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pdfJOB CORPS ENVIRONMENTAL HEALTH PROGRAM
INSPECTION OF RESIDENTIAL AND EDUCATIONAL FACILITIES
OMB Control Number: 1205-0219
Expires: 5/31/2016
_______________________________________________________
Center Name
________________________________________________________________
Center Director
_________________________________________
________________________________________________
Center Address
Year/Quarter (for example, 2008/1 QTR)
Section I. All Residential and Educational Facilities
ITEM
WT.
STRUCTURAL INTEGRITY
Floors: clean, cleanable, in good repair
1
Walls and ceilings: clean, paint in good condition, cleanable
1
* Foundation structurally sound; no water leaks or flooding; walls and ceilings intact
3
COMMENTS
* Windows and doors not broken; open and close as designed
3
GENERAL HEALTH AND SAFETY
* No evidence of vermin
3
Ventilation adequate, no odors or moisture
2
Cleaning supplies, mops, brooms properly stored
1
Carpets and floor coverings securely fastened
1
Windows, sills, curtains, screens, shades: clean
and in good repair
1
Lighting adequate, fixtures clean
1
Water fountains clean and working properly
2
* First aid kits are stocked and conveniently
located
3
Material Safety Data Sheets (MSDS) are maintained and conveniently located
2
FIRE AND ELECTRICAL SAFETY
Fire extinguishers accessible, charged
2
* Fire escapes accessible, marked, unlocked; periodic fire drills conducted
4
* Evacuation route maps posted; no smoking signs posted; designated smoking
areas marked
3
* Flammable liquids, oily rags and waste properly stored; no fire hazards
4
* Alarm system functioning properly; exit signs illuminated; smoke detectors working
properly
4
Emergency lighting functioning properly
2
18” clearance maintained between sprinkler heads and stored items
2
* Electrical installations adequate
4
GFCIs functioning properly
2
BATHROOMS (Common and Individual)
* Toilets: adequate in number, in good repair, clean, toilet paper available
3
* Showers and tubs: in good repair, hot and cold water, clean, mildew free
3
* Sinks: clean, in good repair, hot and cold water, soap available
3
Adequate ventilation, no odors or moisture
2
Plumbing installations and drains adequate
2
Rubbish containers: provided, adequate, clean, emptied daily
2
Section I Score:
/ 66
Public Burden Statement: Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number and expiration date. Public reporting burden for this
collection of information, which is required to obtain or retain benefits (29 USC 2881), is estimated to average 30 minutes per response, including time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This information collection is for program management and Congressional reporting
purposes. Send comments regarding this burden estimate or any aspect of this collection of information, including suggestions for reducing the burden, to the U.S. Department of Labor, Office of Job Corps,
Room N-4507, Washington, D.C. 20210 (Paperwork Reduction Project 1205-0219).
File Type | application/pdf |
Author | Nye, Joshua - ETA |
File Modified | 2016-05-25 |
File Created | 2016-05-25 |