2016 Ag Valley Coop Grain Facility Inspection

• Ag Valley Coop Location

• Conducted on

  Date

• Prepared by

1.0 - Audit Comments

• Comments

• List of items needed from Safety Team

2.0 - Key Programs Required

• 2.1 - HAZCOM - SDS AVAILABLE FOR HAZARDOUS SUBSTANCES ON SITE

  Yes

  No

  N/A

  Repeat

• 2.2 - Permit Required Confined Spaces Identified

  Yes

  No

  N/A

  Repeat

• 2.3 - GAS METERS / Demonstrate

  Yes

  No

  N/A

  Repeat

• 2.4 - FALL PROTECTION IN PLACE AND USED

  Yes

  No

  N/A

  Repeat

• 2.5 - DOT / Interviews

  Yes

  No

  N/A

  Repeat

• 2.6 - NEAR MISS / Interviews

  Yes

  No

  N/A

  Repeat

3.0 - Emergency Action Plan

• 3.1 - Emergency Action Plan Initial Training for All Employees Completed?

  Yes

  No

  N/A

  Repeat

• 3.2 - Emergency Action Plan Reviewed and Updated Annually?

  Yes

  No

  N/A

  Repeat

• 3.3 - EAP / VISITORS LOGS used? (except customers)

  Yes

  No

  N/A

  Repeat

• 3.4 - EAP / No additional corrective actions required?

  Yes

  No

  N/A

  Repeat

4.0 - Lockout Tagout Safety Program

• 4.1 - LOTO / Initial and annual TRAINING documented for LOTO PROGRAM?

  Yes

  No

  N/A

  Repeat

• 4.2 - LOTO / Machine specific WRITTEN PROCEDURES are complete?

  Yes

  No

  N/A

  Repeat

• 4.3 - LOTO / Annual LOTO REVIEWS current within 12 months?

  Yes

  No

  N/A

  Repeat

• 4.4 - LOTO / Required LOTO EQUIPMENT is available?

  Yes

  No

  N/A

5.0 - Grain Handling Facility Safety Program

• 5.1 - GRAIN / Initial and annual training completed and documented?

  Yes

  No

  N/A

  Repeat

• 5.2 - GRAIN / HOUSEKEEPING LOGS properly documented and certified by supervisor.?

  Yes

  No

  N/A

• 5.3 - GRAIN / MAINTENANCE LOG properly documented and certified by supervisor?

  Yes

  No

  N/A

  Repeat

• 5.4 - GRAIN / BIN ENTRY PERMITS are completed properly and maintained for at least 12 months?

  Yes

  No

  N/A

  Repeat

• 5.5 - GRAIN / Boot pit and confined space ENTRY PERMITS completed properly and maintained for at least 12 months?

  Yes

  No

  N/A

  Repeat

• 5.6 - GRAIN / No additional corrective actions required?

  Yes

  No

  N/A

  Repeat

6.0 - Office Areas

• 6.1 - OFFICE / FIRE EXTINGUISHERS in place and properly mounted?

  Yes

  No

  N/A

  Repeat

• 6.2 OFFICE / Monthly Fire Extinguisher inspections recorded on the tag?

  Yes

  No

  N/A

• 6.3 - OFFICE / EGRESS routes well marked and clear of obstacles?

  Yes

  No

  N/A

  Repeat

• 6.4 Office Emergency Lighting tested monthly?

  Yes

  No

  N/A

• 6.5 - OFFICE / ELECTRICAL SYSTEMS compliant?

  Yes

  No

  N/A

  Repeat

• 6.6 - OFFICE / Free of SLIP or TRIP hazards?

  Yes

  No

  N/A

  Repeat

• 6.7 OFFICE / Platforms, Stairs and Handrails satisfactory?

  Yes

  No

  N/A

• 6.8 - OFFICE / Facility SIGNAGE compliant?

  Yes

  No

  N/A

  Repeat

• 6.9 - Electrical Circuit Breakers and Disconnects clearly identified?

  Yes

  No

  N/A

  Repeat

• 6.10 - Clear access to electrical panels?

  Yes

  No

  N/A

  Repeat

• 6.11 - OFFICE / CHEMICALS properly marked and stored?

  Yes

  No

  N/A

  Repeat

• 6.12 Area around the office well kept and free of snow and ice?

  Yes

  No

  N/A

• 6.13 - OFFICE / No additional corrective actions required?

  Yes

  No

  N/A

  Repeat

7.0 - Grain Handling Areas

• 7.1 - MAIN LEVEL / FIRE EXTINGUISHERS in place and compliant?

  Yes

  No

  N/A

  Repeat

• 7.2 - MAIN LEVEL / EGRESS routes kept clear of obstacles?

  Yes

  No

  N/A

  Repeat

• 7.3 - MAIN LEVEL / ELECTRICAL EQUIPMENT SATISFACTORY?

  Yes

  No

  N/A

  Repeat

• 7.4 - MAIL LEVEL / DUMP PIT GRATES COMPLIANT?

  Yes

  No

  N/A

  Repeat

• 7.5 - MAIN LEVEL / ORGANIZED AND FREE OF CLUTTER, RUBBISH, AND SPILLED GRAIN?

  Yes

  No

  N/A

  Repeat

• 7.6 - LOWER LEVELS / ORGANIZED AND FREE OF CLUTTER, RUBBISH, DUST, AND SPILLED GRAIN?

  Yes

  No

  N/A

  Repeat

• 7.7 - LOWER LEVELS / FIRE EXTINGUISHERS IN PLACE AND COMPLIANT?

  Yes

  No

  N/A

  Repeat

• 7.8 - LOWER LEVELS / EGRESS ROUTES KEPT CLEAR OF OBSTACLES?

  Yes

  No

  N/A

  Repeat

• 7.9 - LOWER LEVELS / ELECTRICAL EQUIPMENT SATISFACTORY?

  Yes

  No

  N/A

  Repeat

• 7.10 - UPPER LEVELS / ORGANIZED AND FREE OF CLUTTER, RUBBISH, DUST, AND SPILLED GRAIN?

  Yes

  No

  N/A

  Repeat

• 7.11 - UPPER LEVELS / FIRE EXTINGUISHERS IN PLACE AND COMPLIANT?

  Yes

  No

  N/A

  Repeat

• 7.12 - UPPER LEVELS / EGRESS ROUTES KEPT CLEAR OF OBSTACLES?

  Yes

  No

  N/A

  Repeat

• 7.13 - UPPER LEVELS / ELECTRICAL EQUIPMENT SATISFACTORY?

  Yes

  No

  N/A

  Repeat

• 7.14 - GRAIN / MACHINE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

• 7.15 - GRAIN / Free of SLIP or TRIP hazards?

  Yes

  No

  N/A

  Repeat

• 7.16 - GRAIN / RAILINGS AND HOLE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

• 7.17 - GRAIN / LADDERS compliant?

  Yes

  No

  N/A

  Repeat

• 7.18 - GRAIN / PERMIT SPACES properly marked?

  Yes

  No

  N/A

  Repeat

• 7.19 - GRAIN / MAINTENANCE performed adequately?

  Yes

  No

  N/A

• 7.20 - GRAIN / EMERGENCY RESCUE EQUIPMENT on site and stored properly? (Rope retrieval kit, plywood coffer dams, proper harness, and lifelines)

  Yes

  No

  N/A

  Repeat

• 7.21 - GRAIN / Grain processing equipment MAGNETS are properly maintained?

  Yes

  No

  N/A

  Repeat

• 7.22 - GRAIN / All CHEMICALS are properly stored and labeled?

  Yes

  No

  N/A

  Repeat

• 7.23 - GRAIN / NO SMOKING WITHIN 50 FEET properly marked?

  Yes

  No

  N/A

  Repeat

• 7.24 - GRAIN / EXTENSION CORDS are OSHA compliant including GFCI where required?

  Yes

  No

  N/A

  Repeat

• 7.25 - GRAIN / Adequate SECURITY at facility? (Ladders, doors, electrical, overheads, etc.)

  Yes

  No

  N/A

  Repeat

• 7.26 - GRAIN / LOADERS, skid steers etc. compliant and in safe operating condition?

  Yes

  No

  N/A

  Repeat

• 7.27 - GRAIN / FACILITY SECURITY; Buildings lock securely

  Yes

  No

  N/A

• 7.28 - GRAIN / No additional corrective actions required?

  Yes

  No

  N/A

  Repeat

8.0 - Shop Areas

• 8.1 - SHOP / FIRE EXTINGUISHERS compliant?

  Yes

  No

  N/A

  Repeat

• 8.2 - SHOP / EGRESS routes kept clear of obstacles?

  Yes

  No

  N/A

  Repeat

• 8.3 - SHOP / ELECTRICAL SYSTEMS compliant?

  Yes

  No

  N/A

  Repeat

• 8.4 - SHOP / MACHINE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

• 8.5 - SHOP / ORGANIZED and free of clutter and rubbish?

  Yes

  No

  N/A

  Repeat

• 8.6 - SHOP / Free of SLIP or TRIP hazards?

  Yes

  No

  N/A

  Repeat

• 8.7 - SHOP / RAILINGS and HOLE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

• 8.8 - SHOP / LADDERS compliant?

  Yes

  No

  N/A

  Repeat

• 8.9 - SHOP / OILY RAGS and MATERIALS are placed in covered metal containers?

  Yes

  No

  N/A

  Repeat

• 8.10 - SHOP / TOOLS are kept picked up and put away when not in use?

  Yes

  No

  N/A

  Repeat

• 8.11 - SHOP / TOOLS and equipment are all OSHA compliant?

  Yes

  No

  N/A

  Repeat

• 8.12 - SHOP / EXTENSION CORDS are OSHA compliant including GFCI where required?

  Yes

  No

  N/A

  Repeat

• 8.13 - SHOP / All JACKS and HOISTS are marked with lifting capacities?

  Yes

  No

  N/A

  Repeat

• 8.14 - SHOP / Proper PPE is available?

  Yes

  No

  N/A

  Repeat

• 8.15 - SHOP / BATTERY CHARGING stations have flushing water near by?

  Yes

  No

  N/A

  Repeat

• 8.16 - SHOP / CHEMICALS properly stored and labeled?

  Yes

  No

  N/A

  Repeat

• 8.17 - SHOP / FLAMMABLES and AEROSOLS stored away from spark and heat producing equipment?

  Yes

  No

  N/A

  Repeat

• 8.18 - SHOP / ALL FUELS are stored in OSHA compliant containers?

  Yes

  No

  N/A

  Repeat

• 8.19 - SHOP / FLAMMABLES not stored in access or egress routes?

  Yes

  No

  N/A

  Repeat

• 8.20 -SHOP / OXYGEN CYLINDERS stored properly? (Greater than 20 feet from combustibles/Flammables)

  Yes

  No

  N/A

  Repeat

• 8.21 - SHOP / All STORED CYLINDERS are capped and secured from falling over?

  Yes

  No

  N/A

  Repeat

• 8.22 - SHOP / PROPANE BOTTLES are not stored inside? (Gas grills stored indoors must have grill bottles removed)

  Yes

  No

  N/A

  Repeat

• 8.23 - SHOP / USED OIL is placed in covered containers that are marked as "USED OIL"?

  Yes

  No

  N/A

  Repeat

• 8.24 - SHOP / OVERHEAD STORAGE areas are marked with max load ratings.

  Yes

  No

  N/A

  Repeat

• 8.25 - SHOP / STORAGE RACKS are secured and in good condition.

  Yes

  No

  N/A

  Repeat

• 8.26 - SHOP / All WEED SPRAYERS are emptied and rinsed before placing or storing inside shops?

  Yes

  No

  N/A

  Repeat

• 8.27 - SHOP / Proper facility MARKINGS and SIGNS?

  Yes

  No

  N/A

  Repeat

• 8.28 - SHOP / No additional corrective actions required?

  Yes

  No

  N/A

  Repeat

9.0 - Warehouse Areas

• 9.1 - WAREHOUSE / FIRE EXTINGUISHERS compliant?

  Yes

  No

  N/A

  Repeat

• 9.2 - WAREHOUSE / EGRESS routes kept clear of obstacles?

  Yes

  No

  N/A

  Repeat

• 9.3 - WAREHOUSE / ELECTRICAL SYSTEMS compliant?

  Yes

  No

  N/A

  Repeat

• 9.4 - WAREHOUSE / MACHINE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

• 9.5 - WAREHOUSE / ORGANIZED and free of clutter and rubbish?

  Yes

  No

  N/A

  Repeat

• 9.6 - WAREHOUSE / Free of SLIP or TRIP hazards?

  Yes

  No

  N/A

  Repeat

• 9.7 - WAREHOUSE / RAILINGS and HOLE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

• 9.8 - WAREHOUSE / LADDERS compliant?

  Yes

  No

  N/A

  Repeat

• 9.9 - WAREHOUSE / EXTENSION CORDS are OSHA compliant including GFCI where required?

  Yes

  No

  N/A

  Repeat

• 9.10 - WAREHOUSE / STORAGE RACKS are secured and in good condition?

  Yes

  No

  N/A

  Repeat

• 9.11 - WAREHOUSE / STORAGE RACKS and STORAGE AREAS are not unsafely loaded or stacked?

  Yes

  No

  N/A

  Repeat

• 9.12 - WAREHOUSE / OVERHEAD STORAGE areas are marked with max load ratings?

  Yes

  No

  N/A

  Repeat

• 9.13 - WAREHOUSE / CHEMICAL CONTAINERS are free of leaks and stored in approved areas?

  Yes

  No

  N/A

  Repeat

• 9.14 - WAREHOUSE / Compliant with HAZCOM and DOT package marking requirements?

  Yes

  No

  N/A

  Repeat

• 9.15 - WAREHOUSE / LOTO ENERGY ISOLATION POINTS properly marked?

  Yes

  No

  N/A

  Repeat

• 9.16 - WAREHOUSE / Proper facility MARKINGS and SIGNS?

  Yes

  No

  N/A

  Repeat

• 9.17 - WAREHOUSE / Adequate SECURITY at facility? (Ladders, doors, chemicals)

  Yes

  No

  N/A

  Repeat

• 9.18 - WAREHOUSE / FORKLIFTS used and maintained in compliance with OSHA standards.

  Yes

  No

  N/A

  Repeat

• 9.19 - WAREHOUSE / No additional corrective actions required?

  Yes

  No

  N/A

  Repeat

10.0 - Facility General

• 10.1 - FACILITY GEN / FIRST AID adequate? (kit may be shared among multiple worksites within a facility if located in close proximity)

  Yes

  No

  N/A

  Repeat

• 10.2 - FACILITY GEN / PERSONAL FALL PROTECTION EQUIPMENT properly stored and in safe condition?

  Yes

  No

  N/A

  Repeat

• 10.3 - FACILITY GEN / RESPIRATORY PROTECTION EQUIPMENT properly stored and in safe condition?<br>

  Yes

  No

  N/A

  Repeat

• 10.4 - FACILITY GEN / Proper SIGNAGE? (free of excessive fading and damage)

  Yes

  No

  N/A

  Repeat

• 10.5 - FACILITY GEN / ORGANIZED and free of clutter and rubbish?

  Yes

  No

  N/A

  Repeat

• 10.6 - FACILITY GEN / Free of SLIP and TRIP hazards?

  Yes

  No

  N/A

  Repeat

• 10.7 - FACILITY GEN / WORKING and WALKING AREAS safe? (Impalement hazards, sharp edges, etc.)

  Yes

  No

  N/A

  Repeat

• 10.8 - FACILITY GEN / RAILING and HOLE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

• 10.9 - FACILITY GEN / Adequate LIGHTING at facility?

  Yes

  No

  N/A

  Repeat

• 10.10 - FACILITY GEN / RAILROAD SIDINGS in safe condition?

  Yes

  No

  N/A

  Repeat

• 10.11 - FACILITY GEN / FALL PROTECTION SYSTEMS in safe condition? (Rail trolleys, cable systems, etc.)

  Yes

  No

  N/A

  Repeat

• 10.12 - FACILITY GEN / BULK PROPANE STORAGE compliant with NFPA standards?

  Yes

  No

  N/A

  Repeat

• 10.13 - FACILITY GEN / Other ELECTRICAL

  Yes

  No

  N/A

  Repeat

• 10.14 - FACILITY GEN / Other GUARDING

  Yes

  No

  N/A

  Repeat

• 10.15 - FACILITY GEN / Other LADDERS

  Yes

  No

  N/A

  Repeat

• 10.16 - FACILITY GEN / No additional corrective action required?

  Yes

  No

  N/A

  Repeat

11.0 - ROLLING STOCK & EQUIPMENT

• 11.1 - ROLLING STOCK & EQMT / Tractors, skid steers, loaders, and accessories compliant?

  Yes

  No

  N/A

  Repeat

• 11.2 - ROLLING STOCK & EQMT / Portable augers and conveyors compliant?

  Yes

  No

  N/A

  Repeat

• 11.3 - ROLLING STOCK & EQMT / Yard trucks and trailers in safe condition?

  Yes

  No

  N/A

  Repeat

• 11.4 - ROLLING STOCK & EQMT / Commercial trucks and trailers maintained and inspected in compliance with DOT standards?

  Yes

  No

  N/A

  Repeat

• 11.5 - ROLLING STOCK & EQMT / No additional corrective actions required?

  Yes

  No

  N/A

  Repeat

Sign Off

• Auditor's signature

  Sign

• On site representative

  Sign