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You MUST assess your operation before using this checklist. IF ONLY Non-Combustible particulate Solids are at this locat
this checklist CANNOT be used for COMBUSTIBLE WOOD DUST at the location or specific area. Answer the questions belo
status.
Question
Number
CRITICAL NOTE(S):
STATUS
Y for YES,
N for NO
DETERMINATION, REQUIREMENT,
OBSERVATION, MEASUREMENT
A
NFPA 91
B
NFPA 664
C
NFPA 664
Overall response
is:
WHAT NEXT
IF NO - CONTINUE to
A lumber mill?
N
n
N
N
N
N
N
N
N
Y
0
0
0
0
0
0
0
0
0
1
Process wood?
Manufacture wood products?
Use wood or cellulosic fiber as a substitute for or additive to wood fiber?
Overall response
is:
C.1
This location conducts woodworking operations that occupy areas which equal
or exceed 5000 square feet (Ft2) which is equivalent to 465 square meters
(M2). (Length X Width = 5,000 ft2 OR 465 M2)
C.2
MY
STATUS
OR
0
RESULTS
Initial:
Follow-Up:
Question
Number
50%
100%
10
10
SECTION - 1
CAUTION! The following NFPA Codes are extensive and cannot be adequately summarized within this chec
common electrical problems that can generate or become ignition sources will be summarized. Their code
MUST be retrieved and MUST meet the applicable code requirements in the applicable NFPA code.
NFPA 77 - RECOMMENDED PRACTICE ON STATIC ELECTRICITY
NFPA 79 - ELECTRICAL STANDARD FOR INDUSTRIAL MACHINERY
F1.1
F1.1
F1.3
F1.4
F1.5
F1.6
F1.7
100%
100%
100%
100%
100%
100%
100%
1.1
1.2
1.3
1.4
1.5
1.6
1.7
100%
0%
0%
0%
100%
100%
100%
F1.8
100%
1.8
100%
F1.9
100%
1.9
0%
F1.10
100%
1.10
0%
FIX WHAT?
100%
NO FIX NEEDED
1.1
Where?
100%
NO FIX NEEDED
0%
0%
Control
accomulation and
apply Housekeeping
Where?
0%
100%
NO FIX NEEDED
100%
NO FIX NEEDED
100%
NO FIX NEEDED
100%
NO FIX NEEDED
0%
Install overcurrent
devices as needed
0%
NFPA 77
1.2
NFPA 77
1.3
NFPA 77
1.4
NFPA 77
1.5
NFPA 77
1.6
i
NFPA 79
1.7
Are ground terminals & enclosed local disconnects present for machinery?
NFPA 79
1.8
NFPA 79
1.9
NFPA 79
1.10
0%
NFPA 79
RESULTS
Initial:
63%
SECTION - 2
8
CAUTION! NFPA 70 & 70E Codes are extensive and cannot be adequately summarized within this checklist. Equivalently, look for common electrica
sources. Code compliant solution MUST be retrieved and meet the applicable NFPA requirements.
NFPA 499 - RECOMMENDED PRACTICE FOR THE CLASSIFICATION OF COMBUSTIBLE DUSTS AND OF HAZARDOUS (CLASSIFIED) LOC
INSTALLATIONS IN CHEMICAL PROCESS AREAS
Follow-Up:
Question
Number
2.1
38%
F2.1
0%
2.1
0%
F2.2
0%
2.2
100%
F2.3
0%
2.3
100%
F2.4
0%
2.4
100%
F2.5
0%
2.5
0%
F2.6
100%
2.6
0%
F2.7
100%
2.7
0%
F2.8
100%
2.8
200%
F2.9
0%
2.9
0%
FIX WHAT?
0%
Repair or Replace
100%
NO FIX NEEDED
100%
NO FIX NEEDED
100%
NO FIX NEEDED
0%
NFPA 70
2.2
NFPA 70
2.3
NFPA 70
2.4
NFPA 70
ANY electrical conditions that can cause material ignition? (consult electrician)
2.5
0%
0%
0%
Implement written
program-Formulate
procedures-Acquire
equipment & Train
employees
200%
499 Applies-REFER to
NFPA for Specific
Requirements
NFPA 70
2.6
At hazardous locations (in hazardous Atmospheres) are there ARE equipment breaks
that void effectiveness? (IF NO hazardous locations, answer NO) SEE OSHA 1910.307
NFPA 70E
2.7
Is HOT WORK controlled by a permit system? (Both NFPA & OSHA 1910.252 apply)
NFPA 70E
1
i
2.8
NFPA 499
Don't
ENTER this
value
Overall response
is:
is there a DUST that is produced, processed, handled, or likely to be at this area that's
under review?
0%
100%
100%
Is this area ALSO A CHEMICAL PROCESS AREA? (IF YES, Consult NFPA 499 for
code specifics. Also answer Question 2.9. (NOTE: Chemical Process Areas are not
common, and go significantly beyond the scope of this checklist)
0%
499 Applies-CHECK
Specific Requirements
0%
1
2.8.2
1
2.8.3
1
2.8.4
200%
2.9
NFPA 499
IF sufficient conditions DO NOT EXIST, FIRE, DEFLAGRATION, or EXPLOSION CANNOT result. However, Oxygen
results in a FIRE HAZARD.
Cumulative
"Percent Prepared"
& Hazard Condition
Indicated by "X" is:
56%
FOLLOW-UP
Cumulative
"Percent Prepared"
& Hazard Condition
Indicated by "X" is:
69%
RESULTS
Initial:
21%
11
SECTION - 3
NFPA 68 - EXPLOSION PROTECTIONS BY DEFLAGRATION VENTING
NFPA 69 - STANDARD ON EXPLOSION PREVENTION SYSTEMS
NFPA 654 - STANDARDS FOR THE PREVENTION OF FIRE AND DUST EXPLOSIONS FROM THE MANUFACTURING, PROCE
COMBUSTIBLE PARTICULATE SOLIDS
NFPA 664 - STANDARD FOR THE PREVENTION OF FIRES AND EXPLOSIONS IN WOOD PROCESSING AND WOODWORKIN
Follow-Up:
F3.1
11%
3.1
33%
1
3.1
NFPA 68
50%
F3.2
63%
3.2
13%
11
F3.3
60%
3.3
80%
F3.4
60%
3.4
60%
F3.5
F3.6
20%
3.5
3.6
0%
F3.7
29%
3.7
6%
F3.8
70%
3.8
9%
F3.9
80%
3.9
0%
F3.10
100%
3.10
33%
Overall response
is:
F3.11
54%
3.11
0%
33%
300%
Percentage for
this Question
Overall response
is:
100%
Are there ANY IGNITION SOURCES that can possibly reach the inside of a
process enclosure?
100%
100%
0%
Implement controls
specified under NFPA 664
and other codes
0%
Are there any ENCLOSURES where combustible wood dust is present? (If NO,
NFPA 68 does not apply. Skip to NFPA 69, AT QUESTION #5)
1
3.1.4
1
3.1.5
1
3.1.6
1
3.1.7
0%
Implement periodic
maintenance and testing
schedule &
doucmentation
0%
Were enclosures evaluated for needed engineering controls per NFPA 68?
0%
0%
Determine an installation
date after review with AHJ
and others
13%
Percentage for
this Question
1
3.1.8
1
3.1.9
3.2
300%
NFPA 69
100%
1
3.2.1
Does a DEFLAGRATION hazard exist? (IF you produce WOOD DUST, and it can
become airborne, you MUST answer YES. IF YES, continue. IF NO, STOP
HERE! NFPA 69 DOES NOT APPLY. Skip to Question 3.3)
0%
NFPA 69 Applies
Has the design basis of the deflagration scenario been identified and
documented?
0%
0%
0%
Controls MUST be
acceptance tested
0%
Controls MUST be
periodically inspected
and maintained
0%
Housekeeping under
NFPA 654 OR 664 MUST
be applied
100%
Maintain as required
0%
Automatic system
shutdown MUST be
required
80%
Percentage for
this Question
1
3.2.2
1
3.2.3
1
3.2.4
1
3.2.5
1
3.2.6
1
3.2.7
1
3.2.8
3.3
3.3
80%
Overall response
is:
400%
Percentage for
this Question
NFPA 69
100%
Component indicated as
present-verify its
appropriate
100%
Component indicated as
present-verify its
appropriate
100%
Component indicated as
present-verify its
appropriate
100%
Component indicated as
present-verify its
appropriate
0%
60%
Percentage for
this Question
Overall response
is:
600%
1
3.3.2
1
3.3.3
1
3.3.4
1
3.3.5
1
3.4
NFPA 664
10
0%
Implement PROCESS
ANALYSIS
100%
Requirement Met
Does (MOC) Include - Technical basis of Changes, Safety & Health Implications,
Temporary-Permanent, Procedure Modifications, Employee Training, Authorization
requirements for proposed change?
0%
100%
Requirement Met
3.4.4
1
3.4.5
1
3.4.6
1
3.4.7
1
3.4.8
1
3.4.9
1
3.4.10
i
1
3.5
NFPA 664
100%
Requirement Met
100%
Requirement Met
100%
Requirement Met
0%
100%
Requirement Met
0%
100%
Requirement Met
0%
REVIEWER(S) - EITHER
Performance based
system questions at 3.5
OR Prescriptive based
system questions at 3.6
APPLIES - CHOOSE one
then ONLY ANSWER the
questions in that section!
What
type of
system does
this location
have?
0%
DO NOT manually enter value - it
will automatically appear OR remain
the same based on your responses
IF NO-This location MU
Prescriptive System-ONLY
the Questions at 3.6 &
total
value cell
0%
0%
Percentage for
this Question
0%
10
1
3.5.3
1
3.5.4
0%
0%
0%
Implement controls to
prevent fire from
spreading
0%
Implement controls to
prevent effects of
deflagration-SEE NFPA
664
0%
0%
Perform Deflagration
Scenarios per NFPA 664
0%
0%
Percentage for
this Question
1
3.5.9
1
3.5.10
1
3.6
0%
1
3.5.8
0%
1
3.5.7
1
3.5.6
DATA SOURCES - Have data sources for design aspects been identified?
1
3.5.5
0%
NFPA 664
10
- it automatically
appears based on
question responses
Overall response
is:
0%
Percentage for
this Question
0%
0%
Possible location
UPGRADE may be needed
- Consult AHJ
COMPARTMENTATION - are there Fire Walls, Fire Partitions, & Fire Barrier
Walls?
0%
Possible location
UPGRADE may be needed
- Consult AHJ
0%
Possible location
UPGRADE may be needed
- Consult AHJ
0%
Possible location
UPGRADE may be needed
- Consult AHJ
0%
0%
Possible location
UPGRADE may be needed
- Consult AHJ
0%
Possible location
UPGRADE may be needed
- Consult AHJ
0%
Possible location
UPGRADE may be needed
- Consult AHJ
0%
Possible location
UPGRADE may be needed
- Consult AHJ
0%
Possible location
UPGRADE may be needed
- Consult AHJ
3.7
NFPA 664
17
6%
Overall response
is:
100%
HOT WORK - Is Hot Work controlled according to NFPA 51B? (Also consult 29
CFR 1910.276 - Welding, Cutting, Burning)
ELECTRICAL SYSTEMS - Do electrical systems meet NFPA 70? (Also see
OSHA 29 CFR 1910.303 and the following)
N
N
Percentage for
this Question
0%
0%
ELECTRICAL SYSTEMS
must meet code
requirements-SEE NFPA
70
0%
1
3.7.3
1
3.7.4
1
3.7.5
1
3.7.6
1
3.7.7
1
3.7.8
1
3.7.9
BEARINGS - Are they monitored for adequate lubrication and excessive wear?
0%
0%
0%
0%
0%
0%
1
3.7.10
FOREIGN MATERIAL - Is wood stock inspected for nails and other objects
prior to processing?
0%
100%
Determine materials
sources and minimize
0%
CHECK equipment to
minimize frictional
heating
0%
0%
0%
0%
Restrict smoking as
specified
0%
Equipment MUST be
either UL or FM listed and
only sed where allowed
9%
Percentage for
this SECTION
1
3.7.11
1
3.7.12
1
3.7.13
1
3.7.14
1
3.7.15
1
3.7.16
1
3.7.17
1
3.8
NFPA 664
T-percent
T-Count
Q-Count
Q-Sect%
120%
13
10
200%
20%
FTpercent
FTCount
911%
13
1
3.8.1
1
3.8.2
1
3.8.3
1
3.8.4
1
3.8.5
1
3.8.6
1
3.8.7
1
3.8.8
1
3.8.9
1
3.8.10
1
3.8.11
0%
0%
100%
0%
100%
VERIFY-Non professionally
engineered systems WILL
NOT qualify
0%
0%
0%
0%
0%
Provide corrosion
protection and-or bond &
ground
0%
Count
SubSect%
0%
System A: 1-Material Entry Point > 2-Listed Spark Detection & Extinguishing
System > 3-Collection Equipment
0%
0%
SubCount
SubSect%
100%
Provide corrosion
protection and-or bond &
ground
System A: 1-Material Entry Point > 2-Listed Spark Detection & Extinguishing
3.8.11.1 System > 3-Collection Equipment
1
Count
0%
Provide corrosion
protection and-or bond &
ground
0%
0%
DEFLAGRATION RELIEF PIPES less than 20 feet length; 3-Extending to safe areas
3.8.12.3 outside of building; 4-Able to withstand maximum deflagration pressures.
Control System D: 1-Metal Ducts located INDOORS; 2-equipped with
3.8.13
Provide corrosion
protection and-or bond &
ground
SubSect%
0%
SubCount
Control System A: 1-Ducts and all metal hatches constructed of metal; 23.8.12.1 Able to withstand maximum deflagration pressures.
Provide corrosion
protection and-or bond &
ground
0%
HOODS & ENCLOSURES - Do hoods & enclosures capture wood dusts and
particulates? (The air flow rate must be sufficient to capture & carry it into the
ductwork)
0%
SubCount
SubSect%
100%
0%
Provide corrosion
protection and
ELECTRICALLY bond &
ground
0%
Provide corrosion
protection and-or bond &
ground
0%
Provide corrosion
protection and-or bond &
ground
0%
Provide corrosion
protection and-or bond &
ground
0%
Provide corrosion
protection and-or bond &
ground
0%
Provide corrosion
protection and-or bond &
ground
0%
Check system
performance against
design specificationscheck for leaks or
material plugs
3.8.13
1
3.8.14
1
3.8.15
HOODS & ENCLOSURES - Do hoods & enclosures capture wood dusts and
particulates? (The air flow rate must be sufficient to capture & carry it into the
ductwork)
0%
Check system
performance against
design specificationscheck for leaks or
material plugs
HOODS & ENCLOSURES - Are hoods & enclosures made of NONCOMBUSTIBLE MATERIALS? (IF NO, they MUST be protected by sprinklers
described by NFPA 13)
0%
0%
Count
SubCount
SubSect%
0%
0%
1
3.8.15.1
100%
0%
0%
Check system
performance against
design specificationscheck for leaks or
material plugs
0%
Provide corrosion
protection and-or bond &
ground
0%
Provide corrosion
protection and-or bond &
ground
0%
Provide corrosion
protection and-or bond &
ground
0%
1
3.8.15.2
SubSect%
Check system
performance against
design specificationscheck for leaks or
material plugs
OUTSIDE OF BUILDINGS
SubCount
1
3.8.16
DUST COLLECTORS WITH FIRE or DEFLAGRATION HAZARDS CAUTION! NFPA 664 requires specific construction methods. Consult
NFPA for requirements.
3.8.16
DUST COLLECTORS WITH FIRE or DEFLAGRATION HAZARDS CAUTION! NFPA 664 requires specific construction methods. Consult
NFPA for requirements.
Count
automatically appears
based on question
responses
SubCount
SubSect%
0%
RECYCLED EXHAUST AIR - CAUTION! NFPA 664 prohibits recycling air UNLESS
certain equipment is installed based on the air flow rate of the system. Choose the
air flow rate at your location and consult NFPA for detail.
Count
1
3.8.18
Count
100%
0%
0%
0%
Do RECYCLED AIR SYSTEMS greater than 5000 cubic feet per minute (CFM)
3.8.17.2 meet the design requirements in NFPA 664?
SubSect%
SubSect%
SubCount
0%
SubCount
Do RECYCLED AIR SYSTEMS less than or equal to 5000 cubic feet per minute
3.8.17.1 (CFM) meet the design requirements in NFPA 664?
0%
0%
0%
SubCount
SubSect%
100%
0%
0%
0%
Percentage for
this Question
SubCount
SubSect%
0%
0%
SubCount
SubSect%
500%
0%
0%
1
3.8.18.3
0%
0%
0%
Access hatches & covers tightly fitted & fastened for dust tight operation?
0%
0%
0%
Percentage for
this Question
Count
SubCount
SubSect%
10
0%
10
300%
0%
0%
1
3.8.19.4
SubSect%
0%
3.8.19.3
SubCount
Designed, Operated, & Maintained to minimize thermal oil spills, fires, &
3.8.19.1 explosions?
3.8.19.2
0%
0%
NON-WELDED piping
systems are NOT
acceptable-Review NFPA
664 and corrrect
0%
3.8.19.5
0%
0%
0%
0%
0%
0%
0%
Percentage for
this Question
1
3.8.19.6
1
3.8.19.7
1
3.8.19.8
1
Have OPERATIONAL CONSIDERATIONS been completed? (Procedures, operator
3.8.19.9 training, etc)
1
Is FIRE PROTECTION provided, IF REQUIRED, for areas where a hot oil spill
3.8.19.1 could accumulate? (SEE NFPA 664 8.3.2.10)
0
1
3.8.20
PARTICULATE SIZE REDUCTION EQUIPMENT - CAUTION! NFPA 664 has Don't Enter value it
automatically
specific requirements for particulate size reduction equipment. These
appears based on
requirements apply to operations that include specific types of products or question responses
production equipment. Consult NFPA for detail.
Count
SubCount
SubSect%
0%
1
3.8.20.1
0%
SubCount
SubSect%
0%
0%
0%
0%
i
1
3.8.21
REVIEWER(S) - SPECIAL
REQUIREMENTS APPLY TO
PANEL MANUFACTURERS CHOOSE Either A or B and
follow the instructions
Provide a
response to
this question
Average
F-Average
Q-Total
F-Total
0%
0%
100%
IF NO - SPECIAL REQUIREMENTS
to you. You've been FULLY CRE
Questions 3.8.21 & 3.8.22 &
100%
total
value cell
F3.8.21
0%
3.8.21
0%
0%
0%
Percentage for
this Question
Count
SubCount
SubSect%
0%
1
3.8.21.1
1
3.8.22
Count
0%
SubCount
SubSect%
0%
0%
0%
0%
0%
0%
Percentage for
this Question
SubCount
SubSect%
0%
0%
0%
SubCount
SubSect%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Percentage for
this Question
1
3.8.22.2
1
3.8.22.3
1
3.8.22.4
1
3.8.22.5
1
3.8.22.6
1
3.8.23
1
3.8.24
Q-Count
SubCount
SubSect%
0%
IF REQUIRED, are fire control systems in place for DRY LUMBER storage? (If not
3.8.24.1 required, ANSWER YES)
1
IF REQUIRED, are fire control systems in place for SILOS and/or STORAGE
BINS? (If not required, ANSWER YES)
0%
SubCount
SubSect%
0%
0%
0%
0%
IF REQUIRED, are fire control systems in place for SILOS and/or STORAGE
3.8.24.3 BINS? (If not required, ANSWER YES)
1
IF REQUIRED, are fire control systems in place for Indoor DRY, FINE
3.8.24.4 PARTICULATE storage? (If not required, ANSWER YES)
1
IF REQUIRED, are fire control systems in place for HOT PRESSES - Continuous
3.8.24.5 or MULTI-OPENING Batch-Type? (If not required, ANSWER YES)
1
IF REQUIRED, are fire control systems in place for WOOD SCRAP PROCESSING
3.8.24.6 & DISPOSAL? (If not required, ANSWER YES)
3.9
NFPA 664
1
3.9.2
0%
0%
0%
0%
Percentage for
this Question
0%
0%
Detection and Extinguishing systems? (SEE NFPA 11, 12, 15, 17, 25, 69, 72,
750, 2001)
0%
0%
0%
0%
33%
Percentage for
this Question
1
3.9.5
1
3.9.4
1
3.9.3
0%
1
3.9.1
3.10
NFPA 664
These questions apply to the HUMAN ELEMENT under the NFPA 664
definition.
12
33%
Percentage for
this Question
400%
1
3.10.1
100%
Maintain as needed
Does the INSPECTION, TESTING, & MAINTENANCE program also cover Dust
Collection systems?
100%
Maintain as needed
Are RECORDS for INSPECTION, TESTING, & MAINTENANCE kept for their useful
life?
0%
0%
1
3.10.2
1
3.10.3
1
3.10.4
1
3.10.5
0%
0%
0%
0%
1
3.10.6
1
3.10.7
1
3.10.8
3.10.8
0%
0%
100%
Maintain as needed
100%
Maintain as needed
0%
0%
Percentage for
this Question
1
3.10.9
1
3.11
NFPA 664
0%
13
N
N
N
0%
0%
Immediately remove
waste accumulation that
impedes equipment
operation
0%
0%
Place non-reusable
combustible waste in
metal covered
receptacles for daily
disposal
1
3.11.4
3.11.4
1
3.11.5
1
3.11.6
0%
Place non-reusable
combustible waste in
metal covered
receptacles for daily
disposal
0%
0%
0%
1
3.11.7
1
3.11.8
0%
Consider an assessment
method - surfaces
exceeding 399*F are an
ignition hazard
0%
0%
0%
0%
0%
0%
Percentage for
this Question
1
3.11.9
1
Are volatile oil & resin residues removed from areas such as Ovens, Dryers,
3.11.10 Fume Extraction, or Ventilation systems?
Are volatile oil & resin residues that are removed STORED near sources of
ignition or areas such as Ovens, Dryers, Fume Extraction, or Ventilation
3.11.11 systems?
1
Are OILY soaked cloths or waste material stored in approved metal receptacles
3.11.12 with self closing lids?
1
0%
Floor & Equipment areas are vacuumed with a the correct equipment?
3.11.13. (Equipment MUST be approved for CLASS II, Division 1, Group G Per NFPA 70,
Article 502)(National Electrical Code)
1
1
Electrical and other Ignition Sources are either 1-SHUT DOWN or REMOVED
3.11.13. from the area, OR, 2-Classified for use in dusty areas.
2
1
3.11.13. ONLY LOW Gauge air pressure of 15 Pounds Per Square Inch (PSI) is used.
3
1
There are NO open flames, sparks from spark producing equipment, or hot
3.11.13. surfaces that can ignite a dust cloud or layer.
4
RESULTS
Initial:
0%
0%
0%
0%
0%
SECTION - 4
1
Follow-Up:
Question
Number
0%
4.1
0%
STATUS
Y for YES,
N for NO
FIX WHAT?
0%
Control dust
accumulation to less than
1/32 inch
4.1
OSHA CPL
RESULTS
Initial:
0%
SECTION - 5
1
Follow-Up:
Question
Number
0%
5.1
0%
5.1
OSHA CPL
Slopes
1
5.1.2
Overhead beams
1
5.1.3
Joists
1
5.1.4
FIX WHAT?
0%
PERCENTAGE
Overall response
is:
0%
Y
Y
Y
0%
Control
accumulation on
Slopes
0%
Control
accumulation on
Overhead Beams
0%
Control
accumulation on
Joists
Ducts
0%
Control
accumulation on
Ducts
Equipment tops
0%
Control
accumulation on
Equipment Tops
1
5.1.4
STATUS
Y for YES,
N for NO
5.1.4
Equipment tops
RESULTS
Initial:
0%
0%
Control
accumulation on
Equipment Tops
SECTION - 6
1
Follow-Up:
Question
Number
6.1
OSHA CPL
100%
6.1
0%
FIX WHAT?
0%
Calculate area
square footage and
control to less than
5%
Where?
RESULTS
Completed:
STATUS
Y for YES,
N for NO
0%
SECTION - 7
1
Follow-Up:
Question
Number
100%
7.1
0%
STATUS
Y for YES,
N for NO
FIX WHAT?
Question
Number
7.1
STATUS
Y for YES,
N for NO
FIX WHAT?
0%
Consult OSHA
standard and
minimize dust
accumulation
OSHA CPL
RESULTS
Initial:
13%
SECTION - 8
1
Follow-Up:
Question
Number
88%
8.1
13%
8.1
STATUS
Y for YES,
N for NO
FIX WHAT?
13%
PERCENTAGE
Overall response
is:
100%
OSHA CPL
1
8.1.1
0%
Controlled
0%
Controlled
1
8.1.2
1
8.1.3
100%
0%
Controlled
0%
Controlled
0%
Controlled
Metal surfaces such as bearings, drive motors, etc. near the autoignition temperature of wood (approx 399 *F) as verified by DIRECT
MEASUREMENT or Thermographic Imagery?
0%
Controlled
0%
Controlled
1
8.1.4
1
8.1.5
1
8.1.6
1
8.1.7
1
8.1.8
DEFLAGRATION results from Oxygen, Heat, Fuel (wood dust) with DISPERSION IN AIR without confinement t
subsonic explosion (A slow expanding pressure wave).
Cumulative
"Percent Prepared"
& Hazard Condition
Indicated by "X" is:
6%
"Percent Prepared"
& Hazard Condition
Indicated by "X" is:
FOLLOW-UP
Cumulative
"Percent Prepared"
& Hazard Condition
Indicated by "X" is:
6%
56%
RESULTS
Initial:
0%
SECTION - 9
2
Follow-Up:
Question
Number
9.1
OSHA CPL
9.2
OSHA CPL
50%
9.1
0%
9.2
0%
STATUS
Y for YES,
N for NO
FIX WHAT?
0%
Control by
minimizing
accumulation
0%
PERCENTAGE
Overall response
is:
0%
Where?
9.2.1
0%
9.2.1
0%
0%
0%
0%
0%
0%
0%
0%
9.2.2
Uncontrolled AIR LANCING (at greater than 15 Pounds per Square Inch
[psi]) of equipment or areas?
9.2.3
9.2.4
9.2.5
1
9.2.6
1
9.2.7
1
9.2.8
Y
Y
YES, LIST)
9.2.8
RESULTS
Initial:
0%
0%
removes IGNITION
SOURCES and requires
immediate clean-up
SECTION - 10
1
Follow-Up:
Question
Number
10.1
OSHA CPL
100%
10.1
0%
RESULTS
Initial:
JUSTIFY PARTICLE
SIZE
DETERMINATIONS
14%
STATUS
Y for YES,
N for NO
FIX WHAT?
0%
Control by applying
Housekeeping methods
and engineering controls
SECTION - 11
2
Follow-Up:
Question
Number
93%
11.1
29%
11.2
0%
STATUS
Y for YES,
N for NO
FIX WHAT?
Question
Number
11.1
STATUS
Y for YES,
N for NO
FIX WHAT?
29%
PERCENTAGE
Overall response
is:
200%
FIX WHAT?
OSHA CPL
ANSWER ALL - Does this location have any of the following process
equipment that has wood dust in air AND under confinement, AND
unprotected?
11.1.1
100%
NFPA Engineering
Controls NOT Needed
OR already in place
100%
NFPA Engineering
Controls NOT Needed OR
already in place
0%
0%
0%
11.1.2
11.1.3
11.1.4
Dust Bins?
11.1.5
1
Review & Select NFPA
engineering control
options and VERIFY with
11.1.6
1
0%
0%
NFPA Engineering
Controls NOT Needed OR
already in place
OTHER - List:
11.1.7
0%
11.2
OSHA CPL
EXPLOSION is a DEFLAGRATION resulting from Oxygen, Heat, Fuel (wood dust) with dispersion in air WHI
CONFINEMENT, that results in a Supersonic Explosion (a rapidly expanding pressure wave).
Cumulative
"Percent Prepared"
& Hazard Condition
Indicated by "X" is:
5%
FOLLOW-UP
Cumulative
"Percent Prepared"
& Hazard Condition
Indicated by "X" is:
81%
X
STOP HERE! This is The END of the Initial Self-Assessment CHECKLIST - Schedule a FOLLOW-UP
Assessment in 2 months to assess Performance after Corrective Action has been applied
INITIAL Self-Assessment
CHECKLIST RESULT (in
Cumulative %)
15%
2 MONTH FOLLOW-UP
Self-Assessment
CHECKLIST RESULT (in
Cumulative %)
65%
Percent
PERFORMANCE
INCREASE (or
DECREASE)
This Checklist is a Self-Assessment, Self-Scoring tool to determine percent compliance on Combustible Wood Dust Issues. As
effectiveness, a SECOND LOOK at identical issues AFTER the first look should result in the following: #1-Corrected Condi
increased Self assessment score relative to the baseline. Comparative percentages is the best method to QUANTIFY RESULTS
combustible wood dust has been presented, reviewed, and opportunities for corrective action have had a chance to be
WAS TRAINING & ASSESSMENT EFFECTIVE?- Provide SUMMARY EXPLANATION of PERFORMANCE Increas
Provide DETAILED ANALYSIS for ANY QUESTION not resulting in PERFORMANCE Increase Duplicate row
Question
Number
Question
Number
Question
Number
Question
Number
Question
Number
Question
Number
Question
Number
Question
Number
Question
Number
Question
Number
Question
Number
HAT NEXT?
TINUE to Question B
MY
STATUS
10
500%
50%
FOLLOW-UP
SCORES
100%
When?
Who?
When?
Who?
10
1000%
100%
When?
When?
When?
When?
When?
When?
When?
When?
When?
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
Who?
Who?
Who?
Who?
Who?
Who?
Who?
Who?
Who?
100%
500%
63%
Follow-Up
Scores
38%
When?
Who?
When?
Who?
When?
When?
When?
When?
300%
0%
0%
0%
0%
0%
Who?
Who?
Who?
Who?
When?
When?
When?
When?
0%
100%
100%
100%
100%
0%
0%
0%
100%
0%
Who?
Who?
Who?
Who?
ONDITIONS?
ONDITIONS?
OODWORKING FACILITIES
Follow-Up
Scores
When?
Who?
11%
When?
Who?
100%
When?
When?
Who?
100%
100%
0%
0%
0%
0%
0%
0%
0%
0%
Who?
63%
When?
Who?
500%
When?
100%
0%
0%
100%
100%
100%
0%
100%
Who?
60%
60%
When?
When?
Who?
300%
100%
100%
100%
0%
0%
Who?
60%
When?
Who?
10
600%
100%
100%
100%
100%
ocation MUST be a
ystem-ONLY ANSWER
ns at 3.6 & skip 3.5
100%
100%
100%
0%
0%
0%
0%
10%
20%
10%
When?
Who?
10%
When?
When?
Who?
10
100%
100%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Who?
10%
10%
When?
Who?
10
100%
100%
0%
0%
0%
0%
0%
0%
0%
0%
0%
When?
Who?
29%
When?
Who?
17
500%
0%
100%
0%
0%
0%
0%
0%
0%
0%
When?
100%
100%
0%
0%
100%
100%
0%
0%
Who?
70%
FQCount
FQSect%
10
600%
60%
100%
0%
0%
0%
100%
0%
100%
100%
100%
100%
100%
100%
100%
100%
0%
0%
100%
100%
100%
0%
0%
0%
0%
0%
100%
100%
100%
100%
100%
100%
0%
0%
0%
0%
50%
50%
When?
Who?
50%
100%
0%
100%
When?
Who?
100%
100%
0%
71%
When?
Who?
71%
100%
100%
0%
0%
100%
100%
100%
30%
When?
Who?
30%
0%
0%
0%
100%
0%
0%
0%
0%
0%
100%
100%
0%
When?
Who?
0%
0%
0%
0%
F3.8.23
0%
0%
3.8.22
3.8.23
0%
0%
100%
100%
0%
0%
When?
Who?
0%
0%
0%
0%
0%
0%
When?
Who?
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
When?
Who?
0%
0%
0%
0%
When?
0%
0%
0%
0%
Who?
80%
When?
When?
Who?
400%
100%
0%
100%
100%
100%
Who?
100%
100%
When?
Who?
12
1200%
100%
100%
100%
100%
100%
100%
100%
100%
When?
100%
100%
100%
100%
100%
Who?
54%
When?
Who?
13
700%
100%
0%
0%
0%
0%
100%
100%
100%
100%
0%
100%
0%
100%
0%
50%
When?
Who?
F4.1
0%
When?
Who?
When?
Who?
200%
100%
0%
0%
100%
Follow-Up
Scores
100%
F5.1
0%
When?
Who?
When?
Who?
Follow-Up
Scores
40%
When?
Who?
200%
100%
100%
0%
0%
0%
F6.1
100%
When?
Who?
When?
Who?
Follow-Up
Scores
F7.1
100%
When?
Who?
0%
100%
Follow-Up
Scores
When?
Who?
When?
Who?
Follow-Up
Scores
F8.1
88%
When?
Who?
When?
Who?
100%
Follow-Up
Scores
88%
When?
Who?
700%
100%
100%
100%
0%
100%
100%
100%
100%
ONDITIONS?
F9.1
100%
F9.1
0%
When?
Who?
When?
Who?
Follow-Up
Scores
When?
100%
Who?
0%
When?
Who?
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
F10.1
100%
When?
Who?
When?
Who?
Follow-Up
Scores
F11.2
100%
F11.1
86%
When?
Who?
0%
100%
Follow-Up
Scores
When?
Who?
When?
Who?
Follow-Up
Scores
86%
When?
Who?
600%
100%
100%
100%
100%
100%
When?
0%
100%
100%
Who?
NDITIONS?
51%
CE Increase or Decrease