| 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 |
| 4. |
Are stairwell doors held open by means other than electromagnetic devices? |
Yes |
No |
NA |
| HAZARDOUS MATERIALS |
| 5. |
Are eye protection devices available? |
Yes |
No |
NA |
| 6. |
Are gas cylinders secured against falling? |
Yes |
No |
NA |
| 7. |
Are chemicals properly labeled and stored? |
Yes |
No |
NA |
| EMPLOYEE TRAINING |
| 8. |
Have Powered Industrial Truck Operators been trained? |
Yes |
No |
NA |
| 9. |
Have employees been trained in proper lifting techniques? |
Yes |
No |
NA |
| 10. |
Have employees been trained in operating equipment? |
Yes |
No |
NA |
| 11. |
Have employees received Hazard Communication Training? |
Yes |
No |
NA |
| 12. |
Have employees received personal protective equipment training? |
Yes |
No |
NA |
| FIRE PREVENTION |
| 13. |
Is storage permitted within 18-inches of sprinkler heads? |
Yes |
No |
NA |
| 14. |
Is smoking prohibited in storerooms and storage areas? |
Yes |
No |
NA |
| 15. |
Is housekeeping in order? |
Yes |
No |
NA |
| ELECTRICAL SAFETY |
| 16. |
Are electrical cords worn and frayed? |
Yes |
No |
NA |
| 17. |
Are extension cords used in place of permanent wiring? |
Yes |
No |
NA |
| 18. |
Are a sufficient number of outlets available? |
Yes |
No |
NA |
| 19. |
Do power cords have grounding prongs intact? |
Yes |
No |
NA |