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DFSS - Environmental Health & Safety​
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 UCSB SELF-INSPECTION CHECKLIST: THEATER / PERFORMANCE VENUES
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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.
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The list provided may not contain every possible hazard, but is a generalized set of guidelines.
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Department/work unit: __________________________________________________________________________________________________________________________________
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Building: ________________________________________________________________________ Room: ______________________________________________________
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Inspector name: _______________________________________________________________________________________________________________________________________
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Inspector email: _____________________________________________________ Inspector phone: _______________________________________________________________
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Inspection date: _____/ _____/ ________
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0.0REVIEW OF PRIOR ACTION ITEMS
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Item #ItemYesNoN/ANOTES (Include Room # and Description)CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
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0.1All previously identified action items have been corrected and noted on the corresponding inspection form.
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0.2Previously identified issues are not recurring.
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*** 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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1.0AUDITORIUM
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Item #ItemYesNoN/ANOTES (Include Room # and Description)CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
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1.1Maximum capacity signs are posted.
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1.2Seats are in good condition.
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1.3Aisle lighting is adequate for stairs and ramp use.
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1.4Overhead lights are operable.
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1.5Overhead speakers are secured and operable.
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1.6Overhead microphones are secured and operable.
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1.7Is there anything else relating to the auditorium that needs attention at this time? Please note in the comments.
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2.0STAGE OPERATIONS
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Item #ItemYesNoN/ANOTES (Include Room # and Description)CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
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2.1Rigging ropes and cables are in good condition and are routinely inspected by knowledgeable staff.
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2.2Rigging ropes and cables are inspected every 5 years by a knowledgeable outside agency.
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2.3Hoists and beams are clearly labeled to indicate maximum capacities.
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2.4Line set weight-capacity signs are present on the loading bridge.
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2.5Props are safely secured.
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2.6Trap doors and pits are adequately marked.
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2.7Electrical outlets are recessed.
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2.8Electrical cords are clearly marked.
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2.9Elevations are clearly marked and safe.
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2.10Head block hardware is sufficiently tight, sheaves do not rub against the side plates, bearings do not make noise, and equipment is in good working condition.
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2.11Lift lines show no broken strands, corrosion, kinks or deformities on the wire rope, the wires do no rub against the equipment or building structure and equipment is in good working condition.
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2.12Locking rail rope locks are operational, locking pins are present on all rope locks, linsets are numbered, Linset capacity signs are used, Linsets are labeled with load information, and equipment is in good working condition.
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2.13Loft block hardware is sufficiently tight, housing is not deformed or damaged, sheaves do not rub against side plates, bearings do not make noise during operation, and equipment is in good working condition.
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2.14Mule block hardware is sufficiently tight, housing is not deformed or damaged, sheaves do not rub against side plates, bearings do not make noise during operation, and equipment is in good working condition.
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2.15Purchase lines have no extra slack, show no signs of wear, knots are tied correctly and show no signs of slipping, spike marks are removed when not in use, and equipment is in good working condition.
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2.16Rope lock hardware is sufficiently tight, locks are adjusted for a 50# maximum imbalance, jaws and cams are not worn, retaining ring is present, and equipment is in good working condition.
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2.17Spot block hardware is sufficiently tight, housing is not deformed or damaged, sheaves do not rub against the side plates, bearings do not make noise during operations, and equipment is in good working condition.
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2.18Battens are in good condition.
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2.19Counterweight arbors are straight, not deformed or bent, sit flat on the bottom of the arbor, pipe weight is easily identified, spreader plates are available and positions indicated, locking collars are able to be tightened and loosened, guides are not bent and free of obstructions, hardware is sufficiently tight and equipment is in good working condition.
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2.20Tension block hardware is sufficiently tight, housing is not deformed or damaged, sheaves do not rub against the side plates, bearings do not make noise during operation, and equipment is in good working condition.
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2.21Guide tracks prevent horizontal travel so as to prevent arbors from colliding.
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2.22Rigid track transitions are smooth.
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2.23Guides are in good condition with little wear.
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2.24Guide cables are plumb.
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2.25Guide tracks and cables are clean and free from excess lubrication and dirt.
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2.26Guides operate smoothly without binding.
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2.27Is there anything else relating to Stage Operations that needs attention at this time? Please note in the comments.
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3.0EARTHQUAKE & FALLING OBJECT PREPAREDNESS
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Item #ItemYesNoN/ANOTES (Include Room # and Description)CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
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3.1All furnishings and equipment (book cases, file cabinets and other large items) over 42 inches in height are fastened to a wall or floor in a manner to prevent walking/tipping/falling in an earthquake.
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3.2All large, heavy or angular items are stored below 42 inches, or are secured. All shelves and/or storage above 42 inches have a lip or other method to secure items from falling.
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3.3When closed, cabinet doors lock into place, and when in use the cabinet doors are clear of obstruction, vertically and horizontally.
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3.4Is there anything else relating to Earthquake & Falling Object Preparedness that needs attention at this time? Please note in the comments.
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4.0ELECTRICAL HAZARDS
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Item #ItemYesNoN/ANOTES (Include Room # and Description)CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
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4.1A clear path leading up to electrical panels is maintained, with a minimum of 36” of space in front and under at all times.
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4.2Circuit breaker switches are identified with each circuit they control.
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4.3Power cords, extension cords, and plugs are in good condition; no exposed internal wires or taped wires.
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4.4Extension 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.
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4.5Power bars, power cords, multi plug adapters and/or extension cords are not stacked together, interconnected, or daisy-chained.
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4.6All outlets and switch cover plates are in good condition and do not have cracked/missing plates, or signs of electrical charring.
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4.7All electrical outlets within 6 feet of water sources have Ground Fault Circuit Interrupters (GFCI/GFI).
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4.8Equipment cords and plugs are in good condition; no exposed or patched wires.
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4.9Power cords are not wrapped around structural supports.
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4.10Power cords and communication wires are well organized.
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4.11Power bars, power cords, multi plug adapters and/or extension cords are not stacked together, interconnected, or daisy-chained.
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4.12Extension cords are in good condition without damage, spices, or being sharply bent or pinched.
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4.13Extension 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.
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4.14Extension cords are plugged directly into the wall outlet, and do not run through walls, ceilings or doors.
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4.15Power cords are kept tidy to avoid fire hazard, possible shock or electrocution, and for general safety.
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4.16In the event a power cord or cable must cross an aisle, or other walkway, an ADA-compliant cord guard is provided. Power cords must never be placed under a rug or carpet. If possible, reroute the power cord or cable entirely and get it off the floor.
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4.17Electrical panels are clearly identified, and must have a clear path leading up to the panels, and a minimum of 36 inches maintained in front and under the panels at all times for safety and to allow access.
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4.18All outlets and switch cover plates are in good condition and do not have cracked/missing plates, or signs of electrical charring.
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4.19Power cables are places to the edges of catwalks and out of walking areas.
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4.20Is there anything else relating to Electrical Hazards that needs attention at this time? Please note in the comments.
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5.0FIRE PREVENTION, EMERGENCY EXITS, & EMERGENCY RESPONSE
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Item #ItemYesNoN/ANOTES (Include Room # and Description)CORRECTIVE ACTION COMPLETED (date, WO# if applicable)
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5.1Emergency exit doors are visible and free of obstructions on both sides of the doors.
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5.2Exits are properly marked and illuminated.
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5.3Fire extinguishers are mounted, accessible, fully charged, and have been serviced within the last 12 months.
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5.4Intercom, or Emergency communication equipment is operational.