Building & Room(s):	Inspected By:
PI/Area Supervisor:	Date:

All laboratory spaces containing hazardous materials must be inspected at least annually by EH&S. Farm self-inspections should be conducted monthly. For each item put an ‘X’ for Yes, No or N/A. Be sure to retain all documentation regarding inspections, including findings and corrective actions taken for any “No” responses, for a minimum of 3 years. Contact EH&S at 713.835.0431 for questions or additional information.

Y	N	N/A	FARM BUILDINGS AND SHOP
☐	☐	☐	Are all buildings free of trash, junk or tools in walkways and work areas?
☐	☐	☐	Are wood floors free of rotten or broken floor boards, exposed nails and other defects?
☐	☐	☐	Are concrete floors free from badly broken sections, raised areas, slippery spots or other defects?
☐	☐	☐	Are stairs and ladders in good condition? Are handrails and stairs secure and free of objects and slippery substances?
☐	☐	☐	Are ladder openings and hay chutes protected with cages or railings?
☐	☐	☐	Are low ceilings, beams, doors or passageways marked with warning signs, streamers, or other identification?
☐	☐	☐	Are buildings lighted to illuminate walkways and work areas so you can see hazards adequately?
☐	☐	☐	Are light fixtures in storage areas or damp or dusty work areas protected against breakage, dust, and moisture?
☐	☐	☐	Are all electrical outlets grounded to accommodate grounded (3-wire) appliances and equipment?
☐	☐	☐	Are Ground Fault Circuit Interrupters (GFCI’s) installed in the shop and common work areas, especially wet areas?
☐	☐	☐	Are electric wires firmly supported or in conduit?
☐	☐	☐	Does all electrical wiring insulation appear to be in good condition (not cracked, broken or brittle)?
☐	☐	☐	Are all electrical cords in good condition (not cracked, broken or brittle)?
☐	☐	☐	Are stationary power tools properly grounded?
☐	☐	☐	Are portable power tools either double-insulated or the three-wire grounded type?
☐	☐	☐	Can electrical equipment be locked in the “off” position? Is a lock available?
☐	☐	☐	Does each major farm building have a telephone for use in the event of an emergency?
☐	☐	☐	Are important emergency telephone numbers posted (fire, ambulance, sheriff)?
☐	☐	☐	Does each major farm building have a well-maintained first-aid kit for use in the event of an injury?
☐	☐	☐	Does each major farm building have an appropriate, fully-charged ABC-type fire extinguisher?
☐	☐	☐	Are flammable liquids stored away from ignition sources? Are they kept in approved containers?
☐	☐	☐	Are oily rags stored in an approved covered metal container?
☐	☐	☐	Are above-ground fuel storage tanks at least 40 feet from any building?
☐	☐	☐	Do above-ground fuel storage tanks have proper spill containment?
☐	☐	☐	Is the area near fuel storage tanks kept free of weeds and other easily combustible materials?
☐	☐	☐	Are “NO SMOKING” signs displayed in farm buildings and near fuel storage and refueling areas?
☐	☐	☐	Are hand tools in good repair?
☐	☐	☐	Are tools and materials stored so they cannot fall?
☐	☐	☐	Are chemicals and hazardous substances stored out of the reach of children and visitors?
☐	☐	☐	Can hazardous work areas be locked to keep visitors and children out?
☐	☐	☐	Is personal protective equipment (goggles, respirators, rubber gloves, earmuffs, etc.) available?
☐	☐	☐	Are smoke detectors installed in appropriate locations and operating properly?
☐	☐	☐	Are doors and gates to hazardous areas (silos, manure storage, chemical storage, animal quarters, etc.) kept closed and secured to keep out children and visitors?
☐	☐	☐	Are smoke detectors installed in appropriate locations and operating properly?

Y	N	N/A	LIVESTOCK FACILITIES
☐	☐	☐	Are pens, gates, chutes and lot fences adequate for the job, sturdy and well-maintained?
☐	☐	☐	Are livestock pens designed to allow for easy escape from an aggressive animal?
☐	☐	☐	Are livestock pens and work areas secured with locks to keep visitors and children out?
☐	☐	☐	Is livestock restraining equipment available and in good condition (for example, squeeze chutes, head-gates, etc.)?
☐	☐	☐	Are floors and walking surfaces clear of manure, mud and feed material?
☐	☐	☐	Are manure lagoons posted with warning signs and fenced to keep visitors, children and animals out?
☐	☐	☐	Are manure pit openings covered with secure grates and locked to prevent anyone from entering?
☐	☐	☐	Are manure storage areas posted with warnings about manure gases?
☐	☐	☐	Is manure handling equipment adequately shielded and well- maintained?
☐	☐	☐	Are animal medicines kept in a secure area stored in the original containers?
☐	☐	☐	Are barn chemicals—pipeline cleaners, fly sprays, disinfectants, etc.—stored in original containers and in a location inaccessible to visitors and children?
☐	☐	☐	Is feeding, grinding and other material-handling equipment properly shielded?
☐	☐	☐	Are milking parlor and milk-house floors sloped uniformly for proper drainage?
☐	☐	☐	Are vents clear? Do ventilation fans operate properly?
☐	☐	☐	Are portable heaters and other heating equipment in good condition? Are they properly vented and kept away from combustibles?
☐	☐	☐	Are electric water heaters for livestock properly installed and grounded?
☐	☐	☐	Are animal medicines kept in a secure area stored in the original containers?
☐	☐	☐	Are animal working pens free from sharp projections such as nails and metal objects that might endanger animals or workers?

f

Y	N	N/A	CHEMICAL STORAGE AREAS
☐	☐	☐	Are chemicals stored in a room or building which can be secured from children, visitors and live- stock?
☐	☐	☐	Are entrances to chemical storage areas posted to warn others of the hazards inside and to inform fire- fighters of the contents in case of fire?
☐	☐	☐	Do chemical containers have original labels?
☐	☐	☐	Are chemicals stored in their original containers and never in food or drink containers?
☐	☐	☐	Are all empty chemical containers disposed of properly?
☐	☐	☐	Is smoking prohibited in and around buildings where chemicals are stored and when they are being handled?
☐	☐	☐	Is the storage area well-ventilated and lighted?
☐	☐	☐	Are chemicals mixed in a well ventilated area with spill-holding capacity?
☐	☐	☐	Are respirators, rubber gloves, aprons, chemical goggles, coveralls and other chemical protective gear available?
☐	☐	☐	Is breathing protection available for use when handling dusty or moldy grain, and when cleaning inside a bin?

Y	N	N/A	CROP AND FEED STOARAGE AREAS
☐	☐	☐	Are entrances to grain, feed, or silage storage areas closed or locked to keep visitors and children out?
☐	☐	☐	Are grain and feed bins clearly labeled to warn of the hazards of flowing grain or feed?
☐	☐	☐	Are silos labeled to warn of the hazards of silo gas and an oxygen deficient environment?
☐	☐	☐	Are silo and bin ladders secure and in good condition?
☐	☐	☐	Do all bins have permanent ladders both outside and inside?
☐	☐	☐	Do silos or bins taller than 30 feet possess a safety cage or climbing device?
☐	☐	☐	Are all light bulbs adequately protected from dust, water and damage?
☐	☐	☐	Are electrical motors and equipment kept clean of dust and provided ample ventilation?
☐	☐	☐	Are overhead power lines located away from bins, silos and barns where tall equipment may be used?
☐	☐	☐	Can power be locked out to prevent unloading mechanisms and automatic equipment from starting?
☐	☐	☐	Are locks or tags available to lock out equipment?
☐	☐	☐	Are warnings posted in locations where automatic starting equipment is located?
☐	☐	☐	Are equipment guards and shields in place and in good condition?
☐	☐	☐	Are stacks of hay or round bales secured so they will not fall on someone?
☐	☐	☐	Are respirators available when handling dusty or moldy crops and feed?
☐	☐	☐	Are hearing protectors available for wearing around noisy equipment?
Y	N	N/A	CHEMICAL APPLICATION EQUIPMENT
☐	☐	☐	Are all sprayer fittings, hoses, lines and valves in good condition and free of leaks?
☐	☐	☐	Does each pressure gauge read accurately?
☐	☐	☐	Do the tank covers on sprayers fit tightly to prevent spillage?
☐	☐	☐	Is an emergency washwater supply available on equipment?
☐	☐	☐	Is chemical protective gear available?
☐	☐	☐	Are guards and shields on equipment in place and in good condition?
Y	N	N/A	ANHYDROUS AMMONIA EQUIPMENT
☐	☐	☐	Are all valves and fittings in good repair?
☐	☐	☐	Have worn hoses been replaced?
☐	☐	☐	Are rubber gloves and vent-free goggles for anhydrous use avail- able for use with each applicator?
☐	☐	☐	Are five gallons of fresh water mounted on each nurse tank or applicator as required by law?
☐	☐	☐	Is a personal water bottle available on the tractor or for the operator to carry in a shirt pocket?
☐	☐	☐	Is each nurse tank or applicator used on public highways equipped with an unfaded SMV emblem?
☐	☐	☐	Are tires and running gear on nurse tanks in good condition and properly inflated?

Y	N	N/A	WAGONS AND OTHER HAULING EQUIPMENT
☐	☐	☐	Are all tires in good condition and inflated to the recommended tire pressure?
☐	☐	☐	Are all wheel lugs in place and tight?
☐	☐	☐	Are hitches in good condition?
☐	☐	☐	Are chains available and in good repair?
☐	☐	☐	Are safety hitch pins available and used?
☐	☐	☐	Are wagons hauling heavy loads equipped with brakes?
☐	☐	☐	Does each piece of hauling equipment display an unfaded SMV emblem?
☐	☐	☐	Are all lights and reflectors clean and in working order?
☐	☐	☐	On PTO operated equipment, are PTO components properly shielded?
☐	☐	☐	Are belts, pulleys, chains and shafts on power unloading wagons adequately shielded?
☐	☐	☐	Are hydraulic components in good repair and free of leaks?
☐	☐	☐	Are warning decals clean and undamaged?

Y	N	N/A	PORTABLE AUGERS AND ELEVATORS
☐	☐	☐	Are all belts and chains shielded?
☐	☐	☐	Is the auger inlet shield in place?
☐	☐	☐	Is the winch in good working order and prevented from “free wheeling”?
☐	☐	☐	Is the winch cable free of corrosion, wear or damage which would reduce its strength?
☐	☐	☐	On PTO operated equipment, are PTO components shielded?
☐	☐	☐	Are there any overhead power lines near those areas where portable augers/elevators are located or generally used?

Y	N	N/A	HARVESTING EQUIPMENT
☐	☐	☐	Are all guards and shields in place and in good condition?
☐	☐	☐	If PTO-operated, are the PTO components properly shielded?
☐	☐	☐	Is the operator’s manual available in the cab or in the machine for reference when servicing and making adjustments?
☐	☐	☐	Are the fuel, oil and hydraulic systems free of leaks?
☐	☐	☐	Are all belts and chains properly adjusted and shielded?
☐	☐	☐	Is the safety latch, jack stand, and/or other safety locks in working order to prevent equipment from dropping?
☐	☐	☐	Are ladders and steps in good repair and kept free of mud and grease?
☐	☐	☐	Does self-propelled equipment have a 10-pound (minimum) ABC type fire extinguisher?
☐	☐	☐	Is each self-propelled or towed machine equipped with an unfaded SMV emblem?
☐	☐	☐	Do all flashers and lights work? Are lights and reflectors clean?
☐	☐	☐	Are controls clearly marked? Do gauges work properly?
☐	☐	☐	Are warning decals clean and undamaged?
☐	☐	☐	Are moving parts free of accumulations of crop materials?
☐	☐	☐	Are tires properly inflated and in good condition?
☐	☐	☐	Are cab windows and mirrors clean to maintain good visibility?
☐	☐	☐	Are safety hitch pins available and used?

Y	N	N/A	TILLAGE AND PLANTING EQUIPMENT
☐	☐	☐	Are hydraulic components in good repair and free of leaks?
☐	☐	☐	Does hydraulically-raised equipment have usable transport locks to take the load off the hydraulic system during transport?
☐	☐	☐	Are all belts, chains and shafts adequately shielded?
☐	☐	☐	On PTO-operated equipment, are the PTO components properly shielded?
☐	☐	☐	Are tires inflated to the recommended pressure?
☐	☐	☐	Are reflectors and SMV emblems clean, unfaded and undamaged?
☐	☐	☐	Are safety hitch pins available and used?

Y	N	N/A	TRACTORS
☐	☐	☐	Do tractors have a rollover protective structure (ROPS) or a ROPS equipped cab?
☐	☐	☐	Do tractors with a ROPS also have seat belts?
☐	☐	☐	Is the PTO master shield in place and in good condition?
☐	☐	☐	Are the fuel, oil and hydraulic systems free of leaks and maintained at recommended levels?
☐	☐	☐	Are the operator’s platforms free of grease, mud and tools?
☐	☐	☐	Do all lights and flashers work?
☐	☐	☐	Are reflectors and SMV emblems clean, unfaded and undamaged?
☐	☐	☐	Have defective mufflers and other exhaust components been replaced?
☐	☐	☐	Is each tractor equipped with a 10-pound (minimum) ABC type fire extinguisher?
☐	☐	☐	Are cab windows and mirrors clean to maintain clear visibility?
☐	☐	☐	Are tires in good condition and inflated to the recommended pressure?
☐	☐	☐	Can brakes be locked together for road travel?
☐	☐	☐	Does the parking brake work?
☐	☐	☐	Are controls clearly marked and gauges working properly?
☐	☐	☐	Is a first-aid kit available?
☐	☐	☐	Is the drawbar in proper position?

NOTES