Safety Compliance Checklist Template - Free Download
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EVALUATION
STANDARD
Asbestos Management
Other Factors:
Notes:
Score:
VAT floors maintained
Damage to ACBM
Warning labels/signs
Reporting of damaged ACBM
Others
Campus Security
Other Factors:
Score:
Notes:
Graffiti removed daily
Identification badges
Crime reporting
Room to Office communications
Exterior lighting
Others
Chemical Safety
Other Factors:
Score:
Notes:
Personal Protective Equipment
Proper labeling & signs
Grounding/Bonding
Spill response kits
Flammable liquid storage
District approved chemicals
Gas cylinders secured
Emergency eyewash
Others
Page 1 of 5
OEHS School Safety Compliance Checklist
SSCC Worksheet v. 2 September 2007
-
Threshold Questions
YES
NO
Is the Asbestos Management Plan kept in a designated location, readily available, and updated with the current 6-month and 3-year
inspection results [Check that the update is consistent with AHERA regulations.]
Has staff received appropriate asbestos awareness training [Determine if Plant Manager & custodial staff have received 2-hour
asbestos awareness training and if all staff is aware of District policy on handling asbestos containing materials.]
Is all work on asbestos-containing materials performed by properly trained personnel [Evaluation should be based on staff
interviews, field observations, and review of Contact Log.]
Threshold Questions
YES
NO
Is the school perimeter fencing secure, in good condition, and are gates locked
Is there a visitor check in procedure in compliance with the Visitors to School Campuses policy [per BUL-1 325.0]
Is there a written procedure for communicating classroom or play yard emergencies to the main office [Review written procedure
and assess overall staff awareness of procedure.]
Is there adequate lighting for after school activities
Threshold Questions
YES
NO
Is Hazard Communication training provided at time of initial assignment and when new hazards are introduced into the work place
[Confer with school administration and review the available documentation.
Is an inventory of all chemicals used on campus kept in a designated location and readily available [To include cleaning products,
office and art supplies]
Are MSDSs readily accessible for all chemicals listed on the inventory [MSDSs should be kept in a centralized location known to all
staff members.]
Are cleaners and other non-laboratory chemical products properly stored, secured, and disposed of
SCHOOL SAFETY COMPLIANCE CHECKLIST
Los Angeles Unified School District
Inspection Date:
Facility:
OEHS Inspector:
Revision:
Local District:
Office of Environmental Health and Safety
Facility Inspection Program
333 South Beaudry Avenue
Los Angeles, CA 90017
Phone: (213) 241-3199
Fax: (213) 241-6816
Original Inspection Date:
Save Data
source: achieve.lausd.net
