Program Contact Person List
Program Contact Person List
Program Contact Person List
Has the Plan (or Plans) been reviewed this school year? Yes No N/A
10-5-08
(second date)
Status of the Asbestos repair and maintenance Work Order System: N/A
Established,
Pending
Comments:
Checklist of E/OHS Activities for AWAIR
Has the Plan been reviewed this school year? Yes No N/A
Posted: No
Who is the Contact Person for OSHA 300? Church book: Beverly Schoenborn
Is the OSHA 300A Log completed for the previous calendar year? Yes
Location:
Is information on injuries recorded on the Log with five (5) working days? Yes
No N/A
Safety Committee – Meeting Schedule
.
.
Note: The teachers rotate each month as representatives to the board. The
focus of the committee is to insure maintenance and improvement and safety
of school facilities.
Checklist of E/OHS Activities for Bloodborne Pathogens
List job categories that may be at risk to exposure: All staff are considered at
risk.
Have the employees identified as first aid responders been given at a minimum
Red Cross First Aid Training? Yes No N/A
Has the Plan been reviewed this school year? Yes No N/A
Are information maps posted to indicate travel routes in the event of fire,
tornado shelter locations, and procedures during lockdown? Yes No
Does this school coordinate drills with local government authorities to assure
sheltering in school, evacuating to their homes or use of congregate care
centers? Yes No N/A
Has this school completed the Fire Marshall required Fire Safety and Emergency
Evacuation Plan? Yes No N/A
Has the chemical inventory been completed for the following functional areas?
Are MSDS available and located with the chemical inventory? Yes No
Does this school use contracted services for the Management Assistant
Program? Yes No N/A
Is the Fire Marshal approved Emergency Evacuation Plan in place for each
district building? Yes No
Dark Room X
Wood Shop X
Kitchen 1-21-09
Metal Shop X
Graphic Arts X
Maintenance/ 1-21-09
Custodial
Transportation X
Grounds/Garage 1-21-09
Chemistry/Life X
Science
Checklist of E/OHS Activities for First Aid/CPR
The local provider determined travel time was estimated to be within the 4-8
minute limit. Therefore Mahnomen Health Center
will be the designated emergency response provider.
The local provider determined travel time was estimated to be in excess of the
4-8 minute limit. Therefore N/A will be the
designated emergency response person located within the district.
Have the program and goals been approved by the School Board for the current
school year? Yes No
Were occupied areas of the district evaluated using the EPA’s Tools For Schools
check list or equivalent?
• Teachers check list? An information fact sheet was provided all –staff.
# of forms distributed # of Forms returned:
Training conducted
(date)
Has the District determined the mechanical ventilation rate of each occupied
space? Yes No.
Has the annual monitoring been conducted to determine location and degree of
infestation? Yes No
Is a map of all potable water taps available for review? Yes No N/A
Has the Plan been reviewed this school year? Yes No N/A
Have affected personnel been trained as to methods and technique of use? Yes
No N/A
Has the annual audit of energy control procedures been completed? Yes No
Surfacing:
General Hazards:
X There are no pinch, crush, and shearing points or exposed moving parts
Security of Hardware:
Drainage:
X The entire play area has satisfactory drainage, especially in heavy use
areas such as under swings and at slide exits. Note: Standing water
does occur during heavy rain events.
Leaded Paint:
Note: The playground area has undergone significant upgrading and removal of
older equipment. The cushioning material consists of pea rock and is
reasonably well maintained. The new playground equipment was installed in
September of 2002.
Note: New links were placed on swings during summer of 2008.
Checklist of E/OHS Activities for Personal Protective Equipment
Has the Plan been reviewed this school year? Yes No N/A
Does this school provide respirators for voluntary use? Yes No N/A
If the school allows employees to use respirators voluntarily the following is
mandatory.
1. Read and follow instructions provided by manufacturer.
2. Choose respirators certified for use against contaminants of concern.
3. Do not wear respirators in atmospheres containing contaminants not
designed to protect from those contaminants.
4. Keep track of respirators so that you do not mistakenly wear someone
else’s respirator.
Has the Plan been reviewed this school year? Yes No N/A
Condition:___Good_______