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Safety Inspection Forms

Procedures and Forms
  • This plan illustrates how employees and safety committee members should respond to safety concerns.

    First Situation: Immediate and/or Life Threatening Danger

    1. If there is an immediate danger to an employee or student, the individual performing the inspection or observing the situation should:
    2. Alert anyone in the area of danger.
    3. Secure the area and/or isolate the danger.
    4. Notify the supervisor for the area.
    5. Notify the maintenance department.
    6. Document who has been contacted.
    7. Submit the inspection or information to the safety committee chair/representative.
    8. Have the chair/representative send a copy of the inspection to the supervisor, so they can indicate how the situation was or will be resolved.

    An example of this may be a bare electrical wire, wet or slippery floors, broken pipes, leaking oils or chemicals, or improper use of equipment.

    Second Situation: Other Safety Concerns

    1. When an inspection reveals an unsafe situation, the inspector should:
    2. Share information with the safety committee chair.
    3. Provide the chair with a copy of the Inspection Form, so they may send it and a Safety Inspection Response Form to the department supervisor.
    4. Have the supervisor document on the Safety Inspection Response Form when and what action was or will be taken, if any, to correct the concern and then return the form back to the chair within five days (ie. work order processed, organized area, cleaned hallway, etc.).

    An example of this may include burned out lights, missing exit or emergency shelter signs, cord covers, and broken or missing hand rail. 

    1. This plan illustrates how employees and safety committee members should respond to safety concerns.
    2. Designate a person (physical plant director and/or campus safety chair) to represent the institution for all external safety related inspections (i.e. OSHA, state, fire, and insurance inspections). The safety committee MUST receive documentation of this inspection.
    3. Meet the inspector or compliance officer and verify credentials, purpose of the visit, the standards that apply, and the scope of the visit. Find out as much as possible about the qualifications of the inspector and their expertise, as well as how CCC was selected for the visit.
    4. Provide safety related records for review. Document all notes and information provided to the inspector.
    5. Accompany the inspector or compliance officer through the facilities. Document all questions raised and all sites visited. Note any samples, pictures, or other monitoring records taken. All unsafe or unhealthy working conditions identified on the inspection must be noted.
    6. Participate in a closing conference at the end of the inspection. Record all problems that were identified and the need for improvements.
    7. Prepare a report of the experience for CCC administrators and present this report as soon as possible so an action plan can be developed in response to anticipated rulings or directives of the inspection agent.
    8. Prepare for appeals and/or clarification to rulings and directives.
    9. Keep an accurate file and record of all pertinent information, correspondences, and actions taken.