UCSB Outdoor Athletic Facility - Rec. Cen. Self-Inspection- Injury and Illness Prevention Program

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1	DFSS - Environmental Health & Safety
2	UCSB SELF-INSPECTION CHECKLIST: OUTDOOR ATHLETIC FACILITY - REC CEN
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4	Under California law (OSHA Injury and Illness Prevention Program), and UCSB campus policy #5400, campus supervisors are responsible for ensuring regular safety inspections are documented.
5	The list provided may not contain every possible hazard, but is a generalized set of guidelines.
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8	Department/work unit: __________________________________________________________________________________________________________________________________
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10	Building: ________________________________________________________________________ Room: ______________________________________________________
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12	Inspector name: _______________________________________________________________________________________________________________________________________
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14	Inspector email: _____________________________________________________ Inspector phone: _______________________________________________________________
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16	Inspection date: _____/ _____/ ________
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19	0.0	REVIEW OF PRIOR ACTION ITEMS
20	Item #	Item	Yes	No	N/A	NOTES (Include Room # and Description)	CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
21	0.1	All previously identified action items have been corrected and noted on the corresponding inspection form.
22	0.2	Previously identified issues are not recurring.
23	*** If issues are recurring, a new corrective action must be opened in each inspection. If issues have recurred more than 3 times, greater action must be taken to prevent the recurrence.
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25	1.0	EMERGENCY
26	Item #	Item	Yes	No	N/A	NOTES (Include Room # and Description)	CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
27	1.1	While stadium or field is in use, an AED Unit is available.
28	1.2	Gates or doors provided will allow emergency medical services direct access to the stadium and/or field.
29	1.3	Working 'Emergency Call Box/Phone' is located nearby.
30	1.4	Emergency egress gates remain unlocked during games and/or events.
31	1.5	Security is adequate for ticket booth and concession stands if cash transactions are being accepted.
32	1.6	Is there anything else relating to Emergency that needs attention at this time? Please note in the comments.
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34	2.0	BASKETBALL
35	Item #	Item	Yes	No	N/A	NOTES (Include Room # and Description)	CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
36	2.1	The court is free from potholes and plants.
37	2.2	The basketball hoop, backboard, and base are free from rust, jagged edges and/or broken parts.
38	2.3	Basketball hoop is in good condition.
39	2.4	Is there anything else relating to Basketball that needs attention at this time? Please note in the comments.
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41	3.0	BATTING CAGES
42	Item #	Item	Yes	No	N/A	NOTES (Include Room # and Description)	CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
43	3.1	Cage area is free from potholes and plants.
44	3.2	Cage is free from holes, jagged edges and rust.
45	3.3	Is there anything else relating to Batting Cages that needs attention at this time? Please note in the comments.
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47	4.0	BLEACHERS
48	Item #	Item	Yes	No	N/A	NOTES (Include Room # and Description)	CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
49	4.1	Bleachers are approved by the Department of Building and Safety to meet national standard strength requirements.
50	4.2	When walking the bleachers, they feel safe. If not, describe in detail.
51	4.3	Structural supports, floors and seating are in good condition.
52	4.4	Guardrails are provided on the back of the bleachers that are 30 inches above the floor/ground or taller. The top surface of the guardrail should be at least 42 inches above the leading edge of the footboard, seatboard, or aisle, whichever is adjacent.
53	4.5	Front guardrail is present and in good condition.
54	4.6	Bleacher seats are in good condition.
55	4.7	Bleachers have certified inspections every 2 years.
56	4.8	Is there anything else relating to the Bleachers that needs attention at this time? Please note in the comments.
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58	5.0	CONCESSION STANDS
59	Item #	Item	Yes	No	N/A	NOTES (Include Room # and Description)	CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
60	5.1	UCSB SELF-INSPECTION CHECKLIST: DINING/KITCHEN/CONCESSION STANDS has been completed, documented, and corrective action/s have been completed. IIPP forms may be found at the following webpage: https://www.ehs.ucsb.edu/iipp
61	5.2	Is there anything else relating to the Concession Stands that needs attention at this time? Please note in the comments.
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63	6.0	ELECTRICAL
64	Item #	Item	Yes	No	N/A	NOTES (Include Room # and Description)	CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
65	6.1	All outdoor electrical outlets are equipped with weather proof covers.
66	6.2	All outdoor electrical outlets must be GFI.
67	6.3	Flammable objects are not in contact with outlets and power bars to avoid fire.
68	6.4	Power bars, power cords, multi plug adapters and/or extension cords are not interconnected (stacked, daisy-chained) into each other. If so, describe in detail.
69	6.5	Extension cords are used for temporary applications only. “Temporary” generally refers to a one-time job or with a transient condition. Please have permanent wiring installed for long-term or repetitive needs, or plug the power bar directly into the outlet.
70	6.6	Electrical panels have a clear path leading up to, and a minimum of 36 inches maintained in front of the electrical panels for safety and to allow access.
71	6.7	Circuit breaker switches are identified with each circuit they control.
72	6.8	Is there anything else relating to Electrical that needs attention at this time? Please note in the comments.
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74	7.0	LOCKER ROOM
75	Item #	Item	Yes	No	N/A	NOTES (Include Room # and Description)	CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
76	7.1	The floors in the shower room are regularly cleaned and sanitized.
77	7.2	Equipment is properly stored and does not create any hazards.
78	7.3	Sinks and shower room hot water controls work properly.
79	7.4	Lockers are in good working order, properly secured with no sharp edges present.
80	7.5	Locker rooms are secured during games/events.
81	7.6	Locker rooms are secured when not in use.
82	7.7	Locker room is free of standing water
83	7.8	Restroom facilities have clear access to ADA stall, and hand washing & drying stations.
84	7.9	An ADA shower is available.
85	7.10	Clear access to ADA accessible lockers and benches is maintained.
86	7.11	Is there anything else relating to Locker Room that needs attention at this time? Please note in the comments.
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88	8.0	OUTDOOR FACILITY
89	Item #	Item	Yes	No	N/A	NOTES (Include Room # and Description)	CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
90	8.1	Location, accessibility and visibility of entrance are adequate.
91	8.2	Walking surfaces; sidewalks, stairs, common areas and other surfaces are in good condition.
92	8.3	Handicap access is adequate in entrances, exits, ramps, restroom, locker room and parking.
93	8.4	Outdoor lighting is in good condition.
94	8.5	Fencing and barriers are in good condition.
95	8.6	Area grass, trees and plants are well kept, do not touch buildings, do not create blind spots or potential hiding areas. Poison oak is removed.
96	8.7	Artificial turf is not torn or lifted and is free from hazards.
97	8.8	Facility is protect by bollards, fences, gates, or landscaping from any unauthorized vehicle access.
98	8.9	Gates swing is in the direction of egress.
99	8.10	Gates are lockable.
100	8.11	Hidden spaces around the facility are kept to a minimum.