Beruflich Dokumente
Kultur Dokumente
Program Contact Person: Carol Loch School policy for use adopted in place? Yes No N/A Brand of AED? Phillips Heart Smart Model # M5066A-ABA
Name of Medical Director? The device was purchased through the Hutchinson Medical Clinic. It is assumed the Medical Director of the clinic would serve in that capacity. Year device was placed into use? 2006 Location(s) of devices: Building Name West Elementary Park Elementary Middle School High School Location in Building Foyer above fire extinguisher Hall by main office near water fountain (1)Hall by office/(2) Auditorium (1)Foyer/ (2)wrestling room
Have all software updates been installed? Yes No N/A Date of update installation: Winter 2007-2008 Expiration date of pads? 4-2008 Expiration date of batteries? 08-20
(date)
Has staff been trained on operation of the device? Yes, all school nurses and Emergency responders are trained biannually. Most recent date of training:2006
(date
Location of operators manual: School nurse office and one at each building Are battery checks documented? Yes, a check list is available at each AED station Notes: The AEDs were purchased by the local medical clinic. The effort was coordinated between the PTO and the clinic.
3/3/06 .
Notification appeared in the following publication(s): Name of publication Spotlight Date August 2007
Three-year re-inspection Surveillance was conducted: 7/12/07. 6-month Periodic Surveillance was conducted: 5/07
(first date)
11/07
(second date)
All caution labels have been posted. Label locations: Boiler room tunnels
Are supplies of repair materials adequate to meet the requirements of maintenance and repair of ACM? Yes No N/A
Asbestos Maintenance Supplies on Hand Bags Glove bags 6 mil sheeting Respirators Respirator filters
Status of the Asbestos repair and maintenance Work Order System: N/A Established, Pending Comments: All repairs are outsourced. Repair materials are not routinely used. **For information regarding the medical review and questionnaire, see the Respiratory Protection Program. **
. .
District Safety Committee Members Member Position Building
There are no broken or missing components on the equipment (e.g., handrails, guardrails, protective barriers, steps, or rungs on ladders) and there are no damaged fences, benches, or signs on the playground
How are blood or bodily-fluid-containing materials handled at this facility? Policy regarding cleanup: Custodial staff routinely clean up all fluid spills.
Location of biohazard bags at school: Nurses office Approved disposal location for biohazardous waste: Tracy Hospital
Is the Compressed Gas Plan in place? Yes No N/A Is the Plan current? Yes No N/A Has the Plan been reviewed this school year? Yes No N/A Has the facility been surveyed for compressed gas inventories? Yes No N/A Has training been conducted for affected personnel? Yes No N/A Date: summer 2008 Are records established/maintained to monitor gas inventory? Yes No N/A
Yes
X X X X X X X X X X
18 18 4X15
Has training been provided? Yes No N/A Date: 2/25/05 Presenter: Steve Musser
Inventory Form
Client: Tracy Public Schools
Contact Person: Jo Pyle Hazardous Material Quantity Date:2-13-08 Location Reported on Tier Two Installation Date(s)
Yes Yes
Mid 90s 02
Are MSDS available and located with the chemical inventory? Yes No Do the MSDS concur with the chemical inventory? Yes No Has training been provided for the following staff?
Art Instructors Custodians Food Service
Checklist of E/OHS Activities for Facilities Safety Management and Fire Safety in Schools
Program Contact Person: Jo Pyle Is the Facilities Safety Management program in place? Yes No Does this school use contracted services for the Management Assistant Program? Yes No N/A If no, who is the designated person or persons?
N/A
Recommendations
SPRAY BOOTH
X X X X
Fire control sprinkler heads kept clean Mechanical ventilation provided when spraying is done in enclosed area NO SMOKING signs posted in spray areas, paint rooms, booths, and storage Spray area at least 20 from flames, sparks, operating electrical motors
BOILER ROOM X Fire extinguisher mounted and accessible X No combustibles stored in boiler room X Two exits CORRIDORS, ENTRANCES, STAIRS X All decorations, artwork in corridors limited to 25% of wall surface X All EXIT corridors and hallways free of obstructions X All EXIT doors open in the direction of exit without effort X All EXIT doors posted as exits with letters 5 high and wide X All EXIT signs visible and with working lights, if lighted X Appropriate fire extinguishers are mounted within 75 of outside areas containing flammable liquids and within 10 of any inside storage area for such materials X Buildings over two levels have doors that close automatically in stair tower X Fire extinguishers free from obstruction or blockage X Fire extinguishers provided for the types of materials in the area where used Class A Ordinary combustible material fires Class B Flammable liquid, gas, or grease fires Class C Energized-electrical equipment fires X Fire extinguishers serviced, maintained, and tagged every year X No dead-end corridor >20 X Non-exit doors, passages, and stairways labeled, NOT AN EXIT X Panic hardware on all exit doors and rooms with occupancy of 50 or more X Sprinkler heads protected by metal guards, when exposed to physical damage ELECTRICAL X Extension cords used for permanent wiring X 36 clear access to all electrical control panels for emergency shutdown EXTERIOR X Dumpsters stored at least 5 from any combustible buildings, doors, and windows GYM
X Stage curtain must be flame retardant HOME EC X Outlets within 6 of a water source must be GFC KITCHEN X Exhaust hood, ducts, and filters clear of any grease accumulation X X X X X Fire extinguisher within 30 of cooking equipment (min. 40BC) Hood with auto fire extinguishing system inspected every 6 months Means to shut off gas supply to the cooking equipment for emergency MSDS available Outlets within 6 of a water source must be GFC
SCIENCE LABS CHEMICALS X Chemicals stored in open lab work area kept to a minimum X Neutralizing chemicals and spill kits readily available FIRE SAFETY X Aisles serving work areas on 2 sides at least 42 wide; those serving work areas on one side only must be 36 X Flammable liquids stored in refrigerated equipment in closed containers X Flammable/combustible liquids and chemicals must not be stored in fume hoods or on the floor, except in original container X Refrigerators, freezers, or coolers that store or cool flammable liquids must be of explosion-proof construction and properly labeled X 2A-20BC or larger rated fire extinguisher for each 3,000 feet of lab; travel distance must not exceed 50 from anywhere in room STORAGE X Acids stored in approved cabinets X Chemical storage area must have inventory X Chemical storage area properly ventilated X Chemicals properly labeled X Chemicals stored in approved containers (original shipping package) X Flammable liquids stored in approved cabinets X Shelves used for chemical storage should have lip or guard to prevent chemicals from falling off X Storage cabinets and rooms locked against unauthorized entry VENTILATION
X Hood tested every year X Lab hoods achieve 100 lfm X Means provided for manually shutting down ventilation equipment
STORAGE ROOMS X Room used for storage of combustibles must have 1-hour fire-rated walls (sheet rock or plaster) and fire-rated doors (or solid core 1.75 thick wood doors) with self-closer (or automatic fire sprinklers in them) TECHNICAL LAB AREAS X Compressed gas cylinders (oxygen, acetylene, propane, etc.) secured so they cannot fall over X Emergency stop buttons colored red X Fire extinguishers located within 30 of hazardous processes (painting, welding, and woodworking)mounted and inspected X Flammable liquids stored in approved cabinets X Oil-soaked, greasy, or paint-soaked rags stored in metal containers with lids X Solvent wastes and flammable liquids are kept in fire-resistant, covered containers until they are removed from the worksite X Worksite clean and orderly with clear paths to exit
Completed by ___________________________Date
Has annual report and license application sent in? Yes No N/A
Has the District determined the mechanical ventilation rate of each occupied space? Yes No. Supportive technical services were conducted on: May 15, 2000.
(date)
Is the Laboratory Standard/Chemical Hygiene Plan in place? Yes No N/A Is the Plan current? Yes No N/A Has the Plan been reviewed this school year? Yes No N/A Fume hood was tested on _______________.
(date)
The results indicate air velocity to be: satisfactory, unsatisfactory. Chemical inventory: Date of most recent survey: fall, 2007 Location of inventory listing: Chemistry lab Are Material Safety Data Sheets (MSDSs) located with inventory? Yes No N/A Are the MSDS readily accessible? Yes No N/A Has the DCFL Science Lab Checklist been completed? Yes No N/A Is training for affected personnel complete? Yes No N/A Date(s) of instruction: Roster signed? Yes No N/A Lesson plan outline available with roster? Yes No N/A Status of Emergency Eye Wash/Deluge Shower: Is flushing conducted weekly? Yes No N/A Is descriptive signage properly posted? Yes No N/A Is flushing activity documented? Yes No N/A
Is a map of all potable water taps available for review? Yes No N/A
Automotive Shop Wood Shop Custodial/Maintenanc e Welding Shop Ag Shop Bus Garage Art Scene shop Science Contracted technical services to review and recommend? __________________. Name of person or contractor conducting survey? ___________________.
(date)
Results of technical services located where? ________________________ Checklist for minimum requirements: Power outage protection provided for required equipment Emergency stops provided for required equipment Safe work practice placards at applicable fixed tool stations Proper guards provided and used Color coding as prescribed by OSHA standards Non-slip surfaces by each piece of equipment Fixed equipment secured to prevent walking or movement Has a log of employee accidents and near misses been established and used? Yes No Annual training for affected staff is provided? Yes No Training conducted ____________. Training has been scheduled for ____________. (date)
(date)
There are no broken or missing components on the equipment (e.g., handrails, guardrails, protective barriers, steps, or rungs on ladders) and there are no damaged fences, benches, or signs on the playground All equipment is securely anchored Security of Hardware: There are no loose fastening devices or worn connections, such as Shooks Moving components, such as swing hangers or merry-go-round bearings, are not worn Drainage: The entire play area has satisfactory drainage, especially in heavy use areas such as under swings and at slide exits Leaded Paint: The leaded paint used on the playground equipment has not deteriorated as noted by peeling, cracking, chipping, or chalking There are no areas of visible leaded paint chips or accumulation of lead dust General Upkeep of Playgrounds: The entire playground is free from miscellaneous debris or litter such as tree branches, soda cans, bottles, glass, etc. There are no missing or full trash receptacles
Hand
Hot Glove Latex Vinyl Leather Neoprene Impact Splash Shield Respirator Muffs Plugs Neo Apron Denim Steel Toes Metatarsal Hard Hat
X X
X X
X X X
X X
Face
X X X
X X X X X X X X
Hazard(s)
N/A.
(date)
Type of testing protocol; Irritant Smoke (Stannic Chloride) or Bitrex (Denatonium Benzoate)
Condition and location of respirators: Condition:____new__________ Location(s):__custodial area__________________ Are the appropriate adequate accessories on hand? Yes No N/A Verified by: Lee Carlson Note: The respirators were checked on 3-25-2008 and found to be in like new condition. The respirators are located in the gray cabinet in the boiler room. The particulate filters are also located in the same area. LC
Tank No.
Location
Size
Contents
Registered
Install date
#1 #2 #3 #4
? ? Yes Yes
Regulated Tanks:Motor fuel tanks larger than 110 gallons Non-regulated Tanks:Heating oil tanks Requirements for All USTs: Tank must be registered with MPCA Requirements for Regulated Tanks:Annual tightness testing and inventory control Tank must be updated, replaced, or removed by December 22, 1998 Upgrades: --Overfill protection --Corrosion protection STPI approved --Leak detection Tightness Testing Results on File: Dates of past testing:____________________ Records on file:________________________