Location(s) of devices:
Building Name Location in Building
(2)portable units Travel with athletic teams
(1)Exercise room Public exercise room (gym entrance)
(1)Hall by cafeteria Hall by cafeteria
Has staff been trained on operation of the device? Yes, all school nurses and
Emergency responders are trained biannually. Staff will be trained fall of 2008
Are battery checks documented? Yes, a check list is available at each AED
station
Notes: The health and safety committee determined that two additional units
are needed to better cover the requirements of the school. Renee will check
into purchasing additional units.
Items have been purchased and installed. 12-15-09 LC
Checklist of E/OHS Activities for Asbestos Management
Has the Plan (or Plans) been reviewed this school year? Yes No N/A
9-7-2009
(second date)
Status of the Asbestos repair and maintenance Work Order System: N/A
Established,
Pending
Comments:
**For information regarding the medical review and questionnaire, see the
Respiratory Protection Program.**
Has the Plan been reviewed this school year? Yes No N/A
How is the program communicated to employees? All staff meetings and the
intranet
Is the OSHA 300A Log completed for the previous calendar year? No/last three
years
Have the Logs been maintained for five (5) years? Yes
Is information on injuries recorded on the Log with five (5) working days? Yes
No N/A
Safety Committee – Meeting Schedule
Posting
Building Location FMLA EPPA FLSA EEO
High School x X X X
Elementary
Has the Plan been reviewed this school year? Yes No N/A
X Openings limited to four-inch gap between the railings and between the footboards
and seat boards, starting at a height of 56 inches or more.
Retractable bleachers:
N/A If exempt from standards must have a safety management plan in place and an
amortization schedule to plan for their future replacement
Approved netting:
N/A Netting may be provided to prevent persons from falling through the bleachers
between the seat and footboards
N/A Chain link fencing may be used but must be secured tightly to the underside of the
bleachers.
Railings:
X Bleachers with guardrails over 30 inches above grade must not contain openings
greater than four inches, unless safety nets are installed.
X State building inspectors shall determine whether the safety nets and guardrail climb
ability meet the requirements of the alternate design section of the State Building
Code.
Periodic inspections:
X Bleacher footboards and guardrails must at a minimum be reinspected at least every
five years and a structural inspection at least every ten years. The equipment has no
rust, rot, cracks, or splinters, especially where it comes in contact with the ground
List job categories that may be at risk to exposure: All-staff are considered at
risk of exposure. Training is provided to staff on line using the schools
intranet.A sign-in log is gathered by Renee and filed in the Activities manual.
Temporary or new staff are provided training information after employment by
the school nurse.
Have the employees identified as first aid responders been given at a minimum
Red Cross First Aid Training? Yes No N/A
Location(s):
Status of Declination forms: Staff is provided the opportunity for the hepatitis
B vaccine at the time of employment. Records are maintain in the employees
personnel file.
Note: the school nurse is only on duty 16 hours per week. Training is left up
to the school’s consulting firm. The school nurse provides the declination
forms and a limited amount of bloodborne pathogen information to new staff.
Checklist of E/OHS Activities for Compressed Gas Safety
Has the facility been surveyed for compressed gas inventories? Yes No
Has the Plan been reviewed this school year? Yes No N/A
Adrian Schools
Has the Plan been reviewed this school year? Yes No N/A
Have the State Emergency Response Commission and local fire department
been notified of hazardous materials on school grounds? Yes No N/A
Date:
Presenter:
Note: The Tier Two was submitted by Renee for Roger Graff on 2-22-08. This
was done electronically. The local fire department will be notified by using a
hard copy of the report submitted to the ERC. Copies of the last three years
reports are located in the Activities Manuals.
Shown below is a listing of all Tier II Report submissions. Click on the reporting year to edit the Report for that year. The
link in the Reporting Year column will be enabled if you can edit the data for that year.
Reporting Submission Signed By Signed Date Submission Tier Submission Report Export to
Year Class Status II Type Status Tier II
Submit
2009
Not Started
[Edit]
ADRIAN PUBLIC
2/3/2009 2:51:57
2008 Annual SCHOOL, Completed Online Active
PM
Superintendent
ADRIAN PUBLIC
2/22/2008 10:02:15
2007 Annual SCHOOL, Completed Online Active
AM
Superintendent
ADRIAN PUBLIC
2/8/2007 11:46:31
2006 Annual SCHOOL, Completed Online Active
AM
Superintendent
Roger Graff, 2/27/2006 2:01:00
2005 Annual Completed Online Active
Superintendent PM
Have the program and goals been approved by the School Board for the current
school year? Yes No
Are information maps posted to indicate travel routes in the event of fire,
tornado shelter locations, and procedures during lockdown? Yes No
Does this school coordinate drills with local government authorities to assure
sheltering in school, evacuating to their homes or use of congregate care
centers? Yes No N/A
Has this school completed the Fire Marshall required Fire Safety and Emergency
Evacuation Plan? Yes No N/A
Note: A meeting was held between Mr. Graff, Jeremy and Brian Parrie of
Advanced Security Products and Lee Carlson to discuss additional security
cameras for the exterior of the building. 3-9-2009
Has the program been approved by the School Board for the current school
year?
Yes No
Has the chemical inventory been completed for the following functional areas?
Are MSDS available and located with the chemical inventory? Yes No
Does this school use contracted services for the Management Assistant
Program? Yes No N/A
Is the Fire Marshal approved Emergency Evacuation Plan in place for each
district building? Yes No
Note: Samples of curtains were tested for flammability. The curtains would
not sustain an open flame while exposed to fire. The curtains are believed to
be over 50 years old.
Transportation X
ART
X Emergency phone numbers posted and MSDS available
X Flammable liquids and combustibles stored properly
COMPRESSED GAS
X Cylinders chained in place so they cannot fall over
X Valve covers in place when cylinder not in use
SPRAY BOOTH
X Fire control sprinkler heads kept clean
X Mechanical ventilation provided when spraying is done in enclosed area
X ‘NO SMOKING’ signs posted in spray areas, paint rooms, booths, and storage
X 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
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
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)
Completed by ___________________________Date
Facilities Safety Management Checklist
ART
X Dark room requires eyewash station
X Emergency phone numbers posted and MSDS available
X Flammable liquids and combustibles stored properly
ASBESTOS
X Caution labels and signs used to warn of asbestos
AUTO/METAL SHOP
BAND SAW
X Lower blade fully guarded
X Upper blade guarded with adjustable guard
COMPRESSED GAS
X Cylinders chained in place so they cannot fall over
X Valve covers in place when cylinder not in use
DRILL PRESS
X Drill press permanently mounted
X Guards in place over belts, pulleys, chains, and sprockets
GARAGE DOORS
X Annual inspection
X Automatic reverse mechanism installed and warning sign posted if not
installed
GRINDER
X Adjustable tongue adjusted within ¼” of wheel
X Work rest adjusted to ⅛” of wheel
HOISTS
X Annual inspection
X Controls plainly marked to indicate the direction of travel or motion
X Hook equipped with safety clip
HOISTS (cont’d)
X Overhead electric hoist equipped with a limit device to stop the hook travel
at its highest and lowest point of safe travel
X Rated load of each hoist legibly marked and visible to the operator
METAL LATHE
X Guarding on chuck end
SPRAY BOOTH
X Approved respiratory equipment provided when appropriate
X Area within 3’ around spray booth is clear
X Fire control sprinkler heads kept clean
X Mechanical ventilation provided when spraying is done in enclosed area
X ‘NO SMOKING’ signs posted in spray areas, paint rooms, booths, and storage
X Spray area at least 20’ from flames, sparks, operating electrical motors
BOILER ROOM
X Caution label and signs used to warn of asbestos if needed
X Compressor and moving chains and belts guarded
X Eyewash station provided per pH
X Fire extinguisher mounted and accessible
X Lockout/tagout equipment provided when necessary
X No combustibles stored in boiler room
X Protective gloves, aprons, shields, or other means provided against cuts,
corrosive liquids, and chemicals; goggles, face shields, safety glasses
provided when a danger of flying particles or corrosive materials
X Two exits
CONFINED SPACE
X Warning labels present
ELECTRICAL
X Cover plates present on outlets and switches
X Disconnecting switches and circuit breakers labeled to indicate service area
X Exposed wiring and cords with frayed or deteriorated insulation are repaired
or replaced promptly
X Extension cords used for permanent wiring
X Flexible cords and cables are free of splices and taps
X Light fixtures below 7’ grounded and guarded
X 36” clear access to all electrical control panels for emergency shutdown
X Unused openings in electrical panels and fittings are closed with
appropriate covers, plugs, or plates
EMPLOYER POSTINGS
X OSHA workplace poster displayed in a prominent location
X Summary of OSHA 300/300A log posted in February
EXTERIOR
X Dumpsters stored at least 5’ from any combustible buildings, doors, and
windows
GYM
X Basketball hoops that raise and lower over a seating area have a 2nd safety
strap
X Bleachers must not have >9” gap between seat and footrest (may become
4”)
X Stage curtain must be flame retardant
HOME EC
X First Aid Kit and fire extinguisher available
X ‘Microwave in Use’ sign posted
X Outlets within 6’ of a water source must be GFC
KITCHEN
X Doors on cold storage rooms provided with an inside release mechanism
X Emergency phone numbers posted
X Exhaust hood, ducts, and filters clear of any grease accumulation
X Eyewash if exposed to injurious corrosive materials (oven cleaner)
X Fan should be 3-prong when used in wet area
X Fire blanket available
X Fire extinguisher within 30’ of cooking equipment (min. 40BC)
X First Aid Kit available
X Hood with auto fire extinguishing system inspected every 6 months
X Means to shut off gas supply to the cooking equipment for emergency
X ‘Microwave in Use’ sign posted
X MSDS available
X Outlets within 6’ of a water source must be GFC
X Protective gloves, aprons, shields, or other means provided against cuts,
corrosive liquids, and chemicals
NOISE
X Approved hearing protection available to every employee working in the
area
X Employees in high noise area given periodic audiometric testing
X Noise levels at acceptable levels (<85 dBA) where continuous noise
SCIENCE LABS
CHEMICALS
X Chemicals stored in open lab work area kept to a minimum
X Neutralizing chemicals and spill kits readily available
ELECTRICAL
X Electrical outlets properly grounded
X 36” clear access to electrical panel
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 Fire blanket available
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 Heat sources not left unattended
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
GENERAL
X Emergency phone numbers posted and MSDS available
X Eyewash station and quick drench shower where employees are exposed;
station required if pH <2 or >11, and shower required if pH <1 or >12
X Eyewash station flushed weekly and shower monthly for 3 minutes
X First Aid Kit accessible with necessary supplies
STORAGE
X Acids stored in approved cabinets
X Chemical storage area must have inventory
X Chemical storage area properly ventilated
STORAGE (cont’d)
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
STAIRS
X Handrails on all stairways with 4 or more risers; 1.5” clearance between
handrail and wall; handrail capable of withstanding a load of 200 pounds
X Mid-rail on open stairway
X Slip-resistant step surfaces
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)
WOOD SHOP
JOINTER
X Anti-magnetic shut off switch
X Guarding on both sides of blades
STORAGE
X Quantities or flammable and combustible liquids in excess of 10 gallons
stored in approved storage cabinet or storage room; less than 10 gallons
stored in approved safety cans
TABLE SAW
X Anti-kickback mechanism
X Anti-magnetic shut off switch
Completed by ___________________________Date
Checklist of E/OHS Activities for First Aid/CPR
Have the program and goals been approved by the School Board for the current
school year? Yes No
The local provider determined travel time was estimated to be within the 4-8
minute limit. Therefore Adrian First Responders
will be the designated emergency response provider.
The local provider determined travel time was estimated to be in excess of the
4-8 minute limit. Therefore N/A will be the
designated emergency response person located within the district.
Note: Training for staff will be coordinated through school nurse Mrs.
Damagala. Training on the AEDs located at the fitness center and mobile units
will be coordinated also with the school nurse.
Checklist of E/OHS Activities for Hazardous Waste Management
Have the program and goals been approved by the School Board for the current
school year? Yes No
Did this school generate ten gallons of waste per year? Yes No
Note: In Greater Minnesota, schools generating ten gallons of waste per year or
less do not need a license.
Did this school generate 220 pounds or less per month hazardous waste (about
½ drum or less liquid)? Yes No
Note: Wastes that do not count include antifreeze, cathode ray tubes,
fluorescent lamps, lead acid batteries, pcb ballasts, photo fixer reclaimed on
site, used oil and oil filters.
Has annual report and license application sent in? Yes No N/A
Checklist of E/OHS Activities for Hearing Conservation
Has the program been approved by the School Board for the current school
year? Yes No
Has training been scheduled or completed for affected individuals this school
year? Yes No N/A
Date: 9-26-07
Have the program and goals been approved by the School Board for the current
school year? Yes No
Were occupied areas of the district evaluated using the EPA’s Tools For Schools
check list or equivalent? Yes, the teacher checklists are distributed through the
school’s intranet. Results will be compiled at the end of the year.
• Teachers check list? An information fact sheet was provided all –staff.
# of forms distributed 42 # of Forms returned: 42
Has the District determined the mechanical ventilation rate of each occupied
space? Yes No.
Building:
Recommendations:.
Has the annual monitoring been conducted to determine location and degree of
infestation? Yes No
Note: Plunkett’s Pest Control provides pest control services for the school.
Checklist of E/OHS Activities for Laboratory Standard/Chemical
Hygiene Plan
Has the Plan been reviewed this school year? Yes No N/A
Chemical inventory:
Are Material Safety Data Sheets (MSDSs) located with inventory? Yes No N/A
Has the DCFL Science Lab Checklist been completed? Yes No N/A
Date(s) of instruction:
CONDITION
ITEM CITATION EXISTS LACKING N/A
1) Laboratories must be equipped with adequate
ventilation. For new labs (build after July 1990) an UBC (97) 305.2.4, X
manual shutoff control for the laboratory exhaust 307.5.2, & 1202.2.3
ventilation system must be provided outside of the room, UFC (97) 8004.1.11 &
in a position adjacent to the access door to the room or 8003.1.4.2
in such other location as approved by the fire chief.
2) At least one 2A-20BC, or larger, rated and approved X
portable fire extinguisher must be provided for each
3,000’ of laboratory. Travel distance must not exceed 50’ UFC (97) 1002.1
from anywhere in the lab. At least one fire extinguisher UFC Std. 10-1-3-2
suitable for class D fires must be provided in laboratories
where combustible metals are used and stored.
3) At least one approved fire blanket must be provided in X
UFC (97) 1001.9
each laboratory.
4) Students must be under the direct supervision of a X
faculty member or an assistant at all times. In most
cases it is recommended that direct supervision means
direct eye contact. It is recommended that no more than NFPA 45 (91) 1-4 X
two students be assigned to a lab station, a place in the
room equipped with water, gas, and electricity, or a
place where students do labs.
5) Aisles serving work areas on two sides must be at x
least 42” wide; those serving work areas on one side UFC (97) 1204.2.2 (2)
only must be 36”.
6) Minimum of two means of exit access must be x
provided when:
Existing: lab exceeds 1,000 sq. feet NPFA 45 (91) 3-4.1
New: lab exceeds 200 sq. feet (built after 7/90) UBC (97) 1007.3.8
7) Labs must be separated from each other and other x
portions of the building by not less than a 1-hour
occupancy separation.*
Existing: labs located in buildings protected by automatic UFC (97) Appendix 1-A
extinguishing systems—only smoke separation required 7.2 as amended
New: (built after 7/72)
*Recommend this be determined by a licensed design UBC (97), 305.2.4
professional
8) Labs must be equipped with automatic detection x
electrically interconnected with the building fire alarm UFC (97) 1007.2.4.2 &
system. Exception: labs protected by a complete 1007.2.4.1.1 as
automatic sprinkler system that is interconnected to the amended
building fire alarm require no additional detection.
9) All electrical outlets must be properly grounded and all UFC (97) 8504 x
fixed electrical equipment and appliances must be 99NEC 250-112
plugged in to grounded outlets as required by the
electrical code.
CONDITION
ITEM CITATION EXISTS LACKING N/A
10) Electrical receptacles, switches, and controls must X
NFPA 45 (91) 3-6.1
be located so as not to be subject to liquid spills.
11) Extension cords must not be used as a substitute for X
UFC (97) 8506.1
permanent wiring.
12) The use of multi-plug adapters, octopus X
arrangements, cube adapters, strip plugs, or any other
UFC (97) 8507
device that does not comply with the electrical code is
prohibited.
13) A minimum of 30” of clearance must be maintained X
UFC (97) 8509.2
in front of electrical control panels for access.
14) Written procedures for laboratory emergencies, X
including emergency evacuation, must be developed for NFPA 45 (91) 4-6.3.1
each lab.
15) Piping systems must comply with nationally X
NFPA 45 (91) 8-1.1
recognized standards.
16) Enough eye protection devices (goggles) must be X
provided for every student in the room, visitors, and the MN Public Law, section
teacher whenever potentially hazardous activities are 126.20
taking place.
17) Refrigerators, freezers, and other cooling equipment X
used to store of cool flammable liquids must be of NFPA 45 (91) 9-2.2.2
explosion-proof construction
18) Each refrigerator, freezer, or cooler must be X
prominently labeled to indicate whether it is or is not NFPA 45 (97) 9-2.2.1
suitable for storing flammable liquids.
19) Flammable liquids stored in refrigerated equipment X
NFPA 45 (91) 9-1.6.6
must be in closed containers.
General Science Safety Considerations
For All Laboratories And/or Rooms Where Chemical Demonstrations Are
Conducted
Description: In addition to the provisions that are outlined for any science
laboratory area, the following provisions are specific for chemistry classes (but
may apply to any lab where similar activities are carried on).
CONDITION
ITEM CITATION EXISTS LACKING N/A
1) Proper eyewash facilities must be installed that X
produce 25 psi of water for 15 minutes. Squeeze bottles
do not meet this specification. It is recommended that
eyewash fountains should be located within 25’ of
ANSI Z-358.1-1981
students in any area of the room. The device must be
plumbed into a drinkable water supply. This rule applies
to any rooms where labs are conducted that are
potentially harmful to the eyes.
2) Emissions generated at workstations must be X
confined to the area in which they are generated UBC (97) 1202.2.3
(laboratory hoods).
3) In new labs (build after 7/90) a manual shutoff control X
for the laboratory exhaust ventilation system must be
UBC (97) 1202.2.3
provided outside of the room in a position adjacent to the
UFC (97) 8003.1.4.2
access door to the room or in such other location as
approved by the fire chief.
4) Chemicals stored in the open in the laboratory work X
area must be kept to the minimum necessary for the NFPA 45 (91) 7-2.3.1
work being done.
5) A complete inventory of chemicals on hand must be
maintained and must be available to the fire chief. All UFC (97) 8001.6 X
materials must be dated upon receipt.
6) Persons responsible for each lab must be familiar with X
the chemical nature of the materials present in the lab
UFC (97) 8001.11.1.1
and the appropriate mitigating actions to be taken in
case of fire, leak, or spill.
7) Incoming shipments of chemicals must be transported X
an opened by school personnel familiar with the potential NFPA 45 (91) 7-2.2.1
hazards.
8) Neutralizing chemicals spill kits, dry sand, vermiculite, X
EM Absorbent, and other spill control methods must be UFC (97) 8001.11.1
readily available while the lab is in use.
9) Written maintenance procedures must be established, X
including regular inspection, testing, and maintenance of
NFPA 45 (91) 4-6.2
lab utilities, hood and exhaust systems, pressure
equipment (autoclaves, steam sterilizers, etc.), and
emergency equipment.
10) Lab hoods and special local exhaust systems must X
be labeled to indicate intended use. Hoods in which
NFPA 45 (91) 6-13
radioactive materials are handled must be identified with
the radiation hazard symbol.
11) Provide a properly marked, easily accessible main x
UFC (97) 8004.1.12
gas shutoff valve in the room.
12) Fume/exhaust hoods must be listed (e.g., UL or FM) UFC (97) 8001.4.4 & X
and maintained in proper operating condition. 8001.4.7.1
13) Heat sources (e.g., gas burners, hot plates, heating X
Recommendation
mantles, etc.) should never be left unattended.
CONDITION
ITEM CITATION EXISTS LACKING N/A
14) It is recommended that due to the serious explosion
hazard present, the following chemicals not be used in
an instructional setting:
Benzoyl Peroxide Percholoric Acid Recommendation
Carbon Disulfide Picric Acid
Ethyl Ether Potassium Metal
Magnesium Powdered Metal
15) Loose clothing (e.g., full cut blouses, neckties, etc.)
and long hair should be properly restrained. Also, some
Recommendation
laboratory activities could be dangerous to persons
wearing contact lenses.
CONDITION
ITEM CITATION EXISTS LACKING N/A
1) Quantities of flammable and combustible liquids shall x
not exceed the amounts necessary for demonstration,
treatment, laboratory work, maintenance purposes, or UFC (97) 7902.5.7.2 #3
operation of equipment. Not in any case will it exceed
the limits set forth in table 7902.5-A.
2) Quantities of flammable and combustible liquid in x
excess of 10 gallons must be stored in a flammable
UFC (97) 7902.5.8
liquids cabinet. Quantities not exceeding ten gallons
must be stored in an approved location.
3) The maximum quantity of flammable and combustible x
liquids in storage and use in a lab must not exceed 120
gallons.
Exception: These quantities may be doubled in areas
UFC (97) table 7902.5-A
protected by an automatic extinguishing system.
Exception: These quantities may be doubled if stored in
approved storage cabinets.
(Both exceptions may apply.)
4) Class I flammable liquids may be stored in glass x
containers of not more than one-gallon capacity only if
the required liquid purity would be affected by storage in
a metal container, or if the liquid would cause excessive
corrosion of a metal container. Otherwise, Class I-A
UFC (97) 7902.1-A
liquids are restricted to glass containers not exceeding
one-pint capacity and Class 1-B liquids are restricted to
glass containers not exceeding one-quart capacity.
Class 1-C liquids are permitted to be stored in containers
up to one-gallon capacity.
5) No container for Class I or II liquids in any lab may x
exceed a capacity of one gallon. See table 7902.1-A for UFC (97) 7902.1-A
other limitations.
6) Materials that will react with water or other liquids to x
produce a hazard must not be stored in the same room UFC (97) 7902.5.4
with flammable or combustible liquids.
7) Stored gas cylinders shall have all protective devices x
UFC (97) 7401.7.1
on (caps, collars, and similar devices).
8) All gas cylinders must be secured in a place to x
UFC (97) 7401.6.4
prevent falling.
9) Material Safety Data Sheets (MSDS) must be readily x
UFC (97) 8001.6
available on the premises for all hazardous chemicals.
10) All chemicals must be stored in approved containers x
(if possible, chemicals should be stored in the original UFC (97) 8001.4.2
shipping package).
11) Incompatible materials shall be segregated to x
prevent accidental contact with one another. (Storage of
UFC (97) 8001.11.8
materials which are incompatible shall not be allowed in
the same cabinet or exhausted enclosure.)
CONDITION
ITEM CITATION EXISTS LACKING N/A
12) All shelving must be of substantial construction and x
properly secured to prevent falling over. (Shelving above
UFC (97) 8001.11.9
work areas should be kept free of chemicals; storage
above eye level should be avoided.)
13) Shelving must be equipped with a lip or guard to x
UFC (97) 8001.11.9
avoid products rolling off.
14) Defective containers must be removed and disposed x
UFC (97) 8001.4.7.3
of in a proper manner.
15) Disposal of chemical wastes must be in accordance x
with applicable federal and state regulations and good UFC (97) 8001.5.1
safety practices.
16) All storage cabinets and storage rooms must be x
UFC (97) 8001.11.2
locked or otherwise secured against unauthorized entry.
17) All containers must be properly labeled to identify the X
UFC (97) 8001.7
contents.
18) Toxic and highly toxic compressed gas, Class IV x
liquid, solid oxidizers, unclassified detonable, Class I
UFC (97) 8001.15.2.4
organic peroxides, Class III and IV unstable and reactive
material shall not be allowed in the classroom.
19) When transferring flammable liquids between metal x
containers, the containers must be properly bonded
UFC (97) 8001.11.5
together. The practice of purchasing large containers
and dispensing into smaller ones is discouraged.
CONTAINER TYPE CLASS I-A CLASS I-B CLASS I-C CLASS II CLASS III
1. Glass1 1 pt. 1 qt. 1 gal. 1 gal. 5 gal.
2. Metal or listed approved plastic2 1 gal. 5 gal. 5 gal. 5 gal. 5 gal.
3. Approved plastic 0 gal. 0 gal. 0 gal. 0 gal. 5 gal.
4. Safety cans 2 gal. 5 gal. 5 gal. 5 gal. 5 gal.
5. Metal drum 60 gal. 60 gal. 60 gal. 60 gal. 60 gal.
6. Approved portable tanks 660 gal. 660 gal. 660 gal. 660 gal. 660 gal.
7. Polyethylene3 Note 4 Note 4 Note 4 60 gal. 60 gal.
2. Use secondary containers or trays with sufficient capacity > 100% primary
container.
WARNING!
1. Use a “controlled area” (an exhaust hood, glove box, designated area in a
laboratory with localized ventilation).
WARNING!
8. Normal laboratory work should not be resumed in a space that has been used
as a controlled area until it has been adequately decontaminated. Work
surfaces should be thoroughly washed and rinsed. If experiments have
involved the use of finely divided solid materials, dry sweeping should not be
done. In such cases, surfaces should be cleaned by wet mopping or by use of
a vacuum cleaner equipped with a high efficiency particulate air (HEPA) filter.
All equipment (e.g., glassware, vacuum traps, and containers) that is known
or suspected to have been in contact with substances of high chronic toxicity
should be washed and rinsed before they are removed from the controlled
area.
Is a map of all potable water taps available for review? Yes No N/A
Information was left with staff on the health risk associated with lead on
small children. 10-24-07
Checklist of E/OHS Activities for Lockout/Tagout
Has the Plan been reviewed this school year? Yes No N/A
Have affected personnel been trained as to methods and technique of use? Yes
No N/A
Has the annual audit of energy control procedures been completed? Yes No
Is the Machine Guarding Plan for each affected work area in place? Yes No
Has the alternative MDE “best practices” criteria used to safeguard equipment?
Yes No
Has a log of employee accidents and near misses been established and used?
Yes No
Annual training for affected staff is provided? Yes No
Surfacing:
General Hazards:
X There are no pinch, crush, and shearing points or exposed moving parts
Security of Hardware:
Drainage:
X The entire play area has satisfactory drainage, especially in heavy use
areas such as under swings and at slide exits
Has the Plan been reviewed this school year? Yes No N/A
Note: Garbage Disposer Notice was posted at both food service kitchens.
Training had been provided during the training session of 11-17-09.
12-15-09 LC
Personal Protective Equipment Assessment
Nitrile X X
Latex
Hand Vinyl X X
Leather X X X X
Neoprene X X X
Respirator X X
Face Splash X X X
Shield X X X
Muffs X
Ear
Plugs X X X
Neo Apron X X X X
Body
Denim X
Steel Toes
Foot
Metatarsal
Head Hard Hat
Body fluids, heat, noise, Sound Chemical, open Heat, dust,
electrical, heat, chemicals flame fumes
Hazard(s) noise, chemicals
Comments on
Availability, Good Good Good Good Good
Condition, &
Storage
Does this school provide respirators for voluntary use? Yes No N/A
If the school allows employees to use respirators voluntarily the following is
mandatory.
1. Read and follow instructions provided by manufacturer.
2. Choose respirators certified for use against contaminants of concern.
3. Do not wear respirators in atmospheres containing contaminants not
designed to protect from those contaminants.
4. Keep track of respirators so that you do not mistakenly wear someone
else’s respirator.
Has the Plan been reviewed this school year? Yes No N/A
Location(s): In the oak cabinet located in the custodial room at the west
end of the building.
Note: The respirators are used only on a very limited basis. Paper type masks
are also available to be used in dusty conditions. The units were found to be
in useable clean condition.
Checklist of E/OHS Activities for Underground and Aboveground
Storage Tanks
Are all USTs registered with the Minnesota Pollution Control Agency? Yes No
N/A
Notes:
Records on file:N/A
Department Contact:
• Metals Shop/Ag. FFA John Olson
• Custodial N/A
Welding can conducted indoors or out. The air filter is adequate to handle a
significant particle load.