ADI ROM HSE Assessment

Title Page

Fire Extinguishers and Exits

First, take a look at the Evacuation Map that should be posted. Take a count of the extinguishers and exits to ensure you walk them all during your review. Check the box when you have made your notes in the next field.
Note here how many Extinguishers and Exits at the location. Then proceed with the check
Are fire extinguishers checked on a monthly basis?
Are Fire Extinguishers marked and properly mounted?
Are extinguishers checked annually by a qualified technician?
Are paths to fire extinguishers clear of obstructions?
Are all exits marked properly and exit signs unobstructed?
Is the path to the exit free of obstruction? (36" minimum)
Are exit signs illuminated?
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Warehouse Review

Are all circuit breakers labeled?
Do circuit breaker boxes have ARC Flash stickers affixed?
Is there at least 36 inches clearance in front of electrical panels?
If building is sprinklered, is storage at least 18 inches below sprinkler head height?
Is paint usable, stored away from heat sources, organized and properly identified?
Are all cleaning chemicals labeled?
Are there dents in the supporting legs of the warehouse racking?
Is the load capacity 2500lbs posted on all pallet racking?
Confirm no flammable material, i.e. propane, sterno or charcoal lighter fluid found in branch?
If the site is equipped with a rolling stair, is it in good condition?

Environmental

Is there a designated staging area for battery storage?
Are terminals on recycled batteries taped down?
Is the battery recycle storage area kept inside of the building at all times?
Are waste batteries on a pallet or in a container that will support the weight?
Is the container/skid labeled "Universal Waste Recycled Batteries"? And date marked when the first battery put in?<br>(Required by EPA to keep batteries no longer in accumulation for >1 year)
Is the shipping paperwork current? (Sites should be able to pull up prior shipments via the web or Bill of Lading)
Is all Universal waste recycled properly as referred to in policy A038?
Is there documentation of a Storm Water No Exposure certification or similar Storm water compliance document Policy S013 in the safety section of the Policy book?

Is there a daily documented inspection program with appropriate corrective action follow-up?
If the site has a powered industrial truck, does the site have an eyewash station?
Is the eyewash station inspected on a monthly basis?
Is the eyewash station clean?
Are truck wheels chocked, stops, or other means to prevent movement and is the driver out of the cab during truck loading / unloading operations? (any truck applies)
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Office / Records Review

Does the site have the updated safety policies in their Branch P&P Binder?
When questioned, do employees know how to report an incident?
Do the employees know how to get a SDS?
Has site conducted an evacuation drill during the calendar year and can provide a critique form as evidence?
Are the inspection results posted and corrective actions tracked to closure?
Does the site conduct weekly safety inspections and are copies retained for 1 year?
Does the site conduct documented monthly safety talks? Retain 1 yr
Is the "SDS Available upon Request" sign posted and visible?
Are annual certifications (driver tests) in place for all employees who operate a lift truck or other industrial vehicle?
Is there a current Manager's Evaluation Form for all employees operating powered industrial equipment?
Check door closers for tension/speed (risk of caught fingers?)
Verify video surveillance system: recording? Capacity? Cameras down? Blind spots?
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General Review

Is the current version of the Honeywell "Commitment to Health, Safety and the Environment" signed by the site leader, posted at the main entrance and throughout the facility at all key communication points?
Are all safety documents posted as per Policy BSS-001? (5 documents)
Is a log being used for the first aid kit to determine if event/injury is work related?
Is the first aid kit being checked for expired medications? Are all inside the kit within the expiration date?
Refrigerator, microwave, toaster and other breakroom appliances appear to be cleaned on a regular basis?
Is there a separation between storage of food and chemicals?
If winter, and needed, does the site have a supply of ice melt or rock salt?
Are all box openers retractable blade or blade covered (Klever Kutter)

Are GFCI used for electrical outlets at sinks? Check Restrooms, Breakroom, Hospitality, or any locations within 8ft of a water source.
Are electric cords being used as permanent wiring?
Are surge protectors used correctly? (No daisy chaining)
Did you observe any exposed wiring?
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