BOILER ROOM INSPECTION CHECKLIST

CAMPUS: ˆ SGW ˆ LOYOLA

DATE OF INSPECTION: / /

INSPECTION TEAM MEMBERS:

A. CHEMICAL SAFETY YES NO

Are chemical products labeled properly? ˆ ˆ

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

B. LIGHTING

Is overall lighting adequate? ˆ ˆ

-Office? ˆ ˆ
-Above machinery? ˆ ˆ
-In storage area? ˆ ˆ
Are light measurements required? ˆ ˆ

C. VENTILATION

Is a spray booth available? ˆ ˆ

D. LADDERS & SCAFFOLDS YES NO

Are ladders/scaffolds inspected on a regular basis? ˆ ˆ

Are there ladders/scaffolds that require repair or ˆ ˆ
replacement?
Is training required on safe use of ladders/scaffolds? ˆ ˆ

E. FIRE & PUBLIC SAFETY

What types of extinguishers are present? ˆ ABC ˆ Water ˆ CO2

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

F. EMERGENCY & SAFETY EQUIPMENT

Is there an emergency red phone present? ˆ ˆ

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

G. PERSONAL PROTECTIVE EQUIPMENT

Is the following PPE supplied to each worker? (check all that apply)
Goggles ˆ
Mask/respirator ˆ
Face shield ˆ
Gloves ˆ
Hard hat ˆ
Earmuffs / hearing protection ˆ
Safety boots ˆ
Apron ˆ
H. HOUSEKEEPING & PERSONAL HYGIENE YES NO

Is the shop clean and orderly? ˆ ˆ

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

I. EMERGENCY RESPONDERS

List emergency responders in the shop (with valid

training):

Are additional responders required? ˆ ˆ

Do responders require training? ˆ ˆ
 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: