ETA 6-37 Inspection of Residential and Educational Facilities

U.S. Department of Labor Employment and Training Administration Office of Job Corps

ETA FORM 6-37 OMB Control No. 1205-0219 Expiration Date: 05/31/2025

Job Corps Environmental Health Program: Inspection of Residential and Educational Facilities

Purpose of this form: This form rates the safety of residential and educational facilities during inspections, verifying the quarterly inspections.

Section I. All Residential and Educational Facilities

Center Name:		Center Director:	Enter information here
Center Address:	Enter information here	Year/Quarter (for example, 2008/1 QTR):	Enter information here

Item	WT.	Comments
Structural Integrity
Floors: clean, cleanable, in good repair	1	Enter information here
Walls and ceilings: clean, paint in good condition, cleanable	1	Enter information here
* Foundation structurally sound; no water leaks or flooding; walls and ceilings intact	3	Enter information here
* Windows and doors not broken; open and close as designed	3	Enter information here
General Health and Safety
* No evidence of vermin	3
Ventilation adequate, no odors or moisture	2	Enter information here
Cleaning supplies, mops, brooms properly stored	1	Enter information here
Carpets and floor coverings securely fastened	1	Enter information here
Windows, sills, curtains, screens, shades: clean and in good repair	1	Enter information here
Lighting adequate, fixtures clean	1	Enter information here
Water fountains clean and working properly	2	Enter information here
* First aid kits are stocked and conveniently located	3	Enter information here
Safety Data Sheets (SDS) are maintained and conveniently located	2	Enter information here
Fire and Electrical Safety
Fire extinguishers accessible, charged	2	Enter information here
* Fire escapes accessible, marked, unlocked; periodic fire drills conducted	4	Enter information here
* Evacuation route maps posted; no smoking signs posted; designated smoking areas marked	3	Enter information here
* Flammable liquids, oily rags and waste properly stored; no fire hazards	4	Enter information here
* Alarm system functioning properly; exit signs illuminated; smoke detectors working properly	4	Enter information here
Emergency lighting functioning properly	2	Enter information here
18” clearance maintained between sprinkler heads and stored items	2	Enter information here
* Electrical installations adequate	4	Enter information here
GFCIs functioning properly	2	Enter information here
Bathrooms (Common and Individual)
* Toilets: adequate in number, in good repair, clean, toilet paper available	3	Enter information here
* Showers and tubs: in good repair, hot and cold water, clean, mildew free	3	Enter information here
* Sinks: clean, in good repair, hot and cold water, soap available	3	Enter information here
Adequate ventilation, no odors or moisture	2	Enter information here
Plumbing installations and drains adequate	2	Enter information here
Rubbish containers: provided, adequate, clean, emptied daily	2	Enter information here

Section I Score: / 66

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