Asphalt Plant Audit - Rev Aug. 2015

• Asphalt Plant Name

• Asphalt Plant #

• Employee(s) that work at this plant

Employee

• Employee Name:

• Conducted on

  Date

• Prepared by:

  Select Mike O'Neil John Bartkowski Rob Carrington Cal Beyer Risty Van Ogle

  • Mike O'Neil
  • John Bartkowski
  • Rob Carrington
  • Cal Beyer
  • Risty Van Ogle
• Location
  Address

• ASPHALT PLANT SAFETY OBSERVATIONS:

Safety Observation

• NOTES:

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PERSONAL PROTECTIVE EQUIPMENT:

• Hard hat

  Yes

  No

  N/A

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• Safety glasses

  Yes

  No

  N/A

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• Proper gloves

  Yes

  No

  N/A

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• Composite toed boots

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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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?

  Yes

  No

  N/A

• Mask

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• Compliant with NFPA 70E PPE

  Yes

  No

  N/A

• Assured Grounding Program or Ground-Fault Circuit Interrupter

  Yes

  No

  N/A

• Fall Protection Training

  Yes

  No

  N/A

• Confined Space Policy

  Yes

  No

  N/A

• Lock-out/Tag-out Policy

  Yes

  No

  N/A

• Respiratory Protection Policy

  Yes

  No

  N/A

• Chemical Hazard Communication Policy

  Yes

  No

  N/A

• Heat Stress Program

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

General safety practices

1

• Good House Keeping

House Keeping Area

• Is the plant keeping good house keeping practice

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• 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:

  Yes

  No

  N/A

• Air Monitor

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4

• Confined Space Paperwork:

Paperwork

• Is Their Confined Space Paperwork Completed Correctly:

  Yes

  No

  N/A

• Confined Space Paperwork

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5

• Hot Work Permit:

Paperwork

• Is Their Hot Work Permit Completed Correctly:

  Yes

  No

  N/A

• Hot Work Permit:

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6

• Does plant have an emergency evacuation plan in place

  Yes

  No

  N/A

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7

• Are plant personnel familiar with emergency procedures

  Yes

  No

  N/A

8

• Are First-Aid Kit Fully Stock & Available

First-Aid Kit

• First Aid kit

  Yes

  No

  N/A

• 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>

  Yes

  No

  N/A

• Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• Bottles

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11

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

  Yes

  No

  N/A

12

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

  Yes

  No

  N/A

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:

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• Guards

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17

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

  Yes

  No

  N/A

18

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

  Yes

  No

  N/A

19

• Are hand and power tools in good working condition

Tools

• Are hand and power tools in good working condition

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• Extension Cord

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21

• Are emergency showers functional and signed properly:

Drench showers

• Are emergency showers functional and signed properly:

  Yes

  No

  N/A

• 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:

  Yes

  No

  N/A

• 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:

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• 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:

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• Exposed Ends

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28

• All moving belts must be protected

Protection use for moving belt

• Are all belts protected

  Yes

  No

  N/A

• 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>

  Yes

  No

  N/A

• 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

• Yes

  No

  N/A

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31

• Does liquid asphalt storage tanks walkway have handrails:

Liquid Asphalt Tanks

• Does liquid asphalt storage tanks walkway have handrails:

  Yes

  No

  N/A

• Asphalt Storage Tank

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32

• Are emergency showers functional and signed properly:

Drench showers

• Are emergency showers functional and signed properly:

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• 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 )

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• Electrical Connections

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36

• Is the truck spray racks free of any hazards

  Yes

  No

  N/A

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37

• Is the ticket access racks free of any hazards

  Yes

  No

  N/A

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38

• Plant vehicle inspected report

Pre & Post Trip Inspection Report

• Has Vehicle been documented on a daily basic:

  Yes

  No

  N/A

• Vehicle

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39

• Plant Equipment inspected report

Pre & Post Trip Inspection Report

• Has Equipment been documented on a daily basic:

  Yes

  No

  N/A

• Equipment

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40

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

Sign

• Are all required plant signage in place:

  Yes

  No

  N/A

• 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:

  Yes

  No

  N/A

• Lifting Equipment

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42

• Rigging Hardware Inspection

Rigging Devices

• Has all rigging hardware been inspected:

  Yes

  No

  N/A

• Rigging Hardware:

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43

• Arc Flash

Labels, Rubber Gloves, Clothing

• Is Arc flash protection in place:

  Yes

  No

  N/A

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

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44

• Misc item

Misc. Item

• Is miscellaneous item in compliance

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

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

• YES

  NO

• If Yes, Why is follow-up needed?