100 ARW Ground Safety Program Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Program Management

• Has the commander appointed a primary and alternate Safety Representative to assist them in implementing their Safety Program? AFI 91-202, 1.5.20.1

  Yes

  No

  N/A

• Does the USR attend the mandatory USR meeting? If the primary or alternate USR cannot attend, a designated representative from the unit must be present. AFI 91-202 para 8.5.8

  Yes

  No

  N/A

• Does the USR advise the commander on safety related matters at least on a quarterly basis or more frequently as necessary and document key elements briefed? AFI 91-202 para 8.5.1

  Yes

  No

  N/A

• Does the unit forward the USAFE Form 281, Supervisor's Report of Mishap to Ground Safety as soon as possible or within 5 duty days following the mishap? AFI 91-204 USAFE Sup, para 1.3.1.3

  Yes

  No

  N/A

• Does the commander ensure request for equipment, products and services using purchase orders and/or Government Purchase Card are reviewed for potential safety and health impact? AFI 91-202 para 1.5.20.6

  Yes

  No

  N/A

• Does the commander periodically attend, as deemed necessary, squadron athletic events involving assigned personnel to monitor potentially hazardous conditions and unsafe behavior? AFI 91-202 para 1.5.20.7

  Yes

  No

  N/A

• Does the supervisor review work processes annually, when new tasks or equipment are added, or when existing tasks change and include changes in the Job Safety Training Guide or other applicable training documents? AFI 91-202 para 1.5.21.3

  Yes

  No

  N/A

• Has the supervisor developed a work center specific JSTG based on Attachment 5, Job Safety Training Outline on safety, fire protection/ prevention and health requirements? AFI 91-202 Para 1.5.21.4

  Yes

  No

  N/A

• Have supervisors provided job safety training to all newly assigned individuals on the work hazards of their job before they start work and immediately when their is a change in equipment, processes or safety, fire and health requirements? AFI 91-202 para 2.3.3.1

  Yes

  No

  N/A

• Have supervisors reviewed and updated the JSTG annually and/ or when there is a change in equipment, processes, or safety, fire and health requirements and document the review? Annual review of JSTG will be completed by the shop supervisor and documented with the date of review and the person conducting the review. AFI 91-202 para 2.3.3.2

  Yes

  No

  N/A

• Does the supervisor document and maintain completed safety, fire, health, and environmental training in the work area on the AF 55, Employee Safety and Health Record, or equivalent product? AFI 91-202 para 1.5.21.4

  Yes

  No

  N/A

• Do Airman hand carry their AF Form 55 or equivalent training record to the new supervisor when deploying or PCSing to another AF position/location? AFI 91-202 para 1.5.22.12

  Yes

  No

  N/A

• Do USRs verify that monthly spot inspections of work areas are being conducted and documented in the unit's spot inspection data base? AFI 91-202 para 8.5.6

  Yes

  No

  N/A

• Do USRs perform monthly spot inspection to check day-to-day safety and health of their work centers, facilities, etc. and document those spot inspections in the unit's spot inspection database? AFI 91-202 para 3.5

  Yes

  No

  N/A

• Do supervisors conduct monthly spot inspections of there work areas and document those inspections in there unit spot inspection database? AFI 91-202 para 1.5.21.15

  Yes

  No

  N/A

• Are personal injury, property damage, and suspected exposure to chemicals reported to their supervisor as soon as practical but not to exceed 24 hours? AFI 91-202 para 1.5.22.3

  Yes

  No

  N/A

• Have the USRs attended training hosted by the Wing Safety Office within 30 days of appointment? AFI 91-202 para 2.2

  Yes

  No

  N/A

• If appointed, have flight level Safety Representative been trained by the Wing Safety Office within 30 days of appointment? AFI 91-202 Para 2.2.3

  Yes

  No

  N/A

• Does the USR advise their commander on safety related matter at least on a quarterly or more frequently as necessary and document key elements briefed in the unit's commander briefing database? AFI 91-202 para 8.5.1

  Yes

  No

  N/A

• Does the USR assist flight supervisors in developing their flight's JSTG? AFI 91-202 Para 8.5.4

  Yes

  No

  N/A

• Does the USR disseminate safety education materials to unit personnel? AFI 91-202 Para 8.5.5

  Yes

  No

  N/A

• Does the USR ensure monthly safety briefings are conducted for unit personnel and documented in the unit's monthly briefing database? AFI 91-202 Para 8.5.5

  Yes

  No

  N/A

• Have supervisors ( officers, NCOs, and civilian personnel) attended Supervisor Safety Training course and is the training documented on their AF Form 55? AFI 91-202 para 1.5.21.14.

  Yes

  No

  N/A

• Does the unit have a safety briefing program and are monthly safety briefings documented in the unit's monthly safety briefing database for every flight if not covered during a commander's call? AFI 91-202 1.5.20.2, 2.2.45, 2.3

  Yes

  No

  N/A

• Are personnel informed of the Hazard Reporting Program via JSTG? Are personnel who do not have access to E-PUBS provided access to the AF Form 457 USAF Hazard Report? AFI 91-202 para 4.3

  Yes

  No

  N/A

• Does the unit maintain a Safety Bulletin Board with required documents as directed by the Wing Safety Office? AFI 91-202 para 8.5.9

  Yes

  No

  N/A

Risk Management

• Has the commander appointed a primary Risk Management Advisor to assist them in managing their Risk Management Program? AFI 90-802 para 4.9.3

  Yes

  No

  N/A

• Has the RM advisor completed the online RM Fundamentals CBT? AFI 90-802 para 11.2.1

  Yes

  No

  N/A

• Do RM advisors serve as the unit's RM point of contact? AFI 90-802 Para 4.10.3

  Yes

  No

  N/A

• Has the RM Advisor ensured RM Fundamentals training is conducted with 60 days of a member's assignment to a unit and included as part of in-processing? Training is only required one time in an Airman's career and shall be documented IAW AFI 90-802 para 12.1?

  Yes

  No

  N/A

Motorcycle Program Management

• Has the commander appointed a primary and alternate Motorcycle Safety Representative to assist them in implementing their motorcycle safety program? AFI 91-207, 1.3.4.3

  Yes

  No

  N/A

• Has the unit's MSR attended training within 30 days of appointment? AFI 91-207 USAFE SUP I para 1.3.3.14

  Yes

  No

  N/A

• Does the USR periodically inspect the Unit's Motorcycle Safety Program? AFI 91-202 Para 8.5.7

  Yes

  No

  N/A

• Does the unit have a system in place to identity new and newly assigned motorcycle riders to ensure they are enrolled in MUSTT? AFI 91-207 Para 1.3.4.3

  Yes

  No

  N/A

• Are identified riders requiring motorcycle training scheduled for training by he MSR? AFI 91-207 Para 1.3.4.4

  Yes

  No

  N/A

• Is MUSTT used to track all unit motorcycle and three wheeled vehicle riders? AFI 91-207 Para 3.4.3.2

  Yes

  No

  N/A

• Does the unit commander or designated MSR provide an initial briefing to all new or newly assigned motorcycle riders within 30 days from initial assignment, identification as a rider or purchase of a motorcycle? AFI 91-207 para 3.4.3.3

  Yes

  No

  N/A

• Are unit riders given time to attend the mandatory annual/ preseason motorcycle riders' briefing? AFI 91-207 para 3.4.3.3

  Yes

  No

  N/A

• Does the MSR QC the MUSTT database regularly to identify deficiencies with the unit rider's training and required briefings? AFI 91-207 para 3.4.3.2

  Yes

  No

  N/A

Lock Out/Tag out

• Are only standardized AF tags used to tag out equipment? AFI 91-203 para 21.3.3

  Yes

  No

  N/A

• Are LOTO devices used as a positive means of isolating energy sources and preventing unexpected start-up of machines and equipment? AFI 91-203 para 21.2.7

  Yes

  No

  N/A

• Are procedures developed and documented for the safe and proper use of locks and tags? AFI 91-203 para 21.2.1.4

  Yes

  No

  N/A

• Has a training plan been developed for initial and recurring training on LOTO procedures? AFI 91-203 para 21.2.1.6

  Yes

  No

  N/A

• Are periodic self-inspections conducted and documented by the unit? AFI 91-203 Para 21.6.1

  Yes

  No

  N/A

• Is an adequate supply of safety tags and locks available for use? AFI 91-203 Para 21.3.3

  Yes

  No

  N/A

• Are specific written procedures utilized during shift or personnel changes to ensure the continuity of LOTO protection? AFI 91-203 para Para 21.4.10

  Yes

  No

  N/A

• Do supervisor, authorized worker and operator responsible for the equipment or machinery know the type, magnitude and the hazards of the energy source? AFI 91-203 Para 21.4.2.1.1

  Yes

  No

  N/A

Confined Spaces

• Has the commander or functional manager identified all confined spaces within the organization, located both on and off the installation? AFI 91-203 para 23.3.2<br>

  Yes

  No

  N/A

• Are personnel who work with or in the vicinity of confined spaces, but do not enter the confined space provided awareness training via the JSTG? AFI 91-203 para 23

  Yes

  No

  N/A

• Does the organization ensure all members assigned permit- required confined space duties are trained prior to being assigned? AFI 91-203 para 23.7.1.3

  Yes

  No

  N/A

• Are all master entry plans (MEPs) reviewed by the Confined Space Program Team (CSPT) at least annually, to ensure conditions have not changed? AFI 91-203 para 23.5.4.10

  Yes

  No

  N/A

• Does the commander and/or functional manager ensure required equipment is available and properly maintained? AFI 91-203 para 23.2.7.3

  Yes

  No

  N/A

• Does the commander and/or functional manager maintain a current list of all confined spaces, both permit- required and non-permit required, under the control of their organization? AFI 91-203 para 23.2.7.4

  Yes

  No

  N/A

• Is initial testing of confined spaces accomplished by a technically qualified member of the installation CSPT prior to the space being classified? AFI 91-203 para 23.3.3

  Yes

  No

  N/A

• Are entry permits, including those cancelled or revoked, retained on file for one year? AFI 91-203 para 23.5.1.2

  Yes

  No

  N/A

Specialty Vehicle Program

• Have All Terrain Vehicle operators completed Specialty Vehicle Institute of America's ATV Rider Course? AFI 91-207 para 4.5.8.2

  Yes

  No

  N/A

• Are operator's of OGMVCs educated on the Wing Commander's RM policy prior to operating? AFI 91-207 para 2.2.5.3

  Yes

  No

  N/A

• Are operators trained on use of OGMVs prior to operation and is the training documented in the individuals training record? AFI 91-207 para 2.2.5.3.1

  Yes

  No

  N/A

Emergency Eyewash Units and Showers

• Do supervisors ensure emergency showers and eyewashes are provided, inspected, tested and maintained IAW this standard? AFI 91-203 para 19.3

  Yes

  No

  N/A

• Are emergency shower and eyewash units in conspicuously identified accessible locations that do not require more than 10 seconds to reach? AFI 91-203 para 19.5

  Yes

  No

  N/A

• Are emergency shower and eyewash units located so the water spray does not contact any electrical circuit? AFI 91-203 Para 19.5

  Yes

  No

  N/A

• Is the delivered water temperature in a comfortable range that would not discourage use of the the unit? AFI 91-203 para 19.6.1

  Yes

  No

  N/A

• Where shutoff valves are installed on water supply lines to emergency shower and eyewash units, have signs or tags been installed to prevent accidental shutoff? AFI 91-203 para 19.6.3

  Yes

  No

  N/A

• Do supervisors activate permanently installed shower and eyewash units weekly to verify proper operation? Activation shall be documented IAW with United Kingdom Health and Safety requirements and last for two minutes. AFI 91-203, 19.9.1

  Yes

  No

  N/A

• Is the fluid level of self-contained units checked monthly and changed as required by the manufacturer? Are tags or labels attached to the unit or adjacent to it reflecting the fluid change schedule? AFI 91-203 para 19.9.3

  Yes

  No

  N/A

HAZCOM

• Are all personnel briefed on the findings and recommendations contained in Bioenviromental Engineering industrial hygiene surveys and reports? Is a copy of the survey report posted on the work place bulletin board for a period of 10 days after receipt to allow all workers free access to the findings? Are the reports maintained on file in the work place for a minimum of two years? AFI 91-202 Para 1.5.20.10

  Yes

  No

  N/A

• Are supervisors and employees who handle, use, or are potentially exposed to hazardous materials in the course do official AF duties provided training on the AF HAZCOM program, including training to address work area specific hazards prior to the use of hazardous chemicals. Do supervisors ensure the appropriate functionals review and approve the shop HAZCOM training program for technical accuracy and completeness prior to implementation in the work area/shop? AFI 90-821 para 2.7.1

  Yes

  No

  N/A

Hangar Doors

• Have all personnel who routinely work in hangars or require access through the hangar doors received annual Hangar Door Awareness training? AFI 91-202 para 24.14.5

  Yes

  No

  N/A

• Are only qualified personnel, approved by the squadron commander or designated representative, authorized to operate hangar doors? AFI 91-203 para 24.14.8.3

  Yes

  No

  N/A

• Do facility managers conduct monthly inspections of hangar door operational and safety features? AFI 91-203 para 24.14.8.7

  Yes

  No

  N/A