Health & Safety Programs–

Self Inspection Instructions

A self-inspection is a walk-through of your areas by you or someone in your department with the objective of identifying any unsafe conditions. The inspection should cover every area that is occupied or used by members of your department on a regular basis. This includes but is not limited to offices, laboratories and common rooms.

A. DEPARTMENT CONTACTS

  1. Distribute the link to the special topic to members of your group:
    * Self-Inspection Quarterly Topic for (Q3-09): Periodic Checks, Timely Corrections.
  2. Distribute forms as appropriate to lab contacts for each PI or key contacts for functional unit in your department. There are three separate checklists for Quarter 3, 2009 with questions pertaining to all faculty, staff and students.
    * Special Topic Checklist for Quarter 3, 2009 (SECTIONS 1 and 2)
    * General Workplace Inspection Checklist (for non-lab areas)
    * Laboratory and Shop Inspection Checklist (for labs or areas used for chemical storage)
  3. Complete SECTION 3 on the Special Topic Checklist for Quarter 3, 2009.
  4. Collect and file completed inspection forms from your work area contacts.
  5. Complete and return a copy of the Self-Inspection Summary Form for your department. DON'T FORGET TO LIST ALL THE SPECIFIC ROOM NUMBERS on the Summary Form! The auditor and SC County Inspector look for the individual rooms; "All labs on the second floor of Boswell" is NOT sufficient!
  6. The due date for returning the Self-Inspection Summary form to our office is end-of-business day, October 12, 2009. RETURN ONLY 1 FORM PER DEPARTMENT!
  7. Notify the Health and Safety Programs Office in advance if your department will not be able to meet the due date. "Late" notices will be sent to departments if forms are not received by the due date.


B. WORK AREA CONTACTS

  1. Distribute link to the special topic to members of your lab or office group.
  2. Distribute the questions in SECTION 1 of the Special Topic Checklist for Quarter 3, 2009 for ALL faculty, staff and students to review.
  3. Complete self-inspections in your work area using the Special Topic Checklist AND either the General Workplace or Laboratory and Shop Inspection Checklist for ALL work areas by September 30, 2009.
    * Special Topic Checklist for Quarter 3, 2009 (SECTIONS 2)
    * General Workplace Inspection Checklist (for non-lab areas) or
    * Laboratory and Shop Inspection Checklist (for labs or areas used for chemical storage)
  4. Don't forget to record the room numbers for all rooms at the top of the form.
  5. Record findings, report unsafe conditions to staff who can get them fixed in your department, correct any problems and document in writing the actions taken to correct identified hazards.
  6. Return completed forms to your department contact.

 

C. GENERAL INSTRUCTIONS

  2009
Quarter Ends
Form
Summary
  Quarter 1 3/31/09 Quarterly Lab/Shop Inspection (Q1-'09)
  Quarter 2 6/30/09 Quarterly Lab/Shop Inspection (Q2-'09)
MS Word Icon linking to Q2-08 form pdf icon linking to Q2-08 pdf
  Quarter 3 9/30/09 Special Topic Checklist for Quarter 3, 2009
General Workplace Inspection Checklist
Laboratory and Shop Inspection Checklist
General Workplace Inspection Checklist Lab and Shop Inspection Checklist
Quarter 4 12/31/09 Quarterly Lab/Shop Inspection (Q4-'09)

There is a new Lab and Shop Inspection form EACH quarter with questions covering:

All work areas should complete the appropriate Self-Inspection Checklist for the quarter by the due date. The completed form(s) are maintained by the department Health and Safety Contact (HSC).

A single summary form is returned to our office by the HSC stating that the process has been completed for the department.

Completed checklists and a record of the actions taken to correct identified unsafe conditions are kept on file by the department for three years (Santa Clara County and Cal/OSHA requirements).

 

Updated 8/28/09 @12:29

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