ࡱ > 2 bjbj ] y
3 3 8 , C L " T r d~ f~ f~ f~ f~ f~ f~ W j f~ U " f~ 3 3 K " " " 3 l d~ " d~ " " * s 4 , | @C v R P~ р 0 w O ( | | & | " S f~ f~ w" ^
: Fort Lee Safety Checklist
Collateral Duty Safety Officers
Inspected by ____________________________________________
Area Inspected ________________________________ Date ________________________
Use lines behind questions to write in locations of deficiencies found
Yes % N o % N / A % H a v e a d d i t i o n a l d u t y X E " a d d i t i o n a l d u t y " s a f e t y p e r s o n n e l X E " s a f e t y p e r s o n n e l " b e e n a p p o i n t e d i n w r i t i n g ? ( A R 3 8 5 - 1 0 P a r a 2 - l ( f ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % I s c o o r d i n a t i o n e f f e c t e d b e t w e e n F i r e X E " f i r e " D e p a r t m e n t a n d O c c u p a t i o n a l H e a l t h p e r s o n n e l X E " O c c u p a t i o n a l H e a l t h p e r s o n n e l " t o e n s u r e t h a t h a z a r d s X E " h a z a r d s " i d e n t i f i e d a r e e n t e r e d i n t o t h e a p p r o p r i a t e a b a t e m e n t X E " a b a t e m e n t " p l a n ? ( A R 3 8 5 - 1 0 P a r a 3 - 9 ( a ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % I S D D F o r m 2 2 7 2 X E " D D F o r m 2 2 7 2 " , ( D e p a r t m e n t o f D e f e n s e S a f e t y a n d O c c u p a t i o n a l H e a l t h P r o g r a m ) , p o s t e d i n a l l i n d u s t r i a l w o r k p l a c e s X E " w o r k p l a c e s " ? ( A R 3 8 5 - 1 0 P a r a 2 - 2 ( d ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e a l l w o r k p l a c e s X E " w o r k p l a c e s " i n s p e c t e d a t l e a s t a n n u a l l y u s i n g S t a n d a r d A r m y S a f e t y a n d O c c u p a t i o n a l H e a l t h I n s p e c t i o n s , ( S A S O H I X E " S A S O H I " ) , p r o c e d u r e s ? ( A R 3 8 5 - 1 0 P a r a 4 - 1 ( a ) ( T h i s f o r m m e e t s r e g u l a t i o n )
Y e s % N o % N / A % D o c o l l a t e r a l d u t y X E " c o l l a t e r a l d u t y " s a f e t y p e r s o n n e l XE "safety personnel" conduct their SASOHI XE "SASOHI" inspections XE "inspections" on a quarterly basis, and does a qualified civilian or military safety and occupational health XE "safety and occupational health" professional accompany the collateral duty XE "collateral duty" safety personnel XE "safety personnel" on at least one inspection XE "inspection" per year, in order to assure that quality inspections XE "inspections" are being conducted? (AR 385-10 Para 4-1(b)(3) ________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % I s a r e p r e s e n t a t i v e o f t h e o f f i c i a l i n c h a r g e o f t h e w o r k p l a c e X E " w o r k p l a c e " a n d a n a u t h o r i z e d r e p r e s e n t a t i v e o f c i v i l i a n e m p l o y e e s g i v e n t h e o p p o r t u n i t y t o a c c o m p a n y t h e i n s p e c t o r d u r i n g p h y s i c a l i n s p e c t i o n s X E " i n s p e c t i o n s " o f t h e w o r k p l a c e ? ( A R 3 8 5 - 1 0 P a r a 4 - 1 ( d ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e a l l p l a c e s o f e m p l o y m e n t X E " p l a c e s o f e m p l o y m e n t " , p a s s a g e w a y s X E " p a s s a g e w a y s " , s t o r e r o o m s X E " s t o r e r o o m s " , a n d s e r v i c e r o o m s X E " s e r v i c e r o o m s " k e p t c l e a n a n d o r d e r l y a n d i n a s a n i t a r y c o n d i t i o n ? ( 1 9 1 0 . 2 2 ( a ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e t h e f l o o r s X E " f l o o r s " o f e v e r y w o r k r o o m X E " w o r k r o o m " m a i n t a i n e d i n a c l e a n a n d , s o f a r a s p o s s i b l e , d r y c o n d i t i o n ? 1 9 1 0 . 2 2 ( a ) ( 2 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % I s e v e r y f l o o r X E " f l o o r " , w o r k i n g p l a c e , a n d p a s s a g e w a y X E " p a s s a g e w a y " f r e e o f p r o t r u d i n g n a i l s , s p l i n t e r s , h o l e s a n d l o o s e b o a r d s ? ( 1 9 1 0 . 2 2 ( a ) ( 3 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % W h e r e m e c h a n i c a l h a n d l i n g e q u i p m e n t X E " m e c h a n i c a l h a n d l i n g e q u i p m e n t " i s u s e d , i s s u f f i c i e n t s a f e c l e a r a n c e X E " c l e a r a n c e " a l l o w e d f o r a i s l e s X E " a i s l e s " , a t l o a d i n g d o c k s X E " l o a d i n g d o c k s " , t h r o u g h d o o r w a y s X E " d o o r w a y s " a n d w h e r e v e r t u r n s o r p a s s a g e m u s t b e m a d e ? ( 1 9 1 0 . 2 2 ( b ) ( 1 )
H o u s e k e e p i n g
Y e s % N o % N / A % A r e a i s l e s X E " a i s l e s " a n d p a s s a g e w a y s X E " p a s s a g e w a y s " k e p t c l e a r a n d i n g o o d r e p a i r s , w i t h n o o b s t r u c t i o n s X E " o b s t r u c t i o n s " a c r o s s o r i n a i s l e s t h a t c o u l d c r e a t e a h a z a r d X E " h a z a r d " ? ( 1 9 1 0 . 2 2 ( b ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e t h e f l o o r s X E " f l o o r s " o f e v e r y w o r k r o o m X E " w o r k r o o m " m a i n t a i n e d i n a c l e a n a n d , s o f a r a s p o s s i b l e , d r y c o n d i t i o n ? ( 1 9 1 0 . 2 2 ( a ) ( 2 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % I s e v e r y f l o o r X E " f l o o r " , w o r k i n g p l a c e , a n d p a s s a g e w a y X E " p a s s a g e w a y " f r e e o f p r o t r u d i n g n a i l s , s p l i n t e r s , h o l e s a n d l o o s e b o a r d s ? ( 1 9 1 0 . 2 2 ( a ) ( 3 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
A i s l e s a n d P a s s a g e w a y s
Y e s % N o % N / A % W h e r e m e c h a n i c a l h a n d l i n g e q u i p m e n t X E " m e c h a n i c a l h a n d l i n g e q u i p m e n t " i s u s e d , i s s u f f i c i e n t s a f e c l e a r a n c e X E " c l e a r a n c e " a l l o w e d f o r a i s l e s X E " a i s l e s " , a t l o a d i n g d o c k s X E " l o a d i n g d o c k s " , t h r o u g h d o o r w a y s X E " d o o r w a y s " a n d w h e r e v e r t u r n s o r p a s s a g e m u s t b e m a d e ? ( 1 9 1 0 . 2 2 ( b ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e a i s l e s X E " a i s l e s " a n d p a s s a g e w a y s X E " p a s s a g e w a y s " k e p t c l e a r a n d i n g o o d r e p a i r s , w i t h n o o b s t r u c t i o n s X E " o b s t r u c t i o n s " a c r o s s o r i n a i s l e s t h a t c o u l d c r e a t e a h a z a r d X E " h a z a r d " ? ( 1 9 1 0 . 2 2 ( b ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e p e r m a n e n t a i s l e s X E " a i s l e s " a n d p a s s a g e w a y s X E " p a s s a g e w a y s " a ppropriately marked? (1910.22(b)(2) _________________________________________________________________________
Design and Construction Requirements for Exit Routes
Yes % N o % N / A % A r e e x i t r o u t e s p e r m a n e n t ? ( 1 9 1 0 . 3 6 ( a ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e o p e n i n g s i n t o e x i t s p r o t e c t e d b y a s e l f - c l o s i n g f i r e d o o r t h a t r e m a i n s c l o s e d o r a u t o m a t i c a l l y c l o s e s i n a n e m e r g e n c y u p o n t h e s o u n d i n g o f a f i r e a l a r m o r e m p l o y e e a l a r m s y s t e m ? ( 1 9 1 0 . 3 6 ( a ) ( 3 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e a t l e a s t t w o exit routes available in the workplace to permit prompt evacuation of employees and other building occupants during an emergency, except as allowed in paragraph (b) (3) of this section? (1910.36(b)(1) ______________________________________________________
Yes % N o % N / A % A r e e x i t r o u t e s l o c a t e d a s f a r a w a y a s p r a c t i c a l f r o m e a c h o t h e r s o t h a t i f o n e e x i t r o u t e i s b l o c k e d b y f i r e o r s m o k e , e m p l o y e e s c a n e v a c u a t e u s i n g t h e s e c o n d e x i t r o u t e ? ( 1 9 1 0 . 3 6 ( b ) ( 1 )
E x i t D i s c h a r g e
Y e s % N o % N / A % D o e s e a c h e x i t d i s c h a r g e l e a d d i r e c t l y o u t s i d e o r t o a s t r e e t , w a l k w a y , r e f u g e a r e a , p u b l i c w a y , o r o p e n a r e a w i t h a c c e s s t o t h e o u t s i d e ? ( 1 9 1 0 . 3 6 ( c ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % I s e a c h s t r e e t , w a l k w a y , r e fuge area, public way, or open area to which an exit discharge leads large enough to accommodate the building occupants likely to use the exit route? (1910.36(c)(2) __________________________________________________________________________
Exit doors
Yes % N o % N / A % A r e e m p l o y e e s a b l e t o o p e n a n e x i t r o u t e d o o r f r o m t h e i n s i d e a t a l l t i m e s w i t h o u t k e y s , t o o l s , o r s p e c i a l k n o w l e d g e ? ( A d e v i c e s u c h a s a p a n i c b a r t h a t l o c k s o n l y f r o m t h e o u t s i d e i s p e r m i t t e d o n e x i t d i s c h a r g e d o o r s ) ( 1 9 1 0 . 3 6 ( d ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e e x i t r o u t e d o o r s f r e e o f a n y d e v i c e o r a l a r m t h a t c o u l d r e s t r i c t e m e r g e n c y u s e o f t h e e x i t r o u t e i f t h e d e v i c e o r a l a r m f a i l s ? ( 1 9 1 0 . 3 6 ( d ) ( 2 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e e x i t d o o r s p r o h i b i t e d f r o m b e i n g l o c k e d f r o m t h e i n s i d e e x c e p t i n m e n t a l , p e n a l , o r c o r r e c t i o n a l f a c i l i t i e s a n d t h e n o n l y i f s u p e r v i s o r y p e r s o n n e l a r e c o n t i n u o u s l y o n d u t y a n d t h e e m p l o y e r h a s a p l a n t o r e m o v e o c c u p a n t s f r o m t h e f a c i l i t y d u r i n g a n e m e r g e n c y ? ( 1 9 1 0 . 3 6 ( d ) ( 3 )
Y e s % N o % N / A % I s t h e w i d t h o f a n e x i t r o u t e s u f f i c i e n t t o a c c o m m o d a t e t h e m a x i m u m p e r m i t t e d o c c u p a n t l o a d o f e a c h f l o o r s e r v e d b y t h e e x i t r o u t e ? ( 1 9 1 0 . 3 6 ( g ) ( 3 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e o b j e c t s t h a t p r o j e c t i n t o t h e e x i t r o u t e p r o h i b i t e d f r o m r e d u c i n g t h e w i d t h o f t h e e x i t r o u t e t o l e s s t h a n m i n i m u m w i d t h r e q u i r e m e n t s f o r e x i t r o u t e s ? ( 1 9 1 0 . 3 6 ( g ) ( 2 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
M a i n t e n a n c e , S a f e g u a r d s , a n d O p e r a t i o n a l F e a t u r e s f o r E x i t R o u t e s
Y e s % N o % N / A % A r e e x i t r o u t e s k e p t f r e e o f e x p l o s i v e o r h i g h l y f l a m m a b l e f u r n i s h i n g s o r o t h e r d e c o r a t i o n s ? ( 1 9 1 0 . 3 7 ( a ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e e x i t r o u t e s m a i n t a i n e d f r e e o f o b s t r u c t i o n s ? ( 1 9 1 0 . 3 7 ( a ) ( 3 ) _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e m a t e r i a l s a n d e q u i p m e n t p r o h i b i t e d f r o m b e i n g p l a c e d , e i t h e r p e r m a n e n t l y o r t e m p o r a r i l y , w i t h i n e x i t r o u t e s ? ( 1 9 1 0 . 3 7 ( a ) ( 3 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e s a f e g u a r d s d e s i g n e d t o p r o t e c t e m p l o y e e s d u r i n g a n e m e r g e n c y , ( e . g . , s p r i n k l e r s y s t e m s , a l a r m s y s t e m s , f i r e d o o r s , e x i t l i g h t i n g ) , m a i n t a i n e d i n p r o p e r w o r k i n g o r d e r a t a l l t i m e s ? ( 1 9 1 0 . 3 7 ( a ) ( 4 )
L i g h t i n g a n d m a r k i n g
Y e s % N o % N / A % I s e a c h e x i t r o u t e a d e q u a t e l y l i g h t e d s o t h a t a n e m p l o y e e w i t h n o r m a l v i s i o n c a n s e e a l o n g t h e e x i t r o u t e ? ( 1 9 1 0 . 3 7 ( b ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % I s e a c h e x i t c l e a r l y v i s i b l e a n d m a r k e d b y a s i g n m a r k e d e x i t ? ( 1 9 1 0 . 3 7 ( b ) ( 2 )
Y e s % N o % N / A % I s e a c h e x i t f r e e o f d e c o r a t i o n s o r s i g n s t h a t o b s c u r e t h e v i s i b i l i t y o f t h e e x i t r o u t e d o o r ? ( 1 9 1 0 . 3 7 ( b ) ( 3 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % D o e s e a c h d o o r w a y o r p a s s a g e a l o n g a n e x i t a c c e s s t h a t c o u l d b e m i s t a k e n f o r a n e x i t m a r k e d N o t a n E x i t o r s i m i l a r d e s i g n a t i o n , o r i d e n t i f i e d b y a s i g n i n d i c a t i n g i t s a c t u a l u s e , ( e . g . c l o s e t ) ( 1 9 1 0 . 3 7 ( b ) ( 5 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % I s e a c h e x i t s i g n i l l u m i n a t e d t o a s u r f a c e v alue of at least five foot-candles (54 lux) by a reliable light source and is it distinctive in color? (self-luminous or electroluminescent signs that have a minimum luminance surface value of at least .06 foot lamberts (0.21 cd/m2) are permitted) (1910.37(b) (6)
Yes % N o % N / A % D o e s e a c h e x i t s i g n h a v e t h e w o r d E x i t i n p l a i n l y l e g i b l e l e t t e r s n o t l e s s t h a n s i x i n c h e s ( 1 5 . 2 c m ) h i g h , w i t h t h e p r i n c i p a l s t r o k e s o f t h e l e t t e r s i n t h e w o r d E x i t n o t l e s s t h a n t h r e e - f o u r t h s o f a n i n c h ( 1 . 9 c m ) w i d e ? ( 1 9 1 0 . 3 7 ( b ) ( 7 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
E m p l o y e e A l a r m S y s t e m
Y e s % N o % N / A % H a s t h e e m p l o y e r i n s t a l l e d a n d m a i n t a i n a n o p e r a b l e e m p l o y e e a l a r m s y s t e m t h a t h a s a d i s t i n c t i v e s i g n a l t o w a r n e m p l o y e e s o f f i r e o r o t h e r e m e r g e n c i e s , u n l e s s e m p l o y e e s c a n p r o m p t l y s e e o r s m e l l a f i r e o r o t h e r f i r e i n t i m e t o p r o v i d e a d e q u a t e w a r n i n g t o t h e m ? ( 1 9 1 0 . 3 7 ( e ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
E m p l o y e e E m e r g e n c y P l a n s
Y e s % N o % N / A % I s t h e e m e r g e n c y a c t i o n p l a n i n w r i t i n g , k e p t i n t h e w o r k p l a c e , a n d a v a i l a b l e t o e m p l o y e e s f o r r e v i e w X E " e m e r g e n c y a c t i o n p l a n " ? ( e m p l o y e r s w i t h 1 0 o r f e w e r e m p l o y e e s m a y c o m m u n i c a t e t h e p l a n o r a l l y ) ( 1 9 1 0 . 3 8 ( b )
Y e s % N o % N / A % D o e s t h e e m e r g e n c y a c t i o n p l a n X E " e m e r g e n c y a c t i o n p l a n " include, at a minimum, the following elements? (1910.38(c) Procedures for reporting a fire or other emergency, Procedure for emergency evacuation, including type of evacuation and exit route assignments, Procedures to be followed by employees who remain behind to operate critical plant operations before they evacuate, Procedures to account for all employees after evacuation, Procedures to be followed by employees performing r e s c u e a n d m e d i c a l d u t i e s a n d n a m e s o r j o b t i t l e s o f e v e r y e m p l o y e e w h o c a n b e c o n t a c t e d f o r f u r t h e r i n f o r m a t i o n o r e x p l a n a t i o n o f d u t i e s u n d e r t h e p l a n .
Y e s % N o % N / A % D o e s t h e e m p l o y e r d e s i g n a t e a n d t r a i n e m p l o y e e s t o a s s i s t i n a s a f e a n d o r d e r l y e v a c u a t i o n o f o t h e r e m p l o y e e s ? ( 1 9 1 0 . 3 8 ( e ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % D o e s t h e e m p l o y e r r e v i e w t h e p l a n w i t h e a c h e m p l o y e e w h o i s c o v e r e d b y t h e p l a n a t t h e f o l l o w i n g t i m e s ? ( 1 9 1 0 . 3 8 ( f ) W h e n t h e p l a n i s d e v e l o p e d o r t h e e m p l o y e e i s i n i t i a l l y a s s i g n e d t o a j o b , w h e n e v e r t h e e m p l o y e e r e s p o n s i b i l i t i e s u n d e r t h e p l a n c h a n g e , o r w h e n e v e r t h e p l a n i s c h a n g e d .
F i r e P r e v e n t i o n X E " F i r e p r e v e n t i o n " P l a n
Y e s % N o % N / A % I s t h e f i r e p r e v e n t i o n p l a n i n w r i t i n g , k e p t i n t h e w o r k p l a c e a n d m a d e a v a i l a b l e t o e m p l o y e e s f o r r e v i e w ? ( e m p l o y e r s w i t h 1 0 o r f e w e r e m p l o y e e s m a y c o m m u n i c a t e t h e p l a n o r a l l y ) ( 1 9 1 0 . 3 9 ( b )
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Y e s % N o % N / A % D o e s t h e e m p l o y e r i n f o r m e m p l o y e e s o f t h e f i r e h a z a r d s t o w h i c h t h e y a r e e x p o s e d u p o n i n i t i a l a s s i g n m e n t t o a j o b ? ( 1 9 1 0 . 3 8 ( d ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % D o e s t h e e m p l o y e r r e v i e w w i t h e a c h e m p l o y e e t h o s e p a r t s o f t h e p l a n n e c e s s a r y f o r s e l f - p r o t e c t i o n ? ( 1 9 1 0 . 3 8 ( d ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
P o r t a b l e F i r e X E " f i r e " E x t i n g u i s h e r s X E " f i r e e x t i n g u i s h e r s "
Y e s % N o % N / A % A r e p o r t a b l e f i r e X E " f i r e " e x t i n g u i s h e r s X E " f i r e e x t i n g u i s h e r s " p r o v i d e d a n d a r e t h e y m o u n t e d , l o c a t e d a n d i d e n t i f i e d s o t h a t t h e y a r e r e a d i l y a c c e s s i b l e t o e m p l o y e e s , w i t h o u t s u b j e c t i n g t h e e m p l o y e e s t o p o s s i b l e i n j u r y ? ( 1 9 1 0 . 1 5 7 ( c ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e f i r e X E " f i r e " e x t i n g u i s h e r s X E " f i r e e x t i n g u i s h e r s " m a i n t a i n e d i n a f u l l y c h a r g e d a n d o p e r a b l e c o n d i t i o n a n d k e p t i n t h e i r d e s i g n a t e d p l a c e a t a l l t i m e s e x c e p t d u r i n g u s e ? ( 1 9 1 0 . 1 5 7 ( c ) ( 4 )
Y e s % N o % N / A % A r e p o r t a b l e f i r e X E " f i r e " e x t i n g u i s h e r s X E " f i r e e x t i n g u i s h e r s " f o r u s e b y e m p l o y e e s o n C l a s s A f i r e s d i s t r i b u t e d s o t h a t t h e t r a v e l d i s t a n c e f o r e m p l o y e e s t o a n y f i r e e x t i n g u i s h e r X E " f i r e e x t i n g u i s h e r " i s 7 5 f e e t o r l e s s ? ( 1 9 1 0 . 1 5 7 ( d ) ( 2 )
Y e s % N o % N / A % A r e p o r t a b l e f i r e X E " f i r e " e x t i n g u i s h e r s X E " f i r e e x t i n g u i s h e r s " o r h o s e s u s e d i n l i e u o f p o r t a b l e f i r e e x t i n g u i s h e r s X E " e x t i n g u i s h e r s " , v i s u a l l y i n s p e c t e d m o n t h l y ? ( 1 9 1 0 . 1 5 7 ( e ) ( 2 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e p o r t a b l e f i r e X E " f i r e " e x t i n g u i s h e r s X E " f i r e e x t i n g u i s h e r s " s u b j e c t e d t o a n a n n u a l m a i n t e n a n c e c h e c k ? ( 1 9 1 0 . 1 5 7 ( e ) ( 3 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
E m p l o y e e A l a r m X E " a l a r m " S y s t e m s X E " a l a r m s y s t e m s "
Y e s % N o % N / A % I s t h e e m p l o y e e a l a r m X E " a l a r m " c a p a b l e o f b e i n g p e r c e i v e d a b o v e a m b i e n t n o i s e o r l i g h t l e v e l s i n t h e a f f e c t e d p o r t i o n s o f t h e w o r k p l a c e X E " w o r k p l a c e " ? ( 1 9 1 0 . 1 6 5 ( b ) ( 2 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % D o e s t h e e m p l o y e r e x p l a i n t o e a c h e m p l o y e e t h e p r e f e r r e d m e t h o d o f r e p o r t i n g e m e r g e n c i e s , s u c h a s m a n u a l p u l l b o x a l a r m s , p u b l i c a d d r e s s s y s t e m s , r a d i o o r t e l e p h o n e ? ( 1 9 1 0 . 1 6 5 ( b ) ( 4 )
Y e s % N o % N / A % D o e s t h e e m p l o y e r p o s t e m e r g e n c y t e l e p h o n e n u m b e r s n e a r t e l e p h o n e s , o r e m p l o y e e n o t i c e b o a r d s a n d o t h e r c o n s p i c u o u s l o c a t i o n s w h e n t e l e p h o n e s s e r v e a s a m e a n s o f r e p o r t i n g e m e r g e n c i e s ? ( 1 9 1 0 . 1 6 5 ( b ) ( 4 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % I s t h e r e a n e s t a b l i s h e d p r o c e d u r e f o r s o u n d i n g e m e r g e n c y a l a r m s i n t h e w o r k p l a c e X E " w o r k p l a c e " ? ( 1 9 1 0 . 1 6 5 ( b ) ( 5 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
F l a m m a b l e a n d C o m b u s t i b l e X E " c o m b u s t i b l e " L i q u i d s X E " l i q u i d s "
Y e s % N o % N / A % A r e o n l y a p p r o v e d c o n t a i n e r s a n d p o r t a b l e t a n k s X E " t a n k s " u s e d f o r f l a m m a b l e X E " f l a m m a b l e " a n d c o m b u s t i b l e X E " c o m b u s t i b l e " l i q u i d s t o r a g e X E " l i q u i d s " ? ( 1 9 1 0 . 1 0 6 ( d ) ( 2 ) ( i ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e o u t s i d e s t o r a g e X E " o u t s i d e s t o r a g e " X E " s t o r a g e " b u i l d i n g s l o c a t e d f i f t y ( 5 0 ) f e e t o r m o r e f r o m a b u i l d i n g o r l i n e o f a d j o i n i n g p r o p e r t y t h a t m a y b e b u i l t u p o n ( b u i l d i n g s l o c a t e d w i t h i n 5 0 f e e t m u s t h a v e a t w o ( 2 ) h o u r f i r e X E " f i r e " r e s i s t a n t w a l l ) ? ( 1 9 1 0 . 1 0 6 ( d ) ( 5 ) ( v i ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e o p e n f l a m e s a n d s m o k i n g X E " s m o k i n g " p r o h i b i t e d i n f l a m m a b l e X E " f l a m m a b l e " a n d c o m b u s t i b l e X E " c o m b u s t i b l e " l i q u i d s X E " l i q u i d s " s t o r a g e X E " s t o r a g e " a r e a s ? ( 1 9 1 0 . 1 0 6 ( d ) ( 7 ) ( i i i ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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Y e s % N o % N / A % I s e l e c t r i c a l X E " e l e c t r i c a l " e q u i p m e n t X E " e l e c t r i c a l e q u i p m e n t " f r e e f r o m r e c o g n i z e d h a z a r d s X E " h a z a r d s " t h a t a r e l i k e l y t o c a u s e d e a t h o r s e r i o u s p h y s i c a l h a r m t o e m p l o y e e s ? ( 1 9 1 0 . 3 0 3 ( b ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % a r e c o n d u c t o r s X E " c o n d u c t o r s " e n t e r i n g b o x e s X E " b o x e s " , c a b i n e t s X E " c a b i n e t s " , o r f i t t i n g s X E " f i t t i n g s " p r o t e c t e d f r o m a b r a s i o n ; a n d o p e n i n g s , t h r o u g h w h i c h c o n d u c t o r s e n t e r , e f f e c t i v e l y c l o s e d ? ( 1 9 1 0 . 3 0 5 ( b ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e a l l u n u s e d o p e n i n g s i n c a b i n e t s X E " c a b i n e t s " , b o x e s X E " b o x e s " , a n d f i t t i n g s X E " f i t t i n g s " e f f e c t i v e l y c l o s e d ? ( 1 9 1 0 . 3 0 5 ( b ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e a l l p u l l b o x e s X E " p u l l b o x e s " X E " b o x e s " , j u n c t i o n b o x e s , a n d f i t t i n g s X E " f i t t i n g s " p r o v i d e d w i t h a p p r o v e d c o v e r s X E " c o v e r s " ? ( 1 9 1 0 . 3 0 5 ( b ) ( 2 ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e f l e x i b l e c o r d s X E " f l e x i b l e c o r d s " a n d c a b l e s p r o h i b i t e d f r o m u s e a s a s u b s t i t u t e f o r p e r m a n e n t w i r i n g X E " w i r i n g " o f a s t r u c t u r e , a n d p r o h i b i t e d f r o m b e i n g r u n t h r o u g h h o l e s i n w a l l s , c e i l i n g s , o r f l o o r s X E " f l o o r s " , r u n n i n g t h r o u g h d o o r w a y s X E " d o o r w a y s " , w i n d o w s X E " w i n d o w s " , o r s i m i l a r o p e n i n g s ? ( 1 9 1 0 . 3 0 5 ( g ) ( 1 ) ( i i i ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e f l e x i b l e e l e c t r i c c o r d s p r o h i b i t e d f r o m f a s t e n e d w i t h s t a p l e s o r o t h e r w i s e h u n g i n s u c h a f a s h i o n a s c o u l d d a m a g e t h e o u t e r j a c k e t o r i n s u l a t i o n ? ( 1 9 1 0 . 3 3 4 ( a ) ( 1 ) _ _ _ _ _ _ _ _ _ _ _ _ _
Y e s % N o % N / A % A r e a t t a c h m e n t p l u g s a n d r e c e p t a c l e s p r o h i b i t e d f r o m c o n n e c t i o n s a n d a l t e r a t i o n s t h a t w o u l d p r e v e n t p r o p e r c o n t i n u i t y o f t h e e q u i p m e n t g r o u n d i n g c o n n e c t o r ? ( 1 9 1 0 . 3 3 4 ( a ) ( 3 ) ( i i )
Y e s % N o % N / A % A r e e x t e n s i o n c o r d s n o t u s e d i n a d a i s y c h a i n ( t w o e x t e n s i o n a r e n o t a l l o w e d t o b e p l u g g e d i n t o e a c h o t h e r ) ? T h i s i s a p r o h i b i t e d u s e o f e x t e n s i o n c o r d s . 1 9 1 0 . 3 3 4
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1 . Y e s % N o % N / A % I s O S H A P o s t e r ( D D F o r m 2 2 7 2 ) p o s t e d o n t h e b u l l e t i n b o a r d ? ( A R 3 8 5 - 1 0 P a r a 2 - 2 ( d ) .
2 . Y e s % N o % N / A % I s g o o d h o u s e k e e p i n g b e i n g p r a c t i c e d ? ( 2 9 C F R 1 9 1 0 . 2 2 )
3 . Y e s % N o % N / A % A r e e m p l o y e e s c a u t i o n e d o f t h e d a n g e r a s s o c i a t e d w i t h l e a n i n g b a c k i n c h a i r s ?
4 . Y e s % N o % N / A % D o c h a i r s h a v e l o o s e c a s t e r s ? A r e r u n g s , l e g s a n d b a c k s s t u r d y ?
5 . Y e s % N o % N / A % I s b r o k e n , c r a c k e d o r s p l i n t e r e d f u r n i t u r e t a k e n o u t o f s e r v i c e u n t i l r e p a i r e d o r r e p l a c e d ?
6 . Y e s % N o % N / A % A r e s h a r p t o o l s s u c h a s s c i s s o r s , r a z o r b l a d e s , l e t t e r o p e n e r s , e t c . , s t o r e d i n s u c h a m a n n e r a s t o m i n i m i z e t h e c h a n c e o f i n j u r y ?
7 . Y e s % N o % N / A % A r e e m p l o y e e s a d v i s e d t o o p e n f i l e d r a w e r s o n e a t a t i m e ?
8 . Y e s % N o % N / A % A r e d r a w e r s , b o x e s , d e s k s a n d c h a i r s p r o h i b i t e d f r o m u s e a s l a d d e r s w h e n c l i m b i n g f r o m o n e l e v e l t o a n o t h e r ?
9 . Y e s % N o % N / A % I f t h e o f f i c e i s e q u i p p e d w i t h s t o r a g e c a b i n e t s , a r e h e a v y i t e m s s t o r e d i n l o w e r a n d m i d d l e s h e l v e s ? ( 2 9 C F R 1 9 1 0 . 1 7 6 )
1 0 . Y e s % N o % N / A % I s t h e l i g h t i n g a d e q u a t e i n w o r k i n g a r e a s ?
1 1 . Y e s % N o % N / A % D o p e r s o n n e l k n o w p r o p e r t e c h n i q u e s f o r l i f t i n g ?
1 2 . Y e s % N o % N / A % A r e e m p l o y e e s d i s c o u r a g e d f r o m c a r r y i n g o v e r s i z e d l o a d s ?
1 3 . Y e s % N o % N / A % A r e c h e m i c a l s s t o r e d i n a p p r o p r i a t e p l a s t i c o r m e t a l c o n t a i n e r s w i t h t i g h t - f i t t i n g l i d s ?
1 4 . Y e s % N o % N / A % H a s e a c h o f f i c e e m p l o y e e b e e n m a d e a w a r e o f a l l h a z a r d o u s m a t e r i a l s t h e y m a y c o n t a c t i n t h e i r w o r k a r e a . T h e H a z a r d C o m m u n i c a t i o n P r o g r a m i n c l u d e s : W r i t t e n P r o g r a m , M a t e r i a l S a f e t y D a t a S h e e t s f o r e a c h h a z a r d o u s s u b s t a n c e u s e d , s p e c i f i c s a f e h a n d l i n g , u s e a n d d i s p o s a l a n d E m p l o y e e T r a i n i n g ?
1 5 . Y e s % N o % N / A % A r e t h e c r i t i c a l a s p e c t o f t h e O f f i c e S a f e t y P r o g r a m r e v i e w e d t o i n c l u d e t h e h o u s e k e e p i n g a n d s t o r a g e o f o f f i c e m a t e r i a l s a n d s u p p l i e s f o r c o n v e n i e n c e , e f f i c i e n c y , a n d t o r e d u c e f i r e a n d p e r s o n a l i n j u r y h a z a r d s ? H o u s e k e e p i n g P r o g r a m s c o v e r t r a s h r e m o v a l , r e c y c l i n g , d e s t r u c t i o n o f d i s c a r d e d s e n s i t i v e i n f o r m a t i o n , o f f i c e m a i n t e n a n c e , o f f i c e s t o r a g e a n d r e m o v a l o f i c e / s n o w d u r i n g i n c l e m e n t w e a t h e r .
1 6 . Y e s % N o % N / A % A r e M a t e r i a l S t o r a g e p r o g r a m s e s t a b l i s h e d t o m a i n t a i n o f f i c e m a t e r i a l s f o r t h e c o n v e n i e n c e o f t h e u s e r s , p u r c h a s i n g e f f i c i e n c y a n d f i r e p r e v e n t i o n ? T h e f o l l o w i n g g e n e r a l p r o c e d u r e s a r e t o b e f o l l o w e d : s h e l f s t o r a g e s h o u l d b e u s e d f o r o f f i c e s u p p l i e s , p a p e r p r o d u c t s a n d f l a m m a b l e m a t e r i a l s s h o u l d n o t b e s t o r e d i n H V A C c l o s e t s o r e l e c t r i c a l r o o m s , m a t e r i a l s s h o u l d n o t b e s t o r e d w i t h i n t h r e e f e e t o f e x i t s / e m e r g e n c y e q u i p m e n t o r w i t h i n 1 8 i n c h e s o f c e i l i n g s / s p r i n k l e r h e a d s .
1 7 . Y e s % N o % N / A % A r e h e a v y i t e m s , s u c h a s , c a r t o n s o f o f f i c e s u p p l i e s a n d b o x e s o f p a p e r , b r o k e n - d o w n t o i n d i v i d u a l r e a m s a n d s t o r e d a t w a i s t l e v e l ? C o m m o n l y u s e d i t e m s , l i k e p e n s , p a p e r c l i p s a n d s t a p l e s a r e s t o r e d a t c h e s t t o e y e l e v e l . P r o p e r s t e p - s t o o l s o r l a d d e r s a r e p r o v i d e d t o r e a c h i t e m s s t o r e d o v e r h e a d o r o u t o f r e a c h . M a t e r i a l s s h o u l d n o t b e s t o r e d o n a b a r e f l o o r , w i t h i n 1 8 i n c h e s o f t h e w a l l / s p r i n k l e r h e a d s o r b l o c k a n y i s l e s o r e x i t s .
1 8 . Y e s % N o % N / A % A r e E l e c t r i c a l H a z a r d s r e v i e w e d w h i c h w o u l d i n c l u d e f i r e , e l e c t r i c s h o c k s , t r i p s a n d f a l l s ? A r e a s t o r e v i e w a r e e f f i c i e n t w o r k s t a t i o n d e s i g n , a d d i n g c o n v e n i e n t o u t l e t s , u s e o f f i x e d p o w e r s t r i p s w i t h g r o u n d f a u l t c i r c u i t a n d c i r c u i t o v e r l o a d i n t e r r u p t e r s i n p l a c e o f e x t e n s i o n c o r d s , r e p l a c i n g w o r n o r b r o k e n p o w e r c o r d s , n e v e r r u n n i n g p o w e r c o r d s u n d e r c a r p e t o r c h a i r p a d s , p r o v i d i n g o p e r a t i o n m a n u a l s a n d t r a i n i n g f o r e x p o s e d - n o t q u a l i f i e d e m p l o y e e s u n d e r t h e E l e c t r i c a l S a f e t y P r o g r a m . O f f i c e e m p l o y e e s s h o u l d b e t r a i n e d t o n e v e r o p e r a t e o r r e p a i r e l e c t r i c a l e q u i p m e n t u n l e s s t h e y h a v e r e a d a n d u n d e r s t o o d t h e d i r e c t i o n s a n d t o a l w a y s u n - p l u g t h e e q u i p m e n t b e f o r e a t t e m p t i n g a n y a d j u s t m e n t s o r r e p a i r s .
2 2 . Y e s % N o % N / A % A r e e r g o n o m i c p r a c t i c e s b e i n g u s e d t o f i t m a c h i n e s t o s t a f f ? M u c h c o n c e r n h a s b e e n p l a c e d o n V i s u a l D i s p l a y T e r m i n a l s ( V D T s ) a n d u s e o f P e r s o n a l C o m p u t e r s ( P C s ) , t o i n c l u d e a r e w o r k s t a t i o n d e s i g n a n d l a y o u t a p p r o p r i a t e ?
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