City of Klamath Falls
Hazard Identification & Or-OSHA Requirements
Inspection Checklist
Date of Inspection: ___________________________ Check One:
ANNUAL INSPECTION ____
QUARTERLY INSPECTION ____
Inspection Team Members:________________________________________
CSC Member Representative for Location:___________________________
Status
O.K., N/A.,
or C
Inspected (Correction Date
√ Needed) Notes Corrected Area/Item For Inspection
POSTING & RECORD KEEPING
Posting Requirements
OR-OSHA Poster "Safety & Health Protection on the Job" (usually
blue)
Safety Committee Meeting Minutes (current CSC & Department)
BOLI Posters:
Family Leave Act
Minimum Wage
OSHA Log 300A:
Post from Feb 1st to Apr 30th Annually
OSHA Citation/Violation -- Posted for 3 days in Dept. being cited
MSDS Book -- Visible & up to date
Signs:
Exit, No Exit, Step Warning, No Smoking, Room Capacity,
Microwave in use
Records kept on site & available
OSHA Log 300A for Dept. (last 5 years on file)
Page 1
Status
O.K., N/A.,
or C
Inspected (Correction Date
√ Needed) Notes Corrected Area/Item For Inspection
Last Annual Inspection Report & Corrections Documented
Vehicle Inspection Records
Safety Committee meeting minutes (for past 3 years)
OFFICE ENVIRONMENT
First Aid Kit(s):
Readily Available
Includes PPE for BBP (latex gloves, mouth guard for CPR,
eyewear)
Adequately supplied, including gauze pads for use as blood
barriers
Lighting:
Adequate
Glare (computer monitor)
Fire Protection
Fire Extinguishers:
Proper Number
Properly Mounted
Inspection Tag (updated, inspected & certified annually )
Fuel Load
Excess Waste Paper or Cardboard
Emergency Action Plan
Evacuation Plan posted, with responsible staff designated
Floor Plan posted with exits labeled
Exits
Page 2
Status
O.K., N/A.,
or C
Inspected (Correction Date
√ Needed) Notes Corrected Area/Item For Inspection
Kept Clear
Clearly Marked
Door(s) that is/are not exit(s) clearly marked
Directional arrows to exits where exits are not clearly visible
Walls
Protruding nails
Holes
Electrical
Unnecessary or unsafe use of extension cords
Use of "zip" cords or 3-way expanders
Plugs fit snugly into outlets
Missing outlets or switch covers
Walkways
At least 28 inches wide
Clear of clutter, open file drawers, trip hazards
If floor wet, covered or striped with non-slip material
Caution signs, where applicable
Stairs
At least 22 inches wide
Clear and clean
Hand rail 30 to 45 inches from the floor
Handrail 1 1/2 inches from the wall
Page 3
Status
O.K., N/A.,
or C
Inspected (Correction Date
√ Needed) Notes Corrected Area/Item For Inspection
Shelves
No objects over 30 lbs on overhead shelves
Toe board or lip on shelves where objects may slide off
Shelves 5 feet and higher or that could block an exit anchored to
walls
Ladders/Stepstools:
Available
In good condition
Restrooms:
Clean & sanitary -- Note sanitation routine
Well ventilated
SHOP ENVIRONMENT
In addition to Office Environment
First Aid:
First Aid Kits
Readily Available
Includes PPE for BBP (latex gloves, mouth guard for CPR,
eyewear)
Eye Wash Station
Fully operational
Record of monthly tests
Fire Prevention/Protection:
Flammable/Combustible materials properly stored
MSDS information easily available; up-to-date; inspection record
with
Page 4
Status
O.K., N/A.,
or C
Inspected (Correction Date
√ Needed) Notes Corrected Area/Item For Inspection
current date
Containers properly labeled
Housekeeping:
Minimal clutter
Tools hung on pegs or "l" hooks (no nails)
If wet floor, caution or warning signs
Oil on floor or work areas
Power Tools:
Lock-Out/Tag-Out procedures current for all equipment in use and
properly displayed
Equipment guards & shields in place; good condition
Electric & hand tools in good condition
Electric supply cords in good condition; not loose, worn or frayed
Work rests for grinders no more than 1/8 inch from surface of
wheel;
Adjustable tongue at top within 1/4 inch of wheel
Welding Areas:
Oxy-acetylene tanks properly attached to wall or portable welding
stand
Empty tanks secured and properly stored
Area clear of flammable liquids
Area separated by shields
No smoking; open flame signs
Hoses or cables not across walkways; trip hazard
Page 5
Status
O.K., N/A.,
or C
Inspected (Correction Date
√ Needed) Notes Corrected Area/Item For Inspection
Lift Trucks:
Back up warning devices operational
Emissions from fuel burners
Fire extinguisher on board
Hazardous Materials:
Containers properly stored
Containers properly labeled; no containers with labels
Electrical:
Extension cords in good condition
All junction boxes covered
All wiring in wall or conduit
Personal Protective Equipment (in addition to first
aid supplies)
Eye protection available; in good condition
Hearing protection available; in good condition
COMMENTS:
Page 6
