2024 Branch Safety Audit

• Branch

  Select

• Date/Time of Assessment

  Date

• Prepared by

  Select Safety Committee Neal Seyfert Clint Brocato Sidney Nigro Brady Baldwin Jeremy Gremminger Harrison Miller Chris Parks Chris Davis Branch Management

  • Safety Committee
  • Neal Seyfert
  • Clint Brocato
  • Sidney Nigro
  • Brady Baldwin
  • Jeremy Gremminger
  • Harrison Miller
  • Chris Parks
  • Chris Davis
  • Branch Management

General

• Is there "No Smoking" signage posted at all building entrances?

  Yes

  No

• Is there "No Firearms" signage posted at all building entrances?

  Yes

  No

• Do all break rooms, locker rooms, restrooms, and drivers' lounges meet MHC housekeeping standards?

  Yes

  No

• Do all other general areas of the facility meet MHC housekeeping standards?

  Yes

  No

• 

• Is the correct "Right to Work/Know Your Rights" OSHA paperwork posted?

  Yes

  No

• Is the audit being conducted between 2/1 and 4/30?

  Yes

  No

• Is the branch's OSHA 300 Log posted?

  Yes

  No

• Are storm shelters clearly marked with proper signage?

  Yes

  No

• Is the audit being conducted in GA, CO, or TX?

  Yes

  No

• This state requires a Medical Provider Panel/Approved Provider List, is it posted?

  Yes

  No

• Does the branch have an AED?

  Yes

  No

• Is it functioning properly (no battery light)?

  Yes

  No

Egress & Exits

• Do all lighted exit signs and emergency lighting work when tested?

  Yes

  No

• MHC Egress and Exit Standards - Walkways to exits must be clean.
  - Exits must not be obstructed from inside or outside.
  - Exit doors must unlocked from the inside during business hours.

• Do all exits and egress paths meet standard?

  Yes

  No

• Which part does not meet standard?

  Select Walkways Not Clean Exits Obstructed Exit Doors Locked Other

  • Walkways Not Clean
  • Exits Obstructed
  • Exit Doors Locked
  • Other

Electrical

• Are all electrical outlets in common areas equipped with the proper covers and faceplates?

  Yes

  No

• Are outlets near sinks and water sources protected by GFCIs?

  Yes

  No

• Do all outdoor outlets have the proper weather cover?<br>

  Yes

  No

Groundskeeping

• Is the exterior of the building free of damage?

  Yes

  No

• Is the Kenworth sign in good condition and free from damage?

  Yes

  No

• Is the trash bin area free from trash laying around the bins?

  Yes

  No

• Is the fencing, landscaping, and shrubbery maintained and meeting MHC standards?

  Yes

  No

• Is the curbing in good condition and free from damage?

  Yes

  No

• Are the bollards painted yellow or red, free from damage, and is the paint in good condition?

  Yes

  No

• Are sidewalks and parking lots maintained relative to the weather conditions?

  Yes

  No

• Are all walkways free of slip, trip and fall hazards?

  Yes

  No

• Are grounds free from trash and debris?

  Yes

  No

Lighting/Ceiling

• Does the branch have fluorescent bulbs?

  Yes

  No

• Does the branch have an approved fluorescent bulb disposal box?

  Yes

  No

• Is it labeled with an accumulation start date of less than 1 year prior?

  Yes

  No

• Does the branch have adequate lighting inside?

  Yes

  No

• Does the branch have adequate lighting outside?

  Yes

  No

• Are lights in good working condition and not burnt out?

  Yes

  No

• Are ceiling tiles in good condition and free from damage or staining?

  Yes

  No

Decking Hoist

• Does the branch have a decking hoist?

  Yes

  No

• MHC Decking Hoist Standard
  - Must have a weight rating on the structure, hoist, and hook.
  - Must have an inspection within the last year and a tag on the structure with the inspection date.
  - The apparatus must be free from damage or defects. - The area must meet MHC housekeeping standards.
  - The hook should have a safety latch.

• Does the decking hoist meet all applicable standards? <br>

  Yes

  No

• Which part of the decking hoist does not meet standard?

  Select Missing Weight Rating Missing Inspection/Inspection Not Current Damaged Housekeeping Safety Latch Other

  • Missing Weight Rating
  • Missing Inspection/Inspection Not Current
  • Damaged
  • Housekeeping
  • Safety Latch
  • Other

Sprinkler/Backflow System

• Does the branch have a sprinkler system?

  Yes

  No

• MHC Sprinkler System Standards
  - The sprinkler system must be inspected annually.
  - The butterfly valve must be in the open position.
  - The backflow system must be tested annually.
  - The sprinkler system should be kept clear of debris and storage by 3 feet for ease of access.

• Does the sprinkler system meet all applicable standards?

  Yes

  No

• Which part of the sprinkler system does not meet standard?

  Select No Inspection/Inspection Out of Date Butterfly Valve Not Open Backflow Not Tested Access to Sprinkler Blocked Other

  • No Inspection/Inspection Out of Date
  • Butterfly Valve Not Open
  • Backflow Not Tested
  • Access to Sprinkler Blocked
  • Other

IT Room

• Can the IT room be properly secured?

  Yes

  No

• Is it secured?

  Yes

  No

• Are there any issues with the IT servers?

  Yes

  No

Gemba Walks

• Have all supervisors completed all required Gemba Walks in 2024?

  Yes

  No

• Which month(s) were incomplete?

  Select January February March April May June July August September October November December

  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December

Service

• Does the branch have a Service Department?

  Yes

  No

Service

General Housekeeping

• Does the department meet all MHC housekeeping standards?

  Yes

  No

• Is there perimeter/floor striping?

  Yes

  No

• Is it good condition?

  Yes

  No

• Is the department free from spills and other slips, trips, and fall hazards?

  Yes

  No

• Is there “Employees/Authorized Personnel Only" signage?

  Yes

  No

• Are all oil lines free from leaking, so they do not cause a trip or fall?

  Yes

  No

  N/A

• When asked, can employees name the Fundamentals of Safety concepts, including states of mind, critical errors, and recognize/analyze/strategize framework?

  Yes

  No

• Did this department have a new hire?

  Yes

  No

• Please list the employee(s) names.

• Was the employee onboarded correctly and was it completed through Safety Culture?

  Yes

  No

Air Compressor

• Does the department have an air compressor?

  Yes

  No

• What state is the audit being conducted?

  Select Alabama Arkansas Colorado Georgia Illinois Iowa Kansas Louisiana Mississippi Missouri Nebraska New Mexico North Carolina Ohio Oklahoma Tennessee Texas Wyoming

  • Alabama
  • Arkansas
  • Colorado
  • Georgia
  • Illinois
  • Iowa
  • Kansas
  • Louisiana
  • Mississippi
  • Missouri
  • Nebraska
  • New Mexico
  • North Carolina
  • Ohio
  • Oklahoma
  • Tennessee
  • Texas
  • Wyoming

• You state does not require air compressor inspections. Continue to the next question.

• Has the air compressor been inspected by the state within the last year?

  Yes

  No

• Has the air compressor been inspected by the state within the past 2 years?

  Yes

  No

• Has the air compressor been inspected by the state within the past 3 years?

  Yes

  No

• Air Compressor Standards
  -Must have a "Machine Starts Automatically" sign
  -All drive belts must be guarded
  -Must be equipped with pressure relief valves & accurate pressure gauges

• Does the air compressor meet all standards?

  Yes

  No

• Which part of the air compressor does not meet standard?

  Select Missing "Machine Starts Automatically" Sign Unguarded Belts Pressure Relief Valve Missing/Broken Pressure Gauge Missing/Broken

  • Missing "Machine Starts Automatically" Sign
  • Unguarded Belts
  • Pressure Relief Valve Missing/Broken
  • Pressure Gauge Missing/Broken

Air Hoses

• Air Hose Standards
  - Hoses must never be left on the floor when not in use
  - Hoses must be free from physical damage and non-approved repairs (hose clamp and tape)
  - Air guns must be OSHA approved with the safety relief tip when used for cleaning purposes

• Does the department meet all air hose standards?

  Yes

  No

• What part of the air hoses do not meet standard?

  Select Hoses on Floor Damaged/Non-Approved Repairs Blow Guns Not OSHA Approved Other

  • Hoses on Floor
  • Damaged/Non-Approved Repairs
  • Blow Guns Not OSHA Approved
  • Other

Alignment Pit

• Does the department have an alignment pit?

  Yes

  No

• Alignment Pit Standards
  - Housekeeping meets MHC standard
  - Must have barriers around pit
  - All ramps and columns must be free from damage

• Does the alignment pit meet all applicable standards?

  Yes

  No

• Which part of the alignment pit does not meet standard?

  Select Housekeeping No Barrier Damage to Ramps or Columns Other

  • Housekeeping
  • No Barrier
  • Damage to Ramps or Columns
  • Other

Behavioral Observations

• Discuss with the Service Manager and Technicians on how often the Foreman is seen walking the shop.

• How many times throughout the day is the Foreman seen walking the shop?

• Observe a technician and ask the following questions:

• Which job is the technician working on?

  Select DriveLines Transmissions Overhauls - Out of Frame Engine Work Preventative Maintenance Other

  • DriveLines
  • Transmissions
  • Overhauls - Out of Frame Engine Work
  • Preventative Maintenance
  • Other

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Are creepers up when not in use, so they do not cause a trip hazard?

  Yes

  No

• Are employees maintaining 3 points of contact at all times?

  Yes

  No

• Is the department holding safety huddles?

  Yes

  No

• How often?

• Is the department holding crew meetings?

  Yes

  No

Batteries

• Is the department storing batteries?

  Yes

  No

• Battery Storage Standards
  - Battery cores must be stored on a containment pallet
  - Batteries that do not have a handle must be transported by battery carrier - Eye wash station must be within 75 feet of batteries
  - Batteries must be stacked in an orderly fashion and ready for collection (not in a pile or out of order)

• Does the department meeting all battery storage standards?

  Yes

  No

• Which part of storing batteries does not meet standard?

  Select Containment Pallet No Carrying Device/Lifting Equipment Eye Wash Station Stacked Improperly Other

  • Containment Pallet
  • No Carrying Device/Lifting Equipment
  • Eye Wash Station
  • Stacked Improperly
  • Other

• Take a picture of the battery storage area.

  Media

Bay Doors

• Bay Door Standard
  - Must be all the way open or closed, not partially open
  - Must be free of damage

• Is the branch meeting all bay door standards?

  Yes

  No

• Which part of the bay doors do not meet standard?

  Select Doors Not Fully Open/Closed Damaged Doors Other

  • Doors Not Fully Open/Closed
  • Damaged Doors
  • Other

• Are employees observed using spotters or the G.O.A.L method when pulling trucks in and out of bays?

  Yes

  No

Bench Grinder

• Does the department have a bench grinder?

  Yes

  No

• Bench Grinder Standards
  - Sideguards must cover nut and flange
  - Work rest must be within1/8-inch of the wheel
  - Tongue guard must be within 1/4-inch of the wheel
  - Grinding edge of wheel must flat and free of metal impingements or chips
  - Face shield must be available at station and worn when in use

  

• Does the bench grinder meet all standards?

  Yes

  No

• Which part of the bench grinder does not meet standard?

  Select Side Guards Tongue Guard Grinder Wheel Face Shield PPE Not Available or Being Used Work Rest

  • Side Guards
  • Tongue Guard
  • Grinder Wheel
  • Face Shield
  • PPE Not Available or Being Used
  • Work Rest

Chock Blocks

• Are chock blocks located in a designated area, so they do not cause a trip hazard when not in use?

  Yes

  No

• Are chock blocks used for all vehicles that are being serviced inside and outside the bays?

  Yes

  No

• Are chock blocks in good condition?

  Yes

  No

Chop Saw

• Does the department have a chop saw?

  Yes

  No

• Chop Saw Standards
  - Must be in good working condition
  - Work area must be clean and orderly with no used parts or waste
  - Face shield & leather gloves must be at the station and worn when in use
  - Power cord must be free from defects and have a ground prong
  - Must be secured/anchored to work area

• Does the chop saw meet all standards?

  Yes

  No

• Which part of the chop saw does not meet standard?

  Select Condition Work Station Housekeeping PPE Missing PPE Not Being Used Power Cord Unit Not Anchored/Secured Other

  • Condition
  • Work Station Housekeeping
  • PPE Missing
  • PPE Not Being Used
  • Power Cord
  • Unit Not Anchored/Secured
  • Other

CNG/LNG

• Is the department performing work on CNG/LNG vehicles?

  Yes

  No

• Is the facility equipped with a gas detection sensors?

  Yes

  No

• Is the CNG service being performed inside or outside the building?

  Inside

  Outside

• If the facility doesn't contain a detection system, CNG powered vehicles are only allowed in a facility if the vehicle is completely purged with a wash out ticket. If the vehicle is not completely purged with a wash out ticket, it must be removed from inside the facility immediately.

• Are the vehicles completely purged?

  Yes

  No

• Working on CNG vehicles outside is permitted. Please continue the audit.

• Facilities with gas detection systems are permitted to work on CNG/LNG vehicles inside. Please continue the audit.

Diesel Particulate Filter

• Does the department have a DPF cleaner?

  Yes

  No

• DPF Cleaner Standards
  - Must have and use a DPF handler (cart) to transport DPFs
  - N95 dust mask and splash proof safety googles must worn when handling the soot collection bucket

• Is the department meeting all DPF cleaner standards?

  Yes

  No

• Which part of the DPF cleaning practices does not meet standard?

  Select DPF Handler PPE

  • DPF Handler
  • PPE

Drill Press

• Does the department have a drill press?

  Yes

  No

• Drill Press Standard
  - Drill bit must have a guard
  - Power cord must be free from defect and include a ground prong
  - Face shield must be present and used during operation
  - Drive belts must be guarded
  - Drill press must be secured/anchored

• Does the drill press meet all standards?<br>

  Yes

  No

• What part of the drill press does not meet standard?

  Select Drill Bit Guard Power Cord/Ground Prong Face Shield Belts Not Guarded Unit Not Secured/Anchored

  • Drill Bit Guard
  • Power Cord/Ground Prong
  • Face Shield
  • Belts Not Guarded
  • Unit Not Secured/Anchored

Egress & Exits

• Do all lighted exit signs and emergency lighting work when tested?

  Yes

  No

• MHC Egress and Exit Standards
  - Walkways must be clean
  - Exits must not be obstructed from inside or outside
  - Doors must unlocked from the inside during business hours

• Do all exits and egress paths meet MHC standard?

  Yes

  No

• Which part of the exit or egress does not meet standard?

  Select Walkways Not Clean Exits Obstructed Exit Doors Locked Other

  • Walkways Not Clean
  • Exits Obstructed
  • Exit Doors Locked
  • Other

Electrical

• Electrical Outlet Standards
  - Outlets must be covered and free from holes or openings
  - Outlets exposed to weather (outside or moisture) must have weather covers
  - Junction boxes must be covered and free from holes or openings

• Is the department meeting all electrical outlet standards?

  Yes

  No

• Which part of the electrical outlets do not meet standard?

  Select Uncovered/Holes Weather Covers Junction Boxes Other

  • Uncovered/Holes
  • Weather Covers
  • Junction Boxes
  • Other

• Extension Cord Standards
  - Must be free from damage, including missing ground prong & repair with electrical tape
  - Must be hung up out of the way when not in use
  - Must not be used as permanent wiring (zip tied to conduit or run through walls or doors)

• Is the department meeting all extension cord standards?<br>

  Yes

  No

• Which part of the extension cords do not meet standard?

  Select Damaged Cord Missing Prong Cord zip tied to conduit Runs Through Wall or Door Other

  • Damaged Cord
  • Missing Prong
  • Cord zip tied to conduit
  • Runs Through Wall or Door
  • Other

• Electrical Panel Standards
  - Panels must be labeled with Danger, High Voltage and Keep Out signage
  - All breakers must be properly labeled
  - All breaker boxes must be free of open void or holes greater than 1/8th inch
  - All breakers must be in proper working condition without tape
  - All electrical panels must have clear access and cannot be obstructed

• Is the department meeting all electrical panel standards?

  Yes

  No

• Which part of the electrical panel does not meet standard?

  Select High Voltage Warning Signs Breaker Labels Open Voids or Holes Other Panels Obstructed

  • High Voltage Warning Signs
  • Breaker Labels
  • Open Voids or Holes
  • Other
  • Panels Obstructed

• Have any employees completed Level 0 and Level 1 electric vehicle safety training through Kenworth?

  Yes

  No

Eye Wash Station/Bottles

• Does this department have an eye wash station or bottles?

  Yes

  No

• What type?

  Select Plumbed Eye Wash Station Gravity Fed Eye Wash Station Eye Wash Bottles

  • Plumbed Eye Wash Station
  • Gravity Fed Eye Wash Station
  • Eye Wash Bottles

• 

• Plumbed Eye Wash Station Standards
  - Caps must be in place.
  - Basin must be clean and not broken.
  - Station must be clear from all obstructions.

• Is the plumbed eye wash station meeting all standards?

  Yes

  No

• Which part(s) of the plumbed eye was station does not meet standard?

  Select Caps not in Place Basin not Clean/Is Broken Station is Obstructed Other

  • Caps not in Place
  • Basin not Clean/Is Broken
  • Station is Obstructed
  • Other

• 

• Gravity Fed Eye Wash Station Standards
  - Basin must be clean.
  - Station must be clear from all obstructions.

• Is the gravity fed eye wash station meeting all standards?<br>

  Yes

  No

• Which part(s) of the gravity fed eye was station does not meet standard?

  Select Caps not in Place Basin not Clean/Is Broken Station is Obstructed Other

  • Caps not in Place
  • Basin not Clean/Is Broken
  • Station is Obstructed
  • Other

• 

• Eye Wash Bottles Standards
  Bottles cannot be a substitute for an eye wash station. They must only used as supplemental protection.
  - Cannot be expired.
  - Must be free from all obstructions.

• Are the eye wash bottles meeting all standards?

  Yes

  No

• Which part(s) of the eye wash bottles do not meet standard?

  Select Used as a Substitute for Eye Wash Station Bottles are Expired Access to Bottles is Obstructed Other

  • Used as a Substitute for Eye Wash Station
  • Bottles are Expired
  • Access to Bottles is Obstructed
  • Other

Flammable Storage

• Are shop rags disposed of properly in an OSHA-approved container with a self-closing lid?

  Yes

  No

• Does the branch have a flammable cabinet?

  Yes

  No

  N/A

• Does the branch have any gas or fuel cans?

  Yes

  No

• Fuel Can Standard
  All gas or fuel cans must be:
  - Metal
  - Have a self-closing lid
  - Have a flash arrestor

• Are the fuel cans meeting standard?<br><br>

  Yes

  No

• Which part of the fuel cans does not meet standard?

  Select OSHA Approved Not Metal No Self-Closing Lid No Flash Arrestor

  • OSHA Approved
  • Not Metal
  • No Self-Closing Lid
  • No Flash Arrestor

First Aid

• Does the department have a first aid kit?

  Yes

  No

• First Aid Kit Standards
  - Cannot have any oral medication.
  - Must have bloodborne pathogen kit.
  - Must be clean and maintain a professional image.

• Does the first aid kit meet all standards?

  Yes

  No

• Which part of the first aid kit does not meet standard?

  Select Oral Medications Bloodborne Pathogen Kit Appearance Other

  • Oral Medications
  • Bloodborne Pathogen Kit
  • Appearance
  • Other

Fire Extinguishers

• 

• Fire Extinguisher Standards
  - Annual inspections must be completed by a third party.
  - Monthly inspections must be completed by the branch.
  - Must be clearly marked, free from obstruction, and mounted every 75'.
  - Must be mounted 3-5 feet from the floor.
  - Safety signage must be present.

• Is the department meeting all fire extinguisher standards?

  Yes

  No

• Which part(s) of the fire extinguishers does not meet standard?

  Select Annual Inspection Monthly Inspections Not Marked Obstructed Improperly Mounted Seal was Tampered With Pin not in Place Gauge not in Green MHC Signage

  • Annual Inspection
  • Monthly Inspections
  • Not Marked
  • Obstructed
  • Improperly Mounted
  • Seal was Tampered With
  • Pin not in Place
  • Gauge not in Green
  • MHC Signage

Flywheel Machine

• Does the department have a flywheel machine?

  Yes

  No

• Flywheel Machine Standards
  -Controls must function properly & be free of damage, missing knobs/buttons
  -Power cord must free of damage
  -Grinding wheel must be free of chips, cracks, or any other damage
  -Front guard must be installed while the flywheel machine is operating

• Does the flywheel machine meet all standards?

  Yes

  No

• Which part of the flywheel machine does not meet standard?

  Select Controls Power Cord Grinder Wheel Front Guard Missing/Not in Use Other

  • Controls
  • Power Cord
  • Grinder Wheel
  • Front Guard Missing/Not in Use
  • Other

Forklift

• Does the department have a forklift?

  Yes

  No

• What is the instructor(s) name?

• Have they been trained on ShareKnowledge?

  Yes

  No

• Have all employees who may operate a forklift in this department completed ShareKnowledge training in the last 3 years?

  Yes

  No

• Do all employees who may operate a forklift in this department have a Hands On Evaluation on file on paper or in the SafetyCulture app?

  Yes

  No

• Forklift Safe Operation Conditions
  - All components must be free wear, damage, or modification
  - Top of cab must be free of visual obstructions

• Is the forklift in a safe operating condition?

  Yes

  No

• Which component is not within safety operating condition?

  Select Components Worn/Damaged Top of Cab Obstructed Other

  • Components Worn/Damaged
  • Top of Cab Obstructed
  • Other

• Required Forklift Paperwork
  - Weekly Inspections - Quarterly Preventative Maintenance

• Does the branch have proper inspections and maintenance records?

  Yes

  No

• Which paperwork is out of compliance?

  Weekly Inspections

  Preventative Maintenance

  Other

• Forklift Safe Operation Standards
  - Seatbelt must be worn by all operators
  - Forks must be left down when not in use
  - Propane must be turned off at end of shift
  - Parking brake set when not being used
  - Horn sounded when passing through doors and reversing

• Is the forklift being operated in a safe manner?

  Yes

  No

  N/A

• Which part of the forklift is not being operated in a safe manner?

  Select Seatbelt Forks Left Up Propane Left On Parking Brake Not Set Horn Not Sounded Other

  • Seatbelt
  • Forks Left Up
  • Propane Left On
  • Parking Brake Not Set
  • Horn Not Sounded
  • Other

Hazard Communication (HazCom)

• Is the HazCom signage posted in the department?

  Yes

  No

• Are all secondary containers/spray bottles properly labeled with their contents?

  Yes

  No

• When asked, do employees know how to access Safety Data Sheets?

  Yes

  No

Hot Works

Oxygen/Acetylene

• Is the department storing extra oxygen or acetylene?

  Yes

  No

• Oxygen/Acetylene Storage Standards
  - All oxygen cylinders must be stored 20 feet from flammables
  - All compressed gas cylinders must be secured upright
  - All compressed gas cylinders must be capped when not in use

• Is the department meeting all oxygen and acetylene storage standards?<br>

  Yes

  No

• Which part of the oxygen and acetylene storage does not meet standard?

  Select Oxygen Stored Near Flammables Cylinders Not Secured Cylinders Not Capped Other

  • Oxygen Stored Near Flammables
  • Cylinders Not Secured
  • Cylinders Not Capped
  • Other

• Does the department have a torch cart?

  Yes

  No

• Torch Cart Standards
  - Cart must have a 5ft high fire wall
  - All gauges must be working with no broken or missing glass or plastic
  - Flash arrestors must be present on the torch
  - Appropriate gloves and goggles must be available on the cart

• Does the torch cart meet all applicable standards?<br>

  Yes

  No

• Which part of the torch cart does not meet standard?

  Select Missing Firewall Broken Gauges Flash Arrestors Other

  • Missing Firewall
  • Broken Gauges
  • Flash Arrestors
  • Other

Welder

• Does the department have a welder?

  Yes

  No

• Welder Standards
  - Welder must wear welding gloves
  - Welder must have appropriate welding helmet
  - Welder power cord must be free from all defects, including exposed or taped wiring

• Does the welder meet all applicable standards?

  Yes

  No

• Which part of the welder does not meet standard?

  Select Gloves Mask Power Cord Other

  • Gloves
  • Mask
  • Power Cord
  • Other

Hydraulic Press

• Does the department have a hydraulic press?

  Yes

  No

• Hydraulic Press Standards
  - Must have guarding covering work area
  - Area around press must meet MHC housekeeping standards
  - Must be anchored/secured to prevent walking or tipping

• Does the hydraulic press meet all applicable standards?

  Yes

  No

• Which part of the press does not meet standard?

  Select Gaurding Housekeeping Anchored/Secured Other

  • Gaurding
  • Housekeeping
  • Anchored/Secured
  • Other

Ladders/Work Platforms

• Is the department free from all homemade or non-approved work platforms? (A frame ladders, homemade boxes, etc)

  Yes

  No

• Does the department have a staircase ladder?

  Yes

  No

• Is it in good condition with required rubber feet that are free from damage?

  Yes

  No

• Do all podium ladders, step ladders, and other work platforms meet the minimum 375lbs rate rating?

  Yes

  No

• Are all podium ladders properly secured by hook or chain in a designated area when not in use?

  Yes

  No

Lifting/Load Bearing Equipment

• Are proper lifting techniques being observed?

  Yes

  No

• When asked, do employees know when they are required to use assisted lifting?

  Yes

  No

• Are employees using proper lifting assistance (equipment/team lift) when handling anything over 50 lbs?

  Yes

  No

• If the steer axle is lifted, has the air system been bled and the parking brake been set?

  Yes

  No

• When dropping drivelines, is the driveline pro used when applicable?

  Yes

  No

Jacks/Jack Stands

• Are jack stands being utilized under all vehicles when the load is supported by a jack?

  Yes

  No

• Are all jacks and jack stands free of defects and damage, labeled with the capacity, and equipped with the proper pin?

  Yes

  No

• Which part of the jacks and jack stands does not meet standard?

  Select Defective/Damaged Labeled with Capacity Proper Pin

  • Defective/Damaged
  • Labeled with Capacity
  • Proper Pin

Engine Work

• Does the facility perform out of frame engine work?

  Yes

  No

• How many engine stands does the branch have?

• Engine Work Standards
  All out of frame engine work must be done on an MHC approved engine stand or must have 4 points of contact AND an overhead support, meaning it must be on an engine stand or 4 jacks and hoist (or another form of overhead support)
  

• Does the out of frame engine work meet MHC standards?

  Yes

  No

• Which part of the engine work did not meet standard?

  Unapproved Engine Stand

  Missing Overhead Support

• Does the facility do midsize engine work?

  Yes

  No

Hoists, Cranes, Chain, Etc.

• Does the department have a hoist/crane?

  Yes

  No

• Hoist/Crane Standards
  - Load rating must be displayed on the structure, assembly, and hook
  - Crane/hoist must be inspected on an annual basis and inspection date must be clearly labeled on the crane/hoist
  - Crane controls must be clearly labeled
  - Hook has safety latch if it was designed with one

• Does the crane/hoist meet all applicable standards?<br>

  Yes

  No

• Which part of the crane/hoist does not meet standard?

  Select Weight Rating Pendant Controls Inspection Out of Date Inspection Not Visible on Crane Missing/Broken Safety Latch

  • Weight Rating
  • Pendant Controls
  • Inspection Out of Date
  • Inspection Not Visible on Crane
  • Missing/Broken Safety Latch

• Does the department have a cherry picker?

  Yes

  No

• Cherry Picker Standards
  - Must be in proper working order/manufacturer’s intended condition
  - Must be labeled with weight capacity at each arm setting
  - If hook is designed to have safety latch, it must have one
  - Must have annual inspection and date of inspection must be labeled on cherry picker

• Does the cherry picker meet all applicable standards?

  Yes

  No

• Which part of the cherry picker does not meet standard?

  Select Condition Weight Rating Hook Safety Latch Annual Inspection Annual Inspection Label Other

  • Condition
  • Weight Rating
  • Hook Safety Latch
  • Annual Inspection
  • Annual Inspection Label
  • Other

• Chain Standards
  - All lifting chains must be at least grade 8,80,800 or higher
  - All chains must be tagged with correct load rating
  - All chains must have annual inspection

• Does all chain meet the applicable standards?

  Yes

  No

• Which part of the chain does not meet standard?

  Select Grade Not Tagged with Weight Rating Inspection Out of Date Other

  • Grade
  • Not Tagged with Weight Rating
  • Inspection Out of Date
  • Other

• Are all vehicles being serviced with lifted dump beds using a secondary locking device? Wood blocks are not approved as a secondary locking device.

  Yes

  No

  N/A

Lighting

• Does the department have adequate lighting?

  Yes

  No

• Are all light bulbs working (no lights out)?

  Yes

  No

• Is the department free of all metal, caged drop lights?

  Yes

  No

Lock Out/Tag Out

• 

• Lock Out/Tag Out Standard
  All vehicles in the shop will have:
  - Key on floorboard
  - Tag hung from turn signal

• Is the LOTO program in effect and properly administered per the work instruction?

  Yes

  No

• Which part(s) of the LOTO Program does not meet standard?

  Select Key Not on Floorboard Tag not Hung from Turn Signal Other

  • Key Not on Floorboard
  • Tag not Hung from Turn Signal
  • Other

Parts Cleaner (Solvent-Based Basin)

• Is the parts cleaner free of all flammable products?

  Yes

  No

• Are parts cleaners being used for their intended purpose and not as a work station?

  Yes

  No

Parts Washer (Automatic Steamer Cabinet)

• Does the department have an automatic parts steamer cabinet?

  Yes

  No

• Steamer Cabinet Standards
  - Must have signage stating "Caution/Hot"
  - Power cord must be free from all defects

• Does the parts steamer cabinet meet all applicable standards?

  Yes

  No

• Which part of parts steamer cabinet does not meet standard?

  Select Signage Power Cord

  • Signage
  • Power Cord

Personal Protective Equipment

• Are safety glasses being worn by employees in the shop at all times?

  Yes

  No

• Is the visitor safety glasses bin stocked and safety glasses readily available?

  Yes

  No

• Are all visitors, vendors, and other MHC employees wearing safety glasses in the shop?

  Yes

  No

• Are steel-toed or composite-toed boots being worn by all employees in the shop at all times?

  Yes

  No

• Are all employees handling any tools, parts, or materials wearing cut resistant gloves?

  Yes

  No

• Does this department have bump caps?

  Yes

  No

• Is hearing protection (ear plugs) available for all employees?

  Yes

  No

• Are all employees wearing googles when working under a truck?

  Yes

  No

• When asked, do employees know where to get replacements of all PPE?

  Yes

  No

• Do employees have self-retracting knives?

  Yes

  No

• Are they using them when cutting (as opposed to a pocketknife)?

  Yes

  No

Rotary/Die Grinders

• MHC Grinding and Cutting Standards
  - All rotary/die grinders including personal grinders must be equipped with the proper guards
  - The max revolutions per minute (rpm) rating of each abrasive wheel must be compatible with the rpm rating of the grinder motor
  - The power cord must free of damage including missing ground prong
  

• Does the department meet all the grinding and cutting standards?

  Yes

  No

• Which part of the cutting and grinding standards are not being followed?

  Select Missing Guard Wheel not Rated for Grinder Power Cord Other

  • Missing Guard
  • Wheel not Rated for Grinder
  • Power Cord
  • Other

• Are all employees using cutting wheels or grinders wearing safety glasses AND face shields?

  Yes

  No

Service Pit

• Does the department have a service pit?

  Yes

  No

• Service Pit Standards
  - Must be clean without trash, rags, or spills
  - Must have a barrier around or over the the open pit
  - Must be well lit with all lights working

• Does the service pit meet all applicable standards?

  Yes

  No

• Which part of the service pit does not meet standard?

  Select Housekeeping No Barrier Lighting Other

  • Housekeeping
  • No Barrier
  • Lighting
  • Other

Spill Control

• Does the branch have a Spill Prevention Control Countermeasure (SPCC) Plan developed and available?

  Yes

  No

• Is spill containment (Green Stuff, oil dry) material present and readily available?

  Yes

  No

• What is the branch using for spill containment?

• Does the department have a spill kit for larger spills?

  Yes

  No

Tool Room

• Is the tool room free of slips, trips, and falls?

  Yes

  No

• Does it meet the MHC housekeeping standard?

  Yes

  No

• Is it free from homemade tools?

  Yes

  No

• Are all tools and equipment free of broken or fractured handles and in good working condition?

  Yes

  No

• Are the striking ends of all seal drivers in good condition?

  Yes

  No

• Are the power cords of all tools and equipment free from damage, including missing ground prongs?

  Yes

  No

• Does the branch have a driveline pro?

  Yes

  No

• Does the branch have a disc brake hub handler?

  Yes

  No

• Does the branch have a set of dump locks?

  Yes

  No

Wash Bay

• Does the department have a wash bay?

  Yes

  No

• Is the wash bay organized and does it meet MHC housekeeping standards?

  Yes

  No

• Do all electrical outlets have the proper weather covers?

  Yes

  No

• Is the Hotsy inside or outside of the wash bay?

  Inside

  Outside

• Is the wash bay free from any barrels containing flammables?

  Yes

  No

Waste Lubricants

• Are all oils and lubricants cleaned up and disposed of in a designated area that meets housekeeping standards?

  Yes

  No

• Are all the spent oil materials (including mats, absorbent, socks) being disposed of properly?

  Yes

  No

• Are all used oil, antifreeze, and fuel tanks labeled properly?

  Yes

  No

• Per state regulations, is the department disposing of oil filters properly?

  Yes

  No

Oil Water Separator

• Does the department have an oil water separator?

  Yes

  No

• Is there paperwork showing the separator has been cleaned in the last year?

  Yes

  No

• Are all drain grates in place, free from damage, and serving their original purpose?

  Yes

  No

Vehicles

• Ask multiple employees their opinion on why we have Vehicle Safety Standards and DriveCam.

• Was the employee able to discuss the Vehicle Safety Standards?

  Yes

  No

• Does this department have a vehicle?

  Yes

  No

• Vehicle Inspection

Vehicle

• Asset Number

• Take multiple pictures of the vehicle's exterior and interior condition.

  Media

• Vehicle Safety Sticker

  

• Does the vehicle have 3 of the stickers above?

  Yes

  No

• No Phone Sticker

• Does the vehicle have 1 of the stickers above on the pillar next to the driver's side door?

  Yes

  No

• Max Speed Sticker

• Does the vehicle have 1 of the stickers on the back bumper?

  Yes

  No

• Is this a DOT or non-DOT vehicle?<br>- DOT vehicles have a GVWR over 10,00 lbs (anything bigger than F250)<br>- Non-DOT vehicles have a GVWR of 10,000 lbs and under (F250 and smaller)

  DOT

  Non-DOT

• Does the vehicle have proper daily DVIRs and weekly MHC inspections?

  Yes

  No

• Take a picture of the inspections.

  Media

• Does the vehicle have all required paperwork? Includes: <br>- Valid Registration<br>- Valid insurance card<br>- Collision Assistance Kit<br>- Annual DOT inspection (paperwork & legible sticker on vehicle)

  Yes

  No

• Which required paperwork is missing?

  Select Insurance Card Valid Registration Vehicle Collision Assistance Guide Annual DOT Vehicle Inspection

  • Insurance Card
  • Valid Registration
  • Vehicle Collision Assistance Guide
  • Annual DOT Vehicle Inspection

• Take a picture of the paperwork.

  Media

• Does the vehicle have all required safety items?<br>- Functioning DriveCam<br>- First Aid Kit<br>- Reflective Vest and Hi-Viz Seatbelt Covers <br>- Cargo Securement<br>- Bluetooth<br>- Spill kit<br>- Safety Glasses<br>- Cut Resistant Gloves<br>- Phone Mount <br>- Lock Out Tags<br>- Extra Fuses<br>- Triangles or Flairs<br>- Secured Fire Extinguisher<br>- Wheel Chocks

  Yes

  No

• Which safety items are missing?

  Select DriveCam First Aid Kit Reflective Vest Cargo Securment Hazmat Spill Kit Safety Glasses Cut Resistant Gloves Phone Mount Secured Fire Extinguisher Hi-Viz Seat Belt Covers

  • DriveCam
  • First Aid Kit
  • Reflective Vest
  • Cargo Securment
  • Hazmat Spill Kit
  • Safety Glasses
  • Cut Resistant Gloves
  • Phone Mount
  • Secured Fire Extinguisher
  • Hi-Viz Seat Belt Covers

• Does the vehicle’s condition meet MHC standards? Includes: <br>- Must be clean inside/out and present a world-class appearance<br>- Asset number must be displayed - DOT # must be displayed on both sides in 2-inch bold letters<br>- Logos must be in good condition and free from peeling or tears<br>- Mirror and dash must be clear of all obstructions and items<br>- Vehicle must backed in or parked in a pull through manner <br>- Tires must not be damaged & have 1/8th of an inch tread<br>- Vehicle must be free from all damage, including tailgate<br>- Windshield must be free from all damage, including chips/cracks

  Yes

  No

• What part of the vehicle’s condition and image does not meet standard?

  Select Vehicle Cleanliness Asset Number Logos Parked Properly Mirror/Dash Not Clean Windshield Tailgate DOT Number

  • Vehicle Cleanliness
  • Asset Number
  • Logos
  • Parked Properly
  • Mirror/Dash Not Clean
  • Windshield
  • Tailgate
  • DOT Number

• Does the vehicle proper weekly inspections?

  Yes

  No

• Does the vehicle have all of the required paperwork? Includes: <br>- Valid Registration<br>- Valid Insurance Card<br>- Collision Assistance Kit

  Yes

  No

• Which required paperwork is missing?

  Select Registration Insurance Card Collision Assistance Kit

  • Registration
  • Insurance Card
  • Collision Assistance Kit

• Does the vehicle have ALL required safety items? Includes: <br>- Functioning DriveCam<br>- First Aid Kit<br>- Hi-Viz Seatbelt Covers <br>- Cargo Securement <br>- Bluetooth<br>- Spill Kit<br>- Safety Glasses<br>- Cut Resistant Gloves<br>- Phone Mount<br>- Lock Out Tag<br>- Secured Fire Extinguisher

  Yes

  No

• Which safety items are missing?

  Select DriveCam First Aid Kit Reflective Vest Cargo Securment Hazmat Spill Kit Safety Glasses Cut Resistant Gloves Phone Mount Secured Fire Extinguisher Hi-Viz Seat Belt Covers

  • DriveCam
  • First Aid Kit
  • Reflective Vest
  • Cargo Securment
  • Hazmat Spill Kit
  • Safety Glasses
  • Cut Resistant Gloves
  • Phone Mount
  • Secured Fire Extinguisher
  • Hi-Viz Seat Belt Covers

• Does the vehicle’s condition meet MHC standards? Includes: <br>- Must be clean inside/out and present a world-class appearance<br>- Asset number must be displayed <br>- Logos must be in good condition and free from peeling or tears<br>- Mirror and dash must be clear of all obstructions and items<br>- Vehicle must backed in or parked in a pull through manner <br>- Tires must not be damaged & have 1/8th of an inch tread<br>- Vehicle must be free from all damage, including tailgate<br>- Windshield must be free from all damage, including chips/cracks

  Yes

  No

• What part of the vehicle’s condition and image does not meet standard?

  Select Vehicle Cleanliness Asset Number Logos Parked Properly Mirror/Dash Not Clean Windshield Tailgate DOT Number

  • Vehicle Cleanliness
  • Asset Number
  • Logos
  • Parked Properly
  • Mirror/Dash Not Clean
  • Windshield
  • Tailgate
  • DOT Number

Medium Duty Service

• Does the branch have a Medium Duty Service Department?

  Yes

  No

Service

General Housekeeping

• Does the department meet all MHC housekeeping standards?

  Yes

  No

• Is there perimeter/floor striping?

  Yes

  No

• Is it good condition?

  Yes

  No

• Is the department free from spills and other slips, trips, and fall hazards?

  Yes

  No

• Is there “Employees/Authorized Personnel Only" signage?

  Yes

  No

• Are all oil lines free from leaking, so they do not cause a trip or fall?

  Yes

  No

  N/A

• When asked, can employees name the Fundamentals of Safety concepts, including states of mind, critical errors, and recognize/analyze/strategize framework?

  Yes

  No

• Did this department have a new hire?

  Yes

  No

• Please list the employee(s) names.

• Was the employee onboarded correctly and was it completed through Safety Culture?

  Yes

  No

Air Compressor

• Does the department have an air compressor?

  Yes

  No

• What state is the audit being conducted?

  Select Alabama Arkansas Colorado Georgia Illinois Iowa Kansas Louisiana Mississippi Missouri Nebraska New Mexico North Carolina Ohio Oklahoma Tennessee Texas Wyoming

  • Alabama
  • Arkansas
  • Colorado
  • Georgia
  • Illinois
  • Iowa
  • Kansas
  • Louisiana
  • Mississippi
  • Missouri
  • Nebraska
  • New Mexico
  • North Carolina
  • Ohio
  • Oklahoma
  • Tennessee
  • Texas
  • Wyoming

• You state does not require air compressor inspections. Continue to the next question.

• Has the air compressor been inspected by the state within the last year?

  Yes

  No

• Has the air compressor been inspected by the state within the past 2 years?

  Yes

  No

• Has the air compressor been inspected by the state within the past 3 years?

  Yes

  No

• Air Compressor Standards
  -Must have a "Machine Starts Automatically" sign
  -All drive belts must be guarded
  -Must be equipped with pressure relief valves & accurate pressure gauges

• Does the air compressor meet all standards?

  Yes

  No

• Which part of the air compressor does not meet standard?

  Select Missing "Machine Starts Automatically" Sign Unguarded Belts Pressure Relief Valve Missing/Broken Pressure Gauge Missing/Broken

  • Missing "Machine Starts Automatically" Sign
  • Unguarded Belts
  • Pressure Relief Valve Missing/Broken
  • Pressure Gauge Missing/Broken

Air Hoses

• Air Hose Standards
  - Hoses must never be left on the floor when not in use
  - Hoses must be free from physical damage and non-approved repairs (hose clamp and tape)
  - Air guns must be OSHA approved with the safety relief tip when used for cleaning purposes

• Does the department meet all air hose standards?

  Yes

  No

• What part of the air hoses do not meet standard?

  Select Hoses on Floor Damaged/Non-Approved Repairs Blow Guns Not OSHA Approved Other

  • Hoses on Floor
  • Damaged/Non-Approved Repairs
  • Blow Guns Not OSHA Approved
  • Other

Alignment Pit

• Does the department have an alignment pit?

  Yes

  No

• Alignment Pit Standards
  - Housekeeping meets MHC standard
  - Must have barriers around pit
  - All ramps and columns must be free from damage

• Does the alignment pit meet all applicable standards?

  Yes

  No

• Which part of the alignment pit does not meet standard?

  Select Housekeeping No Barrier Damage to Ramps or Columns Other

  • Housekeeping
  • No Barrier
  • Damage to Ramps or Columns
  • Other

Behavioral Observations

• Discuss with the Service Manager and Technicians on how often the Foreman is seen walking the shop.

• How many times throughout the day is the Foreman seen walking the shop?

• Observe a technician and ask the following questions:

• Which job is the technician working on?

  Select DriveLines Transmissions Overhauls - Out of Frame Engine Work Preventative Maintenance Other

  • DriveLines
  • Transmissions
  • Overhauls - Out of Frame Engine Work
  • Preventative Maintenance
  • Other

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Are creepers up when not in use, so they do not cause a trip hazard?

  Yes

  No

• Are employees maintaining 3 points of contact at all times?

  Yes

  No

• Is the department holding safety huddles?

  Yes

  No

• How often?

• Is the department holding crew meetings?

  Yes

  No

Batteries

• Is the department storing batteries?

  Yes

  No

• Battery Storage Standards
  - Battery cores must be stored on a containment pallet
  - Batteries that do not have a handle must be transported by battery carrier - Eye wash station must be within 75 feet of batteries
  - Batteries must be stacked in an orderly fashion and ready for collection (not in a pile or out of order)

• Does the department meeting all battery storage standards?

  Yes

  No

• Which part of storing batteries does not meet standard?

  Select Containment Pallet No Carrying Device/Lifting Equipment Eye Wash Station Stacked Improperly Other

  • Containment Pallet
  • No Carrying Device/Lifting Equipment
  • Eye Wash Station
  • Stacked Improperly
  • Other

• Take a picture of the battery storage area.

  Media

Bay Doors

• Bay Door Standard
  - Must be all the way open or closed, not partially open
  - Must be free of damage

• Is the branch meeting all bay door standards?

  Yes

  No

• Which part of the bay doors do not meet standard?

  Select Doors Not Fully Open/Closed Damaged Doors Other

  • Doors Not Fully Open/Closed
  • Damaged Doors
  • Other

• Are employees observed using spotters or the G.O.A.L method when pulling trucks in and out of bays?

  Yes

  No

Bench Grinder

• Does the department have a bench grinder?

  Yes

  No

• Bench Grinder Standards
  - Sideguards must cover nut and flange
  - Work rest must be within1/8-inch of the wheel
  - Tongue guard must be within 1/4-inch of the wheel
  - Grinding edge of wheel must flat and free of metal impingements or chips
  - Face shield must be available at station and worn when in use

  

• Does the bench grinder meet all standards?

  Yes

  No

• Which part of the bench grinder does not meet standard?

  Select Side Guards Tongue Guard Grinder Wheel Face Shield PPE Not Available or Being Used Work Rest

  • Side Guards
  • Tongue Guard
  • Grinder Wheel
  • Face Shield
  • PPE Not Available or Being Used
  • Work Rest

Chock Blocks

• Are chock blocks located in a designated area, so they do not cause a trip hazard when not in use?

  Yes

  No

• Are chock blocks used for all vehicles that are being serviced inside and outside the bays?

  Yes

  No

• Are chock blocks in good condition?

  Yes

  No

Chop Saw

• Does the department have a chop saw?

  Yes

  No

• Chop Saw Standards
  - Must be in good working condition
  - Work area must be clean and orderly with no used parts or waste
  - Face shield & leather gloves must be at the station and worn when in use
  - Power cord must be free from defects and have a ground prong
  - Must be secured/anchored to work area

• Does the chop saw meet all standards?

  Yes

  No

• Which part of the chop saw does not meet standard?

  Select Condition Work Station Housekeeping PPE Missing PPE Not Being Used Power Cord Unit Not Anchored/Secured Other

  • Condition
  • Work Station Housekeeping
  • PPE Missing
  • PPE Not Being Used
  • Power Cord
  • Unit Not Anchored/Secured
  • Other

CNG/LNG

• Is the department performing work on CNG/LNG vehicles?

  Yes

  No

• Is the facility equipped with a gas detection sensors?

  Yes

  No

• Is the CNG service being performed inside or outside the building?

  Inside

  Outside

• If the facility doesn't contain a detection system, CNG powered vehicles are only allowed in a facility if the vehicle is completely purged with a wash out ticket. If the vehicle is not completely purged with a wash out ticket, it must be removed from inside the facility immediately.

• Are the vehicles completely purged?

  Yes

  No

• Working on CNG vehicles outside is permitted. Please continue the audit.

• Facilities with gas detection systems are permitted to work on CNG/LNG vehicles inside. Please continue the audit.

Diesel Particulate Filter

• Does the department have a DPF cleaner?

  Yes

  No

• DPF Cleaner Standards
  - Must have and use a DPF handler (cart) to transport DPFs
  - N95 dust mask and splash proof safety googles must worn when handling the soot collection bucket

• Is the department meeting all DPF cleaner standards?

  Yes

  No

• Which part of the DPF cleaning practices does not meet standard?

  Select DPF Handler PPE

  • DPF Handler
  • PPE

Drill Press

• Does the department have a drill press?

  Yes

  No

• Drill Press Standard
  - Drill bit must have a guard
  - Power cord must be free from defect and include a ground prong
  - Face shield must be present and used during operation
  - Drive belts must be guarded
  - Drill press must be secured/anchored

• Does the drill press meet all standards?<br>

  Yes

  No

• What part of the drill press does not meet standard?

  Select Drill Bit Guard Power Cord/Ground Prong Face Shield Belts Not Guarded Unit Not Secured/Anchored

  • Drill Bit Guard
  • Power Cord/Ground Prong
  • Face Shield
  • Belts Not Guarded
  • Unit Not Secured/Anchored

Egress & Exits

• Do all lighted exit signs and emergency lighting work when tested?

  Yes

  No

• MHC Egress and Exit Standards
  - Walkways must be clean
  - Exits must not be obstructed from inside or outside
  - Doors must unlocked from the inside during business hours

• Do all exits and egress paths meet MHC standard?

  Yes

  No

• Which part of the exit or egress does not meet standard?

  Select Walkways Not Clean Exits Obstructed Exit Doors Locked Other

  • Walkways Not Clean
  • Exits Obstructed
  • Exit Doors Locked
  • Other

Electrical

• Electrical Outlet Standards
  - Outlets must be covered and free from holes or openings
  - Outlets exposed to weather (outside or moisture) must have weather covers
  - Junction boxes must be covered and free from holes or openings

• Is the department meeting all electrical outlet standards?

  Yes

  No

• Which part of the electrical outlets do not meet standard?

  Select Uncovered/Holes Weather Covers Junction Boxes Other

  • Uncovered/Holes
  • Weather Covers
  • Junction Boxes
  • Other

• Extension Cord Standards
  - Must be free from damage, including missing ground prong & repair with electrical tape
  - Must be hung up out of the way when not in use
  - Must not be used as permanent wiring (zip tied to conduit or run through walls or doors)

• Is the department meeting all extension cord standards?<br>

  Yes

  No

• Which part of the extension cords do not meet standard?

  Select Damaged Cord Missing Prong Cord zip tied to conduit Runs Through Wall or Door Other

  • Damaged Cord
  • Missing Prong
  • Cord zip tied to conduit
  • Runs Through Wall or Door
  • Other

• Electrical Panel Standards
  - Panels must be labeled with Danger, High Voltage and Keep Out signage
  - All breakers must be properly labeled
  - All breaker boxes must be free of open void or holes greater than 1/8th inch
  - All breakers must be in proper working condition without tape
  - All electrical panels must have clear access and cannot be obstructed

• Is the department meeting all electrical panel standards?

  Yes

  No

• Which part of the electrical panel does not meet standard?

  Select High Voltage Warning Signs Breaker Labels Open Voids or Holes Other Panels Obstructed

  • High Voltage Warning Signs
  • Breaker Labels
  • Open Voids or Holes
  • Other
  • Panels Obstructed

• Have any employees completed Level 0 and Level 1 electric vehicle safety training through Kenworth?

  Yes

  No

Eye Wash Station/Bottles

• Does this department have an eye wash station or bottles?

  Yes

  No

• What type?

  Select Plumbed Eye Wash Station Gravity Fed Eye Wash Station Eye Wash Bottles

  • Plumbed Eye Wash Station
  • Gravity Fed Eye Wash Station
  • Eye Wash Bottles

• 

• Plumbed Eye Wash Station Standards
  - Caps must be in place.
  - Basin must be clean and not broken.
  - Station must be clear from all obstructions.

• Is the plumbed eye wash station meeting all standards?

  Yes

  No

• Which part(s) of the plumbed eye was station does not meet standard?

  Select Caps not in Place Basin not Clean/Is Broken Station is Obstructed Other

  • Caps not in Place
  • Basin not Clean/Is Broken
  • Station is Obstructed
  • Other

• 

• Gravity Fed Eye Wash Station Standards
  - Basin must be clean.
  - Station must be clear from all obstructions.

• Is the gravity fed eye wash station meeting all standards?<br>

  Yes

  No

• Which part(s) of the gravity fed eye was station does not meet standard?

  Select Caps not in Place Basin not Clean/Is Broken Station is Obstructed Other

  • Caps not in Place
  • Basin not Clean/Is Broken
  • Station is Obstructed
  • Other

• 

• Eye Wash Bottles Standards
  Bottles cannot be a substitute for an eye wash station. They must only used as supplemental protection.
  - Cannot be expired.
  - Must be free from all obstructions.

• Are the eye wash bottles meeting all standards?

  Yes

  No

• Which part(s) of the eye wash bottles do not meet standard?

  Select Used as a Substitute for Eye Wash Station Bottles are Expired Access to Bottles is Obstructed Other

  • Used as a Substitute for Eye Wash Station
  • Bottles are Expired
  • Access to Bottles is Obstructed
  • Other

Flammable Storage

• Are shop rags disposed of properly in an OSHA-approved container with a self-closing lid?

  Yes

  No

• Does the branch have a flammable cabinet?

  Yes

  No

  N/A

• Does the branch have any gas or fuel cans?

  Yes

  No

• Fuel Can Standard
  All gas or fuel cans must be:
  - Metal
  - Have a self-closing lid
  - Have a flash arrestor

• Are the fuel cans meeting standard?<br><br>

  Yes

  No

• Which part of the fuel cans does not meet standard?

  Select OSHA Approved Not Metal No Self-Closing Lid No Flash Arrestor

  • OSHA Approved
  • Not Metal
  • No Self-Closing Lid
  • No Flash Arrestor

First Aid

• Does the department have a first aid kit?

  Yes

  No

• First Aid Kit Standards
  - Cannot have any oral medication.
  - Must have bloodborne pathogen kit.
  - Must be clean and maintain a professional image.

• Does the first aid kit meet all standards?

  Yes

  No

• Which part of the first aid kit does not meet standard?

  Select Oral Medications Bloodborne Pathogen Kit Appearance Other

  • Oral Medications
  • Bloodborne Pathogen Kit
  • Appearance
  • Other

Fire Extinguishers

• 

• Fire Extinguisher Standards
  - Annual inspections must be completed by a third party.
  - Monthly inspections must be completed by the branch.
  - Must be clearly marked, free from obstruction, and mounted every 75'.
  - Must be mounted 3-5 feet from the floor.
  - Safety signage must be present.

• Is the department meeting all fire extinguisher standards?

  Yes

  No

• Which part(s) of the fire extinguishers does not meet standard?

  Select Annual Inspection Monthly Inspections Not Marked Obstructed Improperly Mounted Seal was Tampered With Pin not in Place Gauge not in Green MHC Signage

  • Annual Inspection
  • Monthly Inspections
  • Not Marked
  • Obstructed
  • Improperly Mounted
  • Seal was Tampered With
  • Pin not in Place
  • Gauge not in Green
  • MHC Signage

Flywheel Machine

• Does the department have a flywheel machine?

  Yes

  No

• Flywheel Machine Standards
  -Controls must function properly & be free of damage, missing knobs/buttons
  -Power cord must free of damage
  -Grinding wheel must be free of chips, cracks, or any other damage
  -Front guard must be installed while the flywheel machine is operating

• Does the flywheel machine meet all standards?

  Yes

  No

• Which part of the flywheel machine does not meet standard?

  Select Controls Power Cord Grinder Wheel Front Guard Missing/Not in Use Other

  • Controls
  • Power Cord
  • Grinder Wheel
  • Front Guard Missing/Not in Use
  • Other

Forklift

• Does the department have a forklift?

  Yes

  No

• What is the instructor(s) name?

• Have they been trained on ShareKnowledge?

  Yes

  No

• Have all employees who may operate a forklift in this department completed ShareKnowledge training in the last 3 years?

  Yes

  No

• Do all employees who may operate a forklift in this department have a Hands On Evaluation on file on paper or in the SafetyCulture app?

  Yes

  No

• Forklift Safe Operation Conditions
  - All components must be free wear, damage, or modification
  - Top of cab must be free of visual obstructions

• Is the forklift in a safe operating condition?

  Yes

  No

• Which component is not within safety operating condition?

  Select Components Worn/Damaged Top of Cab Obstructed Other

  • Components Worn/Damaged
  • Top of Cab Obstructed
  • Other

• Required Forklift Paperwork
  - Weekly Inspections - Quarterly Preventative Maintenance

• Does the branch have proper inspections and maintenance records?

  Yes

  No

• Which paperwork is out of compliance?

  Weekly Inspections

  Preventative Maintenance

  Other

• Forklift Safe Operation Standards
  - Seatbelt must be worn by all operators
  - Forks must be left down when not in use
  - Propane must be turned off at end of shift
  - Parking brake set when not being used
  - Horn sounded when passing through doors and reversing

• Is the forklift being operated in a safe manner?

  Yes

  No

  N/A

• Which part of the forklift is not being operated in a safe manner?

  Select Seatbelt Forks Left Up Propane Left On Parking Brake Not Set Horn Not Sounded Other

  • Seatbelt
  • Forks Left Up
  • Propane Left On
  • Parking Brake Not Set
  • Horn Not Sounded
  • Other

Hazard Communication (HazCom)

• Is the HazCom signage posted in the department?

  Yes

  No

• Are all secondary containers/spray bottles properly labeled with their contents?

  Yes

  No

• When asked, do employees know how to access Safety Data Sheets?

  Yes

  No

Hot Works

Oxygen/Acetylene

• Is the department storing extra oxygen or acetylene?

  Yes

  No

• Oxygen/Acetylene Storage Standards
  - All oxygen cylinders must be stored 20 feet from flammables
  - All compressed gas cylinders must be secured upright
  - All compressed gas cylinders must be capped when not in use

• Is the department meeting all oxygen and acetylene storage standards?<br>

  Yes

  No

• Which part of the oxygen and acetylene storage does not meet standard?

  Select Oxygen Stored Near Flammables Cylinders Not Secured Cylinders Not Capped Other

  • Oxygen Stored Near Flammables
  • Cylinders Not Secured
  • Cylinders Not Capped
  • Other

• Does the department have a torch cart?

  Yes

  No

• Torch Cart Standards
  - Cart must have a 5ft high fire wall
  - All gauges must be working with no broken or missing glass or plastic
  - Flash arrestors must be present on the torch
  - Appropriate gloves and goggles must be available on the cart

• Does the torch cart meet all applicable standards?<br>

  Yes

  No

• Which part of the torch cart does not meet standard?

  Select Missing Firewall Broken Gauges Flash Arrestors Other

  • Missing Firewall
  • Broken Gauges
  • Flash Arrestors
  • Other

Welder

• Does the department have a welder?

  Yes

  No

• Welder Standards
  - Welder must wear welding gloves
  - Welder must have appropriate welding helmet
  - Welder power cord must be free from all defects, including exposed or taped wiring

• Does the welder meet all applicable standards?

  Yes

  No

• Which part of the welder does not meet standard?

  Select Gloves Mask Power Cord Other

  • Gloves
  • Mask
  • Power Cord
  • Other

Hydraulic Press

• Does the department have a hydraulic press?

  Yes

  No

• Hydraulic Press Standards
  - Must have guarding covering work area
  - Area around press must meet MHC housekeeping standards
  - Must be anchored/secured to prevent walking or tipping

• Does the hydraulic press meet all applicable standards?

  Yes

  No

• Which part of the press does not meet standard?

  Select Gaurding Housekeeping Anchored/Secured Other

  • Gaurding
  • Housekeeping
  • Anchored/Secured
  • Other

Ladders/Work Platforms

• Is the department free from all homemade or non-approved work platforms? (A frame ladders, homemade boxes, etc)

  Yes

  No

• Does the department have a staircase ladder?

  Yes

  No

• Is it in good condition with required rubber feet that are free from damage?

  Yes

  No

• Do all podium ladders, step ladders, and other work platforms meet the minimum 375lbs rate rating?

  Yes

  No

• Are all podium ladders properly secured by hook or chain in a designated area when not in use?

  Yes

  No

Lifting/Load Bearing Equipment

• Are proper lifting techniques being observed?

  Yes

  No

• When asked, do employees know when they are required to use assisted lifting?

  Yes

  No

• Are employees using proper lifting assistance (equipment/team lift) when handling anything over 50 lbs?

  Yes

  No

• If the steer axle is lifted, has the air system been bled and the parking brake been set?

  Yes

  No

• When dropping drivelines, is the driveline pro used when applicable?

  Yes

  No

Jacks/Jack Stands

• Are jack stands being utilized under all vehicles when the load is supported by a jack?

  Yes

  No

• Are all jacks and jack stands free of defects and damage, labeled with the capacity, and equipped with the proper pin?

  Yes

  No

• Which part of the jacks and jack stands does not meet standard?

  Select Defective/Damaged Labeled with Capacity Proper Pin

  • Defective/Damaged
  • Labeled with Capacity
  • Proper Pin

Engine Work

• Does the facility perform out of frame engine work?

  Yes

  No

• How many engine stands does the branch have?

• Engine Work Standards
  All out of frame engine work must be done on an MHC approved engine stand or must have 4 points of contact AND an overhead support, meaning it must be on an engine stand or 4 jacks and hoist (or another form of overhead support)
  

• Does the out of frame engine work meet MHC standards?

  Yes

  No

• Which part of the engine work did not meet standard?

  Unapproved Engine Stand

  Missing Overhead Support

• Does the facility do midsize engine work?

  Yes

  No

Hoists, Cranes, Chain, Etc.

• Does the department have a hoist/crane?

  Yes

  No

• Hoist/Crane Standards
  - Load rating must be displayed on the structure, assembly, and hook
  - Crane/hoist must be inspected on an annual basis and inspection date must be clearly labeled on the crane/hoist
  - Crane controls must be clearly labeled
  - Hook has safety latch if it was designed with one

• Does the crane/hoist meet all applicable standards?<br>

  Yes

  No

• Which part of the crane/hoist does not meet standard?

  Select Weight Rating Pendant Controls Inspection Out of Date Inspection Not Visible on Crane Missing/Broken Safety Latch

  • Weight Rating
  • Pendant Controls
  • Inspection Out of Date
  • Inspection Not Visible on Crane
  • Missing/Broken Safety Latch

• Does the department have a cherry picker?

  Yes

  No

• Cherry Picker Standards
  - Must be in proper working order/manufacturer’s intended condition
  - Must be labeled with weight capacity at each arm setting
  - If hook is designed to have safety latch, it must have one
  - Must have annual inspection and date of inspection must be labeled on cherry picker

• Does the cherry picker meet all applicable standards?

  Yes

  No

• Which part of the cherry picker does not meet standard?

  Select Condition Weight Rating Hook Safety Latch Annual Inspection Annual Inspection Label Other

  • Condition
  • Weight Rating
  • Hook Safety Latch
  • Annual Inspection
  • Annual Inspection Label
  • Other

• Chain Standards
  - All lifting chains must be at least grade 8,80,800 or higher
  - All chains must be tagged with correct load rating
  - All chains must have annual inspection

• Does all chain meet the applicable standards?

  Yes

  No

• Which part of the chain does not meet standard?

  Select Grade Not Tagged with Weight Rating Inspection Out of Date Other

  • Grade
  • Not Tagged with Weight Rating
  • Inspection Out of Date
  • Other

• Are all vehicles being serviced with lifted dump beds using a secondary locking device? Wood blocks are not approved as a secondary locking device.

  Yes

  No

  N/A

Lighting

• Does the department have adequate lighting?

  Yes

  No

• Are all light bulbs working (no lights out)?

  Yes

  No

• Is the department free of all metal, caged drop lights?

  Yes

  No

Lock Out/Tag Out

• 

• Lock Out/Tag Out Standard
  All vehicles in the shop will have:
  - Key on floorboard
  - Tag hung from turn signal

• Is the LOTO program in effect and properly administered per the work instruction?

  Yes

  No

• Which part(s) of the LOTO Program does not meet standard?

  Select Key Not on Floorboard Tag not Hung from Turn Signal Other

  • Key Not on Floorboard
  • Tag not Hung from Turn Signal
  • Other

Parts Cleaner (Solvent-Based Basin)

• Is the parts cleaner free of all flammable products?

  Yes

  No

• Are parts cleaners being used for their intended purpose and not as a work station?

  Yes

  No

Parts Washer (Automatic Steamer Cabinet)

• Does the department have an automatic parts steamer cabinet?

  Yes

  No

• Steamer Cabinet Standards
  - Must have signage stating "Caution/Hot"
  - Power cord must be free from all defects

• Does the parts steamer cabinet meet all applicable standards?

  Yes

  No

• Which part of parts steamer cabinet does not meet standard?

  Select Signage Power Cord

  • Signage
  • Power Cord

Personal Protective Equipment

• Are safety glasses being worn by employees in the shop at all times?

  Yes

  No

• Is the visitor safety glasses bin stocked and safety glasses readily available?

  Yes

  No

• Are all visitors, vendors, and other MHC employees wearing safety glasses in the shop?

  Yes

  No

• Are steel-toed or composite-toed boots being worn by all employees in the shop at all times?

  Yes

  No

• Are all employees handling any tools, parts, or materials wearing cut resistant gloves?

  Yes

  No

• Does this department have bump caps?

  Yes

  No

• Is hearing protection (ear plugs) available for all employees?

  Yes

  No

• Are all employees wearing googles when working under a truck?

  Yes

  No

• Do employees have self-retracting knives?

  Yes

  No

• Are they using them when cutting (as opposed to a pocketknife)?

  Yes

  No

• When asked, do employees know where to get replacements of all PPE?

  Yes

  No

Rotary/Die Grinders

• MHC Grinding and Cutting Standards
  - All rotary/die grinders including personal grinders must be equipped with the proper guards
  - The max revolutions per minute (rpm) rating of each abrasive wheel must be compatible with the rpm rating of the grinder motor
  - The power cord must free of damage including missing ground prong
  

• Does the department meet all the grinding and cutting standards?

  Yes

  No

• Which part of the cutting and grinding standards are not being followed?

  Select Missing Guard Wheel not Rated for Grinder Power Cord Other

  • Missing Guard
  • Wheel not Rated for Grinder
  • Power Cord
  • Other

• Are all employees using cutting wheels or grinders wearing safety glasses AND face shields?

  Yes

  No

Service Pit

• Does the department have a service pit?

  Yes

  No

• Service Pit Standards
  - Must be clean without trash, rags, or spills
  - Must have a barrier around or over the the open pit
  - Must be well lit with all lights working

• Does the service pit meet all applicable standards?

  Yes

  No

• Which part of the service pit does not meet standard?

  Select Housekeeping No Barrier Lighting Other

  • Housekeeping
  • No Barrier
  • Lighting
  • Other

Spill Control

• Does the branch have a Spill Prevention Control Countermeasure (SPCC) Plan developed and available?

  Yes

  No

• Is spill containment (Green Stuff, oil dry) material present and readily available?

  Yes

  No

• What is the branch using for spill containment?

• Does the department have a spill kit for larger spills?

  Yes

  No

Tool Room

• Is the tool room free of slips, trips, and falls?

  Yes

  No

• Does it meet the MHC housekeeping standard?

  Yes

  No

• Is it free from homemade tools?

  Yes

  No

• Are all tools and equipment free of broken or fractured handles and in good working condition?

  Yes

  No

• Are the striking ends of all seal drivers in good condition?

  Yes

  No

• Are the power cords of all tools and equipment free from damage, including missing ground prongs?

  Yes

  No

• Does the branch have a driveline pro?

  Yes

  No

• Does the branch have a disc brake hub handler?

  Yes

  No

Wash Bay

• Does the department have a wash bay?

  Yes

  No

• Is the wash bay organized and does it meet MHC housekeeping standards?

  Yes

  No

• Do all electrical outlets have the proper weather covers?

  Yes

  No

• Is the Hotsy inside or outside of the wash bay?

  Inside

  Outside

• Is the wash bay free from any barrels containing flammables?

  Yes

  No

Waste Lubricants

• Are all oils and lubricants cleaned up and disposed of in a designated area that meets housekeeping standards?

  Yes

  No

• Are all the spent oil materials (including mats, absorbent, socks) being disposed of properly?

  Yes

  No

• Are all used oil, antifreeze, and fuel tanks labeled properly?

  Yes

  No

• Per state regulations, is the department disposing of oil filters properly?

  Yes

  No

Oil Water Separator

• Does the department have an oil water separator?

  Yes

  No

• Is there paperwork showing the separator has been cleaned in the last year?

  Yes

  No

• Are all drain grates in place, free from damage, and serving their original purpose?

  Yes

  No

Vehicles

• Ask multiple employees their opinion on why we have Vehicle Safety Standards and DriveCam.

• Was the employee able to discuss the Vehicle Safety Standards?

  Yes

  No

• Does this department have a vehicle?

  Yes

  No

• Vehicle Inspection

Vehicle

• Asset Number

• Take multiple pictures of the vehicle's exterior and interior condition.

  Media

• Vehicle Safety Sticker

  

• Does the vehicle have 3 of the stickers above?

  Yes

  No

• No Phone Sticker

• Does the vehicle have 1 of the stickers above on the pillar next to the driver's side door?

  Yes

  No

• Max Speed Sticker

• Does the vehicle have 1 of the stickers on the back bumper?

  Yes

  No

• Is this a DOT or non-DOT vehicle?<br>- DOT vehicles have a GVWR over 10,00 lbs (anything bigger than F250)<br>- Non-DOT vehicles have a GVWR of 10,000 lbs and under (F250 and smaller)

  DOT

  Non-DOT

• Does the vehicle have proper daily DVIRs and weekly MHC inspections?

  Yes

  No

• Take a picture of the inspections.

  Media

• Does the vehicle have all required paperwork? Includes: <br>- Valid Registration<br>- Valid insurance card<br>- Collision Assistance Kit<br>- Annual DOT inspection (paperwork & legible sticker on vehicle)

  Yes

  No

• Which required paperwork is missing?

  Select Insurance Card Valid Registration Vehicle Collision Assistance Guide Annual DOT Vehicle Inspection

  • Insurance Card
  • Valid Registration
  • Vehicle Collision Assistance Guide
  • Annual DOT Vehicle Inspection

• Take a picture of the paperwork.

  Media

• Does the vehicle have all required safety items?<br>- Functioning DriveCam<br>- First Aid Kit<br>- Reflective Vest and Hi-Viz Seatbelt Covers <br>- Cargo Securement<br>- Bluetooth<br>- Spill kit<br>- Safety Glasses<br>- Cut Resistant Gloves<br>- Phone Mount <br>- Lock Out Tags<br>- Extra Fuses<br>- Triangles or Flairs<br>- Secured Fire Extinguisher<br>- Wheel Chocks

  Yes

  No

• Which safety items are missing?

  Select DriveCam First Aid Kit Reflective Vest Cargo Securment Hazmat Spill Kit Safety Glasses Cut Resistant Gloves Phone Mount Secured Fire Extinguisher Hi-Viz Seat Belt Covers

  • DriveCam
  • First Aid Kit
  • Reflective Vest
  • Cargo Securment
  • Hazmat Spill Kit
  • Safety Glasses
  • Cut Resistant Gloves
  • Phone Mount
  • Secured Fire Extinguisher
  • Hi-Viz Seat Belt Covers

• Does the vehicle’s condition meet MHC standards? Includes: <br>- Must be clean inside/out and present a world-class appearance<br>- Asset number must be displayed - DOT # must be displayed on both sides in 2-inch bold letters<br>- Logos must be in good condition and free from peeling or tears<br>- Mirror and dash must be clear of all obstructions and items<br>- Vehicle must backed in or parked in a pull through manner <br>- Tires must not be damaged & have 1/8th of an inch tread<br>- Vehicle must be free from all damage, including tailgate<br>- Windshield must be free from all damage, including chips/cracks

  Yes

  No

• What part of the vehicle’s condition and image does not meet standard?

  Select Vehicle Cleanliness Asset Number Logos Parked Properly Mirror/Dash Not Clean Windshield Tailgate DOT Number

  • Vehicle Cleanliness
  • Asset Number
  • Logos
  • Parked Properly
  • Mirror/Dash Not Clean
  • Windshield
  • Tailgate
  • DOT Number

• Does the vehicle proper weekly inspections?

  Yes

  No

• Does the vehicle have all of the required paperwork? Includes: <br>- Valid Registration<br>- Valid Insurance Card<br>- Collision Assistance Kit

  Yes

  No

• Which required paperwork is missing?

  Select Registration Insurance Card Collision Assistance Kit

  • Registration
  • Insurance Card
  • Collision Assistance Kit

• Does the vehicle have ALL required safety items? Includes: <br>- Functioning DriveCam<br>- First Aid Kit<br>- Hi-Viz Seatbelt Covers <br>- Cargo Securement <br>- Bluetooth<br>- Spill Kit<br>- Safety Glasses<br>- Cut Resistant Gloves<br>- Phone Mount<br>- Lock Out Tag<br>- Secured Fire Extinguisher

  Yes

  No

• Which safety items are missing?

  Select DriveCam First Aid Kit Reflective Vest Cargo Securment Hazmat Spill Kit Safety Glasses Cut Resistant Gloves Phone Mount Secured Fire Extinguisher Hi-Viz Seat Belt Covers

  • DriveCam
  • First Aid Kit
  • Reflective Vest
  • Cargo Securment
  • Hazmat Spill Kit
  • Safety Glasses
  • Cut Resistant Gloves
  • Phone Mount
  • Secured Fire Extinguisher
  • Hi-Viz Seat Belt Covers

• Does the vehicle’s condition meet MHC standards? Includes: <br>- Must be clean inside/out and present a world-class appearance<br>- Asset number must be displayed <br>- Logos must be in good condition and free from peeling or tears<br>- Mirror and dash must be clear of all obstructions and items<br>- Vehicle must backed in or parked in a pull through manner <br>- Tires must not be damaged & have 1/8th of an inch tread<br>- Vehicle must be free from all damage, including tailgate<br>- Windshield must be free from all damage, including chips/cracks

  Yes

  No

• What part of the vehicle’s condition and image does not meet standard?

  Select Vehicle Cleanliness Asset Number Logos Parked Properly Mirror/Dash Not Clean Windshield Tailgate DOT Number

  • Vehicle Cleanliness
  • Asset Number
  • Logos
  • Parked Properly
  • Mirror/Dash Not Clean
  • Windshield
  • Tailgate
  • DOT Number

Body Shop

• Does the branch have a Body Shop?

  Yes

  No

Body Shop

General Housekeeping

• Does the department meet all MHC housekeeping standards?

  Yes

  No

• Is there perimeter/floor striping?

  Yes

  No

• Is it good condition?

  Yes

  No

• Is the department free from spills and other slips, trips, and fall hazards?

  Yes

  No

• Is there “Employees/Authorized Personnel Only" signage?

  Yes

  No

• Are all oil lines free from leaking, so they do not cause a trip or fall?

  Yes

  No

  N/A

• When asked, can employees name the Fundamentals of Safety concepts, including states of mind, critical errors, and recognize/analyze/strategize framework?

  Yes

  No

• Did this department have a new hire?

  Yes

  No

• Please list the employee(s) names.

• Was the employee onboarded correctly and was it completed through Safety Culture?

  Yes

  No

Air Compressor

• Does the department have an air compressor?

  Yes

  No

• What state is the audit being conducted?

  Select Alabama Arkansas Colorado Georgia Illinois Iowa Kansas Louisiana Mississippi Missouri Nebraska New Mexico North Carolina Ohio Oklahoma Tennessee Texas Wyoming

  • Alabama
  • Arkansas
  • Colorado
  • Georgia
  • Illinois
  • Iowa
  • Kansas
  • Louisiana
  • Mississippi
  • Missouri
  • Nebraska
  • New Mexico
  • North Carolina
  • Ohio
  • Oklahoma
  • Tennessee
  • Texas
  • Wyoming

• You state does not require air compressor inspections. Continue to the next question.

• Has the air compressor been inspected by the state within the last year?

  Yes

  No

• Has the air compressor been inspected by the state within the past 2 years?

  Yes

  No

• Has the air compressor been inspected by the state within the past 3 years?

  Yes

  No

• Air Compressor Standards
  -Must have a "Machine Starts Automatically" sign
  -All drive belts must be guarded
  -Must be equipped with pressure relief valves & accurate pressure gauges

• Does the air compressor meet all standards?

  Yes

  No

• Which part of the air compressor does not meet standard?

  Select Missing "Machine Starts Automatically" Sign Unguarded Belts Pressure Relief Valve Missing/Broken Pressure Gauge Missing/Broken

  • Missing "Machine Starts Automatically" Sign
  • Unguarded Belts
  • Pressure Relief Valve Missing/Broken
  • Pressure Gauge Missing/Broken

Air Hoses

• Air Hose Standards
  - Hoses must never be left on the floor when not in use
  - Hoses must be free from physical damage and non-approved repairs (hose clamp and tape)
  - Air guns must be OSHA approved with the safety relief tip when used for cleaning purposes

• Does the department meet all air hose standards?

  Yes

  No

• What part of the air hoses do not meet standard?

  Select Hoses on Floor Damaged/Non-Approved Repairs Blow Guns Not OSHA Approved Other

  • Hoses on Floor
  • Damaged/Non-Approved Repairs
  • Blow Guns Not OSHA Approved
  • Other

Alignment Pit

• Does the department have an alignment pit?

  Yes

  No

• Alignment Pit Standards
  - Housekeeping meets MHC standard
  - Must have barriers around pit
  - All ramps and columns must be free from damage

• Does the alignment pit meet all applicable standards?

  Yes

  No

• Which part of the alignment pit does not meet standard?

  Select Housekeeping No Barrier Damage to Ramps or Columns Other

  • Housekeeping
  • No Barrier
  • Damage to Ramps or Columns
  • Other

Behavioral Observations

• Discuss with the Service Manager and Technicians on how often the Foreman is seen walking the shop.

• How many times throughout the day is the Foreman seen walking the shop?

• Observe a technician and ask the following questions:

• Which job is the technician working on?

  Select DriveLines Transmissions Overhauls - Out of Frame Engine Work Preventative Maintenance Other

  • DriveLines
  • Transmissions
  • Overhauls - Out of Frame Engine Work
  • Preventative Maintenance
  • Other

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Can the technician effectively discuss what they are working on?

  Yes

  No

• Can the technician determine hazards and risk present in each task?

  Yes

  No

• Can the technician explain what preventative controls they have taken in order to conduct the work safely?

  Yes

  No

• Are creepers up when not in use, so they do not cause a trip hazard?

  Yes

  No

• Are employees maintaining 3 points of contact at all times?

  Yes

  No

• Is the department holding safety huddles?

  Yes

  No

• How often?

• Is the department holding crew meetings?

  Yes

  No

Batteries

• Is the department storing batteries?

  Yes

  No

• Battery Storage Standards
  - Battery cores must be stored on a containment pallet
  - Batteries that do not have a handle must be transported by battery carrier - Eye wash station must be within 75 feet of batteries
  - Batteries must be stacked in an orderly fashion and ready for collection (not in a pile or out of order)

• Does the department meeting all battery storage standards?

  Yes

  No

• Which part of storing batteries does not meet standard?

  Select Containment Pallet No Carrying Device/Lifting Equipment Eye Wash Station Stacked Improperly Other

  • Containment Pallet
  • No Carrying Device/Lifting Equipment
  • Eye Wash Station
  • Stacked Improperly
  • Other

• Take a picture of the battery storage area.

  Media

Bay Doors

• Bay Door Standard
  - Must be all the way open or closed, not partially open
  - Must be free of damage

• Is the branch meeting all bay door standards?

  Yes

  No

• Which part of the bay doors do not meet standard?

  Select Doors Not Fully Open/Closed Damaged Doors Other

  • Doors Not Fully Open/Closed
  • Damaged Doors
  • Other

• Are employees observed using spotters or the G.O.A.L method when pulling trucks in and out of bays?

  Yes

  No

Bench Grinder

• Does the department have a bench grinder?

  Yes

  No

• Bench Grinder Standards
  - Sideguards must cover nut and flange
  - Work rest must be within1/8-inch of the wheel
  - Tongue guard must be within 1/4-inch of the wheel
  - Grinding edge of wheel must flat and free of metal impingements or chips
  - Face shield must be available at station and worn when in use

  

• Does the bench grinder meet all standards?

  Yes

  No

• Which part of the bench grinder does not meet standard?

  Select Side Guards Tongue Guard Grinder Wheel Face Shield PPE Not Available or Being Used Work Rest

  • Side Guards
  • Tongue Guard
  • Grinder Wheel
  • Face Shield
  • PPE Not Available or Being Used
  • Work Rest

Chock Blocks

• Are chock blocks located in a designated area, so they do not cause a trip hazard when not in use?

  Yes

  No

• Are chock blocks used for all vehicles that are being serviced inside and outside the bays?

  Yes

  No

• Are chock blocks in good condition?

  Yes

  No

Chop Saw

• Does the department have a chop saw?

  Yes

  No

• Chop Saw Standards
  - Must be in good working condition
  - Work area must be clean and orderly with no used parts or waste
  - Face shield & leather gloves must be at the station and worn when in use
  - Power cord must be free from defects and have a ground prong
  - Must be secured/anchored to work area

• Does the chop saw meet all standards?

  Yes

  No

• Which part of the chop saw does not meet standard?

  Select Condition Work Station Housekeeping PPE Missing PPE Not Being Used Power Cord Unit Not Anchored/Secured Other

  • Condition
  • Work Station Housekeeping
  • PPE Missing
  • PPE Not Being Used
  • Power Cord
  • Unit Not Anchored/Secured
  • Other

CNG/LNG

• Is the department performing work on CNG/LNG vehicles?

  Yes

  No

• Is the facility equipped with a gas detection sensors?

  Yes

  No

• Is the CNG service being performed inside or outside the building?

  Inside

  Outside

• If the facility doesn't contain a detection system, CNG powered vehicles are only allowed in a facility if the vehicle is completely purged with a wash out ticket. If the vehicle is not completely purged with a wash out ticket, it must be removed from inside the facility immediately.

• Are the vehicles completely purged?

  Yes

  No

• Working on CNG vehicles outside is permitted. Please continue the audit.

• Facilities with gas detection systems are permitted to work on CNG/LNG vehicles inside. Please continue the audit.

Drill Press

• Does the department have a drill press?

  Yes

  No

• Drill Press Standard
  - Drill bit must have a guard
  - Power cord must be free from defect and include a ground prong
  - Face shield must be present and used during operation
  - Drive belts must be guarded
  - Drill press must be secured/anchored

• Does the drill press meet all standards?<br>

  Yes

  No

• What part of the drill press does not meet standard?

  Select Drill Bit Guard Power Cord/Ground Prong Face Shield Belts Not Guarded Unit Not Secured/Anchored

  • Drill Bit Guard
  • Power Cord/Ground Prong
  • Face Shield
  • Belts Not Guarded
  • Unit Not Secured/Anchored

Egress & Exits

• Do all lighted exit signs and emergency lighting work when tested?

  Yes

  No

• MHC Egress and Exit Standards
  - Walkways must be clean
  - Exits must not be obstructed from inside or outside
  - Doors must unlocked from the inside during business hours

• Do all exits and egress paths meet MHC standard?

  Yes

  No

• Which part of the exit or egress does not meet standard?

  Select Walkways Not Clean Exits Obstructed Exit Doors Locked Other

  • Walkways Not Clean
  • Exits Obstructed
  • Exit Doors Locked
  • Other

Electrical

• Electrical Outlet Standards
  - Outlets must be covered and free from holes or openings
  - Outlets exposed to weather (outside or moisture) must have weather covers
  - Junction boxes must be covered and free from holes or openings

• Is the department meeting all electrical outlet standards?

  Yes

  No

• Which part of the electrical outlets do not meet standard?

  Select Uncovered/Holes Weather Covers Junction Boxes Other

  • Uncovered/Holes
  • Weather Covers
  • Junction Boxes
  • Other

• Extension Cord Standards
  - Must be free from damage, including missing ground prong & repair with electrical tape
  - Must be hung up out of the way when not in use
  - Must not be used as permanent wiring (zip tied to conduit or run through walls or doors)

• Is the department meeting all extension cord standards?<br>

  Yes

  No

• Which part of the extension cords do not meet standard?

  Select Damaged Cord Missing Prong Cord zip tied to conduit Runs Through Wall or Door Other

  • Damaged Cord
  • Missing Prong
  • Cord zip tied to conduit
  • Runs Through Wall or Door
  • Other

• Electrical Panel Standards
  - Panels must be labeled with Danger, High Voltage and Keep Out signage
  - All breakers must be properly labeled
  - All breaker boxes must be free of open void or holes greater than 1/8th inch
  - All breakers must be in proper working condition without tape
  - All electrical panels must have clear access and cannot be obstructed

• Is the department meeting all electrical panel standards?

  Yes

  No

• Which part of the electrical panel does not meet standard?

  Select High Voltage Warning Signs Breaker Labels Open Voids or Holes Other Panels Obstructed

  • High Voltage Warning Signs
  • Breaker Labels
  • Open Voids or Holes
  • Other
  • Panels Obstructed

• Have any employees completed Level 0 and Level 1 electric vehicle safety training through Kenworth?

  Yes

  No

Eye Wash Station/Bottles

• Does this department have an eye wash station or bottles?

  Yes

  No

• What type?

  Select Plumbed Eye Wash Station Gravity Fed Eye Wash Station Eye Wash Bottles

  • Plumbed Eye Wash Station
  • Gravity Fed Eye Wash Station
  • Eye Wash Bottles

• 

• Plumbed Eye Wash Station Standards
  - Caps must be in place.
  - Basin must be clean and not broken.
  - Station must be clear from all obstructions.

• Is the plumbed eye wash station meeting all standards?

  Yes

  No

• Which part(s) of the plumbed eye was station does not meet standard?

  Select Caps not in Place Basin not Clean/Is Broken Station is Obstructed Other

  • Caps not in Place
  • Basin not Clean/Is Broken
  • Station is Obstructed
  • Other

• 

• Gravity Fed Eye Wash Station Standards
  - Basin must be clean.
  - Station must be clear from all obstructions.

• Is the gravity fed eye wash station meeting all standards?<br>

  Yes

  No

• Which part(s) of the gravity fed eye was station does not meet standard?

  Select Caps not in Place Basin not Clean/Is Broken Station is Obstructed Other

  • Caps not in Place
  • Basin not Clean/Is Broken
  • Station is Obstructed
  • Other

• 

• Eye Wash Bottles Standards
  Bottles cannot be a substitute for an eye wash station. They must only used as supplemental protection.
  - Cannot be expired.
  - Must be free from all obstructions.

• Are the eye wash bottles meeting all standards?

  Yes

  No

• Which part(s) of the eye wash bottles do not meet standard?

  Select Used as a Substitute for Eye Wash Station Bottles are Expired Access to Bottles is Obstructed Other

  • Used as a Substitute for Eye Wash Station
  • Bottles are Expired
  • Access to Bottles is Obstructed
  • Other

Flammable Storage

• Are shop rags disposed of properly in an OSHA-approved container with a self-closing lid?

  Yes

  No

• Does the branch have a flammable cabinet?

  Yes

  No

  N/A

• Does the branch have any gas or fuel cans?

  Yes

  No

• Fuel Can Standard
  All gas or fuel cans must be:
  - Metal
  - Have a self-closing lid
  - Have a flash arrestor

• Are the fuel cans meeting standard?<br><br>

  Yes

  No

• Which part of the fuel cans does not meet standard?

  Select OSHA Approved Not Metal No Self-Closing Lid No Flash Arrestor

  • OSHA Approved
  • Not Metal
  • No Self-Closing Lid
  • No Flash Arrestor

First Aid

• Does the department have a first aid kit?

  Yes

  No

• First Aid Kit Standards
  - Cannot have any oral medication.
  - Must have bloodborne pathogen kit.
  - Must be clean and maintain a professional image.

• Does the first aid kit meet all standards?

  Yes

  No

• Which part of the first aid kit does not meet standard?

  Select Oral Medications Bloodborne Pathogen Kit Appearance Other

  • Oral Medications
  • Bloodborne Pathogen Kit
  • Appearance
  • Other

Fire Extinguishers

• 

• Fire Extinguisher Standards
  - Annual inspections must be completed by a third party.
  - Monthly inspections must be completed by the branch.
  - Must be clearly marked, free from obstruction, and mounted every 75'.
  - Must be mounted 3-5 feet from the floor.
  - Safety signage must be present.

• Is the department meeting all fire extinguisher standards?

  Yes

  No

• Which part(s) of the fire extinguishers does not meet standard?

  Select Annual Inspection Monthly Inspections Not Marked Obstructed Improperly Mounted Seal was Tampered With Pin not in Place Gauge not in Green MHC Signage

  • Annual Inspection
  • Monthly Inspections
  • Not Marked
  • Obstructed
  • Improperly Mounted
  • Seal was Tampered With
  • Pin not in Place
  • Gauge not in Green
  • MHC Signage

Forklift

• Does the department have a forklift?

  Yes

  No

• What is the instructor(s) name?

• Have they been trained on ShareKnowledge?

  Yes

  No

• Have all employees who may operate a forklift in this department completed ShareKnowledge training in the last 3 years?

  Yes

  No

• Do all employees who may operate a forklift in this department have a Hands On Evaluation on file on paper or in the SafetyCulture app?

  Yes

  No

• Forklift Safe Operation Conditions
  - All components must be free wear, damage, or modification
  - Top of cab must be free of visual obstructions

• Is the forklift in a safe operating condition?

  Yes

  No

• Which component is not within safety operating condition?

  Select Components Worn/Damaged Top of Cab Obstructed Other

  • Components Worn/Damaged
  • Top of Cab Obstructed
  • Other

• Required Forklift Paperwork
  - Weekly Inspections - Quarterly Preventative Maintenance

• Does the branch have proper inspections and maintenance records?

  Yes

  No

• Which paperwork is out of compliance?

  Weekly Inspections

  Preventative Maintenance

  Other

• Forklift Safe Operation Standards
  - Seatbelt must be worn by all operators
  - Forks must be left down when not in use
  - Propane must be turned off at end of shift
  - Parking brake set when not being used
  - Horn sounded when passing through doors and reversing

• Is the forklift being operated in a safe manner?

  Yes

  No

  N/A

• Which part of the forklift is not being operated in a safe manner?

  Select Seatbelt Forks Left Up Propane Left On Parking Brake Not Set Horn Not Sounded Other

  • Seatbelt
  • Forks Left Up
  • Propane Left On
  • Parking Brake Not Set
  • Horn Not Sounded
  • Other

Hazard Communication (HazCom)

• Is the HazCom signage posted in the department?

  Yes

  No

• Are all secondary containers/spray bottles properly labeled with their contents?

  Yes

  No

• When asked, do employees know how to access Safety Data Sheets?

  Yes

  No

Hot Works

Oxygen/Acetylene

• Is the department storing extra oxygen or acetylene?

  Yes

  No

• Oxygen/Acetylene Storage Standards
  - All oxygen cylinders must be stored 20 feet from flammables
  - All compressed gas cylinders must be secured upright
  - All compressed gas cylinders must be capped when not in use

• Is the department meeting all oxygen and acetylene storage standards?<br>

  Yes

  No

• Which part of the oxygen and acetylene storage does not meet standard?

  Select Oxygen Stored Near Flammables Cylinders Not Secured Cylinders Not Capped Other

  • Oxygen Stored Near Flammables
  • Cylinders Not Secured
  • Cylinders Not Capped
  • Other

• Does the department have a torch cart?

  Yes

  No

• Torch Cart Standards
  - Cart must have a 5ft high fire wall
  - All gauges must be working with no broken or missing glass or plastic
  - Flash arrestors must be present on the torch
  - Appropriate gloves and goggles must be available on the cart

• Does the torch cart meet all applicable standards?<br>

  Yes

  No

• Which part of the torch cart does not meet standard?

  Select Missing Firewall Broken Gauges Flash Arrestors Other

  • Missing Firewall
  • Broken Gauges
  • Flash Arrestors
  • Other

Welder

• Does the department have a welder?

  Yes

  No

• Welder Standards
  - Welder must wear welding gloves
  - Welder must have appropriate welding helmet
  - Welder power cord must be free from all defects, including exposed or taped wiring

• Does the welder meet all applicable standards?

  Yes

  No

• Which part of the welder does not meet standard?

  Select Gloves Mask Power Cord Other

  • Gloves
  • Mask
  • Power Cord
  • Other

Hydraulic Press

• Does the department have a hydraulic press?

  Yes

  No

• Hydraulic Press Standards
  - Must have guarding covering work area
  - Area around press must meet MHC housekeeping standards
  - Must be anchored/secured to prevent walking or tipping

• Does the hydraulic press meet all applicable standards?

  Yes

  No

• Which part of the press does not meet standard?

  Select Gaurding Housekeeping Anchored/Secured Other

  • Gaurding
  • Housekeeping
  • Anchored/Secured
  • Other

Ladders/Work Platforms

• Is the department free from all homemade or non-approved work platforms? (A frame ladders, homemade boxes, etc)

  Yes

  No

• Does the department have a staircase ladder?

  Yes

  No

• Is it in good condition with required rubber feet that are free from damage?

  Yes

  No

• Do all podium ladders, step ladders, and other work platforms meet the minimum 375lbs rate rating?

  Yes

  No

• Are all podium ladders properly secured by hook or chain in a designated area when not in use?

  Yes

  No

Lifting/Load Bearing Equipment

• Are proper lifting techniques being observed?

  Yes

  No

• When asked, do employees know when they are required to use assisted lifting?

  Yes

  No

• Are employees using proper lifting assistance (equipment/team lift) when handling anything over 50 lbs?

  Yes

  No

Jacks/Jack Stands

• Are jack stands being utilized under all vehicles when the load is supported by a jack?

  Yes

  No

• Are all jacks and jack stands free of defects and damage, labeled with the capacity, and equipped with the proper pin?

  Yes

  No

• Which part of the jacks and jack stands does not meet standard?

  Select Defective/Damaged Labeled with Capacity Proper Pin

  • Defective/Damaged
  • Labeled with Capacity
  • Proper Pin

Engine Work

• Does the facility perform out of frame engine work?

  Yes

  No

• How many engine stands does the branch have?

• Engine Work Standards
  All out of frame engine work must be done on an MHC approved engine stand or must have 4 points of contact AND an overhead support, meaning it must be on an engine stand or 4 jacks and hoist (or another form of overhead support)
  

• Does the out of frame engine work meet MHC standards?

  Yes

  No

• Which part of the engine work did not meet standard?

  Unapproved Engine Stand

  Missing Overhead Support

• Does the facility do midsize engine work?

  Yes

  No

Hoists, Cranes, Chain, Etc.

• Does the department have a hoist/crane?

  Yes

  No

• Hoist/Crane Standards
  - Load rating must be displayed on the structure, assembly, and hook
  - Crane/hoist must be inspected on an annual basis and inspection date must be clearly labeled on the crane/hoist
  - Crane controls must be clearly labeled
  - Hook has safety latch if it was designed with one

• Does the crane/hoist meet all applicable standards?<br>

  Yes

  No

• Which part of the crane/hoist does not meet standard?

  Select Weight Rating Pendant Controls Inspection Out of Date Inspection Not Visible on Crane Missing/Broken Safety Latch

  • Weight Rating
  • Pendant Controls
  • Inspection Out of Date
  • Inspection Not Visible on Crane
  • Missing/Broken Safety Latch

• Does the department have a cherry picker?

  Yes

  No

• Cherry Picker Standards
  - Must be in proper working order/manufacturer’s intended condition
  - Must be labeled with weight capacity at each arm setting
  - If hook is designed to have safety latch, it must have one
  - Must have annual inspection and date of inspection must be labeled on cherry picker

• Does the cherry picker meet all applicable standards?

  Yes

  No

• Which part of the cherry picker does not meet standard?

  Select Condition Weight Rating Hook Safety Latch Annual Inspection Annual Inspection Label Other

  • Condition
  • Weight Rating
  • Hook Safety Latch
  • Annual Inspection
  • Annual Inspection Label
  • Other

• Chain Standards
  - All lifting chains must be at least grade 8,80,800 or higher
  - All chains must be tagged with correct load rating
  - All chains must have annual inspection

• Does all chain meet the applicable standards?

  Yes

  No

• Which part of the chain does not meet standard?

  Select Grade Not Tagged with Weight Rating Inspection Out of Date Other

  • Grade
  • Not Tagged with Weight Rating
  • Inspection Out of Date
  • Other

• Are all vehicles being serviced with lifted dump beds using a secondary locking device? Wood blocks are not approved as a secondary locking device.

  Yes

  No

  N/A

Lighting

• Does the department have adequate lighting?

  Yes

  No

• Are all light bulbs working (no lights out)?

  Yes

  No

• Is the department free of all metal, caged drop lights?

  Yes

  No

Lock Out/Tag Out

• 

• Lock Out/Tag Out Standard
  All vehicles in the shop will have:
  - Key on floorboard
  - Tag hung from turn signal

• Is the LOTO program in effect and properly administered per the work instruction?

  Yes

  No

• Which part(s) of the LOTO Program does not meet standard?

  Select Key Not on Floorboard Tag not Hung from Turn Signal Other

  • Key Not on Floorboard
  • Tag not Hung from Turn Signal
  • Other

Paint Booth

• Does this Body Shop have a paint booth?

  Yes

  No

• Are there light brown paper or approved plastic bags covering the sprinkler heads in paint booth?

  Yes

  No

• Does the paint booth have a self-closing door?

  Yes

  No

• Is there “Door Closes Automatically” signage on the mixing room and paint booth doors?

  Yes

  No

• Is there a fire extinguisher near the paint booth?

  Yes

  No

• Is all shelving in the paint booth approved and made of metal?

  Yes

  No

Paint Waste

• Paint waste drum Bonding and Grounding Standard
  - Bonding prevents sparks
  - Grounding provides a path for electricity to safely dissipate

  

• Is the paint waste drum bonded and grounded?

  Yes

  No

• What products are the branch using for prep products for painting?

• How is the branch disposing of solvent-contaminated wipes? (Note: typically wipes with thinner on them used to prep for painting.)

  Select Hauled Off (Ex. Solvent, Thinner) Trash

  • Hauled Off (Ex. Solvent, Thinner)
  • Trash

Personal Protective Equipment

• Are safety glasses being worn by employees in the shop at all times?

  Yes

  No

• Is the visitor safety glasses bin stocked and safety glasses readily available?

  Yes

  No

• Are all visitors, vendors, and other MHC employees wearing safety glasses in the shop?

  Yes

  No

• Are steel-toed or composite-toed boots being worn by all employees in the shop at all times?

  Yes

  No

• Are all employees handling any tools, parts, or materials wearing cut resistant gloves?

  Yes

  No

• Does this department have bump caps?

  Yes

  No

• Is hearing protection (ear plugs) available for all employees?

  Yes

  No

• Are all employees wearing googles when working under a truck?

  Yes

  No

• Do employees have self-retracting knives?

  Yes

  No

• Are they using them when cutting (as opposed to a pocketknife)?

  Yes

  No

• When asked, do employees know where to get replacements of all PPE?

  Yes

  No

Respirator Training

• Has respirator training, medical evaluations, and fit testing been completed for all employees upon hire or at least in the last year?

  Yes

  No

• Are employees who are wearing respirators free of any facial hair that would prevent the respirator from getting the proper seal?

  Yes

  No

• Are respirators being stored properly when not in use? They must be stored in a closed bag outside the mixing room when not in use.

  Yes

  No