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CG ICS SSP: 1910.120 1.Incident Name 2.Date/Time Prepared 3. Operational Period <br /> COMPLIANCE <br /> CHECKLIST Form B cont <br /> 6.a. Cite: 6.b.Requirement(sections that duplicate or explain are omitted) 6.c.ICS 6.d. Check 6.e.Comments <br /> Form <br /> 1910.120(1)(3)(i) Emergency notification procedures identified? SSP-D ❑ <br /> (ii) Emergency response plan separate from Site Safety Plan? SSP-D ❑ <br /> (iii) Emergency response plan compatible with otherplans? SSP-D ❑ <br /> (iv) Emergency response plan rehearsed regularly? SSP-D ❑ <br /> (v) Emergency response plan maintained and kept current? SSP-H ❑ <br /> 1910.165(b)(2) Can alarms be seen/heard above ambient light and noise N/A ❑ <br /> levels? <br /> (b)(3) Are alarms distinct and recognizable? N/A ❑ <br /> (b)(4) Are employees aware of the alarms and are they accessible? SSP-D ❑ <br /> (b)(5) Are emergency phone numbers,radio frequencies clearly 206 ❑ <br /> posted? <br /> (b)(6) Signaling devices in place where there are 10 or more workers? IAP ❑ <br /> (c)(1) Are alarms like steam whistles,air horns being used? IAP ❑ <br /> (d)(3) Are backup alarms available? IAP ❑ <br /> m Are areas adequately illuminated? IAP ❑ <br /> n 1 i Is an adequate supply of potable water available? IAP ❑ <br /> (ii) Are drinking water containers equipped with a tap? IAP ❑ <br /> (iii) Are drinking water containers clearly marked? IAP ❑ <br /> iv Is a drinking cup receptacle available and clearly marked? IAP ❑ <br /> n 2 i Are non-potable water containers clearly marked? IAP ❑ <br /> n 3 i Are their sufficient toilets available? IAP ❑ <br /> (n)(4) Have food handling issues been addressed? IAP ❑ <br /> (n)(6) Have adequate wash facilities been provided outside hazard IAP ❑ <br /> zone? <br /> (n)(7) If response is greater than 6 months,have showers been IAP ❑ <br /> provided? <br /> 7.Prepared By: ICS-208-CG SSP-K (rev 9/06): Page 3. Page of <br />