Parks & Recreation Risk Management Survey Guide

A “no” response may require further analysis and/or an action plan for correction.

Municipality Name / Completed by / Date
SUPERVISION
SAFETY COMMITTEE
Y / N / N/A
Is the department represented on Municipal Safety Committee?
Is there a Safety budget in place?
FACILITIES INSPECTION
Y / N / N/A
Do you conduct monthly inspections?
Are written reports completed?
Have you implemented your action plan for improvement?
Do you have required State and Federal employment posters?
Are they highly visible at each employee reporting location?
ACCIDENT INVESTIGATION
Y / N / N/A
Do you conduct post accident inspections?
Do you use written accident reports?
Does the safety committee review the reports?
Does management review report recommendations?
MOTOR VEHICLE MANAGEMENT
Y / N / N/A
Do you check driving records through Michigan Secretary of State subscription service?
Do you ensure that all affected employees comply with CDL requirements?
Do you conduct random drug testing?
Is there a plan addressing motor vehicle operations?
Does the motor vehicle plan contain the following:
Management policy?
Management and supervisory accountability?
Equipment specific training?
Accident reporting, review & record-keeping?
Corrective action?
Pre-use vehicle inspection?
© Michigan Municipal League Loss Control and Meadowbrook Insurance Group
Page 1 of 7 / Revised August 11, 2004
NEW AND/OR TEMPORARY EMPLOYEES
Y / N / N/A
Do you conduct new employee orientation?
Do you verify state licensing and designations?
Do you offer training on environmental hazards? (pesticides, lead paint, arsenic, poison ivy, etc.)
Do you provide training for the hazard communication/right-to-know law?
Do you provide training on Personal Protective Equipment?
Do you have yearly training on blood borne pathogens, first aid, CPR (for aerial operations)?
HAZARD COMMUNICATION (EMPLOYEE RIGHT-TO-KNOW)
Y / N / N/A
Do you have a written plan?
Is there a complete inventory of chemicals?
Are Material Safety Data Sheets (MSDS) indexed and on file?
Do you ensure that all portable containers have labels?
Do you display all required posters?
Do you train all employees?
Do you post new Material Safety Data Sheets (MSDS) as necessary?
Is there training for new Material Safety Data Sheets (MSDS)?
LOCKOUT PROGRAM
Y / N / N/A
Do you have a written program?
Do you conduct a hazardous energy survey?
Are locks available (one lock for each employee)?
Are lockout devices available?
Are authorized employees aware of lockout status?
Have you provided training for authorized employees?
Is each machine and equipment provided with its own means of energy isolation?
Have you documented all training?
Do you conduct an annual evaluation?
Have you conducted training conducted for electrical awareness hazard recognition training for the workplace?
HEARING PROTECTION PROGRAM
Y / N / N/A
In high noise level areas, are the following in place:
Do you have a written plan/program?
Do you conduct noise surveys?
Do you eliminate noise (engineering control)?
Do you reduce exposure time (administrative control) when feasible?
Do you provide hearing protection?
Do you require hearing protection for specific tasks?
PERSONAL PROTECTIVE EQUIPMENT (PPE)
Y / N / N/A
Has the PPE hazard assessment been completed?
Are written procedures implemented for use of PPE?
Do you have a respiratory protection plan?
Do you conduct a routine inspection and replacement?
Which of the following do you require and issue? (Check all that apply.)
Respirators?
Safety glasses with side shields?
Safety glasses meet ANSI standards?
Face shields?
Job specific goggles?
Foot protection?
Head protection?
Gloves?
Aprons?
Ear protection?

PROCESS SAFETY MANAGEMENT

Y / N / N/A
Do you have a written plan completed for treatment facilities where required?

HERBICIDES AND PESTICIDES

Are all applicators properly licensed and trained?
TOOLS AND EQUIPMENT

VEHICLE MOUNTED ELEVATED WORKING PLATFORMS

Y / N / N/A
Do you train employees in the operations, hazards and safeguards concerning an aerial device?
Do you maintain aerial devices in a condition free of known defects & hazards that could cause an injury?
Do Articulating, extensible boom platforms, or both, primarily designed as personnel carriers, have both upper and lower controls?
Can Lower controls override the upper controls?
Are aerial devices inspected and load tested at least annually for permanent deformation and cracks?
Is a fall protection system attached to the boom or basket when employees work from an aerial lift?
Are Operators of the aerial device required to maintain safe distances from energized distribution and transmission power lines and equipment?
CRANES AND HOISTS
Y / N / N/A
Do you ensure that all operators are trained, authorized and licensed?
Are operating parts inspected daily and ropes monthly?
TOOLS AND EQUIPMENT
CRANES AND HOISTS
Y / N / N/A
Are all controls marked clearly?
Are cranes, jacks, and hoists rated loads legibly marked on equipment and tested for annually?
Are lifting slings, cables and chains made of grade 8 or 10 alloys?
Do you inspect lifting slings, cables and chains quarterly?
ABRASIVE WHEELS
Y / N / N/A
Are there guards on nuts, flanges and spindle ends?
Do you maintain work rests at 1/8” clearance maximum?
Are upper peripheral guards in place (1/4” clearance max)?
Are they securely mounted?
POWER TRANSMISSION
Y / N / N/A
Is there guarding on moving parts, points of operation, and nip points?
Have you fully enclosed power drive belts, chains, pulleys and fans to a height of 7’ from the floor?
Are counter weights enclosed or safety cables attached?
HAND AND POWER TOOLS
Y / N / N/A
Do hand-held power tools have constant pressure switches?
Is the saw guarding functioning?
Do you offer special training and guards for power tools?
Do you prohibit employees from cleaning clothing with compressed air?
Are compressed air nozzles for cleaning work areas limited to 30 PSI?
Are electrically powered tools double-insulated or grounded?
Do you use ground fault circuit interrupters (GFCI) in damp environments?
POWER, GROUNDS KEEPING EQUIPMENT
Y / N / N/A
Is there Guarding on moving parts, points of operation, and nip points?
Have you ensured that the following equipment fully enclosed to a height of 7’ from the floor: Power drive belts, chains, pulleys and fans?
Operators of powered grounds keeping and related equipment trained on operating procedures, hazards and safeguards of the assigned job?
Is all equipment turned off or disconnected during lubrication and maintenance, except when necessary to make adjustments with the power on?
Have all positions of an operating control legibly identified by durable labels?
Do you warn all Employees to keep hands out of discharge chutes/guards while engine is running?
Do you instruct Employees that they should never discharge material at another person?
Do you have a work rule in place stating that a riding vehicle should not carry a passenger other than the operator?
TOOLS AND EQUIPMENT
POWER, GROUNDS KEEPING EQUIPMENT
Y / N / N/A
Do you ensure that Employees do not operate riding vehicles down a slope of more than 26 degrees or move across the face of a slope of more than 17 degrees?
Do you ensure that the in-feed hopper or table of a chipper is designed to prevent an employee reaching the rotor blades or knives during normal operation?
SPECIFIC HAZARDS
FLAMMABLE/COMBUSTIBLE LIQUIDS
Y / N / N/A
Do employees ensure that they cover containers when not in use?
Do you supply safety cans for storing and dispensing?
Do you provide bonding and grounding cables when necessary?
Are flammable liquid stored in storage cabinets?
Is there adequate fire protection in place?
Do you prohibit open flames and smoking?
Do you label storage areas “flammable”?

HAZARDOUS MATERIALS

Y / N / N/A
Do you identify all toxic, flammable/combustible & corrosive chemicals?
Do you display all the proper precautionary signs?
Do you have secondary containment for spill control?
Does Material Safety Data Sheets (MSDS) require specialized first aid?
Does Material Safety Data Sheets (MSDS) require specialized emergency procedures?
SPECIFIC HAZARDS
WELDING & CUTTING
Y / N / N/A
Do you have a hot-work permit program?
Is oxygen & acetylene used & stored properly?
Are regulators equipped with backflow check valves?
ELECTRICAL SAFETY
Y / N / N/A
Do you have grounded circuits and systems?
Is all electrical equipment grounded?
Do you properly identify all controls and switches?
Do you prohibit the use of extension cords for more than 90 days?
Is there special equipment for hazardous & wet locations available (GFCI, explosion proof fixtures, etc.)?
Do you display high voltage signage where necessary?
SPECIFIC HAZARDS
ELECTRICAL SAFETY
Y / N / N/A
Are electrical panels and/or switches covered and/or enclosed?
PORTABLE LADDERS
Y / N / N/A
Do you provide the proper type stepladder: industrial type I or commercial type II?
Are your portable ladders ANSI approved?
Do your ladders have a non-slip bases or safety feet?
Are rungs spaced at a uniform 12”?
Do you inspect your ladders prior to use?
Do you destroy and replace damaged ladders?
Are metal ladders stored away from electrical hazards and so marked?
Are job made ladders prohibited?
FIXED LADDERS
Y / N / N/A
Are fixed ladders that have a height of 20’ or greater equipped with cage or fall protection?
WORK ZONE TRAFFIC CONTROLS
Y / N / N/A
Do all employees, including supervisors, wear highly visible clothing at each job?
Do crews follow part vi of the manual of uniform traffic control for sign and cone placement?
Do traffic regulators receive training according to MIOSHA part 22?
FIRST AID/CPR TRAINING
Y / N / N/A
Is there an employee on each shift first aid trained?
Are first aid supplies available?
Do you post emergency phone numbers and procedures?
Are eyewash/emergency showers where required?
Do you test eyewash/emergency showers on monthly basis?
FACILITIES
FIRE PROTECTION
Y / N / N/A
Is there a central station fire alarm installed, maintained, and tested according to NFPA 72?
Do you have proper fire extinguisher types, sizes, and number?
Are the locations of extinguishers marked and accessible?
Do you inspect extinguishers monthly and service them annually?
Do you train employees in extinguisher use?
Are sprinkler valves open, tagged, sealed, or locked?
Do you test the sprinkler system quarterly, as weather permits and alarms operative?
Do you have adequate clearances from sprinkler heads to storage (18 - 36 inches)?
Do you remove combustible scrap and debris from work areas at regular intervals?
FACILITIES
EXITS
Y / N / N/A
Are there a sufficient number of exits for facility (not less than 2 for each fire area)?
Are doors unlocked or have panic hardware?
Are doors clearly visible or have a marked route?
Do you maintain clear access to all exits?
Are exit signs illuminated?
Do you post signs (6” letters)?
Do doors swing out to safe discharge area?
Do you keep emergency exits clear of snow and ice?
EMERGENCY PLANS
Y / N / N/A

Is your emergency operations plan in place?

Is your emergency evacuation plan in place and posted?

Does your emergency plan allow for mutual aid communications?

Does your emergency plan include the following:
Does your emergency plan include the following:
Natural?
Chemical?
Employee meeting place?
Alarm system?
HOUSEKEEPING
Y / N / N/A
Are there individuals responsible for maintaining order in their work areas?
Do you provide appropriate amount of time in daily schedule for housekeeping?
Do you provide special equipment or cleaning materials?
Is there proper waste disposal available?
Are all materials stored properly? (i.e. leaning materials, stock piles, ladders, etc.)
Are standard guardrails (42” top rail, mid rail and 4” toe board) for storage lofts?
Do you assign responsibility for aisles and walkways?
Have you developed a cleaning schedule?
Do you post the cleaning schedule?
Do you monitor the cleaning schedule?
Are there procedures for clean up of spills and leaks in place?
Are there procedures for ice and / or snow removal in place?
© Michigan Municipal League Loss Control and Meadowbrook Insurance Group
Page 1 of 7 / Revised August 11, 2004