The purpose of this checklist is to insure that equipment is designed and constructed in accordance

with Chevrons Safety-In-Design Manual (SID), as well as other applicable Company & industry
standards and publications.

This checklist can be used during any design review and/or prior to startup, and is required for all new
construction and for modifications which could impact the safe operation of the facility. The SID
Review should be conducted by a Project Team and HES Engineer, with the help of a facility
representative. It can also be conducted by the Construction representative for field modifications and
inspections

The intent is to inspect and review design, installation & placement of loss prevention equipment;
walking and working surfaces; noise levels, lighting and other ergonomic considerations.

In some cases, it may not be feasible to upgrade existing construction to fully conform to applicable
standards. In this situation the reviewer should determine whether the structure or equipment is
suitable for use as-is, and whether the intent when constructed was to provide a safe working
environment. If these conditions are satisfied, minor discrepancies and problems should be noted in
the "Comments" column with recommended future action, and the reviewer may sign off on the review.
Review items that do not apply to a particular facility should be crossed off. If there is any question
regarding the acceptability of the design or construction, consult with an appropriate ETC Loss
Prevention engineer for acceptance requirements.

Project/Facility :

Location :

Facility Representative :

THE PROJECT OR FACILITY NAMED ABOVE HAS BEEN INSPECTED WITH RESPECT TO
APPLICABLE REGULATIONS, SAFETY-IN-DESIGN & FIRE PROTECTION GUIDELINES, AND
OTHER APPLICABLE STANDARDS AND PRACTICES. REQUIREMENTS HAVE BEEN MET.
EXCEPTIONS, IF ANY, ARE NOTED IN THE "COMMENTS" SECTION OF THE ATTACHED
CHECKLIST.

Facility Owner Date

HES Engineer Date
 SAFETY IN DESIGNS CHECKLIST

IMPORTANT REFERENCE:
The information in the checkpoint guidance is to assist personnel during the inspection. However,
personnel conducting this inspection must be thoroughly familiar with the information in Chevron SID
(Safety in Design)

No. ITEMS Yes No COMMENT

WORK SPACE, ACCESS TO EQUIPMENT AND MATERIALS, AND THE USE OF WOOD AND OTHER
COMBUSTIBLE MATERIALS
1. Is minimum space of long aisle 36 inches?
2. Is minimum space of short aisle 30 inches?
3. Are the long aisles straight and the Short aisles
crooked?
4. Are the main walk routes through plants 48 inches
wide?
5. Is there 8 feet overhead clearance in aisles, from
the ground, floor or platform; and around
equipment?
6. Is access space (short passageway) to equipment,
valves 30 inches?
7. Is there any two-handed operation of valves or
equipment from a ladder?
8. Is clearance around valve hand wheels 3 inch
minimum?
9. Are Valves on adjacent lines Installed on opposite
sides of walkway?
10. Are valve hand wheels above 10 feet from grade
located within confines of platform railing?
11. Do extension handles longer than 6 have support
for extension?
12. Are there any secondary means of egress (which
may be a ladder or second stairway) for elevated
work locations, 10 feet or more above floor and
have potential hazard?
13. Can employee escape from location by secondary
means of egress to a safety place?
14. Do areas of hydrocarbon storage and handling,
use combustible building materials such as wood
and fiberglass?
15. Are walkways, platforms, ladders and stairs, made
of combustible materials?
16. Do corrosive atmospheres such as fertilizer plants,
cooling water towers, and some chemical areas
use combustible materials?
17. Are combustible materials used in the areas listed
below?
18. Inside tank impound basins or diked areas. Does
the tank contains Class I flammable liquids (flash
point <100F)
Stairs on tanks containing Class I or II flammable
and combustible liquids (flash point <140F)
access to large or critical pump or piping
manifolds

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No. ITEMS Yes No COMMENT

on plot labs, sheds, or other buildings in facility
handling, storing, or processing Class I or Class
II flammable and combustible liquids and gases

RAILINGS
1. Are guard railings provided at:
a. Platforms, walkways, ramps, and floors with
open sides which have 4 or more risers or
which are 30 or higher above the adjacent
floor or ground level?
b. Open sides are those with 3 or more gaps
between platform edge and nearest solid
structure, equipment or wall?
c. floor openings 12x12 or greater
d. Wall openings 30 in height by 19 in width,
or larger?
e. Platform, walkways, ramps, and floors above
or adjacent to dangerous equipment or
hazards?
2. Are toeboards provided at:
a. platform, walkways, ramps, and floors with
open sides, 48 or more above areas where
a person can pass or where portable tools,
parts, or material are likely to be used?
b. Platform, walkways, ramps, and floors with
open sides, at any elevation above areas
with moving machinery or other equipment
with which falling material could create
hazards?
c. Under the first tread of stairs ascending at
the open side from platforms, walkways, or
floors?
d. Floor holes or gaps which the least
dimension is greater than 1?
e. Floor holes or gaps which are covered
provided and the cover does not present a
tripping hazard?
3. Are stair railing provided at:
a. Open side of stairs which have 4 or more
risers or which are more than 30 above
adjacent floor or ground level?
b. Stairs with enclosed sides which have 4 or
more risers?
c. Stairs wider than 48?
4. Are top guard rails at 42" above floor, midrails at
21" below toprail, 1.25 diameter rail/pipe?
5. Are 4" toe boards present where falling materials
could present a hazard?
6. Do walkways, stairs and platforms, have a
minimum of 7 ft overhead clearance?
7. Is there any direction change of railings? If yes, is
it bended with 9 max centerline radius?

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No. ITEMS Yes No COMMENT

8. Do all bend stair railings that are connected to
platform railings have bending space approx. 24?
9. Do the posts on platforms or stairs have set back
of 9 to 12 spacing?
10. Rails should not overhang posts at bottom of
stairway.
11. Are the posts constructed perpendicular to
stringer of tread?
12. Is the distance (C-C) between two posts, which are
located adjacently, not more than 8?
13. Do the top hand stair railings have min 34or max
38 in height perpendicular from the leading edge
of tread?
14.
Do the posts use 2 1 2 1 1 angle, or 1 12
2 2 4
Sch. 40 pipe?
15. Are all the top railings designed to anticipate loads
min. 200 lb at any point and in any direction?
16. Do the top railings have a minimum 3 of
clearance around the outside diameter, for the
full length of the railing?
17. Equipment should not be attached to top rails.
Where attachment to top rails is unavoidable, is a
Z-type connection or other arrangement used to
maintain the minimum clearance?
18. Are all exposed corners, edges, burrs, or rough
spots on guardrails, stair rails, and hand rails
grounded or filed smoothed?
19. Do all clear horizontal opening at the toeboard
have gap less than 1?
20. Is the clearance between floor and toeboard
0.25?
21. Do all toeboard have thickness at least 0.25?
22. Are gaps between removable guard rails and
permanent guard rails limited to 1"?
23. Do tanks having 20 ft or less in diameter that
require roof access have guard rails and toe
boards around the entire roof perimeter?
24. Do tanks having diameter larger than 20 ft that
require roof access have guard rails and toe
boards that extended 8 ft. (2.4 m) beyond the
designated work area?
25. Do walkways, stairs, and platforms have a
minimum 30" clear pathway?
26. Do stairs have a 30" by 30" clear landing at the
top and bottom? Do long stairs have intermediate
landings (recommended every 24 risers)?
27. Are walking surfaces manufactured from non-skid
materials such as safety grating or grip-strut
planks?
28. Do stair treads have a non-skid cast abrasive
nosing?

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No. ITEMS Yes No COMMENT

29. Are wooden steps, stiles, or railing present? If so,
can they be removed or be replaced with non-
combustible steel steps and stiles?
If the answer of question no. 25 is YES, then continue to question no. 26. But if NO, then finish.
30. Are all the wooden structures surfaced on four
sides?
31. Are wooden top rails smooth, corners rounded,
and mounted on the top of the posts (inside of the
posts is also allowed)?
32. Are all wooden midrails and toeboards on the
inside of the posts?
33. Are the fasteners on wooden guard railing
galvanized?

STAIRWAYS, RAMPS, STILES, WALKWAYS, AND PLATFORMS

STAIRWAYS
1. General Requirement
a. Maximum rise height in a stairway or stile = 8
inches, single step riser max. 12-inch rise
height.
b. Minimum tread run in a stairway or stile is 9-
1/2 inches
c. The greatest rise height within any flight of
stairs should not exceed the smallest by
more than 3/8 inch
d. Wall openings 30 in height by 18 in width,
or larger?
e. The largest tread run within any flight of
stairs should not exceed the smallest by
more than 3/8 inch
f. vertical rise between landings on a stairway
is maximum 24 risers or 16 feet 0 inches
g. Pathway width min. 30 in
h. All steel stairs have treads made of serrated
grating
i. Nosing should extend inch to 1 inch over
risers.
j. 7 feet 0 inches minimum vertical clearance is
provided from the top of each tread at the
leading edge, including platform edge
k. Stair slopes angles to the horizontal of
between 30 and 40.
l. 30 x 30 inch minimum landing area is
provided for the base and top of stairways
and stiles and for intermediate landings
2. Handrail and Guardrail Requirement

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No. ITEMS Yes No COMMENT

NOTE 1: Required for special hazards only (see Section 2.2.A)

NOTE 2: Intermediate landings are recommended for stairway to

platform heights 160 or greater. In some jurisdictions,
intermediate landings are required for stairways to platform
heights 120 or greater. Intermediate landings may not be
required for occasional use stairways.

3 Door and landings for access of buildings

a. Stairway landings at outwardly swinging
doors have a minimum 30 x 30 inch landing
area which is clear of the swing of the door
b. Railings is provided on open sides of stairs
which have four or more risers
4 Circumferential Stairways for Tanks
a. Circumferential stairs ascending clockwise
b. All treads should be constructed from steel
grating
c. Unobstructed 30 x 30 inch clear landing at
base of stairway is provided (for spherical
tanks)
RAMPS
1 General requirements
a. 7 (1 to 8) is the maximum slope of ramps
b. guardrail is provided (when the height of the
top rail from the ramp is 42 inches)
c. Exit ramps which have slopes greater than
3.5 (1 to 16) is provided by handrails,
landings at top (5 feet long) and bottom (6
feet long), and one intermediate landing (5
feet long) for each 5 feet of rise
d. L 1-1/2 x 1-1/2 x inch under each joint
between floor plates is installed
e. holes 9/16 inch for inch bolts is provided
STILES
1 General Requirements
a. Length of stile walkways is less than 30
inches and should not exceed 9 feet 6 inches
b. L 1-1/2 x 1-1/2 x inch is installed under
each joint between floor plates
c. Width should not be less that 30 inches
d. -inch diameter weep holes is drilled in floor
plate

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No. ITEMS Yes No COMMENT

WALKWAYS AND PLATFORMS
1 General Requirements
a. Walk or platforms not provided with railing
(less than 30 inches high) should have
guardrail at any sharp change of direction (L
or T shaped), such stop railings being at least
as wide as the walkway
b. serrated steel grating or grip strut grating is
used in the following situations :
Platform where operating conditions
make steel plate with non-skid coating
ineffective; such as areas where liquid
spillage is expected
in wet and cold climates where
precipitation and ice commonly create
walkway hazards
for platforms, walks and stiles less than
six feet from grade
for platforms where there is a need to
see through such as on furnace firing
platforms and on plot limit block valve
manifolds
for stair treads
d. L 1-1/2 x x inch is installed under floor
plate joints
e. holes 11/16 inch is drilled for 5/8-inch bolts
2 Steel Tank Gaging Platform
a. Cone Roof Tank
b. Circumferential stairs ascending clockwise
c. A stair rail is installed between the tank and
stairs (if the gap between the tank/tank
insulation and stairs is greater than 6 inches)
d. Two feet minimum clearance is provided at
around gage and sample hatches so gage
can always upwind of hatch
e. All platform legs resting on tank roof is at tank
roof support locations or at adequately
reinforced locations
3 Floating Roof Tanks
a. Circumferential stairs ascending clockwise
b. A stair rail is installed between the tank and
stairway (if the gap between the tank/tank
insulation and stairs is greater than 6 inches)
c. Two feet minimum clearance is provided
around gage and sample hatches so gager
can always upwind of hatch
4 Walkways and Platform for tanks
a. Tank tops that are insulated have independent
platforms and walkways or, where practical,
side-of-tank platforms

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No. ITEMS Yes No COMMENT

b. tank roofs on non-insulated tanks that used
for walkway has slope of the roof does not
exceed 2 inches per foot, a non-skid surface
is applied to and properly maintained on a all
working, walking surfaces, the tank roof is
properly reinforced for live load floor support,
and the tank content is non-corrosive
material
c. The walking surface is clearly defined by color
contrast. The deck of the roof should be at
least 1/8-inch thick and structurally capable
of supporting maximum probable live load
and should be inspected annually to assure
its structural integrity
d. When two or more tanks are interconnected,
a second means of egress is provided (if a
potential hazard or injurious chemical
exposure can block access to the main
egress. Tanks in water or other service which
present no potential hazard exposure are
exempt from this requirement)
5 Bolted Steel Stairways and Walkways
a. All sharp corners and edges where persons
may travel is already removed
b. Concrete pad is provided for anchoring stair
stringers and is installed level with grade, min
length of clear landing is 30
c. Handrail and top rail is smooth on top and
both sides. Transition between handrail and
top rail is smooth without sharp edges
d. Rise heights and tread run are uniform.
Leading edge of all treads is clearly marked,
even, and of non slip design
e. Stair slope is uniform within an area or
location and not exceed 45.
f. Weather protection is provided. Galvanized
parts are generally recommended. Grating is
used for stair treads
WOOD STILES
1. Galvanized nails is used
2. Treads and planks is rough cut
3. Stiles length min 30 max 8 unsupported span
4. Tread size 2 x 12 is used
5. Stringer size 2 x 12 is used
6. Stiles min width is 30
7. Baseboards are treated Douglas fir or equal. All
other lumber is construction grade Douglas fir, or
equal, and surfaced 4 sides (S4S).
WOOD STAIRWAYS
1. Galvanized nails is used
2. There are 24 risers vertical rise between landings
3. Baseboard sill is treated Douglas fir or equal

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No. ITEMS Yes No COMMENT

4. All other lumber is construction grade Douglas fir
or equal and surfaced 4 sides (S4S), except treads
to be rough
5. For bolted construction 5/8-inch galvanized
carriage bolts is used with steel cut washers and
two nuts
6. Stringer 2x10min is used for flight 0f 9 risers or
less, 2x12 min is used for flights of 10 or more
rises
WOOD RAMPS
1. Galvanized nails are used
2. Maximum slope of ramps is 7 (1 to 8) is the
3. All lumber are construction grade Douglas fir, or
equal. Top rail should be surfaced 4 sides (S4S)
4. A handrail, landings at top (5 feet long), and
bottom (6 feet long), and one intermediate landing
for each 5 feet of rise is provided at Ramps used
for exits that have slopes greater than 3.5 (1 to
16)
5. Guard rail is installed 42 above walking surface
6. Midrail is installed 21 above walking surface
7. Leave between planks are provided
8. Supports are provided every 8 length
WOOD WALKWAYS
1. All planking are construction grade Douglas fir,
rough cut. Top rail should be surfaced 4 sides
(S4S)
2. Stop railings are provided at any sharp change of
direction (L or T shaped), such railings being at
least as wide as the walkway Walks or platforms
(For walks or platforms not provided with
handrails)
3. Galvanized nails are used

GUARDS: MECHANICAL, HOT SURFACE, AND CHEMICAL SPRAY

Do All moving parts of machinery located within 7

feet vertical height of floors, stairways or platforms
and within 15 inches horizontal distance of floors,
platforms, walkways, stairs, or ladders that could
cause injury guarded?
Do Design requirements for guards meet following
item?
Is built according to recognized standards of
construction and performance?
1. Not create a hazard of their own?
2. Is securely fastened and sturdy enough to
support impact load of personnel falling
against guard?
3. Contain hazard resulting from failure of any
moving part?
Not interfere with the operation of equipment
or machinery?

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No. ITEMS Yes No COMMENT

Minimize need for removal of guard for
routine inspection and lubrication?
Supplied with removable, sliding, or hinged
for routine maintenance or inspection?
Are lubrication fittings 12 inches from moving parts
and stationary?
Does materials for framework of guards made from
metal angle 1 x 1 x 1/8 inch, 3/8 inch solid metal
rod, or metal construction of equivalent strength?
Does framework of guards fastened to the floor
consist of 1-1/2 x 1-1/2 x 1/8 inch metal angle, 1-
1/2 inch outside diameter metal pipe of equivalent
strength?
Is filler fastened to framework as below:
Rivets or bolts spaced not more than 5 inches
center to center?
Welding spaced not more than 4 inches center
to center?
Weaving through angle frame or pipe?
Bending entirely around rod frames (if filler
material is 14 gauge or heavier)?
Is framework rigid for all probable loading
conditions?
Does guard have rigid braces space every 36
inches to a fixed part of the machinery or building
structure?
Does rectangular guard have minimum 4 upright
frame members? And do Cylindrical guards have
minimum 3 supporting members?
Does maximum Outside Diameter of coupling or
other rotating part plus 3?
Does guard enclose coupling and shaft?
Is clearance between shaft deflector and
rotating part at end of guard?
Does guard enclose belt, pulley and shaft?
Is there any swivel cover with latch for lubrication
access on V-Belt Guard?
Does bottom of guard enclosed if distance to floor
greater than 4 on V-Belt Guard?
Are anchor bolts secured to floor on V-Belt Guard?
Is belt and pulley guard rigid in construction?
Is belt and pulley guard designed for easy
maintenance on pulley or belt?
Does belt and pulley guard use woven wire or
expanded metal for ventilation
Is dimension between belt and side guard
inches?
Is distance between outside pulley and base 2
inches?
Is distance between base to floor is 4 inches
maximum?
Are overhead counterweights equipped with safety
chains or cables and barricade?

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No. ITEMS Yes No COMMENT

Do engine fan guards use 1 x steel strap
frames?
Does engine fan guards use 1 x 1 x 1/8 braces?
Do guards for conveyors and related equipment
meet with ANSI B 20.1.?
Is distance of Railing for Guarding Moving Parts
15-20 from moving parts of machinery?
Are lubrication fittings extended to grade outside of
the guarded area?
Are control switches, disconnect, and break control
located outside of the guarded enclosure?
Are mechanical guard used for personnel
protection?
Is elevation top railing 42 inches?
Is railing placed 15-20 inches horizontally from
moving part?
Are all fixtures protected against physical damage
with a suitable guard or by location?
Is 42 inch or higher wire mesh fence used For
livestock barrier?
Is there any secondary exit if main door or gate is
blocked?
Is fence used 8 foot around the entire pumping unit
or group of units for attractive nuisance prevention
in urban areas?
Is wire mesh guard 7 height from grade, where
guard is located 4-15 to moving parts? And Is
Wire Mesh Guard 42 height from grade, where
guard is located 15-20 to moving parts?
If low point of horse head travel is less than 7 feet
elevation, does pumping unit guard use horse
head?
Is sizing of wire mesh personnel protection guard
maximum 2 x 2?
Is top rung of ladder placed 18 below top of
walking beam and 7-12 horizontal from walking
beam?
Is hoop guard located 6 below top of Samson
post?
Is access between attractive nuisance fence and
wire mesh guard 36??
If lowest elevation of counterweight/ horse head is
less than 7 feet, does pumping unit guard use rail?
Is horizontal distance 15 to 20 between rail and
slow moving part on pumping unit guard?
Are work rests adjusted to the wheel with a
maximum gap of 1/8 inch on abrasive wheel
guard?
Are tongue guards adjusted closely to the wheel
with a maximum opening of inch on abrasive
wheel guard?

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No. ITEMS Yes No COMMENT

Does maximum angular exposure of the grinding
wheel periphery not exceed 90 degree? This
exposure begins at point not more than 65 degree
above horizontal plane?
Does exposure of abrasive wheel guard not
exceed 125 degree if nature of the work requires
contact with wheel below horizontal plane?
Are location of hot surfaces within 7 feet vertically
or 15 inches horizontally from floor insulated or
guarded for protecting personnel?
Does thickness of insulation above 400 F refer to
CRTC Insulation and Refractory Manual, Section
100?
Are metal surfaces with a surface temperature
more than 140F insulated or guarded?
Is space between hot vessels to guardrail 15
20?
Is space between hot pipelines to guardrail 15
20?
Dies hot pipelines and exhaust stack have support
every 24?
Is Cold equipment already evaluated to prevent
cold burns?
Are screwed connections seal welded?
Is guard material used for high operating
temperature and resistance to chemical attack and
corrosion for bellowing item?
Sheet metal of galvanized steel, lead, stainless
steel?
Synthetic sheet of macron, Teflon,
fiberglass, gall cloth?
Permacel-Glass Fiber tape Number 621 or
equivalent?

ELECTRICAL EQUIPMENT

4. Are all electrical equipments already free from

recognized hazards?
5. Are all electrical equipments producing arcs in
ordinary operation already enclosed/separated
and isolated from all combustible material?
6. Is there a clear 30 x 30 of working space in front
of electrical equipment provided?
7. Are all depth of clear working space in front of
electric equipment complied with SID? (please
refer to SID guideline figure 6.1 page 6.3)

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No. ITEMS Yes No COMMENT

8. Are light levels adequate?
50 10 foot-candles at control room operator
stations, in offices, and at warehouse counters
Warehouses: 10 2 (bulk storage) to 20 4 (bin
storage) foot-candles
10 2 foot-candles in process buildings, at loading
racks, in hallways, stairwells, and lobbies
5 foot-candles in exterior plant & off plot process
areas
1 foot-candle for basic area illumination
Notes: Please refer to figure 12.5 page 12.9 SID
guideline
9. Are permanent ladders or stairways provided to
give safe access to the working space around
routinely operated/repaired electrical equipment
installed at elevated locations?
10. Are all rooms or enclosures containing exposed
live parts operating in excess 600 volts kept locked
in such a way that it can be opened from inside
without a key?
Are they signed with warning reading DANGER
High Voltage Authorized Personnel Only or
equivalent?
11. Are all fixtures protected against physical damage
with a suitable guard or by location?
12. Are sealing fittings applied to:
All conduits passing from one classified
location to another classified location?
All conduits that enter an enclosure
containing high temperature devices?
All 2 (or more) conduits that enter
enclosures containing terminals, splices, or
taps?
Any portion of an underground run passes
beneath a class I area or through soil that
may contain volatile or flammable liquids?
13. Is there a clear min. 18 between fitting sealed
conduits and enclosures containing high
temperature, terminals, splices, or taps?
14. Is the surface temperature of lighting fixtures in
division 1 limited to 80% of the ignition
temperature?
15. Is there any posts signing the point of route of
cable on long straight runs of cable? Are all the
posts located at intervals not to exceed 100 ft?
16. If posts cant be used, are there any concrete
markers for signing straight cable route?
17. Are all the concrete made with iron oxide pigment
or equivalent coloring material?
18. Are all the signs made of #20 US gauge steel or
1/8 thick plastic with jade green background and
white letters?
19. Are all the signs mounted on white posts?

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No. ITEMS Yes No COMMENT

20. Are the underground electrical cables first covered
by a layer of sand, and then followed by a layer of
red tinted concrete?
21. Are all the signs, markers, and posts comply to all
criteria as follows:
Underground electric cable sign must have
size of 11 in length and 3.5 in width
Direction sign must have size of 3.5 in
length and 3.5 in width
Marker must have size of 8 in length and 6
in width.
Total length of the post must be 46, and part
of post underneath ground surface must be
2.
22. Are all the posts made of 4 x 4 redwood S4S and
painted white?
23. Are motor control centers clean and free of
combustible debris? Are motor control centers
appropriately labeled, and do they have lockable
disconnects?
24. Are any fuses or circuit breakers bridged?
25. Are switches, controls, and circuits identified
with the equipment they serve?
26. Is electrical equipment in classified areas listed
"explosion proof"? Is extent of classified areas
documented?
27. Is equipment properly grounded or bonded?
28. Has electric motor driven equipment been checked
for proper direction of rotation?
29. Have conduit seals been poured and marked (if
appropriate)?
30. Are underground installations properly marked?
31. Is overhead wire clearance adequate?
32. Are ground fault interrupters installed where
necessary?
33. Are electrical wiring terminations adequate -- any
bare wires?
RIGGING PRACTICES
1. Safe use of sling
a) Damaged or defective sling not used
b) Slings are not shortened with knots or bolts
or other makeshift devices
c) Sling legs are not kinked
d) Slings are not loaded in excess of their
rated capacities
e) Slings used in a basket hitch have the
loads balanced to prevent slippage
f) Slings are securely attached to their loads
g) Slings are padded or protected from the
sharp edges of their loads
h) Suspended loads are kept clear of all
obstructions

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No. ITEMS Yes No COMMENT

i) All personnel are kept clear of loads about
to be lifted and of suspended loads
j) Hands or fingers are not placed between
the sling and its load while the sling is being
tightened around the load
k) Shock loading is prohibited
l) A sling not pulled from under a load when
the load is resting on the sling
m) Slings are stored where they will not be
damaged by extreme heat, corrosion, being
run over, or being kinked
ACCESS FOR PHYSICALLY DISABLED EMPLOYEES
1. Are Designs based upon A117.1-1980 ANSI
Standard which is applicable in most jurisdictions?
2. Are Sidewalk curb ramps made non-slip under all
weather conditions?
3. Are Walkway Ramps (slope exceeding 5% (1 to
20) equipped with continuous handrails which is 12
inches beyond the top and bottom of the ramps on
both sides and parallel to the ground?
4. Does handrail have 1-1/2 O.D. handrail on both
side?
5. Is space between wall and handrail 1-1/2?
6. Does size requirement have 42 * 42 when door
swings onto landing?
7. Is toilet height 17 to 19?
8. Are handicapped parking spaces located near
building entrances?
9. Are there any designated parking spaces for
handicapped access?
10. Are water lines above grade in the sun insulated?
11. Are there any Handrails and curbs for slopes 5
percent (1 to 20) or less and width 4 feet or less?
12. Is width for walk 48? And width for ramps 36?
13. Does one mirror, lavatory, towel dispenser, and
disposal unit mounted at toilet room?
14. Does Doors for handicapped toilet stall swing
outward and self-closing?
15. Does toilet door have space 34 for handicapped
access?
16. Does for handicapped toilet have 1-1/2 diameter
grab back and side?
17. Is floor space for turning wheelchair 48 * 53?
18. Does doorways and corridor doors operate with
minimum physical effort (approximately 5 pound
force)?
19. Do Glass doors have kick plates extending 1 foot 4
inches from the floor?
20. Is minimum corridor width 44?

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No. ITEMS Yes No COMMENT

SAFETY SHOWER UNITS AND CHEMICAL HAZARDS

21. Are safety showers/ eye-wash units provided in

location where there exists a potential for
personnel exposure to hazardous chemicals?
22. Is sufficient potable water available for up to 15
minute continuous flush, as required by the
nature of the chemicals involved: 30 GPM [2
l/s] from shower, 3 GPM [0.2 l/s] from eyewash
station?
Is water at an acceptable temperature (65F)
for full period of flush?
23. Does the spray pattern have a minimum diameter
of 20 at 5 ft above the surface on which the user
stands? Are the supply pressure not more than 30
psig?
24. Are water lines above grade in the sun insulated?
25. Are the safety shower & eye wash units located:
No closer than neither 10 ft or further than 50 ft
from a hazard?
On the same level as potential hazard?
Along or adjacent to the normal path of
access?
Upwind of potential leak sources when toxic
gases may be released if there is a prevailing
wind?
At safe distance from electrical equipment and
power outlets
In well lighted area?
26. Are all shower head height around 610 to 8?
Are all eye-wash fountain height around 33
45?
27. Are all the units constructed of material that wont
corrode in the atmosphere?
28. Are enclosures applied to safety shower units
in exposed areas where the temperature
regularly drops below 40F?
Do the openings to the enclosure have a see-
through cover?
Are all the enclosures in safety green?
29. Is dust cover provided to protect eye-wash
nozzles from airborne contaminants?
30. Is there any alternative eye-wash unit provided?
The minimum requirement for portable eye-
wash units is delivery of 0.4 gpm for 15 mins
at less than 30 psi
The water must be changed regularly or a not
toxic additive must be added to eliminate the
formation of bacteria.
31. Is there a clear 3 ft wide by 7 ft high behind the
safety shower/ eye-wash units?
Is there any housing to enclosure them?
32. Is a clear sign mounted in a clearly visible
location near each safety shower/ eye-wash unit?
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No. ITEMS Yes No COMMENT

33. Is an alarm provided in safety shower/ eye-wash
unit?
Is it located at a place that is attended during all
working hours?
Is a visual display board in attended location
provided?
34. Is a caution sign chemical goggle mandatory
applied in hazardous chemical areas which
capable of causing irreversible eye damage?
Is a caution sign to imply appropriate PPE required
provided for job related to corrosive chemical
services?
35. Are equipment controls kept outside yellow line
(when possible)?
VENTILATION
1. Ventilation or other means of engineering control
are provided whenever exposures of personnel to
air contaminants exceed the exposure limits
specified in regulations
2. The plant and equipment layout are arranged to
minimize cross-drafts and turbulence which impair
the effectiveness of ventilation system
3. Two or more operations are not connected to the
same exhaust system where the combination of
substances removed may constitute a fire,
explosion, or chemical reaction hazard in the duct
system
4. Inspection or clean-out doors are provided for
every 9 to 12 feet of running length for ducts up to
12 inches in diameter, but the distance between
cleanout doors may be greater for larger pipes.
(See ANSI Z9.2-1971). A clean-out door or doors
are provided for servicing fans, and where
necessary, a drain should be provided
5. The exhaust discharge of the ventilation system
are not located where a harmful exposure is
created in other accessible work areas
6. Air exhaust with dust or particulates are discharged
through dust-collected equipment
7. Air, free of contamination from other exhaust
systems, chimneys, and stacks, are supplied for
ventilation make-up air. Personnel comfort should
be considered in the design of the make-up air
supply
8. Operation enclosed completely
9. Hood located so the air flow moves contaminant
away from the breathing zone of the worker
10. The hood is located and shaped so the original
velocity of the contaminant will throw it into the
hood opening
11. Air flow requirement comply with SID (for detail
information see page 11.6 and 11.7 of SID book)

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No. ITEMS Yes No COMMENT

12. Exhaust is located at safe location away from
fresh air intakes
MISCELLANEOUS
Is There any variation in the type of design of signs
posted to warn of specific dangers?
Does required color shades and chromaticities
meet Combined Standard Safety Color Code
(CSSCC) colors (see ANSIZ53.1-1979)?
Are safety signs already uniform between plants
and location?
Does fire or health hazard area have danger sign?
Are red color used in Fire Protection Apparatus and
Equipment, Fire Protection Lines, Emergency
Stops and Switches, Designation of Danger?
Are blue color used in Special Meaning in Railroad
Area for warning against starting, use, of or
movement of equipment, Lines Used for Vacuum,
Designation of Safety Information?
Are white color used in Delineation of Aisles, Traffic
Passageways, Housekeeping or Cleaning
Equipment?
Are yellow color used in Chemical Hazards, Piping
with Toxic or Corrosive Material, Designation of
Caution?
Are green color used in Locations of Emergency
Safety Equipment, Containers for Emergency
Equipment, Piping for Potable Water and
Respirable Air, Designation of Safety Instruction?
Are black color used in low pressure lines?
Are orange color used in steam?
Does potential hazard area have caution sign?
Do dimensions, materials, finish, lettering, and
guidelines for specific signs meet CRTC Standard
Form EF-528?
Are non-corrosive or toxic materials Lines identified
by the use of aluminum bands with black lettering
on black lines?
Are corrosive or toxic material Lines identified by
the use of yellow bands with black lettering?

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No. ITEMS Yes No COMMENT

Are all sizes of stencil lettering
complied to SID:
OD pipe Size of Stencil Lettering
(inch) (inch)
to 1
1 to 2
2 to 3
3 to 4 1
4 to 5 1
6 1
7 2
8 to 9 2
10 to 11 3
12 and over 3
Are all manually operated valves required for
emergency shutdown of units plainly indicated
whether they are open or closed?
Are all the lights placed at location where persons
do not look directly at the light?
Are all the light level installed complied with SID?
Please refer to SID guideline page 12-9
Do hearing protector sign provided in area having
noise level over 90 dBA?
SHORING AND BRACING OF EXCAVATIONS
Shoring and bracing is provided for personnel who
enter excavations 5 feet or more
The excavation support system is designed and
constructed by personnel knowledgeable of code
requirements and familiar with the hazards
involved.
(Excavations in excess of a 20 foot depth may require a permit and /or detailed plans by a
civil engineer registered within the appropriate jurisdiction)
The excavation shoring or bracing system is
inspected daily and after a rainstorm, earthquake,
or other hazard-increasing occurrence. All work in
the excavation should cease until necessary
precautions have been taken to safeguard
personnel
Sloping of excavated sides follow this requirement
a. Compacted angular gravels (3/4:1 , 53 o)
b. Average soil (1:1 , 45 o)
c. Compacted sharp sand (1-1/2 :1 , 33 o)
d. Well rounded loose sand (2:1 , 26 o)

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