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Paper <br />■ <br />DELTA PAPER STOCK CO -10 <br />Waste. f:.. r •. a .. <br />Uncoln <br />Street <br />20 <br />SAFETY INSPECTION CHECK LIST <br />at <br />Date <br />Name of company Location <br />This list is intended only as a reminder. Look for other unsafe acts and conditions, and report them so that <br />corrective action can be taken. Note particularly whether unsafe acts or conditions that have caused accidents <br />have been corrected. Note in comments whether potential accident causes, marked "X", were corrected at once. <br />(,/ ) indicates SATISFACTORY <br />FIRE PROTECTION: <br />1. Extinguishing equipment......... ( ) <br />2. Exits, stairs and signs............ ( ) <br />3. Storage of flammable material..... ( ) <br />4. Others .......................( ) <br />( X ) indicates UNSATISFACTORY <br />BULLETIN BOARDS: <br />30. Neat and attractive .............. ( ) <br />31. Display changed regularly ........ ( ) <br />32. Others .......................( ) <br />HOUSEKEEPING: <br />MACHINERY: <br />5. <br />Aisles, stairs and floors .......... ( ) <br />33. <br />Point of operation guards ........ (. ) <br />6. <br />Storage of material ............. ( ) <br />34. <br />Belts, pulleys, gears, shafts, etc .... ( ) <br />7. <br />Wash and locker rooms .......... ( ) <br />35. <br />Oiling, cleaning and adjusting ..... ( ) <br />8. <br />Light and ventilation............ ( ) <br />36. <br />Maintenance .................... ( ) <br />9. <br />Disposal of waste ............... ( ) <br />37. <br />Others ........................ ( ) <br />10. <br />Yards.and parking lots........... ( ) <br />11. <br />Sidewalk maintenance ........... ( ) <br />12. <br />Display platforms .............. ( ) <br />PRESSURE EQUIPMENT: <br />13. <br />Stair maintneance, treads, <br />38. <br />Boiler house .................. ( ) <br />handrails, illumination ........ ( ) <br />39. <br />Air receivers .................. ( ) <br />14. <br />Others ....................... ( ) <br />40. <br />Gas cylinders.................. ( ) <br />41. <br />Others .......................( ) <br />TOOLS: <br />15. <br />Power tools, wiring ............. ( ) <br />16. <br />Handtools .................... ( ) <br />SAFE PRACTICES: <br />17. <br />Use and storage of tools ......... ( ) <br />42. <br />Are personal safeguards used? ..... ( ) <br />18. <br />Others ....................... ( ) <br />43. <br />Is lifting done properly? ......... ( ) <br />44. <br />Is there no horseplay? ........... ( ) <br />PERSONAL PROTECTIVE <br />45. <br />No running unnecessarily?........ ( ) <br />EQUIPMENT: <br />46. <br />Are airhoses used safely?......... ( ) <br />19. <br />Eye protection provided ......... ( ) <br />47. <br />Are machine guards in place? ..... ( j <br />20. <br />Safety Shoes .................. ( ) <br />48. <br />Are no unsafe shortcuts taken? .... ( ) <br />21. <br />Respirators or gas masks ......... ( ) <br />49. <br />Are correct practices used? ....... ( ) <br />22. <br />Protective clothing ............. ( ) <br />50. <br />Others .. .................... ( ) <br />23. <br />Others .......................( ) <br />MATERIAL HANDLING <br />EQUIPMENT: <br />SAFE PRACTICES ON: <br />24. <br />Power trucks, hand trucks ........ ( ) <br />51. <br />Ladders ...................... ( ) <br />25. <br />Elevators ..................... ( ) <br />52. <br />Scaffolds ..................... ( ) <br />26. <br />Cranes and hoists..... ........ ( ) <br />53. <br />Vehicles ...................... ( ) <br />27. <br />Conveyors ....................( ) <br />54. <br />Machines....... ............( ) <br />28. <br />Cables, ropes, chains, slings ....... ( ) <br />55. <br />Floors ....................... ( ) <br />29. <br />Others .......................( ) <br />56. <br />Others.......................( ) <br />Each unsatisfactory act or condition should <br />be covered by a recommendation. (use reverse side) . <br />SCiF 17623 (REV. 11-74) ESD OLD 314 <br />