ÐÏࡱá>þÿ ACþÿÿÿ@ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á€ ð¿¼,bjbjëÈëÈ 4@‰¢‰¢¼$ÿÿÿÿÿÿ·||¿¿¿¿¿ÿÿÿÿÓÓÓÓï4Óˆø#####þþþ+------€¢"t-¿sþþss-¿¿##ÛBÃÃÃs¿#¿#+Ãs+ÃÃÃ#ÿÿÿÿ@‰.`ŽCÊÓ‰–ÃX0ˆÃ–v–Ö¿ÃTþ><,Ãh$Œçþþþ--•.þþþˆssssÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ–þþþþþþþþþ| …: Âé¶¹¹û¶³´«Ã½ Building Inspection Report Department/Name of Building_______________________________ Date of Report____________________ Buildings and Yards 1. Are all areas of the building and surrounding yard kept clean and orderly? Yes____ No____ N/A____ 2. Are floors, aisles and inside passageways kept clean and dry, and are spills cleaned up immediately? Yes____ No____ N/A____ 3. Are floor holes such as drains covered? Yes____ No____ N/A____ 4. Are yards maintained to minimize tripping and falling hazards? Yes____ No____ N/A____ 5. Are areas which stay wet or greasy covered with non-slip material? Yes____ No____ N/A____ 6. Are floor mats in good repair? Yes____ No____ N/A____ 7. Are platforms, storage lofts, balconies, etc. that are more than four feet above the floor protected with standard guardrails? Yes____ No____ N/A____ Stairs 8. Are there handrails on all stairways having four or more risers? Yes____ No____ N/A____ 9. Are all stairs at least 22 inches wide? Yes____ No____ N/A____ 10. Do all stairs have at least seven foot overhead clearance? Yes____ No____ N/A____ 11. Do stairs angle no more than 50% and no less than 30%? Yes____ No____ N/A____ Ladders 12. Do fixed ladders have at least 3.5 feet of extension at the top of the landing? Yes____ No____ N/A____ 13. Is the distance between the centerline of rungs on a fixed ladder and the nearest permanent object in back of the ladder at least seven inches or more? Yes____ No____ N/A____ 14. Are step ladders in good repair? Yes____ No____ N/A____ 15. Is it prohibited to use the top step of an ordinary step ladder as a step? Yes____ No____ N/A____ Exits and Exit Markings 16. Are all exists marked with an exit sign illuminated by a reliable source? Yes____ No____ N/A____ 17. Is the lettering at least six inches high with principle letter strokes at least .75 of an inch wide? Yes____ No____ N/A____ 18. Is the direction to exits apparent? Yes____ No____ N/A____ 19. Are exit door side-hinged? Yes____ No____ N/A____ 20. Are all doors leading to an exit always free to access with no possibility of a person being locked in? Yes____ No____ N/A____ 21. Are all exit routes kept free of obstruction? Yes____ No____ N/A____ 22. Are exit doors ever chained or tied during periods when buildings are occupied? Yes____ No____ N/A____ General Environmental Controls 23. Are restrooms and washrooms kept in a clean and sanitary condition? Yes____ No____ N/A____ 24. Are covered receptacles for waste food kept in a clean and sanitary condition? Yes____ No____ N/A____ 25. Are persons prohibited from eating in areas where toxic materials are present? Yes____ No____ N/A____ 26. Has pest control been exercised? Yes____ No____ N/A____ 27. If persons are permitted to eat on premises, are they provided with a suitable dining place? Yes____ No____ N/A____ 28. Is all drinking, washing and cooking water suitable for drinking? Yes____ No____ N/A____ 29. Are no smoking areas properly marked and respected? Yes____ No____ N/A____ Medical and First Aid 30. Are adequate first aid supplies readily available, inspected and replenished? Yes____ No____ N/A____ 31. Is the infirmary readily available for advice and consultation on matters of health? Yes____ No____ N/A____ 32. Are emergency phone number posted? Yes____ No____ N/A____ 33. Where persons are exposed to hazardous chemicals or injurious corrosive materials, are they provided with emergency eye wash and shower stations? Yes____ No____ N/A____ 34. Are these emergency eye wash and shower stations inspected on a weekly basis? Yes____ No____ N/A____ 35. Are chemical burn first aid kits supplied in areas where persons are exposed to hazardous materials? Yes____ No____ N/A____ Fire Protection 36. Are extinguishers selected for the type of combustible and flammables in the areas where they are to be used? Yes____ No____ N/A____ 37. Are extinguishers fully charged and kept in designated places? Yes____ No____ N/A____ 38. Are extinguishers located along normal paths of travel? Yes____ No____ N/A____ 39. Are fire extinguisher stations visibly labeled? Yes____ No____ N/A____ 40. Are all extinguishers checked monthly to see if they are in place, if they have been discharged, etc.? Yes____ No____ N/A____ 41. Have extinguishers been hydrostatically tested according to schedules set for the type of extinguisher? Yes____ No____ N/A____ 42. Are flammable materials stored away from heat sources? Yes____ No____ N/A____ 43. Is emergency lighting in good repair? Yes____ No____ N/A____ Automatic Sprinkler Systems 44. Are the sprinkler systems periodically inspected and continuously maintained? Yes____ No____ N/A____ 45. Is the clearance between sprinkler deflectors and the top of storage at least 18 inches? Yes____ No____ N/A____ 46. Are water flow alarms provided on all sprinklers? Yes____ No____ N/A____ 47. If fire hoses are present, are they in good condition, stored properly with clips attached? Yes____ No____ N/A____ Electrical Wiring 48. Have exposed wires, frayed cords and deteriorated insulation been reported or repaired? Yes____ No____ N/A____ 49. Are electrical equipment controls accessible? Yes____ No____ N/A____ 50. Do all extension cords being used have a ground wire? Yes____ No____ N/A____ 51. Are all extension cords being used of appropriate wiring to carry the current being drawn? Yes____ No____ N/A____ 52. Are junction boxes, outlets, switches and fittings in good repair, and covered when necessary? Yes____ No____ N/A____ 53. Are junction boxes and breaker boxes properly labeled? Yes____ No____ N/A____ 54. Has loose fitting or broken conduit been reported? Yes____ No____ N/A____ 55. Are all electrical appliances such as vacuums, polishers, and vending machines grounded? Yes____ No____ N/A____ 56. Are all portable, electrical hand tools grounded? (Double insulated tools are acceptable without grounding) Yes____ No____ N/A____ General Safety 57. Is the supervisor aware of an active , written safety program, and has taken steps to implement it? Yes____ No____ N/A____ 58. Does the supervisor inspect his area and equipment on a regular basis? Yes____ No____ N/A____ 59. Is equipment used in a proper manner as not to make it unsafe to use? Yes____ No____ N/A____ 60. Does the supervisor coordinate with other departments to report damaged, faulty, or unsafe equipment, and unsafe practices? Yes____ No____ N/A____ If “No” answers were checked, please explain. Also, record your suggestions and recommendations to remedy the problem. List the number of the problem cited. ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Submitted by: __________________________________________ Date: __________________ Reviewed by: __________________________________________ Date: __________________ Department Head/Supervisor Reviewed by: __________________________________________ Date: __________________ Dean Copy to: University Safety Officer 56Lou‘“•¨©®¯  p q Ú Û ö ÷ ' ( C D ‡ ˆ £ ¤ ¥   g n o >áøù�®#MDYZóêâÚâÒâÒâÊÅâ½â½â½â½â½â½â½â½â½â½â½µ°½µ°½¨ ›¨ ¨“‹ƒ~ h¹)55�h¹)5h¹)55�h¾CJaJhƒmCJaJ ht&15�ht&1ht&15�ht&1CJaJ hUD¿5�hUD¿hUD¿5�hUD¿CJaJ h¾095�h¾09h¾095�h5{dCJaJh�äCJaJh¾09CJaJh¾095�CJ0aJ0h¾09h¾095�CJ0aJ0156”•© j ò ? 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