Campbell's Safety Audit

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Campbell Soup Company Health and Safety Audit

"Build an environment that will deliver World Class Safety Performance, which is in support of our Campbell Mission to become the world's most Extraordinary Food Company"
Client / Site
Prepared by
Location
Auditor Assignments
Section 5: Leadership
Section 6: Orientation Training
Section 7: Material & Services Procurement
Section 8: Risk Assessment Procurement
Section 9: Risk Management in Design
Section 10: Risk Management in Application
Note: These assignments are primarily for program and documentation questions - jobs, interview questions team effort)
10.4: Chemical Hazards
10.5: Occupational Hygiene - Monitoring Program
10.6: Airborne Exposures Below 50% of Hygiene Standard
10.7: Airborne Exposures Above 100% of Hygiene Standard
10.8: Radiation Control Program Inventory Requirements
10.9: Radiation Protection Plan
10.10: Requirements for all non-ionizing Devices
10.11: Illumination
10.12: Temperature
10.13: Ergonomics
10.14: Fire & Life Safety
10.15: Electrical
10.16: Mechanical
10.17: Energy Control
10.18: Walking/Working Surfaces-Fall from Elevation
10.19: Walking/Working Surfaces-Slip and Fall
10.20: Permit Required Operations and Non-Routine Tasks
10.21: Hot Work
10.22: Confined Space
10.23: Steel Storage Racking
10.24: Control of Highly Hazardous Chemicals
10.25: Control of Exterior Building, Grounds and Roof Hazards
10.26: Powered Industrial Equipment
Section 11: Personal Protective Equipment
Section 12: Emergency Response
Section 13: Incident Investigation
Section 14: Inspections and Audits
Section 17: Medical Management

5.4

5.4 Safety Policy Statement The corporate safety policy reflects Campbell's determination to to act as a good corporate citizen and emphasize management's responsibility to ensure a safe workplace and that local and country safety and health regulations are met. This policy supports the company's business strategy by addressing safety and health issues affecting sales and marketing, research, development, and manufacturing while continuing to ensure the safety of our employees, customers and the public.

5.4.1
Meets Minimum Standard: Commitment to safety and health Verification Method: D
5.4.2
Meets Minimum Standard: Compliance with all applicable safety and health government requirements Verification Method: D
5.4.3
Meets Minimum Standard: Basic goals, objectives, and standards for the protection of people, equipment, and property. Verification Method: D
5.4.4
Meets Minimum Standard: Responsibilities and accountabilities of management and of all employees for implementing the safety management system. Verification Method: D
5.4.5
Meets Minimum Standard: Programs for managing safety and health issues that include injuries, illnesses, and property damage. Verification Method: D
Exceeds Minimum Standard: Also includes off the job safety, environment and community. Verification Method: D
5.4.6
Meets Minimum Standard: The most senior manager at the facility signs the safety policy statement. Verification Method: D
5.4.7
Meets Minimum Standard: Posted on Employees Information Board Verification Method: O
5.4.8
Meets Minimum Standard: The local safety policy is reviewed and revised annually and when plant management has changed. Verification Method: D
Exceeds Minimum Standard: The policy is communicated annually to all employees. Verification Method: D
Gold Standard: Does the plant have a safety policy - can you tell me where to find it and what is in the policy? Verification Method: D
5.4.9
Meets Minimum Standard: Expectations that all employees are required to work safely as a condition of employment. Verification Method: D

5.5

5.5 Safety Performance Requirements, Goals & Objectives Business/facility management shall ensure that safety and health performance requirements are clearly defined, documented and annually reviewed for all employees. Global guideline requirement: Safety performance requirements, goals and objectives (review documentation for evidence of safety KPIs, may be in Performance Appraisals, IPPS, separate scorecards, job descriptions, etc.)

5.5.1
Meets Minimum Standard: Safety Accountabilities, both numeric objectives and required activities, defined in writing for all operations-salaried management. Verification Method: D
Exceeds Minimum Standard: Safety accountabilities, both numeric objectives and required activities, defined in writing for all hourly leaders, coordinators, or anyone who served in a supervisor role. Verification Method: D
Gold Standard: Employees are responsible for a minimum of one safety activity (ladder inspections, eye wash station inspections, training records, etc.). A list of employees and their safety duties are required. Verification Method: D
5.5.2
Meets Minimum Standard: Employee accountability for following safety rules (employees must sign a statement or pledge that they have the knowledge and understand safety rules). Verification Method: D
Exceeds Minimum Standard: There is a formal program and or documentation that requires employees and their supervisors to be disciplined for failing to comply with safety procedures, not as a result of being injured. (There is evidence over the past 3-4 years of discipline or enforcement of safety rules and policies.) Verification Method: D
Meets Minimum Standard: There is a formal program and or documentation that requires managers to be held accountable for their employees for failing to comply with safety procedures, not as a result of being injured. (There is evidence over the past 3-4 years of discipline or enforcement of safety rules and policies.) Verification Method: D

5.6

5.6 Safety Staffing Business/facility management shall establish a policy for formally appointing a person to administer its safety and health processes. The person should have access to resources and training opportunities, including but not limited to those provided by or in cooperation with professional safety and health organizations. Business/facility management shall consult with GH&S to evaluate local safety staff and resources. Staffing and resources shall correspond to the size of the facility, types of operations, and their hazards. Global guideline requirement: Safety staffing appropriate to the size of the facility, types of operations nudged the he hazards present are available. (review organizational chart to establish structure, verify via interview with safety person.)

5.6.1
Meets Minimum Standard: Designated person appointed to coordinate H&S Verification Method: I
Exceeds Minimum Standard: Designated safety program coordinator reports directly to the highest ranking official. Verification Method: I
Gold Standard: Designated safety program coordinator reports directly to the highest ranking official and is a member of the plant leadership team. Verification Method: I
5.6.2
Meets Minimum Standard: The H&S person has access to resources and has attended a minimum of one training event. Verification Method: I
Exceeds Minimum Standard: Plant H&S person has attended a conference or training session related to pertinent H&S topic 2 or more times within the last 12 months. Verification Method: I
Gold Standard: The H&S person has attended a conference or training session related to pertinent H&S topic 3 or more times within the last 12 months. Verification Method: I
5.6.3
Meets Minimum Standard: Facility has assigned safety program owner responsibilities. Verification Method: P
Exceeds Minimum Standard: Program owner is provided training and/or resources to successfully manage their assigned program. Verification Method: I

5.7

5.7 Employee Involvement and Communications - Meetings Business/facility management shall develop procedures to ensure the reliable transfer of vital safety and health information. The procedures should ensure the following standards as listed below. Look for documented evidence of information transfer, such as minutes, memos, safety postings, intranet sites, newsletters, etc. Verify via interviews with management, employees, and safety personnel.

5.7.1
Meets Minimum Standard: Safety is an agenda item at management meetings. Verification Method: D
5.7.2
Meets Minimum Standard: Summaries of safety performance metrics (incident rates). Verification Method: D
Exceeds Minimum Standard: Are safety metrics and triggers defined and posted at DDS meetings? Verification Method: O
Gold Standard: Can you define the safety metrics and triggers for your operation? Verification Method: I
5.7.3
Meets Minimum Standard: Follow-up on inspection findings. Verification Method: D
5.7.4
Meets Minimum Standard: Information about significant accidents (reportable incidents, lost time incidents) Verification Method: D
Exceeds Minimum Standard: Are you informed about all reportable and lost time accidents that happen at this facility? Verification Method: I
Gold Standard: In addition to injuries that happen at your facility, have you received information on injuries that happen at other facilities? Please give some examples. Verification Method: I
5.7.5
Meets Minimum Standard: Changes or new applicable government regulations. Verification Method: D
5.7.6
Meets Minimum Standard: Safety and health information is included as regular agenda items at group/department/shift team meetings. (DDS meetings fulfill this requirement) Verification Method: D
Exceeds Minimum Standard: Do you attend a dedicated safety/training meeting at least once a month? (DDS meetings do not meet required this requirement.) Verification Method: I
Gold Standard: Do you attend a dedicated safety/training meeting at least once a week? (DDS meetings do not meet required this requirement.) Verification Method: I
5.7.8
Meets Minimum Standard: Noteworthy accomplishments. Verification Method: D
Exceeds Minimum Standard: In these meetings, are accomplishments discussed? Please give an example. Verification Method: I

5.8

5.8 Safety Committees Business/facility management shall establish safety committees consistent with local culture, government requirements, facility size and degree of operational risk. The Committee's purpose is to advise both management and employees on safety and health issues and objectives.

Global Guideline Requirement: Facility must have a Joint Health and Safety Committee. Verify via meeting minutes from the Safety Committee and interviews with Committee members, review organization charts.
5.8.1
Meets Minimum Standard: Complies with applicable local governmental requirements and is attended by the Plant Manager (minimum of monthly meetings). Verification Method: D
Exceeds Minimum Standard: Chaired by Plant Manager, Meeting has representation of all operations leadership management (Department Managers). Note: this committee may be in addition to other safety committees. Verification Method: D
Gold Standard: Chaired by plant manager, plant leadership team (all department managers) are active members (minimum of 80% attendance). Verification Method: D
5.8.2
Meets Minimum Standard: Meeting minutes demonstrate participation by hourly employees. Verification Method: D
Exceeds Minimum Standard: (via interview with employee on committee) Do you feel that you are an equal member of the team and that your opinion is valued by the team? Verification Method: I
5.8.3
Meets Minimum Standard: Facility management shall develop an organizational statement that identifies the Committee's responsibilities. Those responsibilities should include the following (sections 5.8.4 - 5.8.8): Verification Method: D
5.8.4 Scope of the Committee's activities Verification Method: D
5.8.5 Objectives of the Committee Verification Method: D
5.8.6 Identification of all Committee members Verification Method: D
5.8.7 Roles, responsibilities, and accountabilities of the Committee members. Verification Method: D
5.8.8 If applicable, the committee meets local regulatory requirements. Verification Method: D

5.9

5.9 Promotional Activities Business/facility management elects to use promotional activities to stimulate safety and health awareness which meet the criteria below.

Global guideline requirement: Review facility programs for promotional activities. If present, does activity meet the required standard? Review documented procedures/programs and verify via interview with management, employees, and safety personnel.
5.9.1
Meets Minimum Standard: Facility complies with regulatory posting requirements. Verification Method: O
Exceeds Minimum Standard: Facility promotional activities are in place and are designed to stimulate safety and health awareness. Verification Method:
Gold Standard: Are employees recognized or rewarded for working safely? (Should be looking for spontaneous recognition) Verification Method: I
5.9.2
Meets Minimum Standard: Facility promotional activities are in place and are designed to stimulate safety and health awareness. Verification Method: D
Exceeds Minimum Standard: Do you think the safety recognition program at your facility is good? Verification Method: I
5.9.3
Meets Minimum Standard: Facility has a safety recognition program that promotes employee activity and engagement. (Programs that recognize milestones without injuries do not qualify) Verification Method: D
Exceeds Minimum Standard: Does the program recognize individual engagement and/or behavior? Verification Method: D

5.10

5.10 Procedures and Rules Procedures are established, defined and documented as to methods for performing specific work. They are usually a step-by-step description of how to do a task in a consistent manner. Business/facility management shall ensure that safety and health issues are addressed and made a part of all operating procedures. Procedures shall be communicated to all affected individuals.

Global guideline requirement: Facility has Health and Safety procedures which include the following standards below. Review facility systems for documented procedures, hard copy safety manuals, intranet sites, shared files on network or a combination of. Documents may be a range of policies, procedures, forms, work instructions, safe work methods, etc., relevant to the facilities hazards and operations.
5.10.1
Meets Minimum Standard: Is there a health and safety manual in place that includes programs, policies and procedures for all regulatory requirements. Verification Method: D
Exceeds Minimum Standard: Plant safety manual should be in electronic format and be accessible throughout the facility. Verification Method: D
Gold Standard: Do you know where to get access to plant safety programs and policies? Verification Method: I
5.10.2
Meets Minimum Standard: Step-by-step descriptions of how to do tasks in a consistent manner. Verification Method: D

5.11

5.11 Rules Rules are prescribed guidelines for conduct or actions. Each facility and/or department shall develop rules that reflect its organizational structure, the requirements of the company, and local government requirements. They shall be documented and reviewed with all affected individuals.

Global Guideline Requirements: Facility has Health and Safety requirements which meet the standards below. Review facility systems for documented rules, hard copy manuals, intranet sites, shared files on network or a combination of. Documents may be a range of policies and procedures, forms, work instructions, safe work methods, standard operating procedures, etc., relevant to the facilities hazards and operations.
5.11.1
Meets Minimum Standard: There are plant health and safety rules. Verification Method: D
Exceeds Minimum Standard: All departments have health and safety rules specific to their department. Verification Method: D
Gold Standard: All teams or DDS operations have health and safety rules. Verification Method: D
5.8.2
Meets Minimum Standard: Time frame for reporting incidents. Verification Method: D
5.11.3
Meets Minimum Standard: Employee conduct while operating machinery (i.e., lockout, guarding, etc.) Verification Method: D
5.11.4
Meets Minimum Standard: Specific circumstances under which personal protective equipment is expected to be used. Verification Method: D
5.11.5
Meets Minimum Standard: Limitations of specialized equipment use to licensed operators (i.e., fork trucks) Verification Method: D
5.11.6
Meets Minimum Standard: Limitations of performance specific tasks to trained employees (such as working with electricity, confined spaced) Verification Method: D

5.12

5.12 Enforcement and Monitoring To ensure consistent and equitable action, business/facility management shall use existing disciplinary policy to enforce and document employee compliance with safety procedures and rules.

5.12.1
Meets Minimum Standard: There is documentation that requires Employees/Supervisors to be disciplined for failing to comply with safety procedures, not as a result of being injured. (There is evidence over the past 3-4 years of discipline or enforcement of safety rules and policies.) Verification Method: D
Exceeds Minimum Standard: There is documentation that requires managers to be held accountable for their employees failing to comply with safety procedures, not as a result of being injured. (There is evidence over the past 3-4 years of discipline or enforcement of safety rules and procedures) Verification Method: D
Gold Standard: there is documentation of positive recognition for employees who comply with safety rules and procedures. Verification Method: D
5.12.2
Global Guideline Requirement: Facility has documented Human Resources discipline policy that has reference to the management of safety related enforcement criteria. (Review HR procedures/policies, verify application of process via interviews with management)
Meets Minimum Standard: Documentation that employees are disciplined for failing to comply with safety procedures. Verification Method: D
Exceeds Minimum Standard: Has the facility identified serious safety violations with severe consequences (lockout, protection - violations immediate termination)? Verification Method: D
5.12.3
Meets Minimum Standard: Employee accountability for following safety rules. (Employees must sign a statement that they have the knowledge and understand safety rules.) Verification Method: D

5.13

5.13 Resource Library Business/facility management shall ensure adequate resources and reference materials are available to manage safety. Required information shall be based upon a facility self-assessment.

Business/Facility Management shall ensure adequate resources and reference materials are available to manage safety. Required information shall be based upon a facility self-assessment.

Review resources in site to established what is available, may be formal library or information may be available via intranet, internet, manuals, text books, videos, etc.
Meets Minimum Standard: Health and safety information is current and accessible and conveniently located for H&S manager (all government regulations). Verification Method: O
Exceeds Minimum Standard: Interview supervisors, managers, leaders, and ask: What type of safety information do you have access to and where would you get it? Verification Method: I
Gold Standard: Interview employees and ask: What type of safety information do you have access to and where would you get it? Verification Method: I

5.14

5.14 Behavior Safety Management System In order to impact the plant safety culture to ensure employees conform to established safety procedures all of the time, each location must have a structured process that includes frequent individual employee contact to re-enforce conformance to safety standards. This process must include scheduled contacted, training, analysis of results and measures of successful implementation of safety culture impact.

Global Guideline Compliance: In order to impact the plant safety culture to ensure employees conform to established safety procedures all of the time - each location must have a structured process that includes frequent individual employee contact to re-enforce conformance to safety standards. This process must include scheduled contacts, training, analysis of results and measures of successful implementation of safety culture impact.
5.14.1
Meets Minimum Standard: 50% supervisors, managers, and employees have been trained and conduct behavior observations/contacts. Verification Method: D
Exceeds Minimum Standard: 75% supervisors, managers and employees have been trained and conduct behavior observations/contacts. Ask this question: Have you been trained to conduct behavior observations? Verification Method: I
Gold Standard: If 100% of the employees interviewed answer the question in the "exceeds" column as yes, then give credit for this question. Verification Method: I
5.14.2
Meets Minimum Standard: At a minimum, the top two "at risk" or "unsafe" behaviors have been identified and action plans created at the plant level. Verification Method: D
Exceeds Minimum Standard: Is the facility able to demonstrate measurable improvement against the high risk behaviors? Verification Method: D
Gold Standard: If there are no observed violations of targeted behaviors during audit, then rate it Gold Standard. Verification Method: O
5.14.3
Meets Minimum Standard: Focused operations are conducted based on the "at risk" trends, near misses, injuries or incidents. Verification Method: D
Exceeds Minimum Standard: Results of behavior observations are posted and communicated throughout the site. Verification Method: O
Gold Standard: Interview employees: Have you ever received feedback from someone observing your behavior as part of your behavior management system? Verification Method: I
5.14.4
Meets Minimum Standard: Does facility show 100% compliance with elevated work, lockout and confined space entry? Verification Method: O
5.14.5
Meets Minimum Standard: Can facility provide evidence of "on-the-spot" positive reinforcement of desirable work behaviors? Verification Method: D
Exceeds Minimum Standard: Have you or any co-workers been recognized for working safely? Verification Method: I
Global Guideline Compliance: Facility Leaders - establish if facility has developed a safety vision.
5.14.6
Meets Minimum Standard: Senior leadership has developed a clear vision of the safety culture that is desired. Verification Method: I
Exceeds Minimum Standard: The vision is clearly communicated and understood by the entire organization. Verification Method: I
Gold Standard: Employees have taken ownership of the vision and understand it. Verification Method: I
5.14.7
Meets Minimum Standard: Has senior leadership developed a plan or roadmap on how they will achieve the vision? Verification Method: D
Exceeds Minimum Standard: Progress towards achievement of the plan is measured and evident. Verification Method: D
5.14.8
Meets Minimum Standard: Do your manager's actions support their commitment to the safety vision? Verification Method: I

Section 6 - Orientation and Training

Business/facility management is required to ensure a written and functioning orientation and training system that includes safety and health issues and exists for all facilities. The system shall endure that all management personnel, employees, contractors, temporary workers and visitors, understand, implement, and monitor all local government requirements, company policies, and job procedures to operate the facility in a safe, efficient and productive manner.

6.3

6.3 - Training System Requirements

A safety and health orientation and training system that contains clear, well-defined responsibilities and procedures shall be developed or integrated into existing systems.

Global Guideline Requirement: Look for a document that sets out the training plan for the site, a plan by the departmental manager that links to the Plant plan and in individual plans (May be part in appraisal). A comprehensive training plan matrix can fulfill this requirement.
6.3.1
Meets Minimum Standard: Defined H&S training goals for the plant. Verification Method: D
Exceeds Minimum Standard: Defined departmental training goals. Verification Method: D
Gold Standard: Defined individual training goals. Verification Method: D
6.3.2
Meets Minimum Standard: Individual(s) assigned responsibility for maintaining records. Verification Method: D
6.3.3
Meets Minimum Standard: Individual(s) assigned responsibility for coordinating or conducting training. Verification Method: D
Exceeds Minimum Standard: Trainers reside within the department. Verification Method: D
Gold Standard: All trainers have attended a "How to Train" or similar class to enhance training skills. Verification Method: D
Global Guideline Requirement: Documentation is required for each training course. Look for a document that sets out the training objective for each type of training (this includes on-the-job training).
6.3.5
Meets Minimum Standard: List of all required participants. Verification Method: D
6.3.6
Meets Minimum Standard: Training objectives. Verification Method: D
6.3.7
Meets Minimum Standard: Type of training mechanism or protocol used (i.e. Instructor-led, audio-visual, computer based, on-the-job). Verification Method: D
6.3.9
Meets Minimum Standard: Method to monitor the effectiveness of the training and/or verification of competencies (i.e. Records for testing, observation, group activity, demonstration of skills). Verification Method: D
6.3.10
Meets Minimum Standard: Parameters for refresher training or re-training. Frequency may be established by calendar, by changes in policies or procedures, by demonstrated lack of understanding, or per local government requirements. Verification Method: D
Exceeds Minimum Standard: Refresher training parameters include re-training for demonstrated poor performance against standards. Verification Method: D
6.3.11
Meets Minimum Standard: Procedure to communicate to affected employees changes in safety and health exposure that occurs after initial training. Verification Method: D

6.4

6.4 Employee Orientation Guidelines

Safety and health orientation shall meet the general and record keeping requirements identified in this section.

Global Guideline Requirement: Employee health and safety induction/orientation must meet the standards below. Documentation could be a PowerPoint presentation supported by an individual tick sheet. Also, review training files/matrix, etc., for records of prior 12 months. The evidence for this section must be verified by new starter interview.
6.4.1
Meets Minimum Standard: Induction for all new starters (permanent and temporary employees) is provided. The training must include the interview topics below. Verification Method: D
Exceeds Minimum Standard: Induction for all new starters (permanent and temporary) is provided. The training must address the following interview topics listed below. Verification Method: D
Gold Standard: In addition to the 8 hour training orientation on specified topics, 8 hours required in the plant with review of different jobs, exits, confined spaces and other hazards. Verification Method: D
6.4.2
Meets Minimum Standard: Did your orientation include a review of the plant safety policy? Verification Method: I
Exceeds Minimum Standard: Did your orientation include a walk-through tour of your assigned plant or department? Verification Method: I
Gold Standard: Did you make a daily safety pledge and is there a safety checklist you complete 20 days of your employment? Verification Method: I
6.4.3
Gold Standard: Do you receive daily reviews of Department specific safety concerns, JSAs, Lockout, Emergency evacuation and response, MSDS, PPE prior to beginning work for the first 20 days of your employment? Verification Method: I
6.4.4
Meets Minimum Standard: Did your orientation include information on safety rules and regulations? Verification Method: I
Exceeds Minimum Standard: Did you receive training as a person authorized to lock out equipment as part of your orientation? (Should be able to explain lockout in detail) Verification Method: I
Gold Standard: Did you receive training on machine? Verification Method: I
6.4.5
Meets Minimum Standard: Did your safety orientation include information on safety hazard awareness and how to report? Please explain. Verification Method: I
Exceeds Minimum Standard: Did you receive JSA training as part of your orientation? Verification Method: I
Gold Standard: Did you receive training on electrical exposures in the workplace as part of your orientation? Verification Method: I
6.4.6
Meets Minimum Standard: Did your orientation include how to report an incident? Verification Method: I
Exceeds Minimum Standard: As part of your orientation, did you receive Bloodborne Pathogens training? Verification Method: I
Gold Standard: Did you receive training on ergonomics as part of your orientation? Verification Method: I
6.4.7
Meets Minimum Standard: Did your safety orientation include information on: Confined Spaces, Asbestos, Pedestrian Awareness, or Fall Protection? Verification Method: I
Exceeds Minimum Standard: Did your training include the effects of heat exposure and how to protect yourself as part of your orientation? Verification Method: I
Gold Standard: Did you receive Behavior Based Safety training during orientation? Verification Method: I
6.4.8
Meets Minimum Standard: Did you receive training on chemical hazards as part of your orientation (especially if you work around any hazardous chemicals)? Verification Method: D
Exceeds Minimum Standard: Did you receive training during orientation about site security? (should bite able to explain keeping external doors secured, reporting strangers, etc.) Verification Method: I
6.4.9
Meets Minimum Standard: Did you receive training about injured worker benefits as part of your orientation? Verification Method: I
Exceeds Minimum Standard: Did you receive training on how to use a fire extinguisher? Verification Method: I
6.4.10
Meets Minimum Standard: Did your orientation include information on evacuation and emergency procedures? Verification Method: I
Exceeds Minimum Standard: As part of your orientation, was there a follow-up review for all orientation topics within 30 days? Verification Method: I
6.4.11
Meets Minimum Standard: Did your orientation include a review of the plant focus areas? Verification Method: I
6.4.12
Meets Minimum Standard: Did you receive general awareness training on ergonomics and slip/fall exposures as part of your orientation? Verification Method: I

6.5

6.5 Visitor Induction Requirements

Safety and health orientation is required for all visitors entering production areas, unless being escorted and remaining in designated walkways. Internal visitors from other plants such as R&D and Engineering or external visitors, such as contractors, shall be provided orientation.

Global Guideline Requirement: Visitor health and safety induction/orientation must meet the standards listed below. The auditor can check by the way the audit team itself is dealt with. Also verify records for prior 12 month period in training files, matrix, etc.
6.5.1
Meets Minimum Standard: Does the facility have a program for the induction for all visitors? Verification Method: P
Exceeds Minimum Standard: Does the facility include verification of visitor understanding of plant information as confirmed by a written test? Verification Method: D
Gold Standard: Does the facility have an automated interactive visitor orientation that includes a comprehension test? Verification Method: D
6.5.2
Meets Minimum Standard: Can you tell me how you would evacuate in the case of an emergency and where you would go? Verification Method: I
6.5.3
Meets Minimum Standard: What safety hazards were you informed of during your orientation? Verification Method: I
6.5.4
Meets Minimum Standard: What PPE were you instructed is required while in the plant? Verification Method: I
Exceeds Minimum Standard: Were you required to wear slip resistant soles when you entered the production facility? Verification Method: I
6.5.6
Meets Minimum Standard: Who were you told to contact in case of an emergency? Verification Method: I
6.5.7
Meets Minimum Standard: Are you required to wear an identification badge? Verification Method: I

6.6

6.6 Training Records Documentation A procedure that ensures all personnel have received and understood safety and health related training shall be implemented.

Global Guideline Requirement: Training records documentation meets the standards below. Review a sample of training records, preferably from a person(s) that has been part of the employee interview or shop floor observation process and verify the information given at the interview.
6.6.1
Meets Minimum Standard: Written documentation is available to demonstrate employees are trained upon new assignments (sign-in sheets). Verification Method: D
Exceeds Minimum Standard: What type of training have you had to perform the job you are currently performing? Verification Method: I
6.6.2
Meets Minimum Standard: Length of time records shall be kept is a minimum of 5 years. Verification Method: D
Exceeds Minimum Standard: Computer based records are available for every employee which shows training completion and due dates. Verification Method: D
Gold Standard: Computer based records trigger when re-training is required. Verification Method: D
6.6.3
Meets Minimum Standard: Name and job title of the individual being trained is recorded. Verification Method: D
6.6.4
Meets Minimum Standard: Date of training is documented. Verification Method: D
6.6.5
Meets Minimum Standard: Title of training is documented. Verification Method: D
6.6.6
Meets Minimum Standard: Outline of information covered during the training is documented. Verification Method: D
6.6.7
Meets Minimum Standard: Meets minimum proficiency standards defined in training (written test as required; ex forklift, tag out). Verification Method: D

6.8

6.8 Business Safety Leaders

Safety leaders are individuals identified to champion the business and/or the facility's safety and health management system. They shall determine their individual training needs to enhance their professional capabilities.

Global Guideline Requirement: Safety leaders/champions/representative training must meet the standards below (ask to see individual training plans).
6.8.1
Meets Minimum Standard: Competencies needed to fulfill safety responsibilities and objectives are identified. Competent and Campbell Soup safety standards and guidelines (safety managers orientation meeting). Verification Method: D
Exceeds Minimum Standard: Competencies needed to fulfill safety responsibilities and objectives are identified. Individual training plans are documented and active. Verification Method: D
6.8.2
Meets Minimum Standard: Self-evaluation of individual capabilities. Verification Method: D
6.8.3
Meets Minimum Standard: Identification of resources available to provide needed training. Verification Method: D

6.9

6.9 Off the Job Safety Training

Employees are Campbell's most valuable resource. Therefore, business/facility management shall promote safety and health awareness of non-occupational risks by encouraging off-the-job safety programs. These programs shall be documented similar to job-related training programs.

Global Guideline Requirement: The facility has off-the-job safety and health awareness. Review documented training files, materials, etc., to verify off job safety is included. This should also be verified via employee interview.
6.9.1
Meets Minimum Standard: Does the plant have a documented off-the-job safety program? Verification Method: P
Exceeds Minimum Standard: The plant has quarterly off-the-job training or activities for all employees. Verification Method: D
Gold Standard: Have you received training this year on safety that affects you when you're not at work? Verification Method: I

Section 7

Section 7 - Materials and Services Procurement

Business/facility management is required to have a system consisting of written programs and procedures to ensure that safety and health considerations are applied to the procurement and management of goods and services. Procurement and management decisions shall ensure that safety and health issues associated with procurement of goods and services receive the same emphasis as that placed on factors such as costs, quality, and availability. The system shall also ensure compliance with all applicable local government requirements.

7.1

7.4 Hazardous Material Control Program - Selection and Procurement of Hazardous Materials Business/facility management shall develop and implement a written, comprehensive Hazardous Material Control Program to ensure that safety and health issues are considered and address the selection, purchase, transportation and storage of hazardous materials.

Global Guideline Compliance: Facility has written procedures to ensure that potential safety and health issues are addressed prior to the purchase or introduction of hazardous materials. Review facility documented procedures and programs for required content. Verify application of system via interviews with purchasing/procurement personnel.
7.4.1
Meets Minimum Requirement: Facility has written hazardous materials control program. Verification Method: P
7.4.2
Meets Minimum Standard: Purchasing program includes receipt of Material Safety Data Sheets with the delivery of goods. Verification Method: P
Exceeds Minimum Standard: ASK THE PERSON RESPONSIBLE FOR PURCHASING NEW PRODUCTS, INGREDIENTS AND CHEMICALS: Do you request an MSDS for the items you purchase before they arrive and do you require the safety manager or person responsible for safety to review and approve the item BEFORE you purchase? Verification Method: I
Gold Standard: Purchasing program includes receipt of MSDS prior to selection of goods and documented review by H&S which includes the evaluation of hazards identified in the MSDS (look for a sign-off document). Verification Method: D

7.5

7.5 Purchased or Leased Equipment - Safety Recall or Field Modification

Business/facility management shall develop and implement a written program to ensure that purchased or leased products or equipment subject to a manufacturer recall due to safety concerns are managed in a manner that controls the safety and health risks.

Global Guideline Compliance: Facility has written procedures to ensure that potential safety and health issues resulting from a manufacturer recall are addressed effectively, ensuring the following standards below. Review facility procedures and verify application via interviews with appropriate staff.
7.5.1
Meets Minimum Standard: Does the written program require that on receipt of notices of equipment safety recall that contact is made with local, regional, and global H&S to determine course of action. Verification Method: P
7.5.2
Meets Minimum Standard: Does the written program include a method to monitor equipment safety recall notices and determine applicability. Verification Method: P
7.5.3
Meets Minimum Standard: Does the written program ensure that corrective measures are implemented for applicable equipment safety recalls? Verification Method: P
Exceeds Minimum Standard: Is there documentation that remediation of defects in recalled equipment has happened? Verification Method: D

7.6

7.6 Contractor Safety Management System

A written contractor safety management program to ensure that safety and health issues associated with the selection and use of outside contractors shall be developed and implemented.

Global Guideline Compliance: Facility must have a written contractor program which includes the standards below. Review facility procedures/program for contractor management. Review sample of project files to confirm use of required tools, forms and documentation. Verify application via interviews with project managers and contractors.
7.6.1
Meets Minimum Standard: Is the internal project manager / engineer identified on each project? (Request a list of all projects completed this year and select a random number of projects from this list to rate this and the next question.) Verification Method: D
7.6.2
Meets Minimum Standard: Is there written documentation that safety and health requirements are established by Campbell Soup for the work to be performed for each project, and are those requirements included on the invitation provided to potential contractors before they bid on the project? Verification Method: D
Exceeds Minimum Standard: is there documentation if pre-bid meetings for contractors bidding on projects that includes a review of the safety requirements for the job? (Request a list of projects completed this year and randomly select a few of those projects to rate this question.) Verification Method: D
7.6.3
Meets Minimum Standard: A Campbell's contact person is identified to coordinate and enforce contractor safety and health issues. (This contact person may or may not be the project engineer.) Verification Method: D

7.7

7.7 Contractor Selection

A written contractor safety management program to ensure that safety and health issues associated with the selection and use of outside contractors shall be developed and implemented.

Global Guideline Requirement: This criteria used to evaluate a contractor's safety performance shall include the standards below. Review evaluation process and ensure that relevant criteria are included. Verify application of evaluation process via review of project files and interview with project managers. Request a list of projects this year and select a random number of projects from this list to rate this section. Projects must be 90% compliant to receive a favorable rating.
7.7.1
Meets Minimum Standard: Review incident rates and compliance history with local government safety requirements. Verification Method: D
Exceeds Minimum Standard: Ask the person responsible for reviewing potential contractors: Do you review contractor safety performance at previous or other work sites, where applicable, via client references? Verification Method: I
Gold Standard: Do you review contractors history of violations of governmental safety standards and what standard do you use to reject a potential contractor and have you ever rejected a potential contractor for poor safety performance? Verification Method: I
7.7.2
Meets Minimum Standard: Evidence of current/acceptable property and liability insurance coverage (for example, products, public, errors and omissions, fire risk, etc.) or Risk Management approval. Verification Method: D
7.7.3
Meets Minimum Standard: evidence of established safety and health programs that at a minimum addresses regulatory compliance. Verification Method: D
Exceeds Minimum Standard: Contractors provide a copy of their Safety policies to the site prior to the start of work. Verification Method: D
7.7.4
Meets Minimum Standard: Evidence of contract worker safety training. Verification Method: D
Exceeds Minimum Standard: Do you or someone from the plant attend contractor safety training? Verification Method: I
7.7.5
Meets Minimum Standard: Evidence of established safety rules and enforcement policy. Verification Method: D

7.8

7.8 Project Management

Global Guideline Requirements: Contractor employee orientation should be provided and include all standards listed below. Review facility training records for application of induction over prior month period. Verify knowledge of contractor management and employees via interviews.
7.8.1
Meets Minimum Standard: Physical and chemical hazards potentially present at the site. Verification Method: D
Exceeds Minimum Standard: Were you provided with information about chemicals at this facility? Verification method: I
Gold Standard: All contract work requires a non-routine work permit. Verification Method: D
7.8.2
Meets Minimum Standard: Additional project specific safety rules are addressed in orientation for all contract employees. Verification Method: D
7.8.3
Meets Minimum Standard: Local plant safety rules and security requirements. Verification Method: D
Exceeds Minimum Standard: Did you receive information on plant safety and security rules? Verification Method: I
7.8.4
Meets Minimum Standard: Evacuation and Severe weather procedures Verification Method: D
Exceeds Minimum Standard: Did you receive information on how and where to evacuate in the case of severe weather? Verification Method: I
7.8.5
Meets Minimum Standard: Fall protection requirements. Verification Method: D
Exceeds Minimum Standard: What are the fall protection requirements at this plant (4 feet)? Verification Method: I
7.8.6
Meets Minimum Standard: Certification or license for powered mobile equipment, confined space entry, etc. Verification Method: D
Exceeds Minimum Standard: Are you required to have a license to drive powered mobile equipment such as fork trucks? Verification Method: I
7.8.7
Meets Minimum Standard: Permit required tasks (for example, hot work, lockout, confined space entry, excavations, line opening, etc.). Verification Method: D
Global Guideline Requirement: Project pre-work safety and ongoing meetings must be conducted to address the following standards below. Review documented minutes of meetings in project files, verify process via interviews with project managers.
7.8.8
Meets Minimum Standard: Disclosure of hazardous materials to be brought on site which includes MSDSs. Verification Method: D
Exceeds Minimum Standard: MSDS for all hazardous materials brought on site and maintained in a central location. Verification Method: D
7.8.9
Meets Minimum Standard: Contractors provide detailed information regarding health and safety exposures and controls. Verification Method: D
Exceeds Minimum Standard: Are weekly project meetings held to discuss safety and health controls with project managers, contractors, and site safety representatives? Verification Method: I
Gold Standard: Are daily project meetings held to discuss safety and health controls, with project managers, contractors, and site safety representatives? Verification Method: I
7.8.10
Meets Minimum Standard: Identification of on-site contractor and facility project safety representatives. Verification method: D
7.8.11
Meets Minimum Standard: Are weekly contractor safety performance audits conducted by the project manager to assure compliance with the project safety requirements? Verification Method: I
Exceeds Minimum Standard: Are daily contractor safety performance audits conducted by the project manager and safety manager to assure compliance with the project safety requirements? Verification Method: I

Section 8 Risk Assessments

Section 8 - Risk Assessment

Risk assessments are qualitative and quantitative methods for anticipating and identifying existing unsafe or unhealthy conditions, work practices and work procedures. This section provides performance criteria to conduct risk assessments to ensure they are integrated into all aspects of facility operations.

8.3

8.3 General Requirements

Global Guideline Requirements: Documented Risk Assessment System in place which includes the following standards. Review facility documented procedure or program for relevant risk assessment processes. Verify knowledge of process via interviews with appropriate personnel.
8.3.1
Meets Minimum Standard: Has the location implemented the CSC hazard recognition module training? (Monthly or weekly meetings trainings do not apply) Verification Method: D
Exceeds Minimum Standard: 70% of all operations management (managers, supervisors, safety proctors/advisors, and lead/coordinators) trained in hazard recognition. Verification method: D
Gold Standard: 90% of all operations management (managers, supervisors, safety proctors/advisors, and lead/coordinators) trained in hazard recognition. (The CSC hazard recognition module is the only training that meets this requirement.)
8.3.2
Meets Minimum Standard: General Training - hazard recognition training is 501 (USA) or 16 hour equivalent hour hazard awareness (outside of the US) has been provided to 15% of the hourly workforce. Verification Method: D
Exceeds Minimum Standard: Have you received formal training on how to recognize safety hazards? (Must be 16 hours or more and 30% of those interviewed must have attended training.) Verification Method: I
Gold Standard: Have you received formal training on how to recognize safety hazards? (Must be 16 hours or more and 45% of those interviewed must have attended training.) Verification Method: I
8.3.3
Meets Minimum Standard: Method to identify safety and health criteria included in assessment (JSA, risk assessment, or global equivalent? Review facility listing of criteria for assessment, ensure lists includes required criteria for jobs, tasks, machinery, etc.). Written program of how to evaluate exposures. Verification Method: D
Exceeds Minimum Standard: JSAs go beyond job classification to include machine/job specific tasks, built into safe work instructions. Verification Method: D
Gold Standard: JSAs or other safe work instructions highlights most likely hazards exposures by color code or photos and reviewed with operators one-on-one on equipment or progress. Verification Method: D
8.3.4
Meets Minimum Standard: Risk assessment system in place to address key loss drivers (slips and falls, ergonomics, lockout, fall protection). Verification Method: D
Exceeds Minimum Standard: Items identified in risk assessment have been prioritized and action items generated and tracked to completion. Verification Method: D
Gold Standard: Follow-up risk assessment completed following remediation to ensure risk reduction is captured. Verification Method: D
8.3.5
Meets Minimum Standard: JSA assessments are conducted for all jobs. (Review dates on completed risk assessments are not more than 2 years old). Verification Method: D
Exceeds Minimum Standard: Revision dates noted on the written JSAs when updates or changes are made. Revisions made as a result of a change in the process and reviewed on an annual basis. Verification Method: D
8.3.6
Meets Minimum Standard: Location has active action register to capture reduction of risks. Verification Method: D
Exceeds Minimum Standard: Implementation of CSC Risk Reduction dashboard. Verification Method: D
Gold Standard: Risk Reduction objectives have been established for focused areas and met. Verification Method: D

8.4

8.4 Application of Risk Assessment System

Global Guideline Requirement: The facility should have in place a system for hazard assessment that includes documentation, prioritization and an action plan to resolve deficiencies and re-evaluate potential hazards for the hazards listed below. Review systems for documentation of completed checklists and tools that focus on the listed hazards, which may be defined by legislation or be customized by internal examples. Verify the application of tools/checklists with users, employees, safety personnel, etc.

JSA satisfies minimum requirements of this section, Risk Assessment tool satisfies exceeds, and CSC Risk Assessment tool satisfies the Gold Standard.
In order to Meet the Minimum Standards, check Documentation to see that the facility conducted a comprehensive exposure analysis including the items listed below.

To exceed the minimum standard, the exposure analysis are current and/or updated based on changes in the facility (minimum requirement is every 3 years). Verification method for all is Documentation.

To meet the gold standard, the exposure analysis has been prioritized in the action register and the reduction of risk is evident.
8.4.1
Meets Minimum Standard: Preliminary safety assessment has been conducted for facility. Review facility program for broad based risk assessment tools used to identify preliminary risks, may be included in work instructions, SOPs, JSAs, etc. Verification Method: D
Exceeds Minimum Standard: Job evaluations are current and/or updated within the last 3 years. Verification Method: D
Gold Standard: JSAs are completed against job descriptions and tasks and updated on an annual basis through an audit process. Verification Method: D
8.4.2
Meets Minimum Standard: System in place for Chemical Hazard Assessment
8.4.3
Meets Minimum Standard: System in Place for Noise Hazard Assessments.
Exceeds Minimum Standard: Hazard assessment is in place and opportunities to correct are prioritized by risk.
8.4.4
Meets Minimum Standard: System in Place for Radiation Hazard Assessments
8.4.5
Meets Minimum Standard: System in Place for Illumination Assessments
Exceeds Minimum Standard: System in place to monitor and evaluate illumination on an annual basis.
8.4.6
Meets Minimum Standard: System in Place for Temperature Extremes Assessments
8.4.7
Meets Minimum Standard: System in Place for Ergonomic Hazard Assessment
Exceeds Minimum Standard: Hazard assessment in place and opportunities to correct are prioritized by risk.
8.4.8
Meets Minimum Standard: System in Place for Electrical Hazards Assessment
Exceeds Minimum Standard: Electrical hazards identified and prioritized with specific regard to NFPA 70E.
8.4.9
Meets Minimum Standard: System in Place for Machinery/Equipment Hazard Assessment
8.4.10
Meets Minimum Standard: System in Place for Walking Working Surfaces Assessment
8.4.11
Meets Minimum Standard: System in Place for Biological Agents Assessment (microorganisms, allergens, toxins)
8.4.12
Meets Minimum Standard: System in Place for Biological Contaminants Assessment (water stains, standing water, algae, moss, mold)
8.4.13
Meets Minimum Standard: System in place to access Forklift/Pedestrian interaction risk.
Exceeds Minimum Standard: Specific action plan has been developed to address risk reduction.
Gold Standard: Reduction of identified risk has been documented.
8.4.14
Meets Minimum Standard: System in Place for Explosive Dust Assessment
Exceeds Minimum Standard: Facility has adopted the CSC Standard for control of Combustible Dust.
Gold Standard: Explosive dust assessment in place and opportunities to correct prioritized by risk.

Section 9 - Risk Management in Design

Business/facility management is responsible for ensuring that equipment and processes installed locally are safely designed regardless of the source of the equipment or processes. Engineering functions shall have an integrated control system incorporating Campbell's Project Installation/Modification Checklist which ensures that safety controls are included in the initial design, development and modification of new products, processes, equipment, facilities and work methods. Safety shall receive consideration equivalent to all other design parameters. (Auditor note: obtain a copy of the Campbell Project Installation/Modification Checklist - this is the minimum standard to be met for program documentation. Plant preparation note: Provide a copy of the plant written program and a list of all projects/modifications for the previous 12 months.)

9.3

9.3 General Requirements - Written Programs

Global Guideline Compliance: Documented engineering control system includes the standards below. Review the facility's written program for required elements.
9.3.1
Meets Minimum Standard: The Campbell Project Installation/Modification checklist is required to be used. Verification Method: P
9.3.2
Meets Minimum Standard: Documented responsibilities for safety, engineering, project manager, operations management. Verification Method: P
9.3.3
Meets Minimum Standard: Written program requires an evaluation of identified risks to determine effectiveness of controls implemented - use of a risk assessment for "out of control" hazards meets requirement Verification Method: P
9.3.4
Meets Minimum Standard: input received from designated safety representative. Verification Method: P
Exceeds Minimum Standard: Input received from safety advisors/proctors from other work areas. Verification Method: P
Gold Standard: Safety input received from external resources (other plants, consultants, etc.) on projects $100,000 or greater. Verification Method: P

9.4

9.4 New Equipment and Process Design - Application of Written Program

The site shall have a documented Design Review Process which includes the standards below. Verify the process is implemented via review of project files and interviews. Require the facility to provide a list of all projects and modifications conducted over the previous 12 months. Select a random number of projects, review the checklists for those projects to score this section of the audit.
9.4.1
Meets Minimum Standard: Safety considered in design process through the use of Campbell's project Installation/Modification Checklist. Verification Method: D
9.4.2
Meets Minimum Standard: Input from designated safety representative provided at design stage. Verification Method: D
Exceeds Minimum Standard: (interview line leaders) Do you provide input on new projects when they are being designed? Verification Method: I
Gold Standard: Interview operators, maintenance and sanitation employees and ask: Do you provide input on new projects when they are first being designed? Verification Method: I
9.4.3
Meets Minimum Standard: Certification/testing completed to ensure compliance with applicable standards (pressure vessels, hoists, homemade lifting devices, structural integrity, fall arrest system anchor points, equipment anchor points, etc.) to ensure compliance with standards are met. Verification method: D
9.4.4
Meets Minimum Standard: Campbell's Project Installation/Modification Checklist and related action plans kept for at least three years. Verification method: D
9.4.5
Meets Minimum Standard: Interview project manager/engineer: Do you ensure that a preoperational safety checklist is completed before starting up a new installation? Verification method: I
Exceeds Minimum Standard: Interview safety manager or person identified as responsible for safety and ask: Do you sign off on the Campbell project checklist prior to start-up to verify safety controls are in place? Verification Method: I
Gold Standard: Interview safety representative: Do you solicit input from external experts on all projects that exceed $100,000? Verification method : I
9.4.6
Meets Minimum Standard: Interview safety manager: Do you review project modifications made after the initial design review? Verification method: I
Exceeds Minimum Standard: Interview line leaders: Do you review project modifications made after the initial design review? Verification method: I
Gold Standard: Interview operators, maintenance and sanitation: Do you review project modifications made after the initial design review? Verification Method: I

Section 10 - Risk Management in Operations

A facility shoal develop and implement a safety and health hazard control system for day to day management and control of process related risks. Such controls will monitor and manage risk for operation and use of processes, machinery,equipment, faculties and work methods. This is accomplished through the development of a safety and health hazard control systems as are typically required to meet government regulatory requirements.

10.4

10.4 Chemical Hazards

All known chemical hazards must be controlled to levels below local government requirements or the ACGIH Threshold Limit Values for Chemical Substances and Physical Agents, and Biological Exposures Indices, whichever is more protective.

Global Guideline Requirement: Documented chemical hazards program which includes the standards below. Review facility documented procedures, forms, etc. for compliance to requirements, verify application of requirements via observations and interviews with appropriate personnel.
10.4.1
Meets Minimum Standard: Facility has a written Chemical Hazard Program (HazCom/WHIMIS, etc.) as required by local regulatory requirements. Verification Method: P
10.4.2
Meets Minimum Standard: Regular maintenance of chemical inventory and MSDSs. (Chemical inventory not more than 12 months old. Current MSDSs) Verification Method: D
10.4.3
Meets Minimum Standard: Labeling of primary and secondary containers complies with local requirements. (Check a sample of containers for contents and hazards contained within) Verification Method: O
Exceeds Minimum Standard: Universal diamond (HMIS)/supplier labeling of primary and secondary containers complies with local requirements. (Check a sample of containers for contents and hazards contained within, 80% compliance) Verification Method: O
Gold Standard: Universal diamond (HMIS)/supplier labeling of primary and secondary containers complies with local requirements. (Check a sample of containers for contents and hazards contained within, 100% compliance) Verification Method: O
10.4.4
Meets Minimum Standard: A written procedure for ensuring corporate R&D/product development furnish MSDSs for all experimental ingredients and chemicals. (Review procedure and verify copies of MSDSs are available) Verification method: D
10.4.5
Meets Minimum Standard: All employees provided with chemical hazard awareness training. (Review training records, at least 90% complete, in HazCom, WHIMS, or equivalent local standard) Verification method: D
Exceeds Minimum Standard: Have you received chemical hazard awareness training? Verification Method: I
10.4.6
Meets Minimum Standard: Specific chemical hazard awareness training provided to employees working with chemicals. Verification method: D
Exceeds Minimum Standard: Do you work with any chemicals? If yes, please explain what type of training you have received. Verification method: I
10.4.7
Meets Minimum Standard: unnecessary or outdated hazardous substances are removed and disposed of in accordance with government requirements. Verification method: O
10.4.8
Meets Minimum Standard: All hazardous materials are segregated and stored based upon chemical compatibility. Review chemical storage areas for compliance with local requirements. Verification method: O
10.4.9
Meets Minimum Standard: Employees use safe work practices when handling chemicals. (Observe use, handling, disposal, and storage of a sample of employees. Interview observed employees to test knowledge. Verification Method: O
Exceeds Minimum Standard: All people walking in area where chemicals are being used are properly equipped with PPE (I.e., when sanitation activities are being performed, do non-sanitation personnel wear eye protection) Verification Method: O
10.4.10
Meets Minimum Standard: All flammable and combustible materials are stored in accordance with local government requirements or NFPA, NFC, whichever is more protective. (Approved flammable cabinets in operational areas, bulk storage in accordance with requirements) Verification Method: O
Exceeds Minimum Standard: All flammable and combustible materials are stored in cut-off rooms with appropriate sprinkler protection. Verification Method: O
Gold Standard: All flammable and combustible materials are stored in an outside building, separate from main building, when not in use. Verification method: O

10.5

10.5 Occupational Hygiene - Monitoring Program

Each facility that has conducted a preliminary hazard assessment in accordance with section 8.4 and has determined that health hazards may exist shall conduct initial hygiene monitoring to determine employee exposure levels.

Global Guideline Compliance: If no established hygiene monitoring program in place per section 10.4.2, then standards below shall be met. Review facility documented hazard assessment checklist/tool for the required information.
10.5.1
Meets Minimum Standard: A preliminary hazard assessment has been conducted by a trained Professional I.H. person and is updated every 3 years. Verification Method: D
10.5.2
Meets Minimum Standard: Where health hazards are identified, action plan developed with guidelines and accountabilities to eliminate or control exposure and monitor employees as required. (Review action plan) Verification Method: D
Exceeds Minimum Standard: Follow up exposure monitoring completed after controls are implemented to determine control effectiveness. Verification Method: D
Gold Standard: Additional follow up exposure monitoring completed to ensure ongoing effectiveness. Verification Method: D
10.5.3
Meets Minimum Standard: Where hazards have been identified through hazard assessment, initial monitoring should be conducted to determine employee exposure levels. (Review initial monitoring program and results) Verification method: D
10.5.4
Meets Minimum Standard: Records maintained of each employee's exposure(s) to identified chemicals. (Review records of exposure measurements) Verification method: D
10.5.5
Meets Minimum Standard: Written documentation that employees have reviewed the results of all industrial hygiene monitoring they participated in, and a copy placed in their medical records. Review documentation for indication that employees have been advised, such as signed copies of memos, etc.)
Exceeds Minimum Standard: Where hygiene monitoring (i.e., dust sampling) has been conducted, have you been advised of the results? (Must be employee that has been monitored) Verification Method: I
10.5.6
Meets Minimum Standard: Have employee complaints regarding potential health hazards (i.e., dusts, vapors, odors, etc.) been reported to management? Verification Method: I
10.5.7
Meets Minimum Standard: Changes to equipment, processes or worksite layout. Review recent projects or equipment changes for potential need for additional monitoring. Verification method: D

10.6

10.6 Airborne Exposures Below 50% of Hygiene Standard

For those facilities with documented exposures less than 50% of the applicable government standard! additional monitoring or written program elements are required! provided that no other Chemical Exposure Control program implementation criteria.

Global guideline compliance: for Asia Pac, exposure standards are available in the NOHSC Hazardous Substances Information System.
10.6.1
Meets Minimum Standard: Documented evidence of exposures less than 50% of the applicable standard. Review preliminary or follow up monitoring records that indicate exposure >50%, must be less than 3 years old. Verification Method: D

10.7

10.7 Airborne Exposures Above 100% of Hygiene Standard

Where airborne chemical exposures are at or above 100% of the applicable exposure standard! additional elements shall be included in the Airborne Chemical Exposure Program.

Global guideline compliance: Additional program elements below shall be included in Chemical Hazard program.
10.7.1
Meets Minimum Standard: A means to identify exposed employees and comply with regulatory reporting requirements. Review program for methods to identify exposed employees and applicable reporting requirements and records. Verification method: P
10.7.2
Meets Minimum Standard: Action plan to eliminate exposure or reduce exposures to less than 50% of hygiene standard using hierarchy of control. Review action plan for required elements. Verification Method: D
10.7.3
Meets Minimum Standard: process to verify controls are effective through follow up monitoring. Review program for methods of review and evaluation of hazard controls, including follow up monitoring. Verification method: P

10.8

10.8 Radiation Control Program Inventory Requirements

Applies to all facilities that have any devices capable of emitting hazardous levels of ionizing or non-ionizing radiation such as, but not necessarily limited to lasers, microwaves, x-rays, RF and ultraviolet sources.

Global guideline compliance: Inventory list of equipment maintained and shall contain the items listed below. (Commercial microwaves not included). Review facility for source of radiation. If facility had such devices, review written program for the required elements. All of the minimum standards listed below shall be verified by appropriate documentation.
10.8.1
Radiation Inventory List
10.8.2
Location
10.8.3
Type of Equipment
10.8.4
Operating wavelength or frequency
10.8.5
Manufacturer
10.8.6
Model Number
10.8.7
Serial Number
10.8.8
Date of Manufacture
10.8.9
Government license/registration numbers where applicable
10.8.10
Frequency of Equipment Use
10.8.11
Number of Employees Using the Equipment
10.8.12
Number of employees in medical surveillance program, where applicable.

10.9

10.9 Radiation Protection Plan

10.9.0
Meets Minimum Standard: Facility has Radiation Control Program. Verification method: P
10.9.1
Meets Minimum Standard: Designated radiation safety officer Verification method: P
10.9.2
Meets minimum standard: Records of transfers or removals of equipment. Verification method: P
10.9.3
Meets minimum standard: Process of monitoring per local standards and manufacturers recommendations. Verification method: P
10.9.4
Meets Minimum Standard: Process for leak testing of radiation devices conducted to confirm with manufacturer requirements. Verification Method: P
10.9.5
Meets Minimum Standard: Registration of radiation emitting devices per government requirements. Verification Method: P
10.9.6
Meets Minimum Standard: Awareness training provided and documented for all affected employees. Verification Method: P
10.9.7
Meets Minimum Standard: Emergency procedures developed. Verification Method: P
Exceeds Minimum Standard: Emergency procedures have been posted. Verification Method: O
10.9.8
Meets Minimum Standard: Warning labels and signs are required on radiation devices. Verification Method: P
Exceeds Minimum Standard: Warning labels and signs are posted on radiation devices. Verification Method: O

10.10

10.10 Requirements for all Non-Iodizing Devices

Global Guideline Requirement: Systems operated and maintained in compliance with government requirements, or if no standard, use international standard CEVIEC 60825-1 Safety of Laser Products. If equipment is available, review documented program for operation and maintenance against local requirements.
10.10.1
Meets Minimum Standard: If facility has lasers, a written control program must be in place. Verification Method: P
10.10.2
Meets Minimum Standard: Magnets have warning signs posted to advise of risk to personnel with pacemakers and other electronic medical devices. Observe signage on equipment with magnets, Verification Method: O
Exceeds Minimum Standard: Personnel who work with magnets have been trained on associated hazards. Verification Method: D
Gold Standard: Before you commenced working with magnets, did you receive any training? Verification Method: I

10.11

10.11 Illumination

Global Guideline Compliance: Controls shall comply with all local government requirements, or ACGIH (CFIA) TLV's for Physical Agents.
10.11.1
Meets Minimum Standard: Adequate lighting provided in plant and warehouse locations. Verification Method: O
Exceeds Minimum Standard: Has the facility conducted a lighting survey within the last 12 months? Verification Method: D
10.11.2
Meets Minimum Standard: Average warehouse light levels 20 foot candles. Verification Method: D

10.12

10.12 Temperature

Controls shall comply with all local government requirements, or ACGIH TLV's for Physical Agents.
10.12.1
Meets Minimum Standard: Facility has identified potential employee exposure to heat/cold related hazards. Verification Method: D
Exceeds Minimum Standard: Employees have been trained on exposures to heat/cold related hazards. Verification Method: D
Gold Standard: Facility can demonstrate through documentation that they are eliminating or reducing identified employee exposure to heat/cold related hazards. Verification Method: D

10.13

10.13 Ergonomics

Work tasks where ergonomic hazards are known to exist must be reviewed to identify opportunities for engineering improvements to the tasks. Where engineering changes are impossible or not feasible, administrative controls may be administered to minimize ergonomic risk. Administrative controls may include job rotation and enlargement, and training in safe work methods.
10.13.1
Meets Minimum Standard: Does a written ergonomic program exist? Verification method: P
Exceeds Minimum Standard: Written ergonomic program is posted on shared drive (e-file) or bulletin board (hard file). Verification method: D
10.13.2
Meets Minimum Standard: Do written ergonomic goals exist? Verification Method: D
Exceeds Minimum Standard: Are written ergonomic goals determined and measured? Verification Method: D
Gold Standard: Are written ergonomic goals determined and measured by management as well as others? Verification Method: D
10.13.3
Meets Minimum Standard: Have there been updates to the written ergonomic program within the last 3 years? Verification Method: D
Exceeds Minimum Standard: Have there been updates to the written ergonomic goals within the last two years? Verification Method: D
Gold Standard: Are the written ergonomic goals updated annually? Revision dates shall be noted. Verification Method: D
10.13.4
Meets Minimum Standard: Is accident analysis conducted on ergonomic injuries annually? Verification Method: D
Exceeds Minimum Standard: Is accident analysis conducted on ergonomic injuries quarterly? Verification Method: D
Gold Standard: Is accident analysis conducted on ergonomic injuries monthly? Verification Method: D
10.13.5
Meets Minimum Standard: Do facility JSAs include written ergonomic components? Verification Method: D
10.13.6
Meets Minimum Standard: Are ergonomic solutions documented? Verification Method: D
Exceeds Minimum Standard: Are ergonomic solutions documented using the "CSC Safety Improvement Documentation" form? Verification Method: D
Gold Standard: Are ergonomic solutions documented using the "CSC Safety Improvement Documentation" form and communicated and/or posted on shared drive or bulletin board? Verification Method: D
10.13.8
Meets Minimum Standard: Have ergonomic assessments been completed and documented? Verification Method: D
Exceeds Minimum Standard: Have in-depth assessments (RULA, PAT, Washington State, or SNOOK) been completed and documented? Verification Method: D
10.13.9
Meets Minimum Standard: Are post solution implementation in-depth risk reductions documented using the CSC Safety Improvement Documentation form? Verification Method: D
Exceeds Minimum Standard: Are post solution implementation in-depth risk reductions documented using the CSC Safety Improvement Documentation form and communicated and/or posted on shared file or bulletin board? Verification Method: D
Good Standard: Have post solution implementation in-depth risk assessments (RULA, PAT, Washington State, or SNOOK) been completed and documented? Verification Method: D
10.13.10
Meets Minimum Standard: Are risk assessments completed and documented on ergonomic related accidents? Verification Method: D
Exceeds Minimum Standard: Are risks assessments completed and documented on ALL ergonomic related accidents? Verification Method: D
Gold Standard: Are risk assessments completed and documented on ALL ergonomic related accidents using the in-depth assessments? Verification Method: D
10.13.11
Meets Minimum Standard: Do ergonomic assessments include pictures? Verification method: D
Exceeds Minimum Standard: Do ergonomic assessments include pictures and video? Verification Method: D
10.13.15
Meets Minimum Standard: Has the ergonomic team had formal training (initial or re-training) on ergonomics within the last 3 years? Verification Method: D
Exceeds Minimum Standard: Has the ergonomic team had formal training on ergonomics within the last 2 years? Verification Method: D
Gold Standard: Has the ergonomic team had formal training within the last 12 months? Verification Method: D
10.13.17
Meets Minimum Standard: Does the facility have an Ergonomic Team? Verification Method: D
Exceeds Minimum Standard: Is the Ergonomic Team comprised of hourly and salaried personnel? Verification Method: D
Gold Standard: Is the Ergonomic Team comprised of hourly and salary personnel (including engineering and maintenance representation)? Verification Method: D
10.13.18
Meets Minimum Standard: Are ergonomic team roles defined and documented? Verification Method: D
Exceeds Minimum Standard: Are ergonomic team roles defined and documented and posted on SharePoint or bulletin board? Verification Method: D
10.13.19
Meets Minimum Standard: Does the Ergonomic Team meet at least monthly? Verification Method: D
10.13.20
Meets Minimum Standard: Are the Ergonomic Team minutes documented? Verification Method: D
Exceeds Minimum Standard: Do the Ergonomic Team minutes include a roster of attendees? (A membership roster for the entire team shall be documented and current.) Verification Method: D
Gold Standard: Do all meetings maintain at least a 75% attendance rate of total learn roster? Verification Method: D
10.13.22
Meets Minimum Standard: Does the ergonomic team review, document, and sign off (i.e., agree on) on engineering changes? Verification Method: D
10.13.23
Meets Minimum Standard: Have employees received ergonomic training (30+ minutes) within the last year? Verification Method: D
Exceeds Minimum Standard: Have employees received job specific ergonomic training within the last 2 years? Verification Method: D
Gold Standard: Have employees received job specific ergonomic training on job transfers? Verification Method: D

10.14

10.14 Fire and Life Safety

Global Guideline Compliance: Controls shall comply with all local government requirements, or NFPA Life Safety Code, listed in 16.1.4.

Fire prevention measures must be in place and, at a minimum, meet the minimum standards as listed below.
10.14.2
Meets Minimum Standard: When a Fire Suppression System is disabled, is FM Global notified? (FM - Red Tag notificationJ Verification Method: D
Exceeds Minimum Standard: When a Fire Suppression System is disabled, is FM Global notified? (FM - Red Tag notificationJ Verification Method: I
Gold Standard: Annual inspection of the facility by the local fire department. Verification Method: D
10.14.3
Meets Minimum Standard: Clearance of 18" below automatic sprinkler heads in office environment and 24" in warehouse. Verification Method: O
Exceeds Minimum Standard: If fire doors are present, are they drop tested annually? Verification Method: D
10.14.4
Meets Minimum Standard: Automatic Sprinkler Systems - monthly inspections. (Review documented records of inspections) Verification Method: D
Exceeds Minimum Standard: Monthly water flow test. Verification Method: D
10.14.5
Meets Minimum Standard: Portable fire extinguishers, located at points of risk, within 75' (25m), or 50' (18m) in areas of flammable liquid use, of employees and along normal travel paths. (Conduct random inspection of extinguisher locations) Verification Method: O
Exceeds Minimum Standard: If fire pump is located on site, test monthly. Verification Method: D
Gold Standard: If fire pump is located on site, test weekly. Verification Method: D
10.14.6
Meets Minimum Standard: Fire protection equipment clearly labeled/signed and visible from distance. (Random inspection of provisions via observation. Sprinkler risers, control valves, etc.) Verification Method: O
10.14.7
Meets Minimum Standard: Fire extinguisher inspected monthly with documented inspection tag. (Review facility hazard inspection records for monthly checks, conduct random inspection of tags for correct dates.) Verification Method: O
10.14.8
Meets Minimum Standard: (interview employees in high risk work areas) Have you been instructed in use of fire extinguishers on annual basis? Verification Method: I
Exceeds Minimum Standard: Are all employees instructed annually on how to use fire extinguishers? Verification Method: D
10.14.9
Meets Minimum Standard: No more than 2 fire extinguishers do not have current inspection tags or are blocked. Verification Method: O
Exceeds Minimum Standard: Fire extinguishers have current inspection tags and none are blocked. Verification Method: O
Gold Standard: No standpipes blocked. Verification Method: O
10.14.10
Meets Minimum Standard: Emergency exits are found to provide adequate access, unobstructed aisles and doorways. (Two or more deficiencies=no credit) Verification Method: O
Exceeds Minimum Standard: Emergency exits are found to provide adequate access, unobstructed aisles and doorways. (No deficiencies) Verification Method: O
10.14.13
Meets Minimum Standard: Exit signs illuminated and unobstructed (two or more deficiencies=no credit) Verification Method: O
Exceeds Minimum Standard: Exit signs illuminated and unobstructed (no deficiencies). Verification Method: O

10.15

10.15 Electrical

Conditions where employees may be exposed to electrical energy must be corrected. When work must be performed on equipment where there is a risk of contract with electrical energy, including high voltage, procedures to isolate the equipment from the source of power must be followed. If it is not possible to isolate the equipment from the power source, only properly trained and experienced employees may perform work.
10.15.1
Meets Minimum Standard: Outlet boxes, junction boxes, switches and other electrical devices are properly covered. Verification Method: o
10.15.2
Meets Minimum Standard: Portable appliances and hand tools are in good condition (inspect for damage to cords, grounding plugs and general overall condition). Verification method: O
10.15.3
Meets Minimum Standard: Has the facility implemented program for Residual Current/Earth leakage (GFCI) protection to all power outlets in high risk areas? (i.e., wet areas, wash rooms, etc.) Review program /plan to install protection to all power outlets, verify installation via random inspection of power outlets. Verification Method: I
Exceeds Minimum Standard: Facility has implemented program for Residual/Earth Leakage protection to all power outlets in production areas. Review program/plan to install protection to all power outlets, very installation via random inspection of power outlets. Verification method: O
Gold Standard: Facility has implemented program for Residual/Earth Leakage protection to all power outlets. Review program/plan to install protection to all power outlets, very installation via random inspection of power outlets. Verification method: O
Sections 10.15.4 through 10.15.11 refer to requirements for exposure to live equipment - NFPA 70E.
10.15.4
Meets Minimum Standard: Written program in place (review documented procedure for Live Work). Verification Method: P
10.15.5
Meets Minimum Standard: Short circuit protection study/arc flash analysis conducted. Verification Method: D
10.15.6
Meets Minimum Standard: Analysis findings included into action plan or documented corrective action. Verification Method: D
10.15.7
Meets Minimum Standard: All electrical panels labeled for Arc Flash - down to 480 volts. Verification Method: O
10.15.8
Meets Minimum Standard: Audit process has been established to audit against written program. Verification Method: D
10.15.9
Meets Minimum Standard: Affected and authorized employees are trained. Verification Method: D
10.15.10
Meets Minimum Standard: PPE testing procedures established. Verification Method: D
10.15.11
Meets Minimum Standard: Appropriate PPE is provided as identified in analysis. Review PPE provided and verify application via interview with electrical workers. Verification Method: O
Exceeds Minimum Standard: What PPE is required when conducting live work such as testing and fault finding? Verification Method: I
Sections 10.15.12 through 10.15.19: Observation Ratings - 90% or better
10.15.12 Circuit breaker panels free of exposed electrical hazards.
10.15.13 Circuit breakers and electrical panels legibly identified as to what they control.
10.15.14 Circuit breakers and electrical panels accessible by a minimum of 36" (1m) in front and 30" (.9m) from each side of the panels.
10.15.15 Use of extension cords restricted to temporary situations (90 days or less) and not run through holes in walls or ceilings.
10.15.16 Flexible electric cords in continuous lengths without tape, splices, no visible damage and have grounds on.
10.15.17 Flexible cords running from electrical equipment to receptacles installed in such a manner to prevent tripping or falling hazards.
10.15.18 High voltage areas (over 600 v) secured and identified with voltage contained.
10.15.19 High voltage areas (over 600 v) have good ventilation, mats and wooden poles, (can be stored in a central location and available for use when servicing high voltage equipment) and are they free of combustibles (should not be used for storage)

10.16

10.16 Mechanical

Employees must be protected from hazards associated with the mechanical motion of machinery and equipment in the facility.

Global Guideline Compliance: Employees must be protected from hazards associated with mechanical motion of machinery and equipment using guarding.
10.16.1
Meets Minimum Standard: Machine guarding assessment is conducted with deficiencies noted and included in an action review plan for completion. Review completed assessments and action plans, review application of assessments with safety personnel. Verification Method: D
Exceeds Minimum Standard: Machine guarding assessment is conducted with deficiencies noted and included in an action register that documents risk rating. Verification Method: D
10.16.2
Meets Minimum Standard: Machine guarding deficiencies noted in the assessment are considered in the budget process. Review completed capital applications and verify process with safety and engineering personnel. Verification Method: D
Sections 10.16.3 through 10.16.16: Observation Ratings - 90% or better
10.16.3 Bench grinders are permanently mounted, tool rest adjusted with 1/8" of wheel,tongue guard within 1/4" of wheel and wheel dressed flat and square.
10.16.4 All accessible rotating parts such as chains, gears, sprockets, shafts, collars, couplings, drives, etc. are guarded to prevent access.
10.16.5 All accessible reciprocating parts such as arms, cutters, can stackers, retractable conveyor noses, etc., are guarded to prevent access.
10.16.6 Agitators, mixers, augers, etc. completely guarded to protect employees from the point of operation.
10.16.7 Projecting screws, key ways, burrs or other projections on shafts completely covered.
10.16.8 Undersides of conveyors adjacent to working or walking areas guarded underneath.
10.16.9 Accessible transfer points between conveyors guarded to prevent access to nip points.
10.16.10 Fans guarded with 1/2" mesh openings or less.
10.16.11 Fixed barrier guards fully secured with fasteners that require the use of tools to remove.
10.16.12 Removable or hinged guards fitted with appropriate interlock devices to prevent operation when open.
10.16.13 Light or RF curtains configured to stop all motion should hazardous area be approached.
10.16.14 Control systems/tools to isolate body parts from hazardous areas during critical parts of machine operation (i.e., push bars, two hand controls, etc.)
10.16.15 Equipment operating with provided guarding in place.

10.17

10.17 Energy Control

Each facility where maintenance and repair procedures are to be performed on equipment which is energized or which has the potential for residual energy, shall develop a written energy control program. In addition to the safety and health hazard control system elements, the written energy control program shall consist of annual training and an annual audit to develop and verify the following for all equipment, machinery or processes where maintenance and repair procedures are to be performed.

Global Guideline Compliance: Where there is exposure to uncontrolled energy sources, a documented Energy Control Program shall be implemented which includes the standards below.
10.17.1
Meets Minimum Standard: The current (dated May 2009) CSC energy isolation program has been adopted at location. Verification Method: P
10.17.2
Meets Minimum Standard: Identification and labeling of the energy isolating devices, such as switches, isolator so valves, gates, etc. (Conduct random inspection of isolating devices for labeling, etc. - 85-90% compliance) Verification Method: O
Exceeds Minimum Standard: Identification and labeling of the energy isolating devices. Compliance is between 90-99%. Verification Method: O
Gold Standard: Identification and labeling of the energy isolating devices. 100% compliance. Verification Method: O
10.17.3
Meets Minimum Standard: General procedure outlining the steps to eliminate or isolate energy sources prior to performing work that may place employee at risk of injury, such as cleaning, adjustments, changeovers, servicing, maintenance, repairs, etc. Verification Method: D
10.17.4
Meets Minimum Standard: What is the general procedure to eliminate or isolate energy sources prior to performing work that may place employee at risk of injury, such as cleaning, adjustments, changeovers, servicing, maintenance, repairs, etc. Verification Method: I
10.17.5
Meets Minimum Standard: Procedure to notify employees who may be affected by works review facility procedures for required content. Verification Method: D
10.17.6
Meets Minimum Standard: What is the procedure to notify employees who may be affected by work? Verification Method: I
10.17.7
Meets Minimum Standard: Procedure to safely restore isolated equipment to normal operation. Review facility procedures for required content. Verification Method: D
10.17.8
Meets Minimum Standard: What is the procedure to safely restore isolated equipment to normal operation? Verification Method: I
Global guideline requirement for sections 10.17.9 through 10.17.13: Where there is exposure to uncontrolled energy sources a documented Energy Control Program shall be implemented which includes the standards below.
10.17.9
Meets Minimum Standard: Facility has been surveyed to identify all equipment that might be included in energy isolation program as required by the CSC written program. Verification Method: D
Exceeds Minimum Standard: All equipment that is routinely entered into at least once per shift has been identified (must be a detailed list). Verification Method: D
Gold Standard: Equipment specific lockout procedures for those machines entered into at least once per shift are posted on 90% of the equipment. (Equipment with only one energy source is excluded from this requirement provided that single energy source is readily identified.) Verification Method: O
10.17.10
Meets Minimum Standard: Annual review and evaluation of all isolation procedures to measure effectiveness and compliance. Verification Method: D
10.17.11
Meets Minimum Standard: Annual training requirements for authorized and affected employees. (Review training records) Verification Method: D
Exceeds Minimum Standard: Have you been trained this year on Lockout? Verification Method: I
10.17.12
Meets Minimum Standard: Annual audits are conducted on authorized lockout employees. Verification Method: D
Exceeds Minimum Standard: Have you been audited on lockout in the last 12 months? Verification Method: I
Gold Standard: Semi annual audits are conducted on authorized lockout employees. Verification Method: D
10.17.13
Meets Minimum Standard: Equipment specific lockout training has been conducted for all authorized employees. Verification Method: D
Exceeds Minimum Standard: Have you been trained on lockout procedures for the equipment you are working on? Verification Method: I
Sections 10.17.18 - 10.17.21: these questions apply to locations that utilize control reliable safety systems as defined by the CSC global program.
10.17.18
Meets Minimum Standard: Risk assessments have been conducted on all control reliable category 3 or 4 have been conducted. Verification Method: D
10.17.19
Meets Minimum Standard: Identify and document tasks that do not require complete mechanical isolation but allow for the use of the control reliable category 3 or 4 safeguards. Verification Method: D
10.17.20
Meets Minimum Standard: Tasks that have been identified as acceptable to be performed under the protection of control reliable category 3 or 4 have been posted on the equipment using the CSC control reliable placard. Verification method: O
10.17.21
Meets Minimum Standard: All employees that enter control reliable category 3 or 4 have been trained as "authorized employees" as required by the CSC standard. Verification Method: D
Exceeds Minimum Standard: Interview employees working on control reliable equipment: What activities can you perform without locking out this equipment? Verification Method: I

10.18

10.18 Walking/Working Surfaces - Fall from Elevation

A means must be established to protect employees from those hazards that could cause trips, slips, or falls, impacting the same or lower level surfaces, objects, or equipment, resulting in injury or illness. Fall protection must be considered whenever employees are exposed to heights in excess of regulatory requirements. Slips and falls shall be considered whenever a walking or working surfaces coefficient of friction is below .06 (COF).

Global Guideline Compliance: A means to protect employees from fall from elevation hazards must be established. Review facility program for required elements.
10.18.1
Meets Minimum Standard: The Campbell Soup Fall from Elevation Program has been adopted and reviewed on annual basis. Verification method: P
Exceeds Minimum Standard: Documentation that the falls from elevation fall protection program has been reviewed and updated annually. Verification Method: D
10.18.2
Meets Minimum Standard: Fall protection program administrator identified in the program for the facility. (Must be an individual name and not a position or title). Verification Method: D
Exceeds Minimum Standard: Fall protection program administrator for both the Maintenance and Plant Services Departments. Verification Method: D
10.18.3
Meets Minimum Standard: There has been a documented worksite assessment to identify potential elevated fall hazards with deficiencies noted. Verification Method: D
Exceeds Minimum Standard: Develop action plan, that includes the prioritization of identified hazards and establish a timetable to address the exposures identified in assessment. Verification Method: D
Gold Standard: Completed action plans showing effort to eliminate the highest rated hazards identified in the facility risk assessment. Verification Method: D
10.18.4
Meets Minimum Standard: Employees working above 4 feet must receive and successfully complete a fall protection training from a competent person. (Must be a half day in duration) Verification method: D
Exceeds Minimum Standard: Employees working above 4 feet must receive and successfully complete a competent person course in fall prevention/protection. 10% of employees exposed to elevations above 4 feet. Verification Method: D
Gold Standard: Employees working above 4 feet must receive and successfully complete a competent person course in fall prevention/protection. 20% of employees employees exposed to elevations above 4 feet. Verification Method: D
10.18.5
Meets Minimum Standard: All employees have received fall protection awareness training identifying their responsibilities. Verification Method: D
Exceeds Minimum Standard: Do you work at elevation? If yes, have you received detailed classroom and hands on training in the fall prevention program? Verification Method: I
Gold Standard: Can you give me some examples of the limitations of your fall protection equipment? Verification Method: I
10.18.6
There is a list of fall protection equipment that is in use, and in storage. Verification Method: D
10.18.7
Meets Minimum Standard: Equipment has been removed from service is to be identified as "removed from service". Give date and reason for removal from service on the list. Verification Method: O
Gold Standard: a demonstrated, regular, use of the Elevated Work Permit System (non-routine work permit) Verification Method: D
10.18.8
Meets Minimum Standard: Documented annual inspection of fall protection equipment. Verification Method: D
Exceeds Minimum Standard: Do you perform a documented semi-annual inspection of fall protection equipment? Verification Method: I
Gold Standard: Documented inspection of fall protection equipment quarterly. Verification Method: D
10.18.9
Meets Minimum Standard: Documentation that all installed fall protection anchorages points utilized to provide fall protection conform to engineering requirements (must be capable of supporting at least 5,400 lbs). Review documented engineer's/qualified persons annual inspection, etc. Verification method: D
10.18.10
Meets Minimum Standard: The facility is to have on file the owners manual for EACH type (manufacturer and model) of fall protection equipment in use, and in storage to be used as reference information to the approved use as directed by the manufacturer. Verification Method: D
Exceeds Minimum Standard: Each department that uses fall protection equipment has created a fall protection equipment file that includes an owners manual for each type of manufacturers fall protection device that has been installed, in use, or in storage by the department. Verification Method: D
10.18.11
Meets Minimum Standard: Self closing gates and/or bars installed on platforms above 4 feet at opening to stairways and ladders. Verification method: O
10.18.12
Meets Minimum Standard: In the absence of guardrail system on any roof, or open sided floor, a colored perimeter line (12") and/or procedure which includes personal fall arrest system and/or personnel control warning line. Verification Method: D
Exceeds Minimum Standard: Documented procedure to account for anyone accessing the roof. Verification Method: D
Gold Standard: Roof Guardrail system in place to eliminate fall hazards at all access points and location where maintenance work activities will occur. Verification method: O
10.18.13
Meets Minimum Standard: Following any elevated fall incident or near miss - A documented review of the incident including procedures program, and personnel is conducted with safety personnel and reported to regional and corporate safety directors. Verification Method: D
10.18.14
Meets Minimum Standard: Aerial work platforms, or elevating lifts, must have operators trained specifically for the type of lift being operated. Typically scissor, boom, or mast supporters platforms. Verification Method: D
10.18.15
Meets Minimum Standard: All occupants of an aerial work platform are to be secured from accidental ejection from the platform. Use of a harness, and, either an adjustable restraint lanyard or a 6 foot self retracting lifeline approved by CSC SME are allowed. The fall protection connection shall be made to only the manufacturers identified anchor point. Only one connection per anchor point.
Exceeds Minimum Standard: Protection from accidental ejection from an aerial work platform by occupants is only through the use of an adjustable restraint lanyard. Verification Method: O
10.18.16
Meets Minimum Standard: Employees entering storage racks at elevation shall be in some sort of 100% fall protection system. Employees servicing a "wrecked pallet" are also directed to control the "stored energy" exposure created by the pallets behind the wrecked pallet "pushing" against it. Verification Method: O
Exceeds Minimum Standard: Employee use of the Campbell Soup GFR safety platform for both roller track maintenance and removal of "wrecked" pallets. Verification Method: O
10.18.17
Meets Minimum Standard: Handrails and stair rails should be in place and in good condition to support 200 lbs lateral force (conduct random inspection of platforms, etc., for handrails, May need to confirm engineering of rails via Engineering). Verification Method: O
10.18.18
Meets Minimum Standard: Facility has documented procedure to inventory, inspect and manage portable ladders. Portable ladders that are damaged and defective are to be taken out of service and destroyed. (Review documented procedure, verify application with employee interviews) Verification Method: O
Exceeds Minimum Standard: What is the procedure to manage damaged and defective ladders? Verification Method: I
10.18.19
Meets Minimum Standard: Fixed ladders 30 feet, or greater, in unbroken length are required to have off-set rest platforms. Verification Method: O
Exceeds Minimum Standard: Fixed ladders 30 feet or greater are required to have a friction stop or fall arrest device. Verification method: O Note: this device will connect to the front, chest D-ring of the climbers full body harness. This system will allow hands-free ascent and descent. This device will limit the users free fall to not more than two feet (required for ladder fall arrest systems).
10.18.20
Meets Minimum Standard: Permanently fixed ladders that are 20 feet or greater in unbroken length are to have cages installed around the climbing slide of the ladder. Verification Method: O
10.18.21
Meets Minimum Standard: Program requires elevated work permit (non routine work) anytime an employer had a need to exit, then re-enter, an aerial work platform for any work related purpose. Verification Method: D

10.19

10.19 Walking Working Surfaces

Programs, procedures and work practices are developed and implemented to address slip,trip and fall from the same elevation injury exposures.
10.19.1
Meets Minimum Standard: The Campbell Soup Company Slip Trip and Fall Guidelines has been adopted and reviewed on annual basis. Verification method: P
Exceeds Minimum Standard: A slip/trips coordinator is identified to administer the program. Verification Method: D
10.19.2
Meets Minimum Standard: A needs assessment has been conducted to identify slip/trip hazards, using assessment checklists and coefficient of friction analysis not less than .60 COF. Review completed assessment for results and proposed corrective actions.
Exceeds Minimum Standard: Needs assessment findings have been put into action plan and audit tram and not observed any hazards or poor controls which could contribute to slip/trip incidents (verify implementation of Action Plan and housekeeping). Verification Method: D
Gold Standard: All employee work surfaces have a COF greater than .60 COF.
10.19.3
Meets Minimum Standard: Action plan has been developed to address deficiencies noted in the assessment. Review action plan.
Action items from slip/fall assessment are included in budget. Verification Method: D
10.19.4
Meets Minimum Standard: 50% supervisors and leaders have received training on slip/fall hazard identification and aware renews (review training records).
Exceeds Minimum Standard: 75% supervisors and leaders have received training on slip/fall hazard identification and awareness (review facility training records and verify knowledge via interviews). Verification Method: D
Gold Standard: 90% supervisors and leaders have received training on slip/fall hazard identification and awareness. (Review training records and verify knowledge via interviews). Verification Method: D
10.19.5
Meets Minimum Standard: All employees have received training on slip/fall hazard identification and awareness (review training records).
Exceeds Minimum Standard: Have you received training on slip/fall hazard identification and awareness. Verification Method: I
10.19.6
Meets Minimum Standard: Monthly inspections are conducted to monitor slip/fall conditions and behaviors (review records of inspections, may be part of regular workplace inspection program).
Exceeds Minimum Standard: Weekly inspections are conducted to monitor slip/fall conditions and behaviors. Verification Method: D
Gold Standard: Daily inspections are conducted to monitor slip/fall conditions and behaviors. Verification Method: D
10.19.7
Meets Minimum Standard: Slip/fall controls included in engineering design reviews (review checklist/criteria used for design review to ensure inclusion, verify application of process with Engineering Tatar and safety personnel). Verification Method: D
Exceeds Minimum Standard: Stair treads and platforms free from slippery exposures. Verification Method: O
10.19.8
Meets Minimum Standard: Establish location slip/fall injury reduction rates. Review facility trends analysis data. Verification Method: D
Exceeds Minimum Standard: Location slip/fall injury reduction rates are posted, tracked and communicated to the workforce (review facility trends analysis data). Verification Method: O
Global Guideline Compliance: A means to protect employees from hazards that could cause slips, trips and falls on the same level must be established and include the following standards. Review facility program for required elements.
10.19.9
Meets Minimum Standard: Diamond plate used on new installations within the last year. (One new installation with diamond plate scores "zero".) Verification Method: O
Gold Standard: Diamond plate has been eliminated from the facility. Verification Method: O
10.19.10
Meets Minimum Standard: Housekeeping processes to minimize spills, wet surfaces, etc. (review procedures for cleaning, conduct random observation of conditions) Verification Method: O
Exceeds Minimum Standard: Housekeeping processes are adequate to eliminate standing water accumulation of dust, debris, plastics and ingredients during production. Verification Method: O
10.19.11
Meets Minimum Standard: Employee walkways are designated (with lines, etc.) in high traffic areas and free of obstruction. Verification Method: O
Exceeds Minimum Standard: Employee walkways are designated in 75% of plant and free of obstruction. Verification Method: O
Gold Standard: Employee walkways are designated in 100% of plant and free of obstruction. Verification Method: O

10.20

10.20 Permit Required Operations and Non-Routine Tasks

General Guideline Requirements: each facility shall implement a hazard control permit system for all non-routine tasks (for example, pit cleaning, roof work, floor coating/sealing, shutting off utilities), confined space entry operations, or hot work (flame or spark producing operations outside "designated areas" such as welding, cutting, grinding).
Global Guideline Compliance: For all non-routine tasks, confined space entry and spark/flame (hot work) producing operations, each facility shall implement a documented hazard control program that consists of the following standards. (Review facility procedures for required content.)
10.20.1
Meets Minimum Standard: Program requires permit (hazard assessment) for non routine task or work that has been not been performed in the past 2 months. Verification Method: P
10.20.2
Meets Minimum Standard: Program requires permit for all unprotected elevated work four feet or more above the floor. Verification Method: P
Exceeds Minimum Standard: Program requires elevated work permit (non-routine work) anytime an employee has a need to exit, then re-enter, an aerial (elevating) work platform for any work related purpose. Verification Method: P
10.20.3
Meets Minimum Standard: Non routine work permit includes check list of hazards for hazard assessment prior to doing the task. Verification Method: D
Exceeds Minimum Standard: A risk assessment using the Campbell Risk Assessment Tool is used anytime when fall protection equipment such as body harness, etc., are used (exception - scissor and personnel lifts). Verification Methods: D
Gold Standard: A risk assessment using the "consequences component" of the Campbell Risk Assessment Tool is used with all Non Routine Permits. Verification Method: D
10.20.4
Meets Minimum Standard: There is verification that the hazards are identified and controlled. The verification shall include the signature of the supervisor/manager/coordinator/lead person and all employees working on the task. Verification Method: D
10.20.5
Meets Minimum Standard: The process effectiveness is monitored through documented inspections or audits. Verification Method: D
10.20.6
Meets Minimum Standard: All non routine work permits are maintained for 1 year. Verification Method: D
10.20.7
Meets Minimum Standard: Supervisors/managers/coordinators have received training to manage and enforce the non routine work permit process. Verification Method: D
Exceeds Minimum Standard: Can you explain the non routine work process? (Supervisors/managers/coordinators) Verification Method: I
10.20.8
Meets Minimum Standard: All employees are given awareness training for use of the non routine work permit. Verification Method: D
Exceeds Minimum Standards: Can you explain the non routine work process? (Employees) Verification Method: I

10.21

10.21 Hot Work

General Guideline Requirements: For hot work (flame or spark producing operations outside "designated areas" such as welding, cutting, grinding) each facility shall implement a documented permit system.
Global Guideline Compliance: Facility has implemented a documented program for the control of hot work and associated risks, which includes the following standards. Review program for required content, verify application via interview with affected employees and observation of workplace requirements.
10.21.1
Meets Minimum Standard: Hot work program requires use of current FM Global or equivalent permit. Verification Method: P
Exceeds Minimum Standard: There is a program owner of the Hot Work Program. The responsibilities of the owner is to ensure that the program requirements are met and that the program audits are conducted. Verification Method: P
Gold Standard: Hot Work Program audited at least annually and results documented. Verification Method: D
10.21.2
Meets Minimum Standard: Program requires persons authorized to issue permits and fire watch/monitors to be trained in the program requirements and fire prevention. Verification Method: P
Exceeds Minimum Standard: There is a formal training program which includes a training outline, agenda and visual aids. Verification Method: D
10.21.3
Meets Minimum Standard: Program requires persons authorized to issue permits and fire watch/monitors to be trained in the program requirements and fire prevention. Verification Method: P
Exceeds Minimum Standard: There is a current list of authorized and trained employees to issue hot work permits. Verification Method: D
Gold Standard: A Campbell authorized employee must issue all hot work permits. Contractors shall not issue their own hot work permits. Verification Method: D
10.21.4
Meets Minimum Standard: Program defines fire watch requirements in conformance with current FM Global requirements (during work in progress, one hour after the job is completed and 3 hour surveillance after hot work is completed). Verification Method: P
Exceeds Minimum Standard: Can you explain the fire watch and fire monitoring system? Verification Method: I
10.21.5
Meets Minimum Standard: Program addresses welding in hazardous locations (confined space, roof, etc.). Verification Method: P
Exceeds Minimum Standard: There is a detailed written specific roof hot work procedure (for hot work done on the roof of buildings). Verification Method: D
Gold Standard: Can you explain the hot work roof procedure? Verification Method: I
10.21.6
Meets Minimum Standard: Program includes provisions for ensuring contractor compliance with hot work program. Verification Method: P
Exceeds Minimum Standard: There are periodic (minimum every 3 months) audits conducted to ensure that contractors are following Campbell hot work procedures. Verification Method: D
10.21.7
Meets Minimum Standard: Hot work permits are maintained for the previous 90 days for all hot work activities. Verification Method: D
10.21.8
Meets Minimum Standard: The hot work program is audited at least annually to determine compliance with all of the elements of the program. Verification Method: D
Exceeds Minimum Standard: The hot work program is audited at least semi-annually to determine compliance with all of the elements of the program. Verification Method: D
Gold Standard: The hot work program is audited at least quarterly to determine compliance with all of the elements of the program. Verification method: D
10.21.9
Meets Minimum Standard: Hot work permits are posted at the job site. Verification Method: O
Exceeds Minimum Standard: Can you explain the safety precautions that you take when performing hot work? Verification Method: I
10.21.11
Meets Minimum Standard: Oxygen and fuel gas systems have flashback protection and back flow protection devices. Verification Method: O
10.21.12
Meets Minimum Standard: Oxygen and fuel gas system valves are off when not in use. Verification Method: O
10.21.13
Meets Minimum Standard: Screens are set up to protect other workers. Verification Method: O
10.21.14
Meets Minimum Standard: Combustibles been removed from hot work area as per requirements. Verification Method: O

10.22

10.22 Confined Space

General Guideline Compliance: For confined spaces work, including inspection activities, each facility shall implement a documented permit system.

Global Guideline Compliance: In addition to the above, the following standards must also be accomplished for all confined space entry operations. Review program for required content, verify application via interview with faceted employees and observation of workplace requirements.
10.22.1
Meets Minimum Standard: Does facility have written confined space program that address safe entry into confined spaces? Verification Method: P
10.22.2
Meets Minimum Standard: Access to confined spaces is controlled (no entry allowed without permit, only authorized employees enter with attendant outside the space, atmosphere monitoring, etc.) Verification Method: O
Exceeds Minimum Standard: Signs, barricades, caution tape, etc. is used for warning when confined space work is in progress. Verification Method: O
Gold Standard: Do you take any special precaution when welding in a confined space? (When hot work is conducted in a confined space, confined space permits can only be issued by the H&S Manager, Safety Coordinator or safety rep who is trained in hot work and confined space requirements). Verification Method: I
10.22.3
Meets Minimum Standard: There is an inventory list of all confined spaces. Verification Method: D
Exceeds Minimum Standard: Inventory updated as changes are made. Verification Method: D
Gold Standard: Inventory updated every two years regardless of changes to the site. Verification Method: D
10.22.4
Meets Minimum Standard: Warning signs are posted on each confined space. Verification Method: O
10.22.5
Meets Minimum Standard: There are written confined space-specific entry procedures for each confined space in the inventory list. Verification Method: D
Exceeds Minimum Standard: Written confined space entry procedures include a photo of the confined space. Verification Method: D
10.22.6
Meets Minimum Standard: Program defines duties of entrants, attendant, supervisors, and emergency personnel. Verification Method: P
10.22.7
Meets Minimum Standard: There is a list of authorized attendants, entrants and entry supervisors. Verification Method: D
10.22.8
Meets Minimum Standard: The program defines issuance, use, posting, and cancellation of permits. Verification Method: P
10.22.9
Meets Minimum Standard: There is documented practice rescues conducted on entry and non entry rescues at least annually on representative spaces. Verification Method: D
Exceeds Minimum Standard: Entry and Non Entry rescues conducted semi-annually and include noting deficiencies, response time and list of all participants. Verification Method: D
Gold Standard: Entry and non entry rescues conducted quarterly and include noting deficiencies, response time and list of all participants. Verification method: D
10.22.10
Meets Minimum Standard: The program includes provisions for testing and monitoring of atmospheric conditions. Verification Method: P
For 10.22.11 thru 10.22.19: the following must also be accomplished for all Confined Space Entry Operations. Review program for required content, verify application via interview with affected employees and observation of workplace requirements.
10.22.11: personnel performing entry, monitoring the space or authorizing entry shall be trained on their duties, procedures, including 6.3 and the following items. Verification method: P
10.22.12: scope of work to be performed (P)
10.22.13: hazard recognition and risk assessment (P)
10.22.14: permit system (P)
10.22.15: limitations and use of specialized monitoring equipment and PPE (P)
10.22.16: communications (P)
10.22.17: monitoring (P)
10.22.18: rescue (P)
10.22.19: scope of work to be performed (P)
10.22.20
Meets Minimum Standard: The program specifies training requirements for entry supervisors, entrants, attendance, emergency personnel. Verification Method: P
10.22.21
Meets Minimum Standard: All affected employees have been trained annually in general confined space awareness. Verification Method: D
Exceeds Minimum Standard: Have you received any training in general confined space awareness? Verification Method: I
Gold Standard: As an authorized confined spaces employee, what are the basic requirements for entry into a confined space? Verification Method: I
10.22.22
Meets Minimum Standard: Confined space training for persons entering, attending, and supervising. (Every 3 years). Verification method: D
Exceeds Minimum Standard: Confined space refresher every 2 years. Verification method: D
Gold Standard: Confined space refresher annually. Verification method: D
10.22.23
Meets Minimum Standard: Entrants and entry supervisor are identified on the C.S. Entry permit. Verification Method: D
10.22.24
Meets Minimum Standard: Testing and monitoring of atmospheric hazards documented on C.S. entry permit. Verification method: D
10.22.25
Meets Minimum Standard: Annual documented audit of confined space entry program conducted. Verification Method: D
Exceeds Minimum Standard: Annual documented audits of confined space entries permits conducted (one deficiency in permits = no credit). Verification Method: D
Gold Standard: No documented deficiencies of confined space entry permits. Verification Method: D
10.22.26
Meets Minimum Standard: Documented audits of actual confined space entries are conducted annually to monitor compliance. Verification Method: D
Exceeds Minimum Standard: Documented audits of actual confined space entries are conducted semi-annually to monitor compliance. Verification Method: D
Gold Standard: Documented audits of actual confined space entries are conducted quarterly to monitor compliance. Verification Method: D
10.22.27
Meets Minimum Standard: The facility has the proper equipment to perform confined space work. (At a minimum, air monitoring equipment, harnesses, tether line, explosion proof lights, tripod.)
Exceeds Minimum Standard: Two way radios are used to communicate with the authorized entrant inside the confined space. Verification Method: O
10.22.28
Meets Minimum Standard: Entry points are posted on the entry space. Verification Method: O
Exceeds Minimum Standard: Entry permits are maintained for one year. Verification method: D

10.23

10.23 Steel Storage Racking

General Guideline Requirements Installation: Installation must be completed by a competent personnel who are egregiously employed in erecting a pallet rack. The installation must be in accordance with safety regulations and the manufacturer's instructions.

The facility must ensure that there is a pallet rack inspection process in place and that a competent person performs the inspection. Inspection frequency should be influenced by risk assessment, frequency and severity of damage found and local regulatory requirements.
10.23.1 (Training)
Meets Minimum Standard: Does the facility have a person or persons assigned to inspect steel storage racking in the facility? Verification Method: D
Exceeds Minimum Standard: Does the person assigned to conduct inspection receive specific training on how to inspect steel storage racking? Verification Method: D
Gold Standard: Does the facility utilize external expert to conduct the inspection of steel storage racking? Verification Method: D
10.23.2 (Program Documentation)
Meets Minimum Standard: Is there a formal inspection document that identifies racking damage in the facility and capture the information below? Verification method: D
Exceeds Minimum Standard: Is there a written guideline/program that identifies responsibilities and expectations with regard to maintenance and inspection of the facility steel storage racking? Verification Method: P
10.23.3
Meets Minimum Standard: Does the racking inspection include 10.23.4 thru 10.23.10? Verification Method: D
Exceeds Minimum Standard: Does the facility maintain inspection records for the previous 24 months? Verification method: D
10.23.4: Identification of corroded supports, supports that are damaged or out of plumb (D)
10.23.5: sheared or missing anchors (D)
10.23.6: damaged or missing horizontal and/or diagonal cross braces (D)
10.23.7: missing safety pins
10.23.8: missing row or wall spacers
10.23.9: missing, or improperly positioned and secured safety bars (D)
10.23.10: damaged or improperly stored pallets (D)
10.23.11 (Classification of Damage Identified)
Meets Minimum Standard: Is there a formal process in place to capture and identify racking damage and prioritize based on type and severity of damage found and steps that are required to be taken? Verification method: D
10.23.13
Meets Minimum Standard: Pre-start review has been conducted. Verification method: D
10.23.14
Meets Minimum Standard: Does the racking clearly display maximum load capacities for each racking section? Verification method: O
10.23.15
Meets Minimum Standard: Are safety bars set in proper position and secured in place? Verification Method: O
10.23.16
Meets Minimum Standard: Are all exposed rack posts protected to at least 12" from floor? Verification method: O
10.23.17
Meets Minimum Standard: Is there at least 1 safety pin/clip in place for each storage beam end connector? Verification Method: O
10.23.18
Meets Minimum Standard: Are the storage racks mounted and secured to the floor? Verification Method: O
Exceeds Minimum Standard: Annual inspection in place to verify that mounting bolts are properly secured. Verification Method: D
10.23.19
Meets Minimum Standard: No anchors are sheared or missing? Verification Method: O
10.23.20
Meets Minimum Standard: no corroded supports, or supports that are damaged or out of plumb where found. Verification Method: O

10.24

10.24 Control of Highly Hazardous Chemicals

General Guideline Requirements: If the site has chemicals in a process that meets the requirements of this section, audit this section. Otherwise, skip this section.
Global Guideline Compliance for 10.24.1 through 10.24.5: Highly Hazardous Chemical (HHC) Control (in USA, "Process Safety Management")
10.24.1
Meets Minimum Standard: Written HHC Control Plan includes information on toxicity of chemicals, Permissible Exposure Limits (or Threshold Limit Values), Physical Data, Reactivity Data, Corrosiveness Data, Chemical and Stability Data, and effects of chemical interaction. (An MSDS for each HHC in the Plan will suffice if it covers all listed.) Verification Method: D
10.24.2
Meets Minimum Standard: A block flow diagram has been completed for the HHC Process that includes: process chemistry, maximum intended inventory, safe limits, evaluation of consequences of deviations of those limits. Verification Method: D
10.24.3
Meets Minimum Standard: Piping and Instrumentation Diagrams have been completed for the HHC process that includes electrical classifications, relief systems design and design basis, ventilation design, standards employed and safety systems (interlocks, detection/suppression systems). Verification Method: D
10.24.4
Meets Minimum Standard: All equipment in P&ID's complies with recognized and generally accepted good engineering practices. Verification Method: D
10.24.5
Meets Minimum Standard: Process Hazard Analysis (PHA) has been completed using one of the following methodologies: What if, checklist, Hazard and Operability Study (HAZOP), Failure Mode and Effects System (FMEA) or a Fault Tree Analysis. Verification Method: D
10.24.6
Meets Minimum Standard: PHA addresses hazards of the process, review of previous incidents, consequences of failure of engineering/administrative controls, facility siting, human factors, evaluation of possible safety and health effects of failures of controls on employees. Verification method: D
Exceeds Minimum Standard: PHA addresses evaluation of possible safety and health effects of failures of controls on surrounding community. Verification Method: D
10.24.7
Meets Minimum Standard: PHA has a documented review and update by the HHCC team every 5 years. Verification Method: D
Exceeds Minimum Standard: PHA has a documented review and update by the HHCC team every 3 years. Verification method: D
10.24.8
Meets Minimum Standard: Written Operating Procedures exist for each activity in the HHC Process detailing safe work practices. Must address: initial start up, normal operations, temporary operations, emergency shutdowns, emergency operations, operating limits, normal shutdowns and restart after am emergency shutdown. Verification Method: D
10.24.9
Meets Minimum Standard: Safe work practices have been specifically developed for LOTO, confined space entry, opening process equipment or piping and control over entrance into facility. Verification Method: D
10.24.10
Meets Minimum Standard: Each employee working on the HHC Process has been trained on the written operating procedures, safe work practices and emergency practices surrounding the HHC process.
10.24.11
Meets Minimum Standard: Refresher training is provided every 3 years. Verification Method: D
Exceeds Minimum Standard: Refresher training is provided every 2 years. Verification Method: D
Gold Standard: Refresher training is provided every year. Verification Method: D
10.24.12
Meets Minimum Standard: Contractors are selected after evaluation of safety performance and training programs. Verification Method: D
Exceeds Minimum Standard: Contractor records are reviewed every 2 years for safety performance. Verification Method: D
Gold Standard: Contractor records are reviewed annually for safety performance. Verification Method: D
10.24.13
Meets Minimum Standard: Contractors are trained in the HHCC for the Plant and potential emergency situations that could arise. Verification Method: D
10.24.14
Meets Minimum Standard: Contractor injury and illness log is maintained for all contractors working in the HHC process area. Verification Method: D
10.24.15
Meets Minimum Standard: Employer and contractors will conduct a pre-start up safety review prior to starting any part of the HHC process that has been changed. Verification Method: D
10.24.16
Meets Minimum Standard: Documented inspections and tests are performed on the HHC Process equipment per manufactures' recommendations and accepted good engineering practices. Verification Method: D
Exceeds Minimum Standard: Documented inspections and tests are performed on the equipment annually, regardless of manufacturers' recommendations and accepted good engineering practices. Verification Method: D
10.24.17
Meets Minimum Standard: Written Management of Change Procedures have been developed to manage changes in the HHC Process. Verification method: D
10.24.18
Meets Minimum Standard: Incident investigations for any incident that resulted in, or could have resulted in, a catastrophic event are initiated within 48 hours. Verification Method: D
Exceeds Minimum Standard: Incident investigations for any incident that resulted in, or could have resulted in, a catastrophic event are initiated within 24 hours. Verification Method: D
Gold Standard: Incident investigations for any incident that resulted in, or could have resulted in a catastrophic event are initiated before the end of the shift on which the incident occurred. Verification Method: D
10.24.19
Meets Minimum Standard: Emergency Action Plan has been developed specifically for the HHC Process and plan has been reviewed by outside emergency responders. Verification Method: D
Exceeds Minimum Standard: Drill is conducted every other year with outside emergency responders. Verification Method: D
Gold Standard: Drill is conducted annually with outside emergency responders. Verification Method: D
10.24.20
Meets Minimum Standard: Documented compliance audit is conducted every 3 years to verify that required HHC Procedures and Practices are adequate and effectively followed by Plant personnel Verification Method: D
Exceeds Minimum Standard: Documented compliance audit is conducted every 2 years to verify that required HHC Procedures and Practices are adequate and effectively followed by Plant personnel. Verification Method: D
Gold Standard: Documented compliance audit is conducted annually to verify that required HHC Procedures and Practices are adequate and effectively followed by Plant personnel. Verification Method: D

10.25

10.25 Control of Exterior Building, Grounds, and Roof Hazards

General Guideline Requirements: The site must provide controls to prevent accidents associated with pedestrian and vehicle traffic in exterior all areas which include: driveways, parking lots, common and yard areas as well as dangers from working on the roof, which includes objects from falling elevated exterior surfaces.
10.25.1
Meets Minimum Standard: Are manholes identified and labeled as Confined Spaces? Verification Method: O
10.25.2
Meets Minimum Standard: Empty pallets are stored 50 feet from exterior walls. Verification method: O
Exceeds Minimum Standard: No combustible material is stored within 10 feet of the building. Verification Method: O
10.25.3
Meets Minimum Standard: Smoking is only permitted in designated areas and the policy is in place and enforced. Verification Method: O
10.25.4
Meets Minimum Standard: Outside building entrances are locked to prevent unauthorized entry. Verification Method: O
10.25.5
Meets Minimum Standard: General exterior housekeeping is good (lack of debris, loads secured, orderly scrap yards and sheds). Verification Method: O
10.25.6
Meets Minimum Standard: Exterior roadways are free from deterioration such as pot holes. Verification Method: O
10.25.7
Meets Minimum Standard: Speed bumps and posted speed limit signs are posted and enforced. Verification Method: O
10.25.8
Meets Minimum Standard: Exterior perimeter fencing gates are secured to prevent unauthorized entry. Verification method: O
Exceeds Minimum Standard: Security is provided to employees by card access or outside security guards. Verification Method: O
Gold Standard: Security is provided with access cards, perimeter fencing, and security guards. Verification Method: O
10.25.9
Meets Minimum Standard: Exterior lighting is provided at all access points, work areas and parking lots and is sufficient for work being conducted, safe pedestrian traffic. Verification Method: O
10.25.10
Meets Minimum Standard: Skylights are guarded to prevent a roof pedestrian from falling through. Verification method: O
Exceeds Minimum Standard: There is written requirements to monitor roof conditions during snow and ice storms. Verification method: D
Gold Standard: Has facility determined the maximum allowed weight if snow and ice accumulation to facilitate removal? Verification Method: D
10.25.11
Meets Minimum Standard: The roof is free of unrestrained materials. Verification Method: O
10.25.12
Meets Minimum Standard: Roof exhaust fans are provided with guards. Verification Method: O
10.25.13
Meets Minimum Standard: Facility has roof access procedure to account for employees/contractors on the roof. Verification Method: D
Exceeds Minimum Standard: The roof is provided with painted perimeter line. Verification Method: O
Gold Standard: All access points where work needs to be performed have been identified and equipped with railing systems or permanent fall protection equipment. Verification Method: O

10.26

10.26 Powered Industrial Equipment

General Guideline Requirements: The site must provide controls to ensure only trained, authorized employees operate powered industrial equipment. (Fork trucks, scissor lifts, articulating booms, etc.)
10.26.1
Meets Minimum Standard: Training on Powered Industrial Trucks, Platforms, Man Lifts, and Vehicle-Mounted Work Platforms is a minimum of 2 hours of classroom and 2 hours hands-on operator training with an instructor (refresher every 3 years). Verification Method: D
Exceeds Minimum Standard: Training on Powered Industrial Trucks, Platforms, Man Lifts, and Vehicle-Mounted Work Platforms is a minimum of 2 hours of classroom and 2 hours hands-on operator training with an instructor (refresher every 2 years). Verification Method: D
Gold Standard: Training on Powered Industrial Trucks, Platforms, Man Lifts, and Vehicle-Mounted Work Platforms is a minimum of 2 hours of classroom and 2 hours hands-on operator training with an instructor (refresher every year). Verification Method: D
10.26.3
Meets Minimum Standard: Have operators satisfactorily completed a written test? Verification Method: D
Exceeds Minimum Standard: Do you participate in an interactive test that is scored? Verification Method: I
10.26.4
Meets Minimum Standard: Plant fork truck safety rules are provided and posted for operators and pedestrians. Verification Method: O
For sections 10.26.5 - 10.26.12, verify documentation that plant specific rules include the following:
10.26.5 Key Control
10.26.6 Seat Belt Use
10.26.7 Speed Limit
10.26.8 Direction of Travel
10.26.9 Intersection Control
10.26.10 Warning Devices
10.26.11 Lockout
10.26.12 Parking Brake Use
10.26.13
Meets Minimum Standard: Operators can demonstrate a pre-use inspection. Verification Method: O
Exceeds Minimum Standard: Operators use an electronic pre-use inspection checklist and can demonstrate how to use it. Verification Method: O
10.26.14
Meets Minimum Standard: Operators can show proof of being authorized to use equipment (license, training card, etc.) Verification Method: O
Exceeds Minimum Standard: Operators display their license while operating equipment. Verification Method: O
10.26.15
Meets Minimum Standard: Operators use seat belts at all times. Verification Method: O
10.26.16
Meets Minimum Standard: Operators use key control and set parking brake when equipment is left unattended (operator out of sight of equipment or more than 25 feet away). Verification Method: O
Exceeds Minimum Standard: Fork trucks are equipped with key control devices that allow only the authorized operator to use the equipment. Verification Method: O
Gold Standard: Fork trucks are equipped with a device that records, disables or sounds an alarm if the fork truck makes impact with another object. Verification Method: O
10.26.17
Meets Minimum Standard: All equipment is in good condition and data plates are on the equipment. Verification Method: O
Exceeds Minimum Standard: Fork trucks are equipped with back up alarms and strobe lights which are in working condition. Verification Method: O
Gold Standard: All ridden Stand-Up Material Handling Equipment offers protection for operator during use. Verification Method: O
10.27.18
Meets Minimum Standard: What is the capacity of the equipment and where can you find the equipment data plate? Verification Method: I
10.27.20
Meets Minimum Standard: Is there a written policy and procedures document for use of other company vehicles (cars and trucks)? Verification Method: D
Exceeds Minimum Standard: Is the use of cellular phones and other communication devices prohibited when the vehicle is in motion? Verification Method: D
10.27.21
Meets Minimum Standard: Does the plant vehicle have an up-to-date copy of "proof of insurance" and registration? Verification Method: D
Exceeds Minimum Standard: Does management restrict employees use of company-owned vehicles for business activities only? Verification Method: D
10.27.22
Meets Minimum Standard: A copy of the drivers license is on file and valid. Verification Method: D
Exceeds Minimum Standard: Does your driver training program address items 10.26.23 - 10.26.28?
Gold Standard: Does each driver take a road test in the vehicle that will be driving? Verification method: I
10.26.23
Meets Minimum Standard: Are accidents in company vehicles investigated and data, police records, witness reports, and any other information which might be useful in evaluating the accident collected and reported. Verification Method: D
Exceeds Minimum Standard: Company Rules & Policies (D)
10.26.24 Equipment Familiarization
10.26.25 Routes and Schedules
10.26.26 Defensive Driver Techniques
10.26.27 Emergency Procedures
10.26.28 Accident Procedures
10.26.29
Meets Minimum Standard: Operators are observed using safe driving skills (horns at intersections, speed controls, care at intersections, transfer of loads). Verification Method: O
Exceeds Minimum Standard: Facility has established safe operating speed limits. Verification Method: D
10.26.30
Meets Minimum Standard: Employee walkways are designated (with lines, etc.) in high traffic areas and free of obstruction. Verification Method: O
Exceeds Minimum Standard: Employee walkways are designated (with lines, etc.) in 75% of plant and free of obstruction. Verification Method: O
Gold Standard: Employee walkways are designated (with lines, etc.) in 100% of plant and free of obstruction. Verification Method: O

Section 11

Section 11 Personal Protective Equipment

11.3

11.3 PPE System

General Guideline Requirements: Business/Facility Management is required to implement a PPE system in accordance with government requirements based upon need as determined when Engineering or Administrative controls are unavailable or insufficient to eliminate or minimize employee exposure to hazards, emergency response activities expose workers to conditions that require the use of personal protective equipment, or employees, visitors and contractors electively wears personal protective equipment.

Global Guideline Compliance: Business/Facility Management shall establish a documented PPE program to include the following, at a minimum.
11.3.1
Meets Minimum Standard: An individual is assigned responsibility for implementing the program requirements. Verification Method: P
Exceeds Minimum Standard: Each individual department has assigned responsibility for implementing the program requirements. Verification Method: P
Gold Standard: An individual with each department is assigned responsibility for implementing the program requirements. Verification Method: P
11.3.2
Meets Minimum Standard: A method has been established to review, assess and modify the program as necessary. (Review documented evidence that system has been reviewed and modified as required to meet requirements.) Verification Method: P
Exceeds Minimum Standard: A method has been established to review, assess and modify the program every 2 years. Verification Method: P
Gold Standard: A method has been established to review, assess and modify the program annually. Verification Method: P
11.3.3
Meets Minimum Standard: The system requirements are based upon government, industry and Campbell's Global Safety Guidelines. (Review JSAs or PPE assessment system for content consistent with hazards on site, identify individuals responsible for system and assess knowledge via interview.) Verification Method: P

11.4

11.4 PPE Selection Assessment

A written PPE selection assessment shall be conducted to identify tasks requiring personal protective equipment and the type that is needed. Assessments shall be performed for all job tasks or work areas where employees are exposed to injury and illness.

Global Guideline Compliance: A written PPE selection assessment shall be conducted and consider identification of hazards.
11.4.1
Meets Minimum Standard: A formal PPE risk assessment has been conducted to identify hazards and the necessary equipment to control the hazards. (Review completed assessments for content.) Verification Method: D
Exceeds Minimum Standard: Review PPE selection and use following injuries where PPE was involved in an injury or should have been used by the employee. (Incident investigation forms a good place to find this information.) Verification Method: D
Gold Standard: Facility has documented risk reduction where engineering controls have been implemented to eliminate PPE requirements. Verification Method: D

11.5

11.5 PPE Equipment Selection

Once the type of required PPE is determined, selection considerations shall be established in consultation with employees.

Global Guideline Compliance: Selection criteria for PPE shall be established to ensure provided PPE meets the following requirements. (Review documented selection criteria, verify employee involvement via interview.)
11.5.1
Meets Minimum Standard: Specific PPE requirements are identified in JSA or Work Instruction for each exposure (noise reduction rating, glove types, glasses/face shields, etc.) Verification Method: D
11.5.2
Meets Minimum Standard: Can you please tell me what PPE you are required to wear when doing your job? Verification Method: I
11.5.3
Meets Minimum Standard: Have you been trained on how to clean and maintain your PPE? Please give an example. Verification Method: I
11.5.4
Meets Minimum Standard: Is your PPE easy to use? Verification Method: I
11.5.5
Meets Minimum Standard: Is your PPE comfortable? Verification Method: I
11.5.6
Meets Minimum Standard: Does your PPE fit well? Verification Method: I

11.6

11.6 Training

The PPE System shall include a method to document and provide training (see all Section 6.3) to workers for the PPE they are required to wear.

Global Guideline Compliance: The PPE system shall consist of the items below. Verify knowledge via interviews.
11.6.1
Meets Minimum Standard: Do you work with chemicals? If yes, can you tell me the specific hazards which your PPE protects you from and the limits of that PPE? (Respirators, goggles/face shield, gloves)
11.6.2
Meets Minimum Standard: Can you describe the process for reporting and replacing damaged PPE?
11.6.3
Meets Minimum Standard: Can you tell me when and where you must wear PPE?
Exceeds Minimum Standard: Can employees demonstrate how to properly insert hearing protection?
11.6.4
Meets Minimum Standard: What inspections should you conduct before using your PPE, what do you look for and why?
11.6.5
Meets Minimum Standard: Are there any maintenance requirements for your PPE? Please describe.

11.7

11.7 Equipment Selection Records

The following information shall be kept with respect to the personal protective equipment that is issued. (Review documented records for required content.)
11.7.1
Meets Minimum Standard: PPE selection assessment (PPE requirement matrix by job). Verification Method: D
11.7.2
Meets Minimum Standard: Do you have different PPE you can select from? Verification Method: I
Exceeds Minimum Standard: Is there an inventory displayed of the types and styles of PPE available? Verification Method: O

11.8

11.8 Equipment Assignment Records

The following information shall be collected for specific electrical (Arc Flash). Review documented records to ensure authorized employes PPE is controlled.
11.8.1
Meets Minimum Standard: Workers using this PPE are identified and listed. Verification Method: D
11.8.2
Meets Minimum Standard: Type or style of PPE issued Verification Method: D
Exceeds Minimum Standard: What is the appropriate PPE for the tasks your perform? (Electrical) Verification Method: I
Gold Standard: What is the inspection requirements for electrical PPE and how do you verify the inspections are current? Verification Method: I
11.8.3
Meets Minimum Standard: Training dates for each type of PPE. Verification Method: D
11.8.4
Meets Minimum Standard: Service life/warranty information, if applicable. Verification Method: D
Exceeds Minimum Standard: No PPE observed during the audit that is beyond its service life? Verification Method: O

11.9

11.9 Program Monitoring

Procedures shall be established and methods implemented that continuously monitor the PPE system. All monitoring procedures shall include, but are not limited to the following items.
11.9.1
Meets Minimum Standard: Routine review of hazard assessments to ensure that PPE is still needed. Review documented evidence of updated hazard assessments every 3 years. Confirmed by documented review date. Verification Method: D
Exceeds Minimum Standard: Departmental annual review of hazard assessment to ensure PPE is still required (confirmed by documented review date). Verification Method: D
Gold Standard: Departmental semi-annual review of hazard assessment to ensure PPE is still required (confirmed by documented review date). Verification Method: D
11.9.2
Meets Minimum Standard: Employees observed during audit conform with PPE requirements. Verification Method: O
Exceeds Minimum Standard: Mandatory eye protection is required for all production, maintenance and powered mobile equipment operations. Verification Method: O
Gold Standard: Mandatory eye protection is required in all areas of the plant (except office areas). Verification Method: O

11.10

11.10 General PPE Use Requirements

11.10.1
Where personnel protective equipment has been determined to be needed:
Meets Minimum Standard: Employees are responsible for cleaning and maintaining PPE assigned to them. Verification Method: O
Exceeds Minimum Standard: Does the company pay for your required personal protective equipment? (Safety glasses, footwear, etc.) Verification Method: I
For sections 11.10.2 and 11.10.3: Where hearing protection has been determined to be needed, it shall meet the following criteria.
11.10.2
Meets Minimum Standard: Hearing protection shall be maintained in a sanitary condition. Verification Method: O
11.10.3
Meets Minimum Standard: Have you received training for hearing protection on an annual basis? Verification Method: I
Exceeds Minimum Standard: Can you show me how to insert your hearing protection? Verification Method: O

Section 12

Section 12 Emergency Preparedness System

This section of the guide provides performance standards that Campbell's Business/Facility Management shall address in designing a customized Emergency Preparedness System to respond to and manage emergency situations.

12.3

12.3 Emergency Preparedness System

General Guideline Requirements: Business/facility management shall establish a documented emergency preparedness system to include the following: vulnerability assessment, response teams and event-specific plans. A preferred method for reporting fires and other emergencies; Emergency escape procedures and route assignments, such as floor plans, workplace maps, and safe or refuge areas; Names, titles,departments, and telephone numbers of individuals both within and outside your company to contact for additional information or explanation of duties and responsibilities under the emergency plan; Procedures for employees who remain to perform or shut down critical plant operations, operate fire extinguishers, or perform other essential services that cannot be shut down for every emergency alarm before evacuating; and Rescue and medical duties for any workers designated to perform them.

Global Guideline Compliance: The emergency preparedness system must include the items below.
12.3.1
Meets Minimum Standard: Identify individuals responsible for determining system requirements. Verification Method: D
12.3.2
Meets Minimum Standard: Identify individuals responsible for implementing the system controls. Verification Method: D
12.3.3
Meets Minimum Standard: Have in place a process to assess and modify health and safety controls as changes occur that may affect exposures (i.e. CSC business continuity plan). Verification Method: D
12.3.4
Meets Minimum Standard: Training for all employees to include: roles/responsibilities; notification; warning and communications procedures; emergency response procedures; evacuation and shelter in place procedures; location and use of common emergency equipment; and emergency shutdown procedures. Verification Method: D
12.3.5
Meets Minimum Standard: Vulnerability to potential emergencies is assessed initially, with changes, and every 3 years thereafter. Verification Method: D
12.3.6
Meets Minimum Standard: The response level is identified for each emergency potential. Verification Method: D
Exceeds Minimum Standard: Responses are prioritized for each type of emergency and consider minimization of risk of injury to people, damage to equipment, and business interruption. Verification Method: D

12.4

12.4 Emergency Response Personnel

Business/Facility Management shall ensure the internal/external tams necessary to respond for the emergency vulnerabilities.

Global Guideline Requirement: All emergency situations following shall be accomplished.
12.4.1
Meets Minimum Standard: Designated responsibilities for facility occupant safety (for example, evacuation and retreat to safe area). Verification Method: D
12.4.2
Meets Minimum Standard: Identified internal/external response provider(s). Verification Method: D
12.4.3
Meets Minimum Standard: Ensure the internal/external response emergency provider is capable and willing to fulfill the response duties identified in the plan. Verification Method: D
Exceeds Minimum Standard: Provide an opportunity for the external response provider to visit the site at least annually to review the operations and response plans. Verification Method: D
Gold Standard: External response providers to conduct hazard-specific response exercises at the plant. Verification Method: D
12.4.4
Meets Minimum Standard: Copy is provided or emergency response plan is available to internal/external response providers. Verification Method: D
12.4.5
Meets Minimum Standard: Responsibilities and duties of response personnel are described. Verification Method: D
12.4.6
Meets Minimum Standard: Training should include the following as needed to comply with the response levels identified. - use of fire extinguishers - first aid, including CPR & SCBA - requirements of the OSHA Bloodborne pathogens standard - shutdown procedures - chemical spill control procedures - search and emergency rescue procedures - hazardous materials emergency response
12.4.7
Meets Minimum Standard: Duties and limitations defined for response team. Verification Method: D
12.4.8
Meets Minimum Standard: Equipment use defined. Verification Method: D
12.4.9
Meets Minimum Standard: Response providers are capable (certify through evaluation of knowledge and skills internally). Verification Method: D
12.4.10
Meets Minimum Standard: Program is established for refresher training to maintain certification, to be conducted annually at a minimum. Verification Method: D
12.4.11
Meets Minimum Standard: Program is established for skills practice drills to be conducted two times annually at a minimum. Verification Method: D
Exceeds Minimum Standard: If the evacuation alarm was to sound, what actions would you take? Verification Method: I
12.4.12
Meets Minimum Standard: Necessary response equipment is obtained and maintained. Verification Method: D

12.5

12.5 Emergency Response Plans

Business/Facility Management shall develop specific plans for emergency situations identified in hedge vulnerability assessment.

Global Guideline Compliance: An emergency response plan should include, at a minimum, the following items to describe local operations.
12.5.2 Facility Name
12.5.3 Physical address of facility
12.5.4 Other identifying Title(s) and name(s) of key contacts for the plan phone number(s) for key contact(s). Local phone and fax numbers.
12.5.5 Map of facility indicating first aid stations.
12.5.6 Map of facility indicating fire control equipment
12.5.7 Map of facility indicating spill response equipment
12.5.8 Map of facility indicating evacuation routes
12.5.9 Map of facility indicating emergency assembly areas
12.5.10. A list of shut down procedures (utilities, hazardous substances, processing equipment, etc.)
12.5.11 An explanation of warning and notification systems (internal and external notification events)
12.5.12 A list of personnel responsibilities that relate to emergency response and post emergency clean up.
12.5.13 A method to account for all building occupants to ensure complete, safe evacuation of a facility
12.5.14 A procedure to identify and train individuals to fulfill responsibilities outlined in the Plan.
Exceeds Minimum Standard: How often are you provided with training on emergency response requirements? (Annual refresher is required.) Verification Method: I
Gold Standard: What are your responsibilities under the plant's emergency response plan? Verification Method: I
12.5.15
Meets Minimum Standard: Annual evacuation drills conducted at the department level and results documented to include times and deficiencies. Verification Method: D
Exceeds Minimum Standard: Annual evacuation drill conducted at the plant level and results documented to include times and deficiencies. Verification Method: D
Gold Standard: Semi-annual evacuation drill conducted at the plant level and results documented to include times and deficiencies. Verification Method: D
12.5.16
Meets Minimum Standard: Severe weather shelters are identified and annual drills are conducted at the department level and results are documented to include times and deficiencies. Verification Method: D
Exceeds Minimum Standard: Annual severe weather drills are conducted at the plant level and results documented to include times and deficiencies. Verification Method: D
Gold Standard: Semi-annual severe weather drills are conducted at the plant level and results documented to include times and deficiencies. Verification Method: D
12.5.17
Meets Minimum Standard: Identification of emergency equipment needs to support the plants response plan. (Inventory list) Verification Method: D
Exceeds Minimum Standard: Can you tell me where the evacuation and designated shelter in place assembly points are located? Verification Method: I

Section 13

Section 13 Incident Investigation and Analysis

General Guideline Requirements: Incident investigation and analysis is a systematic inquiry into the facts surrounding or affecting an incident. The objective is to discover all causes (for example, physical conditions, procedures, at-risk behaviors) so that the safety management system might be altered or adjusted to ensure the prevention of similar incidents.

13.1

13.1 Responsibilities

Global Guideline Compliance: Business/Facility Management shall design and implement a system with established roles and responsibilities for the system elements listed below. Review documented procedures for required content.
13.1.1
Meets Minimum Standard: Notification procedures when incidents occur immediately. Verification Method: P
13.1.2
Meets Minimum Standard: Reporting procedures Verification Method: P
13.1.3
Meets Minimum Standard: Investigation procedures within 48 hours Verification Method: P
Exceeds Minimum Standard: Investigation within 24 hours Verification Method: P
Gold Standard: Investigation within same shift Verification Method: P
13.1.4
Meets Minimum Standard: Analysis procedures Verification Method: P
13.1.5
Meets Minimum Standard: Evaluation procedures of investigation process to validate program compliance. Verification Method: P

13.2

13.2 Incident Investigation Program

Global Guideline Compliance: Business/Facility Management has a written program that addresses the items below. Review written program for all required elements. Also, assure the program has been reviewed within the past 18 months.
13.2.1
Meets Minimum Standard: Work-related fatalities, injuries or illnesses, including threshold shifts in employees' hearing acuity. Verification Method: P
13.2.2
Meets Minimum Standard: Fires and explosions Verification Method: P
13.2.3
Meets Minimum Standard: Property and equipment damage Verification Method: P
13.2.4
Meets Minimum Standard: Incidents arising from the actions of Contractors Verification Method: P
Exceeds Minimum Standard: Incidents arising from the actions of visitors Verification Method: D
13.2.5
Meets Minimum Standard: Detrimental impact to the environment from hazardous material spills/discharge Verification Method: P
13.2.6
Meets Minimum Standard: "Near misses" Verification Method: P
13.2.7
Meets Minimum Standard: Workplace violence incidents Verification Method: P
13.2.8
Meets Minimum Standard: Identification of individuals responsible for conducting and participating in the incident investigation process. Verification Method: P
13.2.9
Meets Minimum Standard: Method and form used for incident reporting Verification Method: P
13.2.10
Meets Minimum Standard: Documentation confirms that the accident investigations include an incident review meeting for all lost time accidents (of one or more days away from work) with Plant manager (and/or highest ranking officer), department head, supervisor, employee, safety rep in attendance. Verification Method: D
Exceeds Minimum Standard: Plant manager and/or the plant's highest ranking officer reviews all recordable incidents with injured employee. Verification Method: D
Gold Standard: Plant manager and/or the plants highest ranking officer reviews all incidents (first aid/medical aid) with Department Supervisor. Verification Method: D

13.3

13.3 Incident Notification Program

Global Guideline Compliance: Notification procedures shall be established at each facility which includes, at a minimum, the items listed below. (Review procedures for required content.)
13.3.1
Meets Minimum Standard: To whom notifications are to be made. Verification Method: P
13.3.2
Meets Minimum Standard: Special notification procedures for incidents involving contractors, visitors and temporary agency employees. Verification Method: P

13.4

13.4 Incident Investigation - Form

General Guideline Requirement: Facility management shall incorporate an investigation form into their program to ensure that all work related injuries/illnesses, incidents that result in damage to equipment or buildings, and incidents that could have resulted in loss, can be consistently investigated.

Ensure that all of the items below are included in the program. Review a statistically representative sample of the inventory of investigation forms to assure they meet this standard. Every item on search form must be completed to receive credit for this section.
13.4.1
Meets Minimum Standard: Accident date, time and location Verification Method: D
13.4.2
Meets Minimum Standard: Date reported Verification Method: D
13.4.3
Meets Minimum Standard: Employee name, department,shift, job title, length of service Verification Method: D
Exceeds Minimum Standard: Length of time on current job Verification Method: D
13.4.4
Meets Minimum Standard: Severity of incident. (LTA, recordable, reportable, first aid, medical aid) Verification Method: D
13.4.5
Meets Minimum Standard: Description of incident Verification Method: D
13.4.6
Meets Minimum Standard: Cause of incident Verification Method: D
Exceeds Minimum Standard: Root Cause Analysis conducted using analysis tool, such as: Five Y's, Fish Bone, A3 Verification Method: D
Gold Standard: Corrective actions from Root Cause are maintained and tracked. Verification Method: D
13.4.7
Meets Minimum Standard: Review of JSA or equivalent. Verification Method: D
Exceeds Minimum Standard: JSA or equivalent attached to incident investigation form. Verification Method: D
13.4.8
Meets Minimum Standard: Corrective action Verification Method: D
13.4.9
Meets Minimum Standard: Signature of investigator and injured employee Verification Method: D
Exceeds Minimum Standard: Signature of Employee Supervisor/Department Manager Verification Method: D
Gold Standard: Signature of Plant Manager and/or highest ranking Facility manager. Verification Method: D
13.4.10
Meets Minimum Standard: The length of time incident reports are to be kept, but at least 5 years. Verification Method: D

13.5

13.5 Timeliness of Investigation

Global Guideline Compliance: Facility management shall ensure incidents are investigated and reported as follows below.
13.5.1
Meets Minimum Standard: Initial incident investigation completed within 48 hours. Verification Method: D
Exceeds Minimum Standard: Initial investigation completed within 24 hours. Verification Method: D
Gold Standard: Initial investigation completed within same shift. Verification Method: D

13.6

13.6 Remediation

Global Guideline Compliance: Investigations shall be completed with the items listed below. Review completed investigation reports for required content, review documented evidence of systems to track remediation and distribute information.
13.6.1
Meets Minimum Standard: Responsibility of departments or individuals for corrective action identified. Verification Method: D
13.6.2
Meets Minimum Standard: Method to review, document, and track status of corrective actions. Verification Method: D
Exceeds Minimum Standard: Completed corrective action report attached to incident investigation form. Verification Method: D

13.7.1

13.7 Analysis of Incident Investigations

Global Guideline Compliance: Program and documentation includes the items listed below. Review documented trends analysis information for required data. Review documented procedures for processes.
13.7.1
Meets Minimum Standard: Injury trends of all incidents available for past two yeas. (Must include all incidents - not just reportable claims or injuries). Verification Method: D
Exceeds Minimum Standard: What are the injury trends in your department? Verification Method: I
13.7.2
Meets Minimum Standard: Identification of top two to three injury trends. (All incidents in the plant) Verification Method: D
Exceeds Minimum Standard: Identification of top two to three injury trends (All incidents by department). Verification Method: D
Gold Standard: Identification of top two to three injury trends by department which include behavioral observations and near miss incidents. Verification Method: D
13.7.3
Meets Minimum Standard: Identify specific action plans to address injury trends. Review list of action items. Verification Method: D
Exceeds Minimum Standard: Evaluate effectiveness of action plan. (Does plan appear to be working as demonstrated by trend reduction) Verification Method: D
13.7.4
Meets Minimum Standard: Method to track action plans to completion and person responsible. Follow process for completion of action items. What is in the process? How does the system assure timely completion? Who is responsible? Verification Method: D
Exceeds Minimum Standard: What are the action plans in your department to address your trends? Verification Method: I

13.8

13.8 Training

Global Guideline Compliance: Training for incident investigation shall be completed for those conducting investigations on an annual basis and include the items below. Review training records and verify knowledge via interview.
13.8.1
Meets Minimum Standard: Personnel responsible for conducting the investigations. Review training documentation. Interview a sample of employees to see when training was completed. Verification Method: D
Gold Standard: Ask personnel responsible for conducting investigations if they have been trained on how to conduct an incident investigation. Please explain. Verification Method: I

13.9

13.9 Reporting of Incidents - Information

Global Guideline Compliance: The information to be provided to Global Health & Safety when specific incidents mentioned in this section occur shall be the items listed below.
13.9.1 Name and telephone number of the person reporting the incident.
13.9.2 Location of incident
13.9.3 Name of worker(s) and nature of injuries
13.9.4 Brief description of the incident
13.9.5 Possible Root Cause of Incident.
13.9.6 Immediate corrective action(s).

13.10

13.10 Specific Incidents to be Reported

Global Guideline Compliance: Th following shall be reported to GH&S, documented with a standardized reporting form. Review records for the past 2 years or longer if no recent significant injuries.
13.10.1
Meets Minimum Standard: Fatalities, serious injuries, lost time injury, amputations, compound fractures, severed tendons, or permanent disfigurement are reported to GH&S director immediately within 8 hours by voice. Forward a completed report within 3 days. Verification Method: D
13.10.2
Meets Minimum Standard: All unplanned facility evacuations. Contact GH&S within 24 hours. Verification Method: D

Section 14

Section 14 Inspections and Audits

Planned safety and health inspections involve the systematic examination of the facility's property equipment, tools and job procedures. This section of the guide contains performance criteria for the complete inspection and follow up of corrective actions to ensure the maintenance of a comprehensive safety and health system.

14.3

14.3 Responsibilities

Business/Facility Management shall establish a documented inspection and auditing system. At a minimum, the system shall include the following items.
14.3.4
Meets Minimum Standard: Inspection Program includes a schedule to conduct hazard inspections of all departments/areas in the plant. Verification Method: D
Exceeds Minimum Standard: Operation Leadership Team participates in quarterly inspections. Verification method: D
Gold Standard: All employees participate in quarterly inspections. Verification Method: D
14.3.5
Meets Minimum Standard: Inspection program defines responsibilities for ensuring identified hazards are corrected in a timely manner. Verification Method: P
Exceeds Minimum Standard: Inspection program defines responsibilities for ensuring identified hazards are tracked in a Maintenance system. Verification method: P

14.4

14.4 General Requirements Facility Inspection

Facilities shall conduct periodic internal self-inspections to verify their performance in maintaining safe work environment and compliance with local government safety and health requirements. The frequency of inspections is determined by a methodology based on inherent risks, government requirements, and with the Campbell's Safety Standards.

Global Guideline Compliance: All areas requiring inspections are identified, including: offices, worksites/production areas, maintenance shops, warehousing, roads/grounds, cafeterias/break rooms, shipping/receiving, fuels/storage, roofs, waste disposal, treatment areas, labs and locker rooms.
14.4.1
Meets Minimum Standard: Monthly planned, documented inspections conducted in all departments or areas of the plant. Verification Method: D
Exceeds Minimum Standard: Bi-weekly planned, documented inspections conducted in all departments or areas of the plant. Verification Method: D
Gold Standard: weekly planned, documented inspections conducted in all departments or areas of the plant. Verification Method: D
14.4.2
Meets Minimum Standard: LP Gas - monthly inspections Verification Method: D
14.4.3
Meets Minimum Standard: Powered industrial trucks are included in PM inspections schedule. Verification Method: D
14.4.4
Meets Minimum Standard: Eye wash/shower - weekly inspections / flow test Verification Method: D
Exceeds Minimum Standard: Eye wash/showers found to be accessible, operational (two or more deficient = no credit) Verification Method: O
Gold Standard: Eye wash/showers found to be accessible, operational (no deficiency) Verification Method: O
14.4.5
Meets Minimum Standard: All eye washes provide continuous flow. Verification Method: O
14.4.6
Meets Minimum Standard: Scrap/refuse area monthly inspections. Verification Method: D
14.4.7
Meets Minimum Standard: Emergency Exits/Exit signs monthly inspections. Verification Method: D
Exceeds Minimum Standard: Emergency Exits/Exit signs weekly inspections. Verification Method: D
Gold Standard: Emergency Exits/Exit signs inspected daily by department employees. Verification Method: D
14.4.8
Meets Minimum Standard: Emergency lighting monthly inspections Verification Method: D
14.4.9
Meets Minimum Standard: Elevator annual inspections. Verification Method: D
14.4.10
Meets Minimum Standard: Boiler annual inspections Verification method: D
14.4.11
Meets Minimum Standard: Pressure vessels - annual inspections Verification Method: D
14.4.13
Meets Minimum Standard: Fire extinguishers inspected monthly with documented tags Verification Method: D
Exceeds Minimum Standard: There is a map of all fire extinguisher locations. Verification Method: D
14.4.14
Meets Minimum Standard: Hoist, slings, ropes - annual inspections by competent person Verification method: D
Exceeds Minimum Standard: Hoist, slings, ropes - monthly inspections by competent person Verification method: D
Gold Standard: there is a map of all hoist locations. Verification Method: D
14.4.15
Meets Minimum Standard: Do you conduct pre-use inspections on hoists, slings and lifting devices? Verification Method: I
Exceeds Minimum Standard: Is the pre-use inspection recumbents attached to hoists? Verification Method: O
14.4.16
Meets Minimum Standard: Ladders are inspected monthly
Exceeds Minimum Standard: Ladders are without defects. Two or more ladders with defects = no credit. Verification Method: O
Gold Standard: All ladders are without defects. Verification method: O
14.4.17
Meets Minimum Standard: Monthly fire alarm test Verification method: D
Exceeds Minimum Standard: Can you tell me what types of evacuation alarms can be heard? Verification Method: I
14.4.18
Meets Minimum Standard: Gas cylinders are inspected monthly Verification Method: D
Exceeds Minimum Standard: Gas cylinders are properly stored (upright, capped, secured, and segregated). If 1 is improperly stored, no credit. Verification Method: O
Gold Standard: Gas cylinders are properly stored (upright, capped, secured, and segregated). No improperly stored cylinders. Verification Method: O
14.4.19
Meets Minimum Standard: Flammable storage cabinets/rooms - monthly inspections Verification Method: D
14.4.20
Meets Minimum Standard: Flammable ingredients properly stored in appropriate containers Verification Method: O
14.4.21
Meets Minimum Standard: Above ground storage tanks inspected monthly Verification Method: D
14.4.22
Meets Minimum Standard: Bi-weekly oven inspections by qualified person Verification Method: D
14.4.23
Meets Minimum Standard: Annual oven inspection conducted by vendor Verification Method: D
14.4.25
Meets Minimum Standard: Documented pre-operational inspections of Process Safety Management (PSM) are conducted on each operating shift Verification Method: D
GLOBAL GUIDELINE COMPLIANCE: Housekeeping practices shall be in compliance with NFPA/FM requirements specific to flower dust
14.4.26
Meets Minimum Standard: No dust accumulation greater than 1/32 of an inch over no more than 5% of floor surface Verification Method: O
14.4.27
Meets Minimum Standard: No compressed air being utilized for cleaning? Verification method: O
14.4.28
Meets Minimum Standard: Are vacuums properly rated for Class 2 Div 2 areas Verification Method: O
14.4.29
Meets Minimum Standard: Are vacuums properly grounded Verification Method: O
14.4.30
Meets Minimum Standard: Are electrical panels properly maintained with door panels closed and sealed with air over pressure Verification Method: O
14.4.31
Meets Minimum Standard: Employees have been trained in the proper handling of combustible dusts re certified annually. Verification Method: D
14.4.32
Meets Minimum Standard: Hoses and site glasses have proper electrical bonding Verification Method: O
14.4.33
Meets Minimum Standard: Flour transfer (to day bins, use bins, scale hoppers, dusting hoppers, etc) be stopped by the operator, at the end location. Verification Method: O

14.5

14.5 Analysis and Evaluation

Global Guideline Compliance: Annual formal analysis of all inspection/audit reports.
14.5.1
Meets Minimum Standard: Trends in self-inspection tracked to determine repeat deficiencies. Verification Method: D
Exceeds Minimum Standard: What type of trends and information regarding inspections and audits are communicated to Management during meetings, etc.? Verification Method: I
Gold Standard: Action plans have been developed and implemented to address top two deficiencies. Verification Method: D

14.6

14.6 Audits

AUDITOR QUALIFICATIONS
14.6.1
Meets Minimum Standard: 10% of Operations Staff (Managers and Supervisors) have participated in CSC Global Health and Safety Audit at another location. Verification Method: D
Exceeds Minimum Standard: 15% of Operations Staff (Managers and Supervisors) have participated in CSC Global Health and Safety Audit at another location. Verification Method: D
Gold Standard: 20% of Operations Staff (Managers and Supervisors) have participated in CSC Global Health and Safety Audit at another location. Verification Method: D
14.6.2
Meets Minimum Standard: Line Leaders/Operators have participated in Global H&S Audit Verification Method: D
Gold Standard: Line Leaders/Operators have participated in Global H&S Audit at another location (two or more). Verification Method: D
14.6.3
Meets Minimum Standard: At least 1 person is qualified as a Lead Auditor for the Global H&S Audit Verification Method: D
Exceeds Minimum Standard: At least 2 people are qualified as a Lead Auditor for the Global H&S Audit. Verification Method: D
Gold Standard: At least 3 people are qualified as a Lead Auditor for the Global H&S Audit. Verification Method: D
GOVERNMENTAL AGENCY AUDITS
14.6.4
Meets Minimum Standard: Site has a procedure detailing how to respond to Governmental Agency Audits Verification Method: D
14.6.5
Meets Minimum Standard: Key people have been trained to respond to Governmental Agency Audits Verification Method: D
14.6.6
Meets Minimum Standard: Call list with key contacts has been developed and posted to address Governmental Agency Audits Verification Method: D
INSURANCE COMPANY AND OTHER OUTSIDE AUDITS
14.6.7
Meets Minimum Standard: Plant provides copies of most recent (12 months) outside agency audits (FM Global, CSC Environmental, etc.) Verification Method: D
14.6.8
Meets Minimum Standard: Plant has completed a response for outside agency audits within 30 days. Verification Method: D

Section 17

Section 17 Occupational Health Clinic

17.1

17.1 Administrative

Section 17.1 applies to locations that operate on-site industrial injury clinics.
17.1.1 (Licensure)
Meets Minimum Standard: File maintained for all licensed personnel with current copy of license. Renew every 2 years or as required by State Law. Verification Method: D
Exceeds Minimum Standard: Licenses posted in medical department. Verification Method: O
Gold Standard: Ask nurse - in your state, how often do you have to renew your license? Verification Method: I
17.1.2 (Certifications)
Meets Minimum Standard: Current file maintained for all Certifications of Medical Department Staff Verification Method: D
Exceeds Minimum Standard: Certifications posted in Medical Department Verification Method: O
17.1.2.1 (Hearing)
Meets Minimum Standard: Hearing Conservation Certificate renewed every 5 years Verification Method: D
Exceeds Minimum Standard: Certifications posted in Medical Department Verification Method: O
17.1.2.2(BAT)
Meets Minimum Standard: Breath Alcohol Technician (BAT) renewed every 5 years Verification Method: D
Exceeds Minimum Standard: Certifications posted in Medical Department Verification Method: O
17.1.2.3 (Saliva Alcohol)
Meets Minimum Standard: Department of Transportation Saliva Alcohol Testing Certification renewed every 5 years Verification Method: D
Exceeds Minimum Standard: Certifications posted in Medical Department Verification Method: O
17.1.2.4 (UDS)
Meets Minimum Standard: DOT urine specimen collection training renewed every 5 years Verification Method: D
Exceeds Minimum Standard: Certifications posted in Medical Department Verification Method: O
17.1.2.5 (Spiromtry)
Meets Minimum Standard: Spirometry Certification renewed every 5 years Verification Method: D
Exceeds Minimum Standard: Certifications posted in Medical Department Verification Method: O
17.1.3 (Insurance)
Meets Minimum Standard: File maintained for current malpractice insurance policies for all contracted Medical department staff Verification Method: D
17.1.3.1(Industrial Health Facility License)
Meets Minimum Standard: State and Risk management guidelines are followed. Verification Method: D
Exceeds Minimum Standard: License posted in Medical Department Verification Method: O
17.1.4.1
Meets Minimum Standard: Clinical Laboratory Improvements Amendments (CLIA) waiver renewed annually (Federal). Verification Method: D
Exceeds Minimum Standard: Waiver displayed in Medical Department Verification Method: O
17.1.4.2
Meets Minimum Standard: All applicable State Lab Licenses current and kept on file. Verification Method: D
Exceeds Minimum Standard: Ask nurse - Does your state require an additional license besides CLIA? Verification Method: I
17.1.5 (Signature Log)
Meets Minimum Standard: Current Signature Log maintained for all Medical Department Staff Verification Method: D
Exceeds Minimum Standard: Ask to see signature log. Verification Method: O
17.1.6 (Daily Utilization Log)
Meets Minimum Standard: Medical Utilization Log entry completed for every employee clinic visit Verification Method: D
Exceeds Minimum Standard: Ask to see daily clinic utilization log. Verification method: O
17.1.7 (Medical Records)
Meets Minimum Standard: Medical records maintained on every employee treated in the medical department. Verification Method: D
Exceeds Minimum Standard: View utilization log for employee treatment/evaluation and check for record. Verification Method: O
17.1.7.1
Meets Minimum Standard: Work related medical information is separated from non-work related medical information Verification Method: O
17.1.7.2
Meets Minimum Standard: Medical records stored in a fire proof and locked area Verification Method: O
17.1.7.3
Meets Minimum Standard: SOAP (Subjective Objective Assessment Plan) charting format utilized on all documentation in medical records.
17.1.7.4
Meets Minimum Standard: Current Allergy flags located on all medical charts. Verification Method: O
17.1.8.1 (Medical Protocols)
Meets Minimum Standard: Medical protocols and standing orders updated and signed by local physician annually. Verification Method: D
Exceeds Minimum Standard: Ask to see medical protocol notebook and standing orders. Verification Method: O
17.1.8.2
Meets Minimum Standard: Exceptions page completed on all procedures not performed in Medical Protocol Verification Method: D
Exceeds Minimum Standard: Ask to see their exceptions page. Verification Method: O
17.1.9 Monthly Reports
Meets Minimum Standard: Completes all monthly reports accurately and submits on time. Verification Method: D
Exceeds Minimum Standard: Ask to see monthly clinic utilization reports that are submitted to CSC. Verification Method: O
17.1.10
Meets Minimum Standard: Signed Contract with Occupational Health Provider approved by Legal Verification Method: D
Exceeds Minimum Standard: Signed Contract with physical therapist approved by Legal Verification Method: D

17.2

17.2 Regulatory Mandated Programs

Global Guideline Compliance: Respiratory protection program developed by CSC Health and Safety contains referenced appendices.
17.2.1.1 (Respiratory Protection)
Meets Minimum Standard: Written policy and program with site specific procedures for identified respirator users. Verification Method: P
17.2.1.2
Meets Minimum Standard: A qualified program administrator has been designated (see Appendix A, Administrator's responsibilities) Verification Method: P
17.2.1.3
Meets Minimum Standard: Initial evaluation and periodic surveillance of workplace conditions has been conducted to assess the degree of employee exposure to respiratory hazards. (See Appendix B, Respiratory Hazard Assessment) Verification Method: D
17.2.1.4
Meets Minimum Standard: Maintain a current list of employees who wear respiratory protection. Verification Method: D
17.2.1.4.1
Meets Minimum Standard: Respirator selection based on the hazards and degree of employee exposure. Refer to appendix D. Verification Method: D
Exceeds Minimum Standard: Ask Employee - what respiratory hazards are you exposed to? Verification Method: I
17.2.1.5
Meets Minimum Standard: Employee completed Medical evaluation and it is reviewed by a Licensed Professional Health Care Provider prior to respirator use and annually thereafter. Verification Method: D
Exceeds Minimum Standard: Ask Employee - Did you complete a respiratory questionnaire before you started using your respirator? Verification Method: I
17.2.1.6
Meets Minimum Standard: Employees who voluntarily use respirator protection (dust mask) have signed appendix D. Verification Method: D
Exceeds Minimum Standard: Ask Employee - If you voluntarily use a respirator, have you signed a form called Appendix D? Verification Method: I
17.2.1.7
Meets Minimum Standard: Professional Licensed Health Care Provider must provide written documentation to the company and employee authorizing respirator use. Verification Method: D
17.2.1.8
Meets Minimum Standard: Fit testing must be completed annually (see Appendix H & I) Verification Method: D
Exceeds Minimum Standard: Ask Employee - If you are required to use a respirator, have you had a fit test this year? Verification Method: I
17.2.1.9
Meets Minimum Standard: Employee training must be completed prior to use and annually (see CSC policy section F). Verification Method: D
Exceeds Minimum Standard: Ask Employee - If you are required to use a respirator, have you been trained this year? Verification Method: I
17.2.1.10
Meets Minimum Standard: Maintenance, cleaning, and storage guidelines are followed (see Appendix K and L). Verification Method: O
Exceeds Minimum Standard: Ask Employee - What is the cleaning procedure for your respirator? Verification Method: I
17.2.1.11
Meets Minimum Standard: Medical evaluations are maintained for length of employment plus 30 years; Fit test records are maintained for 1 year; Employee training records are maintained for 5 years. Verification Method: D
17.2.1.12
Meets Minimum Standard: Respiratory protection program is evaluated annually (see Appendix A). Verification Method: P
Exceeds Minimum Standard: Ak Nurse/Safety to see documentation. Verification Method: D
17.2.1.13
Meets Minimum Standard: SCBA shall be inspected monthly, per manufacturers' instructions. Verification Method: D
BLOODBORNE PATHOGENS
Global Guideline Requirement: Departments with potential exposure to BP (i.e., FA, Sanitation, housekeeping, maintenance, etc.) must develop written BBP Exposure Control Plan, in accordance with government requirements and Campbell standards, with minimum of the items below.
17.2.2.1
Meets Minimum Standard: Facility has a written exposure control plan. Verification Method: D
17.2.2.2
Meets Minimum Standard: The exposure control plan identifies employees and their job classification with a potential for exposure to Bloodborne pathogens. Verification Method: D
17.2.2.3
Meets Minimum Standard: Program administrator is identified. Verification Method: D
17.2.2.4.1
Meets Minimum Standard: Engineering and workplace controls are identified to minimize employees exposure to Bloodborne pathogens. Verification Method: P
Exceeds Minimum Standard: Ask Employee - Do you disinfect contaminated work surfaces with an appropriate disinfectant such as bleach and water in a 1:10 ratio? Verification Method: I
Gold Standard: Ask Employee - What do you use to clean up broken glassware? Verification Method: I
17.2.2.4.2
Meets Minimum Standard: Appropriate safety syringes and needles are utilized. Verification Method: O
17.2.2.5
Meets Minimum Standard: Personal Protective Equipment (PPE) is available to all exposed employees at no cost Verification Method: D
Exceeds Minimum Standard: Ask Employee - If you have to clean up a blood spill, where do you get your PPE from? Verification Method: I
17.2.2.6
Meets Minimum Standard: Personal hygiene facilities and sharps disposal is readily accessible to all employees. Verification Method: D
17.2.2.7
Meets Minimum Standard: All receptacles used for disposal of needles or potentially infectious material shall be labeled with the universal biohazard label. Verification Method: D
Exceeds Minimum Standard: Ask Employee: Where would you dispose of an item that was contaminated with blood? Verification Method: I
17.2.2.8
Meets Minimum Standard: Disposal of biohazard waste shall be in accordance with Federal, State and Local regulations. Verification Method: D
Exceeds Minimum Standard: Medical waste is in a secured location. Verification Method: O
17.2.2.9
Meets Minimum Standard: Contaminated laundry shall be handled as little as possible and placed in impermeable red biohazard bags. Verification Method: O
17.2.2.10
Meets Minimum Standard: Hepatitis B vaccinations shall be made available at no cost to all employees identified as having a potential exposure to blood or other potentially infectious material (OPIM). Verification Method: P
Exceeds Minimum Standard: Ask Employee and Nurse - Have you received a Hepatitis B vaccination? Verification Method: I
17.2.2.11
Meets Minimum Standard: Potentially exposed employees have a declination form on file if they refused the Hepatitis B vaccination. Verification Method: D
17.2.2.12
Meets Minimum Standard: Post exposure evaluation and follow- up must be included in the Exposure Control Plan. Verification method: D
17.2.2.13
Meets Minimum Standard: All employees identified as having potential exposure to Bloodborne pathogens shall receive training initially, annually, and whenever there are modifications in procedures that may affect an employee's occupational exposure. Verification Method: D
Exceeds Minimum Standard: Ask employee - When was the last time you received training on Bloodborne pathogens? Verification Method: I
TRAINING SHALL INCLUDE:
17.2.2.15
Meets Minimum Standard: Review and distribution of the OSHA Bloodborne pathogen standard. Verification Method: D
Exceeds Minimum Standard: Ask employe - Have you been given a copy of the OSHA Bloodborne Pathogen Standard? Verification Method: I
17.2.2.16
Meets Minimum Standard: Discussion of Bloodborne disease and their transmission Verification method: D
17.2.2.17
Meets Minimum Standard: Review/distribution of the facility's exposure control plan Verification Method: D
Exceeds Minimum Standard: Ask employee - Have you reviewed your facilities exposure control plan? When? Verification Method: I
17.2.2.18
Meets Minimum Standard: Location and use of Personal Protective Equipment Verification Method: D
17.2.2.19
Meets Minimum Standard: Methods of recognizing activities that may lead to exposure. Verification Method: D
17.2.2.20
Meets Minimum Standard: How to respond to an exposure event Verification Method: D
Exceeds Minimum Standard: Ask employee - What would you do if you had a work related exposure? Verification Method: I
17.2.2.21
Meets Minimum Standard: Post-evaluation and follow-up procedures Verification Method: D
17.2.2.21.1
Meets Minimum Standard: Meaning and use of signs, labels, red bags and color coding Verification Method: D
17.2.2.21.2
Meets Minimum Standard: Review of engineering and work practice controls instituted at this location. Verification Method: D
17.2.2.21.3
Meets Minimum Standard: Review of the need for Hepatitis B vaccination and the procedure for receiving it. Verification Method: D
RECORDKEEPING REQUIREMENTS
17.2.2.21.5
Meets Minimum Standard: Training records shall be maintained for 3 years. Verification method: D
17.2.2.21.6
Meets Minimum Standard: Sharps injury log shall be maintained for 5 years. Verification Method: D
17.2.2.21.7
Meets Minimum Standard: Medical records for employees who have had an exposure incident shall be kept for the duration of employment plus thirty years. Verification Method: D

17.2.3

17.2.3 Hearing Conservation Program

Global Guideline Requirement: The Campbell Occupational Health and Safety hearing Conservation Program is reference in this section.
17.2.3.1
Meets Minimum Standard: A Hearing Conservation Program Administrator shall be identified in writing. Verification Method: P
Exceeds Minimum Standard: Hearing conservation program audit conducted annually. Verification Method: D
17.2.3.2
Meets Minimum Standard: Initial monitoring shall identify employees exposed to noise at or above 85dBA Verification Method: D
Exceeds Minimum Standard: Potential for increase noise levels are evaluated as a part of a each new project safety checklist. Verification Method: D
17.2.3.3
Meets Minimum Standard: Sound level surveys are updated and posted annually. Verification Method: D
17.2.3.4
Meets Minimum Standard: The program administrator shall maintain a list of exposed employees. Verification Method: D
Exceeds Minimum Standard: Program is administered by a CAOHC certified person. Verification Method: D
17.2.3.5
Meets minimum Standard: Seasonal or temporary employees will be included in the program. Verification Method: P
17.2.3.6
Meets Minimum Standard: The program shall be supervised by a licensed audiologist, otolaryngologist, and/or a physician Verification Method: P
17.2.3.7
Meets Minimum Standard: Audiometric testing shall include an Audiometric history, retraining/training, fitting/refitting, and documentation of test results. Verification Method: P
17.2.3.8
Meets Minimum Standard: An audiologist, otolaryngologist, or a physician shall review all STS audio grams Verification Method: P
Exceeds Minimum Standard: An audiologist, otolaryngologist, or a physician shall review all STS audio grams Verification Method: I
Gold Standard: Ask nurse - Who reviews your audiograms? Verification Method: I
17.2.3.9
Meets Minimum Standard: Baseline audiograms are conducted within 6 months (1 year if van testing is used) of employee's first assignment at or above the 85dB TWA action level. Verification Method: D
17.2.3.10
Meets Minimum Standard: Annual audiograms are conducted on all employees in the Hearing Conservation Program. Verification Method: D
Exceeds Minimum Standard: Ask Employee - When was your last hearing test? Verification Method: I
17.2.3.11
Meets Minimum Standard: The annual audiograms is compared to the baseline audiogram to determine if it is valid and if a Standard Threshold Shift (STS) has occurred. Verification Method: D
17.2.3.12
Meets Minimum Standard: If an employees audiogram reveals that they have experienced a work-related STS, and the total hearing level is 25 decibels (dB) or more above Audiometric zero in the same ear as the STS, it must be documented per local regulatory requirements. Verification Method: D
17.2.3.13
Meets Minimum Standard: All local employees tested shall be informed of their results in writing. Verification Method: D
Exceeds Minimum Standard: Ak Employee - Did you receive your test results in writing? Verification Method: I
17.2.3.14
Meets Minimum Standard: If a STS has occurred, the employee must be informed in writing within 21 days of this determination. Verification Method: D
Exceeds Minimum Standard: Identify an audiogram with a STS. Ask employee if they were notified in writing within 21 days of the determination. Verification Method: I
17.2.3.15
Meets Minimum Standard: Employees with a STS shall be retested within 30 days of the original test. Verification Method: D
Exceeds Minimum Standard: Ask nurse and employee - Who conducts your retests? Verification Method: I
17.2.3.16
Meets Minimum Standard: Hearing protection is available to all exposed employees, free of charge Verification Method: D
Exceeds Minimum Standard: Ask employee - Is hearing protection available to you at no charge? Verification Method: I
Gold Standard: Hearing protection is required in all production areas of the plant. Verification Method: O
EMPLOYEE TRAINING
17.2.3.17
17.2.3.17 (a)
Meets Minimum Standard: Potential effects of over exposure to noise are addressed Verification Method: P
Exceeds Minimum Standard: Ask employee - What are the potential effects of over exposure to noise? Verification Method: I
17.2.3.17 (b)
Meets Minimum Standard: Components of the Hearing Conservation Program are addressed. Verification Method: P
17.2.3.17 (c)
Meets Minimum Standard: Purposes of hearing protection devices, advantages, disadvantages, attenuation of various types of devices and instructions on selection, fitting and care of them are addressed. Verification Method: P
17.2.3.17 (d)
Meets Minimum Standard: Purpose of Audiometric testing and procedures are addressed. Verification Method: P
RECORDKEEPING
17.2.3.18 (a)
Meets Minimum Standard: Noise exposure records shall be maintained for 5 years. Verification method: D
17.2.3.18 (b)
Meets Minimum Standard: Audiometric test records shall be retained for the duration of the employee's employment plus 30 years. Verification Method: D
17.2.3.18 (c)
Meets Minimum Standard: Each Audiometric record shall include: employee name and job classification, date of audiogram and examiners name, date of the last acoustic or exhaustive calibration of the audiometer, employee's most recent noise exposure measurement (evaluate an actual audiogram). Verification Method: D
Exceeds Minimum Standard: Testing records include the type of hearing protection distributed/demonstrated and any hearing conservation pamphlets provided. Verification Method: D

17.2.4

17.2.4 OSHA Recordkeeping (US Operations only)

OSHA Log:
17.2.4.1 (a)
Meets Minimum Standard: OSHA log maintained and accurate Verification Method: D
17.2.4.1 (b)
Meets Minimum Standard: Has OSHA recordkeeper received formal training on maintaining the OSHA log? Verification Method: I
17.2.4.1.2
Meets Minimum Standard: Recordable injuries documented on OSHA log within seven days. Verification Method: D
Exceeds Minimum Standard: Ask nurse/safety/HR: Do you record injuries on the OSHA log within 7 days? Verification Method: I
Sharps Log:
17.2.4.2
Meets Minimum Standard: Sharps log maintained for all sharps/needle stick injuries. Verification Method: D

17.3.1

17.3.1 Medical Surveillance - Asbestos

If your employees are exposed to asbestos:
17.3.1.1
Meets Minimum Standard: The asbestos policy identifies a program administrator. Verification Method: D
Exceeds Minimum Standard: Program administrator will be the Occupational Health Nurse, if applicable. Verification Method: I
17.3.1.2
Meets Minimum Standard: Physical exam will be performed post-offer and annually, for any employee who works with asbestos. Verification Method: D
Exceeds Minimum Standard: 100% of charts for Employees that have asbestos exams will be reviewed annually by an OH employee. Verification Method: D
17.3.1.3
Meets Minimum Standard: Physical exam will be performed by a licensed physician. Verification Method: P
Exceeds Minimum Standard: Ask employee - Has a physician performed a physical exam on your this year? Verification Method: I
17.3.1.4
Meets Minimum Standard: A Pulmonary Function Test (PFT) is performed by a nurse or technician that has NIOSH approved Spirometry certification. Verification Method: D
Exceeds Minimum Standard: Ak employee - Have you had a baseline pulmonary function test? Verification Method: I
17.3.1.5
Meets Minimum Standard: Chest x-rays shall be interpreted and classified in accordance with a professionally accepted classification system and recorded on an interpretive form following the format of CDC and NIOSH. Verification Method: D
17.3.1.6
Meets Minimum Standard: Chest X-rays shall be interpreted only by a B-reader. Verification Method: D
17.3.1.7
Meets Minimum Standard: A written narrative of the chest X-ray report is to be kept in the employee medical file and a copy given to the employee. Verification Method: D
17.3.1.8
Meets Minimum Standard: Occupational health will maintain a current list of employees that work with asbestos. Verification Method: P
Exceeds Minimum Standard: Ask nurse or safety - Describe jobs/tasks/exposures that require Asbestos Medical Surveillance. Verification Method: I

17.3.2

17.3.2 Hot Work Program

17.3.2.1
Meets Minimum Standard: Site uses CSC corporate policy or has a site specific policy that meets minimum standards set in. Verification Method: P
17.3.2.2
Meets Minimum Standard: Site has a designated program administrator for medical surveillance. Verification Method: P
17.3.2.3
Meets Minimum Standard: The administrator maintains a current list of employees who perform welding, cutting or soldering job functions. Verification Method: D
Exceeds Minimum Standard: Ask nurse - What metals or materials are welded/cut/soldered at this location? Verification Method: I
17.3.2.4
Meets Minimum Standard: Hot works survey is completed annually by employees who weld, cut or solder. Verification Method: D
Exceeds Minimum Standard: Ask maintenance employee - When was the last time you completed a hot works survey? Verification Method: I
Gold Standard: MSDS is available for each metal checked. Verification Method: O
17.3.2.5
Meets Minimum Standard: Program administrator has notified CSC Global Safety Director if any employee checks off on the hot works survey any metals that require minimum or mandated surveillance. Verification Method: P
Exceeds Minimum Standard: Ask nurse or safety - Have you reported any exposures to the Global Safety Director? Verification method: I
17.3.2.6
Meets Minimum Standard: A licensed professional health care provider will complete a medical history on any employee who reports symptoms related to welding, cutting, or soldering. Verification Method: D
17.3.2.7
Meets Minimum Standard: if a physical exam is required, the Physical Exam Report will be completed by the Licensed Health Care Provider along with any recommendations for further medical tests. Verification Method: D
17.3.2.8
Meets Minimum Standard: The Licensed Professional Health Care Provider shall also complete the Return to Work Form designating the employee's status. Verification Method: D

17.3.3

17.3.3 Drug and Alcohol Testing

17.3.3
Meets Minimum Standard: If site has DOT drivers, DOT Drug Testing is conducted. Verification Method: P
Exceeds Minimum Standard: At least one manager on search shift has had substance abuse training. Verification Method: D
Gold Standard: At least one manager on a each shift has had recent substance abuse training in the last year. Verification Method: D
17.3.3.1
Meets Minimum Standard: Post-offer urine drug testing is conducted for all persons including seasonal, part time, and contracted employees. Verification Method: P
Exceeds Minimum Standard: Reasonable Suspicion urine drug screen and alcohol testing is conducted. Verification Method: D
17.3.3.2
Meets Minimum Standard: Collectors are certified in DOT urine drug screen collection. Re certification is required every 5 years. Verification Method: D
Exceeds Minimum Standard: Post-accident urine drug screen and alcohol testing is conducted. Verification Method: D
17.3.3.3
Meets Minimum Standard: If alcohol testing is conducted, the tester must be a Certified Breath Alcohol Technician or Certified in Saliva Testing Verification Method: D
Exceeds Minimum Standard: Random urine drug screen and alcohol testing is conducted. Verification Method: D
17.3.3.4
Meets Minimum Standard: If a positive alcohol screening test is obtained, a confirmation test is conducted according to CSC corporate policy. Verification Method: P
Exceeds Minimum Standard: Consultation has been made with CSC Legal Department Verification Method: D

17.3.4

17.3.4 Pesticide Surveillance

17.3.4.1
Meets Minimum Standard: OH maintains current list of employees with known pesticide exposure. Verification Method: D
Exceeds Minimum Standard: Ask nurse or safety to describe jobs/tasks/exposures that require surveillance. Verification Method: I
Gold Standard: Current MSDS sheets for chemicals used. Verification Method: D
17.3.4.2
Meets Minimum Standard: Post-offer baseline and annual Carboxyhemoglobin, RBC and Serum Cholinesterase levels obtained. Verification Method: D
Exceeds Minimum Standard: Post offer baseline and annual CBC and Metabolic Panel obtained. Verification Method: D
17.3.4.3
Meets Minimum Standard: Results are reviewed by a Licensed Professional Health Care Provider Verification Method: D
Exceeds Minimum Standard: Results are reviewed by Occupational Health Physician Verification Method: D
17.3.4.4
Meets Minimum Standard: Results are reviewed with employee and maintained in medical record. Verification Method: D
17.3.4.5
Meets Minimum Standard: If abnormal results are obtained, follow up care is initiated and documented. Verification Method: D
17.3.4.6
Meets Minimum Standard: Is there a change area and is it posted? Verification Method: O
17.3.4.7
Meets Minimum Standard: Is there washing facilities? Verification Method: O
17.3.4.8
Meets Minimum Standard: Is appropriate PPE provided to those employees using pesticides if needed? Verification Method: O
Exceeds Minimum Standard: Ask employee what PPE they use when working with pesticides. Verification Method: I

17.3.5

17.3.5 Powered Industrial Equipment Operator

17.3.5.1
Meets Minimum Standard: Exams will be performed every three years according to CSC Powered Industrial Equipment (PIE) policy. Verification Method: P
Exceeds Minimum Standard: Vision exam will be performed with Vision Tester and include depth and peripheral vision. Verification Method: D
Gold Standard: PIE Exams will be performed annually. Verification Method: D
17.3.5.2
Meets Minimum Standard: Occupational Health will maintain a current list of employees that operate Powered Industrial Equipment (PIE). Verification Method: D
Exceeds Minimum Standard: Medical surveillance chart audit - review 5% of charts every year that have PIE exams. Verification Method: D
17.3.5.3
Meets Minimum Standard: Employees with abnormal physical exam findings are referred to a LPHCP for evaluation. Verification Method: D
Exceeds Minimum Standard: Letter to Treating Physician on file requesting follow-up on employees not meeting criteria. Verification Method: D
Gold Standard: Check and insure follow up/action documentation present for employees who had not met criteria. Verification Method: D
17.3.5.4
Meets Minimum Standard: Employees who have abnormal exam findings will be restricted from operating Powered Industrial Equipment until cleared by a Licensed Health Care Provider. Verification Method: D

17.4

17.4 Emergency Response

Business/Facility Management shall ensure adequate resources and reference materials are available to manage safety. required information shall be based upon a facility self assessment.
17.4.1 (Emergency Responders)
Meets Minimum Standard: Maintain a current list of Emergency Responders and their locations Verification Method: D
Exceeds Minimum Standard: Ask nurse/safety/HR: Do you have at least one emergency responder on a each shift? Verification Method: I
Gold Standard: Emergency Responders have attended the 40 hour state sponsored Emergency Responder Training Course. Verification Method: D
17.4.2 (Certifications)
Meets Minimum Standard: Records of annual or bi-annual certification in CPR, first aid, and AED. Verification Method: D
Exceeds Minimum Standard: Ask responder - when were you last in CPR, first aid, and AED training class? Verification Method: I
17.4.3 ( AEDs)
Meets Minimum Standard: Map of the location of all Automatic External Defibrillators (AED) Verification Method: D
17.4.4 (Emergency Equipment)
Meets Minimum Standard: Map of the locations of all first aid stations Verification Method: D
17.4.4.1
Meets Minimum Standard: Map with the location and a detailed list of all emergency equipment Verification Method: D
17.4.4.2
Meets Minimum Standard: All emergency equipment is inspected monthly Verification Method: D
Exceeds Minimum Standard: Ask nurse/safety/HR: how do you inspect your emergency equipment? Verification Method: I

17.5

17.5 Wellness

17.5.1
Meets Minimum Standard: Site has a designated Wellness Coordinator Verification Method: D
Exceeds Minimum Standard: Has an employee Wellness committee Verification Method: D
Gold Standard: Attends minimum of 75% wellness monthly meetings with documented minutes Verification Method: D
17.5.2
Meets Minimum Standard: Implement WHQ wellness programs and submit required documentation Verification Method: D
Exceeds Minimum Standard: Implement at least 4 wellness programs to address risks identified in Health Risk Appraisal Verification Method: D
Gold Standard: Implement more than 4 wellness programs to address risks identified in HRA Verification Method: D
17.5.3
Meets Minimum Standard: Quarterly wellness program updates provided to plant leadership and corporate occupational health Verification Method: D
17.5.4
Meets Minimum Standard: WHQ health education material is posted in high traffic areas of the plant each month. Verification Method: O
17.5.5
Meets Minimum Standard: Submit annual wellness plan to WHQ Verification Method: D

17.6

17.6 Quality Assurance

17.6.1.1 Glucometer
Meets Minimum Standard: Unit is stored in appropriate carrying case with manufacturer's instructions. Verification Method: O
17.6.1.2
Meets Minimum Standard: Quality Assurance is conducted monthly. Verification Method: D
17.6.1.3
Meets Minimum Standard: Calibration is conducted and documented according to manufacturer's recommendations and at the beginning of each new test strip lot. Verification Method: D
17.6.2 Medication Storage
17.6.2.1
Meets Minimum Standard: All stock medications are stored at temperatures and conditions consistent with manufacturer's recommendations, in the original container and away from excessive heat and moisture. Verification Method: O
Exceeds Minimum Standard: A Medication Log is kept on the dispensing of all non-OTC medications. Verification Method: D
17.6.2.2
Meets Minimum Standard: Expiration dates are checked on a monthly basis. Verification Method: D
17.6.3 Vaccine/Biological Storage
17.6.3.2
Meets Minimum Standard: Current vaccine information statements are provided and corporate consent forms are utilized. Verification Method: D
Exceeds Minimum Standard: A separate Vaccine Log is kept for each vaccine dispensed in the clinic. Verification Method: D
17.6.3.3
Meets Minimum Standard: Multi-dose vaccines are dated when opened and discarded after 30 days. Verification Method: O
17.6.4 Temperature Monitoring
17.6.4.1
Meets Minimum Standard: Clinics are equipped with an accurate thermometer to measure Room Temperature, which is kept near the spirometer or other equipment that require temperature readings. Standard Room Temperature is within the 68-86 degrees F range. Verification Method: O
17.6.4.2
Meets Minimum Standard: If refrigerators are used, an accurate Refrigerator Thermometer is located on the center shelf near vaccines and refrigerated medicines. A log is maintained of daily refrigerator temperature checks. The log is retained for 3 years. Verification Method: D
17.6.5 Spirometry
17.6.5.1
Meets Minimum Standard: All Spirometry technicians have completed a NIOSH approved course and recertify every 5 years. Verification Method: D
17.6.5.2
Meets Minimum Standard: Calibrations are conducted and properly documented for each day of equipment use. Verification Method: D
17.6.5.3
Meets Minimum Standard: Spirometry calibration records are retained for 2 years. Verification Method: D
17.6.6 Audiometer Calibration
17.6.6.1
Meets Minimum Standard: Biological calibrations are conducted and properly documented for each day of equipment use. Verification Method: D
17.6.6.2
Meets Minimum Standard: Exhaustive calibration is conducted annually by a qualified technician. Verification Method: D
17.6.6.3
Meets Minimum Standard: Calibration records are retained for 5 years. Verification Method: D
17.6.7 Breath Alcohol Testing Equipment
17.6.7.1
Meets Minimum Standard: Breath alcohol testing is performed by a certified Breath Alcohol Technician. Re-certification required every 5 years. Verification Method: D
17.6.7.2
Meets Minimum Standard: Calibrations are conducted and properly documented prior to equipment use and, if not used, every 31 days. Verification Method: D
17.6.7.3
Meets Minimum Standard: Exhaustive calibration is conducted and properly documented every 2-3 years based on the manufacturers recommendations. Verification Method: D
17.6.8 Autoclave
17.6.8.1
Meets Minimum Standard: Follow Center for Disease Control guidelines for sterilization monitoring or State guidelines if your State has them. Verification Method: D
Exceeds Minimum Standard: Ask nurse - Does your state have sterilization monitoring guidelines? Verification Method: I
Gold Standard: There is a printed copy of guidelines. Verification Method: D
17.6.8.2
Meets Minimum Standard: Use mechanical, chemical, and biological monitors according to the manufacturer's instructions to ensure the effectiveness of the sterilization process. Verification Method: D
Exceeds Minimum Standard: Ask nurse - What is your autoclave manufacturer's recommendations for mechanical, chemical, and biological monitors to ensure the effectiveness of the sterilization process? Verification Method: I
17.6.8.3
Meets Minimum Standard: Monitor each load that you sterilize with mechanical (e.g., time, temperature, and pressure) and chemical indicators (e.g., heat sensitive tape). Verification Method: D
Exceeds Minimum Standard: Ask nurse to explain/describe chemical monitoring. Verification Method: I
17.6.8.4
Meets Minimum Standard: Place a chemical indicator (heat sensitive tape) on the inside of each package that you sterilize. If the internal indicator is not visible from the outside, also place an exterior chemical indicator in the package. Verification Methd: D
Exceeds Minimum Standard: Ask nurse to explain/describe how it is determined that the autoclave has been sterilized effectively. Verification Method: I
17.6.8.5
Meets Minimum Standard: Monitor sterilizes at least weekly by using a biological indicator (spore strip) with a matching control. Verification Method: D
Exceeds Minimum Standard: Ask nurse - how often do your monitor your autoclave with a biological indicator? Verification Method: I