Safety and Accident Prevention, Project

1 SAFETY INSPECTION CHECKLIST Date: Project Name: Project NO: Superintendent: Site Forman: This form is to be used for periodic inspection s throughout the duration of the contract. This form is to be kept 3 year s after the contract is over with. Corrective actions are required for all deficiencies noted during the inspections. Ergon omic CHECKLIST INSPECTION LIST Yes No Comments/Corrective Action Hearing Noise Levels need to be below or at 85DBA in the work ar ea where protection for hearing is required, in this standard in the work areas, if no, please list areas for corrective action ? (Goetsch, 2015) Is hearing protection being worn in areas where noise exceeds 90DBA, with the required signs posted? (Goetsch, 2015) Hearing will be tes ted where employees work in area that is considered conservation areas. Is this statement true for work environments that fall under this standard? (Goetsch, 2015) Check to ensure that all engineering controls are in place to reduce noise levels to or below the 85DBA in the required work place areas? (Goetsch, 2015) Lighting, Ventilation and Temperature Is the lighting in the work areas shown to easily give the employees vision to see work clearly? (Goetsch, 2015) Are the light fixtures and fittings all in good working order? Flickering, bur nt out, etc. ? (Goetsch, 2015) Is there a glare or any brightness that is in excess to the other work areas with regular lighting? If so, are the ergonomic factors to ensure this brightness is limited? (Goetsch, 2015) 2 Are all areas temperatures maintained and at a comfortable level and all within the same temperature range of 72 degrees? (Goetsch, 2015) Ventilation needs to have adequate air movement throughout the facility, is this the case? If so, please explain. (Goetsch, 2015) Ensure all light bulbs, tubes and other lighting methods have covers and are cleaned. If no, please explain for corrective action. (Goetsch, 2015) Are all ventilation duct work clean and free of obstructions? (Goetsch, 2015) Desk and Work Stations If the desks are adjustable, are the adjustments able to be made by all employees easily? (Goetsch, 2015) Armrests support both forearms and they do no t interfere with mo vement? (Goe tsch, 2015) Employees observed have their feet rested flat on the floor? (Goetsch, 2015) Employees observed have their shoulders and upper ar ms perpendicular to the floor and relaxed? (Goetsch, 2015) Employees ob served have their back straight? (Goestch, 2015) Lifting Hazards Posters illustrating proper lifting, sitting, reaching and bending techniques are posted in the workplace ?(Goet sch, 2015) The facility provides pre -employment screenings to ide ntify preexisting back injuries? (Goestsch) Employees observed are using lifting technique; bending the knees , and keeping the back straight? (Goetsch, 2015) Employees observed li fting center the load? (Goetsch, 2015) When reasonably possible, tasks have been designed to be pushed opposed to pulled ? (Goetsch, 2015) The facility has used the National Institute of Occupational Safety and Health (NIOSH) Ergonomic Guidelines for Manuel Material 3 Handling (EGMMH) to calculate the recommended weig ht limit for highest risk lift s? (Goetsch, 2015) Fire Hazards Has the local fire department toured the facility to familiarize themselves with the facility and any specific hazards? (Go etsch, 2015) Does any structure that can be occupied by people have a means of egress? (Goetsch, 2015) Does the facility have emergency lights and are they inspected periodically? (Goetsch, 2015) Has the facility installed illuminated exit sign s and are they inspected periodically? (Goetsch, 2015) Has the facility evaluated the potential for fires and installed appropriate extinguishers and sprinklers? (Goetsch, 2015) Has the facility periodically inspected their fire systems? (Goetsch, 2015) Are fire extinguishers inspected monthly for general condition? (Goetsch, 2015) Has the facility developed a list of all flammable materials on site? (Goetsch, 2015) Has the facility provided sufficient flammable storage cabinets? (Goetsc h, 2015) Industrial Hygiene Has the facility conducted an illumination assessment in accordance to 29 CFR 1926.56(a) Table D -3? Has the facility conducted a noise assessment to determine if noise exposures exceed the OSHA eight -hour time weighted average (TWA) of 85 decibels? (29 CFR 1910) Has the facility implemented a hearing conservation program according to OSHA 1910.95? (OSHA, 2008) Has the facility conducted audiograms in the hearing conservation program at initial hire, and annually t hereafter? (OSHA, 2008) Has the facility assessed all raw materials and chemicals used at the facility for any applicable OSHA permissible exposure limits (PEL) and American Conference Industrial Hygienist 4 (ACGIH) Threshold Limit Values (TLV’s)? (Goets ch, 2015) Has the facility inspected all areas for vibration hazards? (Goetsch, 2015) Confined Spaces Has the facility assessed all spaces that may meet OSHA’s definition for permit -required confined spaces, and confined spaces? (Goetsch, 2015) Does the facility have a written confined space program in accordance to CFR 29 1910.146?

(Goetsch, 2015) Does the facility have confined space entry permits available that meet the requirements set forth by OSHA in CFR 29 1910.146? (Goetsch, 2015) Does the facility use air monitoring equipment to ensure exposure are less than 10 percent of the lower flammable limit (LFL) and less than established occupational exposure limits (OEL), whichever comes first? (Goetsch, 2015) In confined spaces wi th potential of exceeding the OSHA PEL or ACIGH TLV’s, has the facility conducted industrial hygiene sampling? (Goetsch, 2015) Computers, Machines, and Robots Do employees who use visual display terminals (VDT) for extended periods of time understand the importance of taking periodic breaks?

(Goetsch, 2015) Are employee workstations designed to have the top computer screens at eye level? (Goetsch, 2015) Are automated machines guarded as such to restrict employee access while operating?

(Goetsch, 2015) Comments 5 Inspection Pe rformed By: Date: Time: 6 References Goetsch, D. L. (2015). Occupational safety and health for technologists, engineers and managers (8th ed.). Upper Saddle River: Pearson Prentice Hall. 29 CFR ’s, 1910 & 1926. Occu pational Safety and Health Industry Regulations