| HAZARD |
satisfactory |
Needs
Attention |
Target Date of
Correction |
Date
Corrected |
| Are all occupational injury or illnesses, except minor injuries requiring only first aid, being recorded as required on the Cal/OSHA Form 300? |
|
|
|
|
| Are employee medical records and records of employee exposure to toxic substances or harmful physical agents up-to-date? |
|
|
|
|
| Have arrangements been made to maintain required records for the legal period of time for each specific type record? (Some records must be maintained for at least 40 years.) |
|
|
|
|
| Are operating permits and records up-to-date for such items as elevators, air pressure tanks, and liquefied petroleum gas tanks, etc.? |
|
|
|
|
| Are carcinogen permits and records filed with Cal/OSHA as required? (Contact the nearest Cal/OSHA office for the list of regulated carcinogens.) |
|
|
|
|
| Are employee safety and health training records maintained? |
|
|
|
|
| Is documentation of safety inspections and corrections maintained? |
|
|
|
|
| Are safety committee meeting records maintained? |
|
|
|
|
| |
|
| Name |
Date |
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