Information
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Ag Valley Coop Location
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Conducted on
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Prepared by
1.0 - Audit Comments
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Comments
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List of items needed from Safety Team
2.0 - Key Programs Required
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2.2 - Hazard Communication Plan Site Specific
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2.5 - Permit Required Confined Spaces Identified
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2.1 - Emergency Action Plan
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2.6 - GAS METERS / Demonstrate
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2.8 - FALL PROTECTION / Interviews
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2.9 - DOT / Interviews
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2.10 - NEAR MISS / Interviews
3.0 - Emergency Action Plan
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3.1 - Emergency Action Plan Initial Training for All Employees Completed?
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3.2 - Emergency Action Plan Reviewed and Updated Annually?
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3.3 - EAP / VISITORS LOGS used? (except customers)
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3.4 - EAP / No additional corrective actions required?
4.0 - Lockout Tagout Safety Program
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4.1 - LOTO / Initial and annual TRAINING documented for LOTO PROGRAM?
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4.2 - LOTO / Machine specific WRITTEN PROCEDURES are complete?
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4.3 - LOTO / Annual LOTO REVIEWS current within 12 months?
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4.4 - LOTO / All LOCKS/TAGS identify authorized employees?
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4.5 - LOTO / Required LOTO EQUIPMENT is available?
5.0 - Grain Handling Facility Safety Program
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5.1 - GRAIN / Initial and annual TRAINING documented for GRAIN HANDLING FACILITY SAFETY PROGRAM?
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5.2 - GRAIN / HOUSEKEEPING LOGS properly documented and certified by supervisor.?
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4.6 - Employee specific locks provided?
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5.3 - GRAIN / MAINTENANCE LOG properly documented and certified by supervisor?
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5.4 - GRAIN / BIN ENTRY PERMITS are completed properly and maintained for at least 12 months?
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5.5 - GRAIN / Boot pit and confined space ENTRY PERMITS completed properly and maintained for at least 12 months?
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5.6 - GRAIN / No additional corrective actions required?
8.0 - Office Areas
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8.1 - OFFICE / FIRE EXTINGUISHERS in place and properly mounted?
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8.2 Monthly Fire Extinguisher inspections recorded on the tag?
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8.3 - OFFICE / EGRESS routes well marked and clear of obstacles?
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8.4 Office Emergency Lighting tested monthly?
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8.5 - OFFICE / ELECTRICAL SYSTEMS compliant?
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8.6 - OFFICE / Free of SLIP or TRIP hazards?
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8.7 Platforms, Stairs and Handrails satisfactory?
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8.5 - OFFICE / Facility SIGNAGE compliant?
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8.6 - Electrical Circuit Breakers and Disconnects clearly identified?
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8.7 - Clear access to electrical panels?
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8.8 - OFFICE / CHEMICALS properly marked and stored?
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8.9 Area around the office well kept and free of snow and ice?
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8.10 - OFFICE / No additional corrective actions required?
9.0 - Grain Handling Areas
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9.1 - MAIN LEVEL / FIRE EXTINGUISHERS in place and compliant?
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9.2 - MAIN LEVEL / EGRESS routes kept clear of obstacles?
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9.3 - MAIN LEVEL / ELECTRICAL EQUIPMENT SATISFACTORY?
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9.4 - GRAIN / MACHINE GUARDING compliant?
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9.5 - GRAIN / ORGANIZED and free of clutter, rubbish, and spilled grain?
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9.6 - GRAIN / Free of SLIP or TRIP hazards?
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9.7 - GRAIN / RAILINGS AND HOLE GUARDING compliant?
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9.8 - GRAIN / LADDERS compliant?
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9.9 - GRAIN / PERMIT SPACES properly marked?
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9.10 - GRAIN / HOUSEKEEPING performed adequately?
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9.11 - GRAIN / MAINTENANCE performed adequately?
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9.14 - GRAIN / DUMP PIT GRATES compliant?
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9.13 - GRAIN / EMERGENCY RESCUE EQUIPMENT on site and stored properly? (Rope retrieval kit, plywood coffer dams, proper harness, and lifelines)
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9.15 - GRAIN / Grain processing equipment MAGNETS are properly maintained?
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9.16 - GRAIN / All CHEMICALS are properly stored and labeled?
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9.17 - GRAIN / NO SMOKING WITHIN 50 FEET properly marked?
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9.18 - GRAIN / LOTO ENERGY ISOLATION POINTS properly marked?
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9.19 - GRAIN / EXTENSION CORDS are OSHA compliant including GFCI where required?
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9.20 - GRAIN / Adequate SECURITY at facility? (Ladders, doors, electrical, overheads, etc.)
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9.21 - GRAIN / LOADERS, skid steers etc. compliant and in safe operating condition?
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9.22 - GRAIN / FACILITY SECURITY; Buildings lock securely
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9.22 - GRAIN / No additional corrective actions required?
10.0 - Shop Areas
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10.1 - SHOP / FIRE EXTINGUISHERS compliant?
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10.2 - SHOP / EGRESS routes kept clear of obstacles?
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10.3 - SHOP / ELECTRICAL SYSTEMS compliant?
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10.4 - SHOP / MACHINE GUARDING compliant?
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10.5 - SHOP / ORGANIZED and free of clutter and rubbish?
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10.6 - SHOP / Free of SLIP or TRIP hazards?
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10.7 - SHOP / RAILINGS and HOLE GUARDING compliant?
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10.8 - SHOP / LADDERS compliant?
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10.9 - SHOP / OILY RAGS and MATERIALS are placed in covered metal containers?
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10.10 - SHOP / TOOLS are kept picked up and put away when not in use?
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10.11 - SHOP / TOOLS and equipment are all OSHA compliant?
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10.12 - SHOP / EXTENSION CORDS are OSHA compliant including GFCI where required?
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10.13 - SHOP / All JACKS and HOISTS are marked with lifting capacities?
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10.14 - SHOP / Proper PPE is available?
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10.15 - SHOP / BATTERY CHARGING stations have flushing water near by?
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10.16 - SHOP / LOTO ENERGY ISOLATION POINTS properly marked?
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10.17 - SHOP / CHEMICALS properly stored and labeled?
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10.18 - SHOP / FLAMMABLES and AEROSOLS stored away from spark and heat producing equipment?
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10.19 - SHOP / ALL FUELS are stored in OSHA compliant containers?
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10.20 - SHOP / FLAMMABLES not stored in access or egress routes?
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10.21 -SHOP / OXYGEN CYLINDERS stored properly? (Greater than 20 feet from combustibles/Flammables)
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10.22 - SHOP / All STORED CYLINDERS are capped and secured from falling over?
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10.23 - SHOP / PROPANE BOTTLES are not stored inside? (Gas grills stored indoors must have grill bottles removed)
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10.24 - SHOP / USED OIL is placed in covered containers that are marked as "USED OIL"?
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10.25 - SHOP / OVERHEAD STORAGE areas are marked with max load ratings.
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10.26 - SHOP / STORAGE RACKS are secured and in good condition.
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10.27 - SHOP / All WEED SPRAYERS are emptied and rinsed before placing or storing inside shops?
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10.28 - SHOP / Proper facility MARKINGS and SIGNS?
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10.29 - SHOP / No additional corrective actions required?
11.0 - Warehouse Areas
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11.1 - WAREHOUSE / FIRE EXTINGUISHERS compliant?
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11.2 - WAREHOUSE / EGRESS routes kept clear of obstacles?
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11.3 - WAREHOUSE / ELECTRICAL SYSTEMS compliant?
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11.4 - WAREHOUSE / MACHINE GUARDING compliant?
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11.5 - WAREHOUSE / ORGANIZED and free of clutter and rubbish?
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11.6 - WAREHOUSE / Free of SLIP or TRIP hazards?
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11.7 - WAREHOUSE / RAILINGS and HOLE GUARDING compliant?
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11.8 - WAREHOUSE / LADDERS compliant?
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11.9 - WAREHOUSE / EXTENSION CORDS are OSHA compliant including GFCI where required?
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11.10 - WAREHOUSE / STORAGE RACKS are secured and in good condition?
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11.11 - WAREHOUSE / STORAGE RACKS and STORAGE AREAS are not unsafely loaded or stacked?
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11.12 - WAREHOUSE / OVERHEAD STORAGE areas are marked with max load ratings?
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11.13 - WAREHOUSE / CHEMICAL CONTAINERS are free of leaks and stored in approved areas?
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11.14 - WAREHOUSE / Compliant with HAZCOM and DOT package marking requirements?
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11.15 - WAREHOUSE / LOTO ENERGY ISOLATION POINTS properly marked?
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11.16 - WAREHOUSE / Proper facility MARKINGS and SIGNS?
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11.17 - WAREHOUSE / Adequate SECURITY at facility? (Ladders, doors, chemicals)
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11.18 - WAREHOUSE / FORKLIFTS used and maintained in compliance with OSHA standards.
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11.19 - WAREHOUSE / No additional corrective actions required?
15.0 - Facility General
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15.1 - FACILITY GEN / FIRST AID adequate? (kit may be shared among multiple worksites within a facility if located in close proximity)
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15.2 - FACILITY GEN / PERSONAL FALL PROTECTION EQUIPMENT properly stored and in safe condition?
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15.3 - FACILITY GEN / RESPIRATORY PROTECTION EQUIPMENT properly stored and in safe condition?<br>
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15.4 - FACILITY GEN / Proper SIGNAGE? (free of excessive fading and damage)
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15.5 - FACILITY GEN / ORGANIZED and free of clutter and rubbish?
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15.6 - FACILITY GEN / Free of SLIP and TRIP hazards?
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15.7 - FACILITY GEN / WORKING and WALKING AREAS safe? (Impalement hazards, sharp edges, etc.)
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15.8 - FACILITY GEN / RAILING and HOLE GUARDING compliant?
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15.9 - FACILITY GEN / Adequate LIGHTING at facility?
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15.10 - FACILITY GEN / RAILROAD SIDINGS in safe condition?
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15.11 - FACILITY GEN / FALL PROTECTION SYSTEMS in safe condition? (Rail trolleys, cable systems, etc.)
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15.12 - FACILITY GEN / BULK PROPANE STORAGE compliant with NFPA standards?
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15.13 - FACILITY GEN / Other ELECTRICAL
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15.14 - FACILITY GEN / Other GAURDING
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15.15 - FACILITY GEN / Other LADDERS
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15.13 - FACILITY GEN / No additional corrective action required?
16.0 - ROLLING STOCK & EQUIPMENT
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16.1 - ROLLING STOCK & EQMT / Tractors, skid steers, loaders, and accessories compliant?
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16.2 - ROLLING STOCK & EQMT / Portable augers and conveyors compliant?
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16.3 - ROLLING STOCK & EQMT / Yard trucks and trailers in safe condition?
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16.4 - ROLLING STOCK & EQMT / Commercial trucks and trailers maintained and inspected in compliance with DOT standards?
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16.5 - ROLLING STOCK & EQMT / No additional corrective actions required?
Sign Off
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Auditor's signature
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On site representative
