2024 CPI Document Audit & Employee Interviews

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• OSHA 300's: Last 5 years retained.

  Yes

  No

  N/A

• Site Security readily available and to date.

  Yes

  No

  N/A

Lockout Tagout Safety Program

• Initial & Annual Training documented?

  Yes

  No

  N/A

• Machine Specific Procedures written?

  Yes

  No

  N/A

• Annual Lockout Tagout procedures and training reviewed within the last 12 months?

  Yes

  No

  N/A

• Authorized employees identified and documented?

  Yes

  No

  N/A

• Required Lockout Tagout equipment available?

  Yes

  No

  N/A

• Additional Corrective Action Required?

  Yes

  No

  N/A

Grain Handling Safety Program

• Initial & Annual Training documented?

  Yes

  No

  N/A

• Housekeeping logs properly documented?

  Yes

  No

  N/A

• Maintenance logs properly documented?

  Yes

  No

  N/A

• Bin entry permits are completed and maintained for previous 12 months?

  Yes

  No

  N/A

• Permit Required Confined Space, Alternate Procedures, and Reclassification documentation completed and maintained for previous 12 months?

  Yes

  No

  N/A

• Mineral Oil Documentation

  Yes

  No

  N/A

• Additional Corrective Act Required?

  Yes

  No

  N/A

Agronomy Program

• Initial & Annual Training documented?

  Yes

  No

  N/A

• Housekeeping and Inspection logs properly documented?

  Yes

  No

  N/A

• Maintenance logs properly documented?

  Yes

  No

  N/A

• Permit Required Confined Space, Alternate Procedures, and Reclassification documentation completed and maintained for previous 12 months?

  Yes

  No

  N/A

• Rainwater Discharge properly documented?

  Yes

  No

  N/A

• Fertilizer and Chemical Spill Emergency Response properly documented?

  Yes

  No

  N/A

• RMP to date with proper documentation of maintenance and housekeeping.

  Yes

  No

  N/A

Hazardous Communication Program

• Initial and Annual Training documented?

  Yes

  No

  N/A

• Employees are trained on the safe handling of the categories of hazardous materials they come into contact with?

  Yes

  No

  N/A

• Written program includes a list of all chemicals onsite?

  Yes

  No

  N/A

• Secondary resource available for accessing Safety Data Sheets?

  Yes

  No

  N/A

• Additional corrective actions required?

  Yes

  No

  N/A

Incident & Near Miss Reporting

• Initial and Annual Training documented?

  Yes

  No

  N/A

• Report forms are readily available?

  Yes

  No

  N/A

• Proper implementation of programs?

  Yes

  No

  N/A

Emergency Action Plan

• Initial and Annual Training documented?

  Yes

  No

  N/A

• Emergency Contacts up to date and readily available?

  Yes

  No

  N/A

• Maps identify fire extinguishers, emergency exits, etc.?

  Yes

  No

  N/A

• Emergency Action Plan

  Yes

  No

  N/A

• Hazardous Communication Program

  Yes

  No

  N/A

• Anhydrous and Respiratory Program

  Yes

  No

  N/A

• Lockout Tagout Program

  Yes

  No

  N/A

• Permit Required Confined Space, Alternate Procedures, and Reclassification

  Yes

  No

  N/A

• Gas Meters

  Yes

  No

  N/A

• Grain Handling Program

  Yes

  No

  N/A

• Fall Protection Policy

  Yes

  No

  N/A

• Agronomy Program

  Yes

  No

  N/A

• DOT & Non-DOT Policy

  Yes

  No

  N/A

• Near Miss & Incident Reporting Policy and Procedure

  Yes

  No

  N/A

• DOT - CDL and Non-CDL

  Yes

  No

  N/A