ࡱ> ts T8\pGray CIV Adam KRoy D Ba==xX/"8@"1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Calibri1 Calibri1-Calibri14-Calibri1 -Calibri1Calibri1-Calibri1,8-Calibri18-Calibri18-Calibri1>-Calibri14-Calibri1<-Calibri1?Calibri1h8Cambria1Calibri1 Calibri"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)0.0"Yes";"Yes";"No""True";"True";"False""On";"On";"Off"],[$ -2]\ #,##0.00_);[Red]\([$ -2]\ #,##0.00\)                                                                      ff + ) , *     P  P        `            a>     (@ @  ( #8  h #x  (@ @  (@      ( #8 !  h #x  (@  h@ @ 8 !8 1<  1< !x 1|  x x x x x x X x X x 1| x  h #x ||d#S}A} 00_)ef[$ -}A} 00_)ef[$ -}A} 00_)ef[$ -}A} 00_)ef[$ -}A} 00_)ef[$ -}A} 00_)ef [$ -}A} 00_)L[$ -}A} 00_)L[$ -}A} 00_)L[$ -}A} 00_)L[$ -}A} 00_)L[$ -}A} 00_)L [$ -}A} 00_)23[$ -}A} 00_)23[$ -}A} 00_)23[$ -}A} 00_)23[$ -}A}  00_)23[$ -}A}! 00_)23 [$ -}A}" 00_)[$ -}A}# 00_)[$ -}A}$ 00_)[$ -}A}% 00_)[$ -}A}& 00_)[$ -}A}' 00_) [$ -}A}( 00_)[$ -}}) }00_)[$ -##0.  }}* 00_)[$ -???##0.??? ??? ???}-}/ 00_)}A}0 a00_)[$ -}A}1 00_)[$ -}A}2 00_)?[$ -}A}3 00_)23[$ -}-}4 00_)}}5 ??v00_)̙[$ -##0.  }A}6 }00_)[$ -}A}7 e00_)[$ -}x}800_)[$##  }}9 ???00_)[$???## ???  ??? ???}-}; 00_)}U}< 00_)[$## }-}= 00_)}(}`00_)}(}a00_)}(}b00_)}(}c00_) 20% - Accent1M 20% - Accent1 ef % 20% - Accent2M" 20% - Accent2 ef % 20% - Accent3M& 20% - Accent3 ef % 20% - Accent4M* 20% - Accent4 ef % 20% - Accent5M. 20% - Accent5 ef % 20% - Accent6M2 20% - Accent6  ef % 40% - Accent1M 40% - Accent1 L % 40% - Accent2M# 40% - Accent2 L渷 % 40% - Accent3M' 40% - Accent3 L % 40% - Accent4M+ 40% - Accent4 L % 40% - Accent5M/ 40% - Accent5 L % 40% - Accent6M3 40% - Accent6  Lմ % 60% - Accent1M 60% - Accent1 23 % 60% - Accent2M$ 60% - Accent2 23ږ % 60% - Accent3M( 60% - Accent3 23כ % 60% - Accent4M, 60% - Accent4 23 % 60% - Accent5M0 60% - Accent5 23 %! 60% - Accent6M4 60% - Accent6  23 % "Accent1AAccent1 O % #Accent2A!Accent2 PM % $Accent3A%Accent3 Y % %Accent4A)Accent4 d % &Accent5A-Accent5 K % 'Accent6A1Accent6  F %(Bad9Bad  %) Calculation Calculation  }% * Check Cell Check Cell  %????????? ???+ Comma,( Comma [0]-&Currency.. Currency [0]/Explanatory TextG5Explanatory Text % 0Good;Good  a%1 Heading 1G Heading 1 I}%O2 Heading 2G Heading 2 I}%?3 Heading 3G Heading 3 I}%234 Heading 49 Heading 4 I}% 5InputuInput ̙ ??v% 6 Linked CellK Linked Cell }% 7NeutralANeutral  e%"Normal 8Noteb Note   9OutputwOutput  ???%????????? ???:$Percent ;Title1Title I}% <TotalMTotal %OO= Warning Text? Warning Text %XTableStyleMedium9PivotStyleLight16`#_Additional Inspection Sheet dFacility Checklist8 YesNoN/AGENERAL ELECTRICAL(FLAMMABLE/COMBUSTIBLE/HAZARDOUS MATERIAL Ref: 29 CFR 1910.23& Ref: 29 CFR 1910.106(h)(8)(iii) Ref: 29 CFR 1910.303(e)#PERSONAL PROTECTIVE EQUIPMENT (PPE)MATERIAL HANDLINGADMINISTRATIVE % Ref: 29 CFR 1910.305(g)(2)(ii)! Ref: 29 CFR 1910.305(b)(2)$ Ref: 29 CFR 1910.334(a)(3)(i)" Ref: NFPA 70 NEC, 210.8(B) HAZARDOUS COMMUNICATIONS. Ref: MCO 4450.12, Chapter 4, Section II Ref: 29 CFR 1910.23(c)(1)& Ref: MCO P5102.1D, 3003, 3008 % Ref: NAVMC DIR 5100.8, 11001.2" Ref: NAVMC DIR 5100.8, 4003' Ref: NAVMC DIR 5100.8, 10001.2.d' Ref: 29 CFR 1910.22(a), and .1411.2.3.4.5.6.7.8.9.10.11.12.13.14.15.RIs there a safety representative assigned, in writing, to this Activity/Facility? rDoes the Supervisor/Safety Representative conduct regularly scheduled safety inspections and are they documented? Has the Naval Industrial Hygienist conducted a comprehensive baseline survey and periodic surveys of this Activity/Facility? (This may be performed as a Unit-Wide survey)}TIs there a Fire Warden assigned to this Facility and is the appointment in writing? ,Are all work areas clean, sanitary, orderly?:Are all toilets and washing facilities clean and sanitary?cAre eating and food preparation areas kept clean, sanitary and free of hazardous materials storage?Are all vending machines over 700 pounds (empty or full) and all beverage vending machines firmly anchored to the deck or the bulkhead? &Are fire evacuation procedures posted?%Are exit lights properly illuminated?&Are emergency lights working properly?-Are panic and door hardware working properly?Are any doors inaccessible due to padlocks or devices that require the use of a key, a tool, or special knowledge or effort for operation from the egress side?Are means of egress continuously maintained free of all obstructions or impediments to full instant use in the case of fire or other emergency?EAre portable fire extinguishers provided in adequate number and type?WAre fire extinguishers inspected monthly, recharged as necessary and marked on the tag?+Are fire exits marked clearly and properly?aAre all ceiling tiles in place in the suspended ceiling grid framework and are they serviceable? JAre Fire Alarm Pull Stations clear of obstructions and easily accessible? Are elevated open-sided floors, platforms and runways 4 feet or more above adjacent floors or ground level guarded by a standard railing on all open sides except at the entrance to a ramp or stairway or fixed ladder? :Are all electrical appliances/machinery grounded properly?;Are all cords free from splices or taps, intact and secure?FAre all circuit breakers properly labeled to indicate what they serve?JDo all switches and receptacles have tight fitting and serviceable covers?HAre all portable electrical tools/equipment properly grounded/insulated?8Are all frayed or deteriorated wiring or cords replaced?4Are extension cords being used as permanent wiring? sAre flexible cords or cables run through holes in walls, ceilings, floors, doorways, windows, or similar openings? SAre flexible cords or cables concealed behind building walls, ceilings, or floors? sAre electrical receptacles installed in bathrooms, near sinks, other water sources, and outdoors of the GFCI type? IAre stairs having four or more risers provided with compliant hand rails?9Do all stairs or stairways have a slip-resistant surface?'Are floor openings and holes protected?ZAre hazardous materials stored in a dedicated storage locker, storage room, or warehouse? IAre hazardous materials stored with other compatible hazardous materials?7Are computer battery back-ups used only for computers? cAre re-locatable power taps (surge protectors) used only for computers and audio/visual equipment? h Ref: CG, MCIEast letter DPS(UC), DTG: 211930Z Mar 08 and OSHA Letter of Interpretation 11/18/2002iAre areas involving storage and use of flammable/hazardous materials identified with appropriate signage?Are operators of industrial powered trucks trained and certified? Do they have their current license/training card on their person? )Is PPE provided when and where necessary?RAre personnel trained in the use of required PPE and is this training documented? X a. All civilian employees have completed the 10 Hour OSH Outreach Training Course? wHas the Safety Representative(s) successfully completed the 30 Hour OSH Outreach Training Course and is it documented? /Are fire extinguishers accessible at all times?BDo all unused/opened circuit breakers have compliant cover plates?FDo all unused openings in electrical enclosures have compliant covers?Are all civilian employees (AF and NAF) of this Unit/Section/Facility/Activity aware of their OSH Rights and Responsibilities with regard to the reference's requirements through training, and is this training documented? Does this Facility/Activity maintain a safety bulletin board, to include CMC, CG MCIEast, CO MCAS Beaufort Safety Policies, OSHA "Right to Know" poster, and NAVMC 11401 Unsafe/Unhealthful Working Conditions form?$ Ref: ASO P11320.1M, Chapter 7By interviewing the personnel of the facility/activity do the employees feel they have an effective system for reporting Unsafe/Unhealthful working conditions? Ref: 29 CFR 1910.22(b)(2) Ref: 29 CFR 1910.22(b)(1)" Ref: 29 CFR 1910.303(f)(2) % Ref: 29 CFR 1910.305(b)(1)(ii)0 Ref: 29 CFR 1910.305(g)(1)(iv)[B] and [C]( Ref: 29 CFR 1910.305(g)(1)(iv)[E] Ref: 29 CFR 1910.141(d)( Ref: 29 CFR 1910.22(a) and .22(b)( Ref: 29 CFR 1910.305(g)(1)(IV)[A]Have all personnel of this facility/activity received training regarding procedures in identifying and reporting Unsafe/Unhealthful working conditions and is it documented?Are all combustible scrap, debris, and waste materials stored in a covered metal container, labeled properly, and removed from the area on a daily basis?! Ref: 29 CFR 1910.157(e)(2)! Ref: 29 CFR 1910.157(c)(1)yHave civilian employees of this Unit/Section/Facility/Activity completed the required OSH Training and is it documented? FIRE AND LIFE SAFETYWALKING/WORKING SURFACESIs there a current hazardous material inventory and are Safety Data Sheets (SDS) for all hazardous materials on the premises located in a binder and readily available? Ref: 29 CFR 1910.24(f)% Ref: OSH Act Public Law 91-596All managers and supervisors have attended the Supervisor's OSH Class? (Initially Formal Classroom - Annual Refresher On-line )\Is there a a Safety Turnover Binder? Does the Safety Turnover Binder include the following: a. Appointment Letters.  b. Safety SOP. c. Inventory of known hazards (including, if applicable, hazardous noise sources and process, list of PPE and medical surveillance required per Naval Industrial Hygiene Survey). d. Hazard abatement log of uncorrected hazards with interim controls, to include date hazard identified, date of interim control implemented, and date of corrected action taken. e. Maintained inventory of unit facilities by building number and a map of their location; numbers of assigned civilian and military personnel assigned to the facilities. f g. Surpervisor annual safety training documentation, including training and expiration dates. Have all personnel in this unit received safety training, provided by their supervisor or other qualified person, appropriate for their job and is the training documented? f. By-Name list of personnel who require medical surveillance (hearing tests, respirator physicals, vehicle operator's examinations, etc.) The list includes expiration dates of training and certifications. hDoes this Activity/Facility maintain a daily incident log that includes mishaps, injuries, and illness? dIs there an internal shop safety committee and is there a ros<ter of attendees and topics discussed? B Ref: MCO 5100.29B, Enclosure (1), Chapter 2, paragraph 4.e A Ref: MCO 5100.29B, Enclosure (1), Chapter 2, paragraph 3.cA Ref: ASO 5100.24D, Enclosure (1), Chapter 3, paragraph 3.eA Ref: ASO 5100.24D, Enclosure (1), Chapter 3, paragraph 3.dg Ref: MCO 5100.29B, Enclosure (1), Chapter 2, paragraph 4.d and paragraphs 4.d(1) through 4.d.(7)A Ref: ASO 5100.24D, Enclosure (1), Chapter 8, paragraph 4.a3 Ref: CO, MCAS Beaufort, Policy Letter 007-10! Ref: 29 CFR 1910.141(g)(2) Ref: 29 CFR 1910157(d)(1) Ref: 29 CFR 1910.37(a)(3)! Ref: 29 CFR 1910.37(b)(1) ! Ref: 29 CFR 1910.37(b)(6) Ref: 29 CFR 1910.37(a)(4) Ref: 29 CFR 1910.36(d)(1)! Ref: 29 CFR 1910. 37(b)(2) Ref: 29 CFR 1910.165 A Ref: ASO P11320.1M, Chapter 2, Enclosure (1), paragraph 2 " Ref: NFPA 101, 8.4.2(2)(a) Ref: 29 CFR 1910.23(d)(1)6Are permanent material handling aisles clearly marked?8Are material handling aisles clear and width maintained?Are floors maintained in a clean, orderly, and sanitary condition and are they free from slip, trip, and fall hazards and protrusions? ! Ref: 29 CFR 1910.304(g)(5)$ Ref: 29 CFR 1910.305(b)(3)(i)TIs the manufacturer and ratings of electrical equipment identified on the equipment?% Ref: 29 CFR 1910.334(a)(2)(ii)hIs proper storage and handling of flammable/combustible material practiced to minimize the risk of fire? Ref: NFPA 30, 6.5.1[Are flammable liquids stored in a compliant flammables locker, storage room, or warehouse?  Ref: 29 CFR 1910.145& Ref: 29 CFR 1910.1200(f)(6)(ii)IAre all containers properly labeled with contents and associated hazards?" Ref: 29 CFR 1910.1200(g)(8) Ref: 29 CFR 1910.1200(h)yAre all personnel in this Activity/Facility trained in the purpose and use of SDS for their related hazardous materials? " Ref: 29 CFR 1910.178(l)(6) ! Ref: 29 CFR 1910.178(q)(7)lAre industrial trucks examined, at least daily, for defects and/or damage before being placed into service?  Ref: 29 CFR 1910.132(a)  Ref: 29 CFR 1910.132(f)QIs PPE maintained in serviceable condition and is the PPE being stored properly? 0 Ref: NAVMC DIR 5100.8, 13003 , paragraph 2Are areas with hazardous work processes identified with the appropriate PPE hazard warning signage, i.e. "EYE PROTECTION REQUIRED" "HEARING PROTECTION REQUIRED" etc. ! Ref: 29 CFR 1910.145(c )(3)ELECTRICAL (Continued)W Ref: NAVMC DIR 5100.8, Enclosure (1), Chapter 5, paragraph 2.a and paragraph 2.bIs the Supervisor ensuring personnel are enrolled in the appropriate Medical Surveillance Programs and is documentation present that this is being tracked for examination dates and completion dates?e Ref: MCO P11000.11, Chapter 4, pargraph 4-2; ASO P11320.1M, Encl (1), Chapter 1, paragraph 2.c" Ref: NAVMC DIR 5100.8 11002D Ref: MCO 5100.29B, Enclosure (1), Chapter 2, paragraph 4.d(7)Machine Guarding. Are one or more methods of machine guarding provided to protect the operator and other employees in the machine area from hazards such as those created by point of operation, ingoing nip points, rotating parts, flying chips and sparks? Ref: 29 CFR 1910212(a)(1)16.oIs sufficient work space (3 feet) provided and maintained around electrical equipment (i.e. electrical panels)?! Ref: 29 CFR 1910.303(h)(3)Are plumbed eyewash stations inspections documented weekly? Are portable eyewash stations inspected, drained, and flushed at least quarterly or more often if required by the manufacture? 5 Ref: NAVMC Directive 5100.8 Paragraph 13007.10]/ /042\2 25d8 M; =b@6(DEhHJ>5OQ!R=T&nVVX[ ]&ccNB T8 ac  dMbP?_*+%,&L&"Arial,Bold"&12MCCS-SC Safety Officer - Additional Inspection Sheet Activity:_______________________________ Building #__________&R&"Arial,Bold"DATE:____________&?'?(?)?MLexmark Z45X䤗Lexmark Z458䤗䤗 "d,,??&U} $ FFacility/Building #>@<d/B*B7ggD T8 (+w9  dMbP?_*+%'Nv&L&"Arial,Bold"&12General OSH Inspection Checklist Guide Inspected by: &"Arial,Regular"&10__________________________&C&"Arial,Bold"&12FACILITY/ACTIVITY &"Arial,Regular"&10 ___________________________________________________&R&12Date: ______________ZW&L&"Courier New,Regular"&11Rev. 13 October 2017&R&"Courier New,Regular"&11ENCLOSURE (5)&?'?(?)?M\\CLJN0704\BFRT-BL658-FL1-RMSaS o7XXLetterPRIV0''''D\KhC4HSMTJXerox GlSMTJXerox GPD PS V3.6.433.6.0.0LeadingEdgePageSizeLetterPageRegionDuplexNoneResolution600x600dpiD1NRX > 9XMSCF,90R%//Uncompressed-Data//E֯}%CKZklTU{-m#nKA en5aykXBiK҂&AQDD+D yEP%A@1j4$oݽؽٞٹ~93sw[QYXЬy ތ'ZúZ}5d[s 5&v$2>g3(%O0i>2G910Qc19llQ4iqZ㱹Cl0eŐ&zlWMR1<yVc8.:uB,? 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