Information

  • Ag Valley Coop -

  • Conducted on

  • Prepared by

1.0 - Office Areas

  • 1.1 - OFFICE / FIRE EXTINGUISHERS compliant?

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

  • 1.3 - OFFICE / ELECTRICAL SYSTEMS compliant?

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

  • 1.5 - OFFICE / No additional corrective actions required?

2.0 - Shop Areas

  • 2.1 - SHOP / FIRE EXTINGUISHERS compliant?

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

  • 2.3 - SHOP / ELECTRICAL SYSTEMS compliant?

  • 2.4 - SHOP / MACHINE GUARDING compliant?

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

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

  • 2.7 - SHOP / RAILINGS and HOLE GUARDING compliant?

  • 2.8 - SHOP / LADDERS compliant?

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

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

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

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

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

  • 2.14 - SHOP / Proper PPE is available?

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

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

  • 2.17 - SHOP / CHEMICALS properly stored and labeled?

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

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

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

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

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

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

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

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

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

  • 2.29 - SHOP / No additional corrective actions required?

3.0 - Warehouse Areas

  • 3.1 - WAREHOUSE / FIRE EXTINGUISHERS compliant?

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

  • 3.3 - WAREHOUSE / ELECTRICAL SYSTEMS compliant?

  • 3.4 - WAREHOUSE / MACHINE GUARDING compliant?

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

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

  • 3.7 - WAREHOUSE / RAILINGS and HOLE GUARDING compliant?

  • 3.8 - WAREHOUSE / LADDERS compliant?

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

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

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

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

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

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

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

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

  • 3.17 - WAREHOUSE / No additional corrective actions required?

4.0 - Outward Appearance

  • 4.1 - Fuel islands are clean and well stocked.

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

  • 4.3 - Emergency contact telephone available and well marked.

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

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

5.0 - LP Bottle Fill Station

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

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

  • 5.3 - Emergency Shut-Off is functioning properly.

  • 5.4 - Scale or metering device has current certification.

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

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

Sign Off

  • On site representative

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.