UNC CHAPEL HILL SAFETY INSPECTION CHECKLIST
INDUSTRIAL, MAINTENANCE AND CONSTRUCTION ENVIRONMENT

WORK UNIT: ______________________________________ SUPERVISOR: ________________

DEPARTMENT: __________________ BLDG: ________________ ROOM #(s): ___________

During the inspection of the designated area, circle the correct answer at the end of each question. If the question does not apply, circle (NA).

BASIC LIFE SAFETY Finding (circle one)
1.      Is the Fire Emergency plan posted? Yes No NA
2. Are corridors and exits free from obstruction? Yes No NA
3. Are exit signs illuminated and visible? Yes No NA
SAFETY
4. Are the moving parts of machines properly guarded? Yes No NA
5. Are lock out - tag out procedures followed? Yes No NA
6. Are motor driven instruments and machines grounded? Yes No NA
7. Are electrical cords and wires free of burns and fraying? Yes No NA
8. Are gas cylinders secured from falling? Yes No NA
9. Are oxygen cylinders separated from fuel gases or combustible material by 20 feet or more? Yes No NA
10. Is excavation and overhead work properly barricaded? Yes No NA
HAZARDOUS CHEMICALS
11. Are Material Safety Data Sheets (MSDS) available? Yes No NA
12. Is there documentation that all employees have received hazard communication training? Yes No NA
13. Is eye wash/safety shower within 75 ft of hazards? Yes No NA
14. Are "EYE WASH" and "SAFETY SHOWER" signs posted? Yes No NA
15. Are chemical containers properly labeled? Yes No NA
16. Is protective clothing provided? Yes No NA
17. Is eye protection provided? Yes No NA
18. Are respirators provided? Yes No NA
19. Have respirator users been trained? Yes No NA
HEARING CONSERVATION
20. Are there operations in your work area that have high noise levels that need to be measured? Yes No NA
21. If yes, then location:      

COMMENTS:_______________________________________________________________________

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INSPECTOR:_______________________________________________ DATE:_________________