2018 Feedyard Document Review

• Audit Title

• Conducted on

  Date

• Client / Site

• Prepared by

• Location
  Address

• Personnel

DOCUMENTS REVIEWED

• Emergency Action Plan Current?

  Yes

  No

  N/A

• Feed Mill Maintenance Documentation Current?

  Yes

  No

  N/A

• Housekeeping Form and Documentation Current?

  Yes

  No

  N/A

• Forklift Daily Inspections, Operator Evaluation, and training Complete?

  Yes

  No

  N/A

• Special equipment policies ( heavy equipment, loader, atv, skid steer, forklift, tractor) completed and reviewed?

  Yes

  No

  N/A

• Wheel loader Operator Evaluation and training Complete?

  Yes

  No

  N/A

• Tractor Operator Evaluation and training Complete

  Yes

  No

  N/A

• Skid Steer Operator Evaluation and training Complete

  Yes

  No

  N/A

• ATV/UTV Evaluations and training Completed?<br><br><br>

  Yes

  No

  N/A

• Feed Truck Operator Evaluation and training Complete?

  Yes

  No

  N/A

• LOTO Written Procedures Completed?

  Yes

  No

  N/A

• LOTO Annual Review Completed?

  Yes

  No

  N/A

• LOTO -- Authorized Employees Certification?

  Yes

  No

  N/A

• Confined Space Evaluations Completed?

  Yes

  No

  N/A

• Confined Space Program Reviewed Annually and Documented?

  Yes

  No

  N/A

• Atmosphere Characterization Form Completed?

  Yes

  No

  N/A

• Alternate Procedures Form Filled Out Correctly?

  Yes

  No

  N/A

• Reclassification Permit Filled Out Correctly?

  Yes

  No

  N/A

• Bin Entry Permit Filled Out Correctly?

  Yes

  No

  N/A

• Bin Entry SOP's in Place?

  Yes

  No

  N/A

• SPCC Plan in Place?

  Yes

  No

  N/A

• AST Fuel Tank Inspections Current?

  Yes

  No

  N/A

• MSDS/SDS Book Current? Includes current list of chemicals.

  Yes

  No

  N/A

• Hazard Communication Program current?

  Yes

  No

  N/A

• Fall Protection -- Written Rescue Plan in Place?

  Yes

  No

  N/A

• Fall Protection -- Harness and Lanyards Inspected & Documented Annually?

  Yes

  No

  N/A

• PPE Hazard Assessment Form Current?

  Yes

  No

  N/A

• Man Lift Inspections Complete?

  Yes

  No

  N/A

• Contractor Safety program current and reviewed annually

  Yes

  No

  N/A

• General Safety Program reviewed annually and current?

  Yes

  No

  N/A

• Animal Handling programs reviewed and Current?

  Yes

  No

  N/A

• Machine Guarding and Ag Equipment program completed and reviewed?

  Yes

  No

  N/A

• Horse program in place and reviewed?

  Yes

  No

  N/A

• Yard Driving policy completed and reviewed?

  Yes

  No

  N/A

• Monthly Site Inspection Reports Current?

  Yes

  No

  N/A

• Hot Work program completed, Permits Current, and reviewed?

  Yes

  No

  N/A

• Accident and near miss repost are being used and filled out correctly

  Yes

  No

  N/A