h a z a r d i d e n t i f i c a t i o n c h e c k l i s t（h z r d i d e n t f i c t i o n c h e c k l s t）（8页）.docVIP

HAZARD IDENTIFICATION CHECKLIST Facilities Areas Surveyor Name:____________________________________ Survey Date:_________________________ Work Unit:________________________________________ Area/Room:__________________________ If “No” is selected, please correct the hazard and note the date. Yes No n/a Date Corrected ADMINISTRATIVE Current signage present and accurate? Cal-OSHA 300A poster UCI or UCIMC Emergency Procedure Flip Chart (all blue or multi-colored) UC Irvine Injury Medical Treatment (8/2009) Hazardous Waste Guidelines (Ver. 3.0) Staff knows how to report an incident/injury/safety concern? Has staff reviewed the content of the UCI Emergency Procedures Flipchart? Work unit emergency call list available? RECORDKEEPING Chemical/hazardous materials inventory? MSDSs accessible? Cal-OSHA Permits for Air LPG ? Tailgate meeting documentation? Code of Safe Practices available? FIRE/LIFE SAFETY First Aid Kit accessible and stocked and evidence of regular inspection? Emergency Action Plan/Fire Prevention Plan communicated? Portable Extinguishers - Accessible, location marked, checked monthly, maintained annually? Automatic fire sprinkler systems maintenance inspection quarterly? Automatic sprinkler systems serviced every five years? Standpipe systems serviced every five years? Fire hoses and hose cabinets inspected? Automatic system main drain flow test annually? Smoke detectors and smoke activated door closures tested annually? Fire hydrants inspected and serviced? Evacuation drills held periodically? Evacuation plans posted? GENERAL WORK AREA Work surfaces and walkways dry or slip resistant, no tripping hazards? Exterior walkways in good condition? Spills cleaned up immediately? Combustible debris waste stored safely and removed promptly? Dip tanks, etc., cleaned regularly, inspected? Are ac