Corning Pharma-Glass, Vineland

• Corning-Pharma Vineland
  Address

• Conducted on :

  Date

• Prepared by :

• Location :
  Address

• Contractor :

Documentation

• Does the contractor have a Health & Safety Program on site?

  Yes

  No

  N/A

• Is the SDS readily available to all workers?

  Yes

  No

  N/A

• Are emergency numbers posted for all workers?

  Yes

  No

  N/A

• Have they performed and documented toolbox talks according to Corning standard?

  Yes

  No

  N/A

• Have work areas been barricaded and proper signage placed?

  Yes

  No

  N/A

• Was the Safe Work Permit Completed?

  Yes

  No

  N/A

• Does the Master JSA cover all listed tasks on the Safe Work Permit?

  Yes

  No

  N/A

• Do workers know security's number?

  Yes

  No

  N/A

• Are there any additional permits being filled out?

  Yes

  No

  N/A

• Were the additional permits filled out accurately and completely?

  Yes

  No

  N/A

PPE

• Are hardhats being worn?

  Yes

  No

  N/A

• Have they expired?

  Yes

  No

  N/A

• Are they the right type of hardhat?

  Yes

  No

  N/A

• Are they being worn properly?

  Yes

  No

  N/A

• Are safety glasses being worn?

  Yes

  No

  N/A

• Are they ANSI Z87.1 rated?

  Yes

  No

  N/A

• Is Hi-Vis vests/shirts being worn?

  Yes

  No

  N/A

• If motorized equipment is being used, are there retro-reflective stripes on the Hi-Vis gear?

  Yes

  No

  N/A

• Are all workers wearing steel/composite toe boots?

  Yes

  No

  N/A

• Are gloves, armguards, aprons, leg guards, etc. in use when required?

  Yes

  No

  N/A

• Is hearing protection being worn when necessary?

  Yes

  No

  N/A

Housekeeping

• Is the work area neat?

  Yes

  No

  N/A

• Waste containers used?

  Yes

  No

  N/A

• Are they properly labeled?

  Yes

  No

  N/A

• Are passageways/walkways kept clear?

  Yes

  No

  N/A

• Are materials properly stored and/or stacked?

  Yes

  No

  N/A

Ladders

• Are ladders being used?

  Yes

  No

  N/A

• Do extension ladders extend 36 inches past the landing?

  Yes

  No

  N/A

• Are ladders secured to prevent slipping, sliding, or falling?

  Yes

  No

  N/A

• Are stepladders used in fully open position?

  Yes

  No

  N/A

• Are the ladders being used in a safe manner? (3-points of contact, belt buckle rule, not on top 2 rungs)

  Yes

  No

  N/A

Trenches & Excavations

• Is digging beyond 2 inches occurring on site?

  Yes

  No

  N/A

• Is there a valid 811 ticket?

  Yes

  No

  N/A

• Has an excavation permit been filled out?

  Yes

  No

  N/A

• Are spoil piles kept 2 feet away from excavation?

  Yes

  No

  N/A

• Access/Egress provided every 25 feet when below 4 feet?

  Yes

  No

  N/A

• Is cave-in protective system being used beyond 5 feet?

  Yes

  No

  N/A

• Is the protective system of sloping/shoring adequate? (No benching, all soil is class C)

  Yes

  No

  N/A

Fall Protection

• Is there any work being done from heights?

  Yes

  No

  N/A

• Is a PFAS required?

  Yes

  No

  N/A

• Has the PFAS equipment been inspected?

  Yes

  No

  N/A

• Is the anchorage point in good condition and designed for the work?

  Yes

  No

  N/A

• Is the body harness in good condition?

  Yes

  No

  N/A

• Are the connectors in good condition and designed for the work?

  Yes

  No

  N/A

• Are workers 100% tied off when in lifts, including scissor lifts?

  Yes

  No

  N/A

• Are guardrails installed?

  Yes

  No

  N/A

• Is the top of guardrail 42 inches +/- 3 inches?

  Yes

  No

  N/A

• Can the guardrail resist at any point 200 pounds of downward or outward force?

  Yes

  No

  N/A

• Is toe-board 3.5 inches with no more than a 1/4 inch gap?

  Yes

  No

  N/A

• Can the toe-board withstand 50 pounds of force?

  Yes

  No

  N/A

Scaffolding

• Is there any scaffolding being used?

  Yes

  No

  N/A

• Is there proper access to the scaffold?

  Yes

  No

  N/A

• Has the scaffold been inspected by competent person?

  Yes

  No

  N/A

• Is there a green scaffolding tag indicating competent person and inspection date?

  Yes

  No

  N/A

• Are employees below protected from falling hazards?

  Yes

  No

  N/A

• Is there any scaffolding being built?

  Yes

  No

  N/A

• Is there proper access to the scaffold?

  Yes

  No

  N/A

• Is the scaffold erected on sound rigid footings?

  Yes

  No

  N/A

• Are planks sound and sturdy?

  Yes

  No

  N/A

• Are guardrails, intermediate rails, toe-boards, and screens in place?

  Yes

  No

  N/A

• Are employees below protected from falling objects?

  Yes

  No

  N/A

Fire Prevention

• Are workers equipped with adequate fire extinguishers?

  Yes

  No

  N/A

• Are the extinguishers monthly and annual inspections maintained?

  Yes

  No

  N/A

• Are the extinguishers readily available?

  Yes

  No

  N/A

Electrical

• Are GFCIs in use?

  Yes

  No

  N/A

• Are the cords in good working condition? (grounding prong, no frayed wiring)

  Yes

  No

  N/A

• Is electrical work being performed?

  Yes

  No

  N/A

• Was additional electrical permit filled out?

  Yes

  No

  N/A

• Has the additional PPE been tested and/or kept in good working condition?

  Yes

  No

  N/A

• Have Is the proper PPE being worn for the task?

  Yes

  No

  N/A

• Has an electrical permit been completed?

  Yes

  No

  N/A

• Was LOTO performed?

  Yes

  No

  N/A

• Why not?

• Is additional PPE for electrical work being worn?

  Yes

  No

  N/A

• Do high-voltage PPE have valid test dates and remain in good working condition?

  Yes

  No

  N/A

Welding and Burning

• Is there any welding, burning, or sparking work being performed?

  Yes

  No

  N/A

• Do they have a hot work permit filled out?

  Yes

  No

  N/A

• Is additional PPE being worn for the work?

  Yes

  No

  N/A

• Is a face shield in addition to eye protection being used for work operations resulting in sparks?

  Yes

  No

  N/A

• Are the proper shades being used for the welding operation?

  Yes

  No

  N/A

• Are the welding gloves in good condition?

  Yes

  No

  N/A

• Are gas cylinders stored upright and secured?

  Yes

  No

  N/A

• Are fire blankets being used to protect flammable material near hot work?

  Yes

  No

  N/A

• Are screens being used to protect eyes of those near the hot work operation?

  Yes

  No

  N/A

Cranes

• Is a crane being used?

  Yes

  No

  N/A

• Was a pick plan created, reviewed, and approved by Corning?

  Yes

  No

  N/A

• Was the crane the properly set up?

  Yes

  No

  N/A

• Were barricades set up?

  Yes

  No

  N/A

• Was the restricted access zone enforced?

  Yes

  No

  N/A

• Was the pick plan followed? (operator, rigger, signalman, swing radius, rigging components, proper crane, etc.)

  Yes

  No

  N/A

Floor and Wall Penetrations

• Will the floor or wall be penetrated?

  Yes

  No

  N/A

• Was a floor and wall penetration permit filled out?

  Yes

  No

  N/A

• Have the proper individuals been notified of the opening?

  Yes

  No

  N/A

• Is perimeter protection in place for opening?

  Yes

  No

  N/A

• Are floor or deck openings planked over or barricaded?

  Yes

  No

  N/A

Confine Space

• Is there work being done in a confined space?

  Yes

  No

  N/A

• Has the survey been completed to determine if it is permit required?

  Yes

  No

  N/A

• If it is a permit required confined space, has a permit been completed?

  Yes

  No

  N/A

• Have the workers been trained in confined space entry?

  Yes

  No

  N/A

• Has the air monitor been bump tested?

  Yes

  No

  N/A

• Is the calibration date good on the air monitor?

  Yes

  No

  N/A

• Has a rescue plan been established?

  Yes

  No

  N/A

• Has adequate ventilation been provided?

  Yes

  No

  N/A

• Is there proper signage and barriers for the confined space?

  Yes

  No

  N/A