|
|
| Name of school: |
| Date of inspection: |
| Career-Technical program/course/room: |
| Signature of inspector: |
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All
Career-Technical Programs Applicable and Potentially Applicable Checklists |
Applicable Checklists (to all programs)
Potentially Applicable Checklists (to all programs)
Career-Technical Program Areas
Agricultural Education
Business Education
Career-Technical Home Economics
Communications Technologies
Construction Trades
Engineering-Related Technologies
Health Occupations Education
Home Economics Related Occupations Education
Marketing Education
Mechanics and Repairers
Personal and Miscellaneous Services
Precision Production
Trade and Industrial Education
Transportation and Materials Moving Worker
Visual and Performaing Arts
Checklist |
|
Date |
Date |
| Access to Exposure and Medical Records |
______ |
__/__/__ |
__/__/__ |
| Alarm Systems and Evacuation Plans |
______ |
__/__/__ |
__/__/__ |
| Electrical Components and Equipment for General Use |
______ |
__/__/__ |
__/__/__ |
|
______ |
__/__/__ |
__/__/__ |
|
| Electrical--Temporary Wiring |
______ |
__/__/__ |
__/__/__ |
| Electrical--Wiring Design and Protection |
______ |
__/__/__ |
__/__/__ |
| General Classroom Conditions |
______ |
__/__/__ |
__/__/__ |
| General Fire Requirements |
______ |
__/__/__ |
__/__/__ |
| Hazard Communication |
______ |
__/__/__ |
__/__/__ |
| Indoor Air Quality |
______ |
__/__/__ |
__/__/__ |
| Means of Egress |
______ |
__/__/__ |
__/__/__ |
| Medical Services and First Aid |
______ |
__/__/__ |
__/__/__ |
| Occupational Injury and Illness Reporting |
______ |
__/__/__ |
__/__/__ |
| Occupational Safety and Health and Environmental Safety Plan |
______ |
__/__/__ |
__/__/__ |
| Portable Fire Extinguishers |
______ |
__/__/__ |
__/__/__ |
| Use of Electrical Equipment |
______ |
__/__/__ |
__/__/__ |
|
Checklist |
|
|
Date |
Date |
| Fixed Ladders (for classrooms that have fixed ladders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fixed Stairs (for classrooms that have stairs inside the classroom leading to a storage platform or work area) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Guarding Floors, Stairs, and Other Openings (for classrooms that have floor holes greated than 1 inch in diameter, open holes, open-sided platforms, or raised storage areas) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Mobile Ladder Stands (for classrooms that have mobile ladder stands--has wheels--for reaching high places like light bulbs in high ceilings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Ladders (for classrooms that have portable wooden and metal ladders, including step ladders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Standpipe and Hose Fire Protection Systems (for classrooms that have standpipe connections for fire hoses or fire fighting hoses) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Agricultural Business and Management Agricultural Mechanics Animal Sciences Environmental Occupations Environmental Studies Greenhouse Operation and Management Horticulture |
Landscaping Natural Resources Nursery Operation and Management Plant Science Small Animal Care Veterinary Assistant |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Abrasive Wheel Machinery and Tools (for programs that use fixed and portable abrasive wheels in a non-farm setting) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Air Receivers for compressed Gas (for programs that have an air receiver for compressed gas in a non-farm setting) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Asbestos During Brake and Clutch Service Work (for programs which perform asbestos brake and clutch service work) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Dip Tanks Containing Flammable or Combustible Liquids (for programs that use dip tanks with flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Guarding of Farm Equipment (for programs using farm equipment in a farm setting) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Jacks and Hoists (for programs that use jacks or hoists) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Pesticides (for programs that use pesticides) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Hand and Power Tools (for programs that use portable hand and power tools) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Powered Lawnmowers (for programs that use or repair lawnmowers) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for non-farm machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Mechanical Power-Transmission Apparatus (for programs with fixed power-driven machinery and other non-farm power-driven equipment in a non-farm setting) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Noise (Occupational) (for programs which generate high noise levels in the classroom by using noisy equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Servicing Applicances Which Contain Refrigerant (for programs that service any equipment that contain refrigerant) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Servicing and Repair of Motor Vehicle Air Conditioners (MVACs) (for programs that services MVACs which contain refrigerant) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--General Requirements (for programs that use any slings in a non-farm setting) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Natural Rope, Synthetic Rope, and Synthetic Web (for programs that use these types of slingsin a non-farm setting) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Steel Chain, Wire Rope, and Metal Mesh (for programs that use these types of slings in a non-farm setting) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airborne exposure in a non-farm setting) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Underground Storage Tanks (UST) (for porgrams that have a UST) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding, Cutting, and Brazing--General Requirements (for programs that perform any welding, cutting, or brazing) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding and Cutting with Oxygen-Fuel Gas (for programs that perform welding or cutting with oxygen-fuel gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Arc Welding Equipment (for programs that perform arc welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Resistance Welding Equipment (for programs that perform resistance welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Accounting Technician Bookkeeper Business and Office Other Computer Applications Computer Programming General Office Information Processing |
Legal Secretary Medical Secretary Office Supervision and Management Office Systems Technology Secretarial Word Processing |
Potentially Applicable Checklists
No additional checklists are applicable to these programs.
See Checklists Applicable to All Programs and Checklists Potentially Applicable to All Programs.
|
Commercial Photography Dance/Performing Arts Drama/Theater Arts Graphic Design, Commercial Art, and Illustration |
Graphic Design, Photography, and Video Technician Radio/Television Production and Broadcasting Technology/Technician Technical Theater/Theater Design and Stage Visual and Performing Arts |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
|
Air Pollution Control (for programs that release any pollutants into the air) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Dip Tanks Contining Flammable or Combustible Liquids (for programs that use dip tanks with flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for any machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Mechanical Power-Transmission Apparatus (for programs with fixed power-driven machinery and other power-driven equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Nonionizing Radiation (for any programs that might generate microwave or radio frequency radiation) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Spray Finishing (for any programs that do spray finishing using flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airborne exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Building and Property Maintenance Building Trades Carpenter Electric Power Transmission Installers |
Electrician Mason and Tile Setter Painter and Wall Coverer Plumber and Pipefitter |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Abrasive Wheel Machinery and Tools (for programs that use fixed and portable abrasive wheels) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Air Pollution Control (for programs that release any pollutants into the air) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Air Receivers for Compressed Gas (for programs that have an air receiver for compressed gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Control of Hazardous Energy Sources (for programs that need to lock or tagout potential energy sources such as electrical equipment prior to maintenance or repair activities) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Electrical Safety Work Practices (for programs that have a risk of electrical shock) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Electrical Work Practices for Construction (for any electrical work at construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fall Protection--Part 1 (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fall Protection--Part 2 (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fall Protection--Part 3 (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fire Protection and Prevention for Construction (for any work at construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| General Safety and Health Provisions for Construction (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Jacks and Hoists (for programs that use jacks or hoists) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for any machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Mechanical Power-Transmission Apparatus (for programs with fixed power-driven machinery and other power-driven equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Noise (Occupational) (for programs which generate high noise levels in the classroom by using noisy equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Noise, Radiation, and Other Exposures for Construction (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Personal Protection for Electrical Work (for programs that have a risk of electrical shock) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Hand and Power Tools (for programs that use portable hand and power tools) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Ladders for Construction (for any ladders used at construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Scaffolding--Part 1 (for any scaffolding used at construction sites or for painting and repairs) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Scaffolding--Part 2 (for any scaffolding used at construction sites or for painting and repairs) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Servicing Appliances Which Contain Refrigerant (for programs that perform any work on any appliance or unit that contain refrigerant) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--General Requirements (for programs that use any sligns) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Natural Rope, Synthetic Rope, and Synthetic Web (for programs that use these types of slings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Steel Chain, Wire Rope, and Metal Mesh (for programs that use these types of slings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Spray Finishing (for any programs that do spray finishing using flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airborne exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Underground Storage Tanks (UST) (for programs that have a UST) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding, Cutting, and Brazing--General Requirements (for programs that perform any welding, cutting, or brazing) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding and Cutting with Oxygen-Fuel Gas (for programs that perform welding or cutting with oxygen-fuel gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Arc Welding Equipment (for programs that perform arc welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Resistance Welding Equipment (for programs that perform resistance welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--General Requirements (for programs that use woodworking machinery) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--Saws (for programs that use saws) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--Other Than Saws (for programs that use woodworking machinery other than saws) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Architectural Engineering Technician Automotive Technology/Technician Computer Maintenance Technician Computer Technology/Technician Electrical/Electronic Engineering Technician |
Electromechanical Technology/Technician Mechanical Design Technology/Technician Mechanical Engineering Technician Plastics Technology/Technician Robotics |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Abrasive Wheel Machinery and Tools (for programs that use fixed and portable abrasive wheels) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Air Pollution Control (for programs that release any pollutants into the air) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Air Receivers for Compressed Gas (for programs that have an air receiver for compressed gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Asbestos During Brake and Clutch Service Work (for programs which perform asbestos brake and clutch service work) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Control of Hazardous Energy Sources (for programs that need to lock or tagout potential energy sources such as electrical equipment prior to maintenance or repair activities) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Dip Tanks Contining Flammable or Combustible Liquids (for programs that use dip tanks with flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Electrical Safety Work Practices (for programs that have a risk of electrical shock) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Electrical Work Practices for Construction (for any electrical work at construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fall Protection--Part 1 (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fall Protection--Part 2 (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fall Protection--Part 3 (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fire Protection and Prevention for Construction (for any work at construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| General Safety and Health Provisions for Construction (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Jacks and Hoists (for programs that use jacks or hoists) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for any machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Mechanical Power-Transmission Apparatus (for programs with fixed power-driven machinery and other power-driven equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Noise (Occupational) (for programs which generate high noise levels in the classroom by using noisy equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Noise, Radiation, and Other Exposures for Construction (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Personal Protection for Electrical Work (for programs that have a risk of electrical shock) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Hand and Power Tools (for programs that use portable hand and power tools) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Ladders for Construction (for any ladders used at construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Scaffolding--Part 1 (for any scaffolding used at construction sites or for painting and repairs) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Scaffolding--Part 2 (for any scaffolding used at construction sites or for painting and repairs) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Servicing Appliances Which Contain Refrigerant (for programs that perform any work on any appliance or unit that contain refrigerant) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Servicing and Repair of Motor Vehicle Air Conditioners (MVACs) (for programs that service MVACs) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Servicing Multi-Piece Rims (for programs servicing rims on large vehicles--not automobiles) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--General Requirements (for programs that use any sligns) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Natural Rope, Synthetic Rope, and Synthetic Web (for programs that use these types of slings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Steel Chain, Wire Rope, and Metal Mesh (for programs that use these types of slings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Spray Finishing (for any programs that do spray finishing using flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airborne exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Underground Storage Tanks (UST) (for programs that have a UST) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding, Cutting, and Brazing--General Requirements (for programs that perform any welding, cutting, or brazing) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding and Cutting with Oxygen-Fuel Gas (for programs that perform welding or cutting with oxygen-fuel gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Arc Welding Equipment (for programs that perform arc welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Resistance Welding Equipment (for programs that perform resistance welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--General Requirements (for programs that use woodworking machinery) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--Saws (for programs that use saws) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--Other Than Saws (for programs that use woodworking machinery other than saws) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Dental Assistant Dental Laboratory Technician Emergency Medical Technician Health Aide Health Careers Health Occupatins Health Unit Coordinator/Ward Clerk Home Health Aide Medical Assistant |
Medical Office Management Medical Records Technician Medical Transcriber Nursing Assistant Nursing Assistant/Dental Assistant Nursing Assistant/Home Health Aide Nursing Assistant/Unit Secretary Practical Nursing |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Bloodborne Pathogens (for programs that have the potential for exposure to bloodborne pathogens and other potentially infectious materials) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Regulated Medical Waste (for programs that generate waste and sharps contaminated with blood or other infectious agents) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airbrone exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Child Care and Guidance Worker Child Care Provider/Assistant Clothing, Apparel, and Textile Worker |
Commercial Garment and Apparel Worker Fashion/Fabric Consultant |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machinery--General Requirements (for any machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Hand and Power Tools (for programs that use portable hand and power tools) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Business and Personal Services Marketing Entrepreneurship Fashion Merchandising General Marketing Operatins |
General Selling Skills and Sales Operations Hospitality and Recreation Marketing Operations Hotel/Motel Services Marketing Operations Supermarket Careers |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 1 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 2 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 3 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 4 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 5 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Hand and Power Tools (for programs that use portable hand and power tools) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Automotive body Repairer Automotive Mechanic Automotive Service Business Machine Repairer Communications Electronics Diesel Engine Mechanic Electric/Electronic Equipment Installers Heating, Air Conditioning and Refrigeration Mechanic |
Industrial Electronics Installer and Repairer Major Appliance Repairer Mechanical Repair Power Mechanic Small Engine Repairer Stationary Energy Sources Installer/Operator Vehicle/Mobile Equipment Mechanic and Repairer |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Abrasive Wheel Machinery and Tools (for programs that use fixed and portable abrasive wheels) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Air Pollution Control (for programs that release any pollutants into the air) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Air Receivers for Compressed Gas (for programs that have an air receiver for compressed gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Asbestos During Brake and Clutch Service Work (for programs which perform asbestos brake and clutch service work) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Control of Hazardous Energy Sources (for programs that need to lock or tagout potential energy sources such as electrical equipment prior to maintenance or repair activities) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Dip Tanks Contining Flammable or Combustible Liquids (for programs that use dip tanks with flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Electrical Safety Work Practices (for programs that have a risk of electrical shock) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Electrical Work Practices for Construction (for any electrical work at construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fall Protection--Part 1 (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fall Protection--Part 2 (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fall Protection--Part 3 (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fire Protection and Prevention for Construction (for any work at construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| General Safety and Health Provisions for Construction (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Jacks and Hoists (for programs that use jacks or hoists) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for any machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Mechanical Power-Transmission Apparatus (for programs with fixed power-driven machinery and other power-driven equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Noise (Occupational) (for programs which generate high noise levels in the classroom by using noisy equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Noise, Radiation, and Other Exposures for Construction (for any construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Personal Protection for Electrical Work (for programs that have a risk of electrical shock) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Hand and Power Tools (for programs that use portable hand and power tools) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Ladders for Construction (for any ladders used at construction sites) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Powered Lawnmowers (for any ladders use or repair lawnmowers) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Scaffolding--Part 1 (for any scaffolding used at construction sites or for painting and repairs) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Scaffolding--Part 2 (for any scaffolding used at construction sites or for painting and repairs) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Servicing Appliances Which Contain Refrigerant (for programs that perform any work on any appliance or unit that contain refrigerant) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Servicing and Repair of Motor Vehicle Air Conditioners (MVACs) (for programs that service MVACs) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Servicing Multi-Piece Rims (for programs servicing rims on large vehicles--not automobiles) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--General Requirements (for programs that use any sligns) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Natural Rope, Synthetic Rope, and Synthetic Web (for programs that use these types of slings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Steel Chain, Wire Rope, and Metal Mesh (for programs that use these types of slings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Spray Finishing (for any programs that do spray finishing using flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airborne exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Underground Storage Tanks (UST) (for programs that have a UST) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding, Cutting, and Brazing--General Requirements (for programs that perform any welding, cutting, or brazing) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding and Cutting with Oxygen-Fuel Gas (for programs that perform welding or cutting with oxygen-fuel gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Arc Welding Equipment (for programs that perform arc welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Resistance Welding Equipment (for programs that perform resistance welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--General Requirements (for programs that use woodworking machinery) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--Saws (for programs that use saws) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--Other Than Saws (for programs that use woodworking machinery other than saws) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Baker/Pastry Chef Cosmetologist Culinary Arts Related Services Culinary Arts/Chef Training |
Kitchen Personnel/Cook and Assistant Nail Technologist Personal Services Precision Food Production |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Bakery Equipment (general for programs that use any bakery equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Bakery Flour-Handling Equipment and Ovens (for programs that use bakery flour-handling equipment and ovens) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fire Protection for Cooking Areas (for any range hoods and areas which might produce grease laden vapors) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 1 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 2 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 3 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 4 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 5 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for any machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Mechanical Power-Transmission Apparatus (for programs with fixed power-driven machinery) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Hand and Power Tools (for programs that use hand and power tools) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airborne exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Architectural Drafting Cabinet Maker and Millworker Computer Integrated Manufacturing Drafting Drafting and Design Technology General Manufacturing Graphic and Printing Equipment Operator Litographer and Platemaker Machine Shop |
Mechanical Drafting Metal Fabrication Metal Patternmaking Printing Press Operations Sheet Metal Worker Typesetter and Composer Upholsterer Welder/Welding Technologist |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Abrasive Wheel Machinery and Tools (for programs that use fixed and portable abrasive wheels) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Air Pollution Control (for programs that release any pollutants into the air) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Air Receivers for Compressed Gas (for programs that have an air receiver for compressed gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Control of Hazardous Energy Sources (for programs that need to lock or tagout potential energy sources such as electrical equipment prior to maintenance or repair activities) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Electrical Safety Work Practices (for programs that have a risk of electrical shock) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Jacks and Hoists (for programs that use jacks or hoists) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for any machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Mechanical Power-Transmission Apparatus (for programs with fixed power-driven machinery and other power-driven equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Noise (Occupational) (for programs which generate high noise levels in the classroom by using noisy equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Personal Protection for Electrical Work (for programs that have a risk of electrical shock) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--General Requirements (for programs that use any sligns) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Natural Rope, Synthetic Rope, and Synthetic Web (for programs that use these types of slings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Steel Chain, Wire Rope, and Metal Mesh (for programs that use these types of slings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Spray Finishing (for any programs that do spray finishing using flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airborne exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding, Cutting, and Brazing--General Requirements (for programs that perform any welding, cutting, or brazing) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding and Cutting with Oxygen-Fuel Gas (for programs that perform welding or cutting with oxygen-fuel gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Arc Welding Equipment (for programs that perform arc welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Resistance Welding Equipment (for programs that perform resistance welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--General Requirements (for programs that use woodworking machinery) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--Saws (for programs that use saws) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Woodworking Machinery--Other Than Saws (for programs that use woodworking machinery other than saws) |
_____ |
______ |
__/__/__ |
__/__/__ |
Architectural Drafting
Architectural Engineering Technician
Automotive Body Repairer
Automotive Mechanic
Automotive Service
Automotive Technology/Technician
Baker/Pastry Chef
Building and Property Maintenance
Building Trades
Business Machine Repairer
Cabinet Maker and Millworker
Carpenter
Commercial Photography
Communications Electronics
Computer Integrated Manufacturing
Computer Maintenance Technician
Computer Technolgy/Technician
Cosmetologist
Culinary Arts Related Services
Culinary Arts/ Chef Training
Custodial, Housekeeping and Home Services
Custodian/Caretaker
Dance--Performing Arts
Diesel Engine Mechanic
Drafting
Drafting and Design Technology
Drama/Theater Arts
Dry Cleaning and Launder/Power Sewing
Dry Cleaning and Launderer
Electric Power Transmission Installers
Electric/Electronic Equipment Installers
Electrical/Electronic Engineering Technician
Electrician
Electromechanical Technology/Technician
General Manufacturing
Graphic and Printing Equipment Operator
Graphic Design, Commercial Art, and Illustration
Graphic Design, Photography, and Video Technician
Heating, Air Conditioning, and Refrigeration Mechanic
Industrial Electronics Installer and Repairer
Institutional Food Worker
Kitchen Personnel/Cook and Assistant
Lithographer and Platemaker
Machine Shop
Major Appliance Repairer
Marine Environment Occupations
Marine Maintenance
Mason and Tile Setter
Materials Handler
Mechanical Design Technology/Technician
Mechanical Drafting
Mechanical Engineering Technician
Mechanical Repair
Metal Fabrication
Metal Patternmaking
Nail Technologist
Painter and Wall Coverer
Personal Services
Plastics Technology/Technician
Plumber and Pipefitter
Power Mechanic
Precision Food Production
Printing Press Operations
Radio/TV Production and Broadcasting Technician
Robotics
Sheel Metal Worker
Small Appliance Repairer
Small Engine Repairer
Stationary Energy Sources Installer/Operator
Technical Theater/Theater Design and Stage
Typesetter and Compser
Upholsterer
Vehicle/Mobile Equipment Mechanic and Repairer
Visual and Performing Arts
Warehouse Worker
Water Transportation Worker
Welder/Welding Technologist
|
Materials Handler Marine Environment Occupations Marine Maintenance |
Warehouse Worker Water Transportation Worker |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Abrasive Wheel Machinery and Tools (for programs that use fixed and portable abrasive wheels) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Air Pollution Control (for programs that release any pollutants into the air) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Air Receivers for Compressed Gas (for programs that have an air receiver for compressed gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Control of Hazardous Energy Sources (for programs that need to lock or tagout potential energy sources such as electrical equipment prior to maintenance or repair activities) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Dip Tanks Contining Flammable or Combustible Liquids (for programs that use dip tanks with flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Electrical Safety Work Practices (for programs that have a risk of electrical shock) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Jacks and Hoists (for programs that use jacks or hoists) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for any machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Mechanical Power-Transmission Apparatus (for programs with fixed power-driven machinery and other power-driven equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Noise (Occupational) (for programs which generate high noise levels in the classroom by using noisy equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Personal Protection for Electrical Work (for programs that have a risk of electrical shock) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Hand and Power Tools (for programs that use portable hand and power tools) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--General Requirements (for programs that use any sligns) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Natural Rope, Synthetic Rope, and Synthetic Web (for programs that use these types of slings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Slings--Steel Chain, Wire Rope, and Metal Mesh (for programs that use these types of slings) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airborne exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding, Cutting, and Brazing--General Requirements (for programs that perform any welding, cutting, or brazing) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding and Cutting with Oxygen-Fuel Gas (for programs that perform welding or cutting with oxygen-fuel gas) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Arc Welding Equipment (for programs that perform arc welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Welding with Resistance Welding Equipment (for programs that perform resistance welding) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Commercial Photography Dance/Performing Arts Drama/Theater Arts Graphic Design, Commercial Art, and Illustration |
Graphic Design, Photography, and Video Technician Radio/Television Production and Broadcasting Technology/Technician Technical Theater/Theater Design and Stage Visual and Performing Arts |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
|
Air Pollution Control (for programs that release any pollutants into the air) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Dip Tanks Contining Flammable or Combustible Liquids (for programs that use dip tanks with flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for any machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Mechanical Power-Transmission Apparatus (for programs with fixed power-driven machinery and other power-driven equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Nonionizing Radiation (for any programs that might generate microwave or radio frequency radiation) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Spray Finishing (for any programs that do spray finishing using flammable or combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airborne exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Custodial, Housekeeping, and Home Services Custodian/Caretaker Dry cleaning and Launder/Power Sewing |
Dry Cleaner and Launderer Institutional Food Worker |
|
Checklist |
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|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Abrasive Wheel Machinery and Tools (for programs that use fixed and portable abrasive wheels) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Air Pollution Control (for programs that release any pollutants into the air) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Bakery Equipment (general for programs that use any bakery equipment) |
_____ |
______ |
__/__/__ |
__/__/__ |
|
Bakery Flour-Handling Equipment and Ovens (for programs that use bakery flour-handling equipment and ovens) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Fire Protection for Cooking Areas (for any range hoods and areas which might produce grease laden vapors) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 1 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 2 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 3 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 4 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Food Preparation and Service--Part 5 (for programs that prepare or serve food for others) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Machines--General Requirements (for any machinery and tools, including fans) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Mechanical Power-Transmission Apparatus (for programs with fixed power-driven machinery) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Portable Hand and Power Tools (for programs that use hand and power tools) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airborne exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
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