LABOR HOUSING INSPECTION CHECKLIST Oregon Occupational Safety Health Division Oregon OSHA 350 Winter St. NE Room 430 Salem Oregon 97301-3882 503-378-3272 or 800-922-2689 toll-free Camp name Operator Address State City ZIP Number of occupants Present Phone Maximum Number of units OAR 437-004-1120 N Y Comments REGISTRATION Registration posted/language of occupants 5 b D SITE Grounds substantially free of wastewater sewage etc. 6 a Grass weeds and brush cut back to 30 feet from housing 6 b Adequate drainage no flooding 6 c Wastewater and food waste disposed of adequately under hydrants 6 d Housing and facilities maintained 6 e Toxic materials stored appropriately 6 f No empty pesticide containers present 6 g Prevention of mosquitoes flies and rodents in immediate housing area 6 h No livestock operations within 500 feet of housing area 6 i Exceptions Electricity provided 6 j Extension cords if used have circuit breaker/fuse protection 6 k Built or remodeled before Dec. 15 1989 has ceiling ....
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How to use or fill out the OR DCBS 440-1876 online
This guide provides step-by-step instructions for completing the OR DCBS 440-1876 form online, ensuring that users can accurately document compliance with labor housing regulations in Oregon. By following these instructions, you can fill out the form efficiently and correctly.
Follow the steps to successfully complete the form.
- Press the ‘Get Form’ button to access the OR DCBS 440-1876 form and open it in an editable format.
- Fill in the required fields at the top of the form, including the labor housing facility name and employer's LOC number. Make sure to provide accurate information as this will identify the facility.
- Enter the name of the owner or operator of the facility, along with the site address and ZIP code. These details are critical for proper identification.
- Provide the present number of occupants in the housing facility and the city where it is located. If applicable, include the most current registration details.
- Indicate the maximum number of occupants allowed in the facility, matching it to Oregon OSHA requirements.
- Answer the registration information questions by marking 'Yes' or 'No' as applicable, ensuring compliance with OAR 437-004-1120.
- Proceed to the site requirements section. For each statement listed, indicate compliance by marking ‘Yes’ or ‘No’ and provide comments if you answer 'No' to explain the situation.
- Continue filling out the relevant sections regarding water supply, bathing, handwashing, laundry, toilet facilities, sewage disposal, and plumbing by following the same format of marking compliance.
- After completing all sections, review your entries for accuracy. Ensure that all responses are filled out as required and that each section complies with relevant safety and health regulations.
- Once all fields are complete and verified, you'll have the option to save your changes, download the completed form, or print it for your records or submission.
Complete your documents online today to ensure compliance with labor housing standards.
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