Compliance Checklist for Program Managers by pwk11209

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									                  ENVIRONMENTAL HEALTH AND SAFETY PROGRAM
                             Compliance Checklist


Introduction

This checklist, although comprehensive, is not intended to cover all regulatory situations that might be in
evidence in any specific department. The purpose of this checklist is to provide "food for thought" for
supervisors and managers as they consider workplace hazards, and whether all that is necessary is being
done to meet ODOL, OSHA, EPA, NFPA, and etc. minimum requirements.

Users should use only those items that apply to their department or division and check N/A or ignore
those that do not apply. Managers and supervisors should add items not on the list that would be
beneficial or relevant to their area. Due to the uniqueness of each department, no specific department or
topic is completely covered.

The checklist should be considered a tool, which will assist managers and supervisors in the identification
of hazards with which workers might be confronted. The number of Yes answers should serve as an
indication of how safety conscious the department is, and the number of No answers will give some
indication of where attention should be directed. Remember that this is a help tool and not a report card!




                                                                                 November 2002

                                                 - 1 -
A.   REQUIRED SURVEYS HAVE BEEN CONDUCTED

      Yes No N/A

      ()   ()   ()       1.   Confined Space

      ()   ()   ()       2.   Ergonomics

      ()   ()   ()       3.   Hazardous Chemicals Inventory

      ()   ()   ()       4.   Hazardous Energy (Lockout/Tagout)

      ()   ()   ()       5.   Respiratory Protection

      ()   ()   ()       6.   Personal Protective Equipment

      ()   ()   ()       7.   Fire Protection

      ()   ()   ()       8.   Other ________________________


B.   WALKING AND WORKING SURFACES

      Aisles, Floors, And Other Work Surfaces

      Yes No N/A

      ()   ()   ( ) 1.        All work spaces and passageways are kept neat and orderly?

      ()   ()   ( ) 2.        Floors, aisles, and passageways are kept clean and dry?

      ()   ()   ( ) 3.        Permanent aisles are appropriately marked?

      ()   ()   ( ) 4.        Rugs or mats at entrances are in good repair and do not present a tripping
                              hazard?

      ()   ()   ( ) 5.        Sidewalks, entrances, and exit areas are in good condition, clear of
                              obstructions, and free of tripping/slipping hazards?




                                                                                November 2002

                                                  - 2 -
Housekeeping

Yes No N/A

()   ()   ( ) 1.    The workplace is free from slipping or tripping hazards?

()   ()   ( ) 2.    Tools and other equipment are not left lying around after use?

()   ()   ( ) 3.    Power tools or hazardous materials are not left unattended when not in use?

()   ()   ( ) 4.    File drawers, desk drawers, and other drawers are kept closed when not being
                    used?

()   ()   ( ) 5.    Leaks and spills are repaired and cleaned up immediately?

()   ()   ( ) 6.    Cords, cables, wires, etc. are kept above floor level and do not present
                    tripping hazards?

()   ()   ( ) 7.    Trash cans are appropriately placed and trash disposed of in a timely
                    manner?

()   ()   ( ) 8.    Proper slip prevention procedures are established in all areas where work
                    surfaces are expected to be wet or slick?

()   ()   ( ) 9.    Flexible cords or other power cords are not located under equipment or
                    carpet where a fire hazard might be produced?

()   ()   ( ) 10.   Cabinets and shelves are secured to prevent tipping or overturning. Also,
                    they are free of large, unstable items?

Platforms, Balconies, Second Floors, Etc

Yes No N/A

()   ()   ( ) 1.    Signs showing floor-load capacity are present?

()   ()   ( ) 2.    Platforms, lofts, balconies, etc. that are more than four feet above the floor or
                    ground, are protected with a standard guard rail?

()   ()   ( ) 3.    All platforms, lofts, balconies, etc. (above where people or machinery could be
                    exposed to falling objects) are guarded with at least the standard four-inch
                    toeboards?




                                                                          November 2002

                                           - 3 -
Ladders

Yes No N/A

()   ()   ( ) 1.    Defective ladders (e.g. broken rungs, side rails, etc.) have been tagged as
                    "DANGEROUS, DO NOT USE" and removed from service for repair or
                    destruction?

()   ()   ( ) 2.    Is it prohibited to use the top three rungs of an ordinary ladder as steps?

()   ()   ( ) 3.    Fixed ladders have at least 3.5 feet of extension at the top?

()   ( ) ( ) 4.     The distance between the centerline of the rungs on fixed ladders and the
                    nearest permanent object in the back of the ladder is at least 7 inches?

()   ()   ( ) 5.    All fixed ladders have a preferred pitch of 75 to 90?

()   ()   ( ) 6.    Employees do not use chairs, boxes, or other items instead of ladders or
                    approved footstools?

()   ()   ( ) 7.    The top two steps of step ladders are not used as steps?

()   ()   ( ) 8.    Other employees are consistently used to hold or steady ladders?

()   ()   ( ) 9.    Metal nor wet wood ladders are never used around energized or potentially
                    energized electrical conductors?

()   ()   ( ) 10.   Wooden ladders are never painted?

Stairs

Yes No N/A

()   ()   ( ) 1.    There are standard stair rails or handrails on all stairways having four or
                    more risers?

()   ()   ( ) 2.    All stairways are at least twenty-two inches wide?

()   ()   ( ) 3.    All stairs have at least a seven foot overhead clearance?

()   ()   ( ) 4.    Stairs angle at no more than 50 and no less than 30?




                                                                         November 2002

                                         - 4 -
C. EGRESS

     Yes No N/A

     ()   ()   ( ) 1.    Each exit is marked with a reliably lighted exit sign?

     ()   ()   ( ) 2.    Exit signs are lettered with letters at least six inches high and three-fourths
                         inch wide?

     ()   ()   ( ) 3.    Exit passageways and other areas are free of debris and other materials?

     ()   ()   ( ) 4.    Doors, or other passageways, that are neither exits nor access to an exit, and
                         located where they may be mistaken for exits, are appropriately marked "NOT
                         AN EXIT", "TO BASEMENT", “STOREROOM", etc.?

     ()   ()   ( ) 5.    All exits are accessible to individuals with disabilities?

     ()   ()   ( ) 6.    Each exit is clearly labeled "DISABLED ACCESSIBLE" or "NOT DISABLED
                         ACCESSIBLE"?

     ()   ()   ( ) 7.    Egress from any exit is not impeded in any manner?

     ()   ()   ( ) 8.    All doors that must be passed thru to reach an exit, or way to an exit, always
                         free to access with no possibility of a person being locked inside?

     ()   ()   ( ) 9.    All exit doors side-hinged?

     ()   ()   ( ) 10.   Wherever a person is located, the direction to an exit is marked with clearly
                         visible signs?


D.   HEALTH AND ENVIRONMENTAL CONTROL.

     Yes No N/A

     ()   ()   ( ) 1.    Supervisors are aware of hazards caused by various materials created within
                         the campus such as dusts, metal dusts, fumes, free silica, solvents, hazardous
                         chemicals, etc?

     ()   ()   ( ) 2.    Employees are made aware of these hazards?

     ()   ()   ( ) 3.    Employee exposures to these hazards are kept within acceptable limits?

     ()   ()   ( ) 4.    Employees are required to wear personal protective equipment appropriate
                         for hazards with which they may come into contact?

     ()   ()   ( ) 5.    Eyewash fountains and safety showers are provided in all areas where
                         corrosive


                                              - 5 -                            November 2002
     ()   ()   ( ) 6.    Actual and potential exposures to silica dust, metal dust, fumes, and noise
                         have been measured and addressed?

     ()   ()   ( ) 7.    Employees are properly protected during dusty or noisy work processes?

     ()   ()   ( ) 8.    Vacuuming is used whenever possible rather than blowing or sweeping dust?

     ()   ()   ( ) 9.    Belt grinders and radial cut-offs are ventilated?

     ()   ()   ( ) 10.   Abrasive or sand blasting work areas are properly ventilated?

     ()   ()   ( ) 11.   Job specific, NIOSH approved, respirators are provided and used?

     ()   ()   ( ) 12.   Proper personal protective equipment (PPE) is provided and is user required
                         when sanding, scraping, or doing other assigned duties where there is a
                         potential for flying particles, dust, gases, or fumes?

     ()   ()   ( ) 13.   Air-quality reports or complaints are responded to in an appropriate and
                         timely manner?

E.   GENERAL ENVIRONMENTAL CONTROLS

     Medical And First Responder

     Yes No N/A

     ()   ()   ( ) 1.    Appropriate numbers of First Responders are on duty whenever there are
                         employees on duty?

     ()   ()   ( ) 2.    Medical supplies needed are readily available, inspected, and replenished on a
                         regular basis and after each run?

     ()   ()   ( ) 3.    Medical supplies approved by a physician, indicating they are adequate?

     ()   ()   ( ) 4.    Medical personnel are readily available for advice and consultation        on
                         matters of employee health?

     ()   ()   ( ) 5.    Responses to accidents and illnesses are carried out in a timely manner?

     ()   ()   ( ) 6.    The emergency telephone number is widely posted?

     ()   ()   ( ) 7.    Wherever employees may be exposed to injurious corrosive material(s), they
                         are provided with quick-drenching and flushing facilities for immediate
                         emergency use?

                                                                             November 2002

                                              - 6 -
     Sanitation

     Yes No N/A

     ()   ()   ( ) 1.   Covered receptacles for sanitary napkins are provided in women's restrooms?

     ()   ()   ( ) 3.   Receptacles for waste food are covered and kept in a clean and sanitary
                        condition?

     ()   ()   ( ) 4.   All water provided for drinking is suitable for drinking?

     ()   ()   ( ) 5.   Adequate pest control is exercised?

     ()   ()   ( ) 6.   Employees are prohibited from eating in areas where toxic materials are
                        present?

     ()   ()   ( ) 7.   Employees are provided a suitable and sanitary place for eating?

     ()   ()   ( ) 8.   Restrooms are kept clean and sanitary?

     ()   ()   ( ) 9.   A restroom cleaning and disinfecting schedule is posted and routinely carried
                        out?

F.   NOISE EXPOSURE AND CONTROL

     Yes No N/A

     ()   ()   ( ) 1.   Where noise problems are expected, noise levels have been accurately
                        measured and proper steps taken?

     ()   ()   ( ) 2.   Where noise problems exist, engineering controls have been utilized to bring
                        the problem(s) under acceptable levels?

     ()   ()   ( ) 3.   Administrative controls have been utilized to abate the problem(s)?

     ()   ()   ( ) 4.   In high noise areas, PPE is provided and all employees wear the hearing
                        protection?

     ()   ()   ( ) 5.   Noise surveys are made to re-evaluate potential noise levels at least annually?




                                                                             November 2002

                                             - 7 -
G.   HAZARDOUS MATERIALS

     Chemicals

     Yes No N/A

     ()   ()   ( ) 1.      Chemical containers are kept securely closed when not in use?

     ()   ()   ( ) 2.      All chemical containers are properly labeled?

     ()   ()   ( ) 3.      MSDSs are available for all hazardous substances?

     ()   ()   ( ) 4.      No smoking rules are obeyed around flammables or explosives?

     ()   ()   ( ) 5.      There is adequate ventilation around chemicals?

     ()   ()   ( ) 6.      Storage shelves are constructed to prevent tipping, having to reach for stored
                           chemicals, and with a lip to prevent chemicals from sliding off?

     ()   ()   ( ) 7.      Chemical containers are inspected frequently for deterioration or leakage?

     ()   ()   ( ) 8.      Damaged or leaking containers are replaced and relabeled as needed?

     ()   ()   ( ) 9.      Chemicals in unlabeled containers and the containers are discarded and
                           disposed of in a proper manner?

     Reactive Materials.

     Yes No N/A

     ()   ()   ( ) 1.      Acids and alkalis (bases) are separated in storage?

     ()   ()   ( ) 2.      Good chemical protocol is followed, such as never pour water into acid, pour
                           acid into water.

     ()   ()   ( ) 3.      Appropriate PPE is required to be used when working with hazardous
                           materials?

     ()   ()   ( ) 4.      Lids and container closures are always kept tight?

     ()   ()   ( ) 5.      Reactive chemicals are returned to storage promptly after use?

     ()   ()   ( ) 6.      Each reactive substance container is appropriately labeled (CAS # & chemical
                           name)?
     ()   ()   ( ) 7.      Proper signage identifying hazards are in place?

                                                                                 November 2002

                                                - 8 -
     Flammable and Combustible Materials

     Yes No N/A
     ( ) ( ) ( ) 1.      Connections on containers, drums, pipes, etc. containing combustible or
                         flammable materials, are kept vapor and liquid tight?

     ()   ()   ( ) 2.    Flammable liquids are kept in closed containers when not in use?

     ()   ()   ( ) 3.    All spills of flammables or combustibles are cleaned up promptly and
                         properly?

     ()   ()   ( ) 4.    Bulk containers of flammable liquids are grounded and bonded during
                         dispensing?

     ()   ()   ( ) 5.    Gasoline and other flammable liquids are stored in approved containers?

     ()   ()   ( ) 6.    Storage rooms for flammable and combustible substances have adequate
                         ventilation (at least six air changes per hour)?

     ()   ()   ( ) 7.    Storage cabinets for flammable and combustible liquids are labeled
                         "FLAMMABLE--KEEP FIRE AWAY"?

     ()   ()   ( ) 8.    Combustible materials are not stored or placed within 3 feet of an electrical
                         panel?

     ()   ()   ( ) 9.    Fireproof cabinets are used to store flammables?

     ()   ()   ( ) 10.   Combustible materials are kept or stored away from lights and/or machinery.

     ()   ()   ( ) 11.   Spontaneous combustible materials are kept in air-tight, metal containers
                         and disposed of in a timely manner?


H.   MATERIAL SAFETY DATA SHEETS (MSDS)

     Yes No N/A

     ()   ()   ( ) 1.    MSD Sheets are easily accessible to employees?

     ()   ()   ( ) 2.    MSDS file is complete and up-to-date?

     ()   ()   ( ) 3.    MSDS interpretation training is current for each employee?

     ()   ()   ( ) 4.    A current Hazardous Chemicals Inventory listing is available?



                                                                            November 2002

                                             - 9 -
I.   HAZARDOUS ENERGY CONTROL

      Yes No N/A

      ()   ()   ( ) 1.   An adequate Lockout/Tagout Program is in place and is consistently being
                         applied?

      ()   ()   ( ) 2.   Machines are "locked and tagged out" whenever maintenance or repair work
                         is being done?

      ()   ()   ( ) 3.   Grounding wires and cables are being used wherever and whenever needed?

      ()   ()   ( ) 4.   All junction boxes are closed and secured from all unassigned persons?

      ()   ()   ( ) 5.   All machine guards are in place?

      ()   ()   ( ) 6.   Disconnects are appropriately and properly installed and used?

      ()   ()   ( ) 7.   Adequate labels, signs, placards, etc. are in place or posted to identify
                         hazardous energy?

      ()   ()   ( ) 8.   Hazard Communication training program is in place and employees are
                         appropriately trained?

      ()   ()   ( ) 9.   There are no objects placed or stored such that they could fall onto or into an
                         employee?

J.   CONFINED SPACE ENTRY

      Yes No N/A

      ()   ()   ( ) 1.   All confined space (including permit-required space) is properly identified
                         and posted?
      ()   ()   ( ) 2.   A controlled entry program is in place and is consistently practiced?

      ()   ()   ( ) 3.   A confined space entry permit program is consistently utilized?

      ()   ()   ( ) 4.   Simulated rescue training sessions are conducted for each potential
                         emergency at least once each year?




                                                                              November 2002

                                             - 10 -
K.   PERSONAL PROTECTIVE EQUIPMENT (PPE)

     Yes No N/A

     ()   ()   ( ) 1.    PPE protection is provided, and use is required, for each job duty with
                         identified hazards?

     ()   ()   ( ) 2.    Employee-owned PPE such as gloves and protective footwear, is assured
                         adequate, and properly maintained?

     ()   ()   ( ) 3.    Eye and face protection is required and used to prevent injury from flying
                         debris, chips, sparks, etc.?

     ()   ()   ( ) 4.    Leggings, aprons, gloves, sleeves, mats, etc. are worn/used as protection from
                         shocks, arcing, sparks, flames, or splashes?

     ()   ()   ( ) 5.    Approved hard hats and foot protection are available and required to be worn
                         when and where needed?

     ()   ()   ( ) 6.    When engineering and/or administrative controls are not feasible, ear plugs
                         or muffs are provided and required to be worn during noisy conditions?

     ()   ()   ( ) 7.    Appropriate respirators are provided and required to be worn when
                         necessary?

     ()   ()   ( ) 8.    There are written standard operating procedures for the selection and use of
                         respirators?

     ()   ()   ( ) 9.    Required corrective lenses are provided and worn as needed?

     ()   ()   ( ) 10.   Respirators are cleaned after each use and at other scheduled times?

     ()   ()   ( ) 11.   Respirators are stored in a clean, convenient, and sanitary location?

     ()   ()   ( ) 12.   Routinely-used respirators are inspected during cleaning?

     ()   ()   ( ) 13.   PPE is properly maintained, required to be used, and disposed of in a proper
                         manner?

     ()   ()   ( ) 14.   Identified PPE is provided and fitted to each employee performing hazardous
                         duties?

     ()   ()   ( ) 15.   When PPE is to be used by more than one person; the PPE is disinfected after
                         each use and made ready for the next user?

     ()   ()   ( ) 16.   When PPE is to be used by more than one person, several sizes of the same
                         equipment are provided to assure a proper fit?

                                                                             November 2002

                                             - 11 -
L.   FIRE PROTECTION

      (Extinguishers are to be selected based on the types of combustibles and flammables found in the
      areas where the extinguishers are to be used.)

      Yes No NA

      ()   ()   ( ) 1.    Class A is provided for ordinary carbon producing ash fuels.

      ()   ()   ( ) 2.    Class B is provided for flammable liquids or grease fires.

      ()   ()   ( ) 3.    Class C is provided for energized or electrical equipment fires.

      ()   ()   ( ) 4.    Extinguishers are fully charged and in their designated places?

      ()   ()   ( ) 5.    Extinguishers are clearly identified and located along normal paths of travel?

      ()   ()   ( ) 6.    Extinguisher locations are free from obstruction or blockage?

      ()   ()   ( ) 7.    Extinguishers are mounted at approved levels (40 pounds or less at no more
                          than 5 ft. above floor; over 40 pounds at no more than 3.5 ft. above floor) ?

      ()   ()   ( ) 8.    All extinguishers are serviced, maintained, and tagged at intervals not
                          exceeding one year?

      ()   ()   ( ) 9.    All extinguishers are checked monthly to assure placement and proper
                          charge?

      ()   ()   ( ) 10.   All extinguishers are hydrostatically tested according to the schedule set for
                          the individual type extinguisher?

      ()   ()   ( ) 11.   Fire sprinklers are opened, tested, and inspected at least every five years?

      ()   ()   ( ) 12.   All fire sprinklers are unobstructed by stored items?

      ()   ()   ( ) 13.   The fire alarm system is operational and regularly inspected, and a record
                          kept of the inspection?

      ()   ()   ( ) 14.   Fire doors are clearly posted, unobstructed, and in proper working order.

      ()   ()   ( ) 15.   Each staff member who is expected to use an extinguisher is trained in the use
                          of each extinguisher type?

M.   COMPRESSED AIR

                                                                              November 2002

                                              - 12 -
    Yes No N/A

    ()   ()   ( ) 1.    Pulleys and belts on compressors and motors are completely guarded?

    ()   () ()    2.    Flexible cords or plugs on electric motors are checked periodically and
                        replaced if in a deteriorated condition?

    ()   ()   ( ) 3.    All relief valves operate properly?

    ()   ()   ( ) 4.    Air tanks are drained regularly?

    ()   ()   ( ) 5.    Employees have been instructed to not use compressed air to blow debris
                        from skin or clothing?

N. MATERIALS HANDLING AND STORAGE

    Yes No N/A

    ()   ()   ( ) 1.    There is safe passage clearance for equipment along aisles and thru doors?

    ()   ()   ( ) 2.    Stored materials are stable and secure?

    ()   ()   ( ) 3.    Storage areas are free from tripping/slipping hazards?

    ()   ()   ( ) 4.    Only trained operators are allowed to operate powered lift trucks?

    ()   ()   ( ) 5.    Appropriate overhead guards are installed on powered lift trucks?

    ()   ()   ( ) 6.    Battery charging on electrical units is performed only in designated areas?

    ()   ()   ( ) 7.    "NO SMOKING" signs are posted near electric battery charging units?

    ()   ()   ( ) 8.    Dock boards (bridge plates) are used when loading or unloading from dock to
                        truck?

    ()   ()   ( ) 9.    Racks and platforms are only loaded within their capacity?

    ()   ()   ( ) 10.   All storage is secured against sliding or collapsing?

    ()   ()   ( ) 11.   All vehicles are shut off prior to loading?

    ()   ()   ( ) 12.   Isles have been designated and kept clear to allow unhindered passage?



                                                                            November 2002

                                            - 13 -
     ()   ()   ( ) 13.   Adequate clearance for motorized trucks (forklift) is provided and path
                         clearly marked?

     ()   ()   ( ) 14.   Motorized vehicles and mechanized equipment is inspected daily or prior to
                         use?

     ()   ()   ( ) 15.   Chain hoists, ropes, and slings are adequate for their loads?

     ()   ()   ( ) 16.   Slings are inspected before each use?

     ()   ()   ( ) 17.   New lifting equipment is always tested before use?


O.   MACHINERY AND MACHINE GUARDING

     General Machinery

     Yes No N/A

     ()   ()   ( ) 1.    Belts, pulleys, and rotating shafts are properly guarded?

     ()   ()   ( ) 2.    Chains, sprockets, and gears are properly guarded?

     ()   ()   ( ) 3.    In-going nip points are properly guarded?

     ()   ()   ( ) 4.    Rotating shafts that are not smooth, are properly guarded?

     ()   ()   ( ) 5.    Rotating parts (lubrication fittings, etc.) are recessed or covered with collars?

     ()   ()   ( ) 6.    All pieces of equipment with electric motors, or any electrical connection, are
                         effectively grounded?

     ()   ()   ( ) 7.    Sprockets and V-belt drives within reach of platforms or passageways or less
                         than 7 feet from the floor, are completely enclosed?

     ()   ()   ( ) 8.    Fans less than seven feet above the floor with openings of  inch or more are
                         guarded?

     ()   ()   ( ) 9.    Tools, machines, and other equipment are in good repair?

     ()   ()   ( ) 10.   There is no potential of being caught in or between machine parts?

     ()   ()   ( ) 11.   There is no risk of being injured while reaching over moving machinery while
                         the job is being performed?


                                                                               November 2002

                                              - 14 -
Abrasive Wheel Machinery (Grinders)

Yes No N/A

()   ()   ( ) 1.   The work rest is used and kept adjusted to within 1/8 inch of the wheel?

()   ()   ( ) 2.   The adjustable tongue on the top side of the grinder is used and kept adjusted
                   to within 1/4 inch of wheel?

()   ()   ( ) 3.   Side guards cover spindle, nut, flange, and 75% of the wheel diameter?

()   ()   ( ) 4.   Goggles or face shields are always worn when grinding?

()   ()   ( ) 5.   Bench and pedestal grinders are permanently mounted?

()   ()   ( ) 6.   The top half of wheel on swing frame grinders is enclosed (maximum wheel
                   exposure of 180)?

Woodworking Equipment

Yes No N/A

()   ()   ( ) 1.   All guards are in place and used on all saws?

()   ()   ( ) 2.   There are devices to automatically return the saw or radial arm to its original
                   position?

()   ()   ( ) 3.   Saws used for ripping are equipped with anti-kickback dogs?

()   ()   ( ) 4.   Every machine has a master switch to keep it inoperative during repairs or
                   adjustments?

Hand And Portable Power Tools

Yes No N/A

()   ()   ( ) 1.   Tools and equipment (both College and employee-owned) is in              good
                   condition?

()   ()   ( ) 2.   "Mushroomed" heads on chisels, punches, hammers, etc. have
                   been reconditioned or replaced if necessary?

()   ()   ( ) 3.   Broken hammer handles have been replaced?

()   ()   ( ) 4.   Worn or bent wrenches have been replaced?

                                                                        November 2002

                                       - 15 -
      ()   ()   ( ) 5.    Compressed air, used for cleaning, has been reduced to no more than 30 psi
                          when dead ended?

      ()   ()   ( ) 6.    All air hoses are in good condition and repair?

      ()   ()   ( ) 7.    Portable abrasive wheels are appropriately guarded?

      ()   ()   ( ) 8.    Employees have received training on the hazards caused by faulty or
                          improperly used hand tools?

      ()   ()   ( ) 9.    Tool retainers are on pneumatic power tools to prevent the attachment from
                          being expelled?

P.   WELDING, CUTTING, AND BRAZING

      Yes No N/A

      ()   ()   ( ) 1.    Proper eye protection is worn by welders and workers exposed adjacent to
                          flash?

      ()   ()   ( ) 2.    Eye protection (goggles, helmets, hand shields) is provided and worn as
                          protection against sparks and other debris?

      ()   ()   ( ) 3.    Appropriate protective clothing (gloves, aprons, leggings, etc.) is worn as
                          protection against sparks or other debris?

      ()   ()   ( ) 4.    Appropriate fire extinguishing equipment is immediately available?

      ()   ()   ( ) 5.    Employee exposures to cutting and welding fumes are kept within acceptable
                          limits?

      ()   ()   ( ) 6.    General or local exhaust ventilation is provided when needed?

      ()   ()   ( ) 7.    Approved respirators are provided and used as required?

      Exhaust ventilation (hoods or booths) is used when performing torch work indoors on:

      ()   ()   ( ) 8.    a.     Lead?

      ()   ()   ( ) 9.    b.     Zinc?

      ()   ()   ( ) 10.   Whenever cutting or welding beryllium and when toxic exposures to workers
                          may occur, exhaust ventilation and NIOSH-approved supplied-air respirators
                          are provided and used?

      With respect to other metals (copper, iron, nickel, etc.), mechanical ventilation or supplied-air

                                                                              November 2002

                                              - 16 -
     respirators are provided when cutting:

     ()   ()   ( ) 11.   a.     in a space less than 10,000 cubic feet per worker?

     ()   ()   ( ) 12.   b.     in a room having a ceiling height of less than 16 feet?

     ()   ()   ( ) 13.   c.     in confined spaces?

     ()   ()   ( ) 14.   d.     in any location where employees are exposed to toxic levels?

     ()   ()   ( ) 15.   Fuel gas cylinders and oxygen cylinders in storage are separated by 20 feet or
                         a barrier five feet high having a one-half hour fire rating.

     ()   ()   ( ) 16.   Cylinders are always secured where they cannot be knocked over?

     ()   ()   ( ) 17.   Cylinder protective caps are in place except when the cylinder is in use?

     ()   ()   ( ) 18.   Compressed gas cylinders are kept away from sources of heat, elevators,
                         stairs, or gangways?

     ()   ()   ( ) 19.   Only trained employees, who are known competent, are allowed to use
                         oxygen or fuel gas equipment?

     ()   ()   ( ) 20.   All cylinders (except those with fixed hand wheels) have non-adjustable
                         wrenches, keys, or handles in place on valve stems while the cylinder is in
                         use?

     ()   ()   ( ) 21.   Welding is always conducted at a safe distance from flammable liquids or
                         dust areas?

     ()   ()   ( ) 22.   Compressed gas cylinders are legibly marked for identifying the contents?

     ()   ()   ( ) 23.   Valves are shut off when cylinders are not in use?

Q.   ELECTRICAL WIRING

     Yes No N/A

     ()   ()   ( ) 1.    There are no exposed wires, frayed cords, or deteriorated wiring insulation?

     ()   ()   ( ) 2.    Junction boxes, outlets, and fittings are covered and secured?

     ()   ()   ( ) 3.    All metal fixed electrical equipment is grounded?

     ()   ()   ( ) 4.    All equipment, connected by a cord and plug, have grounded connections?

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     ()   ()   ( ) 5.    Electrical appliances such as vacuum cleaners, coffee makers, blowers,
                         vending machines, computers, copiers, printers, etc. are grounded?

     ()   ()   ( ) 6.    All portable electrical hand tools are grounded (Double insulated tools are
                         acceptable without grounding)?

     ()   ()   ( ) 7.    All breaker switches are identified as to their use?

     ()   ()   ( ) 8.    Extension cords, (flexible cords) or cables, do not run through holes in walls
                         or ceilings, doorways or windows, or across passageways without tagging and
                         protecting?

     ()   ()   ( ) 9.    All extension cords are free from splices or taps?

     ()   ()   ( ) 10.   Extension cords and cables are fastened so there is no direct pull on joints,
                         plugs or receptacles, or terminal screws?

     ()   ()   ( ) 11.   Extension cords, cables, or flexible cords are not being used in place of fixed
                         wiring?

     ()   ()   ( ) 12.   Extension cords, flexible cords, or cables are not attached to fixed walls or
                         other building parts?

     ()   ()   ( ) 13.   There are no cords, adapters, or other electrical equipment being used that
                         does not meet local, state, or federal standards?

     ()   ()   ( ) 14.   No circuits are consistently overloaded?

     ()   ()   ( ) 15.   Extension cords or other wires are identified, protected, and out of traffic
                         areas?

     ()   ()   ( ) 16.   The area/facility is free of personal heaters?

R.   ERGONOMICS

     YES No N/A

     ()   ()   ( ) 1.    There is adequate lighting for the job being done?

     ()   ()   ( ) 2.    Light radiation is not a hazard?

     ()   ()   ( ) 3.    Glare is not a workplace problem?

     ()   ()   ( ) 4.    No noise levels are high enough to interfere with or exceed Time Weighted
                         Average (TWA) limitations or communications?

     ()   ()   ( ) 5.    Repetitive motion duties have been identified and redesigned to minimize or

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                          eliminate potential or actual Cumulative Trauma Disorders?

      ()   ()   ( ) 6.    Bending, twisting, lifting, carrying, etc. duties have been reviewed and
                          hazards minimized wherever possible?

      ()   ()   ( ) 7.    Extreme heat or cold is treated as a job stress?

      ()   ()   ( ) 8.    Tasks do not put employees in an awkward or off-balance position?

      ()   ()   ( ) 9.    There are no risks of employees falling or have something fall on them?

      ()   ()   ( ) 10.   Machine controlled jobs are organized in such a way that they demand
                          employees move no faster than is comfortable and safe?

      ()   ()   ( ) 11.   Job duties do not create dust, heat, light radiation, excessive noise, or other
                          hazards?

      ()   ()   ( ) 12.   No materials are located in places demanding lifting that could result in back
                          strain or injury?
      ()   ()   ( ) 13.   There is no hazardous risk of flying or falling objects?

      ()   ()   ( ) 14.   The work area is adequately ventilated?

      ()   ()   ( ) 15.   There have there been no complaints of headaches, dizziness, or respiratory
                          problems?

S.   HEALTH AND SAFETY TRAINING.

      Yes No N/A

      ()   ()   ( ) 1.    All mandatory training is current in my department?

      ()   ()   ( ) 2.    Quarterly training requirements are up-to-date in my department?

      ()   ()   ( ) 3.    Safety training is a factor in my staff's annual performance evaluation?

      ()   ()   ( ) 4.    Safety training is a cost saving process and is not viewed as a liability?




T.   RECORDS KEEPING.

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                                              - 19 -
     Yes No N/A

     ()   ()   ( ) 1.    The employee poster "OKDOL PUBLIC EMPLOYEE JOB SAFETY &
                         HEALTH PROTECTION" is prominently displayed?

     ()   ()   ( ) 2.    The Federal OSHA poster is appropriately displayed?

     ()   ()   ( ) 3.    Occupational injuries or illnesses, except minor injuries requiring only first
                         aid, are recorded on the OK-300 LOG AND SUMMARY OF OCCUPATIONAL
                         INJURIES AND ILLNESSES?

     ()   ()   ( ) 6.    All health and safety records are kept the required time?

     ()   ()   ( ) 7.    Employee's health and training records are treated as privileged information?


U.   SAFETY ATTITUDE

     Yes No N/A

     ()   ()   ( ) 1.    Employees do not wear contaminated PPE away from the job?

     ()   ()   ( ) 2.    Employees do not remove machine guards and then operate the machines?

     ()   ()   ( ) 3.    Employees do not smoke in prohibited areas?

     ()   ()   ( ) 4.    There are no employees doing duties on "automatic pilot."

     ()   ()   ( ) 5.    All employees use required and assigned PPE?

     ()   ()   ( ) 6.    Employees do not skip steps and cut corners on job safety procedures?

     ()   ()   ( ) 7.    Employees do not fool around, show off, or horseplay on the job?

     ()   ()   ( ) 8.    All employees assume that safety is everyone’s job?

     ()   ()   ( ) 9.    When they do not understand, all employees ask clarifying questions?

     ()   ()   ( ) 10.   Administrative decisions, engineering controls, and good work practices are
                         used to minimize hazards before using PPE?

     ()   ()   ( ) 11.   Exemplary safety leadership is provided for my staff?



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