Company Compliance Program

• Facility Name/Area:

• Date:

  Date

• Inspector:

• Document Number: CHK-013-S009
  Element: Compliance Audits and Inspections
  Revision Date: 04/2014
  Revision Number: 0
  

Section 1: Record-keeping

• 1. Have the OSHA 300 and First Report of Injury documents been completed? (300 A)<br>Retention Years: 5

  Yes

  No

  N/A

• 2. Have the site hazard assessments been conducted, posted and/or re-certified each year?<br>Retention Years: 5

  Yes

  No

  N/A

• 3. Is the Emergency Response Plan up to date and located in an accessible location?<br>Retention Years: 1

  Yes

  No

  N/A

• 4. Does Monthly Safety Checklists exist for each location?<br>Retention Years: 5*

  Yes

  No

  N/A

• 5. Have the Confined Space Entry Permits been completed for each entry?<br>Retention Years: 1

  Yes

  No

  N/A

• 6. Have the Hot Work Permits been completed for each hot work job?<br>Retention Years: 1

  Yes

  No

  N/A

• 7. Is there a Visitor Orientation Program and records that match the current program?<br>Retention Years: 3

  Yes

  No

  N/A

• 8. Are Equipment Operator Certification Records on file for each operator?<br>Retention Years: 1

  Yes

  No

  N/A

• 9. Have the Odorization Records been completed?<br>Retention Years: 3

  Yes

  No

  N/A

• 10. Are High Pressure Hose Test Records on file?<br>Retention Years: 3

  Yes

  No

  N/A

• 11. Are Fire Extinguisher Inspection And Test Records complete and up to date?<br>Retention Years: 12

  Yes

  No

  N/A

• 12. Are the Fire Detection Test Records current? 2 times per year not to exceed 7 1/2 months.<br>Retention Years: 2

  Yes

  No

  N/A

• 13. Have the O&M Procedures been re-certified on an annual basis?<br>Retention Years: Life

  Yes

  No

  N/A

• 14. Are Refresher O&M Procedure Training Records on location for each employee? (Every 3 years)<br>Retention Years: 5*

  Yes

  No

  N/A

• 15. Has a Contractor Injury Log been maintained? <br>Retention Years: 3

  Yes

  No

  N/A

Section 2: Posting of Notices Signs and Posters

• 16. Are all required Department of Labor posters prominently displayed?<br>Retention Years: 0

  Yes

  No

  N/A

• 17. Is the emergency contact information posted?<br>Retention Years: 0

  Yes

  No

  N/A

• 18. Are facility safety a s information signs per the Signage Matrix?<br>Retention Yeasrs: 0

  Yes

  No

  N/A

• 19. Are current HSE Alerts posted?<br>Retention Years: 3

  Yes

  No

  N/A

• 20. Are load limits for cranes, hoists, balconies and storage lofts clearly marked?<br>Retention Years: 0

  Yes

  No

  N/A

• 21. Is the Hearing Conservation poster prominently displayed?<br>Retention Years: 0

  Yes

  No

  N/A

• 22. Is the sign "Hearing Protection Required" adequately posted where required?<br>Retention Years: 0

  Yes

  No

  N/A

• 23. Are Confined Space signs located on all confined spaces?<br>Retention Years: 0

  Yes

  No

  N/A

• 24. Is the HAZCOM - MSDS Phone Number located throughout the facility?<br>Retention Years: 0

  Yes

  No

  N/A

Section 3: Housekeeping and Sanitation (mark yes if the following areas are clean and clear)

• 25. Facility Commons Area i.e. shop, warehouse, parking lots, building entrances, etc.<br>Retention Years: 0

  Yes

  No

  N/A

• 26. Process Area<br>Retention Years: 0

  Yes

  No

  N/A

• 27. Are materials piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading?<br>Retention Years: 0

  Yes

  No

  N/A

• 28. Motor Control Center<br>Retention Years: 0

  Yes

  No

  N/A

• 29. Control Room<br>Retention Years: 0

  Yes

  No

  N/A

• 30. Toilets and washing facilities<br>Retention Years: 0

  Yes

  No

  N/A

• 31. Storage Areas<br>Retention Years: 0

  Yes

  No

  N/A

• 32. Basements of Compressor Buildings free of oil<br>Retention Years: 0

  Yes

  No

  N/A

• 33. Pump Compressor Area<br>Retention Years: 0

  Yes

  No

  N/A

Section 4: Exits

• 34. Are all exits free of obstructions?<br>Retention Years: 0

  Yes

  No

  N/A

• 35. Are all doors operable and unlocked?<br>Retention Years: 0

  Yes

  No

  N/A

• 36. Are exit routes clearly marked and as indicated on evacuation route poster?<br>Retention Years: 0

  Yes

  No

  N/A

• 37. Is all panic hardware operable?<br>Retention Years: 0

  Yes

  No

  N/A

• 38. Is emergency lighting operable?<br>Retention Years: 0

  Yes

  No

  N/A

Section 5: Ladders and Scaffolds

• 39. Are portable ladder rungs and steps corrugated and in good condition to minimize the possibility of slipping?<br>Retention Years: 0

  Yes

  No

  N/A

• 40. Are stable footings in place on portable ladders?<br>Retention Years: 0

  Yes

  No

  N/A

• 41. Are portable ladders stowed properly so as to not create additional hazards?<br>Retention Years: 0

  Yes

  No

  N/A

• 42. Are ladders in use properly secured with leashes?<br>Retention Years: 0

  Yes

  No

  N/A

• 43. Are non-metallic ladders available for electrical work?<br>Retention Years: 0

  Yes

  No

  N/A

• 44. Are scaffolds properly guarded with a standard top rail, mid rail and toe board?<br>Retention Years: 0

  Yes

  No

  N/A

• 45. Are working platforms four feet or higher properly guarded?<br>Retention Years: 0

  Yes

  No

  N/A

• 46. Are individuals competent to erect scaffolding?<br>Retention Years: 0

  Yes

  No

  N/A

• 47. Are fixed ladders equipped with landing platforms located every 20'?<br>Retention Years: 0

  Yes

  No

  N/A

• 48. Are cages or wells provided on ladders more than 20' to a maximum or broken length of 30'?<br>Retention Years: 0

  Yes

  No

  N/A

• 49. Is the joint between step and side rails tight?<br>Retention Years: 0

  Yes

  No

  N/A

• 50. Are the hardware and fittings securely attached?<br>Retention Years: 0

  Yes

  No

  N/A

• 51. Do all movable parts operate freely without binding or undue play?<br>Retention Years: 0

  Yes

  No

  N/A

• 52. Are safety feet and other auxiliary equipment in good condition?<br>Retention Years: 0

  Yes

  No

  N/A

• 53. Are rungs free from oil and grease?<br>Retention Years: 0

  Yes

  No

  N/A

Section 6: Tools, Equipment and Machinery

• 54. Are controls properly identified? (i.e. On/Off, Open/Close)<br>Retention Years: 0

  Yes

  No

  N/A

• 55. Are work rests on stationary grinders a maximum of 1/8" clearance?<br>Retention Years: 0

  Yes

  No

  N/A

• 56. Are automatic guards on machinery properly adjusted?<br>Retention Years: 0

  Yes

  No

  N/A

• 57. Are fixed guards on machinery secured and in position?<br>Retention Years: 0

  Yes

  No

  N/A

• 58. Are operating controls on machinery guarded against inadvertent actuation?<br>Retention Years: 0

  Yes

  No

  N/A

• 59. Is machinery subject it vibration secured from walking or falling?<br>Retention Years: 0

  Yes

  No

  N/A

• 60. Is the air nozzle safety feature operational and regulated to 30 psi?<br>Retention Years: 0

  Yes

  No

  N/A

• 61. Are tools clean and in good condition?<br>Retention Years: 0

  Yes

  No

  N/A

• 62. Are emergency stops functional, properly positioned, labeled an color-coded?<br>Retention Years: 0

  Yes

  No

  N/A

• 63. Are power tools double insulated?<br>Retention Years: 0

  Yes

  No

  N/A

• 64. Are tool retainers installed on pneumatic tools?<br>Retention Years: 0

  Yes

  No

  N/A

• 65. Are tools inspected and safe to use?<br>Retention Years: 0

  Yes

  No

  N/A

• 66. are the safety devices and appurtenances in place and in good condition on launchers and receivers?<br>Retention Years: 0

  Yes

  No

  N/A

• 67. Are locks and tags in place where required?<br>Retention Years: 0

  Yes

  No

  N/A

Section 7: Electrical/Lighting

• 68. Are cords with a ground prong provided on all power tools?<br>Retention Years: 0

  Yes

  No

  N/A

• 69. Are GCFIs provided and properly used?<br>Retention Years: 0

  Yes

  No

  N/A

• 70. Is fixed equipment properly grounded?<br>Retention Years: 0

  Yes

  No

  N/A

• 71. Are cover plates, switches and outlets in good condition?<br>Retention Years: 0

  Yes

  No

  N/A

• 72. Are switches and panels labeled with voltage/caution warnings?<br>Retention Years: 0

  Yes

  No

  N/A

• 73. Are live electrical parts properly covered?<br>Retention Years: 0

  Yes

  No

  N/A

• 74. Are class location drawings available at facility?<br>Retention Years: 0

  Yes

  No

  N/A

• 75. Are explosion-proof covers I. Place and secured in designated areas?<br>Retention Years: 0

  Yes

  No

  N/A

• 76. Are grounded capabilities available at truck loading docks?<br>Retention Years: 0

  Yes

  No

  N/A

• 77. Are " DANGER - HIGH VOLTAGE" signs posed around 600 volts or above?<br>Retention Years: 0

  Yes

  No

  N/A

• 78. Are drop cords or other temporary wiring not used as permanent applications?<br>Retention Years: 0

  Yes

  No

  N/A

• 79. Is equipment marked legibly with voltage and manufacturer's marking?<br>Retention Years: 0

  Yes

  No

  N/A

• 80. Is electrical PPE tested/inspected with documentation available for hot sticks. gloves, mats and shoes?<br>Retention Years: 0

  Yes

  No

  N/A

• 81. Does facility contain lighting sufficient for the detail/type of work performed?<br>Retention Years: 0

  Yes

  No

  N/A

Section 8: Vehicles and Equipment

• 82. Do vehicles that transport hazardous materials maintain a current hazardous materials certificate?<br>Retention Years: 1

  Yes

  No

  N/A

• 83. Are DOT numbers posted on all Company vehicles?<br>Retention Years: 0

  Yes

  No

  N/A

• 84. Are all company vehicles maintained in safe operating condition?<br>Retention Years: 0

  Yes

  No

  N/A

• 85. Are a fire extinguisher, first aid Kit and reflector kit available and maintained in company vehicle?<br>Retention Years: 0

  Yes

  No

  N/A

• 86. Is a current insurance are available in vehicle?<br>Retention Years: 1

  Yes

  No

  N/A

• 87. Is a vehicle accident kit in vehicle glove box?<br>Retention Years: 0

  Yes

  No

  N/A

Section 9: Flammable Liquids Storage

• 88. Are containers used for storing flammable liquids UL approved and labeled?<br>Retention Years: 0

  Yes

  No

  N/A

• 89. Are lab samples properly labeled and stored?<br>Retention Years: 0

  Yes

  No

  N/A

• 90. Are storage cabinets painted yellow, fire resistant and labeled "Flammable - Keep Fire Away"?<br>Retention Years: 0

  Yes

  No

  N/A

• 91. Do tanks and drums have proper grounding and labels?<br>Retention Years: 0

  Yes

  No

  N/A

• 92. Do open drums have attached bonding strap?<br>Retention Years: 0

  Yes

  No

  N/A

• 93. Do Diesel/Gasoline Tanks have permanent bonding strap mounted?<br>Retention Years: 0

  Yes

  No

  N/A

• 94. Are above ground tanks properly identified with label or number?<br>Retention Years: 0

  Yes

  No

  N/A

Section 10: Hazardous Materials

• 95. Is the 3E phone number posted?<br>Retention Years: Life

  Yes

  No

  N/A

• 96. Are hazardous material containers properly labeled and stored?<br>Retention Years: 0

  Yes

  No

  N/A

• 97. Are compressed gas cylinders stored upright' away from heat sources, stairs, elevators and egress routes and secured and capped?<br>Retention Years: 0

  Yes

  No

  N/A

• 98. Are compressed gas cylinders segregated by contents and legibly marked?<br>Retention Years: 0

  Yes

  No

  N/A

• 99. Are compressed gas cylinders pressure-tested and dated?<br>Retention Years: 0

  Yes

  No

  N/A

• 100. Is spill containment adequate to contain contents of largest container?<br>Retention Years: 0

  Yes

  No

  N/A

• 101. Are tanks and drums adequately supported?<br>Retention Years: 0

  Yes

  No

  N/A

• 102. Are non-compatible materials segregated by reactivity?<br>Retention Years: 0

  Yes

  No

  N/A

• 103. Are there separate waste containers for oily rags, smoking materials, dust, flammable scrap, chemical waste, etc.?<br>Retention Years: 0

  Yes

  No

  N/A

• 104. Is chemical waste properly labeled and coded for disposal off-site?<br>Retention Years: 0

  Yes

  No

  N/A

Section 11: Personal Protective Equipment Provided and in Good Condition

• 105. Is proper foot wear worn when working in areas where there is a danger of foot injury due to falling or rolling objects?<br>Retention Years: 0

  Yes

  No

  N/A

• 106. Is hand protection used to protect employees' hands form skin absorption or harmful substances, severe cuts and harmful temperature extremes?<br>Retention Years: 0

  Yes

  No

  N/A

• 107. Is flame-retardant clothing provided and worn in areas designated by the site hazard assessment?<br>Retention Years: 0

  Yes

  No

  N/A

• 108. Are chemical aprons provided, maintained in good condition and used as designed by the site hazard assessment?<br>Retention Years: 0

  Yes

  No

  N/A

• 109. Are welding hoods, goggles, gloves and leathers clean and maintained in good condition?<br>Retention Years: 0

  Yes

  No

  N/A

• 110. Are Fire Extinguishers maintained and properly used?<br>Retention Years: 0

  Yes

  No

  N/A

Section 12: Fire Protection

• 111. Are Portable Fire Extinguishers provided in adequate number and type?<br>Retention Years: 0

  Yes

  No

  N/A

• 112. Are Fire Extinguishers properly mounted and readily accessible and free from obstructions or blockage?<br>Retention Years: 0

  Yes

  No

  N/A

• 113. Are Fire Extinguishers identified and fully charged?<br>Retention Years: 0

  Yes

  No

  N/A

• 114. Are Fire Extinguisher inspections current and noted on inspection tag?<br>Retention Years: 12

  Yes

  No

  N/A

• 115. Are Flammables stored in proper cabinets and containers and do cabinets contain more than 60 gallons of flammable liquid?<br>Retention Years: 0

  Yes

  No

  N/A

• 116. Are all flammable liquid containers approved safety cans?<br>Retention Years: 0

  Yes

  No

  N/A

• 117. Are batteries located in a well-ventilated area, away from flammable liquids and vapors?<br>Retention Years: 0

  Yes

  No

  N/A

• 118. Do any containers in storage cabinets exceed 5 gallons each?<br>Retention Years: 0

  Yes

  No

  N/A

• 119. Are appropriate fire extinguishers located within 50' from outside areas containing flammable liquids?<br>Retention Years: 0

  Yes

  No

  N/A

• 121. Are oily rags stored in covered, metal waste cans?<br>Retention Years: 0

  Yes

  No

  N/A

• 120. Are appropriate fire extinguishers located on less than 10-feet and no more than 25-feet from indoor storage cabinets?<br>Retention Years: 0

  Yes

  No

  N/A

Section 13: Medical and First Aid

• 122. Is at least one person on each shift qualified to render first aid?<br>Retention Years: 0

  Yes

  No

  N/A

• 123. Are First Aid Kits with the necessary supplies easily accessible to each work area?<br>Retention Years: 0

  Yes

  No

  N/A

• 124. Are Bloodborne Pathogen Kits readily accessible to all employees?<br>Retention Years: 0

  Yes

  No

  N/A

• 125. Are Biohazard containers available?<br>Retention Years: 0

  Yes

  No

  N/A

• 126. Are means provided for quick drenching or flushing of eyes and body in areas where corrosive liquids or materials are handeled?<br>Retention Years: 0

  Yes

  No

  N/A

Section 14: Welding, Cutting and Brazing

• 127. Are safety decals (electrical shock, arc rays, fumes and gases, welding sparks, moving parts) affixed to welding equipment?<br>Retention Years: 0

  Yes

  No

  N/A

• 128. Are compressed gas cylinders properly secured?<br>Retention Years: 0

  Yes

  No

  N/A

• 129. Are all cylinders appropriately tagged as FULL or EMPTY?<br>Retention Years: 0

  Yes

  No

  N/A

• 130. Is red used rig identify acetylene hoses, green for oxygen and black for inert gas and air?<br>Retention Years: 0

  Yes

  No

  N/A

• 131. Are valve protectors always placed on cylinders when the cylinders are not in use or connected for use?<br>Retention Years: 0

  Yes

  No

  N/A

• 132. Are cylinders legibly marked to clearly identify the gas contained and associated hazards?<br>Retention Years: 0

  Yes

  No

  N/A

• 133. Are cylinders kept away from stairs and gangways?<br>Retention Years: 0

  Yes

  No

  N/A

• 134. Are welding cables in good condition, not frayed and not cracked?<br>Retention Years: 0

  Yes

  No

  N/A

Section 15: Plant Buildings

• 135. Is the building ridge vent open?<br>Retention Years: 0

  Yes

  No

  N/A

• 136. Are the relief valves and regulators safely vented outside the building?<br>Retention Years: 0

  Yes

  No

  N/A

• 137. Are the vent pipes extended through the rood and equipped with rain caps?<br>Retention Years: 0

  Yes

  No

  N/A

• 138. Is the unit wiring encapsulated in conduit?<br>Retention Years: 0

  Yes

  No

  N/A

• 139. Is the building vented properly to maintain the appropriate Electrical Classification?<br>Retention Years: 0

  Yes

  No

  N/A

• 140. Is the pump room exhaust vent operational?<br>Retention Years: 0

  Yes

  No

  N/A

• 141. Are the trenches clean and dry?<br>Retention Years: 0

  Yes

  No

  N/A

Section 16: Miscellaneous

• 142. Are the piping guard posts properly located?<br>Retention Years: 0

  Yes

  No

  N/A

• 143. Is the truck loading area properly marked and yellow lined?<br>Retention Years: 0

  Yes

  No

  N/A

• 144. Is the windsock location clearly visible?<br>Retention Years: 0

  Yes

  No

  N/A

• 145. Are the emergency alarm horns properly located and operational?<br>Retention Years: 0

  Yes

  No

  N/A

• 146. Are the sidewalks and drives in good condition?<br>Retention Years: 0

  Yes

  No

  N/A

• 147. Is the facility security fence in good condition?<br>Retention Years: 0

  Yes

  No

  N/A

• 148. Is the flare radiation safety zone marked or in a fenced area?<br>Retention Years: 0

  Yes

  No

  N/A

• 149. Have employees been trained about the flare radiation safety zone?<br>Retention Years: 0

  Yes

  No

  N/A

• 150. Is there a site-specific lockout/tagout procedure for the flare system?<br>Retention Years: 0

  Yes

  No

  N/A

• 151. Has the Facility Launcher/Receiver been inspected to ensure the proper signage, safety devices and procedures are in place?<br>Retention Years: 0

  Yes

  No

  N/A

Section 17: Environmental

• 152. Does the facility have an air permit posted?<br>Retention Years: 0

  Yes

  No

  N/A

• 153. Is the control equipment operational?<br>Retention Years: 0

  Yes

  No

  N/A

• 154. Are inspections conducted on the emissions control equipment?<br>Retention Years: 0

  Yes

  No

  N/A

• 155. Does the facility have an AST/UST permit posted?<br>Retention Years: 0

  Yes

  No

  N/A

• 156. We're all spills cleaned up and containerized appropriately?<br>Retention Years: 0

  Yes

  No

  N/A

• 157. Are there product stains on the ground?<br>Retention Years: 0

  Yes

  No

  N/A

• 158. Are the loading/unloading areas properly contained?<br>Retention Years: 0

  Yes

  No

  N/A

• 159. Are empty drums located in site?<br>Retention Years: 0

  Yes

  No

  N/A

• 160. Are chemical bottles stored properly?<br>Retention Years: 0

  Yes

  No

  N/A

• 161. Are all drains closed to prevent release to water?<br>Retention Years: 0

  Yes

  No

  N/A

• 162. Are all tank dike drains closed or the reason documented if open?<br>Retention Years: 0

  Yes

  No

  N/A

• 163. Is there proper drainage across the facility?<br>Retention Years: 0

  Yes

  No

  N/A

• 164. Are all employees aware of the SPCC Plan?<br>Retention Years: 0

  Yes

  No

  N/A

• Sign Name

  Sign

• Print Name

• Date Completed

  Date

• Distribution: Operations Foreman and HSE Coordinator

• Retention: 5 years

• NOTE: Retain Records for life of Facility