Safety Section

Emergency Response and Action Plan

  • Annual Program Review Completed?

  • Comment/ Corrective Action

  • Equipment List (Hazmat and Confined Space)/Monthly PMs

  • Comment/Corrective Action

  • Facility Training (monthly safety training topics one internal one external)

  • Comment/Corrective Action

  • Team Emergency Response Training (8 Hr Hazmat CS Rescue, Incident Command)

  • Comment/Corrective Action

  • Responder Tasks Assigned (incident command, Logistics, etc) - App A (NM)

  • Comment/Corrective Action

  • Quarterly Hazwoper Drill Evaluation Form (can include Hazmat and CS Rescue Training) - App P (MF)

  • Comment/Corrective Action

  • Evacuation Maps Current (updated with most recent projects) - App E

  • Comment/Corrective Action

  • Annual Evacuation Drill (internal/external) Documented and Critiqued with findings on - App K

  • Comment/Corrective Action

  • Emergency Light Monthly Inspection (PMs)/Mapped locations

  • Comment/Corrective Action

  • Critical Equipment Process Emergency Shutdown - (review what facility using)

  • Comment/Corrective Action

  • Incident Command log for Chemical Releases (last 12 months) - App L

  • Comment/Corrective Action

  • Severe Weather Shelter/Power Outage Areas - App H

  • Comment/Corrective Action

  • Bomb Threat Receipt form (documentation) App I (make sure use of updated program from 2015)

  • Comment/Corrective Action

  • SCBA inspection form - App S

  • Comment/Corrective Action

  • LEPC or Fire Dept Coordination

  • Comment/Corrective Action

  • Tank Hydrostat testing current

  • Comment/Corrective Action

Confined Space Program

  • CS Annual Program Review completed on Program specific form App I

  • Comment/Corrective Action

  • Using correct CS permit (including completing all fields) on file 1 year - App E (MF)

  • Comment/Corrective Action

  • Contractor Authorization to Enter Facility CS (debriefing form); on file 1 year - App H (MF)

  • Comment/Corrective Action

  • Confined Space Inventory and Evaluation Table (Key) - App A (MF)

  • Comment/Corrective Action

  • CS hazard Assessments (including spec rescue procedures)/Written Procedures - App F (MF)

  • Comment/Corrective Action

  • CS Entry and rescue rope history, usage, inspection log - App D (NMF)

  • Comment/Corrective Action

  • Related Permits Verified (hot work, Line break permits)

  • Comment/Corrective Action

  • Reclassification forms - App G (MF)

  • Comment/Corrective Action

Contractor Safety Program

  • Annual Program Review completed

  • Comment/Corrective Action

  • Pre-Project Review and safety briefing form - App B (MF)

  • Comment/Corrective Action

  • Contractor Sign in log - App F (MF)

  • Comment/Corrective Action

  • Contractor Safety Orientation acknowledgment documentation - App E (MF)

  • Comment/Corrective Action

  • Audits (weekly) - App D (MF)

  • Comment/Corrective Action

  • Audits (Self) - App C (MF)

  • Comment/Corrective Action

  • Plant ISNetworld usage/evaluation process (comparing Contractor Sign in log)

  • Comment/Corrective Action

  • Review all ISN Exempt Contractor files (current) - Contractor safety data and general information - App A (M); insurance accord (coverages outlined in program); OSHA Logs; Safety Programs; Training; Orientation

  • Comment/Corrective Action

Electrical Safety Related Work Practices

  • Annual Program Review completed (MF)

  • Comment/Corrective Action

  • Arc Flash Analysis (most current)

  • Comment/Corrective Action

  • Quarterly Infra-red scans performed

  • Comment/Corrective Action

  • Infra-red scan current and corrective action of identified hot spots (No critical or serious)

  • Comment/Corrective Action

  • Electrical MCC inspections (PMs completed/Documented) - App H (MF)

  • Comment/Corrective Action

  • Hot glove - 6 month verification process

  • Comment/Corrective Action

  • Electrical Test Meter Monthly Inspection - App D (NMF)

  • Comment/Corrective Action

  • Electrical Small Hand Tool Monthly Inspection - App E (NMF)

  • Comment/Corrective Action

  • S/O cord requisition permit form - App B

  • Comment/Corrective Action

  • Task Specific Procedures - App A

  • Comment/Corrective Action

  • Energized Electrical Written Permit - App C

  • Comment/Corrective Action

Ergonomics Program

  • Annual Program Review completed (MF)

  • Comment/Corrective Action

  • Annual Facility Ergonomic Assessment considering Injury/Illness records

  • Comment/Corrective Action

  • Annual Facility Ergonomic Assessment considering Review of EJMS scores

  • Comment/Corrective Action

  • Annual Facility Ergonomic Assessment considering Facility walk-through

  • Comment/Corrective Action

  • Annual Facility Ergonomic Assessment considering Other means (Supervisor/Employee/Union Requests)

  • Comment/Corrective Action

  • Trending completed identifying problems, departments, and/or jobs for CTD illness (Top Ten List)

  • Comment/Corrective Action

  • Review Work Orders/MOC to verify progress

  • Comment/Corrective Action

  • Mechanism to capture quick fixes completed by plant team.

  • Comment/Corrective Action

  • Verification of employee involvement on ergo initiatives (EJMS, MOC's, Line meeting, Brain Storming, etc)

  • Comment/Corrective Action

  • Plant has identified and implemented job rotations to prevent CTDs

  • Comment/Corrective Action

  • Industrial Athlete Program used and documented (New Hire/LOA Stretching process)

  • Comment/Corrective Action

  • Follow up process for ramp in (break in) pain- New Hire / LOA

  • Comment/Corrective Action

  • PDA (physical demand assessments) completed for all positions (MF)

  • Comment/Corrective Action

  • PDA (physical demand assessments) used when assigning Restricted duty.

  • Comment/Corrective Action

  • Annual refresher training to include PIT CREW members will be trained on ergonomics and EJMS completion.

  • Comment/Corrective Action

  • Knife sharpening program (New hires/dull knife complaints)

  • Comment/Corrective Action

  • Annual refresher training to include Annual practical application training for Health Care

  • Comment/Corrective Action

  • Annual refresher training to include Upper management and supervisors annual basic ergonomic principles.

  • Comment/Corrective Action

  • Annual refresher training to include Annual practical application training for Maintenance and Engineering

  • Comment/Corrective Action

  • Annual awareness training for all employees (line meeting) to include stretching.

  • Comment/Corrective Action

  • Annual refresher training on work hardening and the JBS Ramp In process.

  • Comment/Corrective Action

  • Annual line meeting dedicated to Ergonomics knife sharpening and maintenance.

  • Comment/Corrective Action

Fall Prevention and Protection Program

  • Annual Program Review completed on program-specific form (MF)

  • Comment/Corrective Action

  • Master list identifying all equipment (Harness, Lanyard, Ladders)

  • Comment/Corrective Action

  • Manufacturer info for ladders, harnesses, and lanyards

  • Comment/Corrective Action

  • Documented monthly inspections completed on each full body harness and lanyard inspection form - App A (NMF)

  • Comment/Corrective Action

  • Monthly Ladder Inspection form - App B (NMF)

  • Comment/Corrective Action

  • Ladder Out of Service process - App C

  • Comment/Corrective Action

  • Hazard analysis completed for each task identified (including rescue procedures) App G and H

  • Comment/Corrective Action

  • Anchor points identified on map.

  • Comment/Corrective Action

Fire Prevention Program

  • Annual Program Review completed

  • Comment/Corrective Action

  • Oily Rag Program - Documented SOP (NMF)

  • Comment/Corrective Action

  • SOP for Aerosol exchange process

  • Comment/Corrective Action

  • Fire Extinguisher location maps

  • Comment/Corrective Action

  • Fire Extinguisher Monthly/Annual Inspection - App B (NMF)

  • Comment/Corrective Action

  • Fuel Sources - Fire Prevention and Protection Program - App F

  • Comment/Corrective Action

  • Documented process (SOP) of fire extinguisher recharges/exchanges

  • Comment/Corrective Action

  • Fire Prevention Valve Inspection form (Weekly/Monthly) documentation - App C (NMF)

  • Comment/Corrective Action

  • Fire Prevention Equipment Inspection Form (monthly) - App D (NMF) / Third Party Sprinkler Inspection Reports (at least annually) including reviewing any noted recommendations.

  • Comment/Corrective Action

Fire Protection Impairment Program

  • Annual Program Review Completed

  • Comment/Corrective Action

  • Process for Impairments outage incidents (Site specific - including Steam, CO2, and/or Water)

  • Comment/Corrective Action

  • Fire Protection Impairment Tag completed last 12 months

  • Comment/Corrective Action

  • Alternate Protective Measures Notification

  • Comment/Corrective Action

  • Incident reports for fire incidents (summary documenting events)

  • Comment/Corrective Action

Hot Work Permit Program

  • Annual Program Review Completed - App D (MF)

  • Comment/Corrective Action

  • Hot work classification map - identifying Type 1, Type 2 & designated areas

  • Comment/Corrective Action

  • Hot Work permits completed appropriately (including Contractors)

  • Comment/Corrective Action

  • Monthly Welder inspection PM's - App C (NM)

  • Comment/Corrective Action

Hazard Communication Program

  • Annual Program Review Completed - Completed on program specific form - App C (MF)

  • Comment/Corrective Action

  • Hazardous chemical inventory list - App B (NMF)

  • Comment/Corrective Action

  • Chemical Specific Procedures developed (chemical usage (mixing, handling), exposure).

  • Comment/Corrective Action

  • SDS on file - Site Hawk system is functional

  • Comment/Corrective Action

  • Required personnel trained on use of Site Hawk

  • Comment/Corrective Action

  • Process to ensure proper chemical receiving SOP (tanks, totes, drums) & verify acknowledgments

  • Comment/Corrective Action

  • Chemical approval process in place (new or trial chemicals) - Using Site Hawk

  • Comment/Corrective Action

  • PM's for eyewash and shower (documented monthly)

  • Comment/Corrective Action

Industrial Hygiene

  • Annual Program Review

  • Comment/Corrective Action

  • Master log of IH Sampling Areas Identified (CO2, H2S, Acetic Acid, Chlorine, Heat, CO, etc)

  • Comment/Corrective Action

  • Quarterly sampling of environmental stressors being completed and Documentation (unless otherwise specified per the environmental stressor)

  • Comment/Corrective Action

  • Results of sampling posted on employee communication boards (min 15 days) App E and F

  • Comment/Corrective Action

  • Sampling records retained permanently

  • Comment/Corrective Action

  • Air sampling equipment being calibrated (per manufacturers recommendations) - maintained for 1 rolling year.

  • Comment/Corrective Action

Heat Stress Program / Hot Weather Process

  • Heat stress monitoring being conducted in outlined areas (and any others as requested)

  • Comment/Corrective Action

  • Analysis to drive engineering controls

  • Comment/Corrective Action

  • Engineering controls documented (if any high reads are found)

  • Comment/Corrective Action

  • Hot environment protocol

  • Comment/Corrective Action

Hydrogen Sulfide Safety Program

  • Notices posted that require monitoring (as identified on the log)

  • Comment/Corrective Action

  • Monitoring being conducted (minimum weekly) - in areas identified on log

  • Comment/Corrective Action

  • Incident Investigation form - App B (MF)

  • Comment/Corrective Action

Carbon Dioxide Monitoring Program

  • Notices posted (as identified on the log)

  • Comment/Corrective Action

  • Monitoring being conducted at least quarterly - in areas identified on log

  • Comment/Corrective Action

  • Analysis to drive engineering controls

  • Comment/Corrective Action

  • Engineering controls documented (if any high reads are found)

  • Comment/Corrective Action

Radiation Program

  • Notices posted (as identified on the log)

  • Comment/Corrective Action

  • Monitoring being conducted at least quarterly - in areas identified on log

  • Comment/Corrective Action

  • Process in place to register equipment with specific state requirements (Department of Health)

  • Comment/Corrective Action

  • Designated RSO

  • Comment/Corrective Action

Hearing Conservation Program

  • Annual program review (MF)

  • Comment/Corrective Action

  • Current area sound survey within two years (and any new equipment tested at when implemented)

  • Comment/Corrective Action

  • Dosimetry study completed (high noise areas - every 2 years) (third party)

  • Comment/Corrective Action

  • Documented engineering controls

  • Comment/Corrective Action

Respiratory Protection Program

  • Annual program review (MF)

  • Comment/Corrective Action

  • Master list of all employees issued respirators (Including an identification system on each respirator)

  • Comment/Corrective Action

  • Tracking sheet of monthly Respirator cleaning and inspections (by unique identifier)

  • Comment/Corrective Action

  • Master list of all respirator users and fit tests dates and fit factor (annually)

  • Comment/Corrective Action

  • Manufacturer info for equipment

  • Comment/Corrective Action

  • Cartridge change out or Single Use Policy documentation - App A

  • Comment/Corrective Action

  • Voluntary Use Form (if any) - App B and C

  • Comment/Corrective Action

Lock Out/Tag Out Program

  • Annual program review - Completed on program specific form - App F (MF)

  • Comment/Corrective Action

  • Equipment specific procedures written and in place - App B (MF)

  • Comment/Corrective Action

  • Equipment specific procedures reviewed and recertified within last 12 months

  • Comment/Corrective Action

  • Lock removal authorization form - App D (any within the last year and completed properly) (MF)

  • Comment/Corrective Action

  • Alternate Procedure Form - App C (MF)

  • Comment/Corrective Action

  • List of all authorized employees - by department and lock number

  • Comment/Corrective Action

  • Are lock out devises singularly identified by shape, size and color?

  • Comment/Corrective Action

  • Yellow out of service lock/tag process

  • Comment/Corrective Action

  • Using correct Line Break permit (including completing all fields) completed properly (all closed loop systems) on file 1 year - App I (MF)

  • Comment/Corrective Action

  • Contractors utilizing line break permits (issued by JBS) - App I

  • Comment/Corrective Action

Personal Protective Equipment Program

  • Annual Program Review (MF)

  • Comment/Corrective Action

  • Annual PPE Hazard Assessment been completed/verified (last 12 months) - App B

  • Comment/Corrective Action

  • Hazard assessment certification forms completed (last 12 months) - App B

  • Comment/Corrective Action

  • PPE check sheet developed per unique job (based off PPE haz assessment)

  • Comment/Corrective Action

  • PPE check completed and documented as required

  • Comment/Corrective Action

  • Manufacturer information for all PPE

  • Comment/Corrective Action

  • JSA (Job Safety Assessments) been completed for all unique jobs

  • Comment/Corrective Action

  • Prescription eyewear program for high impact jobs

  • Comment/Corrective Action

Knife Handling Program

  • Process for transporting knives (straight, whizard, air knives, etc)

  • Comment/Corrective Action

  • Annual program review (MF) Evaluate need for an annual review

  • Comment/Corrective Action

  • SOP identifying process for storage of blades (new/used)

  • Comment/Corrective Action

Powered Industrial Truck Program

  • Annual program review - completed on program specific form - App J (MF)

  • Comment/Corrective Action

  • Pre-shift inspections and a tracking process to ensure all trucks receive the needed inspections / repairs - App C - H (MF)

  • Comment/Corrective Action

  • SOP's for fueling / battery changing / charging - App A

  • Comment/Corrective Action

  • Site specific safety repairs (safety measures taken when repairing PID) - App B (if inhouse)

  • Comment/Corrective Action

  • SOP outlining process for new vehicle brought on-site / training

  • Comment/Corrective Action

  • Documentation of Dock plates rated and certifications

  • Comment/Corrective Action

  • List of Authorized Operators - App P

  • Comment/Corrective Action

  • Suspension - Revocation Form - App L (NMF)

  • Comment/Corrective Action

  • Incident Policy in use - App K (MF)

  • Comment/Corrective Action

  • Manufacturer info for all PIT used onsite

  • Comment/Corrective Action

Rail car, Tanker & Hopper Safety Program

  • Annual program review (MF)

  • Comment/Corrective Action

  • Site specific SOP's developed for rail cars, tankers/hoppers

  • Comment/Corrective Action

  • Coordination with railroad

  • Comment/Corrective Action

  • Controls are implemented (e.g, blue light / flag, derailer, radios, etc)

  • Comment/Corrective Action

  • Fall protection systems in place

  • Comment/Corrective Action

  • Pedestrian warning system in place

  • Comment/Corrective Action

Vertical Reciprocating Conveyor Program/Freight Lift/Pedestrian Elevator

  • All VRC identified

  • Comment/Corrective Action

  • Review monthly PMs

  • Comment/Corrective Action

Visitor Safety Program

  • Process in place to capture visitors to the facility (maintain for 1 year)

  • Comment/Corrective Action

  • Review visitor sign-offs

  • Comment/Corrective Action

Cold Weather Process

  • Any cold weather gear

  • Comment/Corrective Action

  • SOP for snow / ice removal

  • Comment/Corrective Action

  • Chemical specific for chemicals used (such as ice melt)

  • Comment/Corrective Action

Counter balances, chain and cable hoist

  • Pre-use inspection completed

  • Comment/Corrective Action

  • All annual external inspection completed

  • Comment/Corrective Action

  • All annual inspection findings repaired

  • Comment/Corrective Action

Management Section

Annual Safety Action Plan

  • Goals and Objectives Identified?

  • Comment/ Corrective Action

  • Facility Specific Health and Safety Policy

  • Comment/ Corrective Action

  • Lines Of responsibility, Authority, and Accountability identified

  • Comment/ Corrective Action

  • Safety Action Items Identified?

  • Comment/ Corrective Action

  • Monthly Steering committee meetings held and minutes distributed?

  • Comment/ Corrective Action

Employee Involvement

  • Suggestion Program/ Process for Safety Concerns?

  • Comment/ Corrective Action

  • Involved in Area Inspection/ Audit process

  • Comment/ Corrective Action

  • Employee Involvement Process (other than teams and touch-n-go's)

  • Comment/ Corrective Action

  • Knowledge of Line Meetings

  • Comment/ Corrective Action

  • Knowledge of Cardinal Rules

  • Comment/ Corrective Action

  • Knowledge Of Machine Specific training (operators)

  • Comment/ Corrective Action

  • Knowledge Of Lockout Procedures/ process (authorized)

  • Comment/ Corrective Action

  • Knowledge of Chemicals/ Training

  • Comment/ Corrective Action

Incident Investigation Program

  • JBS Incident investigation forms- app E,C,B,D (completing all section properly- including lost time where appicable

  • Root Causes Identified

  • Comment/ Corrective Action

  • Follow up on corrective actions

  • Comment/ Corrective Action

  • Management review Process

  • Comment/ Corrective Action

  • All required Signatures on Forms

  • Comment/ Corrective Action

  • Completed in a timely manner?

  • Comment/ Corrective Action

  • Annual Supervisor/ Superintendent Training

  • Comment/ Corrective Action

  • Incident report retention (min of 5 years)

  • Comment/ Corrective Action

Management Of Change Program

  • Amount of MOC's completed in the last year (12 months)- small and large projects (20 min)

  • Comment/ Corrective Action

  • MOC Initiation and Hazard Analysis form- app A (MF)

  • Comment/ Corrective Action

  • Description of change , why is the change being initiated, how will effect safety related issues

  • Comment/ Corrective Action

  • Impact on Safety and Health

  • Comment/ Corrective Action

  • Training requirements

  • Comment/ Corrective Action

  • Review of impacted regulatory requirements

  • Comment/ Corrective Action

  • Modifications to operating procedures

  • Comment/ Corrective Action

  • Hazard Analysis (all items not required have n/a)

  • Comment/ Corrective Action

  • human Factors design (PDA, JSA, EJMS and/ or Sound level reading)

  • Comment/ Corrective Action

  • Environmental Analysis (all items not required have n/a)

  • Comment/ Corrective Action

  • Levels of Authorization required

  • Comment/ Corrective Action

  • Pre- start review completed per projects- app D (MF)

  • Comment/ Corrective Action

  • project Line meeting (employee involvement) app B (MF)

  • Comment/ Corrective Action

  • Comment/ Corrective Action

  • Use of Addendums (if applicable)- app C (MF)

  • Comment/ Corrective Action

  • projects documented on project master List- app F (MF)

  • Comment/ Corrective Action

Management Expectation Program

  • Participation in all elements of the process (review MEP scorecard and MEP score)

  • Comment/ Corrective Action

  • Verify that operations management team using as a tool to achieve goals

  • Comment/ Corrective Action

  • Management scorecards issues monthly

  • Comment/ Corrective Action

  • Verification that identified deficiencies are corrected (performance plan)

  • Comment/ Corrective Action

Safety improvement Team Policy

  • Does the plant safety committee meet on at least a monthly basis?

  • Comment/ Corrective Action

  • Are meeting minutes maintained and posted for review and process to follow up on open items (review all minutes)

  • Comment/ Corrective Action

  • Has the site established appropriate sub committees to execute the sites safety process?

  • Comment/ Corrective Action

  • Comment/ Corrective Action

  • Does each safety committee (including safety steering committee) include both hourly and salaried employees?

  • Comment/ Corrective Action

  • Are safety committee members released fro the line to participate in each committee meeting?

  • Comment/ Corrective Action

  • Are hourly employees who serve on various safety committees provided a means by which employee can identify them on the floor?

  • Comment/ Corrective Action

  • Are employees encouraged to bring safety and health concerns to members of the various safety committees?

  • Comment/ Corrective Action

  • Does the site safety steering committee review the sites corrective action log at each meeting and assign responsibility for completing open items in a timely fashion?

  • Comment/ Corrective Action

Hazard Identification and Control Program

  • Annual Program evaluation (review) being completed and documented

  • Comment/ Corrective Action

  • FELT - process to capture new management employees (supervisors and managers) and anyone identified for refresher

  • Comment/ Corrective Action

  • Supervisor Daily and Leadership Periodic inspections being completed 9review sampling)

  • Comment/ Corrective Action

  • Is the facility using unsafe condition action log and following up on deficiencies?

  • Comment/ Corrective Action

  • Are safety work orders being prioritized according to 7.3 of the program

  • Comment/ Corrective Action

  • Are hazards that present an immediate hazard to the employees being corrected immediately as stated in 7.2 of the program

  • Comment/ Corrective Action

  • Are resources being properly allocated for corrective actions?

  • Comment/ Corrective Action

  • Completion of TNG/ Observation/ Verification by management team (review sampling) // Safety observations for Pork

  • Comment/ Corrective Action

  • Is the facility using unsafe act corrective action log and following up on deficiencies?

  • Comment/ Corrective Action

  • Is tracking/ trending performed to identify areas needing attention and reviewed with upper management

  • Comment/ Corrective Action

  • Phase 2 findings entered into gaps log

  • Comment/ Corrective Action

  • Phase 3 findings entered into gaps log

  • Comment/ Corrective Action

Safety Training and education (master list/ file review)

  • New Hire Orientation ( using alchemy playlist)

  • Comment/ Corrective Action

  • Annual Job Safety Analysis training (identifying the hazards of the job)

  • Comment/ Corrective Action

  • Chemical Specific Training ( employees handling, mixing, exposure or receiving)

  • Comment/ Corrective Action

  • Radiation Training (all employees exposed around equipment)

  • Comment/ Corrective Action

  • H2S Training completed (for all employees required to use a monitor)

  • Comment/ Corrective Action

  • CO2 training completed (all employees required to use a monitor)

  • Comment/ Corrective Action

  • Machine Specific training (operators) e.g. saws, air knife, whizard knife, skinners)

  • Comment/ Corrective Action

  • Process for capturing job transfers/ bids (reviewing any related training)

  • Comment/ Corrective Action

  • Annual Safety Training (alchemy playlist)

  • Comment/ Corrective Action

  • Ergonomics Training for Management (within last 2 years)

  • Comment/ Corrective Action

  • Review Line Meetings (past six months)/ tracking system for missed employees

  • Comment/ Corrective Action

  • Confined space training- authorized entrants/ attendant

  • Comment/ Corrective Action

  • Electrical Qualified Training- basic, qualified and arc flash

  • Comment/ Corrective Action

  • Fall Protection training (competent person & authorized) including anchor points locations

  • Comment/ Corrective Action

  • Fall Prevention training (restraint/ positioning)

  • Comment/ Corrective Action

  • Hot work training completed for authorized employees/ Fire Watch/ hot Work permit (classification)

  • Comment/ Corrective Action

  • Welding/ grinding/ cutting training completed for authorized employees

  • Comment/ Corrective Action

  • Respiratory protection training for all users

  • Comment/ Corrective Action

  • Fire extinguisher training

  • Comment/ Corrective Action

  • LOTO- Annual Authorized Employees review and audit- App E

  • Comment/ Corrective Action

  • LOTO training records (authorized) - including equipment Specific signoffs with process for capturing any chnages

  • Comment/ Corrective Action

  • PIT- Current authorized training (3 years) each PIT Authorized to operate , retrain after incidents

  • Comment/ Corrective Action

  • PIT- Pre Qualifying form- App I

  • Comment/ Corrective Action

  • PIT- Loading Dock policy/ Incident Policy- app K. Sop's for fueling, battery changing, charging

  • Comment/ Corrective Action

  • PIT- Annual skills test (each PIT authorized to operate)

  • Comment/ Corrective Action

  • SOP for Suppression system- (sprinklers and steam)

  • Comment/ Corrective Action

  • SOP's for Railcars- training for all users

  • Comment/ Corrective Action

  • Hand and Power Tools- authorized (mtc and production)

  • Comment/ Corrective Action

  • Machine Guarding (mtc)

  • Comment/ Corrective Action

  • Chemical Specific Training - aerosols (mtc)

  • Comment/ Corrective Action

  • air Blow Gun- Authorized (mtc and production)

  • Comment/ Corrective Action

  • Slings, hoist, come along- Authorized (mtc and production)

  • Comment/ Corrective Action

  • PIT- loading Dock policy/ incident policy App K SOP's for fueling, charging, battery changing

  • Comment/ Corrective Action

  • Fire Arm Training

  • Comment/ Corrective Action

  • Bomb Threat Training

  • Comment/ Corrective Action

Safety Disciplinary Action policy

  • Commitment to Safety Posting in Common Areas

  • Comment/ Corrective Action

  • cardinal Rules policy posted in common areas

  • Comment/ Corrective Action

  • Log to Track Safety Disciplinary violations (HR)

  • Comment/ Corrective Action

  • Utilizing the correct discipline

  • Comment/ Corrective Action

Property and Fire Audit and Follow Up

  • Loss Prevention Survey- No plant controllable recommendations (e.g. human elements, combustible storage)

  • Comment/ Corrective Action

  • Recommendations evaluated and responded (all recommendations responded)

  • Comment/ Corrective Action

  • Combustibles stored properly

  • Comment/ Corrective Action

  • property Loss Prevention Survey (all recommendations responded)

  • Comment/ Corrective Action

  • Property/ Fire projects reviewed by GAPS prior to AFE submittal

  • Comment/ Corrective Action

Boiler Inspection and Follow Up

  • inspections- no plant controllable recommendations (e.g. human elements, combustible storage)

  • Comment/ Corrective Action

  • Jurisdictional Recommendations have been addressed

  • Comment/ Corrective Action

  • Boiler Certs copy maintained in centralized location

  • Comment/ Corrective Action

Occupational Health Section

Bloodborne Pathogens

  • Is site-specific information completed in the Bloodborne Pathogens Exposure Control Plan?

  • Has the site implemented the corporate Bloodborne Pathogens Exposure Control Plan?

  • Documentation of Bloodborne Pathogens (extensive) training for Occupational Health Staff, Emergency Response Team, those trained in CPR/AED/First Aid, QA, HazMat, janitorial staff (JBS employees only) - every two years (US), 3 years (Canada)

  • Appropriate training materials used (i.e. AHA, ARC, NSC, JBS Powerpoint, etc.)

  • Bloodborne Pathogens Alchemy Training completed for all employees (at orientation and annually) - verify records

  • Are HBV immunizations offered to each employee with a potential for occupational exposure to blood or bodily fluids and are copies of the bloodborne pathogen vaccination/declination forms (APP A/B) maintained in the Occupational Health Department for each affected employee?

  • Is appropriate PPE readily available in the Occupational Health Department and to the members of the Emergency Response Team?

  • Are Occupational Health and Safety Staff employees familiar with the appropriate procedures for addressing potential exposure to bloodborne pathogens as well as the process for post exposure HIV/HBV testing of both the source and the person potentially exposed? (App C, D, E, & F)

  • Sharps Awareness - Glucometer/Blood Testing/Injections signs posted & reviewed with employees

  • Sharps containers in secure locations, less than 3/4 full and checked monthly (30 day checklist)

  • Sharps Awareness - Glucometer/Blood Testing/Injections signs posted

  • Is post exposure medical information properly documented (correct forms, marked "privacy case" on OSHA Log, recorded on separate Needle Stick/Exposure Log, vaccination declination/acceptance form) as well as filed and maintained confidentially?

Workman's Compensation (Case Management)

  • In the case of panel providers , is the contact information fir those providers available and correct?

  • Comment/ Corrective Actions

  • Does the site have an accurate and current contact list of medical providers (by specialty), resources and treatment options for use I work related case management?

  • Comment/ Corrective Actions

  • Does the Occupational Health Manager/ Administrator provide case management for work related injuries/ illness (file review)

  • Comment/ Corrective Actions

  • Does the Occ health staff maintain an accurate medical appointment schedule for all work related cases?

  • Comment/ Corrective Actions

  • Does the Occ Health manager / Administrator maintain contact with each physician treating employees for work related injuries/ illness to review current status, the treatment plan and to facilitate the employees return to work?

  • Comment/ Corrective Actions

  • Select a minimum of 10 claims off the OSHA 300 log within the last 12 months and review per case management questionnaire (review a variety of RD,L, Med Only, Indemnity and first aid case as well)

  • Comment/ Corrective Action

  • Is documentation available with a minimum of off work status or restrictions completed by the treating physician/ care provider at each appointment and returned to Occ Health with the injured/ill employee

  • Comment/ Corrective Action

  • Are all required state forms/ government forms in claim file? (if applicable)

  • Comment/ Corrective Action

  • Are all current PDA' s available to the Occ Health staff for all operations employees

  • Comment/ Corrective Action

  • Does the OHM participate in open claims review with adjusters at least quarterly and is the documentation provided

  • Comment/ Corrective Actions

  • Are we utilizing MDA guidelines with our case management? (in the absence of MDA guidelines contacting care provider with concerns)

  • Comment/ Corrective Actions

Restricted Duty/Return to Work Program

  • Employee restricted Duty/ Medical Duty Form being used- App A/B

  • Comment/ Corrective Action

  • Is the most current version of the restricted Duty/ return to work program in the Occ Health manual?

  • Comment/ Corrective Action

  • Red Card- App C

  • Comment/ Corrective Action

  • Restricted Duty Weekly Tracking Calendar- App D

  • Comment/ Corrective Action

  • Medical leave of Absence Letter (MLOA) temp restrictions- App E

  • Comment/ Corrective Action

  • Medical leave of Absence Letter (MLOA) perm restrictions- App F

  • Comment/ Corrective Action

  • Restricted Duty Tracking Spreadsheet- App G

  • Comment/ Corrective Action

Drug Free Work Place

  • Is the Occ Health staff trained and familiar with drug and saliva alcohol screening process

  • Comment/ Corrective Action

  • Is there minimum of one Occ Health staff members per shift certified as breath Alcohol Technician

  • Comment/ Corrective Action

  • Is there a designated drug and alcohol testing restroom where the faucet can be turned/ taped off and bluing agent added for urine screen collection

  • Comment/ Corrective Action

  • Are all drug screen results appropriately filed

  • Comment/ Corrective Action

  • Are all random drug and alcohol tests completed within the assigned month

  • Comment/ Corrective Action

  • Is documented employee consent obtained for all drug and/ or alcohol test withdrawals

  • Comment/ Corrective Action

  • Are all drug and alcohol chain of custody forms completed properly

  • Comment/ Corrective Action

  • Does the OHM have a current copy of the Drug and Alcohol policy printed and easy access to the staff and HR

  • Comment/ Corrective Action

Emergency Response Team

  • Does the site post a list of all Emergency Response team members and their contact information or department in areas where employees are likely to congregate

  • Comment/ Corrective Action

  • Does each member of the Emergency Response team possess current certification in CPR, First Aid and AED and are copies of certificates available for review

  • Comment/ Corrective Action

Medical Surveillance (HazMat/Confined Space Response Team)

  • Has each member of the sites hazmat/ Confined Space team undergone a medical assessment to include pulmonary function test and physical examination conducted by a physician both prior to assignment and annually thereafter

  • Comment/ Corrective Action

  • Does the Occ health staff maintain a current list of Hazmat/ Confined space rescue team members and physical dates

  • Comment/ Corrective Action

  • Is a copy of the physician or license health care professional's written respirator user recommendation on file for each covered employee

  • Comment/ Corrective Action

  • Has each employee who is authorized to wear a respirator (Hazmat, etc) thoroughly completed the respirator medical Evaluation Questionnaire within the past 12 months, was it completed within 2 weeks of the physical and are copies maintained in the employees active medical file

  • Comment/ Corrective Action

  • Does the Occ Health manager review and the sign the Respirator medical evaluation Questionnaire prior to the employee being sent for a physical as well as initial date the recommendations upon return and has the OHM reviewed any yes questions prior to exam (and have obtained additional information regarding the yes answers)

  • Comment/ Corrective Action

  • Does the Occ health staff conduct medical surveillance on each hazmat member during any release or drill

  • Comment/ Corrective Action

  • Hazmat Team Exit examination offer form (certified letter)

  • Comment/ Corrective Action

Medical Surveillance (Hearing)

  • Has the site implemented a medical audiometric surveillance program and is documentation supporting the program available for review?

  • Comment/ Corrective Action

  • Does the Occupational Health Manager/Administrator perform otoscopic examinations on each employee with an abnormal initial audiogram and refer employees where necessary to a Physician prior to the audiometric retest?

  • Comment/ Corrective Action

  • Are retests conducted within 30 days for employees who have a potential standard threshold shift on the initial or annual audiometric test?

  • Comment/ Corrective Action

  • Verify daily and annual calibration records

  • Comment/ Corrective Action

  • Are employees with Standard Threshold Shifts put on the OSHA 300 Log only after the physician's confirmation of work relatedness?

  • Comment/ Corrective Action

  • Verify CAOHC certification for Occupational Health Staff performing hearing tests.

  • Comment/ Corrective Action

  • OSHA posting - Medical

  • Comment/ Corrective Action

Medication Processes

  • Are medications carried by the Occupational Health Department covered under a signed physician standing order and/or medical directive?

  • Comment/ Corrective Action

  • Is access to medications controlled and limited to the Occupational Health Staff?

  • Comment/ Corrective Action

  • Are all medications which are maintained by the Occupational Health Department within their expiration dates?

  • Comment/ Corrective Action

  • Is the Occupational Health Staff documenting medication administration appropriately?

  • Comment/ Corrective Action

  • Does the Occupational Health Staff obtain signed acceptance and/or declination forms prior to giving any immunization with attention to contraindications specific to the agent used for the immunization?

  • Comment/ Corrective Action

  • Does the Occupational Health Department have a refrigerator for the storage of medication and is this refrigerator labeled "Medication Only?"

  • Comment/ Corrective Action

  • Is unit does packaging utilized for over the counter medications?

  • Comment/ Corrective Action

Occupational Health Equipment, Supplies, & Facilities

  • Does the Occupational Health Staff flush each eye wash station located in the Occupational Health Department for three minutes each month and, is this properly documented? Visual inspection weekly.

  • Comment/ Corrective Action

  • Is oxygen equipment available in the Occupational Health Department and in working condition and is secured?

  • Comment/ Corrective Action

  • Oxygen equipment checked monthly & documented.

  • Comment/ Corrective Action

  • Are AED's properly placed and accessible based on corporate recommendations and, has the site implemented the AED Compliance Management Program?

  • Comment/ Corrective Action

  • AEDs checked monthly & documented.

  • Comment/ Corrective Action

  • Is the emergency trauma bag/HazMat Medical Kit fully stocked, are all perishable items within their expiration date, and is the kit stored in a location where it is fully accessible to each member of the Occupational Health Staff?

  • Comment/ Corrective Action

  • Emergency response bag & Medical Kits checked monthly.

  • Comment/ Corrective Action

  • Does the Occupational Health Department have a working glucometer(s) and are the members of the Occupational Health Staff competent in its use?

  • Comment/ Corrective Action

  • Glucometer(s) checked monthly.

  • Comment/ Corrective Action

  • Does the Occupational Health Department have an otoscope and/or ophthalmoscope and are the members of the Occupational Health Staff competent in their use

  • Comment/ Corrective Action

  • Otoscope and/or ophthalmoscope & batteries checked monthly & documented.

  • Comment/ Corrective Action

  • Does the Occupational Health Department have a "Snellen"/"illiterate" chart to test for visual acuity and is it hung at the recommended distance (20 ft)?

  • Comment/ Corrective Action

  • Are flashlights and batteries available and accessible in the Occupational Health Department for the use of the Occupational Health Staff in the event of an emergency?

  • Comment/ Corrective Action

  • Flashlights and batteries checked monthly and documented.

  • Comment/ Corrective Action

  • Is EBT screening equipment calibrated and are calibration records maintained and available for review?

  • Comment/ Corrective Action

  • Are operations and reference manuals for screening equipment (i.e. EBT manual, glucometer manual, etc.) maintained in the Occupational Health Department and accessible to staff?

  • Comment/ Corrective Action

  • Does the physical environment of the Occupational Health Department allow for patient privacy and, is a private examination room available?

  • Comment/ Corrective Action

  • Does the Occupational Health Department & Staff have a professional appearance?

  • Comment/ Corrective Action

  • Is a stocked first aid cabinet, to include bloodborne pathogens PPE, maintained at each remote location and is documentation available indicating that these cabinets are inspected monthly by the Occupational Health Department?

  • Comment/ Corrective Action

  • Is there a contact at each remote location to ensure first aid equipment/supplies are monitored for compliance.

  • Comment/ Corrective Action

Occupational Health Professionals

  • Does the Occupational Health Staff hold regular (monthly) staff meetings and are the minutes of these meetings available for review? Does the Occupational Health Manager/Administrator conduct periodic in-service programs for the Occupational Health Staff and are these sessions properly documented?

  • Comment/ Corrective Action

  • Does each Occupational Health Staff member attend continuing education classes annually (or required by their licensure/certification)?

  • Comment/ Corrective Action

  • Does the Occupational Health Department have access to current health related resources for the use of the Occupational Health Staff?

  • Comment/ Corrective Action

  • Is each member of the Occupational Health Staff familiar with the location, layout, and management team of each facility?

  • Comment/ Corrective Action

  • Does the facility complete a new hire checklist for each new Occupational Health Staff member?

  • Comment/ Corrective Action

  • Are the Occupational Health Staff members familiar with the treatment, symptoms, and potential effects of ammonia and chlorine exposure?

  • Comment/ Corrective Action

  • Does the OH staff know how to access the SDS (on SiteHawk) and have it readily available for response efforts?

  • Comment/ Corrective Action

  • Is there continual communication between Safety and Occupational Health to discuss all injuries and illnesses? (interview staff)

  • Comment/ Corrective Action

  • Has each member of the Occupational Health Staff participated in a documented training session covering the requirements of HIPAA at time of new hire orientation and annually thereafter?

  • Comment/ Corrective Action

  • Does Occupational Health provide an orientation to all new employees regarding Occupational Health Department services?

  • Comment/ Corrective Action

Post Offer Medical Assessments

  • Does each facility have a post offer physical exam process? (Review process forms)

  • Comment/ Corrective Action

  • Does each new employee complete the new post offer medical history form with the consultation of the Occupational Health Staff?

  • Comment/ Corrective Action

  • Does the site Human Resources Department provide the Occupational Health Staff with a proposed job title for each new employee undergoing the post offer medical assessment?

  • Comment/ Corrective Action

  • Does the Occupational Health Department have a process for evaluating employees that have applied for transfers?

  • Comment/ Corrective Action

  • Is there communication between Human Resources and Occupational Health for employees returning from leave of absence/vacations (longer than two weeks)?

  • Comment/ Corrective Action

  • Does the facility have a formal ramp-in process for all new hires and employees returning to work after three or more weeks off (non work-related)?

  • Comment/ Corrective Action

  • If there are positive findings, is there a process in place for medical clearance or disqualification?

  • Comment/ Corrective Action

Recordkeeping

  • Does the site maintain an Occupational Health manual for each year for reference and litigation? (Five year history)

  • Comment/ Corrective Action

  • Are all health records maintained in a secure, lockable area?

  • Comment/ Corrective Action

  • Is a separate worker's compensation file maintained for each injury and/or illness case?

  • Comment/ Corrective Action

  • Is a Request for Medical Records Release Form signed by the employee, has Risk Management Department been notified, and a copy maintained in the Occupational Health Department each time that a employee requests a copy of their medical records?

  • Comment/ Corrective Action

  • Does the site OH department get a list of terminations from HR at least quarterly to purge files.

  • Comment/ Corrective Action

  • Are inactive records purged at least annually and maintained in an accessible location and is a roster of purged files available for review?

  • Comment/ Corrective Action

  • Is the OSHA 300 Log current to within seven days?

  • Comment/ Corrective Action

  • Is an OSHA 301 Form or State First Report of Injury Form and available for review for each recordable case?

  • Comment/ Corrective Action

  • Are OSHA 300 Logs, OSHA 300A Summaries and OSHA 301 Forms/State First Report of Injury Forms maintained for five years and available for review?

  • Comment/ Corrective Action

  • Does the site maintain a separate file for cases determined by the location to be non-recordable when that decision could be questioned by regulatory agencies and is the site's decision making rationale clearly documented?

  • Comment/ Corrective Action

  • Are all records related to employee medical care received from physicians and others date stamped upon receipt?

  • Comment/ Corrective Action

  • Is the current Occupational Health Manual physically located in the department and accessible to the Occupational Health Staff?

  • Comment/ Corrective Action

  • Is each member of the Occupational Health Staff operating under a current license or certification and are copies of these licenses and/or certifications maintained by the Occupational Health Manager/Administrator?

  • Comment/ Corrective Action

  • Is there a system in place to monitor licensure requirements for current occupational health staff and to verify licensure for incoming staff members? (Verify licensure/certifications are valid biannually)

  • Comment/ Corrective Action

Trending

  • Does the Occupational Health Manager/Administrator provide aggregate health information to management and work with the management team to improve the site's overall OSHA, worker's compensation, and healthcare statistics while maintaining the confidentiality of personal health information (PHI)?

  • Comment/ Corrective Action

Wellness and Prevention Programs

  • Is a member of Occupational Health on the Healthcare Committee?

  • Comment/ Corrective Action

  • When available, does the site provide seasonal influenza immunizations to employees and is this process properly documented?

  • Comment/ Corrective Action

  • There a process for providing/distributing Wellness and Prevention Educational Material to employees with known health risks?

  • Comment/ Corrective Action

  • Has the site completed a Health Fair in the last 12 months?

  • Comment/ Corrective Action

  • Does the site maintain a current list of local medical care providers to be distributed to employees for non-work related case management?

  • Comment/ Corrective Action

  • Does the site provide vending machines containing over the counter medications?

  • Comment/ Corrective Action

Physical Section

Confined Space Program

  • Spaces Labeled and uniquely identified.

  • Add media

  • Evaluate CS Rescue equipment as listed on the log - App B

  • Add media

  • Evaluate CS entry and rescue ropes

  • Add media

  • Evaluate CS Atmospheric Monitoring Devices as listed on the log - App C

  • Add media

Contractor Safety Program

  • Evaluate all program/policies related to the scope of work being performed

  • Add media

  • Review of equipment/tools being used

  • Add media

  • Review (current day) self inspection audits

  • Add media

  • Proof of Orientation

  • Add media

Emergency Response and Action Plan

  • External and Internal location posted

  • Add media

  • Evacuation Maps posted throughout the facility (including revision dates)

  • Add media

  • Evaluate emergency exit signs/lights

  • Add media

  • Evaluate Emergency Response Equipment (suits, boots, SCBAs, etc)

  • Add media

  • Is each exit route provided with sufficient emergency illumination? (1910.37)

  • Add media

  • Is each door to, through, and away from the path of exit travel properly labeled? (1910.37)

  • Add media

  • Is each route to, through, and away from the exit at least 28 inches wide at the narrowest point? (1910.36)

  • Add media

  • Is each route to, through, and away from the exit at least 7 feet, 6 inches high with any overhead projection no less than 6 feet, 8 inches from the floor? (1910.36)

  • Add media

  • Are egress routes and exit doors unobstructed? (1910.37)

  • Add media

  • Are all doors along the path of travel to, through, and away from the exit side hinged and designed to open in the direction of exit travel? (1910.36)

  • Add media

  • Are there any additional hazards identified related to exit routes not otherwise listed above?

  • Add media

Electrical Safety Related Work Practices

  • Exposed wiring

  • Add media

  • Improper use of SO cords (wrapped cords, door ways, walls, etc.)

  • Add media

  • 110 panel labeling current and correct (including revision date) (NEC 110-22)

  • Add media

  • CO2 fire extinguisher (immediately inside or outside door) and emergency lighting in panel rooms

  • Add media

  • 3 foot clearance in front of electrical panels

  • Add media

  • GFCI used in wet areas

  • Add media

  • Clean rubber mats and/or rubber sole shoes being utilized at panels

  • Add media

  • Sub stations over 600v locked.

  • Add media

  • No storage of non essential electrical equipment in MCC panel rooms

  • Add media

  • Arc Flash Protection (PPE) available to employees/condition

  • Add media

  • Hot glove tests (evaluate process from few employees)

  • Add media

  • At a minimum, are all panels in the motor control center(s) labeled with the appropriate arc flash hazard ratings? (NFPA 70E & Company Policy)

  • Add media

  • Does each panel have both a latching exterior cover and an intact inner cover such that all live electrical components are properly protected from inadvertent contact? (NEC 110-17)

  • Add media

  • Is each means of disconnect either labeled with it's purpose (I.e. name of equipment controlled by disconnect device? (1910.303)

  • Add media

  • Are all electrical cabinets in wash down areas water-tight and are all metallic electrical cabinets mounted such that there is at least 1/4 inch airspace between the enclosure or other supporting surface? (1910.305)

  • Add media

  • Are all open blanks and knockouts filled with appropriate materials on electrical cabinets, boxes, and fittings? (1910.305)

  • Add media

  • Are all pull boxes, junction boxes and fittings provided with covers? (1910.305)

  • Add media

  • Is each run of flexible cords or cable provided with an adequate strain relief at the device serviced to prevent pull from being directly transmitted to joints or terminal screws? (1910.305)

  • Add media

  • Is all conduit observed to be metalically connected with no breaks or significant damage? (1910.305)

  • Add media

  • Are motor control centers properly maintained, sufficiently lit, and labeled as required by the standard and access controlled?

  • Add media

  • Are flexible cords which are run through walls and/or equipment adequately protected from damage?

  • Add media

  • Are appropriate clearances maintained around all electrical cabinets? (1910.303)

  • Add media

  • Are all electrical raceways observed to be in good condition with all covers in place, no exposed wiring, and no visible breaks? (1910.305)

  • Add media

  • Are all overhead cable trays observed to be in good condition, without visible splices, firmly attached to the overhead, and with all dead head wiring removed back to the panel? (1910.305)

  • Add media

  • Are all electrical outlets and plug heads in wash-down areas designed for use in wet environments and in good repair with no indication of arcing?

  • Add media

  • Is each cord and plug device in wash-down areas provided with a means of disconnecting the device prior to unplugging it? (1910.334)

  • Add media

  • Are there any additional hazards identified related to electrical safety not otherwise listed above?

  • Add media

Ergonomics Program

  • Ergonomic improvements on the floor

  • Add media

  • Stretching program in place and in use

  • Add media

  • Knife sharpening process

  • Add media

Fall Prevention and Protection Program

  • Evaluate harness & lanyards (good condition, proper storage, etc)

  • Add media

  • Designated anchor points (locations)

  • Add media

  • Rail car fall protection system

  • Add media

  • Safety swing gates in place and operational

  • Add media

  • Are all portable ladders and rolling work platforms observed to be in safe operating condition and properly stored? (1910.26)

  • Add media

  • Are all portable ladders and rolling work platforms observed to be properly stored when not in use? (1910.26)

  • Add media

  • Are all portable ladders equipped with non-conductive side rails ? (1910.333 & Company Policy)

  • Add media

  • Are fixed industrial ladders designed so that the distance between rungs, cleats, and steps does not exceed 12 inches and are they uniform in spacing throughout the length of the ladder ? (1910.27)

  • Add media

  • Are fixed industrial ladders mounted so that the clearance between the back of the ladder and the nearest permanent object in back of the ladder is not less than 7 inches? (1910.27)

  • Add media

Fire Prevention

  • Fire sprinkler system operational

  • Add media

  • Sprinkler main valve locked in open position.

  • Add media

  • Oil storage areas clean

  • Add media

  • Sprinkler heads at least 18 inches from material.

  • Add media

  • No smoking signs in applicable places.

  • Add media

  • Fire alarms panels are functional.

  • Add media

  • Flammable cabinets in good shape and orderly.

  • Add media

  • Boiler permits posted/current.

  • Add media

  • Are flammable liquids (including aerosols) properly stored in fire proof cabinets? (1910.106)

  • Add media

  • Is each fire extinguisher observed to be in good repair, unobstructed, and fully charged; tag is signed and current?

  • Add media

  • Is good housekeeping practiced in boiler, thermal fluid heater, and elevator service equipment rooms with the room being kept free of all material not necessary to operate the equipment? (1910.22)

  • Add media

  • Are wood pallet and trash storage areas located at least 50 feet from the plant when stored outside?

  • Add media

Hot Work Permit Program

  • Verify with Maintenance employees - Hot work classification map

  • Add media

  • Designated Welding Area posted.

  • Add media

Chemical Handling and Storage

  • Piping labeled and identified.

  • Add media

  • Chemical specific SOP's have been developed for receiving, handling, PPE, mixing and storage. SOP's are made available to employees.

  • Add media

  • SDS - updated and available at all times.

  • Add media

  • Are incompatible chemicals stored in such a manner as to prevent their coming into contact with one another in the event of a spill or release? (Company Policy)

  • Add media

  • Are eye wash stations and drench showers located in required areas and unobstructed and have correct activation handle? (1910.151)

  • Add media

  • Are eye wash stations and drench showers observed to be in good repair? (1910.151)

  • Add media

  • Is each bulk chemical fill valve locked and labeled on the valve with the identity of the chemical related to the valve? (Company Policy)

  • Add media

  • Are all chemical containers, to include temporary/portable and bulk containers, properly labeled in accordance with the global harmonized standard? (1910.1200)

  • Add media

  • Are ammonia and bulk chemical storage valves and valve groups in the processing area protected from damage? (Company Policy)

  • Add media

  • Is each designated chemical storage area properly labeled? - App B

  • Add media

  • Is each area where chemicals (CO2, Nitrogen, Chlorine, etc) are in use and, to which employees may be exposed, properly labeled?

  • Add media

  • Are compressed gas cylinders stored at least 20 feet from highly combustible materials (to include argon cylinders) or separated by an appropriate fire wall?

  • Add media

  • Are compressed gas cylinders properly stored and secured in vertical racks with all cylinder caps in place?

  • Add media

  • Are there any additional hazards identified related to hazardous materials not otherwise listed above?

  • Add media

Industrial Hygiene

  • H2S monitor required postings or markings

  • Add media

  • Carbon Dioxide "in use" and CO2 placard posted

  • Add media

  • Radiation signs/markings/postings

  • Add media

  • Evaluate Respirators and Cartridges (proper storage) - non-response

  • Add media

  • Verify all monitoring equipment is working properly (any used for quarterly monitoring)

  • Add media

Counter balances, chain and cable hoist

  • Chain in good shape and stamped

  • Add media

  • Cable in good shape and rated

  • Add media

  • Identified Rating on hoist and structure

  • Add media

  • Safety chain or cable in place correctly on all balancers (including whizard motors)

  • Add media

  • Safety clip on hoist hook

  • Add media

  • Cable clamp installed properly

  • Add media

Lock out/Tag out

  • Is equipment capable of being locked out for sanitation and maintenance purposes?

  • Add media

  • Lock out procedure posted at drive and or available each department

  • Add media

  • Yellow out of service lock/tag process in use

  • Add media

Machine Guarding

  • Shaft key ways smooth

  • Add media

  • No set screws protruding above lock collar

  • Add media

  • Fixed Auger guarding in place

  • Add media

  • Incline conveyor guarding (cross under, work stations, etc) guarded to 8 feet

  • Add media

  • Pulley belt drives totally enclosed (7 feet and under) unless work station

  • Add media

  • Dual handle/triggers controls on equipment

  • Add media

  • Bench grinder safety shield in place, tongue guard (1/4 inch) and tool rest (1/8 inch) on grinders properly adjusted and mounted securely in place (other than maintenance shops)

  • Add media

  • Are all guards observed to be in good condition with no rough/sharp edges or damage which may reduce the effectiveness of the guard?

  • Add media

  • Are all guards observed to be securely fastened and fully enclosing the hazard?

  • Add media

  • Are all shaft ends cut down to 1/2 the diameter of the shaft or protected by a non-rotating cap?

  • Add media

  • Are all fans within 7 feet of the working/walking surface fully guarded with guard openings not exceeding 1/2 inch in diameter?

  • Add media

  • Are all in-going nip points and points of operation properly guarded?

  • Add media

  • Are all vertical shafts properly guarded when within 7 feet of a walking or working surface?

  • Add media

  • Are all sprockets and chains fully enclosed by guards when located within 7 feet of a walking/working surface?

  • Add media

  • Are all horizontal shafts properly guarded when within 7 feet of a walking or working surface?

  • Add media

  • Are all couplings either guarded or designed as to present no hazard from bolts, nuts, setscrews, or revolving surfaces?

  • Add media

  • Are there any additional hazards identified related to machine guarding not otherwise listed above?

  • Add media

Personal Protective Equipment

  • Verify employee PEE (based off the PPE check sheets) - production/other

  • Add media

  • Randomly inspect PPE for any defects (gloves, mesh, aprons, glasses, hard hats, etc)

  • Add media

Knife Handling Program

  • Evaluate transportation of knives (including whizards, air knives, skinner blades) following program.

  • Add media

  • Designated organized location for storage of new blades

  • Add media

  • Designated container for storage of old and discarded blades

  • Add media

Powered Industrial Truck Program

  • Evaluate driving at safe distances and speed

  • Add media

  • Cautions/Warning signs posted in pedestrian areas

  • Add media

  • Randomly evaluate PIT license

  • Add media

  • Evaluate daily pre-shift inspections (all PIT's - skid loader, bob cat, pallet jack forklift, etc)

  • Add media

  • SOP for fueling/battery change/charging - posted in designated locations

  • Add media

  • Loading dock policy posted in load out areas - App N

  • Add media

  • Evaluate PIT for working lights (including auxiliary lights), horns, Fire Extinguisher (if applicable), etc

  • Add media

  • Is the battery charging area in good condition, clean, and well maintained?

  • Add media

  • Is each battery charging area provided with adequate ventilation and an emergency eye wash/drench shower?

  • Add media

  • Is each battery charging area provided with a means of ensuring that charging cables do not rest on batteries or the floor during charging operations?

  • Add media

  • Are all powered industrial trucks observed to be in good repair?

  • Add media

  • Are all powered industrial truck batteries observed to be in good repair?

  • Add media

  • Are there any additional hazards identified related to material handling not otherwise listed above?

  • Add media

Rail car, Tanker, Hopper Safety Program

  • Evaluate pedestrian warning systems

  • Add media

  • Evaluate fall protection system for tanker trucks

  • Add media

  • Blue light/flag system in place

  • Add media

Vertical Reciprocating Conveyor

  • Evaluate freight lifts (doors, limit switches, etc)

  • Add media

Walking Surfaces/Fixed Stairs/Stairways

  • Floors clean and without obstructions

  • Add media

  • Fixed stair angle between 30 and 50 degrees

  • Add media

  • Stair railing between 30 and 34 inches

  • Add media

  • Stairwells over 88 inches wide need center handrail

  • Add media

  • Stair treads slip resistant and uniform in height and tread

  • Add media

  • Industrial railing 42 inches with 21 inch intermediate and 4 inch toe board

  • Add media

  • Are all floor openings or holes into which persons can accidentally walk into that are greater than 2" X 2" guarded by either a standard railing with a toe board or a floor hole cover of standard strength and construction? (1910.23)

  • Add media

  • Are all open-sided floors or platforms 4 feet or more above adjacent floor or ground level or adjacent to dangerous equipment, guarded by a standard railing and toe board on all open sides? (1910.23)

  • Add media

  • Is a vertical clearance of at least 7 feet maintained above any stair tread as measured from the leading edge of the tread? (1910.24)

  • Add media

  • Are there any additional hazards identified related to walking and working surfaces not otherwise listed above?

  • Add media

  • Fixed stairs a minimum of 22 inches unless egress

  • Add media

  • Floor drain covers securely in place and slip resistant

  • Add media

Maintenance Shops

  • Housekeeping

  • Add media

  • Air regulators for bench air hoses set at 30# or less (throughout the facility)

  • Add media

  • Drill presses, fixed grinders, etc. securely anchored

  • Add media

  • Hand tools in safe condition

  • Add media

  • Welding curtains available

  • Add media

Roof

  • Leading edge warning system (fall protection)

  • Add media

  • Stairs, cross overs, ladders conditions

  • Add media

  • Fan covers, skylights, and general guarding in place

  • Add media

  • Housekeeping (build up of product, extra equipment, lighting, etc)

  • Add media

  • Roof access limited (authorized only / locked)

  • Add media

  • No signs of smoking

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Exterior Facility Grounds

  • Locking glad hand, jack stands and wheel chocks (dock locks)

  • Add media

  • Bulk chem wash/storage areas

  • Add media

  • Fuel storage locations (housekeeping, signs of smoking, etc)

  • Add media

  • Accumulation locations (bone yard, storage building)

  • Add media

  • Housekeeping (scrap material, chemical storage, closed doors, etc)

  • Add media

Safety of Equipment

  • Are e-stops and pull cords accessible where required?

  • Add media

  • Are welding machines, plasma cutters, and oxy-acetylene torches in good condition?

  • Add media

  • Are there any additional hazards identified related to safety of equipment not otherwise listed above?

  • Add media

  • Are e-stops, limit switches, and pull cords, where not otherwise addressed, found to be in working condition?

  • Add media

Pilgrim's Pride Section

Grain Handling

  • Is the site utilizing the current Grain Handling Facility Safety Program (ref #9:10), has all site specific information been completed, and have affected Operations Leadership personnel reviewed and approved the program?

  • Has the Feed Mill implemented a documented Preventative Maintenance Program meeting the requirements of the program?

  • Has each Feed Mill employee received required Feed Mill specific safety training within the past twelve (12) months?

  • Has the facility implemented a documented housekeeping schedule to include identified priority cleaning areas, assignment of responsibility, and daily management housekeeping inspections?\

  • Has the site established safe operating parameters for its filter dust collection system and is the system's performance monitored to ensure that it is operating within these parameters?

  • Are fugitive grain dust levels in priority cleaning areas kept to less than 1/4 of an inch in depth?

  • Are Air Blow-Down Permits thoroughly completed, posted during the blow-down activities, and maintained for 90 days from the date of closure?

  • Has the site implemented the corporate Air Blow-Down Permit Policy (Ref: #9.11)?

  • Are all grain receiving pits (Feed Mills) covered with grates having a maximum grate opening of 2 and 1/2 inches and, are all receiving pit covers secured?

  • Are all engine/track mobile operators trained and licensed at assignment and at least annually thereafter? Is initial training conducted by a specialized third party vendor? Is training every third year thereafter conducted by a specialized third party?

  • Are each interior ingredient leg and each receiving leg equipped with appropriate belt alignment and temperature monitors which can be monitored from the control room and are these watch dogs designed to shut the leg down in the event of a critical alarm?

  • Is each belt man-lift (where present) provided with appropriate high visibility signage as outlined in ASME A90.1-2003?

  • Is each belt man-lift (where present) equipped with required safety devices as indicated in ASME A90.1-2003?

  • Is each belt man-lift (where present) inspected annually by a competent third party vendor, is documentation of this inspection available for review, and has all corrective action been completed?

  • Do the written entry procedures for grain and feed bins specifically prohibit space entry underneath bridging conditions or where a buildup of grain products on the sides of the space could fall and bury entrants and, do they require that lifelines be so positioned as to prevent entrants from sinking further than waist deep in the grain or grain products?

  • Has the site evaluated each area of the Feed Mill to determine the classification of each potentially hazardous location?

Sanitation

  • (In-House Sanitation Only) Has the site developed and implemented comprehensive Equipment/Area Specific Sanitation Safe Cleaning Procedures?

  • (In-House Sanitation Only) Have all Sanitors received chemical specific training from the Sanitation Chemical Vendor within the past 12 months?

  • Has the site Safety Manager conducted at least four (4) quarterly sanitation audits in the past twelve (12) months and has corrective action been implemented to address any identified deficiencies?

  • Has the site Sanitation Manager/Supervisor conducted at least eight (8) monthly and fifty two (52) weekly sanitation safety audits in the past twelve (12) months in addition to the four (4) quarterly audits conducted by the Safety Manager and, has corrective action been implemented to address any identified deficiencies?

  • (Contract Sanitation Only) Are lockout/tagout procedures made available for contractor use in developing equipment specific cleaning procedures?

  • (Contract Sanitation Only) Has the contract sanitation company conducted at least one evacuation drill in the past 12 months?

  • (Contract Sanitation Only) Are contract sanitation chemicals properly stored and segregated?

  • (Contract Sanitation Only) Are all contract sanitation chemical containers, both primary and secondary, properly labeled according to new global harmonized standards?

  • (In-House Sanitation Only) Has each Sanitor received training covering the equipment specific cleaning procedures?

Corporate Safety Initiatives

  • Are employees working on work stations at shackle lines (evisceration/salvage lines, cut-up lines, etc.) protected by emergency pull cords and are drop lines installed where employees may not be able to reach the main cord?

  • Are employees who perform work on top of hatchers or setters provided with a means of fall protection?

  • Are all rex chain (knuckle chain) conveyors guarded at each shaft?

  • Is each cut-up module appropriately guarded? Is each MTEK/CVP machine equipped with a two hand trip mechanism?

  • Is each hand saw properly guarded and provided with a proximity switch disconnect?

  • Is each high pressure pump provided with a substantial coupling guard?

  • Is fall protection available and utilized when employees must access the top of rail cars or trailers?

  • Are employees working at the gizzard table (where present) following good work practices?

  • Has the site designated an area for pinning feathers and provide emergency stop pull cords?

  • Is the site's cage dump system properly guarded? Are other hoppers/dumpers properly guarded?

  • Has the site designated walkways in areas where personnel and vehicular traffic share a common right of way?

  • Are all trailers secured when in the loading dock?

  • Are all wing wheels properly guarded?

  • Are all vertical reciprocating conveyors provided dual interlocks at each landing?

  • Are all thermal fluid heater flanges properly protected by metallic flange guards/covers?

Formaldehyde/Nitrogen

  • Has the site developed a process to monitor oxygen levels in areas where nitrogen is in use?

  • Has each employee participated in a documented training session covering Hazard Communication in the past twelve (12) months to include chemical specific safety training for chemicals in their work area (i.e. chlorine dioxide, carbon dioxide, ammonia, chlorine, peracetic acid, formaldehyde, nitrogen, etc.)?

  • Has the site implemented the corporate Formaldehyde Safety Program (Ref. # 7.5)?

Thermal Fluid

  • Is the site utilizing the current Fire Prevention Policy (Ref. # 9.3), has all site specific information been completed, and have affected Operations Leadership personnel reviewed and approved the program?

  • Is a safety inspection performed on each thermal fluid heater at least semi-annually and annual by a qualified third party contractor?

  • Has the site established a preventive maintenance and inspection program for each boiler?

  • Has the site conducted a dissolved gas-in-oil analysis on each company owned transformer, 1,000 kVA or larger, within the past twelve (12) months and has appropriate corrective action been taken where necessary?

  • Has a thermographic imaging survey been conducted at the site within the past twelve (12) months and have all issues identified been corrected?

  • Has the site implemented a valve supervision program including documented weekly and monthly inspections of the fire suppression system(s)?

  • Are fryers and thermal fluid heaters protected by a fire suppression system per FM Global design standards?

  • Are fryer and thermal fluid heater fire suppression systems inspected by an outside vendor at least quarterly?

  • Has the site implemented the Corporate Fulton Preventive Maintenance and Inspection Program for each thermal fluid heater which includes daily, weekly and monthly inspections?

  • Are State and/or Jurisdictional Inspections up to date and Certificates properly posted for boilers and other equipment as required by the state having jurisdictional authority over the site?

  • Are all thermal fluid heater flanges properly protected by metallic flange guards/covers?

  • Has the site accurately profiled it's fire exposures and documented the required protective measures as required by the written program?

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