Title Page
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Facility Name
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Audit Date
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Auditors
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Section 1 = Safety & Health Administration - Eligible Points = 21
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Section 2 = Regulatory Compliance - Eligible Points = 122
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Section 3 = Machine Specific - Eligible Points = 5
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Section 4 = Equipment Inspections - Eligible Points = 14
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Section 5 = Air Monitoring - Eligible Points = 1
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Comments
Safety & Health Administration
Reporting and Tracking of Accidents and Illnesses
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A. Current OSHA log (Form 300) is maintained and up to date
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B. Completed OSHA logs are maintained and available for review for the previous five years
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C. An OSHA Form 301 (Injury and Illness Incident Report) or adequate State Workers' Compensation First Report of Injury is on file for the current year each injury or illness
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D. OSHA Form 301 (or State Workers' Compensation First Report of Injury) is on file and maintained for the previous five years
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E. The completed OSHA 300-A Summary forms is posted in a prominent place between February 1 - April 30
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F. Completed OSHA 300-A summary forms are maintained for the previous 5 years
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G. OSHA required information is readily accessible to meet 4 hour accessibility requirement. (OSHA 300 and 300-A forms)
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Medical/Treatment
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A. First Aid/CPR/AED training is completed for site personnel with documentation
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B. Standing orders have been developed by a physician and reviewed every two years with documentation
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C. First aid kits available and appropriately stocked
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Incident Reporting and Investigation Procedures
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A. Supervisor incident reports are completed for all OSHA record-able accidents and near misses deemed serious
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B. Incident Review Boards are conducted for any OSHA record-able, property damage, involving powered industrial equipment or other incidents with potential for serious injury. (IRB form completed)
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Safety Committee
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A. Safety Steering team meetings are held monthly with documentation
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B. Facility Safety teams meet at least on a monthly basis with documentation & include ergonomics
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C. Facility Safety team members are provided documented training on their responsibilities
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D. Facility Safety teams conduct periodic audits of the facility to include ergonomics
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E. Process Safety Management (PSM) meetings are held at least on a monthly basis with documentation
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F. Facility safety/engineering/maintenance planning meetings are held on a weekly basis
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Facility Safety Inspections
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A. Daily safety inspections are conducted and documented. Deficiencies identified are corrected with documentation
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B. Monthly safety inspections are conducted and documented. Deficiencies identified are corrected with documentation
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C. Quarterly facility inspections are conducted and documented. Deficiencies are corrected and documented
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Regulatory Compliance
Fire Prevention and Protection
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A. Fire extinguisher training is conducted on an annual basis for authorized users through the Alchemy LMS
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B. Fire extinguishers are inspected monthly with documentation
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C. Fire extinguishers are inspected annually by a third party with documentation
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D. Fire extinguishers are not blocked
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E. Maximum travel distance for a fire extinguisher is 75 feet
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F. Fire extinguishers are not mounted above 5 feet and no less than 4 inches off the floor
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G. Authorized employees receive initial "Hot Work" training with refresher training every three years through the Alchemy LMS
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H. Hot Work Permits are fully utilized and completed accurately
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I. Areas requiring hot work permits are identified with documentation
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J. Hot Work Permits are maintained onsite for 30 days
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K. The hot work program and completed hot work permits (30 days) are evaluated on an annual basis with documentation
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L. Sprinklers Systems and alarms are inspected quarterly by a third party with documentation
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M. Annual Pump test are completed for sprinkler systems by a third party with documentation
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N. Sprinkler pumps are test run weekly (in-house) with documentation
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O. Monthly valve position inspections for each sprinkler riser is conducted monthly in-house with documentation
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Walking Surfaces
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A. All work platforms, stairs, ladders and mezzanines are designed according to Mountaire and OSHA construction standards
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B. Floors are in good condition and slip resistant
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C. Drain grating is in good condition and slip resistant
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D. Signage and warning cones are used during floor cleaning
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Personal Protective Equipment (PPE)
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A. Job/task specific PPE hazard assessments have been performed to determine PPE needs
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B. Job/task specific PPE hazard assessments are reviewed on an annual basis
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C. Observations indicate that employees are wearing PPE as required by job task
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Hearing Conservation
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A. Sound levels have been measured and documented for all areas of the facility (annually)
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B. Warning signs are posted in high noise areas
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C. Audiometric examinations are conducted for affected employees on an annual basis
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D. The OSHA hearing conservation program standard is posted in the facility
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E. The written hearing conservation program is audited on an annual basis
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F. Hearing conservation training is conducted on an annual basis
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G. Employees with hearing shifts are retrained on the proper use of hearing protection with documentation
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Hazard Communication
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A. All chemicals on-site are pre-approved by Safety & Environmental and in the MSDS online system
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B. All containers are clearly labeled including the appropriate warnings and pictograms
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C. Chemicals not in original container and not for immediate use have GHS labels (pictograms, signal word & precautionary statements)
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D. MSDS online icon is available on Kiosks
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E. The written hazard communication program is audited on an annual basis
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Hazardous Energy Control - Lockout/Tagout
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A. Types of locks utilized are identifiable and issued to authorized employees
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B. All authorized employees are properly trained on the lockout/tagout program through the Alchemy & Training Department (initial & annual refresher)
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C. All authorized employees are trained on the "LOTO Observation Skills Steps" annually with documentation (form developed)
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D. Written lockout/tagout procedures have been developed for each piece of equipment addressing all types of energy as required
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E. Locations for lockout/tagout disconnects are listed for each unit in the written procedure
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F. An annual inspection of energy control procedures will be conducted to include verification of authorized personnel understanding of LOTO machine specific procedures (documented)
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G. Line opening permits are maintained on-site for 1 year
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H. Annual review of completed line opening permits is completed with documentation
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Powered Industrial Equipment
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A. Authorized pallet jack operators receive initial training with refresher training every 2 years (documented)
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B. Authorized fork lift operators receive initial training with refresher training every 2 years (documented)
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C. Pallet jack pre-trip inspections are completed with documentation
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D. Fork lift pre-trip inspections are completed with documentation
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E. Forklifts are equipped with backup alarms, horns, lights & fire extinguishers
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F. All forklifts are equipped with overhead protection and seat belts
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G. Pallet jack and fork lift operators are carrying their certification license
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H. Seat belts are being worn on all forklifts
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I. Authorized skid steer operators receive initial training with refresher training every 2 years (documented)
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J. Skid steer pre-trip inspections are completed with documentation
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K. Authorized articulating boom operators receive initial training with refresher training every 3 years (documented)
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Emergency Action Plans - Egress
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A. An Emergency Action Plan has been developed and updated when facility changes are made. (fire, chemical, weather, bomb threat & medical emergency)
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B. The Emergency Action Plan is reviewed on an annual basis with documentation
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C. Exit signs are illuminated with a minimum of 5 foot candles of light
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D. Doors that are not exits are marked "Not an Exit"
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E. Exits are not blocked
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F. Egress exit doors are not locked or equipped with appropriate panic bars
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G. Annual fire evacuation drills are conducted by shift with documentation (includes head count)
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H. All supervisors are trained on emergency evacuation procedures on an annual basis with documentation
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I. Evacuation assembly areas are designated (Signage for processing facilities)
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J. Emergency lighting is in working order and inspected on a monthly basis with documentation
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K. Local Fire Department has conducted site visit within the last three years with documentation
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Bloodborne Pathogens
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A. Bio-waste bags and/or sharps containers are labeled and utilized
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B. Authorized employees are trained on an annual basis through Alchemy (medical, janitorial, first aid & others)
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C. Documentation exists that hepatitis vaccinations are offered to employees
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D. Personal protective equipment (PPE) has been issued to all bloodborne pathogen responders
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Confined Space Entry
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A. All authorized employees are trained on confined space entry through the Alchemy LMS every three years
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B. Rescue training is completed for authorized confined space trained employees with documentation (if needed)
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C. Air monitoring equipment is maintained and available on-site for any confined space entries
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D. A master list of confined spaces is maintained
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E. All confined spaces are posted with appropriate signage
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F. Rescue equipment is maintained or available on-site at time of any confined space entry. (confined spaces not declassified)
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G. Confined space permits are maintained on-site for one year
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H. The confined space program and confined space permits are evaluated on an annual basis with documentation
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Respiratory Protection
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A. Respiratory protection training is conducted through the Alchemy LMS on an annual basis
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B. Appendix D form is completed for all employees wearing respirators on a voluntary basis
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C. Respiratory physicals are performed on an annual basis with documentation of clearance from our medical provider
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D. Fit testing is performed for all employees wearing respirators. Requires documentation by each type of mask/regulator
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E. Respirators are clean and stored in an appropriate container or bag
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Formaldehyde
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A. New hire orientation training for Formaldehyde is completed for affected employees through the Alchemy LMS to include temporary and contract workers
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B. Annual formaldehyde training is completed for authorized employees through the Alchemy LMS to include temporary and contract workers
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C. Warning signage is utilized to identify hallways/rooms during formaldehyde use
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D. Bulk storage of formaldehyde has appropriate warning signage
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E. Procedures are developed for dispensing of formaldehyde to include wick cleaning and emergency spills
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F. Medical Disease physicals are performed as based on air monitoring results. (above STEL=2.0 ppm, above AL=.5 PPM TWA)
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Machine and Power Transmission Guarding
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A. Blades of fans less than seven (7) feet above the floor or working level are guarded. The guard must not have openings larger than one-half (1/2) inch
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B. Power transmission equipment (pulleys/chains/gears/sprockets) less than seven (7) feet above the floor or working level are guarded front and back
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C. All exposed parts of shafts less than (7) feet above the floor or working level is protected by casing enclosing the shaft
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D. Projecting shaft ends have smooth edges and do not project more than one half diameter of the shaft unless guarded by non-rotating caps
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E. Unused shaft keyways are filled or covered
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Contractor Safety
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A. "Contractor Safety Approval" form is completed for each contractor
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B. Periodic audits are conducted of contractors on-site work with documentation
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Fall Protection
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A. Initial fall protection training is provided to authorized employees with refresher training every 3 years through the Alchemy LMS
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Electrical Safety
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A. No observed missing electrical covers
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B. Electric panels are not blocked (3 feet)
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C. Electrical panels are clearly labeled
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D. Electric panel covers/doors/troughs are not missing anchor screws with all knockouts sealed
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E. Electrical panel blanks are properly covered
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F. Electrical conduit is utilized for all permanent machinery and equipment
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G. Extension cords are in good condition with appropriate ground plugs
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H. GFCI's are utilized for construction like work. (extension cords for portable power tool, ect...)
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I. Arc flash analysis and appropriate labels are posted on all electric panels
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J. Arc flash analysis is re-certified every 5 years with documentation
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K. Initial NFPA 70 E training has been conducted through the Alchemy LMS with refresher every 3 years for affected personnel
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L. Arc flash PPE is available on-site with reasonable access
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Shipping and Loading Docks
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A. Wheel chocks are available and utilized
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B. Daily pre-trip inspections are conducted for jockey trucks with documentation
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C. Dock doors are lighted and identified
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D. Dock plates and levelers are in good condition
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E. Docking safety systems are in good working condition (lights)
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Grain and Feed Handling
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A. All pit grates have an opening grid of 2.5 inches or less
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B. Good housekeeping exists which includes evidence or 1/8 inch or less of grain dust
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C. A written program for emergency action plans for grain and feed handling has been established (fire, explosion, rescue, ect...)
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D. Employees have been trained on emergency action plans for grain and feed handling situations with documentation
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E. Affected employees have been trained on bin entry procedures with documentation
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F. A written housekeeping program has been developed by area/equipment with documented compliance
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G. A written program for preventive maintenance established for grain legs and key equipment with documentation of compliance
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H. Rail/train car safety procedures have been developed with documented training
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I. Bin entry permits are maintained for 1 year
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J. Annual review of the bin entry procedure to include bin entry permits is completed with documentation
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Machine Specific
Machine Specific and Task Training
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A. Verify new hire orientation is being conducted per approved playlist/learning plan. (random select 20 - processing, 5-Live & 2-Grain)
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B. Monthly awareness safety training is conducted for the entire facility with documentation
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C. Boiler low water cut-out safeties are tested daily with documentation
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D. Boiler daily operating pressure logs are maintained to ensure safe parameters with documentation
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E. Procedures have been developed for pallet jack battery changing with documented training
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Equipment Inspections
Equipment Inspection
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A. Engineered fall protection systems are inspected on an annual basis by a third party with documentation
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B. Safety harnesses & lanyards inspected annually with documentation (in-house)
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C. Self retracting lifelines (SRL's) are inspected on an annual basis with documentation (non-engineered system, in-house)
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D. Anchor (slings) hardware inspected annually with documentation (in-house)
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E. Ladders are inspected on annual basis by safety with documentation
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F. Emergency eye wash and showers are available and inspected on a monthly basis with documentation
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G. Emergency eye wash and showers are clean and functioning
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H. Hoist are inspected on an annual basis by a third party with documentation
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I. Hoist beams are marked with load rating
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J. Storage mezzanines have signage for load rating
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K. Bench grinders have all the guards with tool rest not to exceed 1/4 inch and shatter guard not to exceed 1/8 inch
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L. Drill press is mounted to the floor and has bit guarding
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M. Welders are in good condition including leads, power cords, and plugs
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N. Oxygen cylinders are stored at least 20 feet from flammable tanks or separated by 5 foot high - one hour fire barrier
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Air Monitoring
Air Monitoring
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A. Personal air monitoring conducted every two years for dust with the results posted. Note: Change in process requires new monitoring. (Live Hang, Hatchery & Feed Mill)
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