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