New York State Unified Court System. Workplace Safety Assessment
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1 New York State Unified Court System Workplace Safety Assessment
2 WORKPLACE SAFETY ASSESSMENT COURTHOUSE/FACILITY INFORMATION... 2 WORKPLACE SAFETY TRAINING PROTOCOLS... 3 Workplace Violence Policy, Exposure Control Training, Right to Know Training, Emergency Response Protocol, Fire Safety Training... 3 ENVIRONMENTAL AND PHYSICAL HAZARDS... 4 Equipment Safety and Personal Protective Equipment (PPE)... 4 Hazardous Materials: Biohazards, Chemical and Other Environmental Hazards... 4 BUILDING SAFETY... 4 FIRE SAFETY... 4 MECHANICAL AND STRUCTURAL SAFETY... 4 SECURITY: COURTHOUSE/FACILITY AND GROUNDS... 5 BUILDING SECURITY (INTERIOR)... 5 BUILDING AND GROUNDS SECURITY (EXTERIOR)... 5 Page 1
3 NEW YORK STATE UNIFIED COURT SYSTEM DIVISION OF HUMAN RESOURCES WORK-SAFE OFFICE WORKPLACE SAFETY ASSESSMENT FORM COURTHOUSE/FACILITY INFORMATION Date of Assessment Courthouse/Facility County Courthouse/Facility Address Building Occupancy (check all that apply) Unified Court System (only) Shared with Other Organizations Single Story Two Floors Three Floor Four or More Floors Hours of Operation Days: Hours: Total Number of Employees Total Number of Uniformed Employees Names of Participants Present at Assessment Name Title Agency/Union Completed by: (Name and Title) Signature: Date: Page 2
4 WORKPLACE SAFETY TRAINING PROTOCOLS Training 1. Are required Workplace Notices conspicuously posted? 2. Did employees receive mandatory training in the following: Workplace Violence Prevention Exposure Control Right-to-Know Emergency Response Protocol Fire Safety Procedures 3. Who maintains training records? Name Title Phone Number Workplace Violence Prevention Exposure Control Right-to-Know Emergency Response Protocol Fire Safety Procedures 4. Have employees been notified that they can file a report when there may be a workplace safety concern? Emergency Response Protocol 5. Protocols are in place for (check all that apply): Active Shooter Hazardous Substances (Biohazards/Chemicals) Building Evacuation / Shelter-in-Place Medical Emergencies Other, please specify: 6. Is employee emergency contact information updated and maintained? 7. Are there procedures in place to account for employees in the event of an emergency? Page 3
5 ENVIRONMENTAL AND PHYSICAL HAZARDS Equipment Safety and Personal Protective Equipment (PPE) 8. Are employees trained to work with assigned equipment (e.g., x-ray equipment, lab equipment, mail-room equipment)? 9. Is equipment routinely inspected and maintained to meet manufacturers standards? 10. Are employees provided with proper personal protective equipment (PPE) (e.g., goggles, protective gloves, hearing protection)? 11. Are first aid kits available to employees? Hazardous Materials: Biohazards, Chemical and Other Environmental Hazards 12. Is there a protocol for reporting building safety concerns (e.g., building repair issues, tripping hazards, electrical hazards, lighting, flooding)? 13. Are there protocols related to accidental exposure to chemicals, environmental and/or biohazards? 14. Are employees informed of protocols related to accidental exposure to chemicals or other environmental and/or biohazards? 15. Are employees notified when building maintenance will be performed which may present an exposure to chemical or other environmental hazards? BUILDING SAFETY FIRE SAFETY 16. Does the courthouse/facility have a Fire Command Station? 17. Are there fire extinguishers available on each floor? 18. If required, is there an on-site fire safety director? 19. Are there trained fire wardens on each floor? 20. Are there notices on each floor identifying the fire warden? 21. Are there audible and visible fire alarms located on each floor? 22. Is the fire alarm safety system regularly tested and maintained? 23. Are fire exits and evacuation routes clearly marked? 24. If required, is there a public address system? MECHANICAL AND STRUCTURAL SAFETY 25. Is there a telephone or call box in the elevator to summon assistance? 26. Is the inspection schedule displayed in elevators or is there a posted notice indicating the exact location where it can be viewed? 27. Date of last elevator inspection: 28. Are the following building systems routinely inspected and maintained? HVAC System Boiler Electrical System Building Management System Communications and Fiber Optics 29. Does the courthouse/facility have an emergency generator and/or Uninterrupted Power Supply (UPS) System? 30. Are the electrical, servers and computer closets adequately secured? Page 4
6 SECURITY: COURTHOUSE/FACILITY AND GROUNDS BUILDING SECURITY (INTERIOR) 31. Are all courthouse/facility entrances and exits monitored by uniformed security personnel? 32. Are magnetometers utilized at this facility? 33. What areas of the courthouse/facility utilize security surveillance? (check all that apply) Courtrooms Ground Floor/Lobby Area Offices/Chambers Hallways Entrances and Exits Windows Basement Public Counters 34. Are there physical barriers between employees and the public (public counter)? 35. Are there silent duress alarms in the courtrooms? 36. How often are courtroom security sweeps conducted? Firearms Storage: Uniformed Personnel Visitors 37. Is there a designated location for the storage of firearms? 38. Are the firearms stored in a secure and restricted area? 39. Are there procedures to address mail tampering or suspicious packages? BUILDING AND GROUNDS SECURITY (EXTERIOR) 40. Is the perimeter of the courthouse/facility defined by a fence, wall, bollards, planters or other barrier? 41. What exterior areas of the courthouse/facility utilize security surveillance? (check all that apply) Roof Garage/Parking Areas Loading Docks/Delivery Entrances Building Facade 42. How often are perimeter security sweeps conducted? 43. Does the building have outside security lighting (e.g., parking, pathways, perimeter, entrances and exits)? 44. Are exterior windows tempered or laminated? WORKPLACE SAFETY 45. Are there any other concerns that should be addressed to promote a safer more secure workplace? Describe and Include with the Workplace Safety Assessment Action Plan. Page 5
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