Information
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Ag Valley Coop Location
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Conducted on
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Prepared by
1.0 - Office Areas
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1.1 - OFFICE / FIRE EXTINGUISHERS compliant?
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1.2 - OFFICE / EGRESS routes kept clear of obstacles?
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1.3 - OFFICE / ELECTRICAL SYSTEMS compliant?
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1.4 - OFFICE / Free of SLIP or TRIP hazards?
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1.5 - OFFICE / Employee LABOR LAW POSTERS and OSHA 300 posted?
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1.6 - OFFICE / No additional corrective actions required?
2.0 - Warehouse Areas
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2.1 - WAREHOUSE / FIRE EXTINGUISHERS compliant?
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2.2 - WAREHOUSE / EGRESS routes kept clear of obstacles?
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2.3 - WAREHOUSE / ELECTRICAL SYSTEMS compliant?
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2.4 - WAREHOUSE / MACHINE GUARDING compliant?
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2.5 - WAREHOUSE / ORGANIZED and free of clutter and rubbish?
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2.6 - WAREHOUSE / Free of SLIP or TRIP hazards?
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2.7 - WAREHOUSE / RAILINGS and HOLE GUARDING compliant?
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2.8 - WAREHOUSE / LADDERS compliant?
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2.9 - WAREHOUSE / EXTENSION CORDS are OSHA compliant including GFCI where required?
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2.10 - WAREHOUSE / STORAGE RACKS are secured and in good condition?
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2.11 - WAREHOUSE / STORAGE RACKS and STORAGE AREAS are not unsafely loaded or stacked?
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2.12 - WAREHOUSE / OVERHEAD STORAGE areas are marked with max load ratings?
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2.13 - WAREHOUSE / CHEMICAL CONTAINERS are free of leaks and stored in approved areas?
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2.14 - WAREHOUSE / Proper facility MARKINGS and SIGNS?
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2.15 - WAREHOUSE / Adequate SECURITY at facility? (Ladders, doors, chemicals)
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2.16 - WAREHOUSE / FORKLIFTS used and maintained in compliance with OSHA standards.
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2.17 - WAREHOUSE / No additional corrective actions required?
3.0 - Liquid Fertilizer & Chemical Areas
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3.1 - LIQ FERT / FIRE EXTINGUISHERS compliant?
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3.2 - LIQ FERT / EGRESS routes kept clear of obstacles?
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3.3 - LIQ FERT / ELECTRICAL SYSTEMS compliant?
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3.4 - LIQ FERT / MACHINE GUARDING compliant?
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3.5 - LIQ FERT / ORGANIZED and free of clutter and rubbish?
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3.6 - LIQ FERT / Free of TRIP or SLIP hazards?
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3.7 - LIQ FERT / RAILINGS and HOLE GUARDING compliant?
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3.8 - LIQ FERT / LADDERS compliant?
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3.9 - LIQ FERT / EXTENSION CORDS are OSHA compliant including GFCI where required?
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3.10 - LIQ FERT / STORAGE RACKS are secured and in good condition?
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3.11 - LIQ FERT / STORAGE RACKS and storage areas are not unsafely loaded or stacked?
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3.12 - LIQ FERT / OVERHEAD STORAGE areas are marked with max load ratings?
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3.13 - LIQ FERT / CHEMICAL containers are free of leaks and stored in approved areas?
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3.14 - LIQ FERT / LOTO ENERGY ISOLATION POINTS properly marked?
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3.15 - LIQ FERT / Proper MARKINGS and SIGNS (including "NO SMOKING")?
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3.16 - LIQ FERT / Bulk chemical tanks have SDS's readily available?
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3.17 - LIQ FERT / PERMIT SPACES marked?
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3.18 - LIQ FERT / Proper PPE available?
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3.19 - LIQ FERT / EYEWASH-SHOWER STATION clear of obstacles and operational?
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3.20 - LIQ FERT / Adequate SECURITY at facility? (Ladders, doors, chemicals, etc.)
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3.21 - LIQ FERT / FORKLIFTS used and maintained in compliance with OSHA standards.
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3.22 - LIQ FERT / No additional corrective actions required?
4.0 - Dry Fertilizer Storage Areas
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4.1 - DRY FERT / FIRE EXTINGUISHERS compliant.
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4.2 - DRY FERT / EGRESS routes kept clear of obstacles?
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4.3 - DRY FERT / ELECTRICAL SYSTEMS compliant?
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4.4 - DRY FERT / MACHINE GUARDING compliant?
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4.5 - DRY FERT / ORGANIZED and free of clutter, rubbish, and spilled fertilizers?
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4.6 - DRY FERT / Free of TRIP and SLIP hazards?
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4.7 - DRY FERT / RAILINGS and HOLE GUARDING compliant?
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4.8 - DRY FERT / LADDERS compliant?
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4.9 - DRY FERT / EXTENSION CORDS are OSHA compliant including GFCI where required?
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4.10 - DRY FERT / OVERHEAD STORAGE areas are marked with max load ratings?
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4.11 - DRY FERT / CHEMICAL containers are free of leaks and stored in approved areas.
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4.12 - DRY FERT / Proper PPE available?
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4.13 - DRY FERT / LOTO ENERGY ISOLATION POINTS properly marked?
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4.14 - DRY FERT / PERMIT REQUIRED SPACE marked?
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4.15 - DRY FERT / Proper MARKINGS and SIGNS (including "NO SMOKING")?
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4.16 - DRY FERT / Adequate SECURITY at facility? (Ladders, doors, chemicals, etc.)
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4.17 - DRY FERT / No additional corrective actions required.
5.0 - Anhydrous Ammonia Facilities
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4.1 - NH3 / Initial and annual TRAINING documented.
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4.2 - NH3 / Load out facility compliant with NFPA standards?
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4.3 - NH3 / EMERGENCY WATER on site?
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4.4 - NH3 / Proper PPE available?
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4.5 - NH3 / INSPECTION and MAINTENANCE documented for bulk plants and nurse tanks?
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4.6 - NH3 / System free of LEAKS?
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4.7 - NH3 / MACHINE GUARDING compliant?
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4.8 - NH3 / ELECTRICAL SYSTEMS compliant?
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4.9 - NH3 / LOTO ENERGY ISOLATION POINTS properly marked?
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4.10 - NH3 / Proper SECURITY of plant?
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4.11 - NH3 / Adequate MAINTENANCE of plant and tanks. (Paint, repair, etc.)
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4.12 - NH3 / Adequate MARKINGS and SIGNS.
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4.13 - NH3 / No additional corrective actions required?
5.0 - Facility General
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5.1 - FACILITY GEN / PERSONAL FALL PROTECTION EQUIPMENT properly stored and in safe condition?
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5.2 - FACILITY GEN / RESPIRATORY PROTECTION EQUIPMENT properly stored and in safe condition?<br>
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5.3 - FACILITY GEN / Proper SIGNAGE? (free of excessive fading and damage)
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5.4 - FACILITY GEN / ORGANIZED and free of clutter and rubbish?
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5.5 - FACILITY GEN / Free of SLIP and TRIP hazards?
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5.6 - FACILITY GEN / WORKING and WALKING AREAS safe? (Impalement hazards, sharp edges, etc.)
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5.7 - FACILITY GEN / RAILING and HOLE GUARDING compliant?
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5.8 - FACILITY GEN / Adequate LIGHTING at facility?
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5.9 - FACILITY GEN / RAILROAD SIDINGS in safe condition?
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5.10 - FACILITY GEN / FALL PROTECTION SYSTEMS in safe condition? (Rail trolleys, cable systems, etc.)
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5.11 - FACILITY GEN / Other ELECTRICAL
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5.12 - FACILITY GEN / Other GUARDING
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5.13 - FACILITY GEN / Other LADDERS
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5.14 - FACILITY GEN / No additional corrective action required?
Sign Off
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Auditor's signature
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On site representative
