2016 Ag Valley Coop Service Station & Shop

• Ag Valley Coop -

• Conducted on

  Date

• Prepared by

1.0 - Office Areas

• 1.1 - OFFICE / FIRE EXTINGUISHERS compliant?

  Yes

  No

  N/A

  Repeat

• 1.2 - OFFICE / EGRESS routes kept clear of obstacles?

  Yes

  No

  N/A

  Repeat

• 1.3 - OFFICE / ELECTRICAL SYSTEMS compliant?

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

• 1.5 - OFFICE / No additional corrective actions required?

  Yes

  No

  N/A

  Repeat

2.0 - Shop Areas

• 2.1 - SHOP / FIRE EXTINGUISHERS compliant?

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

• 2.3 - SHOP / ELECTRICAL SYSTEMS compliant?

  Yes

  No

  N/A

  Repeat

• 2.4 - SHOP / MACHINE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

• 2.7 - SHOP / RAILINGS and HOLE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

• 2.8 - SHOP / LADDERS compliant?

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

• 2.14 - SHOP / Proper PPE is available?

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

• 2.16 - SHOP / LOTO ENERGY ISOLATION POINTS properly marked?

  Yes

  No

  N/A

  Repeat

• 2.17 - SHOP / CHEMICALS properly stored and labeled?

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

• 2.29 - SHOP / No additional corrective actions required?

  Yes

  No

  N/A

  Repeat

3.0 - Warehouse Areas

• 3.1 - WAREHOUSE / FIRE EXTINGUISHERS compliant?

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

• 3.3 - WAREHOUSE / ELECTRICAL SYSTEMS compliant?

  Yes

  No

  N/A

  Repeat

• 3.4 - WAREHOUSE / MACHINE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

• 3.7 - WAREHOUSE / RAILINGS and HOLE GUARDING compliant?

  Yes

  No

  N/A

  Repeat

• 3.8 - WAREHOUSE / LADDERS compliant?

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

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

  Yes

  No

  N/A

  Repeat

• 3.17 - WAREHOUSE / No additional corrective actions required?

  Yes

  No

  N/A

  Repeat

4.0 - Outward Appearance

• 4.1 - Fuel islands are clean and well stocked.

  Yes

  No

  N/A

• 4.2 - Required signs in the fuel dispensing area are in place and well maintained.

  Yes

  No

  N/A

• 4.3 - Emergency contact telephone available and well marked.

  Yes

  No

  N/A

• 4.4 - Fire extinguisher is in place and properly inspected.

  Yes

  No

  N/A

• 4.5 - General appearance of the exterior of the facility is clean and uncluttered on all sides.

  Yes

  No

  N/A

5.0 - LP Bottle Fill Station

• 5.1 - Plant security is in place and being used.

  Yes

  No

  N/A

• 5.2 - All required signage is in place, and in good condition.<br>

  Yes

  No

  N/A

• 5.3 - Emergency Shut-Off is functioning properly.

  Yes

  No

  N/A

• 5.4 - Scale or metering device has current certification.

  Yes

  No

  N/A

• 5.5 - Damaged or non-fill able tanks are stored separately and identified to assure they are not filled.

  Yes

  No

  N/A

• 5.6 - All plant operators have received approved training, including refresher training, as required by NFPA.

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign