BOILER ROOM INSPECTION CHECKLIST

CAMPUS: DATE OF INSPECTION: INSPECTION TEAM MEMBERS: SGW LOYOLA / /

A.

CHEMICAL SAFETY

YES

NO

Are chemical products labeled properly? Is an updated chemical inventory present? Is the MSDS binder present? Is the MSDS binder updated? Are chemicals stored properly? Stored in individual lockers? Stored centrally? Is there an eyewash/shower present? Is the emergency spill card posted?

B.

LIGHTING

Is overall lighting adequate? -Office? -Above machinery? -In storage area? Are light measurements required?

C.

VENTILATION

Is a spray booth available?

D.

LADDERS & SCAFFOLDS

YES

NO

Are ladders/scaffolds inspected on a regular basis? Are there ladders/scaffolds that require repair or replacement? Is training required on safe use of ladders/scaffolds?

E.

FIRE & PUBLIC SAFETY Water CO2

What types of extinguishers are present? ABC - How many? - Date of last inspection? Are fire procedures posted? Are emergency procedures posted? Are all procedures up to date? Are objects stored overhead on ducts/pipes? Are electrical wires for moveable machinery secured? Are dust collector ducts running along the ground? Are passage routes free of obstruction? Is the exit clearly marked?

F.

EMERGENCY & SAFETY EQUIPMENT

Is there an emergency red phone present? Is there a first aid kit? Is the first aid kit stocked? Is there a list of first-aiders posted? Is the emergency red book posted? Are injury/incident reports available?

G.

PERSONAL PROTECTIVE EQUIPMENT

Is the following PPE supplied to each worker? (check all that apply) Goggles Mask/respirator Face shield Gloves Hard hat Earmuffs / hearing protection Safety boots Apron

H.

HOUSEKEEPING & PERSONAL HYGIENE

YES

NO

Is the shop clean and orderly? Is the shop cleaned on a regular basis? Is there eating, drinking or smoking in the shop? Are extra uniforms/city clothes stored inside the shop?

I.

EMERGENCY RESPONDERS

List emergency responders in the shop (with valid training):

Are additional responders required? Do responders require training?

BOILER ROOM INSPECTION SUMMARY

1. OVERALL IMPRESSION OF SHOP:

2. WHAT ARE THE MAIN SAFETY HAZARDS AND/OR CONCERNS IN THE SHOP?

3. LIST CORRECTIVE ACTION(S) REQUIRED: