Information

  • Asphalt Plant Name

  • Asphalt Plant #

  • Employee(s) that work at this plant

  • Employee
  • Employee Name:

  • Conducted on

  • Prepared by:

  • Location
  • ASPHALT PLANT SAFETY OBSERVATIONS:

  • Safety Observation
  • NOTES:

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PERSONAL PROTECTIVE EQUIPMENT:

  • Hard hat

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  • Safety glasses

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  • Proper gloves

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  • Composite toed boots

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  • Does plant personnel coveralls have reflective tape sewn on it?

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  • Does plant personnel all have radio communication to communicate with each other?

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  • Hearing Protection

  • Type of device
  • Type of Device

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  • Respiratory Protection (Clean and Stored Properly)

  • Respiratory device
  • Is Respirator(s) Clean and Stored Properly?

  • Mask

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  • Compliant with NFPA 70E PPE

  • Assured Grounding Program or Ground-Fault Circuit Interrupter

  • Fall Protection Training

  • Confined Space Policy

  • Lock-out/Tag-out Policy

  • Respiratory Protection Policy

  • Chemical Hazard Communication Policy

  • Heat Stress Program

  • Has a designated hardhat area been painted out or designated for your site?

  • Has the Silo clearance height been posted under or around Silo's?

  • Is Supervisors’ First Aid/CPR cards up to date

General safety practices

1

  • Good House Keeping

  • House Keeping Area
  • Is the plant keeping good house keeping practice

  • House Keeping

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2

  • Are extra hard hats, safety glasses and vests available for everybody making a plant visit

  • PPE For Plant Visitors
  • Are extra hard hats, safety glasses and vests available for everybody making a plant visit

  • Extra safety glasses and vest

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3

  • Has Confined space air monitor been bump tested before each uses:

  • Confined Space Monitor
  • Has Confined space air monitor been bump tested before each use:

  • Air Monitor

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4

  • Confined Space Paperwork:

  • Paperwork
  • Is Their Confined Space Paperwork Completed Correctly:

  • Confined Space Paperwork

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5

  • Hot Work Permit:

  • Paperwork
  • Is Their Hot Work Permit Completed Correctly:

  • Hot Work Permit:

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6

  • Does plant have an emergency evacuation plan in place

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7

  • Are plant personnel familiar with emergency procedures

8

  • Are First-Aid Kit Fully Stock & Available

  • First-Aid Kit
  • First Aid kit

  • First Aid Kit

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9

  • Pressure Vessels Inspection Certification

  • Pressurized Vessel
  • Is the Pressure Vessels Inspected Certification Up To Date:<br><br><br><br><br><br><br>

  • Pressure Vessel

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10

  • Are all compressed gas bottles separated by type, flammable, and nonflammable and separated by a minimum of 20 feet:

  • Compressed Gas bottles
  • Are all compressed gas bottles separated

  • Bottles

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11

  • Is a back flash arrester in place on all Oxy-acetylene tanks?

12

  • Are the valve protection caps covering the valve stems of tanks?

13

  • Flammable and combustible liquids separated and stored in a fireproof cabinet:

  • Flammables & Combustibles
  • Are flammable and combustible liquids separated and stored in a fireproof cabinet:

  • Flammables and Combustible liquids

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14

  • Air compressors need to have service record

  • Air Compressor
  • Do all Air compressors have service record

  • Air compressor

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15

  • All secondary container (Oil, kerosene , diesel , release agent, etc.) must be labeled indicating the contents and hazard associated with the material

  • Container
  • All secondary container (Oil, kerosene , diesel , release agent, etc.) must be labeled indicating the contents and hazard associated with the material

  • Secondary Container

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16

  • All handtools, compressors and any other moving parts such as drive motors must have guards in place

  • Guards
  • Guarding in place

  • Guards

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17

  • Are guards on bench grinders adjusted within 1/8th of an inch from the grinding wheel or brush?

18

  • Is the spark arrester and the tool rest in place and properly adjusted on bench grinder?

19

  • Are hand and power tools in good working condition

  • Tools
  • Are hand and power tools in good working condition

  • Hand or Power Tool

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20

  • Has extension cords been inspected replace when pins, cut or damaged:

  • Extension Cords
  • Are the extension cords that are being used in good condition

  • Extension Cord

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21

  • Are emergency showers functional and signed properly:

  • Drench showers
  • Are emergency showers functional and signed properly:

  • Drench Shower

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22

  • Are ladders being used in good working condition with readable label and a means to tie them up when in use:

  • Ladder
  • Ladders in good working condition, readable label, means to tie them up when in use:

  • Ladder

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23

  • Has fire extinguisher been inspected and signed off on a monthly basis:

  • Fire Extinguisher
  • Has fire extinguisher been inspected and signed off on a monthly basis:

  • Fire Extinguisher

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24

  • Fall Protection Needs to be inspected on a regular basis and replaced when needed:

  • Fall Protection Device
  • Fall Protection Inspection

  • Does Fall Protection have an in service date?

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25

  • Confined Space stickers or signs needed at all entry way to any confined space:

  • Confined Space
  • Are Confined Space stickers or signs at all entry way to any confined spaces:

  • Confined Space

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26

  • Are walking and working area free of slips, trips and fall hazards

  • Walking & Working Surfaces
  • Are walking and working area free of slips, trips and fall hazards

  • Surfaces

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27

  • Has all exposed shaft ends that protrude more than a 1/2" been guarded:

  • Exposed Shaft Ends
  • Has all exposed shaft ends that protrude more than a 1/2" been guarded

  • Exposed Ends

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28

  • All moving belts must be protected

  • Protection use for moving belt
  • Are all belts protected

  • Moving Belt

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29

  • All storage tanks need to have stickers installed on all sides, "No Open flames/combustible" sticker needed when applicable

  • Storage Tanks
  • Does tank have a sticker identifying what it contains<br><br><br><br><br><br><br>

  • Type of Storage Tank

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30

  • Are liquid asphalt storage tanks walkways guarded with handrails. If the walkways are not used, they must be removed or blocked to avoid a fall from occurring.

  • Asphalt Storage Tanks
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31

  • Does liquid asphalt storage tanks walkway have handrails:

  • Liquid Asphalt Tanks
  • Does liquid asphalt storage tanks walkway have handrails:

  • Asphalt Storage Tank

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32

  • Are emergency showers functional and signed properly:

  • Drench showers
  • Are emergency showers functional and signed properly:

  • Drench Shower

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33

  • Electrical Control Panel (Can not have any missing panels, every breaker labeled & if it's in active it must be label)

  • Electrical Panel
  • Control Panel

  • Panel

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34

  • Wire Throughout the plant must be protected

  • Electrical Wire
  • Is Wire Throughout the plant protected ( when traveling over & through metal framework )

  • Electrical Wire

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35

  • Electrical wiring connections into motor junction boxes, MCC boxes, etc.

  • Electrical Connections
  • Are all electrical wiring connections into motor junction boxes, MCC boxes, etc. with appropriate couplers

  • Electrical Connections

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36

  • Is the truck spray racks free of any hazards

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37

  • Is the ticket access racks free of any hazards

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38

  • Plant vehicle inspected report

  • Pre & Post Trip Inspection Report
  • Has Vehicle been documented on a daily basic:

  • Vehicle

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39

  • Plant Equipment inspected report

  • Pre & Post Trip Inspection Report
  • Has Equipment been documented on a daily basic:

  • Equipment

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40

  • Plant signage in place (CB Channel, Hard hat area, Ect.)

  • Sign
  • Are all required plant signage in place:

  • Sign

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41

  • Man Lift / All terrain reach truck Inspection

  • Man lift / Reach Truck / Forklift
  • Are Man Lift / Forklift /All terrain reach truck been Inspected on a daily basic:

  • Lifting Equipment

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42

  • Rigging Hardware Inspection

  • Rigging Devices
  • Has all rigging hardware been inspected:

  • Rigging Hardware:

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43

  • Arc Flash

  • Labels, Rubber Gloves, Clothing
  • Is Arc flash protection in place:

  • Labels, Rubber gloves, Fire retardant clothing, Ect.

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44

  • Misc item

  • Misc. Item
  • Is miscellaneous item in compliance

  • Description of miscellaneous items:

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45

ANY UNSAFE WORK PRACTICE OBSERVE?

  • Unsafe Work Practices Observed

  • Unsafe Work Practice Observation
  • Unsafe Work Practices Observed

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Is follow-up Audit needed within the next 30 days?

  • If Yes, Why is follow-up needed?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.