionintoproper perspective and focus attentionon areas that
require the greatest concentrationof time,effort and resources.

                                                             Monthly Site Inspection Checklist         Classrooms, Library, Special Ed Area

Clasroom # ______________
Inspected √                  Description                              Hazards noted              Action required         √   Workorder √
              Open fully and are free from obstruction
              Entrance doors clear of furniture and debris
              No paper or artwork around or attached to
              Clothing stored away from doorways

              Fire Escape:
              Desks and furniture arranged for easy
              Fire Hazards:
              No artwork or devices hanging from ceiling
              No artwork or devices hanging from
              sprinkler system
              Maximum 20% wall space with paper

              Overhead projector cord in good condition
              Projector screen properly secured to wall
              Screen easily pulled down and returned
              Cords undamaged
              Cords clear of walkways
              Video monitors strapped to cart
              Ladder readily available for use.

              Shelves over 4 feet secured to wall
              Overhead storage minimum
              Heavy storage items at floor level

Inspection completed by: _____________________________________________________________________
Date: ______________________________________________
                                                                 Monthly Site Inspection Checklist                                Office

Inspected √                     Description                                  Hazards noted           Action required   √   Workorder √
              Front office:
              Emergency lighting is available
              Overhead bookshelves not overloaded

              Lighting issues - location…
              Minimum glare or excessive light contrast
              Minimal glare or reflection on computer screens
              Computer workstations do not face windows
              Windows coverings available for lighting control
              Screens have sufficient brightness and contrast
              Chairs are adjustable and in good condition

              Computer Workstation:
              Top of computer screens at are level or slightly
              Computer screen 18 - 24 inches from worker

              Adequate leg clearance under close to computer
              Source documents positioned work surface
              screenand wires secured to prevent tripping
              Frequently used materials, equipment or controls
              are within comfortable reach
              Computer mouse is located at same working
              height as keyboard

              Workers have adequate space to perform tasks
              Work surfaces have matte finish

              Filing Cabinets:
              Cabinets are closed when not in use.

Inspection completed by: _____________________________________________________________________
Date: ______________________________________________
                                                                      Site Inspection                               Indoor Walkways

Inspected √                Description                                Hazards noted     Action required   √   Workorder √

              Exits to be free of all obstructions
              Exit doors open and close freely
              Emergency doors shut and unlocked
              Emergency lighting functioning at all      locations:
              Check carpets for curling, shredding,      locations:
              fraying, disrepair
              Maintained, in good repair, free from
               - floors
               - platforms
               - ramps
               - stairs
               - walkways
              Classroom exits free from obstructions     locations:
              Hallways free from obstructions            locations:
              Stairwells free from obstructions          locations:
              Walkways, halls and stairwells free from   locations:
              Handrails free from slivers, etc.
              Steps clearly identified
              At least 2 "wet floor" signs on site

Inspection completed by: _____________________________________________________________________
Date: ______________________________________________
                                                                 Monthly Site Inspection Checklist                     Parking Lots, Walkways, Lighting

Inspected √                  Description                                 Hazards noted               Action required           √   Workorder √
              Parking Lots:
              Asphalt is in adequate condition (ie pot
              holes, frost heaves)
              Speed bumps in good condition
              Visible painted lines for parking stalls,
              entrances, handicapped parking
              Fire routes and hydrants clearly
              recognizable and clear of obstructions
              Gates are painted and have reflective
              Bus lanes are clearly identified
              Fire lanes are clearly identified
              Curbs are clearly identified by white or
              yellow paint

              Steps are clearly marked
              Adequate lighting provided
              Uneven walkways marked
              Walkways clear and free from
              De-icer available for sidewalks, stairs and
              parking areas
              Unobstructed water drainage

              Adequate lighting provided at all entrances/
              exits.                                       checked by:
              Paths are adequately lit to parking lots

Inspection completed by: _____________________________________________________________________
Date: ______________________________________________
                                                         Monthly Site Inspection Checklist                                    Electrical Hazards

    √                     Description                           Hazards noted                    Action required          √   Workorder √

            Inspect all cords on computers, TV's,
            electronics, lights, tools (eg. Pencil
            sharpeners, coffee makers, toasters,
            radios, heaters, fans, etc.)

            Inspect kitchens, computer labs,
            classrooms, offices, A/V carts, etc.

            Extension cords:
            - in good condition (end connections)
            - grounded and have three prong plug only
            - adequate gauge for the use (12 to 14)
            - cords are of adequate length for task

            Location of cords used for permanent
            power supply.

            Inspect condition of outlet plates

            Inspect power bars for CSA approval

NOTE: if any cord is damaged and deemed unsafe, remove the cord, tag it as unusable and send to maintenance for repair.

Inspection completed by: _____________________________________________________________________
Date: ______________________________________________
                                                          Monthly Site Inspection Checklist                     Storage and Electrical Rooms

Inspected √                   Description                        Hazards noted                Action required         √    Workorder √
              Electrical Rooms:
              Clearly identified
              Free from all combustibles
              Locked at all times
              Electrical Rooms have a 1 meter "no
              storage area" painted around the
              electrical panel

              Storage Rooms:
              Storage items not piled over 5 feet high
              Adequate lighting provided
              Exits are clar and free from obstructions
              Walkway's are not blocked
              Access to shelving not blocked

Inspection completed by: _____________________________________________________________________
Date: ______________________________________________
                                                                Monthly Site Inspection Checklist                              Ladders

    √                       Description                                   Hazards noted             Action required   √   Workorder √

            Number of: portable ladders:
                          fixed ladders:
            Portable ladders are readily available
            Portable ladders have CSA stamp
            Permanent ladders (to mezzanines, etc.)
            must have 18 cm. toe space behind rungs
            Permanent ladder rungs must be omitted
            above landings
            Permanent ladder side rails must extend at
            least 107 cm above landing
            Aluminium ladders;
              - have non-slip rungs
              - non-skid bases
              - have no broken parts
              - do not wobble from side strain

            Wooden ladders:
              - have no broken parts
              - not painted
              - not split or cracked
               - uprights, rungs, steps are free from slivers
            Single or extension ladder rules are posted
                     (see ladder addendum #1)

Note: defective ladders must be tagged and removed or repaired

Inspection completed by: _____________________________________________________________________
Date: ______________________________________________
                                                             Monthly Site Inspection Checklist                     Hazardous Materials

Inspected √                 Description                       Hazardous Materials noted          Action required      √   Workorder √
              Material Safety Data Sheets are available
              Products have workplace labels
              Storage rooms well organized and clean
              Worker training/education has been

              Art Rooms and Shop Areas:
              Flammable materials stored away from
              heat sources
              Ventilation systems working to minimize
              hazardous vapours (paints, thinners, etc.)

              Compressed Gas Cylinders
              Cylinders stored away from heat sources,
              potential physical damage, electrical
              contact or corrosion
              Cylinders indicate rated pressure and gas
              Cylinders secured to prevent movement
              Empty cylinders marked as empty and
              stored separately
              Cylinder regulators are serviced regularly
              Cylinders are capped when not in use
              Flame arrestors are installed on all oxygen/
              acetylene torches
              Cutting goggles/helmets available
              Combustibles not stored in furnace rooms

Eyewash bottled water changed by:_________________________
Inspection completed by: ____________________________________________________
Date: _________________________________________________
Ladder Rules:

4:1 Rule - every 4 feet of ladder requires ladder to be placed
1 foot from wall.

Top two steps are not to be used

Roof access ladder must be able to exceed roof by 1 meter

Ladder is tied off at contact point

Step ladders must be secured by locking devices

Three point contact must be maintained at all times

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