Ag Services, LLC Feed Yard Annual Audit - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ACCIDENT PREVENTION PROGRAM

Active Management Support

• Is there active management support from the GM and Supervisors

  Yes

  No

  N/A

Return To Work

• Is there a written return-to-work program?

  Yes

  No

  N/A

New Hire Training

• Has new hire training been conducted timely and thoroughly?

  Yes

  No

  N/A

• Does the company have new employee protocols involving supervisors?

  Yes

  No

  N/A

Manager Facility Reviews

• Department manager is conducting and documenting all monthly inspections

  Yes

  No

  N/A

• Describe the documentation utilized.

On Going Training

• Documented monthly trainings being conducted?

  Yes

  No

  N/A

• Describe the documentation utilized.

Accident Investigations

• There is a written accident investigation program in place?

  Yes

  No

  N/A

• Written program addresses protocols and responsibilities?

  Yes

  No

  N/A

Near Miss Program

• There is a process in place to identify near misses?

  Yes

  No

  N/A

• Once near misses are identified, are they adequately addressed?

  Yes

  No

  N/A

Program Enforcement

• Violations of the safety programs are documented?

  Yes

  No

  N/A

• Job safety observations are completed by company supervisors?

  Yes

  No

  N/A

Written Programs

• Are there written SOP's for different job duties?

  Yes

  No

  N/A

• Are there specific written programs to address unique hazards of the workplace?

  Yes

  No

  N/A

Program Measurement

• What method is utilized to measure the safety program?

  Select DART Rate Work Comp Experince Mod Rate Incidence Rate Near Miss Program

  • DART Rate
  • Work Comp Experince Mod Rate
  • Incidence Rate
  • Near Miss Program

• Insert the rates from above.

• Yes

  No

  N/A

Processing and Animal Handling

Training over proper animal handling has been completed with employees

• Employees have completed BQA training, with documentation of completion?

  Yes

  No

  N/A

• Employees have completed Animal Handling training?

  Yes

  No

  N/A

Medications, SHARPS, and chemicals

• All medications have SDS in the SDS binder <br>

  Yes

  No

  N/A

• Are SHARPS Containers disposed of safely?

  Yes

  No

  N/A

• How are SHARPS Containers disposed of?

  Yes

  No

  N/A

Worker Protection Standard

• Unlicensed applicators and other handlers have WPS training documented annually

  Yes

  No

  N/A

• Is label required PPE available to all handlers, mixers, and loaders?

  Yes

  No

  N/A

• Select all PPE available.

  Select Protective Eyewear Gloves Chem Resistant Footwear Respirator Chem Resistant Apron Chem Resistant Coveralls Chem Resistant Headgear

  • Protective Eyewear
  • Gloves
  • Chem Resistant Footwear
  • Respirator
  • Chem Resistant Apron
  • Chem Resistant Coveralls
  • Chem Resistant Headgear

GRAIN FACILITIES

Facility Audits

• Facilities are audited at least quarterly by safety director.

  Yes

  No

  N/A

Fumigation Management Plan

• Written FMP.

  Yes

  No

  N/A

• Application record keeping is documented and kept on file.

  Yes

  No

  N/A

• Employees and first responders are notified when fumigation occurs.

  Yes

  No

  N/A

• Monitoring records documented and available.

  Yes

  No

  N/A

• Monitoring equipment is adequate.

  Yes

  No

  N/A

• Fumigant is stored properly.

  Yes

  No

  N/A

• Label required PPE available for fumigation.

  Yes

  No

  N/A

FDA Bio-Security

• Bio Security plan is updated and trained on at least every 5 years.

  Yes

  No

  N/A

• FDA registration is renewed biennially.

  Yes

  No

  N/A

• FDA passwords and registration information saved and filed securely.

  Yes

  No

  N/A

Bin Entry Permits

• Permits filed and completed properly.

  Yes

  No

  N/A

• Audited annually and purged or filed away as per policy.

  Yes

  No

  N/A

• SOP's included in bin entry program are appropriate for each type of bin.

  Yes

  No

  N/A

Out of Condition Grain

• Policy addresses out of condition grain and procedures when problem arises.

  Yes

  No

  N/A

• Training addresses out of condition grain.

  Yes

  No

  N/A

Hot Work Program

• Completed hot work permits for work conducted in grain and feed facilities.

  Yes

  No

  N/A

• Program in place to find all possible alternatives to hot work.

  Yes

  No

  N/A

• Program addresses all hazardous locations outside of elevator or mill.

  Yes

  No

  N/A

Housekeeping & Maintenance

• Written housekeeping plan in place that addresses priority and non-priority housekeeping areas.

  Yes

  No

  N/A

• Documented housekeeping in place as per policy.

  Yes

  No

  N/A

• Training on elements of a dust explosion.

  Yes

  No

  N/A

• Choked leg procedure in place.

  Yes

  No

  N/A

• Written preventative maintenance schedule on file and trained on.

  Yes

  No

  N/A

• Maintenance activities documented as per company policy.

  Yes

  No

  N/A

Manlift

• Job specific training completed

  Yes

  No

  N/A

• Annual inspections completed by a 3rd party inspector.

  Yes

  No

  N/A

• Documented 6 month inspection documented in house.

  Yes

  No

  N/A

Rescue Equipment

• Select all rescue equipment available at the facility.

  Select cofferdam tripod winch lifeline body harnesses lanyards anchor points rope grabs come-a-long saws class II group G lighting other

  • cofferdam
  • tripod
  • winch
  • lifeline
  • body harnesses
  • lanyards
  • anchor points
  • rope grabs
  • come-a-long
  • saws
  • class II group G lighting
  • other

• Other.

OSHA

Safety Manuals

• Facility has current safety policies.

  Yes

  No

  N/A

• Facility has current emergency information.

  Yes

  No

  N/A

• Facility has current maps in the EAP.

  Yes

  No

  N/A

Lockout/Tag-Out

• HECP's in place for all energized equipment in detail.

  Yes

  No

  N/A

• Completed LOTO permits as per company policy.

  Yes

  No

  N/A

• Annual/periodic inspections for all authorized employees.

  Yes

  No

  N/A

• List of authorized employees.

  Yes

  No

  N/A

Hazard Communication

• Current chemical list in place as per hazcomm policy.

  Yes

  No

  N/A

• Written hazcomm policy.

  Yes

  No

  N/A

• Training on new GHS standard.

  Yes

  No

  N/A

• All SDS' available for all chemicals on site.

  Yes

  No

  N/A

• Facilities are properly labeled for NFPA 704.

  Yes

  No

  N/A

Permit Required Confined Spaces

• Written program and training conducted.

  Yes

  No

  N/A

• An evaluation of all PRCS on site.

  Yes

  No

  N/A

• Written entry procedures for each space.

  Yes

  No

  N/A

• Alternate procedures, reclassifications, and entry permits are reviewed annually.

  Yes

  No

  N/A

• Rescue procedures and evaluations completed for all PRCS on site.

  Yes

  No

  N/A

Wheel loader

• Classroom training completed on all operators.

  Yes

  No

  N/A

• Hands on training completed for all operators.

  Yes

  No

  N/A

• Performance evaluation conducted on all operators at least every 3 years.

  Yes

  No

  N/A

Specialized Equipment

• Training as per owners manual.

  Yes

  No

  N/A

• Written program for specialized equipment.

  Yes

  No

  N/A

• Performance evaluations for all equipment operators.

  Yes

  No

  N/A

Emergency Action Plans

• Written plan of what to do, where to go, and responsibilities.

  Yes

  No

  N/A

• Emergency phone numbers are current and complete.

  Yes

  No

  N/A

• Personnel roster is current and complete.

  Yes

  No

  N/A

Fire Prevention Plan

• Written plan adequately addresses major fire hazards on site.

  Yes

  No

  N/A

• Training on fire extinguishers as per policy.

  Yes

  No

  N/A

Personal Protective Equipment

• Hazard assessment completed and signed off by management that details required PPE.

  Yes

  No

  N/A

• Training of employees for required PPE.

  Yes

  No

  N/A

• Respiratory protection program is necessary.

  Yes

  No

  N/A

• Medical evaluations completed for employees in respiratory protection program.

  Yes

  No

  N/A

• Fit testing completed annually.

  Yes

  No

  N/A

Bloodborne Pathogens Program

• Written program and training.

  Yes

  No

  N/A

Contractor Safety

• Procedure in place to inform contractors of potential hazards they may encounter.

  Yes

  No

  N/A

• Contractor orientation guidelines are detailed and site specific.

  Yes

  No

  N/A

• Orientation is documented for all contract employees.

  Yes

  No

  N/A

Electrical Safety Program

• Written program in place.

  Yes

  No

  N/A

• Training for authorized employees.

  Yes

  No

  N/A

• PPE provided and trained on.

  Yes

  No

  N/A

Miscellaneous Programs

• Training for employees on safe lifting and back injuries.

  Yes

  No

  N/A

• Training completed for fixed, extension, and step ladders.

  Yes

  No

  N/A

• Training and PPE for slips, trips, and falls.

  Yes

  No

  N/A

• Machine guarding is in place to protect employees from all pinch, nip, and sheer points.

  Yes

  No

  N/A

HAZWOPER

• 24 Hour HAZWOPER training for employees.

  Yes

  No

  N/A

• 8 hour refresher training for 24 hour trained employees annually.

  Yes

  No

  N/A

Welding/Cutting

• Written program, training, and PPE in place.

  Yes

  No

  N/A

• Storage of compressed gases is safe. 20' separation or 30 min firewall.

  Yes

  No

  N/A

Accident Reporting

• OSHA 300 logs filled out appropriately.

  Yes

  No

  N/A

• State work comp form filled out and reported timely.

  Yes

  No

  N/A

• Supervisor is involved in accident reporting and investigation process.

  Yes

  No

  N/A

PETROLEUM

• Training on flammable liquids and flammable liquids storage.

  Yes

  No

  N/A

Aboveground Fuels

• SPCC plan in place for 1,320 gallons or more. More than 10,000 requires a plan by a PE.

  Yes

  No

  N/A

• SPCC plan is reviewed internally annually.

  Yes

  No

  N/A

• SPCC is reviewed every 5 years by PE.

  Yes

  No

  N/A

Underground Fuels

• Class A/B/C operators on site according to state and EPA regulations.

  Yes

  No

  N/A

• State permitting in place for UST's.

  Yes

  No

  N/A

SHOPS

Housekeeping/Cleanliness

• All containers are labeled appropriately.

  Yes

  No

  N/A

• Shop is free from slip, trip, and fall hazards. Is clutter free. Is well kept.

  Yes

  No

  N/A

General Shop Safety

• Power tools have guards in place and cords in good shape.

  Yes

  No

  N/A

• Grinder has rest within 1/8" tongue within 1/4" and 2 shields in place.

  Yes

  No

  N/A

• Grinding wheels are inspected and a ring test completed prior to putting into service.

  Yes

  No

  N/A

• PPE is clean and accessible.

  Yes

  No

  N/A

Automotive

• Auto lift has been trained on.

  Yes

  No

  N/A

• Lift hoist has been inspected annually.

  Yes

  No

  N/A

• Tire changing procedures have been trained on.

  Yes

  No

  N/A

• Wheel charts are posted in the tire shop.

  Yes

  No

  N/A

• Are widowmaker wheels still serviced in this shop?

  Yes

  No

  N/A

• Date the last recommendation to stop servicing these wheels.

• Tire service manager trains new employees with hands on training for all types of wheels. Training is documented.

  Yes

  No

  N/A